RESUMEN
Loxoscelism is a medical condition resulting from the envenomation by recluse spiders [Loxosceles spp.], which could lead to necrotic tissue symptoms. The only species of this genus recorded from Iran, Loxosceles rufescens, or the Mediterranean recluse spider, has a cosmopolitan distribution and have already been recorded from numerous parts of Iran, including Bandar Abbas. This study aims to report a case of loxoscelism in Bandar Abbas [southern Iran] for the first time. This report is related to a 46-year-old female patient who referred to infectious ward of Shahid Mohammadi Hospital, with acute necrotic clinical symptom on right flank of her trunk due to the bite of a spider. As Loxosceles rufescens has already been recorded from Hormozgan Province, cases of loxoscelism are likely in this region. Diagnosis and treatment of most of the cases is very difficult, because the spider may not be identified correctly and the clinical symptoms are similar to other diseases; this will result in false differential diagnosis of the disease and consequently, delay in appropriate treatment
RESUMEN
To determine the prevalence and patterns of Complementary and Alternative Medicine [CAM] use in urban population in Isfahan. In a cross-sectional study through two-stage sampling methods, 870 individuals were selected from Isfahan Province, center of Iran. We selected 20 clusters randomly and chose one household from each cluster by chance then 24 households were included consequently. Subsequently a resident of each household aged 18 years or older was selected randomly. We assessed the rate of use, types of alternative medicine, and conditional disease during recent two years. The overall use of at least one method of complementary and alternative medicine was 62.5%. The most common problems were as follows: digestive problem, obesity and hyperlipidemia, as well as anxiety and depression. Herbal medicine and bless therapy were the most common methods that people chose. Regarding to high prevalence of complementary and alternative medicine use, more attention to complementary and alternative medicine is mandate for physicians and health system managers. Health authorities' supervision and training of traditional practitioner is important not only for its economic impact and postponement of seeking treatment, but also for its untoward side-effects either alone or in combination with orthodox medicines
RESUMEN
Specific immunity decrease in pregnancy, but nonspecific does not increase. The decreasing of specific immunity more takes place in primary stage of pregnancy while it will be normal at the end stage. These changes do not clear in nonspecific immunity [such as phagocytosis]. The studies consist of 45 samples [45 pregnant individuals: 15 in first, 15 in second and 15 in third trimester] and 20 control [nonpregnant individuals]. The power of neutrophils in killing of pathogens, producing oxidant materials and light emission measured by a luminometer [chemiluminescence technique]. Opsonised yeast stimulated the neutrophils. Phagocytosis increase in first and second trimester, but does not increased in third trimester [p<0.05]