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Introduction: Iron  deficiency  anemia  is  the  most  common  type  of  anemia  in  the  world  and  the  most  important  disease  which  has  overlapping  diagnosis  with  it  is  &  thalassemia  minor.  For  diagnosis  of  theses  two  diseases, serum  ferritin  measurement  and  hemoglobin  laboratories  throughout  the  country  now, finding  some  tests  which  are  easier. More available  and  cheaper  for  different  of  these  two  mentioned  diseases, are  useful.  Therefore  in  this  article, reticulocyte  counting  test, after  a  short  period  of  iron  consumption, was  evaluated.
Material  and  Method: This  study  is  descriptive  and  cross-sectional. The  sample  population  consists  of  69  patient  with  hypochromic  microcytic  anemia  which  serum  ferritin  measurement, reticulocyte  counting  and  hemoglobin  electrophoresis  for  each  of  there  were  done.  After  7  days  treatment  with  oral  iron  tablet, reticulocyte  counting  test  for  each  of  them  was  done.  If  reticulocyte  counting  test  had  increased, the  patient  was  considered  as  iron  deficiency  anemia, on  the  other  hand, the  results  of  reticulocyte  count  test  was  compared  with  serum  ferritin  test  and  hemoglobin  electrophoresis  results  and  then, sensitivity  as  well  as  specificity  of  mentioned  test, were  analysised.
Results: Sensitivity  and  specificity  of  mentioned  test  for  iron  deficiency  anemia  were  82  and  67  percent  and  in  B  thalassemia  minor  were  64  and  78  percent, respectively. These  results  show  high  sensitivity  of  this  test  for  iron  deficiency  anemia  and  high  specificity  for  B  thalassemia  minor.
Conclusion:  It  seems  that, in  circumstance  which  serum  ferritin  measurement  and  hemoglobin  electrophoresis  aren’t  available, applying  reticulocyte  count  test  for  deferenciation  of  these  two  diseases, is  helpful.

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Introduction: The relation between Helicobacter pylori with iron deficiency is being studied in recent years. The aim of this study is finding the relation between Helicobacter pylori with the rate of hemoglobin and serum ferritin.
Material and Methods: This study is an observational study and a cross-sectional type which is done analytical-descriptive against 262 patients suffering from anemia and for each patient the amounts of Hemoglobin, MCV, serum ferritine and Helicobacter IgG titre is calculated and then the relation between these amounts and Helicobacter is evaluated.
Results: In 147 patients (56%), Helicobacter IgG antibody was negative. In 78 cases (29.8%) the serum ferritin was less than 120 µgr/dlit. Using statistical analysis (Logistic regression) revealed that there was a statistical relation between the amount of ferrittin and the chance of strickened with Helicobacter in individuals whom their ferrittin rate was less than 12, 1.93% of patients whom their ferrittin is more than 12 and the enhance is significant. By the way it was cleared that there is not any significant statistical relation between MCV reduction and the chance of being strickened with Helicobacter.
Conclusion: Serum ferrittine rate in patients with Helicobacter pilory infection reduced and this reduce was significance. Previous studies in other countries indicated to this issue.

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Introduction: Nearly, 6% of recently diagnosed cancer in the United States was upon to lymphoproliferate and leukemia and 9% of fatality in cancerous people was upon to these two illnesses. Using some simple, cheap and in-hand tests and special consideration to clinical inspections in suspected subjects provide a faster diagnostic and suitable treatment. It may ultimately promote the quality of life and decline the fatality among patients.
Materials and methods: This was a cross-sectional investigation which carried out during a 1.5 years in the form of forward direction. Forty-two lymphoproliferate (28 lymphoblast and 14 Hotchkin) and 21 acute lymphoblastic leukemia (10 acute lymphoblast leukemia and 11 miloid acute leukemia) subjects were evaluated. ESR, LDH and ALP levels were measured in all patients. In clinical examinations, oversizing of lymph nodes, spleen and liver were exactly considered.
Results: According to our results the best tests to rule in and rule out acute leukemia from lymphoprolifeatives were ESR and LDH, respectively. Additionally, The most sensitive and specific evaluations to rule out these two diseases were LDH and oversizing of liver inspection. It was also determined that LDH is the best screening test to rule out leukemia from lymphoproliferate.
Conclusion: Using of simple examinations such as ALP, LDH, ESR and more consideration to oversized spleen, liver and lymph nodes in each suspected patients, we could easily differentiate lymphoproliferate and acute leukemia from each other.

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Introduction: different  isotypes  of  antibody  can  be  produced  by  immune  system  after  antigen  contact.  Detection  and  measurement  of  different  classes  of  antibody  against  the  antigen  is  very  important  in  some  cases.  The  aim  of  this  study  is  designing  of  an  ELISA  method  on  the  basis  of  inhibition  of  enzyme  activity  by  using  a  non-competitive  inhibitor.  Therefore  in  this  study  rheumatoid  factor  is  used  as  a  model  for  the  detection  of  different  other  classes  of  antibodies  against  the  antigen.
Materials  and  Methods:  In  this  cross  sectional  analytical  study, we  measured  IgM  and IgA   rheumatoid  factors  in  sera  of  10  patients  with  rheumatoid  arthritis  and  positive  latex  test , by  mixed  and  routine  ELISA.  In  mixed  ELISA  the activity  of  the  first  conjugated  enzyme  was  blocked  by  a  non-competitive  inhibitor  after  adding  the  substrate. Then  the  next  conjugated  antibody, which  was  specific  for  another  isotype, was  added. By  optical  density, results  was  comparisoned  with  routine  ELISA.
Results:  The  obtained  results  showed  that  the  average  optical  density  is  lower  when  compared  with  routine  ELISA , but  the  difference  is   not  statistically  significant.  however  these  two  methods  did  not  show  any  significant  difference  in  quantifying  antibody  isotypes. Also  there  is  a  positive  association  between  mixed  and  routine  ELISA (r=0.9, p=0.001).
Discussion: Lower  optical  density  in  mixed  ELISA  is  probably  because  of  stick  hindrance  by  the  first  conjugate. So, because  there  is  no significant  difference  between  the  results  of  these two  types  of  ELISA, and  also  no  need  to  repeat  the  test  for  each  isotype  in  this  method, it  is  recommended  to  use the  new  method  instead  of  the  routine  one  to  save  time  and  reagents.
 

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Background: Breast cancer is the most prevalent type of all cancer in women. In this study form various methods for treatment of depression due cancer. This study conducted for comparison drug therapy and drug-cognitive therapy on decreasing depression, effect of drug and cognitive theray on decreasing depression. Methods and Materials: This is a clinical trial study. Form patient refered to oncology clinic and ward of vali-e-Asr hospital 78 women were selected by simple sampling. Based on Beck depression test, 42 of them had depression. They randomly divided to case and control groups. Both groups received antideresant drug as usual. But case group had also cognitive- drug therapy. Afrer 6 Month treatment both group were tested again for depression. Data was analyzed by spss using independent and paired t tests. Results: The mean depression score hadnot signigiant difference between case and control grops beor and after treatment. The mean depression score in control group had no significant deference before and after treatment the mean depression score in the case group was significantly different after treatment (p<0.05). The mean score of depression in control group was more than case group after treatment. Conclusion: In the present study cognitive therapy cause a significant decrease in depression score of case group.

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Background: Tension headaches are the most basic reasons for referring to physicians throughout the world. Iron anemia, on the other hand, is the most common type of anemia among women who are in productive age in the world. This study was done to investigate the relationship between vascular headaches and iron anemia and to see the effect of iron tablets administration on the treatment of these headaches in women who are in productive age. Materials and Methods: In this quasi-control study, 50 women in reproductive age who had iron anemia and vascular headaches, referring to the neurologic clinic of Vali-asr Hospital in Arak, were selected and treated with ferrous sulfate tablets for three months. For verifying the treatment, patients' hemoglobin was monitored after one month, and in case of any significant increases in this value, the patients discontinued participating in the study. The number of headache attacks and the number of analgesics used before, through and three months after beginning the administration of ferrous sulfate were noted for all of the patients. Results: The mean number of the headache attacks one month before treatment, during the treatment and three month after the treatment were 19.6±28 , 14.2±11.2 , 13.3±11.8, respectively (p=0.0001) . In addition, the mean number of used analgesics before the treatment, through the treatment and three month after the treatment were 30.1±14.1, 14.3±11.2, 13.1±16.1, respectively (p=0.0001). Conclusion: It seems that using iron tablets can be useful in treatment of vascular headaches.

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Background: The existence of estrogen and progesterone receptors, p53, human epidermal receptor-2(HER-2) and cathepsin-D are among the prognostic markers for breast cancer. In this study, we investigated the relationship between these factors and lymph-node involvement. Materials and Methods: In this case-control analytic study, 105 patients with breast cancer were investigated. After detecting breast mass, surgical biopsy was done and the status of the estrogen and progesterone receptors, p53, HER-2, and cathepsin-D were studied. Collected data were registered in a checklist and were subjected to analysis. Results: There was no relationship between lymph-node involvement and estrogen and progesterone receptors, p53, cathepsin-D and HER-2. Conclusion: In order to get more precise results about hormonal receptors, p53, HER-2 and cathespin-D, a similar research with a larger sample size over a longer period of time is needed.

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Background: Immune thrombocytopenic purpurais an acquired disorder. Conventional treatment of immune thrombocytopenic purpuraincludes prednisolone (1mg/kg/day). Customarily, steroidsareadministered for about 3-6 weeks however,steroids have several side effects. The aim of this study was to compare theefficacy of two and three-week prednisolone therapy in patients with immune thrombocytopenic purpura Materials and Methods: In this randomized clinical trial, 66 patients with confirmed immune thrombocytopenic purpurawho had referred to KhansariHospital, Arak, were randomly selected and administered prednisolone (1mg/kg/day) for two and three weeks alternatively. Patients’ platelet count and complications associated with the treatment (diabetes and hypertension) were compared. Results: At the end of the treatment course, there was not a significant difference in mean platelet count between the two groups (p=0.748). Side effects in two and three-week protocols were 15.2% and 18.2%, respectively however, distribution of the complications (side effect) in the two groups was equal (p=0.9). Conclusion: Considering the absence of significant differencesin mean platelet count between the two groups at the end of the two treatment protocols and the higherpercentageof side effects in the patients that had received the three-week prednisolone therapy protocol, it seems that the two-week course of immune thrombocytopenic purpuratreatment is as effective as the three-week protocol.