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Perichondritis and chondritis are rare disease of auricle than may be due to burns surgery or trauma and can present with severe pain erythema and edema. Herpes Zoster, that is due to reactivation of virus in nerve root that present with vesicular group in erythematous fild cranial or spinal nerve innervated zone can present with sever pain and some factors include stress-chemotherapy and really surgery can facilate activation of them. We report a case with perichondritis-chondritis and herpes zoster that had reaction to chromic material after tympanomastoidectomy and with medical treatment and debridement with some sequela healed. The importance of this case is multipathological that can mislead the clinication.

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3 Beta-Hydroxy-delta-5-steroid dehydrogenase is an important key enzyme of steroid hormone biosynthesis, which is involved in catalyzing the conversion of pregnenolone to progesterone in the biosynthesis of steroid sex hormones. This is the fourth enzyme in the steroid hormone biosynthesis pathway to be identified as an autoantigenic target. Pregnenolone is incubated with several concentrations of whole testis homogenate. The reaction mixture containing the pregnenolone, NAD and iodonitrotetrazolium in 0.15 M Tris-HCL buffer (pH=7.7) and the enzyme extract from testis of rat was incubated for 1.5 h at 36°C. Absorbance at 495 nm was determined by a spectrophotometer. pH optimum and time incubation for this enzyme was 7.99 and 1.5 h respectively. The Kmax was 5.3×10^-6 and Vmax was 3.11×10^-6 nmol/mg/min. Our results were in good agreement with those reported previously.

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Abdominal sonography is a best method to defined implantation site of placenta. Determination of placental site is very important if the aggressive method is to be used this study design to define implantation site of placenta in 1585 pregnant women whom referred 28 wk to sonographic center to Deziani Hospital in their third trimester with routine prenatal care. Collection of data perform in nine month and the data was collected by interviewing the pregnant women using a checklist and questionnaire. The results from this investigation show that 51.79% of placenta located in fondoanterior 31.23% fondoposterior, 12.11% posterior another in lateral position and 0.18% of placenta was previa.

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Background&Objective: Up to seventh week of gestation, progesterone secreted from the ovary is necessary to preserve the pregnancy. In the ART cycles GnRH-a is prescribed and oocytes and granulosa cells or retrieved, both causes corpus luteum insufficiency, so corpus luteum should be supported the best way is progesterone prescription. In this research we compare intramuscular and intravaginal suppositoar forms of progesterone for preserve the pregnancy. Materials&Methods: A prospective cross sectional evaluation on 193 patients was designed. All of them were on IVF or ICSI cycles. The patients were randomly divided into two groups. Intramuscular progesterone was prescribed in 138 and intravaginal progesterone (supp cyclogest) in 54 patients. The outcome of pregnancy was analyzed using statistical trials including t-test and chi-squre. Results: The two groups were similar duo to age – the ethiology causes of infertility – the doses of proscribed HMG ampule – FSH titrago – the number and grade of transferred embryos. The day after HCG presciption until the end the seventh week in the first group (138 patients) intramuscular progestrone (50 mg /bid) and in the secound group (54 Patients) supp of cyclogest (400 mg / bid) was prescnbed. The rate of positive pregnancy test, abortion, successful poegnancy in this two groups were similar. Conclusion: Intramuscular or intravaginal progesterone for supporting corpus luteum in IVF or ICSI cycles has the same effect but the intramuscular route is cheaper.

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Background&Objective: Collection and Storage of roof rainwater usually has been used from long time ago in Iran and many other countries. Many residents in rural areas of Golestan province (Turkman Sahra) are providing partly of drinking and municipal water by this way. This study was purpose to determine the chemical water quality and detecting of probable contamination resources in cisterns. Materials&Methods: 140 samples were collected and analyzed for determination of chemical parameters during three seasons. Alkalinity by titrometric, hardness by E.D.T.A, Cl- by Mohr and No3- & PO4-3, by DR-2000 HACH and heavy metals by atomic absorption spectrometry (model 2380 Perkins-Elmer) were determined. These results were analyzed by SPSS and Kolmogorov-Smirnov test. Results: The chemical parameters such as: acidity, electrical conductivity, alkalinity, hardness, chloride, nitrate and manganese had desired limits but PO4- in 15%, Fe in 12%, Pb in 51% and Cr in 16% were exceeded the referrance level. Conclusion: Any of water cisterns were unfavorable for drinking because some chemical parameters and especially the heavy metals were exceeded the normal level. The probabe causes of the normal level chemical contamination water in cisterns include infiltration surface and agricultural waters, storage of Gorganrood water and precipitation of air pollution.

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Background & Objective: Hypercholesterolemia is a risk factor for atherosclerosis that responded variably to dietary modification of fat and cholesterol. Previous studies in humans have shown that ingestion of lecithin can alter plasma cholesterol and triglyceride but results were different. The current study was designed to investigate the hypocholesterolemic properties of lecithin on patient with hypercholesterolemia. Materials & Methods: Sixty one subjects (27 Male, 34 Female) with mean ages 44±14 years old with hypercholesterolemia, was admitted to Mottahari Health Center(Shiraz), randomly assigned to the case (n=31) and control (n=30) groups. Case group received three lecithin capsules (1200 mg) which contain 420 mg Phosphatidylecoline, daily for six weeks. Subject's weight, Body Mass Index (BMI) and serum lipid concentration were measured at the beginning and the end of six weeks. Results: No significant difference were found in mean weight in case group when compared to control group. Also no significant difference were found in mean BMI in case group when compared to control group. Significantly lower mean serum Total Cholesterol, LDL cholesterol, and triglyceride and significantly higher HDL cholesterol were found in case group. In addition mean serum total cholesterol (P<0.05), LDL cholesterol (P<0.05) and TG (P<0.05) decreased and mean serum HDL-Cholesterol (P<0.05) increases significantly in case group vs. control group. Conclusion: This study showed that lecithin could be considered as effective nutrient useful in dietary treatment of hypercholesterolemia.

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Background&Objective: Carpal tunnel syndrome is the most common entrapment neuropathy which causes smuch morbidity for patients. Corticosteroid injection is a conventional way to treat CTS. This study was done to compare the wrists verses palm methyprednisolone injection for treatment of carpal tunnel syndrome. Materials&Methods: In a prospective and double blind study, 64 patients who had mild to moderate CTS based on clinical and electerophysiological findings were classified into two groups, the first group received traditional injection technique, the injection site is on the volar wrist surface just proximal to the distal wrist crease between the palmaris longus and flexor carpi radialis tendons. But the second group was injected by new technique. The injection site is about midpalmar area. The patients were followed for one month. Results: Mean rise in nerve conduction velocity (NCV) was 4.00 m/s and 12.03 in the first (wrists method) and second (palm method) groups. Pain score based on visual analog scale decreased 2 sacle unit in both groups similarly. Conclusion: We found 3 times increased at sensory nerve conduction velocity compare to traditional method. This new injection method had better effect on sensory nerve conduction velocity compared to old one so it seems that it can be an alternative way for treatment of CTS.

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Background&Objective: Two enzymes have the ability to hydrolyze acetylcholine. One is acetylcholinesterase, which is called true cholinesterase, it is found in erythrocytes. The other cholinesterase is pseudocholinesterase, it is found in serum. Some chemical components of organophosphates group and carbamates affected cholinesterase activity. Determination of cholinesterase has application in diagnosis of liver disease, liver damage by insecticide and assessment of fatty liver. Pesticide factory workers are one group of peoples which are exposed of poisoning by pesticide. Materials&Methods: This research in 2005 performed in pesticide producers. In two stages (3 month interval) from 58 of personal blood was drown. Results: Mean of erythrocyte cholinesterase in first stage was 48.5±11.2 IU/gHb and second stage was 37.9±17.3 IU/gHb. Decrease of erythrocyte cholinesterase was significant differences (paired t test, P<0.05). Increase of serum AST was not statistically significant. Increase of serum ALT and Albumin was significant differences (paired t test, p<0.05). In 15 individual (25.9 %) cholinesterase decrease more than 35% and in 16 workers (27.6 %) erythrocyte cholinesterase decrease between 26-35%. Conclusion: Since in more than 26% of personnel cholinesterase decreased over than 35%, routine assessment of cholinesterase in similar factory, is recommended.

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Background&Objective: The breast cancer is the most common malignancy in women. The normal and malignant breast tissue are under the regulatory effects of esteroid hormones and growth factors including HER-2/neu. The purpose of this study, is to determine the expression of estrogene receptor (ER) progesterone receptor(PR) and HER-2/neu among Iranian women with invasive breast cancer. Materials&Methods: The study is descriptive and cross-sectional that was performed on 50 samples of patients with invasive breast cancer in Imam-Khomeini Hospital-Sari (2005-06). After preparing the samples four tissue sections from each sample was obtained then H&E and IHC staining were performed. Results: In our study, the patients were between 28-88 yrs, (mean:52/6). ER and PR and HER-2/neu were positive in 80%, 72% and 57.1% of cases, respectively. Concurrent positive ER and PR was 70%, meanwhile 62.9% of these patient were also positive for HER-2/neu. 20% of the cases showed negativity for both ER and PR and of these 83.4% were also negative for HER-2/neu. Conclusion: In our study ER expression by itself is equal to previous studies in textbooks but PR expression, HER-2/neu and concurrent expression of ER&PR are higher in our study. Interestingly HER-2/neu expression is near to what was previously proposed by Iranian Blood Transfusion Organization and Kerman University of Medical science. It seems that racial and geographic factors are contributed for these diffrences.

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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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The prevalence of struma onset in uterine tube is lower than ovary’s stuma. In this report a 63 year old woman was referred to main hospital in the city of Yazd, Iran in 2008. The patient referred with abdominal swelling in pre-umbilical and supra pubic region associated with losing weight and frequent constipation since 5 years ago. After the hospitalization the patient underwent the laparatomy. in pathology report the masses was struma ovarii and mature cystic teratoma associated with struma salpingi and peritoneal steremosis. Special demonstration accompanied struma salpingi in this case are struma ovarii and multiple vesicular vegetasion in choledosac, Peritoneum and bladder. This report was a very rare case of struma salpingi accompanied with struma ovarii and steremosis.

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Background and Objective: The application of herbal extract are used as substitution to either drug or complementary medicine. Cinnamomum zeylanicum is one of the important herb which is used for various diseases. This study was done to determine the effects of Cinnamomum zeylanicum (Bark) hydroalcoholic extract on the level of hormones responsible for reproduction in male mice. Materials and Methods: In this experimental study, 48 male adult mice divided in six groups, hydroalcoholic extract of Cinnamon zeylanicum was injected intraperitonealy in different dose (50, 100, 200 and 400 mg/kg/every other day) for 20 days in groups 1-4. Normal saline was injected in only one group as placebo group and the other group was not given any substance and it was considered as a control group. All serum hormones level including FSH, LH and testosterone were measured by Radioimmunoassay (RIA) technique. Results: The concentration of FSH, LH increased following the injected dose of Cinnamon zeylanicum and the most increasing of FSH and LH concentration was in animals which receive 200, 400 mg/kg/every other day of Cinnamomum zeylanicum hydroalcoholic extract. The level of serum testosterone significantly increased in dose of 50, 100 mg/kg/every other day in comparison with control group, too (P<0.05). Conclusion: This study showed that hydroalcoholic extract of Cinnamon zeylanicum elevates the pituitary-gonadal axis hormones.

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Background and Objective: Respiratory distress syndrome is the most important lung problem during the neonatal period. Although the benefits of antenatal corticosteroids in neonates with a gestational age of less than 34 weeks have been demonstrated, the benefit of this treatment in neonates with higher gestational age is dubious. This study investigated the effect of Betamethasone on respiratory distress syndrome among neonates with gestational age of 35-36 weeks. Materials and Methods: This double blind randomized controlled trial study was done on 200 pregnant women who were of high risk for preterm labor in 35-36 weeks of gestation in Sanandaj city-Iran during 2007. 200 pregnant women randomly divided into treatment and placebo groups were received intramuscularly Betamethasone (12 mg/kg/BW twice) and normal saline, respectively. Data including age of mother, sex, weight, respiratory distress syndrome and newborns admission in hospital were recorded for each subject. Data was analyzed by using two-tailed T, Mann-Whitney, chi-square and Fisher exact tests. Results: There were no difference among two groups about age of mother, sex and weight of newborns. There were 8 (8%) and 20 (20%) newborns with respiratory distress syndrome in case and controls, respectively (P<0.01). Admission in hospital was 16% in Betamethasone group vs 28% in normal saline group (P<0.04). Conclusion: The study demonstrated that exposure to antenatal Betamethasone with 12mg/kg/BW twice between 35 and 36 weeks of gestation is associated with a significant reduction in the rate of respiratory distress syndrome.

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Background and Objective: The incidence of infections is one of the most disturbing problems in the management of patients with systemic lupus erythematosus (SLE). The aim of this study was to describe the role of tuberculosis (TB) as a cause of fever in SLE patients. Materials and Methods: In this descriptive study 103 SLE patients enrolled in Ahvaz, South-West of Iran during 2000 - 06. Patients were diagnosed according to American College of Rheumatology criteria (at least 4 of 11 criteria). Diagnosis of tuberculosis was based on Iranian National Program against TB criteria. The infection free patients were given corticosteroid therapy. Results: In this study 20 patients did not follow the complete cycle and finally 83 patients were established as sample population of this study. Mean age of patients was 22.2±10 years, female to male ratio was 9.2:1, mean duration of treatment was12±3.2 months and mean of daily dose of prednisolone was 28.2±13 mg.From total of patients, 8 (9.6%) had active tuberculosis. five patients had pulmonary and three with other type of TB, respectively. One of the above eight patients eventually died due to SLE/TB. Conclusion: Tuberculosis is one of the important causes of fever among patients with SLE under treatment of corticosteroid. In approaching febrile SLE patient TB should always be considered as a treat.

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Background and Objective: Morphological alterations of hippocampus and dentate gyrus due to opium were reported in humans and animals. Also other evidences have shown that astrocytes actively participate in synaptic plasticity. This study was done to determine the conditioning place preference (CPP) on astrocytes number of Rat dentate gyrus by immunohistochemical technique.

Materials and Methods: In this experimental study, 48 male Wistar Rat weighted average 220-250 g were used. For behavioural tests, Rats divided into eight experimental groups. The Rats were received morphine at different doses (2.5, 5, 7.5 mg/kg) for three days by subcutaneous injection and sham groups, received saline dose (1 mg/kg) and then CPP test in them were investigated. 48 hours after behavioural testing animals were decapitated under chloroform anesthesia and their brains fixed and after tissue processing, slices stained with immunohistochemistery techniques. For morphometric study PTAH staining of astrocytes was used.

Results: The most dose responses of morphine was observed in 7.5mg/kg. The number of astrocytes in the controls (20.627±6.129) was similar to control-saline group (17.339±4.71). This difference was not significant, while the difference in the number of astrocytes in control group with morphine-treated experimental groups was significant (P<0.05).

Conclusion: We concluded that the phenomenon of conditioned place preference induced by morphine can cause a significant increase in the number of astrocytes of sham and experimental groups compared to controls.

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Background and Objective: Elevated levels of inflammation markers including white blood cell, platelet, serum fibrinogen and CRP are associated with prognosis in patients with coronary artery diseases. This study was done to determine the effect of hydroalcoholic extracts of Amaranthus caudatus l on Inflammation markers level in Hypercholesterolemic Rabbits. Materials and Methods: In this experimental study, 20 male Rabbits were allocated into four groups of five each: Group I Normal diet(75 days) Group II Hypercholesterolemic diet (75 days) Group III and IV Hypercholesterolemic diet (45 days) followed by Normal diet and Normal diet with hydroalcoholic extracts Amaranthus caudatus l., respectively for an additional 30 days(Regression period). Blood samples were collected from rabbits before and after 45 days and 75 days of respective diet regimen. The level of White Blood cell, platelet, serum fibrinogen and CRP were measured. Data analyzed by using SPSS-13 and one-way ANOVA‌ test. Results: CRP in treatment group reduced from 8.14±4.5 mg/l to 17.8±4.6 mg/l in hypercholesterolemic animals (group II) (P<0.05). WBC count was 20820±8692 and 42366±17048 in treatment and hypercholesterolemic animals, respectively (P<0.05). Platelet and fibrinogen concentration was reduced in treatment group 502600±35725 and 208±24 mg/dl, respectively in comparison with hypercholesterolemic animals 638000±59774 and 299±46 mg/dl, respectively. These differences were significant (P<0.05). Conclusion: This study showed that hydroalcoholic extracts of Amaranthus caudatus l reduces inflammatory markers in hypercholesterolemic rabbits.

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Background and Objective: Floater is defined as dark and vague spots and lines, which presents in visual fields of patients. Etiologies are various and life threatening, due to the serious complications resulted from floaters, this study was designed to assess ophthalmic disorder among patients with floater Gorgan, Iran (2009). Materials and Methods: This cross-sectional study,was done on 164 patients (105 female, 59 male) with floater or photopsia in Gorgan, North of Iran during 2009. Findings of ophthalmic examination and demographic characteristics were recorded in a questionnaire for each patients. Results: The prevalency of floater was higher among patients over sixty years old. 57.2% women with floater were during monopausal period. Myopia (32.9%) and cataract (32.9%) were the most associated ophthalmic diseases. Posterior vitreous detachment and retinal bleeding in patients with floater was 84.1% and 6.1%, respectively. Retinal detachment was not seen in patients. Conclusion: This study showed that posterior retinal detachment is the most frequent associated ophthalmic disorder in patients with floater. Older age, gender, myopia and cataract are considered to be the related risk factors in floater.

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Background and Objective: In recent years, 3,4-methylenedioxymethamphetamine (MDMA) consumption is prevalent among young people. It has adverse effects on central neural system and other organs. This study was done to determine the effect of MDMA on pituitary-gonadal hormonized axis in immature male rats. Materials and Methods: In this experimental study 35 immature male Wistar rats with approximate weight of 90+-10 gr, age range of 40-45 days were allocated in five (n=7) including experimental I, II, III, control, and shem groups. Animals in the experimental I, II, III have received 2, 4 and 8 mg/kg bw of MDMA intraperitoneally after 14 days, respectively. Animals have received saline normal in shem group while the controls did not receive any substance. The blood samples and testes have collected. The serum FSH, LH, and Testosterone concentrations and testes weight were determined. Data analyzed using ANOVA and Tukey tests. Results: Testosterone hormone concentration significantly increased in experimental groups (4 and 8 mg/kg bw) in comparison with control and shem groups (P<0.05). Concentrations of FSH and LH in the experimental groups (2 and 4 mg/kg bw) significantly reduced in comparison with shem and control groups (P<0.05). Testes weight significantly reduced in experimental groups (4 and 8 mg/kg bw) compared to control and shem groups (P<0.05). Conclusion: This study showed the MDMA has adverse effect on pituitary-gonadal axis and tests weight in immature male Wistar rats.

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Background and Objective: Increasing the intensity of training is one of the factors that improve the athletic performance. Evaluation of psychological and biochemical factors is believed to be beneficial for evaluating the effectiveness of training schedule. Previous studies have shown that there are various responses to the training intensity due to the level of athlete’s fitness and the kind of training. This study was done to investigate the effect of intensive training on salivary level of cortisol, testosterone, α-amylase and mood of elite adolescent wrestlers. Materials and Methods: This quasi-experimental study was performed on fifteen adolescent wrestlers of Iranian national team during 2009. The subjects were under extension training for three weeks. The saliva samples were taken prior, first, second and third weeks of training to determine cortisol, testosterone and α-amylase level of salivary samples. Also, the Brahms questionnaire was used to assess the mood profile before and after the training. Data were analyzed using SPSS-14, ANOVA and student t-tests. Results: There was no significant differences of salivary cortisol (7.69±0.75, 8.1±0.93 ng/ml), testosterone (82.3±0.89, 64.2±1.7 ng/ml), α-amylase (98.81±1.35, 84.2±1.5 U/ml) level and mood (16.4±3.28, 20.08±2.91) of subjects prier and after training. Conclusion: This study indicated that the intensive training do not alter salivary hormons level and mood of elite adolescent wrestlers.

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Background and Objective: Attention deficit hyperactivity disorder (ADHD) is the most common in psychology and Methylphenidate hydrochloride (MPH) is one of the most frequently prescribed pediatric medicine. This study was done to determine the effect of Methylphenidate hydrochloride on ovarian and pituitary gonadotropin hormone in peripubertal mice Materials and Methods: This experimental study was done on 40 preipubertal female mice (BALB/c) with three weeks age and approximate 12-15 gram. The mice were allocated randomly in one control and three experimental groups, designated as I, II and III. Animals in group I, II and III were received by gavage Methylphenidate hydrochloride with 2, 5 and 10 mg/kg body weight for six days, respectively. At the end of experiment body weight, serum estrogen, progesterone and pituitary gonadotropins were measured. Morphometric and histopathological evaluation of ovary were examined. Data were analyzed using SPSS-17, ANOVA and Tukey tests. Results: The body weight and ovary dimensions of animals in experimental groups were reduced significantly in comparison with control (P<0.05). Abnormal cells, structural alternations of granules cells and follicular growth abnormality were observed in experimental groups I and III in compare to control group. A significant reduction of estrogen, in group I, progesterone levels in group I and III were observed in comparison with the controls (P<0.05). Conclusion: This study showed that the Methylphenidate hydrochloride administration induces the reduction of body weight, ovary dimensions and hormones.