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Ramirez-Caban L, Malekzadeh M, Hurtado E. Suprapubic-Assisted Transurethral Excision of Eroded Transvaginal Cerclage Suture. J Minim Invasive Gynecol 2021. [DOI: 10.1016/j.jmig.2021.09.562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Cooper J, Padilla PF, Mehandru N, Smith K, Ramirez-Caban L, Malekzadeh M, Sprague M. Patient Satisfaction with Initial Phone Call Vs. Office Visit Following Minimally Invasive Hysterectomy; A Randomized Controlled Trial. J Minim Invasive Gynecol 2020. [DOI: 10.1016/j.jmig.2020.08.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Malekzadeh M, Ramirez-Caban L, Hurtado E. Laparoscopic Excision and Re-Attachment of Sacrocolpopexy Mesh. J Minim Invasive Gynecol 2020. [DOI: 10.1016/j.jmig.2020.08.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Shojaeifard M, Jarideh S, Owjfard M, Nematollahii S, Talaei-Khozani T, Malekzadeh M. Electromagnetic Fields of Mobile Phone Jammer Exposure on Blood Factors in Rats. J Biomed Phys Eng 2018; 8:403-408. [PMID: 30568930 PMCID: PMC6280113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 03/28/2018] [Indexed: 11/17/2022]
Abstract
BACKGROUND The increasing demand for using mobile phones has led to increasing mobile phone jammers as well. On the other hand, reports show that exposure to electromagnetic field causes an increase in the incidence of diseases such as leukemia, cancer, depression and failure in pregnancy outcomes; therefore, the aim of this study is to investigate the effects of exposure to electromagnetic fields of mobile phone jammers on blood factors. MATERIALS AND METHODS Thirty male Wistar immature and thirty mature rats were selected randomly and each one was divided into three groups of ten. The control group did not receive any radiation; the sham group was exposed to a switched-off jammer device and the experimental group was exposed to electromagnetic fields (EMF) radiated by Mobile Phone Jammer daily eight hours for five days a week during forty days. Blood sample was taken from heart and blood factors including PLT, MCHC and RDWCV were measured. The data were analyzed by ANOVA which was followed by Duncan's test. RESULTS The data from mature rats revealed that jammer usage led to a significant difference in blood factors including RBC, platelet, hemoglobin, hematocrit, MCV and RDWCV (P≤0.05); however, the number of lymphocytes, WBC and MCVH in the blood was the same in all groups. In immature rats, the exposure to jammer did not change RBC, lymphocyte and WBC count, hemoglobin and hematocrit; while, the platelet count along with MCHC, MVC and RDWCV changed by jammer radiation. CONCLUSION The results exhibited that mobile phone jammer caused frequent changes in blood cell factors.
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Affiliation(s)
- M.B. Shojaeifard
- Physiology Department, Fasa University of Medical Sciences, Fasa, Iran
,Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
| | - S. Jarideh
- Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
| | - M. Owjfard
- Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
| | - S. Nematollahii
- Biostatistic Department, Shiraz University of Medical Sciences, Shiraz, Iran
| | - T. Talaei-Khozani
- Anatomy Department, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran
| | - M. Malekzadeh
- Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
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Malekzadeh M, Hashemi S, Zare R, Khademi B. PO-384 Investigation of IL-33 serum levels in patients with benign and malignant salivary gland tumours. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Zare R, Hashemi M, Khademi B, Malekzadeh M. PO-382 Evaluation of the serum level of T-helper-17 in patients with benign and malignant salivary gland tumours. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Zare R, Andisheh-Tadbir A, Moghadasi N, Khademi B, Malekzadeh M, Ardekani ST. PO-383 Profile of serum heat shock protein-27 level in patients with salivary gland tumour. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Malekzadeh M, Gitiforooz H, Mahdi H. 68: The trend towards minimally invasive hysterectomy for benign indications: American College Of Surgeons-National Surgical Quality Improvement Program study from 2006-2011. Am J Obstet Gynecol 2018. [DOI: 10.1016/j.ajog.2017.12.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Nafissi N, Khayamzadeh M, Mahdavi S, Mirzaei H, Zeinali Z, Hadizadeh M, Samsami M, Moradi-Joo M, Malekzadeh M, Akbari M. P297 Radical IORT: pros and cons; comparison of two trials ELIOT and TARGIT-A in breast cancer management. Breast 2015. [DOI: 10.1016/s0960-9776(15)70328-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Mojtahedi Z, Khademi B, Erfani N, Taregh Y, Rafati Z, Malekzadeh M, Ghaderi A. Serum levels of interleukin-7 and interleukin-8 in head and neck squamous cell carcinoma. Indian J Cancer 2014; 51:227-230. [PMID: 25494110 DOI: 10.4103/0019-509x.146728] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background: The aim of this study was to investigate the association of head and neck squamous cell carcinoma (HNSCC) with serum levels of interleukin-7 (IL-7) and IL-8, the two cytokines whose associations with HNSCC need more clarifications. Materials and Methods: Commercial enzyme-linked immunosorbent assay kits were used for the quantification of the cytokines. Sera were collected from 48 untreated patients (36 men and 12 women; mean age: 52.7 ± 9.8 years) and 34 healthy donors (26 men and 8 women; mean age: 53.1 ± 9.0 years). Results: Serum IL-8 level was neither significantly different between HNSCC patients and control individuals nor associated with smoking status, gender, age, tumor location, tumor grade, and stage of the patients (P > 0.05). Regarding IL-7, all control individuals had serum levels below the sensitivity of the kit (3 pg/ml), but nine patients had detectable levels, and that the mean serum IL-7 was significantly higher in the patients compared to the controls (P = 0.008). Conclusions: Serum IL-8 level is not significantly associated with HNSCC. With the sensitivity of the kit we employed, it seems that serum IL-7 levels are specifically elevated in HNSCC patients compared to healthy individuals. Data from other independent studies are required to clarify the possible employment of IL-7 as an HNSCC biomarker.
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Affiliation(s)
| | | | | | | | | | | | - A Ghaderi
- Department of Immunology, Institute for Cancer Research, Shiraz University of Medical Sciences, School of Medicine, Shiraz, Iran
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Bahreyni Toossi MT, Zare H, Bayani Roodi S, Hashemi M, Akbari F, Malekzadeh M. Towards proposition of a diagnostic reference level for mammographic examination in the greater Khorasan Province, Iran. Radiat Prot Dosimetry 2013; 155:96-99. [PMID: 23209184 DOI: 10.1093/rpd/ncs317] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Although, over the past few years, the application of mammography has risen up sharply in Iran, very little, if any, has been reported of the extent of patient's dose from this type of imaging. The purpose of this study was to establish local diagnostic reference level (DRL) arising from mammography in the great Khorasan province of Iran. It is generally assumed that the glandular tissue is the most vulnerable type of breast tissue. Therefore, the mean glandular dose (MGD) has been widely accepted as the most appropriate dosimetric quantity to predict the risk of radiation-induced cancer. Literary, DRL for mammography is defined as the 75th percentile of MGD distribution. In Khorasan province, 7 out of 40 centres were randomly selected. In this work, 100 patients were studied. Thermoluminescence dosimeters have been used to measure entrance surface doses (ESDs). Since, it is difficult to directly measure MGD, Monte Carlo model-based conversion factors were utilised to conclude MGD from ESD. The results have revealed that patients dose is varied widely. The measured ESDs ranged from 0.74 to 19.81 mGy for the craniocaudal (CC) view and 1.20 to 25.79 mGy for the mediolateral oblique (MLO) view. The average MGDs per image were 0.88 and 1.11 mGy for CC and MLO views, respectively. Based on the internationally adopted definition, DRL arising from mammography tests for Khorasan is 1.33 mGy. Implementation of a dose reduction programme is suggested because of the large variations observed in patient MGD values. In this study, the DRL value is significantly lower than the corresponding values suggested by other researchers elsewhere.
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Affiliation(s)
- M T Bahreyni Toossi
- Department of Medical Physics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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Shirazi HRG, Hosseini M, Zoladl M, Malekzadeh M, Momeninejad M, Noorian K, Mansorian MA. Suicide in the Islamic Republic of Iran: an integrated analysis from 1981 to 2007. East Mediterr Health J 2012; 18:607-13. [PMID: 22888617 DOI: 10.26719/2012.18.6.607] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Although the rate of suicide is low in Muslim countries, there is evidence that it is increasing integrated analysis was made of data on suicide attempts (nonfatal and fatal) from studies carried out in the Islamic Republic of Iran from 1981 to 2007. Of 54 published studies concerning suicide, 48 (covering 26 768 cases of attempted suicide) satisfied the inclusion criteria. The weighted mean rate of suicide attempts was 26.5 per 100 000 and the average rate of death by suicide was 6.7 per100 000. The mean age of suicide attempters was 25 years; on average 41.8% were male, 50.5% single and 70.0% from urban areas. Most suicide attempters were not working: 54.2% on average were housewives, 24.5% students and 21.0% unemployed men. Medical history showed that 16.2% of suicide attempters had a history of disability and 42.0% had a history of psychological disorders. The rates were compared with studies from other nations/religious groups.
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Affiliation(s)
- H R Ghafarian Shirazi
- Social Determinants of Health Research Centre, Yasuj University of Medical Sciences, Yasuj, Islamic Republic of lran
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Malekzadeh M, Eliasy B. Old and New Symbol Warns of Radiation. J Med Imaging Radiat Sci 2012. [DOI: 10.1016/j.jmir.2012.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Hashemi SN, Shirazi HRG, Mohammadi A, Zadeh-Bagheri GH, Noorian KH, Malekzadeh M. Nortriptyline versus fluoxetine in the treatment of major depressive disorder: a six-month, double-blind clinical trial. Clin Pharmacol 2012; 4:1-6. [PMID: 22359466 PMCID: PMC3284259 DOI: 10.2147/cpaa.s23831] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Depression is a common psychiatric disorder worldwide, including in Iran, and is estimated to affect 10%-15% of the population. Antidepressant drugs can have multiple side effects, so a good choice of drug is important for successful treatment. This study compared the efficacy of nortriptyline with that of fluoxetine in the treatment of patients with major depressive disorder and assessed related factors, including age, gender, and level of education. METHODS The study was a double-blind, randomized clinical trial with a six-month follow-up period. Participants were 120 patients aged 15-60 years with a diagnosis of major depressive disorder based on a psychiatry interview and the Beck depression rating scale, which were performed at the beginning, middle, and end of the study. The patients were treated with nortriptyline or fluoxetine. The paired t-test, independent t-test, and the k chi-square test were used to analyze the data. RESULTS Twenty-three patients dropped out and 97 remained in the trial. Before intervention, the mean depression score was 32.85 ± 6.23 in the nortriptyline group and 33.12 ± 6.50 in the fluoxetine group. The results of the independent t-test showed a significant difference between depression score means before and after treatment in both groups. Changes at the end of the trial compared with baseline scores were 13.4 ± 4.68 and 16.96 ± 4.96 for nortriptyline and fluoxetine, respectively. Paired t-testing showed a significant difference in the mean depression score for both the nortriptyline and fluoxetine groups. Age, gender, and level of education had no significant effects on the outcome of treatment in the two groups. CONCLUSION The present study suggests that both nortriptyline and fluoxetine were effective in the treatment of depression, but that fluoxetine was more effective than nortriptyline after 3 and 6 months of treatment.
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Affiliation(s)
- SN Hashemi
- Department of Psychiatry, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj
| | - HR Ghafarian Shirazi
- Research Center of Social Factors Affecting Health, Yasuj University of Medical Sciences, Yasuj
- School of Public Health, Tehran University of Medical Sciences, Tehran
| | - A Mohammadi
- Department of Psychiatry, Yasuj University of Medical Sciences, Yasuj, Iran
| | - GH Zadeh-Bagheri
- School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
| | - KH Noorian
- School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
| | - M Malekzadeh
- Research Center of Social Factors Affecting Health, Yasuj University of Medical Sciences, Yasuj
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Taghipour HR, Naseri MH, Safiarian R, Dadjoo Y, Pishgoo B, Mohebbi HA, Daftari Besheli L, Malekzadeh M, Kabir A. Quality of life one year after coronary artery bypass graft surgery. Iran Red Crescent Med J 2011; 13:171-7. [PMID: 22737458 PMCID: PMC3371947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/10/2010] [Revised: 11/05/2010] [Accepted: 11/15/2010] [Indexed: 12/04/2022]
Abstract
BACKGROUND Coronary artery bypass graft (CABG) is a treatment strategy to relieve the symptoms of coronary artery disease (CAD). Based on determining the long term outcome of CABG using SF-36 Health Related Quality Of Life (HRQOL) questionnaire, the present study was conducted in our center to determine the CABG results one-year after the operation. METHODS Between March 2005 and August 2009, 112 patients with coronary heart disease (CHD) who underwent coronary artery bypass graft (CABG) were enrolled. Patients completed SF-36 HRQOL general health status questionnaire. Stepwise multiple linear regression models were used to detect independent variables predicting changes in each eight subscales of SF-36 questionnaire. RESULTS The mean age of patients was 61.4±0.9 years and most of them were male with three vessel diseases that were on pump CABG. The mean physical and mental component summary scores were 59.5±0.9 and 60.2±0.9, respectively. Physical functioning (PF) and role physical (RP) improved in males. Regression models showed that there were some statistical models with low R-square to predict role emotional (RE), general health (GH), PF and RP according to ejection fraction after surgery, diabetes, pump type of CABG and male gender. CONCLUSION CABG has led to higher and more satisfactory outcomes for PF, RP and RE but lower in other scales comparing with normative data of the society and one-year post-operative scores of other studies. It could mostly be attributed to unmodified risk factors and progression of existing comorbidities.
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Affiliation(s)
- H R Taghipour
- Trauma Research Center, Department of Cardiology and Cardiothoracic Surgery, Bagiyatallah University of Medical Sciences, Tehran, Iran
| | - M H Naseri
- Trauma Research Center, Department of Cardiology and Cardiothoracic Surgery, Bagiyatallah University of Medical Sciences, Tehran, Iran
| | - R Safiarian
- Trauma Research Center, Department of Cardiology and Cardiothoracic Surgery, Bagiyatallah University of Medical Sciences, Tehran, Iran
| | - Y Dadjoo
- Trauma Research Center, Department of Cardiology and Cardiothoracic Surgery, Bagiyatallah University of Medical Sciences, Tehran, Iran
| | - B Pishgoo
- Trauma Research Center, Department of Cardiology and Cardiothoracic Surgery, Bagiyatallah University of Medical Sciences, Tehran, Iran
| | - H A Mohebbi
- Trauma Research Center, Department of Cardiology and Cardiothoracic Surgery, Bagiyatallah University of Medical Sciences, Tehran, Iran
| | - L Daftari Besheli
- Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - M Malekzadeh
- Trauma Research Center, Department of Cardiology and Cardiothoracic Surgery, Bagiyatallah University of Medical Sciences, Tehran, Iran
| | - A Kabir
- Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Center for Educational Research in Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran,Correspondence: Ali Kabir, MD, MPH, Nikan Health Researchers Institute, Poonak Square, Tehran, Iran. Tel.: +98-21-66516995, Fax: +98-21-44476796, E-mail:
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Abstract
Abstract
Cylindrical Spiral Mandrel Dies (SMD) and Flat Spiral Dies (FSD) are widely used in blown film co-extrusion processes. Although in recent years the use of stackable (flat) spiral dies in the blown film extrusion has been continuously growing, a phenomenological study on designing parameters of this type of dies, and comparison of their flow distribution with SMD has not been made yet. In this work, the flow of a viscous power law fluid in a typical flat spiral die, based on Rauwendaal's method (1987) for analyzing cylindrical spiral mandrel dies, has been investigated. Validation of this method for flat spiral dies was confirmed by comparison with the results reported using the finite element method. The effects of some design parameters, such as number of grooves, initial flight clearance, initial groove depth, on pressure gradient, flow distribution and other operational variables have also been studied. It has been found that the flow distribution becomes more uniform with increasing number of grooves, initial groove depth and coefficient of Archimedes type flat spiral. Moreover, the results have shown that the increment of the clearance angle between two die plates, as well as the initial clearance, have an optimum value in which the flow distribution is the most uniform. Finally, flow variations in FSD and SMD have been compared for different design parameters. The results demonstrated that the melt flow distribution at the outlet of the cylindrical spiral mandrel die is more uniform, while the pressure loss of the flat spiral die is lower.
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Affiliation(s)
- M. Malekzadeh
- Polymer Engineering Department, Amirkabir University of Technology, Tehran, Iran
| | - F. Goharpey
- Polymer Engineering Department, Amirkabir University of Technology, Tehran, Iran
| | - R. Foudazi
- Polymer Engineering Department, Amirkabir University of Technology, Tehran, Iran
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Barayan SS, Al-Akash SI, Malekzadeh M, Marik JL, Cohen AH, Ettenger RB, Yadin O. Immediate post-transplant nephrosis in a patient with congenital nephrotic syndrome. Pediatr Nephrol 2001; 16:547-9. [PMID: 11465801 DOI: 10.1007/s004670100613] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
A 19-month-old girl with congenital nephrotic syndrome of the Finnish type underwent a living-related renal transplant; 24 h after transplantation she became massively nephrotic. She did not respond to steroids, plasmapheresis, and high-dose cyclosporine. A month later, a renal biopsy showed only glomerular foot process effacement. She was treated with high-dose methylprednisolone pulses and oral cyclophosphamide. She rapidly went into complete remission with no further relapses. Graft function has been stable 2 years after transplantation.
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Affiliation(s)
- S S Barayan
- Division of Pediatric Nephrology, UCLA Children's Hospital, Los Angeles, CA 90095-1752, USA
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Bergqvist Y, Eckerbom S, Larsson H, Malekzadeh M. Reversed-phase liquid chromatographic method for the simultaneous determination of the antimalarial drugs sulfadoxine, pyrimethamine, mefloquine and its major carboxylic metabolite in plasma. J Chromatogr 1991; 571:169-77. [PMID: 1810945 DOI: 10.1016/0378-4347(91)80443-g] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
A high-performance liquid chromatographic (HPLC) method for the simultaneous determination of sulfadoxine, pyrimethamine, mefloquine and the carboxylic metabolite of mefloquine in plasma is described. After the proteins have been precipitated with a combination of zinc sulphate and acetonitrile containing two internal standards, pyrimethamine and mefloquine are extracted as bases and sulfadoxine and the carboxylic metabolite of mefloquine as ion-pairs with tetrabutylammonium. The drugs are separated by HPLC on a 3 micron octadecylsilica column with ultraviolet detection at 229 nm. The method is simple and reliable and enables the simultaneous determination of the drugs in 600-microliter plasma samples with a sensitivity suitable for standard drug monitoring purposes.
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Affiliation(s)
- Y Bergqvist
- Department of Clinical Chemistry, Falun Central Hospital, Sweden
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Abstract
We analyzed the results of 165 pediatric cadaver renal transplants performed at the University of California at Los Angeles to identify the factors which are linked to improved allograft survival. Both univariate life-table analysis and the Cox proportional hazard model were used. The use of a sequential immunosuppressive regimen (P less than 0.001) and kidneys from donors of more than 6 years of age (P less than 0.001) were found to be the factors having the most influence on primary graft survival. The sequential regimen was the only factor favorably influencing retransplants. With sequential therapy 1- and 2-year actuarial graft survival rates were 94% and 91% in primary transplants, and 82% and 70% in retransplants. Medication noncompliance exerted a large negative effect on transplant outcome. Of 70 recipients who had been on cyclosporine for at least 6 months, 50% evidenced noncompliance. Sixty-four percent of adolescents were noncompliant. Thirteen percent of the recipients lost their graft because of noncompliance. We conclude that good results can be obtained with cadaver renal transplants in children with a sequential immunosuppressive regimen and the use of kidneys from adolescent and adult donors. Noncompliance is a great barrier to long-term success in pediatric transplantation.
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Affiliation(s)
- R B Ettenger
- Department of Pediatrics, University of California, Los Angeles School of Medicine 90024
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Milliner DS, Malekzadeh M, Lieberman E, Coburn JW. Plasma aluminum levels in pediatric dialysis patients: comparison of hemodialysis and continuous ambulatory peritoneal dialysis. Mayo Clin Proc 1987; 62:269-74. [PMID: 3561041 DOI: 10.1016/s0025-6196(12)61903-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Accumulation of aluminum occurs in children with renal failure and can cause anemia, disabling osteodystrophy, and encephalopathy. Effects on bone mineralization are of particular concern in pediatric patients with growth potential. We measured plasma aluminum levels in 36 patients on continuous ambulatory peritoneal dialysis (CAPD) and 22 on hemodialysis under surveillance at a single pediatric center. The levels were above normal in 35 and 21 patients, respectively, and the values correlated with the oral dose of aluminum-containing phosphate-binding medications (r = 0.57; P less than 0.001). Younger and smaller children had higher plasma aluminum levels and also received larger doses of oral aluminum-containing compounds. Mean plasma aluminum levels (57.2 +/- 52.8 and 48.7 +/- 32.1 micrograms/liter, respectively) and the daily oral doses of elemental aluminum (47.3 +/- 37.6 and 39.2 +/- 26.7 mg/kg, respectively) were not statistically different in patients on CAPD and those on hemodialysis. Plasma aluminum levels did not correlate with estimated cumulative oral intake of aluminum, total duration of dialysis, serum calcium and phosphorus concentrations, N-terminal parathyroid hormone levels, or transfusion requirements. Retention of aluminum is common in children undergoing dialysis, correlates with the amount of aluminum administered orally, and results in similar elevations of plasma aluminum with CAPD and hemodialysis. Younger and smaller children are at increased risk for accumulation of aluminum. Alternative methods for control of serum phosphorus are needed in children with end-stage renal disease.
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Abstract
Renal artery stenosis was identified in 32 children who either developed or had an exacerbation of hypertension after renal transplantation. One child developed renal artery stenosis in two sequential transplants. Renal artery stenosis occurred only in those patients who received transplants from cadavers. In 14 of the 15 patients with end-to-end renal artery anastomoses, the stenosis was at the anastomosis. In 14 of the 18 patients with end-to-side anastomoses, the stenosis was distal to the anastomosis.
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Abstract
From 1967 through 1985, 400 cadaveric transplants were performed at Children Hospital of Los Angeles. Of these 400, 31 were later identified as having renal artery stenosis. No live related graft developed RAS. Of the 31 grafts, 11 were from donors less than 2 years of age. The major feature suggesting stenosis was hypertension; either persistent or a sudden exacerbation often associated with hypertensive encephalopathy. In individuals with hypertension without obvious cause, renal angiography should be promptly conducted under controlled conditions to avoid complications. The stenotic lesion involved 13 end-to-end and 19 end-to-side arterial anastomoses. Surgery for revascularization of RAS was performed in 21 of 31 with success or improvement in 14, no change in 2, and graft loss in 5. Percutaneous transluminal angioplasty was performed in 4. Two were unsuccessful, 1 was successful and 1 graft was lost. The 7 remaining patients were treated medically.
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Affiliation(s)
- M Malekzadeh
- Division of Nephrology, Childrens Hospital of Los Angeles, CA 90054
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Abstract
We retrospectively compared ultrasound examination with plain film radiography of the abdomen (KUB) in the diagnosis of renal and ureteral calculi in 13 patients. Overall, ultrasound was more sensitive than KUB (84% versus 54%) in detecting calculi. However, KUB was superior for the diagnosis of ureteral stones. No calculi were detected by intravenous urography that were not first seen on either ultrasound or KUB. Our experience suggests that the combination of ultrasound and KUB is less invasive and more sensitive than intravenous urography for the diagnosis of calculi in patients with symptoms and signs suggestive of stone disease or who are at high risk for stone formation.
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Ettinger RB, Terasaki PI, Opelz G, Malekzadeh M, Uittenbogaart C, Pennisi AJ, Fine R. Successful renal allografts across a positive cross-match for donor B-lymphocyte alloantigens. Lancet 1976; 2:56-8. [PMID: 59146 DOI: 10.1016/s0140-6736(76)92282-0] [Citation(s) in RCA: 70] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Seven patients received a renal allograft with negative standard and T-lymphocyte microlymphocytotoxicity cross-matches, but a positive B-lymphocyte cross-match using donor lymphocytes. In spite of this presensitisation, none underwent hyperacute rejection and all are functioning from one and a half to six months after transplantation. This procedure may help in the detection of false-positive cross-matches and possibly in detection of enhancing antibodies against a specific donor.
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Chan JC, Grushkin CM, Malekzadeh M, Better O, Fine RN. The adaptation of hydrogen ion excretion associated with nephron reduction in post-transplant patients. Pediatr Res 1973; 7:712-8. [PMID: 4581540 DOI: 10.1203/00006450-197308000-00007] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Fine RN, Malekzadeh M, Grushkin CM, Wright HT. Cytomegalovirus syndrome post-renal transplantation. Treatment with cytosine arabinoside. Calif Med 1973; 118:46-9. [PMID: 4347632 PMCID: PMC1455141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Chan JC, Malekzadeh M, Hurley J. pH and titratable acidity of amino acid mixtures used in hyperalimentation. JAMA 1972; 220:1119-20. [PMID: 4623730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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