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        Effects of short-term atorvastatin use in patients with calcium stones: A randomized placebo-controlled clinical trial

        Fatemeh Taheri,Maryam Taheri,Abbas Basiri,Alireza Khoshdel,Fariba Samadian,Sanaz Tavasoli 대한비뇨의학회 2019 Investigative and Clinical Urology Vol.60 No.6

        Purpose: A few experimental and observational studies have reported that atorvastatin prevents calcium oxalate stone formation. Our study is the first to investigate the effect of atorvastatin on 24-hour urinary metabolites, urinary malondialdehyde (U-MDA) (an oxidative stress marker) and urinary neutrophil gelatinase-associated lipocalin (U-NGAL) (a renal tubular injury marker) in patients with calcium stones and hyperoxaluria. Materials and Methods: This randomized, double-blind, placebo-controlled, parallel-group clinical trial included 32 adults with recurrent calcium stone formation and hyperoxaluria. All participants received a 3-month course of either atorvastatin (20 mg/d) or placebo of an identical shape. Both groups received the usual nutritional care based on the European Association of Urology guidelines. Results: Twenty-eight participants completed the study. Serum levels of total and low-density lipoprotein cholesterol decreased in the atorvastatin group, and these changes were significantly different between groups (p<0.001). No statistically significant differences were observed between intergroup changes of the 24-hour urinary metabolite analysis, the U-MDA to creatinine ratio and the U-NGAL to creatinine ratio. Conclusions: Atorvastatin administration at a dose of 20 mg/d for 3 months did not affect 24-hour urinary metabolite, U-MDA and U-NGAL levels in recurrent calcium stone formers. However, this study could not disprove the preventive role of atorvastatin in kidney stone formation. Future studies should consider a larger sample size, longer follow-up, different drug doses, and measurements of multiple biomarkers of oxidative stress and tubular injury.

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        Cultural Adaption and Psychometric Analysis of Family APGAR Scale in Iranian Older People

        Zeinab Karimi,Zahra Taheri-Kharameh,Fatemeh Sharififard 대한가정의학회 2022 Korean Journal of Family Medicine Vol.43 No.2

        Background: Family function is a necessary factor that influences older people’s health. The Family APGAR has been widely used to study family functions. However, there has been no Persian version of this instrument to assess family function in older people. The aim of this study was to determine the psychometric properties of the Persian version of the Family APGAR Scale to evaluate the perception of family functions.Methods: The “forward-backward” procedure was applied to translate the scale from English into Persian. The translated version was checked in terms of validity and reliability, with a sample of 281 older people selected from retirement centers. The factor structure of the scale was also tested using a confirmatory factor analysis. To test reli-ability, internal consistency and test–retest analyses were performed.Results: The results of the confirmatory factor analysis indicated a good structural model. Criterion-related validity was strongly supported by the pattern of association between the APGAR Scale and the social support survey. Cronbach’s α of the scale was 0.88 and test–retest reliability ranged from 0.96 to 0.98, indicating a good range of reli-ability.Conclusion: The findings of this study suggest that the Iranian version of the Family APGAR is a valid and reliable scale to evaluate family functions in health intervention programs.

      • Steel fibre reinforced concrete for elements failing in bending and in shear

        Barros, Joaquim A.O.,Lourenco, Lucio A.P.,Soltanzadeh, Fatemeh,Taheri, Mahsa Techno-Press 2013 Advances in concrete construction Vol.1 No.1

        Discrete steel fibres can increase significantly the bending and the shear resistance of concrete structural elements when Steel Fibre Reinforced Concrete (SFRC) is designed in such a way that fibre reinforcing mechanisms are optimized. To assess the fibre reinforcement effectiveness in shallow structural elements failing in bending and in shear, experimental and numerical research were performed. Uniaxial compression and bending tests were executed to derive the constitutive laws of the developed SFRC. Using a cross-section layered model and the material constitutive laws, the deformational behaviour of structural elements failing in bending was predicted from the moment-curvature relationship of the representative cross sections. To evaluate the influence of the percentage of fibres on the shear resistance of shallow structures, three point bending tests with shallow beams were performed. The applicability of the formulation proposed by RILEM TC 162-TDF for the prediction of the shear resistance of SFRC elements was evaluated. Inverse analysis was adopted to determine indirectly the values of the fracture mode I parameters of the developed SFRC. With these values, and using a softening diagram for modelling the crack shear softening behaviour, the response of the SFRC beams failing in shear was predicted.

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