---

Background: Caesarean section is one of the most common gynecologic surgeries. Nausea and vomiting after pain is the most common side effect of surgeries, today, we most widely use of serotonin receptor antagonists, that are most effective antiemetic and have less side effect rather than other drug. Ondansetron is typical serotonin antagonists.

Materials and Methods: This is a randomized, double-blind clinical trial on 162 women undergoing cesarean section. 4mg intravenous ondansetron was given to first group and 8mg oral ondansetron was given to second group and thired group recived placebo. Blood pressure and heart rate were measured before and immediately after performing spinal and every 5 minute until 20 minute. Post operative nausea and vomiting and APGAR score were recorded after operation in recovery and 2, 4, and 6 houres after surgery.

Results: There was no significant difference among 3 groups according to age, gravidity, mean atrial pressure and heart rate before and during surgery. Nausea and vomiting in oral and intravenous groups at recovery, 2 and 4 hours after surgery were significantly less nausea and vomiting than placebo group (p<0.05). Whereas there was no significant difference between oral and intravenous groups.

Conclusion: It was concluded that using oral ondansetron with the same antiemetic effect is more convience to women undergoing cesarean section with spinal anesthesia.

---

Background: Naphthalene is a polyaromatic hydrocarbon (PAH_s) present in many water sediments. This study evaluated the performance of UV/H₂O₂ reaction to decompose naphthalene in the aqueous solution.

Materials and Methods: It was an experimental-laboratory study. A one liter cylindrical glass reactor was used for performing all degradation experiments. The radiation source was a low pressure mercury UV lamp emitting at 254 nm (30 W, UV-C) which was placed above a batch photoreactor for UV/H₂O₂ experiments and different concentrations of H₂O₂ (5, 10, 15, 20, 25 and 30 mg/L) were tested.

Results: In 15 mg/L naphthalene in UV/H₂O₂ system and reaction times 5, 10, 20, 30, 40, 50, 60, 100 and 120 minutes, 15, 28, 31 , 36, 42, 52, 56, 73 and 59.5% naphthalene removal efficiencies were observed and COD removal efficiencies in reaction times 5, 10, 20, 30, 40, 50, 60, 100 and 120 minutes, 22, 38, 45, 61.5, 67.5, 70, 80, 88.5 and 76 % were observed. When the initial pH values were 3, 4, 5, 6, 7,9, 10 and 12 the naphthalene removal efficiency was approximately 75.8, 63.4, 62, 58.5, 44.8, 35.8 and 30%, respectively, with UV/H₂O₂ system.

Conclusion: The experimental results of this study suggested that the dosages with 20 mg/L H₂O₂ at pH= 3 with 2.8 W/cm² UV intensity (254 nm) provided the optimal operation conditions for the mineralization of naphthalene yielding a 73% mineralization efficiency after 100 minutes of reaction time.

---

Background: Depression is one of the common psychiatric disorders which are more common in women in the reproductive ages. So this study is to investigate the effect of Depo-Provera on depression.

Materials and Methods: This cross-sectional study was performed on 70 women who had chosen Depo-Provera as contraception. Beck test was done at arrival and repeated 3 months later, and the scores obtained were compared by paired t test.

Results: The participants BDI scores at baseline were equal to 7.89±3.85 while 3 months after treatment with the scores were equal to 7.09±3.63 which were significantly decreased.

Conclusion: Since Depo-Provera reduces depressive symptoms in women who take it and does not increase these symptoms in women with a history of depression, it seems that Depo-Provera is an appropriate choice as contraception.

---

Background: Today, ultrasonography has become the main tool used for the evaluation of fetal anomalies. The aim of this study was to evaluate fetal heart rate changes immediately after combined two- and 4-dimensional ultrasound.

Materials and Methods: This study was performed on 191 pregnant women aged 15 to 45 years old who were referred for 4-dimensional ultrasonography in summer 2013. Before the onset of 2-dimensional ultrasonography, baseline fetal heart rate was measured by ultrasound. At the same time, the maternal heart rate was recorded during one minute. Then, combined ultrasonography was performed and same parameters were recorded at the end.

Results: Maternal heart rate significantly decreased after combined ultrasonography (p=0.0001). Fetal heart rate did not differ before and after ultrasonography (p=0.693).

Conclusion: Four-dimensional ultrasonography has no effect on fetal heart as an indicator for evaluating the fetus temperature.

---

Background: Polycystic ovary syndrome (PCOS) is a complex hormonal disorder affecting the reproductive and metabolic systems. The aim of this study was to investigate the effect of 8-week pilates training on anti-mullerian hormone level and cardiometabolic parameters in women with polycystic ovary syndrome.

Materials and Methods: In this semi-experimental study with pretest–posttest design, twenty PCOS patients (aged 28.16±4.29 y) were randomly assigned to pilates training or non-exercising control groups. The training group took part in an eight-week progressive pilates exercise program, three times weekly while the control group were instructed to maintain their normal daily activities throughout the eight-week experimental period. Serum levels of anti-mullerian hormone, body composition and metabolic parameters were assessed before and after the training period.

Results: After an 8 week pilates training, insulin resistance index, total cholesterol, LDL- cholesterol, triglycerides and abdominal fat were significantly decreased (p<0.05). Furthermore, anti-mullerian hormone concentrations decreased significantly in response to pilates training (p<0.05).

Conclusion: These results suggest that pilates training can have beneficial effects on metabolic indices and ovarian reserve in women with polycystic ovary syndrome over a two-month period.

---

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: About 40% of postmenopausal women experience sleep disruption which can affect their quality of life. Various medications were used for managing the sleep disruption. There are some studies on the effectiveness of gabapentin in the management of post menopausal vasomotor symptoms and sleep disruption. The aim of present study was to assess the effect of gabapentin on improving quality of life and sleep of post menopausal women .

Materials and Methods: In this double blind clinical trial, 90 post menopausal women with sleep disruption were selected and randomly divided into two groups for 12 weeks intervention (300 mg gabapentin, twice daily) and control groups. SF36 questionnaire of quality of life and PSQI questionnaire of sleep quality were surveyed and compared before and after the intervention in patients.

Results: The mean age of participants were 52.7 ± 3.14 and 53.4±3.68 years in intervention and placebo groups respectively. There was no significant difference in demographic information and the mean score of SF36 and PSQI questionnaires between groups before the intervention (p>0.05). Significant improvement was seen in score of SF36 and PSQI in gabapentin group after the intervention and in comparison with placebo group (p=0.0001).

Conclusion: According to the results of present study, it seems that gabapentin 300 mg/twice daily for 12 weeks can improve quality of life and sleep of post menopausal women.

---

Background: Cancer is one of the most common causes of deaths in the world. Cancer incidence and prevalence is increasing in the world. There is no clear trend is available on incidence of these cancers in Iran, therefore, this study aimed to determine the incidence of 10 common cancers among Iranian women from 2003 to 2009.

Materials and Methods: A cross-sectional study was conducted by analyzing existing data. Data from a national registry of cancer cases were received. Data included the records from the cancer registry system in Iranian women during 2003 to 2009. The incidence rates were then standardized using direct method. We used Cochrane Armitage Test for linear trend by Winpepi software to determine the variation in the incidence of cancers.

Results: The results show that the proportion of all cancers is rising in women as compared to all population. Breast, skin, colorectal, gastric, esophageal, thyroid, leukemia, ovary, brain and uterus were the most common cancer among Iranian women. During the years of the survey, these cancers are significantly increased.

Conclusion: The results of this study showed that the incidence of cancer in women is increased. screening programs can be useful in reducing the cancers.

---

Background: Aluminum, as an environmental pollutant, has destructive effects by inducing oxidative stress on male reproductive system and sperm. Silymarin, an effective substance extracted from Silybum marianum, is a potent antioxidant which inhibits oxidative stress. Because of toxic effects of aluminum and the antioxidant role of silymarin, this study was performed to investigate if silymarin can prevent the adverse effects of aluminum chloride on plasma membrane integrity and acrosome integrity in ram sperm.

Materials and Methods:  In this experimental study, epididymal spermatozoa from Farahani's ram are divided into five groups: sperm at 0 hour, sperm at 180 minutes (control), sperm treated with aluminum chloride (0.5mM) for 180 minutes, sperm treated with silymarin (0.5μM) + aluminum chloride (0.5μM) for 180 minutes and sperm treated with silymarin (0.5μM) for 180 minutes. To evaluate sperm plasma membrane integrity and sperm acrosome integrity, propidium iodide-Hoechst and comassie brilliant blue staining were used, respectively. The results were analyzed using one-way ANOVA and p<0.05 was considered as significant level.

Results:  The percentage of sperm plasma membrane integrity and acrosome integrity were significantly decreased in aluminum chloride group compared to the control. The simultaneous use of silymarin+aluminum chloride could significantly compensate the adverse effects of aluminum chloride on the sperm plasma membrane integrity and acrosome integrity compared to aluminum chloride.

Conclusion: Aluminum chloride induces toxic effect on ram sperm plasma membrane integrity and acrosome integrity and silymarin is able to compensate the adverse effect this pollutant on these parameters.

---

Background: Episiotomy is one of the most common gynecologic surgery that was done in the second stage of labor, in order to facilitate the delivery. Cutting this area is associated with pain and discomfort. Healing causes pain relief and returning to daily activities became faster. Considering that the high rates of episiotomy infection, we decided to examine the effect of topical cream, saffron 20%, on women who had undergone episiotomy.

Materials and Methods: This randomized, double-blind clinical trial study was performed on 60 primiparous women in 2013-2014 who underwent vaginal delivery and episiotomy at in Taleghani Hospital of Arak. Intervention group recieved 20% topical cream containing saffron extract three times daily for 2 weeks and the control group received a placebo cream. Wound status and its healing were investigated in the first, seventh and fourteenth postpartum.

Results: There was a significant difference between both groups with healing of episiotomy location in seventh(p=0.54) and fourteenth(p=0.003) days and the continuity process of the wound edges in the first (p=0.015), seventh(p=0.013) and fourteenth(p=0.001) days. there was no statistically significant difference about the opening the wound in the first day(p=0.492), There was a statistically significant difference between the two groups in seventh(p=0.001) and fourteenth(p=0.026) days.

Conclusion: This study showed that saffron extract cream 20% can be effective for episiotomy wound healing and wound edges continuity.

---

Background: Missed abortion refers to pregnancy products remain dead with age less than 20 weeks in the womb for several weeks. This study was designed to evaluate the efficacy of castor oil on cervical ripening in the treatment of abortion.

Materials and Methods: This triple blind clinical trial was done on 72 women with missed abortion who were divided into two groups of 36 patients based on odd or even numberd of cases. The case groups received 800 mg vaginal misoprostol and 60 ml castor oil mixed with fruit juice and control groups received 800 mg vaginal misoprostol and 60 ml placebo with fruit juice, respectively. In both groups, if needed, 3 doses of vaginal suppository 800 mg were repeated with at least 24 hours. After the disposal of pregnancy products, sonography and curettage were performed if necessary.

Results: During the intervening period, the time of the opening of the cervix in the intervention group was shorter than control group and there was a statistically significant difference (p=0.032). Also, the control group required a higher frequency of administration of misoprostol than intervention group and the difference was statistically significant (p = 0.037).

Conclusion: It seems that the castor oil can be effective on cervical ripening for treatment of abortion.

---

Background: Adoption has a significant role for strengthening families without children and also resolution of psychological confilicts of unsupervised children. The goal of this study is to assess the psychological status of adoption applicant couples.

Materials and Methods: This is a descriptive- analytic study that is done with cooperation of welfare organization and Arak University of Medical Sciences in 2014. All adoption applicant couples referred to welfare organization for 1 year participated in the study. Data were gathered by using demographic questionnaire and MMPI-II. Data were showed by descriptive statistic and were analyzed by using mean, average and covariance analysis indices.

Results: Mean and standard deviation of all clinical scales and reliability of MMPI-II in all samples and also different subgroups of statistical population were under 65. All applicants had good mental health and psychologically were eligible for adoption. A group of applicants have pretended themselves better than what they are because of the fear of rejection that led to significant difference in k scale(p=0.019).

Conclusion: According to the findings of this study, applicants had good mental health and didn’t have any psychopathologic damage, but sometimes they have pretended themselves better than what they are. Investigation of other diagnostic tools in future studies is recommended.

---

Background: Few studies have examined the effects of calcium plus vitamin D supplementation on metabolic profiles in overweight women with polycystic ovary syndrome (PCOS).This study was conducted to determine the effects of calcium plus vitamin D supplementation on metabolic profiles among overweight women with PCOS.

Materials and Methods: This randomized double-blind placebo-controlled clinical trial was conducted among 104 overweight and obess women with PCOS. Participants were randomly assigned into four groups to receive: 1) 1000 mg/d calcium+ vitamin D placebo; 2) 50000 IU/weeks vitamin D; 3) 1000 mg calcium/d and 4) calcium placebo + vitamin D placebo for 8 weeks. Fasting blood samples were taken at baseline and after 8 weeks intervention to measure metabolic profiles.

Results: After administrating calcium plus vitamin D supplementation, a significant decrease was observed in serum insulin (-3.3±11.4 vs.-1.1±8.5, -1.4±3.0 and +3.1±6.1 µIU/ml, p=0.03), insulin resistance (-0.7±2.4 vs.-0.3±2.5, -0.2±0.6 and +0.8±1.9, p=0.04), malondialdehyde (-0.6±0.3 vs.-0.1±0.2, -0.5±0.2 and +0.6±0.4 µmol/L, p=0.009) and a significant rise was seen in total antioxidant capacity (+35.2±21.7 vs.+22.5±37.7, +21.1±34.1 and -153.8±65.2 mmol/L, p=0.006) and glutathione (+216.0±79.3 vs.-47.5±60.2, +3.9±31.3 and -160.8±82.9 µmol/L, p=0.001) compared with vitamin D, calcium and placebo groups.

Conclusion: In conclusion, calcium plus vitamin D supplementation for eight weeks among women with PCOS had beneficial effects on metabolic profiles.

---

Abstract

Background: We are aware of no study evaluating the effects of zinc supplementation on metabolic profiles of patients with polycystic ovary syndrome (PCOS). This study was conducted to evaluate the effects of zinc supplementation on glucose homeostasis parameters in PCOS women.

Materials and Methods: This randomized, double-blind, placebo-controlled trial was conducted among 52 women diagnosed with PCOS and aged 18-40 years old. Participants were randomly divided into two groups to receive 220 mg zinc sulfate (containing 50 mg zinc) supplements (n=26) or placebo (n=26) per day for 8 weeks. Fasting blood samples were taken at baseline and after 8 weeks of intervention to quantify glucose and insulin.

Results: After 8 weeks of intervention, zinc-supplemented patients had reduced fasting plasma glucose (FPG) (-4.3±9.6 vs. +0.5±6.0 mg/dL, p=0.03), serum insulin (-3.0 ± 2.9 vs. + 1.5 ± 8.4 µIU/ml, p=0.01), serum triglycerides levels (-15.6±40.3 vs. +14.5±25.3 mg/dL, p=0.002) and a significant increase in insulin sensitivity (+0.02±0.02 vs. -0.004±0.05, p=0.03) compared with the placebo.

Conclusion: Taken together, 220 mg zinc sulfate supplementation per day for 8 weeks among PCOS women had beneficial effects on metabolic profiles.

---

Abstract

Background: The efficacy of evening primrose oil has been reported in metabolic syndrome and other diseases.The role of vitamin D has been proposed in the risk reducing of chronic diseases such as obesity, metabolic syndrome and diabetes too. We are aware of no study that examined the effects of evening primrose oil and vitamin D supplementation on metabolic profiles in gestational diabetes (GDM). This study was designed to assess the effects of evening primrose oil and vitamin D supplementation on metabolic profiles among pregnant women with GDM.

Materials and Methods: This randomized, double-blind, placebo-controlled clinical trial was performed among 60 women with GDM. Subjects were randomly assigned to receive either evening primrose oil and vitamin D supplements (n=30) or placebo (n=30) for 6 weeks. Fasting blood samples were taken at study baseline and after 6 weeks of intervention to quantify biochemical variables.

Results: Evening primrose oil and vitamin D supplementation led to a significant decrease in serum high sensitivity-C reactive protein (hs-CRP ) levels (change from baseline: -1.9±4.0 vs. +0.6±2.6 µg/mL, p=0.006) and MDA (-0.8±2.1 vs. +0.6±1.5 µmol/L,p=0.005) compared with placebo. Furthermore, a significant increase in plasma NO (+2.5±3.8 vs. -1.9±8.1 µmol/L, p=0.009) and TAC levels (+84.4±174.8 vs. -36.4±143.1 mmol/L, p=0.005) was seen after evening primrose oil and vitamin D supplementation compared with placebo.

Conclusion: Evening primrose oil and vitamin D supplementation in GDM women had beneficial effects on metabolic profiles.

---

Abstract

Background: We are aware of no study examining the effects of Soy supplementation on patients with polycystic ovary syndrome (PCOS).This study was conducted to evaluate the effects of Soy supplementation on metabolic profiles in women with PCOS.

Materials and Methods: This randomized, double-blind, placebo-controlled clinical trial was conducted among 70 women diagnosed with PCOS. Participants were randomly divided into two groups to receive 50 mg Soy isoflavone supplements (n=35) or placebo (n=35) for 12 weeks. Fasting blood samples were taken at baseline and after a 12-week intervention to quantify related factors.

Results: Intervention group, subjects who received Soy supplements had significantly decreased total serum testosterone levels (-0.2±0.4 vs. +0.1±0.3 ng/mL, p=0.01) compared with the placebo. In addition, a significant rise in plasma glutathione (+96.0±102.2 vs. +22.7±157.8 µmol/L, p=0.04) and a significant decrease in malondialdhyde levels (-0.7±0.8 vs. +0.8±2.3, p=0.001) was observed following the consumption of Soy supplements compared with the placebo.

Conclusion: According to this study, Soy supplementation among PCOS women had beneficial effects on metabolic profiles.

---

---

---

---

Background and Aim: Patients with the symptoms of gastrointestinal diseases and ulcers constitute a large number of patients referring to general and internal clinics. Furthermore, preliminary studies on gastric ulcers highlighted the role of psychological factors in the development of a susceptible gastric ulcer. The current study aimed to determine the effects of Cognitive-Behavioral Therapy (CBT) on pain intensity and stress coping styles in patients with gastric ulcers.
Methods & Materials: This was an experimental study with a pretest-posttest-follow-up and a control group design. The statistical population included all patients with a gastric ulcer who were referred to public health centers in Tehran City, Iran, in the winter of 2018. Among the volunteers participating in the study, 30 patients with gastric ulcers were selected by the convenience sampling method. Next, they were randomly assigned to the experimental and control groups (n=15/group). Measurement tools included the McGill Pain Questionnaire (MPQ) and the Coping Inventory for Stressful Situations (CISS; Endler & Parker, 1990). The experimental group subjects participated in eight 90-minute sessions of CBT. However, the controls received no psychological treatment in this period. For data analysis, repeated-measures Analysis of Variance (ANOVA) and post-hoc tests were applied.
Ethical Considerations: This study was approved by the Research Ethics Committee of the Islamic Azad University, Karaj Branch (Code: IR.IAU.K.REC.1397.85).
Results: The present research results signified that CBT improved problem-oriented coping styles (P<0.01) and decreased emotion-focused coping styles (P<0.01) and avoidance (P<0.01) in the test group. Besides, the mean scores of pain intensity decreased in the experimental group, compared to the controls (P<0.01).
Conclusion: The provided CBT was effective on pain intensity and stress coping styles in patients with gastric ulcers.