1 1561-4107 Journal of Babol University Of Medical Sciences 7375 Children An Evaluation of the Efficacy of Pediatric Risk of Mortality in Determining the Prognosis of Patients Admitted to the Pediatric Intensive Care Unit of Namazi Hospital in Shiraz Rashidizarandi A b Aflaki Kh c Serati Z d b Department of Pediatric Critical Care Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, I.R.Iran c Department of Pediatric Critical Care Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, I.R.Iran d Department of Pediatric Critical Care Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, I.R.Iran 1 8 2018 20 8 7 14 06 12 2017 17 07 2018 BACKGROUND AND OBJECTIVE: Neonatal period is very important and newborns are highly vulnerable in this period. Providing, maintaining and improving the health status of newborns has a special role in health services and is one of the important health indices. The aim of this study is to evaluate the efficacy of pediatric risk of mortality in determining the prognosis of patients admitted to the pediatric intensive care unit of Namazi Hospital in Shiraz. METHODS: This prospective, cohort study was conducted among 240 patients aged 1 month to 4 years old admitted to the pediatric intensive care unit of the Namazi Hospital in Shiraz during a six month period. Participant information was collected using a researcher-made questionnaire, including demographic information, main diagnosis during hospitalization, duration of admission, use or non-use of mechanical ventilation, presence and absence of infectious disease in the patient and the variables related to the PRISM III system (0-30). The mortality rate was calculated and the results were considered as death or discharge. FINDINGS: Of 240 patients, 123 were boys and 117 were girls with a mean age of 30.41 ± 54.98 months. 20.37% of patients had infectious diseases, 19.9% had nervous system disease and 17.7% had respiratory system disorders, while 44 patients died during the study. PRISM scores ranged from 0 to 10 in 73.5% of the patients, from 11 to 20 in 24.9% of the patients, and from 20 to 30 in 1.6% of patients. In addition, 11.3% of deaths were observed in patients with PRISM scores from 0 to 10, and 100% of deaths were observed in patients with PRISM scores from 21 to 30.  CONCLUSION: Based on the results of this study, using the modified PRISM III system at the early childhood in the pediatric intensive care unit can predict children's mortality rates and reduce their mortality.
7214 Nutrition An Investigation of the Effect of Green Tea on Liver Enzymes and Serum Lipid Profiles in Patients with Beta–Thalassemia Major Rafraf M e Haghravan S f Soeizi E g Asghari-Jafarabadi M h e Department of Nutrition in Community, Faculty of Nutrition & Food Science, Tabriz University of Medical Sciences, Tabriz, I.R.Iran f Faculty of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, I.R.Iran g Department of Nutrition in Community, Faculty of Nutrition & Food Science, Tabriz University of Medical Sciences, Tabriz, I.R.Iran h Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, I.R.Iran 1 8 2018 20 8 15 24 15 10 2017 08 08 2018 BACKGROUND AND OBJECTIVE: In patients with beta – thalassemia major, iron overload and oxidative stress cause metabolic disorders, especially in the liver. Green tea may be beneficial in reducing the complications of this disease due to the iron chelation and antioxidant properties. Therefore, this study was conducted to evaluate the effect of green tea on liver enzymes and serum lipid profiles in these patients.  METHODS: This randomized clinical trial was performed on 52 patients with beta – thalassemia major in two groups of controls and intervention (26 people in each group). Patients in the intervention group received 3 cups of green tea for 8 weeks and the control group consumed the same amount of boiled water each day for the same period. The assessment of dietary intake, AST and ALT, total cholesterol, triglyceride, LDL-C and HDL-C, and height and weight measurements were performed at the beginning and the end of the study. FINDINGS: Significant decrease in the levels of ALT enzymes (p<0.0001, 38.8±4.8 U/L) and AST (p<0.007, 39.53±11.01 U/L) and serum triglyceride (p<0.0001, 135.03±31.82 mg/dl) compared to baseline values (42.53±5.26 U/L, 43.46±9.7 U/L, 150.35±33.34 mg/dl) was observed in the green tea group. The consumption of green tea resulted in a significant reduction in total serum cholesterol levels at the end of the study in the intervention group compared with the control group (p=0.006). CONCLUSION: The results of this study showed that green tea consumption reduced levels of liver enzymes, triglycerides and especially total serum cholesterol in patients with beta – thalassemia major. 7424 Nephrology A Comparison of Abdominal Aortic Calcification Index (Aci) between Hemodialysis Patients and Control Group (Non-Diabetic, Non-Hypertensive Traumatic Patients) Peyro Shabani A i Nabahati M j Akbari Ro k Oliaei F l i Student Research Committee, Babol University of Medical Sciences, Babol, I.R.Iran j Clinical Research Development Center, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, I.R.Iran k Cellular & Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran l Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol I.R.Iran 1 8 2018 20 8 25 30 24 12 2017 21 07 2018 BACKGROUND AND OBJECTIVE: Calcification of media layer of peripheral arteries (Monkeburg sclerosis) often occurs with age and in diabetic patients with chronic renal failure. The appearance of this mark in hemodialysis patients can help predict cardiovascular events. Therefore, this study was conducted to compare the Abdominal Aortic Calcification Index (ACI) in hemodialysis and non-renal patients. METHODS: In this cross sectional study, 84 hemodialysis patients who had the inclusion criteria were enrolled.  157 traumatic patients who had no chronic diseases like diabetes or hypertension were enrolled as the control group. The evaluation of CT scan sections, put the patients in three ACI groups (0-40), (41-80) and (81-120). FINDINGS: A sum of 241 patients were enrolled in the study [ 84 (34.9%) in the case and 157 (65.1%) in the control group]. There was a significant difference in ACI between the two groups (P< 0.001). Comparing the chance of ACI in two groups, dialysis patients have a 22.67 times more chance to have severe ACI than mild ACI {CI  95% (4.987-103.062) (p=0.001)}, and also dialysis patients have a 7.32 times more chance to have severe ACI than moderate one {CI 95%(1.486-34.891) (p=0.001)}. CONCLUSION: According to more severe ACI in dialysis patients in comparison to healthy people, renal disease and dialysis may have an essential role in vascular calcification and its complications. 7307 surgery The Role of Thoracoscopy in the Diagnosis of Pleural Effusion of Unknown Origin Mahmodlou R m Sarbazzadeh J n Seyed Mokhtari SA o m 1. Department of General Surgery, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, I.R.Iran n 1. Department of General Surgery, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, I.R.Iran o Student Research Committee, Urmia University of Medical Sciences, Urmia, I.R.Iran 1 8 2018 20 8 31 36 10 11 2017 08 08 2018 BACKGROUND AND OBJECTIVE: Video-assisted thoracoscopic surgery is preferred over conventional methods, such as pleural biopsy, in the diagnosis and treatment of patients with pleural effusion. Considering that Imam Khomeini Hospital is facing a large volume of patients with pleural effusion of unknown origin referred from other centers, the present study was conducted to investigate the role of thoracoscopy in the diagnosis of pleural effusion of unknown origin. METHODS: In this prospective study, 31 patients with pleural effusion of unknown origin, whose disease was not diagnosed using conventional methods such as imaging, thoracentesis or pleural biopsy, were treated with video-assisted thoracoscopic surgery (VATS) at Imam Khomeini Hospital in Urmia. FINDINGS: The most common symptoms were dyspnea in 18 patients followed by chest pain in 8 patients and cough in 5 patients. Histological findings reported cancer in 19 patients, pleuritic in 10 patients and tuberculosis in 2 patients. Among the patients with malignant pleural effusion, the most common causes were metastatic carcinoma (42.1%) adenocarcinoma (26.3%) and mesothelioma (7.5%). In general, VATS was unable to definitively diagnose the disease in 5 patients. The diagnostic function of VATS was 83.9% in patients with pleural effusion of unknown origin (CI-95%= 71–96.8).   CONCLUSION: The results showed that thoracoscopy along with imaging can be helpful in detecting pleural effusion with unknown origin. 7643 Epidemiology The Rate of Surgical Site Infection and Associated Factors in Patients Undergoing Orthopedic Surgeries in Babol, Northern Azizi H p Janmohammadi N Bahrami M Rouhi M Falsafi M Bijani A Esmaeilnezhad Ganji SM p 1. Student Research Committee, School of Medicine, Babol University of Medical Sciences, Babol, I.R.Iran 2. Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran 2. Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran 3. Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran 3. Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran 4. Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran Clinical Research Development Center, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, I.R.Iran 1 8 2018 20 8 37 43 03 03 2018 29 07 2018 BACKGROUND AND OBJECTIVE: The surgical site infection is one of the most common complications after orthopedic surgeries, which is associated with significant complications and mortality. The present study aimed to determine the prevalence rate of SSI and the associated factors in traumatic patients. METHODS: This cross-sectional study was conducted on 516 patients with hip and knee trauma and femoral fracture who underwent orthopedic surgeries in Shahid Beheshti Hospital in Babol during a five-year period. The demographic and surgical information were collected and then analyzed. FINDINGS: SSI was observed in 88 patients (17.1%). The mean age in the infected and non-infected patients was 43.11±19.08 and 39.22±9.54 years old, respectively (p=0.014). The duration of hospitalization was 17.59±6.23 days in the infected group and 13.08±5.77 days in the non-infected group (p<0.001). Duration of surgery in the infected and non-infected subjects was 2.42±1.62 and 2.11±1.23 hours (p=0.043). The patients underwent general anesthesia were infected more than those underwent spinal anesthesia (23% vs. 12.9%, p=0.003). Emergency surgery was negatively associated with the infection (CI-95%= 0.05-0.85 OR=0/20). Also, patients with diabetes had more infection rate (22.4%) than non-diabetic patients (14.3%) (p=0.021). CONCLUSION: According to results, the prevalence rate of SSI was considerable in this study. Age, durations of hospitalization and surgery, type of anesthesia (general), history of diabetes and smoking were determined as risk factors for SSI. 7233 Pharmacology The Comparison of the Effect of Origanum Vulgar Aqueous Extract and Vitamin C on the Control of Cadmium Chloride Damage in Testicular Tissue in Male Rats Raeeszadeh M Fallah M Salimi naghani E Department of Basic Sciences, Sanandaj Branch, Islamic Azad University, Sanandaj, I.R.Iran 2. Department of Veterinary, Sanandaj Branch, Islamic Azad University, Sanandaj, I.R.Iran 1. Department of Basic Sciences, Sanandaj Branch, Islamic Azad University, Sanandaj, I.R.Iran 1 8 2018 20 8 44 50 19 10 2017 08 08 2018 BACKGROUND AND OBJECTIVE: Cadmium is one of the pollutants in ecosystems. This heavy metal as a toxin affects the reproductive system and causes the destruction of the spermatogenesis process. The aim of this study was to compare the effect of Origanum vulgar aqueous extract and vitamin C on cadmium chloride damage in testicular tissue. METHODS: This experimental study was performed on 30 wistar male rat in four groups of six rats. The control received Cadmium 2 mg/kg of single dose intraperitoneal, T1 group received cadmium with vitamin C 250 mg/kg. T2, T3 and T4 groups received cadmium and aqueous extract of Marjoram at 125, 250 and 500 mg/kg, respectively for 10 days intraperitoneal. At the end of the period, the animals were weighed. Serum antioxidant level and malondialdehyde in testis tissue were measured. In addition, after staining were counted calls in testicular tissue. FINDINGS: The highest concentration of MDA was observed in the control group at 1.4±0.018 and the lowest in the T4 at 93.03±0.30 μmol/ml. The lowest antioxidant capacity in control was 796.41±40.76 and the highest in T4 group was 1198.91±51.45 μmol/ml. There was no statistically significant difference in the concentration of MDA and TCA between T1 and T3 groups (p=0.076). However, the mean of testicular tissue cells (sertoli, spermatogonia, spermatocytes and laydic) in T3 was the highest and lowest mean in control group and the difference was significant (P=0.048). CONCLUSION: According to results of this study, Marjoram aqueous extract in controlling oxidative stress damage in the same dose 250 mg/kg has a better performance than vitamin C. 7335 Physiotherapy The Short-Term Effects of Kinesio Tape on Joint Position Sense, Sense of Force and Postural Control in Patients with Functional Ankle Instability Momeni-lari H Ghasemi M Khademi-kalantari Kh Akbarzadeh-baghban A 1. Student Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, I.R.Iran. Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, I.R.Iran Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, I.R.Iran Proteomics Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, I.R.Iran 1 8 2018 20 8 51 55 21 11 2017 23 07 2018 BACKGROUND AND OBJECTIVE: Functional ankle instability is a common musculoskeletal injury. Patients with impaired proprioception and permanent impairment in postural stability. The aim of this study is to investigate the short-term effect of kinesio tape on joint position sense, proprioception and postural control in patients with functional ankle instability.  METHODS: This quasi-experimental study was performed on 20 non-athlete women aged 18 to 45 years with functional ankle instability. The joint position sense test was performed by Motion Analyzer, sense of force was examined by Load Cell, and balance strength test was done by Force Plate before and after kinesio taping. Kinesio tape was used with a tendon correction technique for the anterior tibialis, peroneus and gastrosoleus muscles.    FINDINGS: The absolute error of the joint position sense (0.98 ± 0.79 degrees), the sense of force (5.43±2.89 n) and postural control (5.73±1.37 ms) decreased to (p<0.001, 2.49±1.49 degrees), (p = 0.004, 10.18±6.09 n) and (p = 0.01, 6.91±1.75 ms), respectively, after using kinesio tape in the affected patients.   CONCLUSION: The results of the study showed that immediately after kinesio taping in patients with functional ankle instability, the absolute error of the joint position sense, the sense of force and postural control decreased and joint proprioception improved. 7512 Medical Physics Investigating the Effect of Dental Implants on Radiotherapy Dose Distribution Using Mont Carlo Approach seif tahmine Seif F Athari M Bayatiyani MR Bagheri S Department of Radiotherapy and Medical Physics, Arak University of Medical Sciences, Arak, I.R.Iran Department of Nuclear Engineering, Science and Research Branch, Islamic Azad University, Tehran, I.R. Department of Nuclear Engineering, Science and Research Branch, Islamic Azad University, Tehran, I.R. Department of Radiotherapy and Medical Physics, Arak University of Medical Sciences, Arak, I.R.Iran 3. Department of Physics, Faculty of Basic Sciences, Arak University, Arak, I.R.Iran 1 8 2018 20 8 56 61 15 01 2018 23 07 2018 BACKGROUND AND OBJECTIVE: Considering the presence of important organs in head and neck area, treatment of tumors which are existing in this area is very important. The existence of dental implants will effect on dose distribution in radiotherapy. The aim of the present research was to study the effect of dimensions and materials dental implants on radiotherapy dose distribution using the Monte Carlo method. METHODS: In this research study a Varian 2100 C/D linear accelerator with energy of 6MV was simulated using the Monte Carlo Code (MCNP). Dental implants with length 1.5 cm and diameter 0.4 cm dimensions and length 1.3 cm and diameter 0.7 cm dimensions made of tantalum, steel stainless 3161, zirconium oxide, titanium alloy, oxide aluminum and polytetrafluoroethylene were added to the simulation program. Then, in order to assess the simulation correctness and accuracy, the results of Percentage Depth Dose and the dose profiles obtained from the simulation were compared with the experimental dosimetry. FINDINGS: Dental implants with larger dimensions increased the dose by a maximum of 5.82%, 5.03%, 4.83%, 4.42%, 3.81%, and 3.54% for each of the six mentioned materials and showed larger changes than the smaller implant, and the tantalum genus produced the greatest heterogeneity over other materials. CONCLUSION: According to the results of this study, the effect of dental implants on dose distribution in cancer patients under radiotherapy depends on its gender and cross section. 7747 Dentistry (pediatrics) The Relationship between Malocclusion and Oral Habits in Children Aged 3–5 Years Old in Kindergartens of Ramsar, Iran Vejdani J Amrollahi N Babaloo M 1. Dental Sciences Research Centre, School of Dentistry, Guilan University of Medical Sciences, Rasht, I.R.Iran Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, I.R.Iran School of Dentistry, Guilan University of Medical Sciences, Rasht, I.R.Iran 1 8 2018 20 8 62 68 07 04 2018 30 07 2018 BACKGROUND AND OBJECTIVE: Oral habits are risk factors for the incidence of malocclusion in deciduous teeth. Investigating the factors associated with malocclusion is essential for the policies of public health. The present study was conducted to determine the prevalence of malocclusion and oral habits in children aged 3 – 5 years old in kindergartens of Ramsar, Iran. METHODS: In this cross-sectional study, 180 children with complete primary dentition and without previous orthodontic treatment were randomly examined in kindergartens of Ramsar. After filling out questionnaires about the oral health of the child by the parents, the intraoral examination was performed using mirror, catheter and periodontal probe in terms of occlusion.  FINDINGS: Malocclusion was observed in 138 children (76.7%), while 80 children (44.4%) had oral habits. There was no significant relationship between total habits and malocclusion. Children with bruxism had a higher incidence of edge to edge overjet, and overbite. There was a significant relationship between bruxism and the condition of overjet and overbite (p < 0.0001). Of 54 children with bruxism, abnormal overjet in 31.5% of them was edge to edge, in 20.4% of them was increased and in 1.9% of them was reverse, and abnormal overbite in 35.2% of them was edge to edge and in 27.8% of them was deep. There was a significant relationship between finger-sucking habit and open bite dental occlusion (p < 0.004) and of 16 children with finger-sucking habit, 37.5% were open bite.       CONCLUSION: The results of this study showed that there is no relationship between total oral habits and malocclusion in children.   7491 Infectious Diseases Symptoms and complications of Herpes Zoster Ophthalmicus in Patients Admitted to Ayatollah Rouhani Hospital in Babol Ghasemi M Baziboron M Bayani M Rozbeh F Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran Department of Infectious Diseases and Tropical Medicine, Islamic Azad University, Sari Branch, Sari, I.R.Iran 1 8 2018 20 8 69 73 09 01 2018 22 07 2018 BACKGROUND AND OBJECTIVE: Since in patients with herpes zoster ophthalmicus (HZO), intraocular involvement is common and sometimes leads to eye-threatening complications, the aim of this study was to determine the symptoms and complications of herpes zoster ophthalmicus in patients. METHODS: This cross-sectional study was performed through convenience sampling among 26 patients with herpes zoster ophthalmicus admitted to Ayatollah Rouhani Hospital in Babol during 2009-2016. Variables such as age, gender, involved eye, associated disease, and associated symptoms were evaluated in patients diagnosed with herpes zoster ophthalmicus. FINDING: The mean age of the patients was 61.6±16.3 years. Half of patients (50%) were male and the left eye was involved in 15 cases (57.7%). Hypertension was observed in 11 cases (42.3%) and diabetes was observed in 9 cases (34.6%). Pain was observed in 23 cases (88.5%), and erythema and skin lesions were the most commonly observed symptoms in the patients, each with a frequency of 15 (57.7%). Six patients (23.1%) were normal in the ophthalmologic examination and complications were observed in 20 cases (76.9%). CONCLUSION: The results of this study showed that pain is the most common symptom of herpes zoster ophthalmicus and eye involvement is associated with complications in most cases.