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Background and Objective: Urinary tract infection is the most common bacterial infection during pregnancy. The pregnant women seems to be at risk for pyelonephritis and untreated infection. Timely recognition and on-time appropriate treatment of urinary tract infection particularly in pregnant women reduce the related complications. This study was done to assesse Sensitivity of isolated E.coli from pregnant women urine to antibiotics. Materials and Methods: In this descriptive study E.coli isolated from 360 urine samples from pregnant women, were examined, using Eosin Methylene Blue, blood sugar method. Antibiogram diffusion disk Kirby-Bauer was performed to assess the antibiotic response. Results: The persent of sensitivity of Escherichia coli to antibiotics were Co-amoxiclav (5.72%), Ampicillin (8.86%), Amoxicillin (11.87%), Cefazolin (32.12), Cephalexin (36.1%), Gentamicin (40.28%), Co-trimoxazole (48.15%), Nalidixic acid (55.3%), Nitrofurantoin (72.48%) and Ceftriaxone (80.78%). Conclusion: This study showed that there is a high level of E.coli antibiotics resistance toward Amoxicillin and Ampicillin high sensevity is related to Ceftriaxone and Nitrofurantoin in this region.

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Background and Objective: Post-operative nausea vomiting (PONV) and laryngospasm are the most common of complication following surgery. This study was conducted to compare the incidence of laryngospasm and PONV after pediatric infra umbilical surgery using two anesthetic methods: control ventilation and spontaneous respiration. Materials and Methods: This double-blind clinical trial study was conducted on 192 children with 2-7 year-old undergoing infra-umbilical surgery of ASA-I class with the estimated operation period of an hour in Tehran pediatric hospital, Tehran-Iran during 2009-10. The patients were randomly divided into two groups: controlled ventilation and spontaneous respiration. After anesthetization, Atracurium was injected to the control ventilation (CV) group and anesthesia continued with mechanical ventilation. For the patients of the second group (spontaneous respiration/SR), after the gradual increase of the dose of halothane and certainty of the optimal depth of anesthesia, patients were intubated to allow spontaneous respiration. After intubation, all patients were anesthetized with Halothane 1-2% and the N2O/O2. The rate of nausea, vomiting, laryngospasm, excessive post-operative discharge was recorded. Data were analyzed using SPSS-13, student’s t-test, chi-square and Fisher’s exact tests. Results: Post-operative nausea was non significantly higher in CV group (8%) than SR (6.52%). The rate of vomiting was higher in CV (16%) as compared to SR group (2.17%). (P<0.001, RR=8.57, CI: 1.91-38.41). The rate of laryngospasm at the end of the surgery was higher in CV group (15.21%) as compared to SR group (26%) (P<0.02, RR= 0.94, CI: 0.05-1.77). The rate of excessive discharge at the end of the surgery was significantly higher in CV group (52%) in comparison with SR group (11.95%) (P<0.001, RR=0.94, CI: 0.05-1.77). Conclusion: This study showed that in infra-umbilical surgeries in a period of less than an hour the incidence of post-operative vomiting and laryngospasm is higher in control ventilation group than spontaneous respiration group, which might be due to the injection of neostigmine to counter-act the effects of muscle relaxants.

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Background and Objective: Helicobacter pylori is the main gastric pathogen in human. BabA2 and Hsp genotypes are essential for enormous clinical outcomes in gastreodeoneal and dyspepsia. This study was done to determine the assessment of babA2 and hsp genotype frequency in Helicobacter pylori specimens isolated from digestive disorders patients. Method: This descriptive-analytic study was carried out on 80 digestive disorders patients in 5th hospital, Gorgan, northern Iran. Stomach specimen biopsy was taken by a gastroenterologist. Urease test, histopathologic assessment and DNA extraction were performed. The frequency of babA2 and hsp geno-types was determined using poly merase chain reaction. Results: In 80 affected patients with H.pylori, 36, 18 and 26 patients were found to suffer from gastritis, stomach cancer and stomach ulcer, respectively. 51 specimens (63%) were positive babA2 genotype. 49 specimens (61%) were positive hsp genotype. No significant relationship was found between babA2 and hsp geno types with stomach diseases. Conclusion: In spite of positive babA2 and hsp genotype in isolated Helicobacter pylori speicments from digestive disorders patients, this finding was not correlated with type of digestive disorders.

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Background and Objective: Epilepsy is a common neurological disorder. Plantago major (P.major) is used in traditional medicine due to flovonoids and vitamic C and antioxidant properties. This study was done to evaluate the hydro alcoholic extract of Plantago major L. on pentilentetrazol-induced seizures in male mice.

Methods: In this experimental study, 50 NMRI male mice randomly allocated into control and four experimental groups. Seizures in animals induced by 60 mg/kg/bw of pentilentetrazol (PTZ), interperitoneally. Animals in experimental groups were received 5, 10, 25 and 50 mg/kg/bw of hydro alcoholic extract of Plantago major L. 30 min before each PTZ injection. The animals in control group were received saline, interperitoneally. After treatment, the behavior of animals during 20 minutes and mortality rate were recorded.

Results: Seizure threshold of animals significantly increased in experimental groups which were received 50, 25, 10 mg/kg/bw of P.major extract in comparision with controls (P<0.05). Mortality rate of animals significantly reduced in experimental groups which were received 50, 25, 10 mg/kg/bw of P.major extract in comparision with controls (P<0.05).

Conclusion: The hydro-alcoholic extract of Plantago major L. reduces seizure threshold in pentilentetrazol-induced seizures mice.

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Background and Objective: Helicobacter pylori are one of the most common gastrointestinal bacterium infections. This study was done to compare the urease test with Giemsa staining to detection of Helicobacter pylori infection in patients with gastric ulcer and gastritis.

Methods: This descriptive – analytic study was conducted on 601 patients' diagnosed with gastric ulcer and gastritis, whom under went endoscopy in 5th Azar hospital, Gorgan, Iran during 2008-12. Rapid urease test was immediately taken during endoscopy. Pathological examination, Giemsa staining on paraffin blocks and haematoxylin and eosin stain were done to assess either presence or absence of Helicobacter pylori.

Results: Based on biopsy results, Gastritis and gastric ulcer were diagnosed in 80.69% and 19.3%, respectively. In gastritis and gastric ulcer patients, there was a significant differences between urease test (91.5% and 90%, respectively) in comparison with Giemsa staining (91.5% and 90%, respectively) (P<0.05).

Conclusion: The study revealed that in primary diagnosis and screening of role of Helicobacter pylori in patients with gastric ulcer and gastritis, urease test is suitable than giemsa staining.

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Background and Objective: Chronic itching reduces the quality of life of patients undergoing hemodialysis. This study was done to determine the effect of chronic itching on the quality of life of patients under hemodialysis in north of Iran.

Methods: In this descriptive-analytical study, 111 patients with mean age of 58.36±12.7 years were randomly selected from hemodialysis centers of Golestan province from May to December 2017. Demographic data, quality of life (Itchy QOL questionnaire), Xerosis, pruritus intensity (Balaskas 1998), and laboratory tests including calcium, phosphorus, alkaline phosphatase, parathyroid hormone, blood urea nitrogen, creatinine, hemoglobin and hematocrit were evaluated.

Results: The mean score of itching severity and overall quality of life was 29.27±7.46 and 41.4±10.44, respectively. There was a significant correlation between the severity of itching and the overall score of patients' quality of life (P<0.05). Correlation between severity of pruritus with symptom dimension, functional dimension and emotional dimension was significant (P<0.05). There was a significant correlation between severity of itching and Xerosis and serum calcium level (P<0.05). There was a significant correlation between Xerosis and calcium level with increased itching (P<0.05).

Conclusion: Itching reduced the quality of life in hemodialysis patients in north of Iran.

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Background and Objective: Diabetic mellitus nephropathy is one of the most important implication factors in kidney´s physiological function in diabetes mellitus. Having major role in filtration, in hyperglycemic condition kidney has shown more damages in comparison with other tissues. This study was done to determine the effect of combined Atorvastatin and Zinc oxide on the biochemical and histopathological alterations in kidney of diabetic rats.

Methods: In this experimental study, 40 female Wistar rats were randomly allocated into five groups including normal control (NC), diabetic control (DC), diabetic rats treated with atorvastatin (20mg/kg/bw daily, orally) (D+A), Zinc oxide (30mg/kg/bw daily, orally) (D+Z) and combination of each drug in half dose (daily, orally) (D+A+Z). Diabetes induced in rats by a single intraperitoneal injection of 60mg/kg/bw streptozotocin-diabetic.Animals treated for one month. At the end of the study, kidney weight and body weight and biochemical factors including creatinine and urea were measured to assess renal function. For determing the histopathology of kidney tissue, sections with 4-5 micrometer were stained with hematoxylin and eosin.

Results: The level of serum creatinine and urea was significantly increased in diabetic rats in compare to controls (P<0.05). Treatment of diabetic rats with half doses of combination of atorvastatin and Zinc oxide reduced the level of creatinine, urea and renal tissue damage in comparision with diabetic rats without treatment (P<0.05).

Conclusion: This study showed that the combination of atorvastatin and Zinc oxide has effect on controlling diabetic nephropathy.

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Background and Objective: For many reasons, having children with the desired gender has long been a concern for human societies. Some studies have shown the effect of a maternal diet pregnancy on gender ratios. Considering that during the holy month of Ramadan, women's diet is undergoing a major change, and studies about the association of such diet change, especially the mother's fasting, on the gender of the fetus are rare and the results have contradictory; the present study, was conducted, to investigate the relationship of mother's fasting in the follicular phase of the last menstrual cycle and gender of newborn.
Methods: This descriptive - analytical study was conducted on 139 pregnant women who had started their last menstrual period before their pregnancy during Ramadan and referred to midwifery clinic of Sayyad Shirazi hospital or health centers in Gorgan city for prenatal care in 2016 and 2017. The data collection tool was a checklist containing the demographic characteristics of the pregnant mother, date of the last menstruation, gestational age, number of pregnancy and days of mother fasting.
Results: 86 pregnant women (62 %) were fasting and 53 non-fasting (38%). Frequency of newborn's gender in pregnant women who were fasting was 43 boys and 43 girls and in non-fasting women were 35 and 18, respectively. The frequency of boys in non-fasting mothers was higher than girls but this difference was not significant. In analysis of simultaneous effects of variables on baby's gender, none of the variables were statistically significant with the newborn's gender. Variables such as the number of pregnancies (P=0.051) and maternal fasting (P=0.083) non significantly reduced the ratio of boy born to 30%.
Conclusion: There is no relationship between gender of babies and mother's fasting in the follicular phase of the last menstrual cycle.

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Background and Objective: Overexposure to electromagnetic waves produces by computer cause health disorders by users. This study was performed to determine the employer's exposure risk to electromagnetic fields from monitors of computers in north of Iran
Methods: This descriptive-analytical study was performed on 100 of computers using by 100 employee users (69 males and 31 femals) with the mean age of 40.83±7.37 in Gomishan county, Golestan province in north of Iran during 2018. The intensity of the magnetic and electric field caused by computers was measured at 30, 50 and 60 cm intervals and in four directions from the front, back, right and left side of the monitor using SVENSK standard method. The intensity of fields was measured by TM-190 instrument. Data were compared with OEL (Occupational Exposure Limit), MPRII and TCO (The Swedish Confederation of Professional Employees). The NIOSH (National Institute for Occupational Safety and Health) standard questionnaire was used to assess the side effects of working with computers. The health problems in employee users were recorded.
Results: The mean±SD of the intensity of the electrical waves was 103.63±33.62 v/m that was less than the standard values. The mean±SD of the intensity of the magnetic waves was 0.1±0.09 mA/m that was higher than the TCO, MPRII standard values and less than OEL. The maximum magnetic-field invasion from the standard range with an average of 157.04 mA/m is on the front of the monitors, at a distance of 30 cm and the lowest of them with a mean of 19.2 mA/m for the off-mode computer and at a distance of 60 cm from the mantle. There was a significant difference between the time of working with computer in the day with burning eye, headache and eye fatigue. There were no significant difference of clinical symptoms in men and women and fatigue syndrome.
Conclusion: The electrical waves of monitor of computers were lower than standard limit in all studied conditions, but the magnetic waves were much higher than standard limit.

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Background and Objective: One of the most important attempts in crisis is the nutrition management of affected people during and following the disaster. In March 2019, floods occurred in towns and villages on the outskirts of the Gorganrood River in Golestan province, northern Iran. This study conducted to explain the challenges of nutrition management in the flood crisis of Golestan province.
Methods: In this qualitative study, 31 people affected by floods, urban and provincial managers and experts involved in crisis management were selected by purposive sampling method. Data were collected using an interview guide and semi-structured in-depth interviews. Data were recorded and transcribed and analyzed using the content analysis method and Atlas.ti 8 software.
Results: The managerial challenges included planning, organization, coordination, control, and evaluation. The executive challenges contained food preparation, food distribution, and monitoring. The other challenges included political, economic, cultural, and ecological challenges.
Conclusion: Most of the respondents emphasized the irregularity and confusion in nutrition management during the flood and considered it as a result of managerial challenges, executive challenges, political, economic, cultural and ecological challenges.

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Background and Objective: Non-Governmental Organizations (NGOs) have been active in the field of health for a long time and have played a key role in it, but these organizations are less known to the public for the promotion of social health and are not much considered by the planners and managers of the health system. This study was conducted to determine the challenges of NGOs’ to promote social health in Iran.
Methods: In this qualitative study, 15 Iranian managers and scientific and executive experts of the Ministry of Health, Ministry of Interior, Governorate, and Universities of Medical Sciences of the country were selected by purposeful sampling during 2021. Data were collected using an interview guide and semi-structured in-depth interview methods. After recording and transcribing, the data were analyzed by content analysis.
Results: The challenges of NGOs to promote social health in Iran were classified into six main themes of planning, organizing, functional, political, economic, and sociocultural challenges, and 33 sub-themes. Most of the participants emphasized the weak role of non-governmental organizations in improving social health and considered it a result of the mentioned challenges.
Conclusion: Empowering non-governmental organizations by formulating a strategic and operational plan and attracting financial resources from various government, private, and charitable sectors will greatly help to strengthen them to advance social health promotion programs.