JOURNAL OF ZABOL UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES (JOURNAL OF ROSTAMINEH)
Year:2013 | Volume:5 | Issue:3|Papers Count:9

Introduction: Osteodystrophy is a set of metabolic bone diseases which happens in end stage renal failure diseases. Main bone diseases are divided into high bone turnover diseases with high level of PTH and low bone turnover bone diseases with normal or low PTH level. This study aimed to define prevalence and type of renal osteodystrophy in end stage renal disease patients in Imam Khomeini hospital hemodialysis center.methods: This cross-sectional study was done on all of hemodialysis patients (60 cases) in 2012. Demographic data were collected using a standard questionnaire. Serum levels of calcium, phosphorus, alkaline phosphatase, creatinine, albumin, total protein, parathyroid hormone, random blood glucose were measured in all of patients. In part of biochemical criteria, patients with PTH level more than 300 pg/ml defined as high bone turnover group and cases with PTH level less than 150 pg/ml defined as low bone turnover (osteomalacia or adynamic bone disease) group. For differentiation between osteomalacia and adynamic bone disease, blood level of vitamin D was used such as low levels of vitamin defined as osteomalacia.Results: The study evaluated 60 cases of hemodialysis patients with mean age of 48.13±17.35 (minimum of 11 years and maximum of 85 years). Twenty eight of the patients (46.7%) were male and others were female (53.3%). About one third of the patients (21 cases: 35%) were under two times dialysis a week and two third of them (39 cases: 65%) were dialyzed three times a week. Duration of dialysis in studied cases was one year in 25 cases (41.7%), two years in 14 cases (23.3%), three years in eight patients (13.3%), four years in three cases (5%), five years in four patients (6.7%), and six patients (10%) were dialyzed between 6-10 years. The study showed that from 60 studied patients with ESRD, 48 cases (80%) had renal osteodystrophy. About 47% of them had osteofibrosis, 7% had adynamic bone disease and 26% had osteomalacia.Conclusion: The study demonstrated that prevalence of renal osteodystrophy is relatively high in hemodialysis patients in Imam Khomeini hospital in Zabol. Since the mean time of dialysis is short in this center, the high prevalence cannot be due to time transition. This study showed that we should pay more attention to the renal osteodystrophy and try to postpone it or treat it appropriately.

Background and purpose: In order to study the antifungal (inhibitory) effect of herbal essences on prevention from growth of Aspergillus Flavus fungus and Aflatoxins, herbal essences, include thyme, mint, eucalyptus, fennel, galbanum, rosemary, and satureja were studied.Materials and methods: factorial test was applied in basic completely randomized design. Solid and liquid environments were used for analyzing mycelium fungus.Results: thyme and fennel essences exhibited maximal inhibitory effect. Results suggested that the effects of essence type and essence concentration caused significant differences on A. Flavus colonization percent and AFB1. Also, interaction effects (cultivar*essence concentration) was significant on colonization percentage of this fungus in 5% level.Conclusion: Concentrations of 800 and 1000 of fennel (0.213, 0.584 ppb) and thyme (0.215, 0.452 ppb) had the most inhibitory effects on AFB1 respectively.

Introduction: Cesarean is the most important and costly gynecology surgery. Infection is the second important complication after hemorrhage. It seems that almost all risk factors of postpartum infection are due to ascending organism from lower genital tract to upper genital tract. Surgical technique is also an independent risk factor. According to the importance of the post partum infection in Iran and controversy in literature we compare the preparing of vagina before surgery as a method for organism reduction with routine cesarean section procedure.Methods: during a randomized clinical trial study patients came for c/s were conducted into two groups: 1-routine c/s, 2-vaginal preparing before c/s.demografic data were collected, They were visited on the first post operative day, one week and six week after discharge and any fever, endometritis, febrile morbidity and wound infection were recorded for analyzing.Results: There was significant difference between the groups for the first day, first week and sixth week fever and febrile morbidity. But there was no significant difference was observed for first day wound infection, first day first week and sixth week endometritis. The frequency of those criteria which was mentioned; studied in patients with rupture of membrane and labor separately. There were no statistically significant deference between subgroups (those who had trial of labor and rupture of membrane).Conclusion: This study confirms the hypothesis that vaginal preparing reduces the infectious rate. This simple method can use easily before surgery to reduce infection significantly.

Introduction: The industrial wastewater containing heavy metals is one of the major environmental pollutants. Cadmium is a heavy metal resulting from electroplating, tanning, glass industries and it is also highly toxic to human and the environment, so it must be removed or reduced down to effluent standards. The aim of current study was to investigate the Cadmium removal efficiency by Clinoptilolite from aqueous solutions.methods: In this experimental study, the effects of some parameters, such as pH, contact time and initial concentration of Cd on removal efficiency were studied. All examinations conducted in a batch system.Results: Results show that removal efficiency of cadmium increases by increasing pH from 6 to 8 and contact time from 30 to 90 minute. The lowest removal rate of cadmium was in Concentration of 20 mg/L with 43.84% and the highest resulted in 10mg/L concentration with 74.44%.Conclusion: This study shows that Clinoptilolite can be used successfully in industrial wastewater treatment because its high removal efficiency and low costs as well as its accessibility.

Introduction: Brucellosis is one of the most common zoonosis diseases that caused by the intracellular bacteria of the genus Brucella. Most of human brucellosis agents are Brucella melitensis and Brucella abortus. The most effective antibiotic therapy for brucellosis is combination of doxycycline and rifampin. But this regime has disadvantages that include relapses and toxicity, especially in children and pregnant women. The aim of this study was to investigate the antimicrobial effect of lichen extracts on Brucella abortus and Brucella melitensis in vitro and animal models.Methods: firstly, the acetonic and ethanolic extracts of Xhantaria elegance prepared. Then the antimicrobial effect of extracts determined by well difusion method. Minimum inhibitory concentration (MIC) by macro dilution method. In animal model, each bacteia was inoculated intraperitoneally and after 24h, 0.5 cc of each Xhantaria elegance SP extracts (as MBC concentration) inoculate i.p to BALB/c mice. Then, the counts of baceria in spleen culture were counted on agar media after 9 days.Results: The results showed that the MIC of acetonic extract of lichen for Brucella abortus and Brucella melitensis was 217.5 mg/ml and for ethanolic extract were 47 and 94 mg/ml, respectively. In animal models, the average number of bacteria grown in the test group than the control group showed a significant decrease.Conclusion: Acetonic extract has a greater effect than ethanolic extract and Brucella melitensisis more sensitive to the extracts.

Introduction: Breast cancer is the most common cancer which is the second mortality rate of women. Breast cancer is the first cause of death in Iran. Early diagnosis of breast cancer has significant effect in decrease of morbidity and mortality and increase survival of till 95 percent. the this study With aim to detect predictors prevention behavior breast cancer in secondary schools female teachers at Zahedan based on health belief model (HBM).Methods: This study is descriptive-analytical study which carried by questionnaires based on health belief model (HBM) Structures on 240 female in secondary at zahedan city in 2011-2012 academic years. Data was analyzed by one-way ANOVA test (for comparison mean of marital state and educational level) and Pearson correlation coefficient in significant level<0.05.Results: Result of Pearson test showed there were positive correlation between women’s awareness, perceived benefits, perceived barriers, self-efficacy and behavior under studied patients which was significant from statics (p<0.05). Assessment asbsolute impact of each variable showed that self-efficacy has the most effect on behavior and this is significant effect (p<0.001).Conclusion: According to result of this study, knowledge perceived benefits and barriers are most prognostic factors and self- efficacy has most effect. then design and perform of proper educational programs in promoting preventive behavior s is advised for better effect on structures.

Introduction: Invasive cervical resorption (ICR) is a relatively uncommon form of external resorption, which may occur in any tooth in the permanent dentition, characterized by its cervical location and invasive nature, this resorptive process leads to progressive and usually destructive loss of tooth structure, the clinical features of which often resemble internal resorption "(pink tooth)".Early diagnosis and appropriate treatment are the keys to a successful outcom.Case report: in this study, one case of invasive cervical resorption and its treatment was explained as after anesthesia and evert the flap and corratage, repairing perforation with MTA and finally root canal treatment was prepared and patient follow for one year.