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Amir Ashkan Nasiripour, Rahmatallah Jadidi,
Volume 11, Issue 1 (3-2008)
Abstract

Introduction: Optimum management of medical equipment in hospital settings has tremendous effects on decreasing costs and providing desired health and treatment services. This research has been undertaken to design a medical equipment management model for public hospitals of Iran. Materials and Methods: In this adaptive research, medical equipment management among United States of America, United Kingdom, Germany, Canada, Australia, Sweden and Italy, which have successful experiences and determined patterns for medical equipment management, are assessed with respect to 6 dimensions as structure, purchase, control, maintenance, training and distribution and according to the shared strategies in the mentioned countries, a model was designed for Iran's public hospitals. This model was validated using expert's survey in DELFI method. Results: In all of the studied countries, the medical equipment engineering unit is established for effective management of medical equipments and in direction with the main purpose of ensuring safety and improving patient care, clinical engineers are being trained. Trainings are designed according to international federation course plan for clinical engineers “which are combination of necessary engineering and managing courses for activities of hospital medical equipment management”. Under study issues include: precise need assessment for medical devices, balancing, use of life span expenditure, stock management, location finding, and needed physical space prediction, selection and purchase committee establishment, entering controls plus reception test, performance and safety control, activities documentation, using computerized systems for preventive maintenance and semi-centered distribution, are among necessary processes in the medical equipment management cycle of under studied countries' hospitals. Conclusion: Management and medical equipment engineering unit establishment in hospitals, selection and purchase committee formation, continuous equipment performance control during calibration process, equipment preventive maintenance according to workforce training schedule, training needed experts, and with respect to the topics of international federation courses for clinical engineering training in universities, will improve medical equipment efficiency in hospitals.
Javad Baharara, Farhang Hadad, Alireza Ashraf, Elham Khanderoo,
Volume 11, Issue 2 (6-2008)
Abstract

Introduction: The increasing use of the electromagnetic field producer sets in daily living causes concerns about these waves on human health. The effects of extremely low frequency electromagnetic field (50 Hz) on induction of chromosomal damages on bone marrow erythrocytes of male Balb/C mouse has been investigated in this research. Materials and Methods: This is an experimental study in which the laboratory system of producing electromagnetic with low frequency (50 Hz) was used. Five week old male Balb/C mice were divided into three controls, sham-exposed and experimental groups. The experimental mice exposed were exposed to electromagnetic field (50 gauss) for 4 days (12 hours/day). After treatment, the chromosomal damages were assessed using micronucleus test in polychromatic erythrocytes and resultant quantity data were analyzed using t and Mann-Whitney test. Results: Results showed that frequency of micronucleated polychromatic erythrocytes of experimental group (14/35±1/589) was more than Sham-exposed (8/958±1/049) and control group (7/65±0/768) significantly (p<0/05). Conclusion: Extremely low frequency electromagnetic field (50 Hz) causes chromosomal damages induction in polychromatic erythrocytes of bone marrow male Balb/C mouse.
Mitra Hatefi, Sedigheh Mehrabian, Ashraf Sadat Nouhi, Robab Rafiee Tabatabaee,
Volume 11, Issue 2 (6-2008)
Abstract

Introduction: In this study, antimutagenesis effect of ethanolic extract of propolis by Ames test against two mutagenic substances named azide sodium and potassium permanganate in the presence and the absence of microsomal homogenate of mouse liver (S9) has been investigated. Materials and Methods: In this experimental study at first, different concentrations of ethanolic extract of propolis (0.1-5%) for determining minimum inhibitory concentration (MIC) against tester strains were used. Then by Ames test, antimutagenesis effect was assessed in nontoxic extent. In this test, various strains of Salmonella typhymurium (TA100 and TA97) that contained selective mutation in their operon histidine, were used. Mutant strains (His-) were grown on culture media containing minimum salt and glucose in the presence of mutagen substances above. So only those bacteria that were reversed by mutation (His+) could grow and form colonies on culture media. If antimutagen (EEP) and mutagen substances were gathered, reversed mutation would be reduced and the rate of mutation inhibition could be calculated by means of formula. The differences between the averages of revertants per plate of the sample in relation to the mutagens were analyzed using SPSS software and one-way ANOVA. Results: The resulted MIC values clearly showed that ethanolic extract of propolis at 5% concentration has antibacterial activity against Salmonella typhymurium, but in 0.1-4% concentrations, such effects were not seen. Findings also showed that propolis in such concentrations could neutralize mutagenic effects of those substances in a dose dependent manner. Conclusion: Finally we found that ethanolic extract of propolis that contains different kinds of major and important substances like flavonoids, has good antimutagenic effects and the best concentration for obtaining such effect is in 4% which also was confirmed with microsomal results. The mechanism of antibacterial effect of propolis is complex and it has no analogy to any classic antibiotics, but it should be emphasized that bacterial cell division is inhibited by propolis. Some researchers also argue that propolis could inhibit DNA-dependent RNA polymerase.
Suror Arman, Ghazal Zahed, Fereshte Shakibaii, Mehdi Bina, Raza Bagherian, Hamid Roohafza,
Volume 11, Issue 3 (9-2008)
Abstract

Background: Marital conflicts have great impact on social, economic and cultural aspects of the couples and their children. New Psychological interventions like “Imago Relationship Therapy” (IRT) have been widely used for resolving these conflicts. This study examined the efficacy of couple dialogue technique on marital relationship and children`s behavior in Iranian society. Methods and Materials: In a Clinical Trial study eighty consecutive couples refered to general pediatric clinics due to their children’s diseases, randomly allocated to intervention group(couple dialogue technique) and control group (consult usual treatment method) in consultation center. They filled "Distance and Isolation Questionnaire" and "Gottmann Love and Respect Scale" at baseline, post treatment and three months after intervention as follow up all of them. General linear Model with Repeated Measurements was used to analyze the data. Results: In this study, scores of mutual love and respect in marital relationship (Gottmann scale) and scores in Flooding, Loneliness and Retreatment subscales of Distance and Isolation Questionnaire had a better condition in IRT group just after the trial (P<0.05) but after three months, the differences between two groups were only marginal significant (P<0.1). In Parallel lives` subscale, scores were decreased in two groups, but right after trial there was not significant scores of the groups did not difference between scores. Scores after three months in IRT group was significantly lower in compare to control group. Scores of CBCL have not statistically significant differences in both groups at any time (P>0.05). Conclusion: This study revealed couple dialogue technique was an effective intervention in solving marital conflicts in Iranian population but had not a significant effect on children’s behavioral profile. This may be due to other factors or insufficient duration of intervention and needs more investigation and needs more investigation.
Mahbube Khorsandi, Fazlallah Ghofranipour, Alireza Heydarnia, Soghrat Faghihzadeh, Maryam Vafaei, Firouzeh Rousta, Farkhonde Aminshokravi,
Volume 11, Issue 3 (9-2008)
Abstract

Background: There has been an increase in the number of women willing to have a caesarean birth because of their fear of childbirth. It seems the childbirth preparation educational class is a good way to remove or alleviate fears associated with pregnancy and childbirth.This research designed to identify the effect of childbirth preparation classes on childbirth fear on the primiparous women. Methods and Materials: The present study is a clinical trial which was carried out in 2007 at Milad Hospital, with 100 nulliparous pregnant women. Childbirth fear was measured by childbirth attitudes questionnaire. Normal pregnant women in the second trimester with childbirth fear score was 28 or more were randomly selected and dirided into experimental and control group with 50 subject in each qroup. The experimental group attended nine childbirth preparation class sessions and control group received routine antennal care. Results: The mean scored fear of childbirth in case and control group were 39.35±6.96 and 40.71±6.23 respectively. There was not significant difference between two groups. After the sessions, comparing childbirth fear score between two groups in third trimester showed the mean score of childbirth fear among experimental group was lower than control group (29.82+/- 7.18 compare to 38.03+/-9.27), and the differences statistically was significant (p<0.001). Mode of delivery was significantly different between the two groups. Conclusion: Primiparous women attended childbirth preparation classes acquired lower score of childbirth fear in compare to women received routine prenatal care. The results of this research showed relaxation training decreased childbirth fear and increased normal vaginal delivery.
Simin Taavoni, Shadab Shahali, Hamd Haghani, Leila Neisani Samani,
Volume 11, Issue 4 (12-2008)
Abstract

Background: Pain management is the challenging concepts in health workers. Since neonates have higher pain sensitivity in compare to childhood and adults. The objective of this study was to examine the pain relieving effect of breast feeding during immunization injections in healthy neonates. Methods and Materials: In this control randomized clinical trial, Samples were divided two groups (by age and sex) of 76 healthy 2- 4 months old term infants. In breast-fed group, 2 minutes before, during, and 15 seconds after the DPT immunization injection were in mother hug, and in control group as routine of clinic, were lied on the examining table during injection. Appearance of Neonates were observed and assessed by Modified Behavioral Pain Scale (MBPS) during 5 second before immunization to 15 second after it. Results: In breast fed and control group mean of age were 81.53±41.46 and 81.61±40.59 day and for weight were 6.65±1.17 and 6.70±1.14 kg for hight were 64.27±5.5 and 63.38±5.06 cm respectively. There were significant differences in Behavioral Pain Scores of two groups include: facial expression (4 items), cry (5 items), and movements (6 items). (P<0.0001). There is no statistically significant difference between the 2 groups for age, sex and the time of feeding prior to vaccination Conclusion: Regarding to significant difference in behavioral of pain responds in two groups, it is suggested, with simple and safe intervention method of straight breast feeding reduce pain during immunization and muscular injections too.
Rahmat Alah Jadidi, Akram Bayati, Mohammad Reza Arab,
Volume 11, Issue 4 (12-2008)
Abstract

Background: Medical equipment improvement and tremendous expenditure is allocated costs annually, so that optimum and proper maintenance management of equipment would have outstanding effects on health and treatment of medical training and research economies of the country. Present research was implemented aiming to examine effect of the medical equipment maintenance management systems on the hospital setting expenditures. Methods and Materials: In an interventional research, the model of medical equipment maintenance management system implemented in Imam Khomeini Hospital was examined precisely and based on appropriate software for Vali-e-Asr Hospital was designed. According to the model for all available medical instruments in Vali-e-Asr hospital with usage of more than 5 years (240 medical equipment) all costs were recorded in 2006 and compared with previous year (2005). Results: There wasn't any training for medical equipment operators and for its implementation necessity on 21.7% of equipment in the installation and start up phase with for 83.7% of equipments the operator was not fixed using of medical equipment maintenance management system, the repair events decreased from 78 events in 2005 to 58 events in 2006. Vali-e-Asr hospital recorded costs for maintenance and repair of medical equipment in 2006 was 801765375 Rials(Iran)which decreased to 513212912 Rials (Iran) according to accurate calculation of costs and auditing by medical equipment engineer and shows 36% saving in expenditures by medical equipment maintenance management system. Conclusion: Medical equipment computer–based maintenance, management system implementation and also using of medical engineers potentialities in hospital are necessary.
Mohammad Reza Darabi, Abdol Hosein Shiravi, Azin Nezhadi, Mohammad Rafiei,
Volume 11, Issue 4 (12-2008)
Abstract

Introduction: Stirility is a problem throughout the world. Decreasing the growth and developmental rate of embryo and arresting in certain step of development like two cell block, could be the reason of infertility in some couples. Previous study show that arrest and retardation in embryo development can produced by low temperature exposure. We aimed to evaluate the effect of Ethanol on growth and development of mouse two-cell arrested embryo. Material and methods: The 4-6 week old female mice were coupled with male mice following superovulation and positive vaginal plaque mice were killed 48 hour after HCG injection by cervical dislocation method. Two cell embryo were collected in RPMI medium and divided and cultured (in M16 medium) in three groups. The 2nd and 3rd groups were exposed to 4°C for 24 hour in order to delay and arrest for cleavage and developmental rate. The 2nd group (2nd control) were incubated immediately, while the 3rd group (experiment) were exposed to % 0.1 Ethanole for 5 minutes and the 1st group (1st control) without any exposure to low temperature group were incubated . Results: The data analysis by one-way ANOWA show that the developmental rate of embryos exposed to low temperature (4°C) significantly decreased (P=0.001), retardation and arrest being produced. The mean of cleavage rate between groups were not significantly affected, but the mean percent of degenerated embryos between groups have significant differences (P=0.045). On the other hand the mean percent of morulla is significantly different between groups (P=0.005) similarly the mean percent of blastocyst and hatched blastocyst have significant differences between groups (P=0.014) (P=0.001) after 120 hr evaluation. Conclusion: Effect of %0.1 Ethyl-alchol on arrested two cell embryos can significantly increase the mean percent of morulla and development up to blastocyst and hatching blastocyst stage related to control group, without any significant effect on cleavage rate
Maryam Tajabady Ebrahimi, Mohamad Amin Hejazy, Reza Ghafary, Parvaneh Jafari,
Volume 12, Issue 2 (9-2009)
Abstract

Background: In order to selected indigenous potential probiotic bacteria, we surveyed antagonistic activities of 22 strains of acid and bile tolerant Lactobacillus, isolated from traditional dairy products by biochemical and molecular methods. Methods and Materials: In a fundamental practical study assessment of antimicrobial activity of this strain with neutrallized and Dual layer two methods against bacterial pathogene such as E-coli, L.monocytogenes, S.auteus and Y.entercolitica was done. These strain were identified with two methods for determining of biochemical and sequence of 16Sr DNA. Results: Dual layer method based on the growth of zone diameter were estabilished in three groups of strains inhibitors, semi inhibitors and non inhibitors. Neutralize method around well acidic extract containing strains C5i4, Y144, K213, C4i2, C612 and neutral extract C5i4 zone blight strains was observed. Based on the results, sequence area 16Sr DNA of four strains inclulde C4i2, C1d2, Y2c4, D3b1 indicator bacteria that revealed the highest percentage of inhibitor effect of bacterial indicators, were duplicate and sequency. So four strains L.Bacilus Pentosus, L.Bacillus Bervis and L. Bacillus Paraplantarum, were indentifed respectivey. Conclusion: It seems that indigenous lactobacillus from Iranian dairy products have potential as probiotics. So use of them as bio preservative prevent food bacterial contamination.
Hamid Taher Neshat Doust, Mohammad Ali Nilforoush Zadeh, Fahimeh Dehghani, Hossein Molavi,
Volume 12, Issue 2 (9-2009)
Abstract

Background: Researches showed that there is a relationship among alopecia areata, psychological factors and prevalence of psychological disorders. In addition alopecia areata has a great effect on the quality of life of these patients. The purpose of this study is to investigate the effectiveness of cognitive-behavioral stress management therapy on female patients`s the quality of life with alopecia areata. Methods and Materials: This is a case-control study with pre and post-test exam which is carried out in Isfahan Skin Disease and Leishmaniasis Research Centre. The participants consisted of 20 alopecia areata patients diagnosed by specialists. The questionnaire was Skindex-16 which was completed by patients before and after the intervention. Cognitive-behavioral stress management therapy was done on the case group in eight sessions over a period of two months. Data was analyzed with covariance (ANOVA). Results: The mean of quality of life scores in experimental group in v.s control group significantly decreased (P<0.05). Conclusion: It seems, cognitive-behavioral stress management therapy couses in quality of life improvement in patients with alopecia areata.
Jina Khayatzadeh, Hossein Rafiei, Majid Farhoodi,
Volume 12, Issue 3 (10-2009)
Abstract

Abstract Background: Cartilaginous and movement diseases are the most prevalent problem in human. Various vitamins like A and C increase the process of regeneration and wound healing. In this research, the Alfalfa plant with scientific name Medicago sativa, that contains a lot amount of A, C, E and K vitamins, was used and effect of its extract on regeneration of pinna rabbit cartilage was studied. Materials and Methods: In this experimental laboratory study, 6 New Zealand male rabbits with 2.5-3 kg weight have been selected. After shaving hairs on ears with depilation cream, the ear were anesthetized by lidocaine 10% and 4 holes were punched with 4 mm diameter in medial situation of each ear. Test ears by extract of Medicago sativa and control ear were treated by normal saline every day. Holes era and the distance of two edges of cartilage were measured in various days of healing. Also, tissue sampling for microscopic observation by H&E color (day 0-50) was done. Results: Regeneration and healing of the treated holes with extract of Medicago sativa was faster than the control holes (p<0/004). Also, thickness of cartilage and cell density of chondrocytes and fibroblasts in the newly formed connective tissues in test were more than control. Conclusion: The extract of Medicago sativa because of A, C vitamins containing, probably increased the wound healing and regeneration of the rabbit ear cartilage and suggest the pharmacological usages.
Ali Hekmatnia, Iman Fani, Ali Fani, Masoud Fazeli, Javad Marashi,
Volume 12, Issue 4 (2-2010)
Abstract

Background: The use of proper contrast agents is very effective in improving the quality of medical imaging. In this study, we dealt with the effect of high PH blackberry juice accompanied with omeprozole in reducing the upper fluid artifact in MRCP images. Methods: This single blinded before-after clinical trial was done with the enrollment of 34 patients. After receiving official agreement from the patients and applying the enrollment criteria, they were ordered to take two 20mg omeprozole capsules the night before the exam. The next day, while they had been held NPO, they were exposed to the first MRCP. After this, they drank 300cc blackberry juice and were re-examined after 15 minutes. The related checklists were printed and three radiologists independently inspected the reduction of artifact checklists and the resolution of images. Eventually, the quality of images and the mean of artifact reductions in the images before and after black berry Juice consumption were compared. Results: Reduction of artifact scores due to gastrological secretions did not show any significant differences before and after black berry juice consumption (2.97±0.37 and 2.89±0/87, respectively). Additionally, no significant changes were observed in the visibility of gall bladder, water ampoula, common hepatic duct, intrahepatic ducts and head of pancreatic duct images. There was a decrease in the common bile duct visibility (p=0.01). In the case of pancreatic duct tail and body visibility, images showed improvements (p=0.04 and 0.03, respectively). Conclusion: Blackberry juice, as a contrast agent, does not seem to have enough paramagnetic metals and does not improve the quality of MRCP.
Javad Baharara, Kazem Parivar, Alireza Ashraf, Roya Rostami,
Volume 12, Issue 4 (2-2010)
Abstract

Background: Noticing the daily advancement of the role of electromagnetic field generators in human life, examination of the biologic impacts of these waves has come to be extensively appreciated by researchers. During pregnancy, vitamin A is extremely essential for the development of fetus and its lack, insufficiency or excess can result in embryonic malformations. This study investigated the synergetic effects of vitamin A and extremely low frequency electromagnetic fields on the development of embryo skin in Balb/C mice. Materials and Methods: This study was experimental in nature. Eighteen pregnant mice were divided into control, sham-exposed and experimental groups. The mice in the experimental group were given an intra-peritoneal injection of 15000 IU/kg vitamin A on the 10.5th day of gestation and were, then, exposed to a 50Hz electromagnetic field 4 hours a day from 10 through 12th day of gestation. The animals were dissected and investigated morphologically and histologically on 17.5th day of gestation. Results: The results showed an increase in the mean weight of fetuses in the experimental group in comparison to the sham- exposed group (p<0.05). Also, Crown-Rump of fetuses in the experimental group increased in comparison to those in the sham- exposed group (p<0.001). Epidermis thickness increased significantly in experimental group in comparison to sham- exposed (p<0.05), while the average number of basal, spinous cells and hair follicles decreased significantly in the experimental group compared to the sham- exposed (p<0.001). Conclusion: The findings indicate that vitamin A usage and synergetic exposure to low frequency electromagnetic fields (50Hz) profoundly affect the development and growth of skin epidermis in the fetus of Balb/C mouse.
Ali Cyrus, Davood Goudarzi, Vida Jahangiri,
Volume 13, Issue 1 (4-2010)
Abstract

Background: Urolithiasis is one of the causes of renal colic. The annual incidence of this disease is 1-2/1000 people. Due to the severity of pain, adverse effects of routine treatments and incomplete pain relief, more effective methods of treatment have always been sought for. Alhagi Pseudalhagi distillate is a traditional herbal medication used for urolithiasis. Due to its wide availability and no previous report of adverse effects, we decided to evaluate its impact on ureteral stone expulsion. Materials and Methods: In this single-blind randomized clinical trial, 100 renal colic patients whom visited in Arak Vali-asr Hospital or its clinics were divided into two groups. Group1 received Thiazide, Tamsulosin, and analgesics and group 2 received Alhagi Pseudalhagi distillate in addition to aforementioned drugs. The patients were followed upto 4 weeks and the stone expulsion rates and their times were compared. Results: The average stone sizes for groups 1 and 2 were 4.66 and 4.32 mm, respectively (p=0.128). Stones in both groups were mostly located in lower ureter (p=0.551). Expulsion occurred in 40% of group 1 and 66% of group 2 patients (p=0.009). The mean expulsion times for groups 1 and 2 were 11 and 9 days, respectively (p= 0.291). Conclusion: Alhagi Pseudalhagi distillate had a significant effect on the rate of stone expulsion and it is likely to decrease the time needed for the passage of Urolithiasis stones.
Simin Taavoni, Somayeh Abdolahian, Hamid Haghani,
Volume 13, Issue 1 (4-2010)
Abstract

Background: Labor pain, which is a natural, unique and multi- factorial pain, is considereds a major part of women's anxiety at reproductive ages. There are two pharmacological and non-pharmacological approaches for reducing this pain. Since the pharmacological approach involves side effects, lots of attention has recently been given to the non-pharmacological methods. One of these methods, is use inc birth ball the, which includes sitting and rocking on the birth ball. The purpose of this study was to evaluate the effects of using birth ball on labor pain, the duration of active phase and contractions of physiologic labor. Materials and Methods: In this randomized control-clinical trial, sixty primiparous women (18-35 year old) were selected and randomly assighed into birth ball and control groups. The severity of pain was measured through Visual Analogue Scale (VAS) and the pain score, interval between contractions and duration of active phase were compared between the two groups. Results: The average pain score in the birth ball group was significantly lower than the control group (p<0.05). In terms of interval between the contractions, duration of active phase and uterine contractions, there were no significant differences between the two groups. Conclusion: Although use of birth ball did not have any effects on the duration of active phase, uterine contractions and interval between uterine contractions, this complementary therapy reduced the severity of pain during the active phase of delivery. Therefore, this safe method is suggested to be used during normal vaginal delivery and physiologic labor. Also, conducting a study, which examines the effects of using a combination of complementary methods, is recommended
Parsa Yousefi, Bahman Salehi, Taherreh Sanginan,
Volume 13, Issue 2 (6-2010)
Abstract

Background: Noticing the sensitivity and restlessness of medical centers, aggression in the workplace as an agitating factor is one of the dangers of medical profession that is threatening to the health and hygiene of the society. The aim of this study was to determine the types and contributing factors of aggression toward physicians and students of medicine in hospitals of Arak in 2009. Materials and Methods: This descriptive-cross-sectional study was conducted on 400 of accessible physicians and students of medicine working in hospitals of Arak in 2009. A self-made questionnaire, containing 14 questions which surveyed the status of aggressions, was used. Results: On the whole, 205 individuals returned the forms. Most of them (71.7%) had faced a form of oral, physical, or sexual aggression and had been violated by a male companion of patients. They also viewed the use of drugs or alcohol by patients or their companions, lack of security facilities, patients’ death, and lack of educational possibilities for the prevention, as influential factors in the occurrence of aggression. The majority of participants saw increasing the security personnel, presence of psychological counselors and psychologists of the ward, increasing the rest hours, decreasing the work hours of the physicians, and having a codified program for the prevention of aggression, as anti-aggression factors. Conclusion: Oral and then physical aggression toward physicians are quite prevalent. Hence, taking immediate actions and providing useful instructions for prevention are of priority in designing effective programs.
Marzieh Akbarzadeh, Batol Bonyadpoure, Kayvan Pacshir, Abdolali Mohagheghzadeh,
Volume 13, Issue 3 (9-2010)
Abstract

Background: Candida vaginitis which is mostly caused by Candida albicans is the second common cause of vaginal candidiasis in women. This study was designed to determine the clinical symptoms of Candida vaginitis and their relationship with the types of Candida species in women referring to the clinics of Shiraz University of Medical Sciences. Materials and Methods: In an analytical study, over a seven month period of sampling, through the examination of the history of 1100 patients, 450 were identified with chief complaints regarding genital infection. Samples were obtained from 280 of these patients according to their histories and the characteristics of their vaginal discharges. Of these patients, 105 were diagnosed with Candida vaginitis. The analysis of Candidal species was done through germ tube and chlamidospore agar tests. Results: Urogenital itching was severe in more than 43.8% of patients. White color genital discharges were more observable than other symptoms (88.6%). In negative Candida culture samples, severe itching, white color discharge, and disuria were reported to be 23, 80.8, and 43.5%, respectively. Candida albicans composed 70.5% of the samples. Colony count was between 51 and 500 in 49.5% of all samples. There were no significant relationships between colony count and rate of itching, family planning program, and other symptoms. Conclusion: Due to the uncertainty of diagnosis of this disease according to clinical symptoms and also, due to the consistency and resistance of Candida species, using culture method is recommended as a standard method of diagnosis.
Hafizi Moori , Dolatian, Naghash, Moatar, Alavi Majd,
Volume 13, Issue 3 (9-2010)
Abstract

Background: Bacterial vaginosis is one of the most common infections in women at reproductive age. Although metronidazole is recommended as the first-line treatment, it has various side effects which make it difficult for patients to continue the treatment. Thus, the need is felt for finding a medication with fewer side effects. The aim of this study is to compare the effects of micosin vaginal cream (made of garlic) and metronidazole vaginal gel on treatment of patients with bacterial vaginosis. Materials and Methods: This study was a clinical trial which was conducted on 100 married women, aged 18-44, whose infection with bacterial vaginosis was diagnosed through clinical Amsel criteria. The participants were randomly divided into two groups of 50 persons each: Micosin vaginal cream and metronidazole vaginal gel. Patients identified with tricamona or candidiadis infections were excluded from the study. Treatment period in each group lasted for seven days. Clinical Amsel criteria and patient complaints were again checked 2 to 7 days after completion of the treatment period, and the side-effects were registered. Results: Following the treatment with micosin vaginal cream and metronidazole vaginal gel, patient complaints and clinical Amsel criteria showed a significant decrease (p<0.05), in a way that clinical recovery rates in micosin and metronidazole groups were 80% and 70%, respectively. Conclusion: Micosin vaginal cream seems to be an appropriate alternative for metronidazole vaginal gel in treatment of bacterial vaginosis.
Mahmoud Bahmani, Mostafa Ghorbani, Hassan Momtaz, Ehsan Bahmani, Mahmoud Rafieian,
Volume 13, Issue 4 (1-2011)
Abstract

Background: Candida species are among the most important factors in development of fungal infection in human beings and animals. Noticing the daily increase of drug resistance, attempts should be made for providing anti-fungal and anti-microbial drugs. Hence, this study was conducted to investigate the in-vitro effects of Scrophularia deserti ethanolic extract and amphotricin B on Candida albicans. Materials and Methods: In an experimental trial, anti-Candida effects of Scrophularia deserti ethanolic extract and amphotricin B on Candida albicans were evaluated using serial dilution method. Data analysis was done using SPSS, through paired and independent t-tests. Results: Minimum inhibition capacity (MIC) of Scrophularia deserti extract on Candida albicans in the first and second trials were OD600=1.56(59%) and OD600=1.68(59%), respectively, whereas this value for amphotricin B was 59%. The difference between minimum growth inhibition capacity of Scrophularia deserti and amphotricin B was not significant. Conclusion: The findings of this study indicated that ethanolic extract of Scrophularia deserti has anti-fungal properties comparable to amphotricin B.
Neda Soleimani, Saeed Daneshmandi, Morteza Sattari, Ali Akbar Pourfathollah,
Volume 13, Issue 4 (1-2011)
Abstract

Background: Correct use of cuminum cyminum and finding its different applications in medicine and industry necessitates a more clear understanding of this medicinal plant. This study deals with identifying the effects of the essential oil of this herbal plant on macrophages and tumor cell lines. Materials and Methods:Cuminum cyminum essential oil was extracted from its fruit, and its effects on peritoneal macrophages and LPS stimulated macrophages were examined. MTT assay was done for evaluation of macrophages viability and the amount of nitric oxide (NO) in culture supernant was measured by Griess Reagent. WEHI-164 mice fibrosarcoma cell line was cultured with different concentrations of cuminum cyminum and cytotoxicity level was evaluated by MTT assay. Results: The viability of macrophages and also, the amount of NO production in 50 and 500 μg/ml cuminum cyminum essential oil was lower than that of the control group (p<0.001). MTT assay showed that cuminum cyminum essential oil in 50 and 500 μg/ml concentrations significantly inhibits tumor cells growth (p<0.001). Conclusion: Cuminum cyminum essential oil by having immune-modulatory properties can be used in treatment of many inflammatory and immunologic disorders. Also, it can be used as a therapeutic or complementary agent in tumor therapy.

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