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Background and Objective: Cryptorchidism or undescending testis is a developmental defect and occurred in 2-4% of male newborns. This study was done to determine the pattern and risk factors of cryptorchidism in Gorgan, northern Iran. Methods: In this cohort study, 2851 male newborns were examined for cryptorchidism at the birth and follow up for one year after birth in Dezyani referral teaching hospital in Gorgan, northern Iran during April 2010 - December 2011. Mother ethnicity, working in farmland, addiction, consanguinity, age, infant maturity and birth weight were recorded for each subject. Results: The rate of cryptorchidism was 18.9 per 1000 live birth. Bilateral and unilateral cryptorchidism was 11.7 and 7.1 per 1000, respectively. The rate of cryptorchidism in preterm newborns (30 per 1000) was significantly higher than the term (20 per 1000) and post term (11.4 per 1000) newborns (P<0.05). The Mean±SD of newborns weight with unilateral cryptorchidism (3024±537grams) was significantly lower than the healthy newborns (3253±489 grams) (P<0.05). The rate of cryptorchidism in Turkmens (10 per 1000 births) was significantly lower than Fars (21 per 1000 births) and Sistani (23 per 1000 births) newborns (P<0.05). One year Follow up of newborns showed that 41 (77.3%) testes were descent to scrotum. Conclusion: Low births weight, prematurity and ethnicity are the main risk factors of cryptorchidism in northern Iran.

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Background and Objective: Overweight, obesity and ethnicity are effective factors on pregnancy complications. This study was conducted to determine the relationship between third tri-mester body mass index (BMI) with maternal and neonatal complications. Methods: This descriptive analytic study was conducted on 551 pregnant women in third tri-mester with Fars, Sistani and Turkman ethnicities in Sayad Shirazi teaching hospital in Gorgan, north of Iran during 2012. BMI calculated at the time of labor admission and the subjects categorized into three groups of normal / underweight, overweight and obese. Results: The mean of maternal age among Fars, Sistani and Turkman ethnic groups were 26.5±5.5, 24.6±5.3 and 26.2±5.2 years, respectively. The mean of gestational age among Fars, Sistani and Turkman ethnic groups were 38.4±2.3, 38.6±2.3 and 37.4±3.2 weeks, respectively. A significant relationship was found between BMI and cesarean section and labor dystocia in Fars and Sistani ethnic groups, respectively (P<0.05), while no relationship was found between BMI and neonatal complications. Conclusion: Overweight and obesity in Fars ethnicity are at risk of cesarean section and those with Sistani ethnicity are at risk of labor dystocia.

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Background and Objective: Attention deficit and hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder in childhood. 20-50% of ADHD affacted children have sleep disorders which can cause cognitive and behavioral disorders. This study was done to determine the sleep problems in children with ADHD. Method: In this case control study, 52 children with ADHD was considered as cases and 52 school age children without ADHD as a control group in Gorgan, northern Iran during 2013. Sleep habits (CSHQ) and DSM-IV questionnaires were filled for each child. Results: Sleep problems were observed in 45 (86.5%) and 36 (69.2%) of children in case and control group, respectively (P<0.05). The mean score of sleep problems in case and control group was 48.25±6.61 and 45.87±6.23, respectively (P<0.05). The score of resistance to sleep, anxious habits of sleep and waking during night in cases were more than controls (P<0.05). Conclusion: Sleep problems in children with ADHD are more frequent than children without ADHD.

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Background and Objective: Obesity presented as the most pivotal public health problem. Motivational interviewing is a client-centered and direct technique to improve intrinsic motivation of people to change behavior using search and resolve ambivalence that its beneficial outcomes have widely been confirmed. This study was carried out to evaluate the effect of motivational interviewing on weight loss in women. Methods: In this randomized clinical trial study, 150 women with overweight and obesity were randomly divided into control, motivational interviewing and motivational interviewing and intention implementation groups. Data were collected through a researcher made questionnaire at baseline and 2 month follow up. Results: The score of protection motivation theory constructs including susceptibility, severity, rewards, self-efficacy, response efficacy and cost were significantly increased in the two intervention groups compared to the control group (P<0.05). Anthropometric characteristics were significantly reduced in the motivational interviewing and motivational interviewing with intention implementation group (P<0.05) in compare to the control group (P<0.05). Conclusion: Motivational interviewing integrated into intention implementation causes weight loss and increase the constructs score in women.

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Background and Objective: Several studies have shown that inhalation of Lavandula angustifolia L. (Lavender) reduces hypertension, while systemic effects and mechanism of action of lavender oil on blood pressure is not clear. This study was carried out to evaluate the effect of intravenous and ntraperitoneal injection of Lavandula angustifolia L. oil on normal blood pressure in male rats. Methods: In this experimental study, 70 male Wistar rats were randomly allocated into 10 groups (n=7). Following anesthetizing the animals with sodium thiopental, femoral artery and vein were cannulated respectively for recording blood pressure and injection of Lavandula angustifolia L. oil. Lavender oil or its vehicle (Propylene glycol) was injected by intravenous (25, 50 and 100 mg/kg/bw) or intraperitoneal injection (500mg/kg/bw). For the evaluation of the mechanism of Lavender oil, L-NAME (4mg/kg/bw), atropine (1mg/kg/bw), indomethacin (5 mg/kg/bw) or saline was injected intraperitoneally before intravenous administration of Lavender angustifolia L. oil. Results: Intravenous injection of Lavender oil of 25 and 50 mg/kg/bw reduced arterial blood pressure in compare to control group (P<0.05) and dose of 50 mg/kg/bw was more effective than dose of 25 mg/kg/bw (P<0.05). 100 mg/kg/bw of Lavender angustifolia L. oil caused serious fall of blood pressure and resulted in animal death. Intraperitoneally injection of Lavender angustifolia L. oil at dose of 500 mg/kg reduced arterial blood pressure that this reduction was longer than intravenously administration of Lavender oil (P<0.05). Intraperitoneal injection of L-NAME, atropine or indomethacin had no significant effect on baseline of blood pressure and hypotensive effect of Lavender angustifolia L. oil. Conclusion: Intravenous injection of Lavandula angustifolia L. oil in doses of 25 and 50 mg/kg/bw reduced arterial blood pressure in rat, but intraperitoneally injection of Lavender oil at dose of 500 mg/kg/bw prolonged the reduction of blood pressure in animals.

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Background and Objective: Avulsion of permanent teeth is a common emergency condition in pediatric dentistry. The prognosis of avulsed teeth depends on the appropriate and efficient approach of unprofessional persons such as the parents and school teachers who are present at the incident site, prior to the professional dental visit. This study was done to evaluate the parental knowledge regarding emergency management of traumatic tooth avulsion in north of Iran.

Methods: This descriptive-analytic study was performed on 264 parents (76.8% mothers and 23.2% fathers) of children aged 6 to 12 years old whom referred to Ayatollah Taleghani Hospital in Gonbad-e-Kavoos a twon in Golestan Provinece, northern Iran during 2015-16. The subjects were interviewed using a questionnaire form with 11 objective questions. The questionnaire included personal information and parental knowledge about traumatic tooth avulsion.

Results: 84.8% of parents had insufficient knowledge. The father`s and mother`s knowledge rate was 13.3% and 16%, respectively. There was no significant association between educational levels, age or gender and knowledge rate.80.8% of subjects did not received education about how to react after traumatic tooth avulsion.

Conclusion: Parental knowledge regarding emergency management of traumatic tooth avulsion is very low. Considering the irreversible consequences of this injury in delayed management, increasing parental knowledge is necessary.

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Lycanthropy is a delusive belief that the affected person or others transform into a wolf or other animals. Lycanthropy has been known for over 2000 years. This paper introduces a 51-year-old married woman who has had symptoms of depressive disorder for the past four years, following forced marriage and has recently been diagnosed with lycanthropic syndrome. The patient was diagnosed with depression along with lycanthropy symptoms (psychotic depression) and was treated with antipsychotics, antidepressants, and individual psychotherapy. Over a 16-weeks follow-up, her lycanthropy was reduced and symptoms of depression improved relatively.

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Background and Objective: Breast cancer is the most common cancer among women and ranks second in terms of mortality rate. This study was conducted in order to determine the personal, clinical, and laboratory characteristics of women with breast lesions referred to the Dr. Beski Hospital in Gonbad-e Kavus, Iran.
Methods: This descriptive-analytical study was conducted on 130 women with breast lesions (benign and malignant) who were operated on in the Dr. Beski Hospital from March 2019 to March 2020. Demographic data (age, family history, and ethnicity) and pathology results (grade, lesion type, surgery type, location, and tumor size) were recorded.
Results: Breast lesions were malignant in 51.53% of the patients. The most common malignant tumor was invasive ductal carcinoma (71.64%), and the most common benign tumor was fibroadenoma (69.84%). Most malignant cases were observed in patients aged 41-50 years (43.28%). Almost half of the studied population (49.15%) had no positive family history, and about a quarter of the patients had at least one first or second-degree relative with breast cancer. Most patients (44.78%) had grade II malignant tumors. In addition, 78.51% of the subjects had not undergone chemotherapy before breast surgery. About half of the patients (49.57%) did not undergo any adjuvant treatment after surgery; however, chemotherapy was the most common type of adjuvant treatment (13.68%) after surgery. Simultaneous chemotherapy and radiotherapy were performed for 24.78% of the patients after surgery. There were statistically significant relationships between age and type of lesion and adjuvant treatments after the operation, and involvement of lymph nodes was observed (P<0.05). There was a statistically significant relationship between age, tumor size, family history, and tumor malignancy (P<0.05). There was a significant correlation between age and tumor malignancy (P=0.02, F (2.48) = 4.19) so the degree of malignancy was higher in younger individuals.
Conclusion: The results of this study showed the young age of developing malignant breast lesions in the study area. Most malignant lesions are invasive ductal carcinoma and grade II. There is a positive relationship between a family history of cancer and the classification of breast tumors.