---

Background & Objective: The burden of psychiatric disorders in the developed countries has been identified by the screening questionnaires and standard clinical interviews at a high level, but the epidemiological studies of psychiatric disorders in our country are brief and their numbers are few. Providing essential mental health services to the people requires us to be knowledgeable about the present status of psychiatric disorders in the society. The objective of their research was to carry out the epidemiological study of the psychiatric disorders in the 18 years and above individuals in the urban and rural areas of Golestan province. Materials & Methods: 518 individuals selected through randomized clustered and systematic sampling methods from among the existing families of Golestan province and the schedule for affective disorders and Schizophrenia (SADS) questionnaires completed by the clinical psychologist. The diagnosis of the disorders was based on DSM-IV classification criteria. Results: The results of the study showed that the prevalence of psychiatric disorders in the province is 14.69%, which was 18.14% in the women, and 11.47% in the men. The mood and affective disorders respectively with 7.93 and 4.05% had the higher prevalence in the province. The prevalence of psychiatric disorders in this study was 0.97%, neuro-cognitive disorders 1.16% and dissociative disorders 0.58%. In the group anxiety disorders, panic disorder with 4.05% of had the higher prevalence and in the group of affective disorder, major depression, hypomanic and manic disorder with 1.93. Conclusion: This study showed that 7.53% of individuals that were studied suffered from at least one of the psychiatric disorders. The prevalence of psychiatric disorders in the province among the individuals in the age group of 41-55 years with 13.04%, separated or divorced individuals 50%, residents of urban areas 11.03%, illiterate individuals 12.75% and housewives 13.04% was more than other individuals in the sample. Being aware of this matter reveals the responsibility of the health policy makers and programmers, prevention, treatment and medical education more than before in relation to preparing application and executive plans in Golestan province for mental health.

---

Background and Objective: Ulcerative colitis is a chronic inflammatory bowel disease in which free radicals play an important role in its pathogenesis. It is supposed that diet enriched with Omega 3 fatty acid and antioxidant compounds can be effective in the treatment of this disease. Grape seed extract contains potent antioxidant compounds. The aim of the present study was to evaluate possible useful effects of fish oil and grape seed extract enriched diets on the reduction of colonic damage and inflammation in acetic acid induced colitis. Materials and Methods: In this experimental study 50 male adult Wistar rats were randomly divided into five groups (n=10). Fish oil group (F group) received 1.6 ml fish oil, grape seed group (G group) received 50 mg/kg grape seed extract and fish oil + grape seed group (FG group) received 1.6 ml fish oil + 50 mg/kg grape seed extract orally for 1 month. Rats in control group (C group) and colitis group (Co group) received distilled water. After 1 month colitis induced in groups with intrarectal administration of 1ml acetic acid (4%) to induce ulcerative colitis. The control group received intrarectal saline. Two days after the induction of colitis the degree of tissue injuries and inflammation were assessed by macroscopical and histopathological scores of colonic mucosa. Results: Acetic acid administration induced ulcers, inflammation and severe crypts damages in mucosal tissue of the colon. The rats with colitis in the FG group showed significantly less macroscopic, microscopic damages and inflammation in colonic tissues compared with those in colitis group. However treatment with grape seed extract and fish oil did not result in any significant improvements in macroscopic and microscopic scores. Conclusion: The result of this study showed that fish oil and grape seed extract enriched diets before colitis induction play a protecting role against damages due to acetic acid induced colitis.

---

Background and Objective: Glaucoma is one of the most important cause of blindness wordwide. Exact determination of intra ocular pressure is important for the diagnosis and decision making about glaucoma treatment. Central corneal thickness is considered as effective factor on intra ocular pressure and visual field defect. This study was carried out to determine the relationship between central corneal thickness, intra ocular pressure and visual field in normal tension and primary open angle glaucoma. Materials and Methods: This descriptive study was carried out on 45 eyes with normal tension glaucoma and 45 eyes with primary open angle glaucoma in Al-Zahra ophthalmology hospital in Zahedan, Iran during 2010. Intra ocular pressure and central corneal thickness were measured by Goldman tonometer and pachymeter and visual field exanimated by Humphrey perimeter. Data were analyzed using SPSS-16, paired t-test, ANOVA, Mann–Whitney and Pearson corlateion tests. Results: There was significant correlation between central corneal thickness and intra ocular pressure (r=0.309, P<0.05). A significant difference was detected in intra ocular pressure between two type of glaucoma (P<0.05). Mean value of central corneal thickness in patient with mild visual field defect was higher than severe visual field defect but there was not significant statistical difference between central corneal thickness and visual field defect in subjects with glaucoma. Conclusion: This study indicated that increasing corneal thickness is accompanied with intra occular presure.

---

Background and Objective: Herbal products consumption is increased worldwide. This study was done to compare the effect of Evening Primrose, Vitex agnus and vitamin E on premenstrual syndrome. Methods: In this clinical trials study, 210 women with premenstrual syndrome were randomly divided eqaly into Evening Primrose (500 mg, 3 times per day), Vitex agnus (40 mg/day) and vitamin E (400 Iu/day) groups. The subjects were received the thraputic regiment for 2 months. Severity of premenstrual syndrome was recorded for each subject using DSR Dickerson questinare, perior and at the end of intervention. Results: After intervention, severity of premenstrual syndrome was reduced in Evening Primrose group (60.58±30.6 to 34.09±19.81), Vitex agnus (61.23±30.54 to 25.25±17.78) and the vitamin E group, (61.24±32.04 to 54.9±19.24). Severity of premenstrual syndrome were reduced in the Evening Primrose and Vitex agnus groups in compared to vitamin E group (P<0.05). Severity of premenstrual syndrome were reduced in Vitex agnus in comparision with Evening Primrose (P<0.05). Conclusion: Vitex agnus, Evening Primrose and vitamin E can reduce severity of premenstrual syndrome, but therapeutic effect of Vitex agnus is more than Evening Primrose and vitamin E.

---

Background and Objective: Hyperactivity / attention deficit disorder (ADHD) with 3-5% is the most common disorder in children. This study was done to compare the efficacy of behavioral, medicinal and combination of behavioral and medicinal therapy on reduction of ADHD symptoms in children. Methods: This quasi-experimental study was carried out on 40 male elementary students with ADHD in Gorgan, Northern Iran during 2011-12. Subjects were divided into the four groups including control, behavioral, medicinal (Ritalin 10 mg three times per day) and combination of behavioral and medicinal therapy. Conner's Rating Scale for parents (home) and teachers (school) were used in pretest-posttest spot after 8 weeks therapy. Results: After intervention ADHD symptoms significantly reduced in behavioral, medicinal and combination of behavioral and medicinal therapy in compared to controls (P<0.05), but this reduction was more in medicinal and combination of behavioral and medicinal therapy groups than behavioral group. Conclusion: Medicinal and combination of behavioral and medicinal therapy has the same efficacy in reducing ADHD symptoms in children.

---

Background and Objective: Several studies have shown that inhalation of Lavandula angustifolia L. (Lavender) reduces hypertension, while systemic effects and mechanism of action of lavender oil on blood pressure is not clear. This study was carried out to evaluate the effect of intravenous and ntraperitoneal injection of Lavandula angustifolia L. oil on normal blood pressure in male rats. Methods: In this experimental study, 70 male Wistar rats were randomly allocated into 10 groups (n=7). Following anesthetizing the animals with sodium thiopental, femoral artery and vein were cannulated respectively for recording blood pressure and injection of Lavandula angustifolia L. oil. Lavender oil or its vehicle (Propylene glycol) was injected by intravenous (25, 50 and 100 mg/kg/bw) or intraperitoneal injection (500mg/kg/bw). For the evaluation of the mechanism of Lavender oil, L-NAME (4mg/kg/bw), atropine (1mg/kg/bw), indomethacin (5 mg/kg/bw) or saline was injected intraperitoneally before intravenous administration of Lavender angustifolia L. oil. Results: Intravenous injection of Lavender oil of 25 and 50 mg/kg/bw reduced arterial blood pressure in compare to control group (P<0.05) and dose of 50 mg/kg/bw was more effective than dose of 25 mg/kg/bw (P<0.05). 100 mg/kg/bw of Lavender angustifolia L. oil caused serious fall of blood pressure and resulted in animal death. Intraperitoneally injection of Lavender angustifolia L. oil at dose of 500 mg/kg reduced arterial blood pressure that this reduction was longer than intravenously administration of Lavender oil (P<0.05). Intraperitoneal injection of L-NAME, atropine or indomethacin had no significant effect on baseline of blood pressure and hypotensive effect of Lavender angustifolia L. oil. Conclusion: Intravenous injection of Lavandula angustifolia L. oil in doses of 25 and 50 mg/kg/bw reduced arterial blood pressure in rat, but intraperitoneally injection of Lavender oil at dose of 500 mg/kg/bw prolonged the reduction of blood pressure in animals.

---

Background and Objective: Control of postoperative pain is one of the most important stages in the recovery of patients after surgery. This study was done to compare the effectiveness of combined Ondansetron and Apotel on the post-operative pain after surgery of upper limb fractures.
Methods: This double blind clinical trial study was done on 50 individual (41 male and 9 female) with upper limb fractures referring to 5 Azar hospital in Gorgan northern Iran during 2017. Patients were assigned (block randomization) into control and intervention groups. After the end of operation in the recovery phase, both groups received pain PCA (Patient Controlled Analgesia). In control group, the pain pump consisted of 2 grams of Apotel and in the intervention group; the pain pump consisted of 2 grams Apotel and 8 mg of ondansetron. Visual Analogue Score (VAS) was evaluated in both groups after surgery for 24 hours. Pain score of patients compared in the 2 groups during the 3 time intervals after surgery.
Results: 4 hours after upper limb fracture surgery, the mean pain was significantly decreased in the intervention group (3.20±0.707) compared to control group (3.64±0.569) (P<0.05). 12 hours after upper limb fracture surgery The Mean pain, in the intervention group (1.88±0.927) was significantly reduced in compare to control group (2.64±1.186) (P<0.05). 24 hours after upper limb fracture surgery, The Mean pain was significantly reduced in the intervention group (1.40±0.645) in compare to control group (2.08±0.997) (P<0.05).
Conclusion: This study showed that administration of compination of Apotele and Ondansetron in post-operative pain of upper limb fractures is effective than apotele alone.

---

Background and Objective: Adhesive capsulitis is one of the most common shoulder disorders, particularly in diabetic patients, and its treatment has been challenging. Adhesive capsulitis begins with a gradual increase in shoulder pain, spontaneous onset, and limitation of active and passive movements of the glenohumeral joint in all directions. In 90% of cases, it responds to conservative treatment; however, if there is no symptomatic improvement after 3-6 months of conservative treatment, surgical treatment, including arthroscopic or open capsular release, should be considered. The current study aimed to compare the efficacy of non-surgical and arthroscopic treatments on shoulder function and pain in diabetic patients with adhesive capsulitis.
Methods: This quasi-experimental study was conducted on 48 diabetic patients (16 males and 32 females; mean age: 53.56±15.93 years) with adhesive capsulitis referring to the orthopedics clinic of 5th Azar Educational and Therapeutic Center in Gorgan, Iran during 2021-2022. Initially, patients were placed under the supervision of shoulder fellowship for conservative treatment for 3 months, and patients without any clinical improvement and with resistant to conservative treatments after 6 months were included in the study. Patients were voluntarily decided to be assigned to one of two treatment groups: Non-surgical (conservative treatment) and arthroscopic surgical (arthroscopic shoulder release). The functional outcomes and limitations of shoulder movement of patients were compared based on the disabilities of the arm, shoulder, and hand (DASH) score in the pre-test and after 3 and 6 months of intervention. The data were presented using descriptive statistical indices. Then, the functional outcomes and limitations of shoulder movement were evaluated.
Results: The mean shoulder function score 3 and 6 months after the intervention was lower in the arthroscopic release surgery group (45.80±19.32 and 43.10±14.12) than in the conservative treatment group (67.89±17.46 and 72.10±15.16) (P<0.05). The mean and standard deviation of symptom scores, such as pain, burning, weakness, and stiffness of the shoulder, 3 and 6 months after the intervention were lower in the arthroscopic release surgery group (12.70±5.66 and 10.02±4.06) than in the conservative treatment group (19.83±8.17 and 21.14±9.37) (P<0.05).
Conclusion: The decreased shoulder function and symptom severity at 3 and 6 months after the intervention was more effective in the arthroscopic release surgery group than in the conservative treatment group.