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Pseudoxantoma Elasticum is a hereditary disease with prevalency of 1 among 160000 people in which yellowish papules and plaques are symmetrically distributed in abnormally lax skin of the neck, axilla, groin, and cubital and popliteal spaces, other parts of the body are less frequently involved. Patient that has been presented is 30 years old Turkman woman referred to 5th Azar Hospital with skin problems contains skin folds at neck, yellowish papules at ant, abdomen, cubital area and neck. After skin biopsy, histopathological findings confirmed clinical diagnosis of Pseudoxantoma Elasticum.

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Compared with older children and adults, neonates are more sensitive to pain and more vulnerable to long-term effects. Despite the clinical importance of neonatal pain, current medical practices continue to expose infants to repetitive, acute, or prolonged pains. This specific intervention are necessary for reduced the neonatal pain experiences. This is an experimental study of determine the effectiveness of skin contact between mother and her healthy full-term newborn to reduce pain experience by the infant during intramuscular injection. The sample population was 30 healthy full-term newborns delivered at university hospital in Gorgan. The samples and controls were chosen randomly. During intramuscular injection case group was being helped by their mothers under cloth that directly were contact with their abdominal and chest skin and newborn in control group swaddled in crib on the bed before, after and during injection. Behavioral responses (Facial changes, crying, …) and physiologic responses (Heart rate and O2 saturation of arterial blood) of newborns were noted before, after and during intramuscular injection. The results show that there was no significant difference in behavioral and physiologic responses caused by pain between two groups, except crying time (38.2 second in control group and 35.5 second in case group). Finding from this study indicate that skin-to-skin contact has a clinically important effect on the pain of intramuscular injection, if we can prepare physically and emotionally a good situation.

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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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Ehler-Danlos syndrome is rare disorder of collagen metabolism, characterized by skin fragility and hyperlaxity, hypermobility of joint. Type I collagen or III collagen is metabolically disordered. Our case report is 27 years old Turkaman male referred top dermatology clinic 5th Azar Hospital for disability, echymose and papyraceus scar. After clinicopathologic evaluation, the diagnosed case proved to be Ehler-Danlos.

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Background & Objective: On the bases of the antiinflammatory, antimicrobial and antioxidant effects of matricaria chamomilla (chamomile) extract. This study was design to determine the effect of topical hydroalcoholic chamomile extract on burn wound healing in albino Rats. Materials & Methods: In this experimental study 30 male albino Rats were randomly divided into 3 equal groups, as sham, control (olive oil) and treatment. Second degree burning was induced in 20% of whole surface area of animal body by diving the back of animal into boiling water for 8 seconds. Animals of control group received no treatment. Animals of olive oil and treatment groups were treated topically by olive oil and hydroalcoholic extract dissolved in olive oil twice a day respectively from the first day of burn induction to complete wound healing. Results: The results showed that there was not significant difference between olive oil and sham groups in all days of experiments. Also there was significant difference in wound healing (p<0.05) between olive oil and treatment groups (62.96±2.70 versus 74.77±2.50) from the day of 20 to the end of experiments. Conclusion: This study showed that the hydroalcoholic chamomile extract has a treatment effect on burn wound healing in animal model.

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Background and Objective: Aloe barbadensis Miller plant was used for treatment of wound healing in traditional medicine. However it has different and sometimes contradictory effects. In this study the effect of Aloe barbadensis Miller gel on skin incisional wound healing in Rat was investigated. Materials and Methods: In this experimental study, forty male wistar Rats were randomly divided into 4 experimental groups including: sham operated, control and two treatment groups. Under deep anesthesia, an incision (3cm, full thickness) was made over skin of the back in Rats. The animals of sham group received no treatment. Control group received topical cold cream twice per day (from beginning to end of experiment) and treatment groups' similarliy received topical Aloe barbadensis Miller gel mixed with cold cream (25% and 75%). For computing the percent of wound healing, the area of wound measured at the days 2, 4, 6, 8, 10, 12, 14 and 16 after beginning of experiments. Results: Aloe barbadensis Miller gel at concentration 25% and 75% significantly improved wound healing at 12th day and 8, 10 and 12th days, respectively in comparison with control group. Conclusion: This study indicated that local administration of Aloe barbadensis Miller gel, accelerate the skin incisional wound healing in Rat. This healing is related to the gel concentration.

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Background and Objective: Tuberculin skin test (TST) is the standard method for diagnosis of latent tuberculous infection. Positive results of TST (significant induration) may be seen in persons with latent M.tuberculosis infection and negative results of this test may be seen in patients with active tuberculosis. After performing TST false positive reactions may be seen with nontuberculous mycobacterial infections or false negative results may be encountered in anergic patients with tuberculosis disease. Quantiferon TB Gold test (QFT) is a new diagnostic test which assays the amount of released interferon gamma from peripheral blood lymphocytes in response to M.tuberculosis antigens. The purpose of this study was to determine the degree TST and QFT correlation.

Materials and Methods: This descriptive study carried out on 72 nurses of two internal medicine and infectious diseases wards of Imam Reza and Imam Khomeini hospitals in Kermanshah located in West of Iran, during 2009. 58 of nurses were vaccinated with BCG vaccine and none of them had any immune compromising condition. TST was performed by intradermal injection of 0.1 ml of standard tuberculin test (5 TU) and QFT was performed 48 hours then after using peripheral whole blood. The amount of released interferon gamma from lymphocytes in response to antigens were measured by ELISA method.

Results: Three of nurses excluded and this study was done on 69 nurses. Overall the degree of agreement of TST and QFT was 63.7% (P=0.69 and Kappa=0.139). The degree of discordance between these tests in PPD negative but QFT positive persons was 15.94% and in PPD positive but QFT negative persons was 20.3%. The sensitivity and specificity of QFT was 41.67% and 75.56% respectively. The degree of agreement of TST and QFT in vaccinated and unvaccinated nurses was 63.8% (Kappa=0.143) and 66.67% (Kappa=0.54) respectively.

Conclusion: There was no significant difference between QFT and TST in diagnosing latent tuberculous infection.

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Background and Objective: Epidemiology of Visceral Leishmaniasis is affected by combination quality and interaction of Parasite-Vector-Host and environmental conditions. So, disease cycle related and eco-social factors and environmental risk factors co-analyzing, help to understanding these interactions, prognosis and orientation in disease control and treatment. This study was done to determine the role of nomadic and non-nomadic lifestyle in transmission of Kala-Azar in the Northwest of Iran.

Materials and Methods: In this case-control study, firstly the prevalence of Kala-Azar among people living in selected villages were determined by both serological test (Direct Agglutination Test: DAT) and immunological test (Montenegro Skin Test: MST) in the Northwest of Iran, on the way of Shahsavan tribe travelling in summer/winter quarters villages. Then DAT was conducted on the dogs presenting in those villages during 2006. One year later Seroconversion rate was calculated through collection of the individual’s negative sera and re-analyzing them via DAT. Finally, occurrence of Visceral Leishmaniasis in relation with various involving factors like dog density/abundance and nomadic and non-nomadic lifestyle using Chi-Square test were determined.

Results: Both MST and DAT were significantly higher in the nomadic lifestyle than in the non-nomadic lifestyle (P<0.05). Three values of prevalence (5.5%), seropositivity (2.7%) and seroconversion (2.5%) were higher in nomads than non-nomads. The GIS studies and electronically prepared maps showed that the endemicity and the infection rate are higher in nomads than non-nomads. There were a negative correlation between general distribution of Visceral Leishmaniasis in relation with environmental conditions altitude, mean temperature and rainfall.

Conclusion: This study indicated that Nomadic lifestyle can play as a risk factor in transmission of Visceral Leishmaniasis due to nomads/dog contacting, their entering in the wild cycle of disease and travelling.

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Background and Objective: Malnutrition in hospital increases the mortality of patients. The aim of this study was to investigate the prevalence of malnutrition and related risk factors in hospitalized patients. Materials and Methods: This descriptive study was carried out on 446 patients (217 males, 229 females) during 6 months, admitted to the Taleghani hospital in Tehran, Iran during 2005. Anthropometric measurements and previous admission to hospital in previous 6 months for each patient was recorded. Mild, moderate and severe malnutrition were considered as BMI=18-20 kg/m2 and TSF, or MAMC<10th, or weight loss<5% as BMI=16-18kg/m2 and TSF, or MAMC<5th, or weight loss 5-10% and severe as BMI<16kg/m2 and TSF, or MAMC<5th or weight loss>10% in previous 6 months respectively. Results: The prevalence rate of malnutrition as a general was 52% with following subdivision: 14%, 10% and 28% in mild, moderate and severe, respectively. The highest prevalence of malnutrition observed in gastrointestinal ward, males, those aged 18-29 year and patients with secondary and high school education. In malnourished patients, the prevalence of TSF, MAC and MAMC <5th were significantly more than of well-nourished subjects (P<0.05). Increase BMI per unit decreased the risk of malnutrition by 17% (OR: 0.83 CI: 0.79-0.87). Malnutrition was 64% higher in patients with 1≥ gastrointestinal disturbances, compared with those without it and 2.1 higher in patients with 2≥-hospitalized readmission, compared with subjects without readmission in previous 6 month. Odds ratio of at least one hospitalized admission in previous 6 month was 1.64 in patients with MAC <5th, compared with those with MAC 50-75th (P<0.017). Conclusion: This study showed that Malnutrition upon hospitalization is common in Tehran. BMI, gastrointestinal disturbances, and readmission were associated with malnutrition.

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Background and Objective: Irreversible electroporation is a new treatment modality for skin tumors ablation. In order to successful treatment, all of tumoral tissues must be exposed to intense electric field. In addition, the heat that produced during the surgery has adverse effect on recovery procedure. This study was done to evaluate the thermal distribution in ablation of squamous cell carcinoma skin tumors using irreversible electroporation. Materials and Methods: In this study numerical modeling by finite element was used for determination of electrical and thermal distribution in healthy and tumoral tissues. Three-Dimensional Model was done using MR imaging of patient with squamous cell carcinoma in FEMLAB v3.5a software. Electric field distribution determined using Laplace equation and distribution of thermal damage calculated using bioheat equation and Arrhenius equation. This calculation was done for different geometry parameters of needle and plate electrodes. Results: Thermal damage of first-degree burn was not observed in any cases. However in high voltage, volume with temperature above 43˚C reach to 10% of tumoral tissue and 3% of healthy tissue. The study show that the voltage applied to the electrodes and the distance between the electrodes can have the greatest impact on the thermal and electrical distributions. Although needle electrode showed better electric coverage in tumoral area. Conclusion: This study showed that it can be possible to select optimized electric and geometric parameter to select electrode for complete tumor ablation, control of thermal damage in tumoral and healthy tissues.

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Background and Objective: Aloe vera (Aloe barbadensis M.) as a medicinal herb is practiced in wound healing. This study was carried out to assess the effect of Aloe vera gel (mucilage) on TGF-β gene expression in incisional skin wound in BALB/c mice. Method: In this experimental study, 36 BALB/c male mice with weight range 22±2 gr were allocated equally into negative control (no wound), sham-operated (wound treated with physiological serum) and teratment (wound treated with Aloe vera gel). Two equal full-thickness skin wounds of 10±2mm were made on either side of the vertebral column in the sacral region. The animals in the teratment group were received daily, 2 gram of Aloe vera gel (without any bandage) as a thin layer for a period of 16 days. On 8th and 16th post wounding day, TGF-β gene expression in incisional wounds and Malonyldialdehyde (as end-product of lipid peroxidation) in serum samples was measured using RT-PCR and spectrophotometry methods, respectively. Results: TGF-β gene expression in incisional skin wound increased in Aloe vera gel treated group in compared to negative control and sham-operated groups (P<0.05). Malonyldialdehyde concentration was significantly reduced in Aloe vera treated group in comparision with negative control and sham-operated groups. Conclusion: Aloe vera gel can induce growth factor TGF-β gene expression and reducing the lipid peroxidation content can play an important role in incisional skin wound healing process.

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Background and Objective: Mupirocin is a secreted antibiotic inhibitor of Isoleucine-tRNA, a bacterial synthetase that is used against yellow wounds from Streptococcus pyogenic and Staphylococcus aureus. This study was carried out to determine the plasmid resistance of mupirocin in Staphylococcus aureus strains isolated from clinical specimens of the skin of hospital employees and hospitalized patients.
Methods: This descriptive study was performed on 150 strains of Staphylococcus aureus isolated from clinical specimens of the skin of patients and employees of three hospitals in Qom, Iran during
2014-15. In order to confirm the identity of Staphylococcus aureus isolates, conventional biochemical methods were used. Also, PCR of srRNA16 was used for molecular confirmation of isolates. The presence of mupA (iles-2) and mupB plasmid genes was investigated using PCR method and AluI enzyme digestion plan was performed for them. Disc diffusion method was used to demonstrate resistance to mupirocin.
Results: Seven isolated samples (4.66%) were resistant to mupirocin. All Mupirocin-resistant isolates possessed PCR-positive mupacysin mupirocidal genes (iles-2) and mupB, and all plasmid genes were resistant to all resistant specimens. Genotyping of mupB gene was able to isolate samples from patients and staff as well as male and female.
Conclusion: The prevalence of mupirocin-resistant Staphylococcus aureus isolated from skin specimens was low.

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The kangaroo care method in newborn is a way of protecting the baby through skin to skin contact between newborn and their parents. This review study was done by using the keywords including kangaroo mothre care, neonatal, skin to skin contact and preterm. All related articles were published in Pubmed, Sience direct, Google scholar, SID, and Magiran were studied during 2000 to 2016. Finally, 36 articles were reviewed which were similar according to objectives, method of work, sample size, analysis method, and conclusion. Reviewing the selected articles showed that skin to skin contact among newborn and their parents regulated the body temperature of the neonate, increased the newborn's immune system, reduced infection and mortality rate, regulated heart and respiratory rate, increased the growth and weight gain in low birth weight neonates, reduced the stress and crying, increased prolong and stable periods of sleep, and also creates an emotional bond between the parents and the neonates. Kangaroo care method not only helps to care for the early stages of growth of premature neonate, but also increases the general health of the newborn and mother. This care can be used as an inexpensive and highly beneficial method for neonate's growth and health in human.

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Background and Objective: Alteration of scapular position and motion are called scapular dyskinesis (SD), that leads to symptoms such as pain in the shoulder joint. This study was performed to determine the effect of eight weeks scapular stabilization exercises on shoulder pain of archer men with scapular dyskinesis.
Methods: In this clinical trial study 30 archer men of recurve sport field with SD and shoulder pain were randomly divided into two intervention and control groups. Shoulder pain of all subjects was evaluated by using numeric pain rating scale. Then the interventional groups were received scapular stabilization exercises in three sessions per week for eight weeks. The control group performed only their normal daily exercises. At the end of the training, post-test was performed for both groups.
Results: The results of the present study showed that after scapular stabilization exercises, the reduction of dominant shoulder pain both during exercise and at rest was significant in interventional group in compared to controls (P<0.05). But in Non-dominant shoulder, there was significant effect in pain reduction only in intergroup (P<0.05) and there was no significant effect between interventional and control groups.
Conclusion: Scapular stabilization exercises can use to reduce the pain of dominant shoulder joint of archer sport men with scapular dyskinesis.