مجله دانشگاه علوم پزشکی گرگان
سال دهم شماره 1 (پیاپی 25، بهار 1387)

Many evidence indicated that action of glucocorticoid receptors can modulate anxiety behaviors and these effects probably mediated by nitric oxide (NO) system. Thus, in this study, we investigated interaction between corticosterone and NO on anxiety behaviors in mice in elevated plus maze (EPM). In this experimental study male albino mice (25-30 g) were used. A standard EPM was used to determine anxiety behaviors. Two behavioral measures were used that include of the percentage of time spent in the open arms and the ratio of open arm entries to total entries during 5 min. Animals received IP injection of L-Name 30 mg/kg as an inhibitor or L-Arginine 50 mg/kg as a synthesis of NO or saline 60 min and corticosterone (1, 2.5, 5 mg/kg) 30 min before of evaluation. Analysis of data indicated that corticosterone at doses of 1 and 2.5, but not 5 mg/kg significantly reduced anxiety behavior in mice (P<0.05). Also pretreatment of L-Name potentiate but injection of L-Arginine had inhibition of corticosterone effects (P<0.05). This study revealed that glucocorticoid induces anxiolytic effects and these effects probably potentiate by NO inhibitor and reduced by NO synthesis. Therefore, it seems that there are interaction between of glucocorticoid and NO system for control of anxiety behaviors.

Destructive effects of ethanol consumption have been confirmed on several organs of the body. Nevertheless, classic research which has been done on kidney in this field had less attention. The aim of this study was to evaluate of ethanol effects on light microscopic structure of Mice kidneys. In this experimental study, Balb/c strain mice, equally 40 males and females, weighing 30-35 grams were divided in two equal experimental and control groups randomly. The Mice in control and expermented groups further divided in two sub groups. One sub group received 1mg/gr body weight daily of ethanol for one month, intraperitoneally and other sub group received 1mg/gr body weight of ethanol for two months, intraperitoneally. Control groups divided in two sub groups and Mice received daily salin with same volume as experimental groups. Then, the Mice have been anesthetized and sacrificed and then, subsequently kidneys were removed. Routine histological methods and Hematoxylin and Eosin staining were done. Slides were observed by light microscope. In experimental group, Mice which received ethanol for one month, interstitial bleeding and inflammatory cells infiltration in cortical zone of kidney was observed. In Mice which received ethanol for two months, we observed massive and concentrated lymphoblastic infiltration, especially on deep medulla around the blood vessels with extending to calyxes and pelvis of the kidney. No histological changes were observed in control groups. This study showed that the intraperitoneal injection of ethanol cause progressive destruction effects on cortex and medulla of the kidney. These effects depend on duration of ethanol consumption.

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. 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. 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). 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.

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. 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. 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. We concluded that the number of astrocytes increased due to spatial learning (e.g. reference memory method).

Although many experimental studies provide convincing evidence, that type II immunity is protective against helminthes, recent data in mice reveal that Th1 are also important in some cestods like Hymenolepis nana. To reveal the role of Th1 and Th2 lymphocyte in immunity against H.nana, the levele of IL12, IFNγ, IL5, IL13 was determined in serum of human infected with H.nana. In a case control study in 2006 in Mazandaran Medical Sciences university a total of 31 patients (case) with H.nana infection and 30 clinical healthy people (control) were included in this study. Measurment of IL12, IFNγ, IL13 and IL5 in serum samples were performed by solid-phase sandwich enzyme linked immunosorbant assay. Differential leukocyte count also was done. T test, mannwhitney test and wilcoxan W test were used for data analysis. The mean concentration of IFNγ, IL13, IL12, IL5 in the sera of patient with H.nana infection were higher than control group, but only the difference between concentration of IFNγ (P<0.05) and IL13 (P<0.05) in two groups were significant. There was an increase in percentage of monocytes, Eosinophils and lymphocytes in patient when compared to the control group, but this increase was not significant. Results form the present study are in agreement with experimental study in that both Th1 and Th2 responses occurs in H.nana infection.

There is an increasing interests in substitution of natural products for synthetic chemicals in drugs and foodstuff. Reports of antibiotic resistant bacteria and side effects of chemical food preservatives suspected to be carcinogenic have drawn attention towards application of herbal and natural substances. Towards this end, edible plants are more safe and therefor have priority for investigation. In this study, antibacterial activities of six medicinal plants including Thymus (T.) eriocalyx and T. persicus, Allium (A.) haementhaides, Fumaria (F.) parviflora Lam, Buxus (B.) hyrecana pojark, and Tragopon (Tr.) carcifolus Lorestan province in Iran were examined. In this study, flowers and leaves from T.persicus, T. eriocalyx, and leaves from other plants were collected from Zagros highlands, dried and soaked in hexan for 48. The solvent was separated then evaporated under reduced pressure. The concentrated extracts were shaken and foze at -10°C. Then it was centrifuged and the solvent was evaporated. The extracts were finally resuspended in sterile PBS containing DMSO. Antibacterial activities were examined by disk diffusion and broth microdillution technique, using standard (ATCC) gram positive and negative bacteria and standard (Muller Hinton agar and broth or Isosensitest agar) media in order to determine Minimum Inhibitory (MIC) or Bactericidal (MBC) concentration. Strong antibacterial activities were observed against both gram positive and negative bacteria including E.coli, S. aureous and P. aeroginosa by T.eriocalyx and F. parviflora. Also B. hyrecana pojark showed antibacterial activity against S. aureus at a concentration of MIC=320 µg/ml and MBC=80 µg/ml. This study showed that T.eriocalyx, F. parviflora and B. hyrecana pojark have antibacterial effects in vitro. Therefore it is suggested the application of these extract in medicine and food industings could be helpful.

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. 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. 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. This study showed that, the effect of cefteriaxone is the same as cefazoline in acute pyelonephritis in pregnancy.

Pityriasis rosea is an acute inflammatory dermatosis with an unknown cause. Although it is a self limitted disorder and has no chronic side effects (nevertheless it will take between 3-6 weeks) but it may continue for two months. In order to shorten pityriasis rosea course and remove itching and skin lesions, it is advisable to cure the disease with an appropriate drug. Based on the above, the present study was performed to investigate efficacy of Erythromycin in comparison with placebo and improve this disease period. A randomized double blind clinical trail was carried out on typical pityriasis rosea patients who had referred to 5th Azar clinic Gorgan-Iran during December 2004-May 2005. 46 patients were selected and randomly divided into two groups (23 patients in each one). Since it was a double blind study, treatment for two weeks was prescribed then the cure rate was measured during second, fourth and sixth week. In case group, Erythromycin 1gr/day was prescribed and continued for two weeks. In the other group only placebo was prescribed. Statistical analysis: Pearson chi-square analysis with 2- sided p value was applied to compare the distribution of pityriasis rosea between patients by using Sspss-11.5 software Regard to the kind of study and qualitative attribute, we used comparison between ratios in order to analyze them. Meaningful level for these tests was α=0.05. Even though we gained good results in case group during second, fourth and sixth week after treatment, but there was no significant difference between these two groups at α=0.05. This investigation shows that Erythromycin has little effect on pityriasis rosea period. Therefore we suggest complementary study with larger samples in future.

Standard treatment in renal colic is established with narcotics. NSAIDS are alternative choices. Several studies are done on various treatments. This study was done to evaluate the effect of intranasal Desmopressin alone and in combination with parenteral Pethidine in relief of renal colic pain. In this clinical trial study, 150 patients with renal colic were recruited in: Group one received 40 micrograms intranasal desmopressin, group two 25 miligrams intravenous pethidine and in group 3 both drugs were administered. VAS method was used to measure the intensity of pain in first minute and at 10, 20 and 30 minutes after administration. Kruskal-Walis and ANOVA were used to compare the pain severity between groups. Pain intensity had significant decrease after 10, 20 and 30 minutes in all groups (P<0.05). Group 3 showed maximum decrease after 30 minutes. This study determined that combined administration of desmopressin and pethidine can significantly decrease in renal colic intensity. We suggest the use of desmopressin, in combination with other medicines as a supportive and effective treatment in renal colic patients.

Hydrocele is fluid accumulation between the two layers of tunica vaginalis which commonly seen in male patients. Hydrocele is divided as communicating and non communicating categories. There are different methods for treatment of adult non communicating hydrocele which principally consist of aspiration and sclerotherapy, and various surgical techniques. The aim of this study is to evaluate outcomes and complications of a new closed hydrocelectomy technique and comparison with excisional hydrocelectomy procedures. In this clinical trial study, we divided all adult patients who refered for surgery of non communicating hydrocele to Imam Reza and Qaem hospital in Mashhad-Iran into two groups during 2004 to 2006. The inclusion criterion was simple non communicating hydrocele without any underlying pathology in adult patients who agreed with this new technique. In the first group (Group I) 23 patients with 24 hydroceles underwent closed hydrocelectomy using a catheter (shunt) between scrotal subcutaneous tissue and the hydrocele sac. In the second group (group II) 29 patients with 29 hydroceles underwent excisional hydrocelectomy. Follow up was possible in 21 cases of group I and 23 cases of group II. The outcomes of both procedures including cure rate, recurrence and complications such as infection, post operative pain, edema, hematoma, and testicular atrophy were compared in Two groups. In group I, 13 cases (62%) were cured but 8 cases (38%) experienced recurrence (treatment failure). In group II, 22 patients (95.6%) were cured but one patient (4.4%) had recurrence. Post operative pain in group I was mild in 9 patients (42.9%), morderate in 11 patients (52.4%) and severe in one patient (4.7%). But in group II all patients (100%) experienced severe pain requiring parentral analgesics (opioids). Hematoma was occured in 2patients (8.7%) in group II but in none patients in group I. No patients in any groups developed infection or testicular atrophy. This study showed that although recurrence rate of closed hydrocelectomy is more frequent but its complications are less than open procedures. In patients with high surgical risks in whom excisional hydrocelectomy is less preferable, this closed hydrocelectomy technique may be the technique of choice.

Preterm infants have less iron storage compared with the term one. Due to rapid growth they need more iron during infancy. This study was designed to evaluate the effect of early iron supplementation on hematologic indices and incidence of iron deficiency anemia in preterm infants. This experimental study was done on 20-days-old preterm breast-feed infants referred to the Gorgan-North of Iran primary health care services for vaccination, without any underline disease or growth retardation during 2005. They were divided to two groups (n=15 in each) and a questionnaire was completed for each case. Iron drop (2mg/kg) was given in the interventional group. Iron deficiency anemia was assesed in all sample T-student test and chi-square were used to analyze the independent variables and comparing the hematologic indices, after entering in SPSS-13 software and testing the normal distribution with komologrof-smearnoff test. Relative risk index (RR) was used to compare the two groups. The relative risk of iron deficiency anemia in the interventional group was 0.4 folds [RR=0.4,CI %95 for RR=(0.091,1.749)]. No significant difference was seen between the two groups. The finding of this study showed that iron drop supplementation for preterm infant prevent the iron defeciency anemia, although this observation was not significant.

Despite their very wide geographical distribution in the Mediterranean region, most Leishmania infantum strains belong to zymodeme MON-1. As different Leishmania species are known to cause different clinical symptoms and may require different treatment protocols, therefore this study was done to identify and characterize the leishmania agents causing visceral, Leishmaniasis (VL) in humans, reservoirs and vectors in the north-west of Iran by Isoenzyme analyses. In this descriptive and cross sectional study, The samples collected from 12 VL confirmed patients (bone marrow aspirates), 26 dogs (spleen and hepatic aspirates) and more than 100 sand flies from northwest of Iran between 2005 and 2006. All aspirated material from human, canine and sandflies demostrated growth of Leishmania parasite in NNN and αMEM media. The above species compared with WHO reference strains, Leishmania (Leishmania) donovani (DD8), L (L) infantum (IPT-1), L (L) tropica (K-27), and L(L) major (5-ASKH), using thin layer starch gel electrophoresis. The enzymes investigated in this study were ALAT, ASAT, SOD, ES,NH, MPI, GPI, MDH, 6PGD, PGM, PEPD, and PDK. In this study L.infuntum. MON-1 was the only zymodeme present in all samples of dogs and human sandflies. We concluded that the visceral Leishmania (VL) focus in northwest of Iran is evidently Mediterranean type, which extends from Portugal and Morocco to Pakistan and the Central Asia and domestic doges act as the reservoir host in northwest of Iran, where the complete life cycle of zymodeme MON-1 has been identified.

Viral gastroenteritis is associated with significant cause of morbidity and is a common cause of hospitalization in worldwide. This study was performed to assess the role of rota, adeno and astroviruses in children presenting with acute diarrhea in the main Children's Medical Hospital in Babol-Iran. Stool specimens from 208 children suffering from diarrhea were tested for the presence of rota, adeno and astroviruses by ELISA test during Winter 2004 to Autumn 2005. Data were then analyzed by the Chi-square and Fisher exact test with SPSS-10 software. Rota, adeno and astrovirus antigens were detected in 61.1%, 2.9% and 2.4% of patients. Infants between 6 and 12 months of age were most frequently affected with rotavirus (29.8%), (p<0.05). Rotavirus infection was significantly less frequent in summer and spring than winter and autumn (p<0.05). Fever and vomiting were present in 55.1% and 51.7% of children, respectively. There was not significant correlation between rotavirus infection and gender of patients. This study showed that rotavirus can be regarded as a major etiologic agent of winter acute diarrhea in children under 2-years old in Babol. Therefore, it is suggested to provide proper vaccination to immunize the children.