Treatment of liver and spleen illnesses by herbs: Recommendations of Avicenna’s heritage "Canon of Medicine"

Objective: Avicenna (Abu Ali al-Hossein ibn Abdullah ibn Sina) who had a special attention toward diseases treatments, gathered results of ages of herbal medicine experiments on humans and animals in his book “Al-Qānūn fī Ṭibb” or "The Canon of Medicine", which is a reliable book in Iranian traditional medicine. The aim of this research was to build a reliable list of plants effective against liver and spleen diseases, based on Avicenna's book (volume 2). Materials and Methods: By studying the monographs, introduced agents that have been effective in liver and spleen diseases were identified. Upon their origin and effectiveness in diseases of the liver, spleen or both, treatments were organized. Results: From a huge number of drugs, 163 plants from 73 families were found to be effective in treatment of liver and spleen illnesses. In addition, 30 non-herbal agents effective in treatment of liver diseases were detected. The Lamiaceae family have the most effective herbs for treatment of diseases of the liver, spleen or both. Hemp Agrimony, Irsā, and Fūdhanj achieved the highest scores. Conclusion: The effects of different plants on liver and spleen diseases were indicated in Avicenna's book. Due to the report on the above book, further studies needed specially on the effect of Irsā (Iris ensata) and family Lamiaceae on liver and spleen diseases

Mortality of emergency abdominal surgery in high-, middle- and low-income countries

Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low- or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI). Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression. Results: Data were obtained for 10 745 patients from 357 centres in 58 countries; 6538 were from high-, 2889 from middle- and 1318 from low-HDI settings. The overall mortality rate was 1⋅6 per cent at 24 h (high 1⋅1 per cent, middle 1⋅9 per cent, low 3⋅4 per cent; P < 0⋅001), increasing to 5⋅4 per cent by 30 days (high 4⋅5 per cent, middle 6⋅0 per cent, low 8⋅6 per cent; P < 0⋅001). Of the 578 patients who died, 404 (69⋅9 per cent) did so between 24 h and 30 days following surgery (high 74⋅2 per cent, middle 68⋅8 per cent, low 60⋅5 per cent). After adjustment, 30-day mortality remained higher in middle-income (odds ratio (OR) 2⋅78, 95 per cent c.i. 1⋅84 to 4⋅20) and low-income (OR 2⋅97, 1⋅84 to 4⋅81) countries. Surgical safety checklist use was less frequent in low- and middle-income countries, but when used was associated with reduced mortality at 30 days. Conclusion: Mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors. Patient safety factors may have an important role. Registration number: NCT02179112 (http://www.clinicaltrials.gov)

The Relationship of Students’ Study strategies with their Personal Characteristics and Academic Background

Introduction. Learning and study strategies improve academic success through facilitating learning. Identifying the students’ learning and study strategies is essential for educational interventions. This research was conducted to determine students’ learning and study strategies and their relationship with their personal charactristics and academic background in Mashad University of Medical Sciences in 1999 and also, to compare these strategies with American students’ norms. Methods. In this descriptive analytical study 412 first to third year students from schools of medicine, dentistry and pharmacy were selected by a stratified random sampling. The Learning and Study Strategy Inventory (LASSI) prepared by Weinstein et al, which consists of 10 subscales was completed by the subjects. The profile of students’ learning and study strategies was compared with American students’ norms. Data was analyzed using Mann-whitney and Kruskal Wallis tests. Results. The median of students’ scores in test strategies, attitude, and anxiety control were 33, 32 and 31 out of 40, respectively which showed the most scores. The least score belonged to selecting main idea which was equal to 19. The median score for different areas of learning and study strategies had no significant difference according to discipline and study levels. Students’ mean score in test strategies, concentration and motivation was equal to 80th, 75th and 15th percentile of American students’ norms, respectively. Conclusion. Students had good performances on test-strategies, anxiety control and concentration, but showed poor levels of motivation. The use of Weinstein learning and study strategies questionnaire in identifying students’ weaknesses and strengths in learning and studying is recommended

Hepato-Renal protective Effects of Egyptian Purslane Extract against Experimental Cadmium Toxicity in Rats with Special Emphasis on the Functional and Histopathological Changes

The study was designed to clarify the hapato-nephroprotective effects of purslane ethanolic extract (PEE) against cadmium toxicity. Cadmium (Cd) is a toxic heavy metal. Cd occurs as environmental and food/ feed contamination causing public and animals health hazards. Liver and kidney are the main target organs for acute and chronic cadmium toxicity. Portulaca oleracea is rich in several vitamins, minerals, antioxidant components, and omega-3 fatty acids mainly α-linolenic acid and eicosapentaenoic acid. Results showed significant elevation of the liver and kidney functions, lipid profile and lipid peroxidation. In contrast to the antioxidants enzymatic were greatly decreased. The hepatic and renal tissues showed severe degeneration and necrosis accompanied by severe congestion and multifocal hemorrhages in Cd intoxicated rats. All parameters and tissues showed no changes in rates-treated with both Cd and purslane extract as compared with the control rats. The administration of PEE provided a significantly protection against Cd-induced hepato-nephrotoxicity. Keywords: Cadmium, Chemistry, Histopathology, Kidney, Liver, P. oleracea, Ra