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In this research we examined the sensitivity of micronucleus assay for monitoring clastogenic effects of low dose fast neutrons. Syrian mice (12 weeks old) were irradiated by fast neutrons emitted from a 241Am-9Be source. The absorbed dose was 1.5, 2.25, 3.375 and 5.06 cGy. Mice were scarified by cervical dislocation at different post irradiation times (24, 48 and 72 h). The results obtained show that the frequency of neutron-induced micronuclei in polychromatic erythrocytes (PCES) is significantly higher than those of control groups (P<0.05) at neutron dose used in this experiment. We concluded that micronucleus assay is an effective and also inexpensive method for monitoring clastogenic effects of high LET radiation in low dose levels.

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Most cancer patients complain from pain in final part of their disease. One of the aims of health center, in the country is how to relieve pain from such patients. Therefore we tried to carry on a semi-experimental research to find out the effectiveness of Morphine by either continuous infusion or intermittence injection in such patients. We used non-random sampling, the total number of samples were 11 female and 9 male. These patients were on their final phase of disease. The process that we collected the information was based on the check-list which consist of two sections, in first part the demographic characterization of patients was recorded, using observation and interview with patients and in second part of these check-list the level of pain was assessed using visual analogue scale, which marked every two hours and finally the average of this scale in 24 hours is evaluated using as index in our study. Our results indicate that continuous infusion is more effective in relieving pain than intermittence injection (P<0.03). The results of this investigation showed that, age, sex and different type of cancer has got no meaningful variation in changing the main findings of this semi-experimental research.

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Tardive dyskinesia (TD) is a neurological movement disorder. It is induced by neuroleptic drugs but at least some of these movement are due to dysfunction of frontal lobe in Schizophrenic patients. In this research, we assessed the function of prefrontal area in Schizophrenic patients with and without TD to answer the following questions: Is there any relationship between TD and dysfunction of frontal lobe? Is there any way to recognize patients that are vulnerable to TD and to prevent it> In this research 100 Schizophrenic in-patients were chosen (50 with TD and 50 without it). They were assessed with WCST that is a standard neuropsychologic test for assessment of prefrontal function. Results were statistically analyzed with T-test and Chi-square, SPSS. Patients with TD compared to patients without TD had significantly (P~0) increased errors in WCST that showed dysfunction of frontal lobe in patients with TD. It appears with WCST in early stages of Schizophrenia we can recognize patients with dysfunction of frontal lobe and vulnerable to TD and prevent development and progression of TD with atypical antipsychotics and regular monitoring of abnormal movements in these patients.

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Solvent exposure can affect human health. It can cause different effects in different part of the body. One of the most important side effects is neurobehavioral symptom including mood disorders, short memory, and tiredness. To determine the frequency of neurobehavioral effects in patients of a car producing plant in Tehran and comparing them with other workers in the same plant whom was not being exposed to such solvents. All of car painters (78 persons) as our case group and 83 non-painters as our control group were selected by simple random sampling and neurobehavioral abnormality was assessed by Q16 questionnaire. Neurobehavioral disorders based on above questionnaire was observed in 46% of car painters vs. 36% of non-painters (P=0.10). The significant differences were observed in perspiration without any particular reason (Q8) and feeling irritated without any particular reason (Q4). There was not a significant difference in observed frequency of neurobehavioral abnormalities in patients vs. non-painters, however both of these frequencies were higher than expected frequency reported in other reports.

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Diarrhea is one of the main reasons of mortality among children in the developed countries and half of all death is due to persisted diarrhea. This research is a cross-sectional and analytical study done on 708 children with acute diarrhea in village around Gorgan, to find out the effective factors on having persisted diarrhea in children under 5 years old. Face to face interview and determining the variable factors and examining health center records on children with acute diarrhea were the basis for filling the corresponding questionnaires. 14 days after the start of acute diarrhea, which was the second part of this research, the above questionnaires were fully completed by calling on the patient’s home. According to our investigation the risk factors related to the persisted diarrhea were as follow: Age, ethnicity, children length of breast feeding, chlorinated water, children consumed food at the time of acute diarrhea. The results from this investigation indicate that with 95% about probability 10.7%-11.3% of patients with acute diarrhea end-up with persisted diarrhea, which means diarrhea, was continued for more than 14 days. Therefore by controlling the above risk factors the mortality rate due to acute diarrhea could be reduced.

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Background and Objectives: Measuring the H-reflex latency (Tp) is an electrophysiologic test to evaluate the S1 root lesions This reflex traverses a relatively long course and its sensitivity to diagnose mild S1 root lesions is low, so investigators have tried to shorten this pathway Evaluation of the central loop of the H-reflex (Tc) is one of these efforts and may be more sensitive in diagnosing S1 radiculopathy (Compared to standard H-reflex latency). We have tried to determine its influencing factors and find the related regression equation. Materials and Methods: Forty volunteers were investigated with their informed consent. Their history, physical examination and a brief electrophysiologic study were normal. H-reflex latencies (Peripheral- central) of right gastrocnemius-soleus muscle as described in literature, right leg length and age were recorded. Results: This group consisted of 26 males (65%) and 14 female (35%). Mean latencies (And SDs) of peripheral and central H-reflexes were 28.8 (SD: 1.66) and 6.78 (SD: 0.3) milliseconds respectively. The correlation between Tc and leg length was significant (P<0.05). There was no significant correlation between Tc and age (P<0.05). Tc and Tp were correlated. These regression equations were found: Tc=0.04L+5.28, Tc=0.05Tp+4.56, Tp=0.04A+0.3L+16.13 (L: leg length in centimeters, A: age in years, Tc and Tp in milliseconds). Discussion: The results of this study, regarding mean and SD of Tc are in line with the previous studies, and regarding the influence of age on Tc are in contrast with only one study and in line with another study. Conclusion: The correlation between Tc and leg length was significant (P<0.05). There was no significant correlation between Tc and age (P<0.05). These regression equations were found. Tc=0.04L+5.28, Tcx=0.07Tp+4.56, Tp=0.04A+0.3L+16.13 (L: Leg length in centimeters, A: Age in years, Tc and Tp in milliseconds). We concluded that it is wise to use leg length for calculating normal Tc and limiting the normal values. On the other hand, the authors believe that more research on specificity and sensitivity of this test (To diagnose S1 radiculopathy) and comparing it with other diagnostic tools is needed.

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Background & Objective: Aluminum (Al), the 3rd common element in the earth’s crust has a significant toxin potential for humans. Although the knowledge of Al toxicity has markedly improved in recent years, there is relatively little information regarding the embryotoxic and teratogenic potential of Al. the purpose of this study was to assess the effect of short-term exposure of pregnant mice to Aluminum Chloride on the external organ formation of their fetuses. Materials & Methods: Mature NMRI mice (24-33 g) were used in this study. Day 0 of pregnancy defined as the day in which the vaginal plug was found. Plug-positive mice were randomly divided into size groups. The first, second and 3rd groups of animals were given IP injection of single dose of AlCl3 at 150 mg/kg/day on days 10, 11 and 12 of gestation respectively. Mice in the 3 other groups (Controls) received single injection of 0.3 ml saline on days 10, 11 and 12 respectively. Mice were killed on day 15 of gestation. Live fetuses were weighed and examined for external abnormalities. Results: The fetal body weight was significantly reduced in all Al-treated groups (P<0.05). The proportions of external malformations in 10th, 11th and 12th days treated were 47.0%, 37.0% and 33.1% groups respectively with significantly increase comparing to controls (P<0.05). Conclusion: It is concluded that a single dose of the Al administered to pregnant mice can cause external malformations in their fetuses.

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Background & Objective: Neural tube defects (NTDs) are a heterogenous group of malformation which is resulting from failure of normal neural tube closure between the 3rd and 4th week of embryonic development. The most common form of this malformation is anencephaly, spinabifida and ancephalocele. Prevalence of this malformation differs from geographic situation and race distribution. Materials & Methods: The aim of this study was to determine the prevalence and risk factors of NTDs in Birjand Hospital between 1996 to 2000. After diagnose of malformation among the 16785 infants born in the 2 hospitals in Birjand, reliable questionnaire was completed for the mothers who had malformed infants. The data was analyzed by SPSS software. Results: Prevalence of NTDs was 2.97 per 1000 birth, more higher than other countries anencephaly and spina bifida is common form of NTDs in this area. Consanguinity, previous abortion, malformed childbirth, malformed child in the family, diseases during pregnancy and winter delivery were some of the risk factors. Most of the mother (96%) didn’t take the Folic Acid during their pregnancy. Conclusion: The findings from this study indicate that the rate of NTD in Birjand is relatively higher comparing to other studies in different countries. Further investigations are recommended to find out the etiology of NTD in this area.

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Background & Objective: Cardiovascular disease is among important factors of mortality in hemodialysis patients. There are some reports that indicate the Carnitine concentration reduction in the tissues accelerate cardiovascular abnormalities in those patients whom regularly are hemodialysed. This research has been set up to study the effect of oral Carnitine on the heart function of hemodialysis patients from Sari and Vali-Asr Hospital in Ghaem-Shahr Fatemeh Alzahra, Imam Khomeini in during 2003. Materials & Methods: In this study 20 patients with at least 3 month duration and 3 times interval hemodialysis in each month were chosen. The sample hemogenously devided in case and control group. One Carnitine tablet with 1 gr dose was given to the case group daily. The placebo was prescribed to the control group EF and LVEDD of patients were determined by echocardiography. The ratio diameter of heart to the chest was determined by chest radiography. The plasma level of hemoglobin, Cholesterol and Triglyceride were determined simultaneously. Results: There was not any meaningful recovery in EF and LVEDD and serum Lipids, between the case and control group 6 months after treatment with 1 gr/day Carnitine. There was only a meaningful difference in EF after 6 months duration of this study. In spite of this, there was a meaningful recovery with these patients anemia (P?0.05). Conclusion: Carnitine does not have a meaningful effect of heart function and serum Lipid level, but it has an efficacy on anemia recovery of such patients.

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Background&Objective: Prolongation of QRS duration particularly in Left bundle Branch Block (LBBB) is commonly associated with many cardiac diseases. Electrocardiographic study of QRS duration and electrical axis may be predictors of sever LV systolic dysfunction. Materials&Methods: In this prospective Study conducted in cardiac ward CCU and out- patient clinic of Sh. Beheshti hospital in Babol (1999-2001), 150 patients with diagnosis of LBBB divided to two groups (one QRS≥0.16 second and the other with QRS<0.16) second . Then relationship between QRS- duration, Left axis deviation and echocardiographic LV ejection fraction analysed. Results: There wasn’t significant correlation between ages, gender, and type of cardiac disease with ejection fraction among patients with LBBB. The mean ejection Fraction in the patients with a QRS duration0.16 second (n=19) was significantly lower than the mean ejection fraction in the patients with a QRS duration<0.16 second (n=131) (P<0.05) Presence of Left axis deviation associated with LBBB did not have added predictive value and was not significantly correlated with Ejection Fraction. Conclusion: As conclusion, the QRS duration 0.16 second in the presence of LBBB has a significant inverse relation with Ejection Fraction and is a simple and appropriate marker of significant left ventricular dysfunction.

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Background&Objective: Probiotics have been defined as live microorganisms that confer a health effect on the host when consumed in adequate amounts.Lactic bacteria play an important role in production and maintenance of the fermented and probiotic products.The aim of this study was to determine the efficacy of lactic bacteria, which isolated from yoghurt against Gastrointestinal pathogenic microorganisms in the Golestan province in North of Iran. Materials&Methods: In this descriptive study we used 96 strains which belong to 12 species of Lactobacillus and 5 species of Lactococcus ,that isolated from home made yoghurt, and their antimicrobial effect on 7 species of important intestinal pathogenic microorganisms were examined.After growing the Lactic bacteria in broth media centrifuged and filtred the suspension and used the supernatant for study.The effect of supernatant against intestinal pathogenic microorganisms were assessed by Disc diffusion and pour in well method and each test were repeated 3 times and mean inhibition zone were recorded. Results: Lactobacillus casei and Lactococcus lactis showed better effect than other strains.The maximum light zone diameter was 18 milimeter. Maximum and minimum inhibitiry effect has seen in Yersinia enterocolitica and Bacillus cereus. Conclusion: Both Lactobacillus and Lactococcus strains had a proper inhibitory effect on the intestinal pathogenic bacteria but Lactobacillus strains that present in yoghurt showed better effect. This inhibitory effect was more obvious on the Yersinia enterocolitica.

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Background&Objective: Iron deficiency is the most common nutritional disorder in the world, The prevalence rate in developing countries is higher than developed countries, and also affecting a large number of child and women. The main purpose of this study was to promot the knowledge, attitude and practice of girl student in Ghaemshahr in order to prevent iron deficiency anemia. Materials&Methods: This study was an educational intervention to evaluate the effect of education on Knowledge, Attitude and Practice (K.A.P) in intervention and control groups (each group: 300) among female students in Ghaemshahr. The data was gathered using a questionnaire (include the demographic information, some of question related to knowledge, attitude, practice. K.A.P were assessed before and also 1.5 month after implementation of educational program using the questionnaire, collected data was analyzed by SPSS (11.5), STATA (8.0). Results: There was not significant difference between K.A.P in study group before implementation of educational intervention, but there is a significant increase between K.A.P after interventional education in intervention group. Educational intervention was promoted knowledge mounting to 15 score, 5 score to promote attitude and 1.6 score to improve the practice. There was significant relation between mother education, father job with their knowledge and class with their attitude, also mother education with their practice. Conclusion: The results indicated that improvement of knowledge could prevent iron deficiency anemia, thus emphasis on the health education in adolescent age is necessary to promote K.A.P.

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Background&Objective: Acetaminophen is a drug that is used commonly in the all time of pregnancy as a antipyretic and analgestic. The aim of this study was to determine teratogenic effects of this drug when it is used continuously before and during pregnancy. Materials&Methods: 210 virgin female Balb/c mice in a standard animal house condition were assigned in to three experimental groups and three period of time (30 mice in the each of I and II experimantal groups and 60 in III experimental group): The first experimental group subdivided in to three I10, I20, I30 subgroups that received acetaminophen once daily at dose 40mg/kg/day by gavage in 10, 20 and 30 days prior to gestation and early 10 days of pregnancy, respectively. The second experimental group divided like the previous group (II10, II20, II30) but received 40 mg/kg/day of this drug twice daily (80 mg/kg/day). The third experimental group (III10, III20, III30) received 80 mg/kg/day of acetaminophen with and without 0.14 mg/kg/day of folic acid. Mice in Control groups, received normal saline and base of drug respectively. After using standard coupling method (three female mice with one male and determination of Gestational day 0) in GD18 the dams were sacrificed and the fetuses were removed. Macroscopic observation was done by stereomicroscope. ANOVA and TUKEY tests were used by the help of 10 version of SPSS software. Results: Long consumption of acetaminophen in doses of 40 and 80 mg/kg/day in the 20 and 30 days before pregnancy and 10 days after pregnancy can induce shortened and asymmetrical limbs and hand aplasia. In addition, ekymosis and fetal resorption were seen.16.1%, 6.5% and 14% of fetuses were malformed in the I30, II20 and II30 groups, respectively. Also, 11.3%, 4.9% and 12.4% of fetuses in these same groups had limb defects. In the III20 and III30 groups that fetuses used folic acid and drug at the same time, rate of malformations reduced to 1.6% (P<0.05). Conclusion: It is recommended pregnant women not to take acetaminophen atleast a month before pregnancy and in case of taking this drug the folic acid to be accompanied.

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Background & Objective: In this research, we study the simultaneous effects of Nitric Oxide (NO) and stress on prefrontal cortex of rats. Nitric Oxide is an unstable small molecule that involved in many physiological and pathological conditions. Brain’s prefrontal cortex has important role on personality and mental state. Its development continues after birth and this period is the most sensitive time for brain’s cortex to response to environmental parameters such as psychological stresses. Materials & Methods: In this study Wistar male rats received L-arginine (200 mg/kg) as NO precursor, L-NAME (20mg/kg) and 7-nitroindazole (25mg/kg) as non specific and specific NO sentries inhibitors. L-arginine and L-NAME were injected intra peritoneal (IP) and 7-nitroindazole injected subcutaneously (S.C) during one month per day. Rats divided in two groups (with stress and without stress). The kind of stress was immobilization every day for one month during injection of materials. Brains were removed after this period and each brain with a coronal section manner divided in two parts .Anterior part of brain fixed by formalin and tissue processing was done. By using rotatory microtome 10? serial cross sections were obtained and stained with H & E. Posterior part of brain homogenized with such solution then amount of NO in obtained solution was measured by spectrophotometer with 540 nm wavelength. Results: Statistical analysis of light microscopic findings indicated that stress of immobilization with use of L-NAME and 7-nitroindazole result in decrease of thickness of prefrontal cortex , numbers of Betz cells and NO production in rats’ brain, it means L-NAME and 7-nitroindazole exaggerate the brain damage and from other hands L-arginine with stress can convert these results. Conclusion: On the basis of these results we believe that stress of immobilization damages prefrontal cortex and also NOS inhibitors can aggravate the cortical damage. On the other hand although NO precursor (L-arginine) decreases the cortical damage in rats that impress with stress, it can result in these changes in rat’s brain without stress.

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Background & Objective: Hypertension is the most important Cardio-Vascular risk factor, and also the most common cause of heart failure, stroke and renal failure. This semi-experimental study aimed at determining the effect of education, by means of Health Belief Model (HBM), on nurse’s staff knowledge, attitude and their practice toward hypertension. Materials & Methods: This semi-experimental study was done on 136 nurse’s staff selected by stratified random sampling. Data collection instrument were a questionnaire and a check-list. At first, the subjects’ knowledge, attitude and their Practice were studied by a questionnaire and a check list, and then a HBM-based educational program was carried out. For three months, Afterwards, their knowledge, attitude and practice were measured and compared with pretest findings. In statistical analysis, Wilcox on test, independent t test, ANOVA and Pearson correlation. Results: Before education the mean score of knowledge, benefit perceived, barrier perceived, threat perceived, attitude and practice was 9.68, 23.76, 25.63, 22.82, 71.99 and 4.55 respectively. After education these scores reached 16.66, 26.06, 28.94, 24.98, and 80.08 and 4.83. Based on the results, nurse’s staff training via HBM led to high knowledge, positive attitude and practice improvement (p<0.05).The difference between this research variables such as age, gender, marital status, record of service and family background was not significant, But there was significant difference between variables (occupational levels, educational levels, and hospital ward) and knowledge and practice. Furthermore, the relation between hospital ward and attitude was positive (p<0.05). Conclusion: In terms of the results, it is a necessity for nurse’s staff to participate in a HBM based educational program.

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Background&Objective: Staphylococcus aurues is on important cause of community and hospital- aquired infections. Caused by methicillin or oxacillin- resistant s.aureus (MRSA) are mainly nosocomial and are increasingly from many countries word wide. Many attempt have been made by the reasearchers to find new compounds as a subsitute for this antibiotics. The aim of this study was to investigate the antimicrobial activity of alcoholic extracts of 20 medical plants species of Golestan provience on clinical and standard strains of MRSA and MSSA and comprative and detect the best medical plant. Materials&Methods: In this study the compunds of the plant were extracted by percolation method and the effect of ethanolic extract of 20 Iranian medical plants against methicillin resistant and methicillin sensitve strains were assessed by disc diffusion method and each test were repeated 3 times and mean inhibition zone were recorded and then, the minimum inhibitory concentration (MIC) of the extracts, that show good inhibition zone in disc diffusion method, was determined by the micro broth dilution method. Results: The results of antibacterial activity of the ethanolic extracts of 20 plants revealed that, the ethamlic extracts of 8 plants have the best effect on strains and the maximum mean inhibition zone was 22.4 mm and the lowest MIC of plants was 0.01 mg/ml. Conclusion: The result of this study indicate that, ethanolic extract of Eucalyptus. Global, Peganum.hermla, Punica.granatum, Berberis.vulgaris, Ttamarixaphylla, Nnigella.sativa, Hypericum.perforatum AND, Artemisia. Herbaalba have the best antibacterial effect against MRSA andMSSA. The result obtained from these plants might be considered sufficent for further study.

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Background & Objective: Congenital spinal deformities usually present in infancy and make parents  worry about their child future. Because of congenital nature of these deformities, cord anomalies and other organ abnormalities must be evaluated. This study was done to determine Congenital spinal deformity and associated anomalies.

 

Materials & Methods: This cross sectional study was done on 97 patients who referred to Shafa hospital in Tehran- Iran with congenital back deformities from October 2005 to January 2007. All patients were assessed with physical examination, spinal radiography, MRI, urinary system sonography and echocardiography.

 

Results: Mean age of patients at presentation was 81 month. 81 patients had congenital scoliosis and 16 patients had congenital kyphosis. Mean cobb angle was 52 degrees for congenital scoliosis and 70 degrees for congenital kyphosis. 22 patients had neurologic or skin signs that 81% of them had cord abnormalities (p<0.05). Cord anomalies were seen in 36 scoliosis (46.5%) and 2 kyphosis (15%) (p<0.05). Most common cord anomalies were syingomyelia,diastematomyelia and tethered cord. Congenital heart anomalies was seen in 3 patients (4%) and valvular heart disease in 10 patients (13.5%) and kidney anomalies in 7 patients (12%). Only one patient with congenital heart disease and one patient with kidney anomaly had kyphosis.

 

Conclusion: Regarding to prevalence of congenital spinial deformity (CSD) in scoliosis and kyphosis patients, all of patients with CSD should screued for determiation of conganital anomalies by MRI, Eco cardiography and kidny sonography.

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Background & Objective: Addiction to opiates such as morphine is one of major public health problems. It has been shown that in addicted animals, administration of antioxidant agents such as vitamin C can reduce the withdrawal symptoms (WDS). The aim of this study was to evaluate the preventional effect of grapefruit juice (Citrus Paradisi Macf.) on withdrawal symptoms in rats. Materials & Methods: In this experimental study, Sixteen male Wistar rats (250-300g) randomly divided into two groups (n=8). All animals were addicted by intraperitoneal (i.p) injection of morphine (the 1-3 days: 10 mg/kg, the 4-6 days: 20 mg/kg and the 7-9 days 40 mg/kg daily) for 9 days. The first group received 2 ml Citrus Paradisi Macf. orally 1 hour before morphine administration. The sham group received 2 ml of normal saline. Naloxone (10mg/kg, s.c) was administrated 45 minutes after of an additional dose of morphine (40 mg/kg) in the tenth day for withdrawal symptoms inducing. Then withdrawal symptoms such as frequency of wet-dog shaking, teeth chattering, defecation and penis licking were evaluated for 30 minutes. Results: All withdrawal symptoms including frequency of wet-dog shaking, teeth chattering, defecation and penis licking were reduced in the Citrus Paradisi Macf. group in comparison with the sham group significantly (p<0.05). Conclusion: Our results showed that presumably antioxidant activity of Citrus Paradisi Macf. can reduce withdrawal symptoms. Although the exact mechanisms of its effect in brain need to be elucidate.

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Background & Objective: In addition to pyramidal neurons and interneurons, the hippocampus contains Astrocytes that play important roles in regulating ion flux currents, energy production, neurotransmitter release and memory. Learning needs some instrument for information storage and information maintenances mechanisms resemble to memory. The aim of this study was determination of spatial memory effect on the number of astrocytes in rat’s hippocampus. Materials & Methods: In this experimental study, with usage of Morris Water Maze and Reference memory technique, we used 10 male albino wistar rats. 5 rats were in control group and 5 rats in Reference memory group. After histological preparation, the slides were stained with PTAH staining for showing the Astrocytes. Results: The findings of this study showed significant difference in astrocytes number in CA1, CA2 and CA3 area of hippocampus between control and reference memory group. The mean and SD of astrocytes in CA1, CA2 and CA3 of reference memory group were 118.57±25.29, 58.91±23.59 and 116.6±31.14, that they are more than control group with 49±17.29 in CA1, 48.8±25.21 in CA2 and 41.95±11.22 in CA3. Conclusion: We concluded that the number of astrocytes increased due to spatial learning (e.g. reference memory method).

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Background & Objective: Pyelonephritis is one of the common disease during pregnancy. The aim of this study was assess the effect of cefteriaxone therapy versus cefteriaxone therapy in acute pyelonephritis in patients admitted in high risk pregnancy ward in Fatemieh hospital. Materials & Methods: This is a clinical trail study in pregnant patients with acute pyelonephritis that selected randomized in two therapeutic group. In one group 2 gr cefazoline was injected per 6 hrs and in another group 1 grcefteriaxone injected daily. the treatment continued until disappear of clinical symptoms and if the symptoms still persisted, after 72 hrs, the second line (Gentamycine) be added and then two groups for 7-10 days discharged with oral antibiotic, which determined by antibiogram. The patients were recommended to return during one week to 10 days after end of the period of treatment, to follow and doing urinary analysis and urine culture. Results: Cure in cefazoline group was 86.7% and recurrence was 13.3% and cure in cefteriaxone group was 83.3% and recurrence was 16.7%. There was not any significant differences between two group. Conclusion: This study showed that, the effect of cefteriaxone is the same as cefazoline in acute pyelonephritis in pregnancy.