[Comparative study of therapeutic effects of two medicinal procedures of fluoxetine in premature ejaculation]

Comparative study of therapeutic effects of two medicinal procedures of fluoxetine 3 hours before coitus and each 12 hours, and declining symptoms of SSRI drugs in patients through decreasing dosage and therapeutic procedure in patients refer to 501 hospital and private clinic. The procedure of this study is based on non stochastic clinical test without quasi drug group and a comparison from therapeutic effect and symptoms of two medicinal procedures of fluoxetine 4 hours before coitus and each 12 hours in premature ejaculation treatment in 88 patients refer to 501 hospital and private clinic. Patient were divided into two groups in peradventure manner. In first group, it is prescribed 20mg of fluoxetine daily 4 hours before coitus in 39 patients and 2nd groups group, it is prescribed 20mg of fluoxetine each 12 hours before coitus in 49 patients. Finally it was analyzed data in SPSS software. The average of ejaculation duration in fluoxetine group 4 hours after coitus before treatment was 139.97 Sec. that after 4 weeks of hospitalization reached to 225.25 and p.v: 0.0000 and after 8 weeks to 261.153 Sec. and p.v.:0.0000 and in compare with ejaculation duration between 4th and 8th weeks it gained p.v: 0.003. The average of ejaculation duration in fluoxetine group 12 hours after coitus before treatment was 107.04 Sec. that after 4 weeks of hospitalization reached to 294.08 and p.v: 0.0000 and after 8 weeks to 324.08 Sec. and p.v:0.0000 and in compare with ejaculation duration between 4th and 8th weeks it gained p.v:0.029. In comparing ejaculation duration between 2 groups' fluoxetine 4 hours before coitus [t=225.25] and each 12 hours [t=294.08] in 4th week after treatment it gained p.v:0.03. In comparing ejaculation duration between 2 groups' fluoxetine 4 hours before coitus [t=261.153] and each 12 hours [1=324.08] in 8th week after treatment it gained p.v:0.000. Symptom measure in fluoxetine group 4 hours before coitus 12.8% and symptom measure in fluoxetine group 12 hours before coitus 44.9% and p.v:0.001. In this study, both drug method improved ejaculation duration but in 2nd group it was considerably higher than the 1st one. Also from symptom point of view, symptoms in fluoxetine group each 12 hours was considerably higher than group with 4 hours before coitus

Prevalence of cardiovascular risk factors among military personnel in southern Iran

The incidence of cardiovascular disease [CVD] is rapidly increasing at an alarming rate worldwide and is currently considered as the leading cause of death in both developing and developed countries. The aim of the present study is to determine the prevalence and clear analysis of cardiovascular risk factors among army population and provide a guideline for improving the health status of army personnel. This is a cross-sectional study on the prevalence of cardiovascular risk factors among 341 male subjects from a military population in southern Iran. Each eligible participant was evaluated in the military clinic in Shiraz, Southern Iran. Information regarding demographic and life style were obtained from each subject. Arterial blood pressure, weight, height, body mass index [BMI], waist circumference [WC] and hip circumference [HC], fasting blood glucose, lipid profile consisting of total cholesterol, LDL, HDL and triglyceride were measured by standard methods. Mean age of the population under study was 35.1 +/- 7.5 years. Twenty-nine [8.8%] individuals were hypertensive whereas 108 [32.9%] had blood pressure in the range of pre-hypertension. According to laboratory investigations, 29 [8.5%] participants had glucose intolerance while 6 [1.8%] of them had diabetes mellitus. On the other hand, prevalence of hypertriglyceridemia and hypercholesterolemia were 104 [30.5%] and 114 [33.4%] respectively. Twenty-eight [8.2%] subjects had criteria for metabolic syndrome. Clinical and Para-clinical data indicated that army population in southern Iran had a low level of CVD risk factors that may be related to their life styles

association of elevated serum Alanine aminotransferase with metabolic syndrome in a military population in Southern Iran

Metabolic syndrome [MetS] is rapidly rising at an alarming rate through all parts of the world. Elevated serum aminotransferase was proposed as a marker for early detection of MetS. In this investigation we primarily aimed to evaluate the prevalence of MetS and its components among army and secondly to explore the association between elevated serum aminotransferase and the components of metabolic syndrome. A total of 380 army personnel from a military camp in Southern Iran participated in this cross-sectional study. Life style related characteristics, anthropometric features, serum aminotransferase and components of MetS, based on National Cholesterol Education Program-Adult Treatment Panel III, were measured. Statistical significant was set as p value less than 0.05. The mean age of participants was 35.0 +/- 7.5 year-old and the prevalence of metabolic syndrome was 8.1%. The prevalence of the components of MetS including; central obesity, abnormal fasting blood glucose, hypertension, hypertriglycridemia and low HDL cholesterol level was 8.6%, 10.4%, 18.5%, 31%, and 45.5% respectively. MetS had significant relationship with obesity [P<0.001] and abnormal Waist Circumferance/Hip Circumference ratio [P<0.001]. Twenty-six percent of subjects had ALT >/= 41 U/L and 4.9% of them had ALT >/= 81. Elevated serum aminotransferase had significant association with presence of MetS [P= 0.007]. Although prevalence of metabolic syndrome among the studied army population was not high, life style modification of army members is recommended. Liver function tests should be included in routine health checkup of military personnel

[ review in novel pandemic H1N1 A]

Introduction: after the report of suspicious cases in Mexico City in 17 April 2009, 2 cases of swine origin influenza A were confirmed in U.S.A and was a novel triple re-assortment of H1N1. This virus was transmitted from pigs to humans and has high rate of transmission between humans and distributed on the world in a short time. The phase 6th of pandemic had reported by WHO in 3 months

Materials and Methods: this article is a review study that is provided from searching in Scopus, Medline and Embase data banks and CDC and WHO sites and its information updated before publication

Results: the Swine-origin Influenza A [H1N1] is a triple reassortment of season, birds and swine flu virus. The disease manifestation is like conventional seasonal flu. The best way of disease control is vaccine and appropriate treatment. Fortunately, the disease has a controlled condition in the world. The disease transmission is person to person via infected droplets. The pandemic rapidly happens and has sequential waves. The disease manifestation in humans varies from unmarkable disease to sever pneumonia resulting in hospitalization and maybe death and generally is like season flu but with a different epidemiologic feature. The definite diagnosis is RT-PCR or cell culture from the nose pharynx, nasal, pharyngeal and nasal or tracheal wash samples. The prevention includes observing hygiene points is the most important way of pandemic control. Nowadays, two kinds of novel virus vaccine is available that include flu shot [inactived virus with intra muscular injection in deltoide] and nasal spray [live attenuated virus]. The best treatment is neuraminidase inhibitors [Oseltamivir and Zanamivir] which recommends to hospitalized high risk persons preferably in first 48 hours. Chemo prophylaxis recommends to special cases

Conclusions: the occurrence of novel influenza A, conventional season flu and birds flu in the world, increases the rate of reassortment and puts the society at high risk. There is no appropriate antibodies against novel reassorted viruses in the society so probability of rapid progression of a new disease is high. However, People consciousness and health and cure bases readiness specially in gathering places, dormitories, schools, universities and garrisons is very important