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Juxtaglomerular cell tumor or reninoma is an extremely rare tumor of the kidney, specially occurring in the young adults. This tumor by producing rennin and activating the Renin-Angiotansin- Aldostrone pathway causes an increase in blood pressure associated with hypokalemic metabolic alkalosis. We report a young female patient, aged 18 years, presented with hypertension, as the chief complain, and associated hypokalemia. CT-Scan and sonography showed a renal mass diagnosed as renal cell carcinoma or pheochromocytoma. In the nephrectomy specimen there was a tumor measuring 4.5*3.5 cm, creamy to brownish color limited to the renal capsule. Microscopic examination revealed an encapsulated tumor composed of sheets of round to polyhedral cells in a vascular stroma with slight atypia and without mitoses or necrosis, finally diagnosed as juxtaglomerular cell tumor. Microscopic features and clinical course are discussed with reviewing the literatures. Because of the rarity of this neoplasm we highly emphasize reninoma should always be considered as a probable cause in a young adult with hypertension.

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Background and Aim: Hypertension is a common and endangering disease in Diabetes, which affects 20% to 60% of diabetics. It seems that different nutrients affect blood pressure. This study is intended to examine the status of micro- and macronutrients intake and its effect on blood pressure in type II diabetics. Materials and Methods: 92 type II diabetic patients were randomly sampled from those who referred to Diabetes Clinical in Sabzevar, Iran. Their blood pressures were measured using Hg sphygmomanometer in sitting position, their nutritional intake were also recorded in a 24-hour questionnaire and Food recall. Data analyzed in food processor for each patient. The obtained data were statistically analyzed in SPSS using descriptive statistics and Pearson correlation coefficient Results: The patients mean age was 53±13 years their BMI was 26.98±4.82 mean systolic BP was 131. 03±19.28 and diastolic BP 77.01±6.67 mm/hg. Hypertension prevalence was 29.3% in subjects. Significant positive correlation was observed to exist between systolic BP and the intake of cholesterol, sodium, B3 and B5 and folic acid. However a significant negative correlation existed between diastolic BP and the intake of selenium zinc and copper. Conclusion: The findings indicated that negative effect of hypertention on diabetes must be reduced by the enhancement of public knowledge of diabetics and their families as well as inducing proper eating habits through permanent educational programs.

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Abstract Background and Aim: Epidemiological studies have been revealed that there is a relationship between hardness of water and prevalence of CVD. Therefore this study has been planned to determine the influence of local mineral water on blood pressure in hypertensive men. Materials and Methods: In this cross sectional study, 41 middle age men with hypertension (488) were matched based on age, BMI, WHR, drug, smoking, and duration of the disease and randomly selected in a First and second groups. Respectively, mineral and usual tap waters were given to first and second groups 2 liters per day for 8 weeks. Blood pressures of subjects were calculated by barometer at the 1st, 4th and 8th weeks of experiment. Wilcoxon, Mann-Whiney and t-test were used for statistical analysis of the results. Dietary intakes of subjects were determined by using 24 hours recall questionnaire at the 1st, 4th and 8th weeks of the experiment and were analyzed by Nutritionist III program, which is modified with Iranian Food Data Bank. Results: The mean SBP in first and second groups were after 4 weeks 131.09.98 and 136.18.65 mmHg, respectively. The experiment has showed a significant reduction in 4th week 13.53% in first and 5.64% in second groups (P=0.001). The difference between the groups were statistical significant (P<0.05). SBP reduction in both groups did not show statistical significant after 8th weeks between the groups. The mean DBP in first and second groups were 85.756.34 and 92.624.07 mmHg, respectively after 4th week of experiment with a significant reduction of 11.3% in case and 3% in control groups (P=0.001). Also significant difference in DBP was seen at 4th week of the study between the groups (P<0.05). DBP reduction in both groups did not show statistical significant difference after 8th weeks between the groups. Conclusion: According to the result, mineral spring water has a significant influence on reducing blood pressure after 4 weeks in comparison with tap water, which it could be leading to lower risk of CVD.

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Aims: Hypertension is one of the most common health problems with chronic consequences. The present study aimed to investigate the effect of self-healing training on psychological well-being in women with hypertension.
Methods & Materials: The research method was quasi-experimental with a pre-test, post-test, and two-month follow-up design and control and an experimental group. Thirty women with hypertension referred to the health centers were selected according to convenience sampling and randomly divided into experimental and control groups (n=15 per group). The research instruments included Ryff’s scale of psychological well-being (1989). Repeated measures were utilized to analyze the data.
Findings: The results indicated that the mean total scores of the pre-test, post-test, and follow-up of psychological well-being scale in the experimental group were equal to 213.20, 219.98, and 220.08 respectively, and it was equal to 195.26, 197.33, and 200.06 in the control group. Also, self-healing training significantly increased psychological well-being in participants in the post-test and follow-up stages (P<0.05).
Conclusion: The self-healing training increased psychological well-being in women with hypertension to strengthen the role of the individuals by reducing physiological stress, treating destructive cellular memories, lifestyle modification, and relaxation techniques. Therefore, this method can be used as a new approach with relatively lasting effects to increase the self-care skills of patients with hypertension in health-related centers.