Background & Objectives: Escherishia coli O157:H7 is one of the most important diarrhea causing agents in developing countries . Using antibiotics cause adverse effects as promoting emergence of antibiotic resistance, fading the microflora of intestine and enhancement of verotoxin (VTEC) production by this bacterium. So, a modern treatment protocol is needed for treatment of infections caused by this bacterium. In this study, Lactobacillus casei (L. casei) was isolated from yogurt and antibacterial effects of bacterial cell debris and its culture supernatant were tested against E.coli O157:H7.

  Methods: Several different samples of yoghurt were cultured in MRS agar in anaerobic conditions at 37 ºC. L. casei was identified by common microbiological and molecular methods. Antimicrobial effects of bacterial cell debris and its culture supernatant were tested against E. coli O157:H7 by using Agar Well Diffusion (AWD) and Broth macrodilution methods. In addition, standard growth curves of pathogenic bacterium and L. casei were obtained by turbidometery and colony count procedures. The MIC (Minimum Inhibitory Concentration) and MBC (Minimum Bactericidal Concentration) of supernatant originated from culture of L. casei were determinded. The stability of antimicrobial effects of the supernatant in different conditions of pH and temperature were studied.

  Results: Lactobacillus casei was isolated from two different samples of yoghurts, and confirmed by phenotypic and genotypic methods. The results showed that antimicrobial effects of culture supernatant were stable at 56, 70, 80^�and 100 ºC for 30 and 60 minutes. Furthermore, they were stable in pH of 3, 7 and 10. The MIC and MBC of supernatants were 1:16 and 1:8 respectively.

  Conclusion: According to the results of this study, culture supernatant of L. casei can be used as a biological preservative in food industries. Also due to antimicrobial effect of L. casei, it can be used in treatment of diseases associated with E. coli O157:H7.

  Background & Objectives: Brucellosis is an infectious disease caused by intracellular pathogens of the genus Brucella that have their natural reservoir in domestic and wild animals. Many studies show that herbal medicines have been used safely and successfully to treat bacterial diseases without significant side effects and drug resistance problems.

  Methods: In this study aquatic, alcoholic and acetonic extracts of Eucalyptus globulus leaves were prepared, then MIC and MBC of extracts for B. melitensis 16M and B. abortus S99 were determined by broth macrodilution and agar well diffusion methods. In animal model study, 5 × 10⁵ CFU/mL of Brucellae was injected intraperitoneally (i.p) to female BALB/c mice. After 24 hours, 0.5mL (equivalent MBC) of each Eucalyptus globulus extracts was injected (i.p) After 7 days, in spleen the colonies of brucellae were counted on Muller-Hinton agar as standard protocol. 

  Results: The MIC and MBC of Eucalyptus globulus for B. melitensis M16 and B. abortus S99 were 1:80 (10.81 mg/mL) and 1:40 (21.62 mg/mL) for aquatic extract, 1:1280 (0.64 mg/mL) and 1:640 (1.29 mg/mL) for acetonic extract, and 1:2560 (0.31 mg/mL) and 1:1280 (0.63 mg/mL), for ethanolic extract respectively. In culture of spleen supernatant (in vivo), after 48 hours, the average grown B. melitensis 16M colonies for aquatic, ethanolic and acetonic extracts were 5×10³ CFU/ml, 2×10² CFU/ml and 6×10² CFU/ml, respectively in comparison with control group (4×10¹⁰ CFU/ml). These results for B.abortus S99 were 3×10³ CFU/ml, 1×10² CFU/ml and 3×10² CFU/ml, respectively in comparison with control group (9×10⁹ CFU/ml) The results showed that bacterial load was significantly decreased in all experimental groups (p<0.01). 

  Conclusion : The results of in vitro and in vivo indicate that ethanolic and acetonic extracts of Eucalyptus globulus have more effective antimicrobial activity on B.melitensis M16 and B.abortus S99 than aquatic extract. It seems that the extracts Eucalyptus globulus can be used in treatment of human and animal brucellosis.

  Background &Objectives :�Hyphema which commonly caused by the blunt trauma, is defined as blood accumulation in the anterior chamber of the eye. It is associated with several complications from which secondary hemorrhage is more important. This study was aimed to determine Tranexamic acid effect on reduction of the secondary hemorrhage in traumatic hyphema.

  Methods: This study was a randomized controlled trial in 54 patients with traumatic hyphema referred to ophthalmology clinic of Alavi Hospital in Ardabil during 2006-2008. The patients were divided into two groups. Half of the patients received Tranexamic acid and the rest used placebo. After examination of the eyes, the data were analyzed by using Chi-square^�and Student-t tests.

  Results : In this study 79.6% of patients were men and the rest were women. They had 19.8 ± 9.44 years old as mean. The vision for 33.3% of the individuals showed light perception, 29.6% hand motion and 35.2% of them indicated finger count. 1.9% of patients had grade I, 11.1% grade II, 38.9% grade III and 48.1% grade IV hyphema. The patients who received Tranexamic acid did not show secondary hemorrhage but five untreated individuals were undergone bleeding.

  Conclousion : Tranexamic acid reduced secondary hemorrhage in patients with blunt trauma-related hyphema. We suggest further studies of relationship between intra-ocular pressure and secondary hemorrhage rate.

  Background & Objectives: Expansion of microbial drug resistance, have indicated to introduce new source of drugs with antimicrobial properties such as antimicrobial secondary metabolites which produced of Cyanobacteria spp. Antimicrobial activity of Cyanobacteria spp. of Urmia Lake catchment area was not already reported, therefore in this research, antibacterial and antifungal properties of cyanobacteria varieties isolated from this ecosystem and identification of the potent strains were investigated.

  Method: Different environmental samples screened for isolation of cyanobacterial strains. Cyanobacterial extracts were prepared by using different solvents. The effect of these extracts was evaluated by disc diffusion method and by measuring minimum inhibitory concentrations (MIC) against some gram positive and gram negative bacteria and fungi. Cyanobacteria spp. with the high antimicrobial activity was identified according to Microscopic and macroscopic characters and 16SrRNA sequences.

  Results: In this research, 54 cyanobacterial strains were isolated that six strains with significant antimicrobial activity identified as Gloeocapsa sp., Anabaena sp., Nodularia sp., Synechococcus sp., Leptolyngbya sp. and Chroococcus disperses. the highest antimicrobial activity achieved by the chloroform extract on gram positive bacteria and fungi. Minimum inhibitory concentration (MIC) levels for the cyanobacterial strains were ranged 20 to 80 µg/ml and Leptolyngbya sp. showed the highest effects on Candida krusei with MIC level 20 µg/ml.

  Conclusion: According to the results, cyanobacteria can be a source of production new antimicrobial compounds.the results showed that the filamentous cyanobacteria Anabaena sp., Nodularia sp., and Leptolyngbya sp. produce active compounds against gram positive bacteria and yeasts.

  Background & Objectives: Polycystic ovary syndrome (PCOS) is one of the major endocrine disorders among females. PCOS is associated with development of type 2 diabetes and cardiovascular disease. The objectives of this study were to determine the effects of omega-3 fatty acids on glycemic status and high sensitive C-reactive protein in women with PCOS.

  Methods: This double-blind randomized controlled clinical trial was conducted on 61 PCOS patients. Subjects in ω-3 fatty acids (n=30) and placebo (n=31) groups take 4 ω-3 fatty acids capsules (each one contained 180 mg eicosapentaenoic acid and 120 mg docosahexanoic acid) or placebo daily for 8 weeks. Anthropometric and biochemical measurments and food intakes were assessed at the beginning and at the end of the study.

  Results: ω-3 fatty acid supplementation caused significant decrease in serum levels of glucose, insulin (p < 0.001 for both) and insulin resistance (p = 0.002) at the end of the study in comparision with baseline values. This was also statistically significant compared to the placebo group (p < 0.001, p = 0.002 and p = 0.001, respectively). No statistically significant differences in serum levels of high sensitive C-reactive protein were obsereved in any of groups at the end of the study (p > 0.05).

  Conclusion: ω-3 fatty acid supplementation had some beneficial effects on glycemic status of PCOS patients and may be useful in prevention and control of metabolic conmplication of this syndrome.

  Background & Objectives: Low dose aspirin has been widely used in the prevention and treatment of cardiovascular disease. The bimodel action of aspirin on serum uric acid showed that aspirin at a high dosage promoted uricusuria while intermediate doses were (1-2gr/day) caused uric acid retention. The main goal of this study was to survey the effect of low dose aspirin on serum level of uric acid in patients with ischemic heart disease.

  Methods: The study design was cross-sectional and analytical type. In this study we selected 60 patients who used low dose aspirin among the patients of Imam Khomeini hospital's heart clinic (2008-9) and their information was registered in special questionnaires including serum level of uric acid and creatinine before and after prescription of aspirin. Data was then statistically analyzed using Paired t test and Willcoxon.

  Results: Of 60 patients 11 ( 18.3 % ) were under 50 years and 49 ( 81.7%) were above 50 years. The male to female ratio was 1.72 (38: 63.3% versus 22: 36.7%). 53.3 % of patients showed an increase in serum uric acid, but 46.7% did not. No significant differences in uric acid levels was found in patients under 50 years before and after administration of aspirin. Serum uric acid levels were increased after administration of 0.1unit of aspirin.

  Conclusion: Low -dose aspirin (80 mg/ day) caused a slight but significant increase in serum uric acid and creatinine levels in patients over 50 years of age.

  Background & Objectives: Regarding to high incidence of dysmenorrhea and influence on daily activities and fewer side effects of herbal medicines than chemical drugs, the aim of this study was to compare the effect of mefenamic acid and matricaria chamomilla (MC) on primary dysmenorrhea.

  Methods: This triple-blind randomized clinical trial study was done on 90 female students residents in dormitories of Kashan University of Medical Sciences in 2012. The subjects were categorized into two groups randomly. Mefenamic acid capsules (250 mg, every 8 hours) were given to the first group from 48 hours before menstruation until 24 hours after it. The second group received MC capsules made in Barij Essence Factory of Kashan (250 mg, every 8 hours). Severity of dysmenorrhea was measured by McGill ruler. Finally, the data were analyzed by SPSS. The chi-squire, fisher and paired t-test were used. The p-value of less than 0.05 was considered as statistically significant difference.

  Results: The result of this study indicated that both chamomilla and mefenamic acid can reduce the severity of pain and hemorrhage (p<0.05) but there was no significant difference between two groups (p>0.05).

  Conclusion: This study showed that matricaria chamomilla is effective in decreasing the severity of primary dysmenorrhea and reducing hemorrhage as well as mefenamic acid.

  Background and Objectives: Patient education has an important role in controlling the diabetes. Tele-education is impressive due to the elimination of­­ both space and time limitation and establishing an effective relationship with client care. This study was carried out to determine the impact of tele-education by telephone and short message service on laboratory parameters in patient with type 2 diabetes.

  Methods: This experimental study carried out on patients with type 2 diabetes members of Urmia Diabetes Association . A total of 66 samples selected and allocated randomly in two intervention and control groups. Data gathered with demographic questionnaire and lab work. For intervention group education and telephone follow up had given for 12 weeks. Data were analyzed using descriptive and inferential statistical testes.

    Results: Finding of the study showed decrease in fasting blood sugar (-29.82), glycosylated hemoglobin (-0.54), cholesterol (-13.88), triglyceride (33.88) and insulin level (-4.59) in intervention group after performance of education and telephone follow up.

  Conclusion: Telephone follow up and tele-education have a beneficial effect on controlling the laboratory parameters in patients with type 2 diabetes .

  Background & Objectives : Nowadays, coronary artery disease is the most common cause of death in developed countries and in the whole world. According to the WHO reports, it will be the main cause of death in 2020. Myocardial infarction is the most common diagnosis among hospitalized patients in industrialized countries. This disease causes more mortality and morbidity than others. Coronary artery bypass grafting surgery (CABGS) is one of the common treatments for ischemic heart disease but it may have some complications. In this study we wanted to evaluate the incidence of CABGS complications in Imam Khomeini Hospital of Ardabil in the first month after CABG.

  Methods: This study was a cross sectional analytic descriptive type and performed on all of the patients underwent CABGS in Imam Khomeini Hospital during 2011-2012. All of the data from patients (like demographic, past medical history, physical exam findings, paraclinical findings and CABGS complications) were inserted in special forms after gathering, and analyzed by SPSS v.16.

  Results: In this study, 211 patients were studied. About 145 (68.72%) of them were male and 66 (31.28%) were female. Seventy patient (33.17%) were more than 70 years old. About 33.22% of patients had a history of cigarette smoking and 9.95% were opioid abused. The 34.12% of patients had hypertension (HTN) history, 40.28% diabetes mellitus (DM), 17.06% history of hyperlipidemia and 63.98% had a history of the previous MI. Chest pain was the most common complication among the patients (93.36%). According to our study the prevalence rate of post CABGS complications were: bleeding after surgery 13.27%, postoperative myocardial infection 8.05%, neurological disorders 12.32%, renal complications 2.36%, respiratory symptoms 11.37% and 34.59% for cardiovascular complications. Also the total mortality was 5 (2.36%) persons. The data analysis showed that there was a significant relationship between sex with survival status, local infection and neurological disorders, and also there was a significant relationship between age with post CABGS survival, bleeding after surgery and renal complications. There was also a significant relationship between DM and post CABGS survival, local infections and respiratory complications and between HTN and local infections.

  Conclusion: According to the results of this study, the most common post CABGS complications were cardiovascular complications, especially arrhythmias.

  Background and Objectives: Group B streptococci (GBS) are the major cause of neonatal and maternal infections. They are susceptible to penicillin, ampicillin and first-generation cephalosporins. However, resistance to other antibiotics such as erythromycin and clindamycin is common among GBS strains. The aim of this study was to evaluate the antimicrobial activity of allicin against colonizing GBS strains in vitro.

  Methods: Garlic extract was prepared and allicin was purified using semi-preparative HPLC procedure. Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of allicin were determined for 52 GBS strains using microdilution method in Todd Hewitt broth medium.

  Results: MIC of allicin was 64-128 µg/mL (MIC90 = 128) and MBC of allicin was 128 to 512µg/mL (MBC90 = 256) for GBS strains.

  Conclusion: The results of this study showed that allicin can inhibit growth of GBS in vitro. Further studies on allicin might be worthy of evaluation as a therapeutic agent in treatment of GBS infections.

  Background & Objectives: Chronic renal failure (CRF), also known as chronic kidney disease, caused by devastated nephron mass of the kidney results in uremia. Hypertension, diabetes mellitus and glomerulonephritis are common etiologic factors of CRF. This condition causes miscellaneous oral manifestations especially in diabetic patients. The aim of this study was to comparison oral manifestations of diabetic and non-diabetic uremic patients undergoing hemodialysis.

  Methods: A total of 95 patients who undergoing hemodialysis in Razi hospital in Rasht city participated in this descriptive analytical study. Patients were divided into two diabetic and non- diabetic groups. Oral cavity examinations were done by latex gloves and single use mirror. Objective and subjective oral manifestations such as xerostomia, bad taste, mucosal pain, uremic odor, coating tongue, petechial, purpura, pale oral mucosa, ulcer, dental erosion and candida infection were recorded in questionnaire. After gathering of information, the data were analyzed by SPSS 15 software using t-test and chi square statistical test.

  Results: About 60% of patients (57 person) were men and 40 % (38 person) were women. The mean age of patients was 48 years (range of 20 -76 years). Common subjective oral manifestation in both groups was xerostomia and most common objective oral manifestations were pale oral mucosa, uremic odor and coating tongue respectively. The DMFT index in diabetic group was significantly higher (17.3±7.63) than non-diabetic patients (12.4±8.26). There was no significant statistical correlation between the time of dialysis, number of dialysis appointment during the week and objective and subjective oral manifestations in two groups.

  Conclusion: Although, the present study has shown an increase in oral manifestations in diabetic patients undergoing hemodialysis relative to non-diabetic group, but this increase was not statistically significant. On the other hand results of our study have indicated significantly higher DMFT in diabetic group in comparison with the non-diabetic group. So patients with diabetes mellitus undergoing hemodialysis need to more oral and dental health care.

  Background & objectives: Procalcitonin (PCT) is a precursor of calcitonin hormone, comprising 116 amino acids, which is produced in thyroid neuroendocrine cells. However, in conditions such as septic shock, metastatic cancers, bacterial and fungal infections PCT is secreted by lung neuroendocrine cells, liver cells, and leukocytes. PCT is involved in acute phase of inflammatory process as a reactant protein. Hence, in this study serum and pleural fluid PCT was evaluated in common types of pleural effusion.

  Methods: This is a cross-sectional case-series study carried out on 60 patients with pleural effusion. In this study, effusion cases due to tuberculosis, malignancy, effusion followed by pneumonia, and also transudate were investigated. Other cases of pleural effusion were excluded from this study. After collecting the samples, PCT levels in pleural fluid and serum of patients were measured and compared statistically with respect to the primary etiology of effusion.

  Results: Sixty patients (10 patients with TB, 10 patients with malignancy, 10 patients with para-pneumonic, and 30 patients with transudative pleural effusion) participated in this study in which 61.7% were men and 38.3% women (p=0.204). The mean age of participants was 62.68 ±19.38 years. Results showed that mean of PCT in pleural fluid of patients with exudative effusion was 0.74 ng/ml (0.63 ng/ml in malignancy, 0.42 ng/ml in TB and 1.51 ng/ml in para-pneumonic) and in patients with transudative was 0.42 ng/ml. In addition, mean of PCT in the serum of patients with exudative pleural effusion was 0.74 ng/ml (0.65 ng/ml in malignancy, 0.40 ng/ml in TB and 1.20 ng/ml in para-pneumonic) and in patients with transudative was 0.43 ng/ml. The analyzed data showed that there was a significant difference in the pleural fluid (p=0.016) and serum PCT (p=0.009) of patients with pleural effusion transudate and exudates. After excluding patients with transudative, a significant difference was also observed among patients with exudative in such a way that in the para-pneumonic group the amount of PCT level in the serum and pleural fluid was more than tuberculosis and malignancy groups.

  Conclusion: Serum and pleural fluid PCT is increased as a marker in response to inflammation. Although its increase in patients with bacterial and pneumonia infection is significant, it can be increased in patients with secondary inflammation of tuberculosis or malignancy and consequently can be used as an inflammatory indicator in the evaluation of patients with pleural effusion.