Background: The current paper set out to investigate the level of asbestos fiber and asbestos body in sputum and assayed of haematological factors, liver enzymes and pulmonary function test in asbestos exposed group.

Materials and Methods: An analytical cross-sectional study was conducted with a total number of 100 subjects. The case group included 50 male workers with the age range of 25-60 who had at least worked for five years in the asbestos-cement factory. Control subjects consisted of 50 people who had no history of occupational exposure to asbestos. Lung function tests were measured with a portable calibrated vitalograph-PFT spirometer. liver enzymes were assayed with Pars Azmoon kits. Counts of red blood cells and white blood cells were assayed with a cell counter. We used light polarizan microscope to study the level of asbestos fiber and asbestos body in sputum.

Results: Asbestos fiber observed in sputum sample of workers and type of asbestos fiber is chrysotile. Asbestos bodies were found in only 10% of the workers. Decrease (but not significant) in lung function factors (FVC, FEV1, FVC/FEV1) had been seen in the workers in compare with control group. WBC, Eosinophil, neutrophil, lymphocyte, monocyte and liver enzymes levels were significantly higher (but in normal range) in workers as compared with the control group.

Conclusion: Presence of asbestos fiber and asbestos body in workers sputum samples showed workers exposure to asbestos and reduced level (insignificant) of lung function factors and increased level of leukocyte may be indicated pulmonary inflammation. These results also suggested that occupational exposure to asbestos dust may perturb liver mal function parameters

Background: Regarding the importance of prevention of cardiovascular disease during menopause the purpose of present study was evaluating the influence of eight weeks progressive aquatic exercise on serum Apoproteins of A and B and lipoproteins in obese and normal weight menopause women.

Materials and Methods: This was a semi-experimental study in which 29 menopause women from Isfahan (age: 57.4 ±4.68 years) voluntarily participated in it. According to body mass index (BMI), participants were divided to obese (n=15, BMI= 30.21 ±3.90) or normal weight (n=14, BMI=22.44 ±2.25) groups. Subjects of both groups participated in 8 weeks aquatic exercise, three times a week, by progressive intensity of 50 to 70% of maximal heart rate and duration of 45 minutes.

Results: Findings of study indicated a significant influence of exercise on VLDL, Apo A and B and ApoB/ApoA in in obese group. In normal weight group, exercise caused significant changes in LDL, VLDL, Apo A and B and ApoB/ApoA, but there was no significaut difference between groups in none of study variables.

Conclusion: According to our findings, progressive aquatic aerobic exercise induces similar reduction of some cardiovascular risk factors especially ApoB and ApoB/ApoA and increasing ApoA in obese and normal weight menopause women.

Background: Heat shock proteins (HSP) can act as a cellular protection by facilitating reconstruction of denatured proteins. The aim of this study is evaluation of protective effects of glutamine consumption on HSP70 and cortisol response.

Materials and Methods: In this experimental study, 28 soccer players divided into 4 groups: control (n=7), supplement (n=7), exercise (n=7) and exercise supplement (n=7). Supplements (glutamine) and placebo (Dextrin) to a 0.5 gram per kg of body weight and volume of 5 ml per kg of body weight one hour prior to the exercise protocol was used. exercise protocol include a 3-stage 20-minute run at 80% of maximum heart rate and rest 5 minutes. Blood samples of basal (after 12-14 hour overnight fasting), post exercise, and 90 minutes after exercise were gathered and HSP70 of serum and cortisol were measured with Elisa and RIA respectively. Data were analyzed with multivariate repeated measures (MANOVA) at p&le0.05 level.

Results: There was significant difference in HSP70 amounts between supplement group and exercise supplement group compared to the control group (p&le0.09, p&le0.019) and also supplement group with exercise supplement group (p&le0.032). Also there was significant difference Between post exercise and 90 min after exercise stages compared to basal stage (p&le0.08, p&le0.06) and between post exercise and 90 min after exercise (p&le0.030). In cortisol amounts between basal and 90 min after exercise stages (p&le0.026) there was significant difference.

Conclusion: Glutamine sitimulate of HSP70 induction and combination of supplement with exercise has a great HSP70 response thus athletes who wish to compete or have intense exercise, glutamine consumption is recommended.

Background: Male fertility depends on the proper function of a complex system of organs which plays an important role in spermatogenesis. In this study the effects of sulpiride-administration were assessed by means of sperm parameters and in vitro fertilization potential.

Materials and Methods: In this experimental study thirty adult male mice were divided into 3 groups as test, control-sham and control. The test group were injected with 40 mg/kg sulpiride solution daily for 45 days IP. Sham mice were injected by solvent only. After 45 days, all mice were dispatched by cervical dislocation consequence of unconsciousness. Cauda epididymis were used to collect sperm cells and assess their motility, viability and DNA integrity. The rate of in vitro fertilization and embryonic development were also examined.

Results: In comparison with sham and control groups, sperm motility and viability rate showed a significant reduction in the sulpiride-administered animals. Rate of DNA damage increased which gives rise to a remarkable reduction of fertilization rate, zygote division, blastocysts number, and significant increase of arrested embryos in sulpiride treated mice (p<0.05).

Conclusion: Data suggest that following sulpiride-induced hyperprolactinemia, induction of spermatogenesis dysfunction, causes low sperm quality that accompanies a significant lower fertility potential and embryonic development in comparison with the sham and control groups.

Background: According to the Erikson`s generativity vs staqnation theory this study examines the impact of old women transition experiences on depression, feel aging and physical changes in rehabilitation institute of charity in Arak.

Materials and Methods: In this quasi- experimental study, 30 elderly women living in nursing homes aged over 65 years and tested geriatric depression score of 9 and above earned were selected and randomly divided into two groups of 15 people .one group was selected as control and the other test group. Questionnaires included: geriatric depression questionnaire, feel Aging questionnaire and physical changes. program experience with that already was set to be repeated during ten sessions on group test. finally independent and paired t-test were used for statistical analysis.

Results: Although ten sessions to transfer the experience were able aging feeling and depressed elderly women reduce but the decrease was not significant between the test and control groups, as well as reduced physical changes between test and control groups were not significant.

Conclusion: The lack of suitable components severely needed to establish an effective interaction model for hinder the effectiveness of the meetings was to conduct experiments requiring more study.

Background: Multiple sclerosis (MS) is a chronic progressive  disease  of the central nervous system with signs and symptoms such as fatigue and balance that are disable. The purpose of this study was to assess the effect of training which instructions focus of attention on postural sway of multiple sclerosis patients.

Materials and Methods: The present quasi-experimental study used a pretest-posttest design. The subjects with the age of 27-42, expanded disability status scale 1-4 and were purposefully and voluntarily selected and randomly allocated to the experimental and control groups. Training program for groups was carried out in 3 weeks, five sessions per week, and each session lasted about one hour. Berg Balance Scale was used to measure balance. The data was analyzed by using analysis of independent and dependent sample t-test at a significance level of p≤0.05.

Results: The results showed that significant improvements observed in balance (p≤0.05). Also significant differences observed between  post hoc scores in the experimental and control groups (p≥0.05).

Conclusion: According to research findings, the exercise walking program on textured surface resulted in considerable improvements in balance in multiple sclerosis. Also, the respective specialists can use these exercies as a complementary treatment along with the drug therapy for patiens with multiple sclerosis.

Background: The current study aims to investigate the impact of high intensity interval training (HIIT) on serum levels of CK and LDH as the muscle damage indicators and on Gelatinase-A (MMP-2) serum levels as the tissae inflammatory marker among young sedentary girls.

Materials and Methods: For this quasi-experimental study, 14 sedentary female college students were selected and randomly divided into two groups including the exercise HIIT group (means and standard deviations of age: 21.28 ± 2.56 (years)  weight:52.86 ±4.95 (kg) and height: 163.1±3.7 (cm)) and the control group (means and standard deviations of age: 20.25 ±7.50 (years) weight:52.64 ±3.67 (kg) and height: 162.4±4.5 (cm)). The experimental group performed six repetitions of one-minute runs at 90%- 95% of HRmax. The blood samples were collected before and 30 minutes after the exercise protocol. The serum CK, LDH and MMP-2 levels were measured using corresponding kits. The data were analyzed through the independent t-test at the significance level of 0.05 (p<0.05).

Results: After collecting and analyzing Data, the results showed that CK and LDH levels increased significantly after performing HIIT, while there was no significant change in MMP-2 due to the HIIT.

Conclusion: It can be concluded that the HIIT protocol will lead to an increase in some indicators of muscle damage such as CK, LDH, and that no significant changes could be observed for MMP-2 as the body's inflammation response.

Background: Accidents and injuries one of the main causes of death and disability in the world and the most significant causes in children referred to hospital. So, this study aimed to assess the health belief model constructs and function of the mothers referred to health centers in the city of Khorramabad in the preventive behaviors of accidents and injuries in children.

Materials and Methods: This cross sectional and analytical study was done on 261 mothers with children aged less than 5 years are referred to health centers in the city of Khorramabad in 2014. Data was collected with a questionnaire based on the Health Belief Model. The data collected were analyzed by software SPSS-20.

Results: In this study the mean and standard deviation of age of mothers was 28.98±5.37 years and the mean score of function and self-efficacy were 59.1±14.74 and 69.1±11.07 respectively. Moreover, the mean scores of the other health belief model constructs such as perceived sensitivity, severity, benefits and barriers was higher than average. There was significant negative correlation between self-efficacy and perceived barriers (r=-0.256, p<0.01), and also between the perceived barriers and function (r=-0.391, p<0.01).

Conclusion: According to the score of the function of mothers and the other constructs of health belief model, training programs based on the model directly and indirectly in the form of multimedia training package recommended to promote preventive behaviors of accidents occur in children.

Background: It seems that using shuttle balance which has recently been produced in Iran would be beneficial in exercise prescription for preventing sports injuries and recovery. The purpose of this study is comparing the amount of the electromyography activity of involved muscles in ankle strategy while standing on one leg on shuttle balance versus wobble board.

Materials and Methods: This study is a functional and cause-compare study. 15 female students 20-22 years of age having the enterance standards were selected meaningfully. The amount of EMG activity of selected muscles (Tibialis Anterior, Gastrocnemius, Rectus Femoris and Hamstring) was measured while standing on one leg on two devices. The difference in means of muscles activity in both of devices was estimated using multivariate analysis of variance.

Results: The results showed a significant difference between the amount of EMG activity of involved muscles (p=0.001). Also, the results of the intragroup effects showed that the electromyography activity of Tibialis Anterior, Rectus Femoris and Hamstring while standing on shuttle balance was significantly more than the activity while standing on wobble board (p<0.05). While the amount of activity on shuttle balance was higher as compared to wobble board, but there was no significant difference in Gastrocnemius EMG activity between two devices (p>0.05).

Conclusion: It seems that standing on shuttle balance can make higher electromyography activity in the muscles that are involved on ankle and thigh joints, i.e. Tibialis Anterior, Rectus Femoris and Hamstring. So it is recommended that shuttle balance can be used in balance training program.

Background: Atrial fibrillation (AF) is the most common complication after coronary artery bypass graft surgery (CABG). This complication causes an increase in morbidity and mortality after CABG and also increases the length of ICU stay and hospitalization. The aim of this study is to evaluate the prophylactic effect of amiodarone in reducing the incidence of post CABG atrial fibrillation.

Materials and Methods: In this clinical trial study, 204 patients, candidate for elective CABG, entered the study according to inclusion and exclusion criteria, and randomly divided into two equal groups. The case group received 300 mg of intravenous amiodarone before anesthesia induction and the control group received normal saline. Incidence of AF was recorded until 24 hours after CABG.

Results: The incidence of post CABG AF was 16 patients in the case group and 35 patients in the control group. Comparison of the frequency of AF between groups by Chi square analyses showed a significant difference (p=0.037) and the incidence of AF was significantly lower in the amiodarone group.

Conclusion: In total, amiodarone could significantly prevent the incidence of atrial fibrillation after coronary artery bypass surgery. In this study, patients took this medication only in the first 24 hours, while in some studies, this drug has been prescribed for even 14 days.

Background: Nasolacrimal duct obstruction as a common problem causes bothersome social and physical symptoms such as euphoria, acute and chronic dacryocystitis attacks, pain, pruritus and erythm of eye. Although, there is no consensus about available therapeutic methods. So the aim of this study is to investigate and compare the effect and complications of endoscopic dacryocystorhinstomy and patients' preferences in two common surgical methods for settling nasolacrimal duct obstruction.

Materials and Methods: In this clinical trial study, 220 patients with nasolacrimal duct obstruction were randomly divided into two groups and underwent external and endoscopic dacryocystorhinostomy surgery. Finally, patients were compared with a view to echymosis and tearing after operation and the time of surgery and bleeding during operation. The patients data were analysed by Chi-square test and using SPSS-16 software.

Results: Our results show significant difference between two groups in post-operative echymosis, post-operative bleeding and the time of surgery (p=0.000). There was no significant difference in post-operative tearing between two groups (p=0.418).

Conclusion: According to the results of our study, the use of endoscopic dacryocystorhinostomy is remarkably better than external dacryocystorhinostomy Therefore, with regard to the most of patients' tendency to endoscopic surgery, surgeons should achieve more experience in this method.

Background: In 1970, human papillomavirus (HPV) was introduced as the main etiologic factor of cervical carcinoma. Since there is no possibility of detecting the virus and its subtypes using serological methods and cell culture, the molecular methods such as PCR have particular importance in accurate, early and definite diagnosis of the virus. So, in this research, our goal is to use a proprietary PCR assay based on L1 gene of human papillomavirus for molecular recognition of HPV and to evaluate its prevalence in patient samples.

Materials and Methods: In this experimental study, after collecting of samples from malignant cervical lesions, the viral DNA was extracted from paraffin blocks of 50 clinical samples and PCR was done by specific primers for L1 gene of human papillomavirus in all samples. After the analysis of PCR products by 2% agarose gel electrophoresis, sensitivity and specificity of the test were also evaluated.

Results: Among 50 patient samples, 33 cases were confirmed to be positive for HPV infection and 17 cases were negative, showing high frequency of HPV in this patient population (about 66%). The results of specificity assay were positive for papilloma samples and sensitivity of the assay was 20 copies of recombinant construct containing L1 per reaction.

Conclusion: This study showed that PCR by specific primers for L1 gene of human papilloma virus is a proper and accurate method for detection of this virus and the results confirm the previous reports of correlation between HPV and cervical carcinoma.

Background: Pseudomonas aeruginosa is one of the major etiologic agents of nosocomial infection among burn patients that has high resistance to antibiotics. Integrons can extend antibiotic resistance genes among bacteria. The aim of this study was to investigate the antibiotic resistance pattern and the prevalence of integron among P. aeruginosa isolates.

Materials and Methods: In this cross-sectional study, a total of 73 P. aeruginosa isolated from burn wound infections among hospitalized patients in Ahvaz Taleghani hospital. Antibiotic resistance pattern of these bacteria was investigated to 9 antibiotics by Disk Agar Diffusion method. Polymerase chain reaction (PCR) method was used to investigate the prevalence of class 1, 2 and 3 integrons. The data were analyzed by Chi-square test. A P-value of <0.05 was considered as a statistical significance level.

Results: The most antibiotic resistance level was seen against ofloxacin (94.5%), aztreonam (94.5%), and ceftazidime (93.6%). Fifteen isolates of P. aeruginosa were resistance to all of the antibiotics. The study of molecular results showed that class 1 integron was detected in 35.6% of isolates, while none of them harbored class 2 and 3 integron.

Conclusion: The rates of antibiotic resistance in pseudomonas aeruginosa to antibiotics such as ceftazidime, oflaxacin, aztreonam, cefepime, and ceftriaxone is very high. Although, class 1 integron were detected in 35.6% of isolates, there was no statistically significant differences between the presence of integron and resistance to a specific antibiotic, that it shows the role of the other antibiotic resistance mechanisms among pseudomonas aeruginosa.

Background: There have been numerous reports of snake venoms being employed as analgesics in attempts to relieve severe pain associated with cancer, immune dysfunction and viral infections. This study investigates the antinociceptive effects of iranian cobra snake venom (Naja naja oxiana) in comparison with morphine and lidocain on laboratorial femal mice.

Materials and Methods: This study has been done on 48 NMRI female mice of 18-20 g in weight. Antinociceptive activeity of snake venom was evaluated by formalin test. In this test, the animals were divided into 6 groups (each group consisting of 8 mice): Sham, positive Control (receiving morphine at dose of 5 mg/kg, and receiving lidocain at dose of 20 mg/kg), and experimental groups receiving venom at doses of 1, 3 and 4.5 µg/mice. In all groups, the formalin test was recorded for 60 min after administration of venom and drugs in mice. Data were analyzed using one-way ANOVA and Tukey test.

Results: The results showed that the venom of Naja naja oxiana decreased nociception meaningfully in both acute and chronic phases. We also showed that this venom revealed even a better analgesic activity in comparison with morphine and lidocain.

Conclusion: This study showed that the antinociceptive effect of the venom was mediated through central nervous system and peripheral mechanisms. Although details of the mechanism remain unclear, and further studies should be considered to demonstrate its therapeutic effects.

  Background: Trabeculectomy is one of the most common ophthalmic surgeries, but over filtration may cause serious ophthalmic complications. The aim of this study is to compare two suture methods in trabeculectomy.

  Materials and Methods: This clinical trial accomplished on 28 eyes of 28 patients with primary open angle glaucoma unresponsive to full medication. Patients were divided into two equal groups. In one group, standard and the other group releasable suture trabeculectomy was performed. Post-Surgery short-term complications and intraocular pressure were compared in both groups.

  Results: The mean IOP reduction in group with releasable sutures was 22.14±13.99 and in standard group was 28.14±14.10 (p=0.269). Frequency of iridocorneal touch in releasable and standard groups was 7.1 and 50 percent, respectively(p=0.016). Also, Frequency of shallow anterior chamber in releasable and standard groups was 21.4 and 92.2 percent, respectively(p<0.001).

Conclusion: Trabeculectomy with releasable suture reduces short-term complications and in this group, IOP control is equal to standard trabeculectomy.

  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.

  Background: Mandibular premolars, because of high anatomic variations, are among the most difficult teeth for root canal treatment.The aim of this study is to compare and evaluate root canal morphology of mandibular first premolars between males and famales in an Iranian population applying CBCT imaging.

  Materials and Methods: In this analytical-cross sectional study, 230 CBCT imaging belonged to 115 males and 115 females were evaluated in this study. Images were assessed in the three spatial planes and the difference in the number of canals and roots were compared and reported statistically. Data were analyzed using SPSS 17 software and Chi-square test.The significance level was set as p<0.05.

  Results: In total, of 460 mandibular first premolars, 85.7% had one root, 14.3% had two roots, 63.9% had one canal and 36/1% had two canals. In comparison between two genders, in the males the prevalence of one root was 78.7%, two roots 21.3%, one canal 60% and two canals 40%. In the females, the prevalence of one root was recorded as 92.6%, two roots 7.4%, one canal 67.8% and two canals 32.2%.

Conclusion: According to the results of this study the number of roots in the mandibular first premolars in males was statistically more than in females.

  Background: M others must gain enough knowledge and practice about danger signs in children to achieve behavior change. Knowing such factors influencing behavior change will facilitate change. So, training about danger signs in children using models that identify the factors influencing behavior is essential. Health belief model is one of the effective models in education. Therefore, the aim of this study was to assess the effect of education on behavior of mothers about danger signs in children less than five years.

  Materials and Methods: This is an educational trial study that was conducted on 116 mother with children under five years old referring to treatment health centers in Arak city in 2014. They were divided into two groups case (n=56 ) and control ( n=60 ) randomly.

  The data collected by filling the valid and reliable questionnaire that reseatcher made along with interview. An educational intervention was conducted in case group during the four learning sessions. Three months after educational intervention, post-test was conducted by filling questionnaire. Finally, data were analyzed by SPSS software in significance level of p<0/05.

  Results: There was no significant difference between mean score of health belief model construct and behavior in the experimental and control groups before the intervention(p<0.05) , but significant differences were shown after intervention(p<0.001). The mean score of the mothers in the intervention group before and after intervention was 39.58±42.15, and 84.52±23.05 respectively, that showed significant differences (p<0.001).

  Conclusion: According to the results of this study, educational intervention based on initial assessment on Health Belief Model was effective in improving mothers' practice about danger signs in children. Thus, it can be helpful to design training programs.

  Background: The effect of exercise training on body weight and visceral fat have been examined in several studies, whereas those of aerobic training along with the different dosages of intramuscular vitamin D on body weight, visceral fat and food intake are unknown. The main objective of the study was to assess the effect of aerobic training and different doses of intramuscular vitamin D on body weight, visceral fat and food intake in female Wistar rats.

  Materials and Methods: In this experimental study, seventy-two female Wistar rats were divided into 9 with 8 rats in each group, one group: aerobic training (3 days/week for 8 weeks), three groups: aerobic training and vitamin D supplementation (in high, moderate and low doses ), three groups: vitamin D supplementation ( in high, moderate and low doses ) and two control groups. One-way ANOVA and repeated measures ANOVA test were used to analyze the data.

  Results: Results showed that body weight and visceral fat in aerobic training with high dose vitamin D supplementation group was significantly lower than other groups. Also, the mean food intake in three groups of (aerobic training with low dose vitamin D supplementation , low dose vitamin D supplementation and control) w as significantly higher than other groups.

  Conclusion: It seems that aerobic training with high dose vitamin D compared to using each of the strategies is more effective in decreasing body weight, visceral fat in female Wistar rats .

Background: Constipation is a functional gastrointestinal disorder and the use of probiotics is considered as a new solution in prevention and treatment of constipation. The aim of this study is to review the clinical evidence about probiotics effects in the prevention and treatment of constipation.

Materials and Methods: To review the accessible evidence about efficacy of probiotics in the prevention and treatment of constipation, the search of key words such as constipation, probiotic and yoghurt are conducted in databases Pubmed, Medlinplus and Cochran from 1980-2013 and of 49 articles about constipation, 16 yandomized controlled clinical trial articles and 3 pre-test and post-test randomized trials that investigated the effects of probiotics on constipation were included in this study.

Results: Probiotics produced lactic acid and fatty acids with short chains that decrease the colon pH and stimulate muscular contractions and intestinal peristalsis. Some of probiotics can increase the mucous discharge and change linked bile salts to free bile salts entering much water to colon and leads to soft defecation.

Conclusion: Considering studies, daily use of probiotics such as lactobacillus acidophilus and bifidobacteria lactic 10⁵-10¹¹ CFU/gr for at least 1-2 weeks can help to decrease constipation.