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Chemical weapons are among the most violent weapons of mass destruction used during wars. Unfortunately, these dreaful weapons were frequently used by Iraq against Iranian soldiers during Iran-Iraq war, so that we are still witnessing the late onset consequence of the exposure to these weapons among their victims. Regarding the fact that the usage of chemical weapons is a threat against humanity with many hazardous effects which tend to appear even after years of exposure, it seems very important to have a complete and correct undestanding about the nature of these gasses in order to gain more information about the clinical pictures of their victims leading to a better approach to the management of there patients. The present article in the result of thorough review and analysis to the textbooks articles and papers published in the last two decades. There are minor and major complications associated with the exposure to these lethal gasses, ranging from simple medical problems like skin colour changes to more serious conditions such as severe ophthalmologic and pulmonary injuries and malignancies. There complications are reviewed in two separate categories (regarding early onset as late onsent complications) in this article.

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Introduction: Some articles have suggested an increase in the prevalence of oral candidiasis in patients with psoriasis, as well as the potential for exacerbation or chronicity of psoriasis. Therefore, the prevalence of oral candidiasis in patients with psoriasis and its comparison with healthy individuals has been considered.
method: In this cross-sectional study, 43 people with psoriasis and 43 seemingly healthy individuals referred to dermatology clinics affiliated with Isfahan University of Medical Sciences were randomly selected and examined for the presence or absence of Candida albicans in the oral mucosa by direct lam and culture. Were placed.
Results: According to the results of this analytical study, 44.2% of patients with psoriasis with Candida albicans were infected with oral cavity, which was 25.6% for healthy individuals, and this difference was significant (p=0.05). There was also a significant relationship between the severity of psoriasis and the prevalence of oral Candida albicans (p=0.05).
Conclusion: The study found that candida yeast was more common in patients with psoriasis than in healthy people. According to the results of this study, it is recommended that all patients with psoriasis be examined for the presence of Candida albicans in the mouth and, if the test is positive, be treated with antifungal drugs.

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Introduction: An association between depression and altered immunity has been suggested by a number of studies but has not been consistently demonstrated .The effect of maternal depression response on fetal immune system have not been investigated. Thus in this study we evaluated the effects of depression on some parameters of innate and humoral immune system of pregnant women and their infants. Materials and Methods: 62 pregnant women (including 32 depressed and 30 healthy) and their infants in Taleghani hospital of Arak in 2004 were included in this study. All depressed mothers had a diagnosis of depression by Beck Depression Inventory (BDI) and clinical interview based on DSM-IV system. The level of immunoglobulins and components were evaluated by single radial immunosdiffusion (SRID) method of Mancini. Leukocyte and lymphocyte counts were determined by Hycel (an automated cell counter) and for more accurancy were also evaluated by manual method. Statistical analysis was performed using K-S, Mann-Withney, One way ANOVA, Kruskal-Wallis and Pearson tests. P<0/05 was considered significant. Results: Serum IgM level and serum C4 level of infants of mothers with depression were significantly lower than infants of healthy mothers. Lymphocyte number and percentage in infants of depressed mothers was also significantly higher than infants of healthy mothers. The mean cord/maternal blood ratio of IgG in infants of depressed mothers was also significantly lower than infants of healthy mothers. Serum IgG level of depressed mother was significantly higher than other mothers. Conclusion: Fetal impact of stress and depression during pregnancy is just beginning to be understood and research in this area is developing. Our results indicated that maternal depression adversely affects the development and function of fetal immune system. These results are in agreement with the immunological findings of preterm and LBW infants.

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Introduction: Chest wall in children is more compliant, slow twitch muscle fibers are less than adults and the alveolus are smaller in size and lesser in number. Airways are more expandable and smaller in diameter. In the other hand the inhalational anesthetics can cause respiratory depression and rapid shallow ventilation. These changes can cause microatelectasia, low respiratory system compliance and increase in work of breathing. Controlled ventilation probably will prevent these events. This study is going to compare behaviors of respiratory system under inhalational anesthesia. Materials and Methods: In a clinical trial, 60 pediatric patients between 6 months to 6 years of age, ASA I & II, who were candidates of elective surgery on extremities and lower abdomen, entered to study. Patients were randomly allocated in two groups of spontaneous and controlled ventilation. In the first group inhalational and in the second group intravenous inductions was performed. Both groups were given halothane (0.8-1%) in a 50% mixture of N2O and O2 for maintenance of anesthesia. HR, RR, BP, SPO2 and T before induction and all of these plus EVT and peak and plateau APs, 5 minutes after induction and every 15 minutes thereafter were measured and dynamic and static compliance were calculated by using measured data. Data was analyzed by ANOVA, T student and Chi square tests. Results: Patients in spontaneous ventilation group had significantly more RR and EtCO2 and less awakening time (p<0.05).Total mean of HR, SBP, DBP, SPO2, T, PIP, PltIP, dynamic and static compliance after induction of anesthesia had no statistical differences between the two groups. Conclusion: There are no constant significant differences between the two groups in respiratory system compliance, airway pressures and T and this study can not prove the development of significant changes in respiratory system indices between the two groups. Thus microatelectasis (if developed) is not clinically important during less than one hour surgeries.

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Background: Hyaluronidase A is an antigenic protein that is secreted by Streptococcus pyogenes. Nowadays, streptococcal infections are diagnosed by tracking down anti-hyaluronidase A antibodies. In this study, the attempt was made to generate recombinant hyaluronidase A in E. coli. Materials and Methods: In this experimental study, through designing specific primers and polymerase chain reaction (PCR), hyaluronidase A gene was amplified and after purification, it was sub-cloned in plasmid expression vector pET32a. Then pET32a-hylA was transferred to E. coli BL21-DE3-plySs. Protein generation induced by IPTG. The recombinant protein was purified by Ni-NTA kit and its concentration was assayed by Bradford method. Western-Blot analysis was run for verifying the recombinant hyaluronidase A. Results: The nucleotide sequencing of the gene amplified by PCR was the same as hyaluronidase A gene from Streptococcus pyogenes. Production of the recombinant hyaluronidase A via induction by pET32a-hylA plasmid was done through IPTG. The expressed protein was purified by affinity chromatography by Ni-NTA resin. The concentration of purified protein was 500µg/ml. analysis using a mouse anti-hyaluronidase A serum was reacted with the generated protein using Western-Blot analysis. Conclusion: Recombinant HylA protein can be generated in E.coli and the resulting protein maintains its antigenic properties desirably.

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Background: Addiction is undoubtedly one of the biggest problems of human societies that every year governments spend enormous amounts of money on fighting it. Most addicts, besides their addiction, cause many psychological problems in their families therefore, the aim of this study was to compare the presence of these disorders between the families of addicts and non-addicts. Materials and Methods: This case-control study was done on a sample of 650 persons of opium addicts' and non-addicts' families using random sampling method. Data were collected through SCL-90-R questionnaire and were analyzed by Chi-square and t-test using SPSS software version 18. Results: There was a significant difference in psychiatric disorders in addicts' and non-addicts' families (p=0.005). Among the 9 psychiatric disorders under assessment, only anxiety, aggression, paranoia, and depression disorders in three types, including pathologic, borderline, and combined (pathologic-borderline), were significantly higher in addicts' families compared with non-addicts' families (p=0.005). Conclusion: Drug dependence disorder in one member of a family has a very important effect on the mental hygiene of the other family members and requires prevention and treatment in both.

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Background: Probiotics are live microorganisms that have positive effects on the host when consumed in sufficient amounts. According to several studies, probiotics have beneficial effects on prevention and treatment of many diseases. The aim of this study was to review animal and human studies on the role of probiotics in reducing serum cholesterol, their mechanisms of action, and a brief explanation of functional probiotic foods. Materials and Methods: This review article focused on all papers indexed in scientific databases from 2000 to 2012 using the related keywords, including cardiovascular diseases, probiotics, and serum cholesterol. Results: Probiotics are used both in dairy and non-dairy products. Nowadays, the role of many probiotic strains in health is confirmed. From the studies done in this field, it can be inferred that probiotics through several mechanisms, such as binding cholesterol to cell walls of probiotics in intestine, conversion of cholesterol into coprostanol, production of short chain fatty acids, and deconjugation of bile acids, reduce serum cholesterol. Conclusion: Certain strains of probiotics have demonstrated cholesterol-lowering properties and others are under study. Further studies are needed to identify other mechanisms involved in lowering serum cholesterol and determine their safety

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Background: The most important pathogen in nosocomial infections are microorganisms in the patient's body. 90 percent of nosocomial infections caused by bacteria. Medlar is an medicinal plant that its therapeutic effects has historically been emphasized. The aim of this study was to evaluate the antibacterial effect of methanolic and ethanolic leaf extract of medlar against bacteria isolated from hospital environment.

Materials and Methods: In this experimental study, the Nosocomial bacteria were obtained from Shahid Mostafa Khomeini hospital, Ilam, Iran. Soxhlet extraction method was used for medlar leaf extract. Disk diffusion method was used to study the effect of antimicrobial and broth microdilution method were used to determine the minimum inhibitory concentration (MIC) and Minimum Bactericidal Concentration (MBC).

Results: Two strains of Pseudomonas aeruginosa, three strain of Staphylococcus aureus and five strains of Escherichia coli were isolated from hospital. The results showed that the methanolic extract of Medlar leaf inhibited the growth of all strains of pseudomonas aeruginosa and four strain of Staphylococcus aureus and also inhibits the growth of all strains of Escherichia coli strains except E4 strain. The maximum antimicrobial activity was against E2 strain that zone diameter around it was 19/67 Millimeters. Quantities of minimum inhibitory concentration for all three strains P1, P2 and P3 and E2, E3, E5, S1, S2 and S3 strains was equals with 125 mg/ml.

Conclusion: Medlar leaf methanolic extract possesses significant antibacterial activity against bacteria causing nosocomial infections and so this extract can be considered in the control of infectious diseases.

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Background: Aging is associated with appetite decline, weight loss, reduced muscle mass and increased fat mass. Ghrelin and Obestatin are two peptides that effect appetite. According to importance of physical activity in energy balance and some body composition variables the aim of this study is investigate the amount of ghrelin, obestatin and some body composition variables and their relationship in athletes and non-athletes 50 -70 year old men.

Materials and Methods: This is an analytical study. Thirty athletes and thirty non-athletes 50-70 years old men took part in this research. Ghrelin, obestatin and some body composition variables include weight, muscle mass, fat mass, present boy fat and body mass index were measured.

Results: The result of this study showed that muscle mass significantly (p<0.01) and ghrelin insignificantly (p=0.16) were higher in athlete group. In addition percent body fat was lower in athletes group insignificantly (p=0.13). There was negative significant relationship between ghrelin and obestatin with muscle mass and positive significant relationship between ghrelin and obestatin with percent body fat in non-athletes group. There was strong relation between ghrelin and obestatin in both groups.

Conclusion: Regular participating in basketball training can increase muscle mass in 50-70 years old men. It seems that exercise training can delay aging effects on body composition by increasing some anabolic hormones such as ghrelin and growth hormone and it can change relationship between ghrelin, obestatin and some body composition variables.

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Background: The distal radius’ fracture is one of the most prevalent fractures in menopause women. Because of no delisery of an exact dosage by inhalation calcitonin, the effect of a systemic form such as parenteral on healing up of this area was investigated.

Materials and Methods: This study was a prospective cohort on 44 women 60 years-old with distal radius’ fracture divided into 2 equal groups of control and treatment (parenteral calcitonin, just after operation, 100 I.U/day during 10 days consecutive of each month for 3 months). The rate of improvement, hand ability and stiffness of joints of hand fingers and wrist according with physical examination, time of cortex healing up, level of alkaline phosphatase, calcium and phosphor serum levels and rate of osteoporosis accord to radiography indexes.

Results: The rate of osteoporosis and pain was less tham that of control group. Prevention of osteoporosiss and the cortex healirg was significaltly more than that of control group. The hard activity (Mayo Wrist index) and ability of ceetching of objects was better in calcitonin group. There were not any significant effects of calcitonin on level of alkalire phosphatose, calcium and phosphor us serum levels.

Conclusion: Calcitonin especially with calcium supplements can accelerate the improvement of distal radius’ fracture. Then patients will tolerate fewer problems at convalescence period.

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Background:  Ferula assa-foetida is one of the common medicines that was used as antiseptic with a view to traditional uses, it can be used as a safe and effective drug to treat diseases particularly resistant bacterial infections. This study aims to product gelatin nano- capsules containing Ferula assa-foetida essential oil and investigate their antioxidant and antibacterial activities.

Materials and Methods: This experimental study was performed on gelatin nano-capsules containing Ferula assa-foetida essential oil (FAO) (2, 4, 6 and 8% w/w), glycerol (25% w/w) as plasticizer and glutaraldehyde as cross-linker. The morphology, antioxidant and antibacterial activities and operation of the nano-capsules were assessed according to American Standards by Scanning Electron Microscopy, ABTS, and microbiological tests.

Results: Gelatin nano-capsules exhibited low antioxidant and antibacterial activities while gelatin nano-capsules incorporated with FAO exhibited excellent antioxidant and antibacterial. The highest rates of these effects were seen merged with 8% of FAO.

Conclusion: Gelatin nano-capsules merged with FAO have excellent physical form, as well as they are an appropriate antioxidant and antibacterial that have been considered to produce antoxidant and antibacterial drugs.

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  Background: Oxidative stress and severe neuro-excitation have significant effects on pathogenesis of Parkinson’s disease and agents with antioxidant property can potentially prevent these effects. Herein we examined potential protective effects of melatonin as an antioxidant agent and memantine as an uncompetitive receptor of NMDA, on a model of Parkinson’s disease induced by 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine (MPTP).

  Materials and Methods: Male mice were divided into 8 groups with 7 mice in each group: saline, ethanol, melatonin, memantin, MPTP, melatonin+MPTP, memantin+ MPTP, melatonin+ memantin+ MPTP. All of agents were injected intraperitoneally once a day for 14 days before beam traversal test. Dopaminergic neurons of the Substantia Nigra Pars compacta (SNPC) were determined by immunohistochemical and were counted.

  Results: Melatonin improved notably movement dysfunction resulted of MPTP such as the number of errors, paces and the time of movement during behavioral test and also the counting of neurons of Substantia Nigra Pars Compacta. Memantin had a synergic effect on the most of improvements. However, the level of improvement and retrieval of signs was not as in saline and ethanol groups.

Conclusion: Melatonin especially together with memantine is able to prevent some of the MPTP-induced dysfunctions. However, the protective effects were not enogh, probably because of the amount of dose and the time of injection.

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Background: Hydatidosis is one of the dengerous zoonotic diseases that cause serious problems for human health, as well as major economic losses for livestock industry. Due to the nature of the parasite life cycle and also the structure of the cyst in human, the control of parasite in community is difficult and its treatment has faced with a major challenge. One of these challenges is inactivating the protoscolices for treatment purposes and preventing secondary cysts. Different chemicals have been used in the treatment of cyst that most of them had serious side effects for the patient. The aim of this study was investigating the scolicidal effects of some herbal extracts in vitro.

Materials and Methods: Liver hydatid cysts were collected from slaughterhouse the cysts fluid containing live protoscolex was aspirated aseptically and stored at 4°C until use. Three concentrations (25, 50 and 100 mg per ml) of each extract (ginger and artemisia) prepared and protoscoleces placed into incubator at 37^oC. The viability of the protoscoleces was determined by eosin staining method at the times 5, 10, 25, 40 and 60 minutes.

Results: The methanolic extract of ginger at the concentration of 100 mg/ml leads to kill all of protoscoleces at 40 minutes. While the artemisia extract in none of   investigated concentrations had not much effect on the protoscoleces.

Conclusion: The study of animal models and complementary tests showed that methanolic extract of ginger can be used as an effective protoscolex for it has high activity.

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Background: Due to high prevalence of vitrectomy surgery, and the importance of anesthetic technique in conducting an uncomplicated surgery, we decided to do this study.

Materials and Methods: This prospective randomized study was conducted on 80 patients 40-80 years old candidating deep vitrectomy sugery under general anesthesia that were categorized into II and III Class by American Society of Anesthesiologist (ASA). Patients were randomly allocated to two groups of 40 members. Anesthesia was induced in both groups in the same manner. For maintaining anesthesia, patients from I group receiVed 1.2% isofluran with 50% O2 in air at 4L/min and infusion of remifentanil (0.1 mg.kg-1.min-1). But in the P group, we used propofol up to 10mg/kg /hr with infusion of remifentanyl. Propofol and isoflurane in fusion was discontinued with the last surgical stitches, but remifentanil infusion continued in both groups until the eye was covered with shield. Hemodynamic variables were recorded just before the induction of anesthesia and in different time intervals till discharging of the patients from the recovery room.  Then, data were compared.

Results: Results showed that there is a significant changes in propofol group compared to isofluran in deep vitrectomy surgery operations.

Conclusion: Hemodynamic changes are more significant in maintaining propofol anesthesia when compared with isoflurane.

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Background: Boredom is a psychological phenomenon that was defined as an aversive state or incompatibility with every repetitive experience while the release of stability is not allowed. Boredom has several complications. So, the goal of this study is to compare the predictors of boredom in students of Arak University of medical sciences and Islamic Azad University.

Materials and Methods: The current descriptive-comparative study has been done on966 students (from Arak University of medical sciences and Islamic Azad University). The scale of current study was a checklist list of demographic information, predictors of boredom assess questionnaire, Farmer and Sundberg’boredom proneness scale. Data were analyzed by using chi-square, Pearson correlation, multivariate regression, and Fisher'sz.

Results: The greatest number of students from both universities have normal boredom without a statistically significant difference between male and female students (p=0.06). University factor had the highest average between students. Totally, boredom had a significant correlation with each of the home (p=0.000) and society (p=0.001) factors. All three factors including home (p=0.033), university (p=0.033) and society (p=0.031) can explain and predict boredom in male and female students.

Conclusion: The results showed that university factor was the most important factor for predicting boredom between college students. Thus, in order to avoid adverse effects of boredom on students educational activities, this phenomenon and its causes should be considered.

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Background: The speech disorders may produce irreparable damage to childs speech  and language development in the psychosocial view. The voice, speech sound production and fluency disorders are speech disorders, that  may result from delay or impairment in speech  motor control mechanism, central neuron system disorders, improper language stimulation or voice abuse.

Materials and Methods: This study examined the prevalence of speech disorders in 1393 Arakian students at 1 to 6th grades of primary school. After collecting continuous speech samples, picture description, passage reading and phonetic test, we recorded the pathological signs of stuttering, articulation disorder and voice disorders in a special sheet.

Results: The prevalence of articulation, voice and stuttering disorders was 8%, 3.5% and%1 and the prevalence of speech disorders was 11.9%. The prevalence of speech disorders was decreasing with increasing of student’s grade. 12.2% of boy students and 11.7% of girl students of primary school in Arak had speech disorders.

Conclusion: The prevalence of speech disorders of primary school students in Arak is similar to the prevalence of speech disorders in Kermanshah, but the prevalence of speech disorders in this research is smaller than many similar researches in Iran. It seems that racial and cultural diversity has some effect on increasing the prevalence of speech disorders in Arak city.