Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 53 4 2015 04 15 199 203 EN Katayoun Ziari Department of Pathology, Be'sat Hospital, AJA University of Medical Sciences, Tehran, Iran. Ebrahim Soleymani Department of Pathology, Be'sat Hospital, AJA University of Medical Sciences, Tehran, Iran. Kamyab Alizadeh Department of Pathology, Be'sat Hospital, AJA University of Medical Sciences, Tehran, Iran. 2015 10 11 The aim of this study was to determine the prognosis and survival for patients with borderlineovarian tumor (BOT). A retrospective review of 30 patients with serous andmucinous BOT treated at or referred to our institution was performed. Fifteenpatients (50%) had serous, and the others had mucinous BOT. About 86% of allpatients in both groups were in stage I of the disease. The recurrent disease occurredin 7% and 21% of serous and mucinous tumors, respectively. All recurrences,except one in mucinous tumors, were found in advance stage disease. After amean of 37 and 52 months follow-up, the overall survival was 100% and 93%, anddisease-free survival was 93% and 79% for serous and mucinous tumors,respectively. In this series, advanced stage was associated with poorprognosis. However, to obtain more accurate information further studies withnumber of patients and longer follow-up is recommended. https://acta.tums.ac.ir/index.php/acta/article/view/4907 https://acta.tums.ac.ir/index.php/acta/article/download/4907/4397

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 53 4 2015 04 15 204 206 EN Jalal Mehdizadeh Seraj Otorhinolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran. Siamak Mehdizadeh Seraj Otorhinolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran. Hamidreza Zakeri Otorhinolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran. Ziba Bidar Otorhinolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran. Sassan Hashemi Otorhinolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran. Faezeh Mahdavi Parsa Otorhinolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran. Nasrin Yazdani Otorhinolaryngology Research Center, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 11 Olfactory dysfunction is a known complication of diabetes and, despite its importance in the quality of life, is usually neglected due to its gradual progression. In this study, we aim to determine the prevalence and severity of olfactory dysfunction in diabetics and its association with microangiopathic complications of the disease (neuropathy, nephropathy, and retinopathy). Excluding the confounding factors, a case-control study of 60 eligible subjects, divided into a group of 30 diabetic patients and a group of 30 control subjects was performed. We used "absorbent perfumer's paper strips" method to test the olfactory threshold. In our study, 60% of diabetics were found to have some degree of olfactory dysfunction and a significant difference (P<0.01) between the olfactory threshold of the case and control groups was observed. There were no significant associations between the olfactory dysfunction and age, sex, treatment duration and microangiopathic complications. https://acta.tums.ac.ir/index.php/acta/article/view/4906 https://acta.tums.ac.ir/index.php/acta/article/download/4906/4399

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 53 4 2015 04 15 207 213 EN Mahdieh Khadem Haghighian Department of Nutrition, Students' Research Committee, School of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran. Beitollah Alipoor Department of Community Nutrition, Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Aida Malek Mahdavi Department of Nutrition, Students' Research Committee, School of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran. Bina Eftekhar Sadat Department of Physical Medicine and Rehabilitation, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Mohammad Asghari Jafarabadi Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Abdolvahab Moghaddam Department of Physical Medicine and Rehabilitation, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. 2015 10 11 Considering the high prevalence of osteoarthritis (OA) and since until now there has not been any human studies to evaluate the effect of sesame in OA patients, this study was designed to assess the effect of administration of sesame on inflammation and oxidative stress in patients with knee OA. Fifty patients with knee OA were allocated into two groups namely control and sesame group. 25 patients in the control group received 40 g placebo powder per day while 25 patients in the sesame group received 40 g of sesame seed daily during two months of study along with standard medical therapy. Serum total antioxidant capacity, malondialdehyde (MDA), high-sensitivity C-reactive protein (hs-CRP) and interleukin-6 (IL-6) were measured. In the sesame group, a significant decrease in serum MDA and hs-CRP were seen after two months of study (P<0.05). There was no significant difference in post-treatment serum values of MDA, TAC and hs-CRP between two groups (P>0.05). Serum IL-6 decreased significantly in both groups compared with baseline during the two-month study (P<0.05). There was a significant difference in mean serum IL-6 between two groups after treatment (P=0.001). Sesame seed is a natural and safe substance that may have beneficial effects in patients with knee OA, and it may provide new complementary and adjunctive treatment in these patients. https://acta.tums.ac.ir/index.php/acta/article/view/4905 https://acta.tums.ac.ir/index.php/acta/article/download/4905/4400

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 53 4 2015 04 15 214 219 EN Farzin Farahbod Department of Public Administration, Rasht Branch, Islamic Azad University, Guilan, Iran. Mehrdad Goudarzvand Chegini Department of Public Administration, Rasht Branch, Islamic Azad University, Guilan, Iran. Leila Kouchakinejad Eramsadati Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Guilan, Iran. Zahra Mohtasham-Amiri Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Guilan, Iran. 2015 10 11 Social capital is a multi-faceted phenomenon in social sciences that massively affects many social fields. It can be a helpful factor in promoting health. Among the groups with high burnout, nurses have always shown higher levels of burnout. Studies have revealed that social capital can be an important factor affecting burnout. This study aimed to determine the extent of the effect of social capital on burnout in nurses of a trauma referral teaching hospital in Rasht. This was a descriptive correlational study conducted on 214 nurses of a trauma referral teaching hospital. Maslach standard questionnaire and the social capital questionnaire devised by Boyas and colleagues were used. Data were analyzed using descriptive statistics, Pearson correlation coefficient, and linear regression analysis to determine the extent of the effect of social capital on burnout. The study showed an inverse association between social capital and burnout. The intensity of the relationship was -0.451 (P<0.0001). Also, the linear regression model of social capital on burnout variable showed that the regression coefficient of social capital equaled -0.34. The determination coefficient of this regression model indicated that social capital explained 20% of burnout changes. The results showed high burnout in emotional exhaustion dimension and an inverse association between social capital and burnout. Thus, attempts should be made to promote social capital dimensions among nurses. Given the inevitability of job stress in a nursing environment, and managers should plan on improving the working conditions and training techniques to deal with such stress. https://acta.tums.ac.ir/index.php/acta/article/view/4904 https://acta.tums.ac.ir/index.php/acta/article/download/4904/4401

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 53 4 2015 04 15 220 224 EN Mohammad Darvishi Department of Infectious Diseases, AJA University of Medical Sciences, Tehran, Iran. Katayoun Ziari Department of Pathology, Be'sat Hospital, AJA University of Medical Sciences, Tehran, Iran. Hossein Mohebbi Department of Pediatrics Neurology, AJA University of Medical Sciences, Tehran, Iran. Kamyab Alizadeh Department of Pathology, Be'sat Hospital, AJA University of Medical Sciences, Tehran, Iran. 2015 10 11 This study was conducted to evaluate the association between H. pylori infection and Iron deficiency anemia (IDA) among preschool children (age range: 40-75 months) at a tertiary referral hospital in Tehran.In a case-control study, the prevalence of H. pylori seropositivity was compared between 64 children with IDA diagnosis and 70 healthy non-anemic sex- and age-matched controls. Totally, 52 (81.3%) children with IDA and 10 (14.3%) non-anemic controls had a positive antibody level for H. pylori specific IgG and the difference between two groups was statistically significant (P<0.0001). H. pylori infection had a significant high prevalence among preschool patients with IDA. Eradication of H. pylori infection is recommended for patients with refractory IDA. https://acta.tums.ac.ir/index.php/acta/article/view/4903 https://acta.tums.ac.ir/index.php/acta/article/download/4903/4419

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 53 4 2015 04 15 225 230 EN Sadrollah Motamed Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Seyed Mehdi Mousavizadeh Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Feyzollah Niazi Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Houman Khajouei Kermani Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Alireza Saberi Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Hassan Motamed Department of Emergency Medicine, Ahvaz University of Medical Sciences, Ahvaz, Iran. 2015 10 11 The neck is normally a concave and highly mobile structure. Facial and cervical skin is prone to burn scar contracture because of its thin nature. The goal of treatment is to reconstruct this region to achieve a good aesthetic outcome and also normal neck and chin mobilization. This study was conducted to compare the effect of one row of suture and three rows of suture in critical points of the neck to recreate cervicomandibular angle for better contouring of the neck. A cross-sectional study was performed from July 2006 until August 2010. A total of 65 patients underwent lower lateral face and neck burn scar contracture reconstruction. The mean age of participants was 25.5 years old. After designing a local flap, in 31 patients we applied one row of suture. In 34 patients, we used three rows of suture on each side of the neck incorporation with  the recipient bed and the flap dermis or capsule to recreate a natural lower lateral face and neck contour (P<0.001). The standard deviation in hospitalization was 7 ± 2 days for group A and 6 ± 1 days for group B. In a two years follow-up, no blunting of cervicomandibular angle occurred and three rows of suture were superior according to present findings. https://acta.tums.ac.ir/index.php/acta/article/view/4902 https://acta.tums.ac.ir/index.php/acta/article/download/4902/4432

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 53 4 2015 04 15 231 235 EN Farnaz Sohrabvand Department of Infertility, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mohammad Jafari Department of Radiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Mamak Shariat Family Health Institute, Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran. Fedyeh Haghollahi Family Health Institute, Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran. Mandana Lotfi Department of Obstetrics and Gynecology, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 11 According to different geographical conditions, human health in different sub-regions of the world and cultural differences, the male factor infertility has heterogeneous causes in the world. This study was performed in an attempt to clarify the associated factors which might play a role in this respect in a group of Iranian infertile men. This study was a cross - sectional, descriptive and retrospective study. The information was obtained from the men who had attended the clinic from March 2004-2006. The factors which were studied in this research are the demographic characteristics, smoking, addiction, alcohol drinking, and exposure to lead, cimetidine and history of surgery. In 23.7 % of couples the cause of infertility was pure male factor and in 19.3 % of them the problem was related to male and female factor both. The most important associated factors for male factor included smoking (29%) and history of varicocele operation (22%). Since the quality of individual and social life is related to fertility state, it seems that more comprehensive studies on factors affecting male fertility at the community level are justified and recommended. https://acta.tums.ac.ir/index.php/acta/article/view/4901 https://acta.tums.ac.ir/index.php/acta/article/downlotases were evaluated. The 5 -year survival probability of patients was 28 %, and median survival time was 25.69 months. Univariate tests showed that sex, cancer site, and pathologic type have no significant effects on patient’s survival. But the probability of 5-year survival significantly decreases with increasing age, and as it is expected, those with metastases were significantly less likely to have 5-year survival, and disease stage was significantly effective on patients’ life (P<0.001). Simultaneous evaluation of different variables’ effects on the probability of survival using the multiple Cox proportional hazards models showed that age and stage disease variables were effective on the survival of patients. The 5-year survival of patients with gastric cancer is low in Iran, although it is improved compared to the past. It seems that one of the main reasons for low survival rate of these patients is a late referral of patients for diagnosis and treatment. Most patients refer in the final stages of the disease, at this stage most patients are affected by lymph nodes metastases, liver and as the result, their treatment will be more difficult. https://acta.tums.ac.ir/index.php/acta/article/view/5115 https://acta.tums.ac.ir/index.php/acta/article/download/5115/4752

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 54 2 2016 03 12 119 123 EN Singh Brijendra Department of Anatomy, Jodhpur Medical College, India. Gupta Renu Department of Anatomy, Jodhpur Medical College, India. Agrawal Dushyant Department of Anatomy, Jodhpur Medical College, India. Garg Rajneesh Department of Orthopeadics, Jodhpur Medical College, Hamdard Institute of Medical Sciences & Research New Delhi, India. Katri Sunil Saraswati Hospital, Jodhpur, Rajiv Gandhi Super Speciality Hospital Tahirpur, New Delhi, India. 2016 03 09 Various dermatoglyphic parameters like finger print pattern, atd angle, absolute ridge count & ab, bc ,cd, and ad ridge counts were observed in 150 cases of congenital cardiac disease, comprising of 72 cases of Ventricular Septal Defects (VSD), 60 cases of Atrial Septal Defects (ASD), 9 cases of Coarctation of Aorta (COA) & 9 cases of Tetralogy of Fallot’s (TOF). Same dermatoglyphic parameters were also studied in 300 controls and statistical comparison of cases and controls was done. In our study it was observed that the congenital cardiac disease cases exhibited preponderance of whorls (55.8%) with decrease in loop pattern (36.2%) as compared to those of controls and the difference was highly significant (P<0.001). The difference in the mean total finger ridge count (TFRC) of the controls and of the cases of Congenital Cardiac Diseases (CCD) was found to be highly significant (P<0.001), while the  mean atd angle in the cases of Congenital Cardiac Disease (CCD) was widen up and was statistically significant too. The mean ab, the mean bc ridge, the mean cd ridge and the mean ad ridge counts were also higher in the various type of CCD as compared to that controls and on statistical comparison, the difference was found to be highly significant. https://acta.tums.ac.ir/index.php/acta/article/view/5497 https://acta.tums.ac.ir/index.php/acta/article/download/5497/4753

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 54 2 2016 03 12 124 133 EN Amin Torabipour Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. AND Department of Health Economics & Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Mohammad Arab Department of Health Economics & Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Hojjat Zeraati Department of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Arash Rashidian Department of Health Economics & Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Ali Akbari Sari Department of Health Economics & Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Mahmuod Reza Sarzaiem Department of Cardiac Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 2016 03 09 Length of hospital stay (LOS) is a key indicator for hospital management. Reducing hospital stay is a priority for all health systems. We aimed to determine the length of hospital stay following Coronary Artery Bypass Surgery (CABG) based on its clinical and non-clinical factors. A cross-sectional study of 649 consecutive patients who underwent coronary artery bypass graft surgery was conducted in Imam Khomeini and Shariati university hospitals, Tehran, Iran. Data was analyzed by using non-parametric univariate tests and multiple linier regression models. Thirty seven independent variables including pre-operative, intra-operative and post-operative variables were analyzed. Finally, an appropriate model was constructed based on the associated factors. The results showed that 70.3% of the patients were male, and the mean age of the patients was 59.3 ± 10.4 years. The Mean (±SD) and median of the LOS were 11.7 ± 7.1 and 9 days, respectively. Of 37 investigated variables, 24 qualitative and quantitative variables were significantly associated with length of stay (p<0.05). Multiple linear regression analysis showed that independent variables including age, medical insurance type, body mass index, and prior myocardial infarction; admission day, admission season, Cross-clamp time, pump usage, admission type, the number of laboratory tests and the number of specialty consultation had more effect on the hospital stay. We concluded that some significant factors influencing hospital stay after CABG were predictable and modifiable by hospital managers and decision makers to manage hospital beds. https://acta.tums.ac.ir/index.php/acta/article/view/5498 https://acta.tums.ac.ir/index.php/acta/article/download/5498/4754

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 54 2 2016 03 12 134 139 EN Seyedeh Hajar Shahrami Department of Obstetrics and Gynecology, Reproductive Health Research Center, Guilan University of Medical Sciences, Iran. Zahra Abbasi Ranjbar Department of Endocrinology and Metabolism, Reproductive Health Research Center, Guilan University of Medical Sciences, Iran Forozan Milani Department of Obstetrics and Gynecology, Reproductive Health Research Center, Guilan University of Medical Sciences, Iran. Ehsan Kezem-Nejad Department of Statistically, Guilan University of Medical Sciences, Iran. Afagh Hassanzadeh Rad Pediatric Growth Disorders Research Center, Guilan University of Medical Sciences, Iran. Seyedeh Fatemeh Dalil Heirat Reproductive Health Research Center, Guilan University of Medical Sciences, Iran. 2016 03 09 Critical issue regarding to variation of findings based on different phenotypes led investigators to define whether they are distinct features or overlapping ones. Therefore, we aimed to investigate the association between diverse phenotypes of PCOS (Poly Cystic Ovary Syndrome) with clinical manifestations, anthropometric indices, and metabolic characteristics. This was a descriptive cross-sectional study conducted in 15-39 years old women with PCOS referred to infertility clinics in the north part of Iran, Rasht during 2010-2011. Data were gathered through an interview by a form consisted of demographic characteristics, laboratory findings, ovarian volume and anthropometric indices. A total of 214 patients consisted of 161 PCOS (cases) and 53 normal women (controls) participated in this study. The most prevalent phenotype in PCOS population was IM/PCO/HA (54%), followed by IM/HA (28%) and IM/PCO (13%). PCO/HA was present only in 6 PCOS patients (5%). PCOS patients were significantly younger than controls (P=0.07). Results showed that increased ovarian volume were higher in PCOS group in comparison with controls and IM/PCO/HA, and IM/PCO had respectively the largest ovarian volumes. Also, a significant relation was observed based on Cholesterol, 17OHP, LH, TG, 2hpp, and LH/FSH between patients with PCOS and control groups. There were significant differences in demographic, anthropometric, hormonal and ultrasound findings between PCOS and controls. Therefore, it seems that classification of the characteristics of each phenotype could offer an appropriate guide for screening risks of PCOS and may facilitate performing most favorable treatment for these complications. https://acta.tums.ac.ir/index.php/acta/article/view/5499 https://acta.tums.ac.ir/index.php/acta/article/download/5499/4755

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 54 2 2016 03 12 140 145 EN Simin Mahdikhani Pharmaceutical Care Center (Related to Food and Drug Department), Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran. AND Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran. Fatemeh Dabaghzadeh Pharmaceutical Care Center (Related to Food and Drug Department), Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran. AND Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran. 2016 03 09 This study was performed to assess the incidence of medication errors and irrational use of human albumin in two wards of our hospital and also aimed to evaluate the ability of pharmaceutical care center and pharmacists in improving patient care. Albumin administration was evaluated for patients who received albumin during the study period, in gastroenterology and general surgery wards. The indications for Albumin administration were evaluated on the basis of reliable guidelines. The pr