[Investigation of effect of exercises on overweight adolescents via protein-protein interaction network study]

Introduction: With increasing weight, the risk of developing various heart diseases increases. Although exercise is effective in controlling obesity, and the molecular mechanism of this effect is not well known. This study aims to identify, rank and analyse changes in the expression of key proteins in overweight individuals after aerobic exercise training

Materials and Methods: Transformed proteins expressed in skeletal muscle of overweight adolescents were analyzed in a protein-protein interaction network, using Cytoscape software. Key elements of the interactome and the biological processes associated with protein clusters were identified and analyzed

Results: Seven key genes and two important gene clusters related to the network were introduced. The elements of the first cluster were related to 30 important biological processes that control sugar and nucleotide metabolism. The NAD metabolic process was introduced as the most important biological process

Conclusion: Expression of seven key genes with various impacts is altered in overweight adolescents. The PKM gene, as the key gene, plays an important role in the activation of pyruvate. PGK1 was identified and introduced via the network analysis. Considering the importance of each of the seven genes identified and the related processes

Molecular characterization and phylogenetic analysis of bovine viral diarrhea virus in dairy herds of Fars province, Iran

Bovine viral diarrhea virus [BVDV] is one of the most important viral pathogens of cattle worldwide. The aim of present study was to determine the molecular characterization and phylogenetic analysis of BVDV infection in dairy herds of Fars province, Iran. For initial screening, a total of 400 blood samples were collected from 12 industrial dairy herds with previous history of diarrhea, abortion or birth of weak calves and analyzed using reverse transcription-polymerase chain reaction [RT-PCR] on buffy coat. In the next step, blood samples and also ear notch biopsies were collected from 100 cattle of infected farms three weeks later which were subsequently tested by antigen capture ELISA [ACE], RT-PCR and immunohistochemistry [IHC]. The results of nested RT-PCR were successful in 16 out of 400 buffy coat samples [4%] in the initial screening. Also, 8 out of 100 samples [8%] were positive by all practiced tests including RT-PCR, ACE and IHC on buffy coat, serum and skin samples, respectively. Immunoreactivity for bovine BVDV antigen as brown, coarsely to finely granular was observed within the cytoplasm of epidermic epithelial cells, hair follicles and subcutaneous stromal cells. Genetic sequence analyses showed both genotypes, BVDV-1 and BVDV-2. The new isolates were identified as BVDV1-FarsA, BVDV1-FarsB and BVDV2-FarsA in the phylogenetic tree. Since both genotypes of the virus are present in the region, our findings emphasize the importance of monitoring BVDV infection in cattle and suggest detection and elimination of PI animals for controlling and eradication of BVDV in Fars province

[ serological survey on strangles disease in horses of some areas in Khuzestan province by ELISA]

Background: strangles is caused by Streptococcus equi subspecies equi. The bacteria typically infect the upper respiratory system and lymph nodes of the head and neck in equidae

Objectives: the aim of this study was to evaluate the prevalence of strangles and association of this infection with host age and geographical determinants in horses in Khuzestan province

Methods: serum samples from 184 horses were randomly collected in Ahvaz, Shoushtar, Baghmalek, Shoush, Abadan, Ramhormoz and Dezfool cities and were examined by ELISA assay. Also, 85 swab samples were randomly taken from nasal swab of horse and evaluated for Streptococcus equi subspecies equi by bacterial culture

Results: seroprevalence rate of strangle was 37.5% [95% CI: 30.5-44.5%]. Logistic regression mshowed that the odds of infection between the age based on year and disease was 1.1 [95% mCI: 1.04-1.17] [p<0.001], and with increase of 1 year-old, odds of infection increase 10%. Relative frequency of infection in male and female horses was 32.73 and 39.53%, respectively [p>0.05] and odds of infection in female compared with male horses was 1.34 [95% CI: 0.69-2.61]. Prevalence rate in horses with and without history of respiratory disease was 94.1% and 31.74%, respectively [p<0.001]. The odds of infection in horses with history of respiratory disease compared with healthy horses was 34.42 [95%CI: 4.45-266.37]. Prevalence rate in Ahvaz, Shoushtar, Baghmalek, Shoush, Abadan, Ramhormoz and Dezfool was 33.3%, 34.62%, 5.26%, 69.23%, 13.04, 22.22% and 75%, respectively [p<0.001]. Geographical location explained 29.6% of infection's fluctuations. No isolate of Streptococcus equi subsp. equi was obtained in culture of nasal swab samples

Conclusions: this study determined that seroprevalence of strangles should be deleted in khuzestan province is high and Prevention and control measurements should be considered by health authorities

[Mesenchymal stem cells proliferation exposed to hypoxia]

Background and Objective: Some problems such as low viability and apoptosis after injection to the body because of exposure to toxic factors such as hypoxia, thermal stress, oxidative stress and food deprivation are encountered with stem cell application. It is suggested that preconditioning of the cells with cytotoxic factors before injection could enhance their efficiency. This study was done to determine the mesenchymal stem cell proliferation exposed to hypoxia by cobalt chloride

Methods: In this experimental study, Mesenchymal stem cells were isolated from rat bone marrow and cultured at least for four times. The cells were cultured in 96 well plates and treated with different concentration [0, 5, 10, 20, 50, 70, 90, 100, 120, 150 and 200 microM] of cobalt chloride for 6, 12, 24 and 46 hours. Cell proliferation was detected by MTT assay [3-[4,5-Dimethylthiazol-2-Yl]-2,5- Diphenyltetrazolium Bromide]

Results: The cells isolated from bone marrow were propagated easily in culture condition. The cells morphology was not altered after exposure to cobalt chloride. Preconditioning of mesenchymal stem cells with 120 microM for 6 hours, 20 microM for 12 and 24 hours and 5 microM for 48 hours significantly improved cell proliferation after hypoxia in cell culture [P<0.05]

Conclusion: Hypoxia preconditioning increases proliferation of mesenchymal stem cell

[Annual variation of sex steroid hormones in female Barbus sharpeyi]

Barbus sharpeyi [Cyprinidae], locally known as benny is one of the most economically and nutritionally valuable fish species of Khuzestan Rivers. Due to the problems of artificial breeding of benny and different responses to induced spawning in different weight, acquiring knowledge of benny reproductive biology and determining the seasonal sex steroid hormones seem necessary. In this study, season samples of Barbus sharpeyi were examined during 4 seasons of 1390 [10 samples each season] in Center for Native Fishes in Khuzestan of Iran. A serum was separated from the blood samples and used for measurement of steroid hormones [T, p, E2] by ELISA method. The results indicated that highest level of steroid hormones was in winter as the levels of T, P, E2 were 20.16 +/- 0.738, 3.70 +/- 0.788 [ng/mL] and 2025.8 +/- 93.56 [pg/mL] respectively. According to the results of this research, it seems that the period of spawning in benny fish is in middle winter synchronize with ovarian development and the aquaculture procedure of this species could be performed in the above mentioned periods

The effect of the extracts of Echinacea purpurea and Sambucus nigra [black elderberry] on virus shedding in H9N2 avian influenza infected chickens

Previous studies have shown antiviral effect of Echinaceaandelderberry preparations against human influenza viruses in vitro. To investigate the in vivo antiviral effect of these herbs on avian H9N2 influenza virus, amantadine and two st and ardized commercial extracts of Echinacea purpurea [EF] and Sambucus nigra [SAM] were used in broiler chickens infected with H9N2 strain of the virus. EF, SAM and amantadine were added to drinking water of chickens in different groups for 7 days starting 8 h after intranasal inoculation of the challenged virus and in prophylaxis group of EF for 10 days starting 5 days before the challenge time. During post infection [PI] days, titer of the virus in tracheal mucosaandfaeces were quantified using quantitative real-time PCR. The untreated challenged group showed the highest faecal and tracheal titer of the virus on day 3 PI. The virus was not detected in negative control group during the course of the experiment. Prophylaxis administration of EF considerably reduced the faecal titer of the virus in all days PI. Although overall titer of the virus in the tracheal samples was low, treatment with amantadine and SAM apparently reduced quantity of tracheal positive samples in comparison to untreated and EF-treated groups. This study indicates that using Echinaceaandelderberry extracts in chicken can reduce H9N2 virus shedding from tracheaandfaeces. Key words: Echinacea purpurea, Sambucus nigra, H9N2 avian influenza virus, Chicken, quantitative real-time PCR

[ effect of agriculture activity on quality of life in chronic schizophrenic patients]

Introduction: Schizophrenia is a chronic and debilitating psychiatric disorder with pharmacologic and non-pharmacologic treatment. The present study aimed to determine the effect of agriculture activity on quality of life in chronic schizophrenic patients

Method: This survey was a quasi- experimental study in which 52 eligible patients with chronic schizophrenia were assigned randomly in intervention and control groups [n=26]. The study was conducted in Sina psychiatry Hospital. The intervention period was three months. The patients in control group received routine treatment. The patients in intervention group were participated in agricultural activity in addition to routine treatment. The demographic questionnaire and schizophrenia quality of life scale were completed at the beginning and the end of the study. The research data were analyzed by descriptive statistical indexes including mean, standard deviation and inferential statistical methods like Student t-test and Chi square

Results: The study groups were homogeneous in demographic variables and quality of life scores at the baseline. At the end of study, the agriculture activity group showed significant improvement by mean of quality of life [P<0.001], but there was no significant change in control group [P>0.05]

Conclusion: Regarding to the impact of agricultural activity on improving quality of life in patients with schizophrenia, it seems that this treatment method can be used as part of routine treatment for this patients

[Quality zoning of seasonal changes in nitrate and ammonia in drinking water wells of Babol city using GIS system]

Background: Underground water resources constitute an important part of urban water resources. One of the serious challenges in ensuring and promoting community health is gradual increase in nitrate levels of drinking water of communities across the world. The purpose of this study was to investigate the seasonal variation of nitrate and ammonia levels in drinking water wells of Babol city using GIS software, in 2010-11.

Materials and Methods: This cross-sectional analytical study was performed on drinking water wells of Babol city in 2010-11. Sampling was done according to a standard method from 20 drinking water wells, in different seasons; and in final, 80 water samples were analyzed. Nitrate and ammonia concentration of samples was measured using Spectrophotometer DR2000 [Hach company] in 500 and 425 nm, respectively. For qualitative analysis and seasonal fluctuation of nitrate and ammonia concentration of different areas, Geographic information systems, ArcGIS, was used.

Results: The results showed that the highest amount of nitrate was in summer [23.68 mg/l], and the lowest was in winter [14 mg/l]. While the highest and the lowest amount of ammonia was in spring [0.43 mg/l] and summer [0.06 mg/l], respectively. Also, the results showed that only in well number 5 located in Kate Sofla village, nitrate concentration had increasing trend, and in the remaining wells, nitrate and ammonia concentration, had an increasing and a decreasing trend, respectively.

Conclusion: The results indicate that nitrate and ammonia levels in all samples were lower than the WHO recommendations. To avoid increasing in the ammonia and nitrate concentrations in the underground waters, ongoing training to farmers on the proper use of chemical fertilizers, as well as the construction and operation of wastewater collection systems are recommended.

[Comparison of the side effects of blood transfusion between pre-storage filtration and post-storage filtration methods in thalassemia patients]

Application of WBC-reduced blood products can decrease side effects related to white blood cells transfer, such as febrile reactions, CMV infection and .. Advances in biotechnology have led to production and development of filters that are capable of reducing WBC; hence, diminishing these side effects. The aim of this study was to determine and compare side effects of blood transfusion between pre-storage filtration and post-storage filtration methods in thalassemia patients. This study was a randomized clinical trial with crossover design and included adult thalassemia patients referring to hospital from 1388 to 1389 and receiving alternately red blood cell concentrates by using pre-storage and post-storage filtration methods. Side effects of blood transfusion including hypotension, fever, hemoglobin drop and blood transfusion rate were recorded and compared between the two methods. Data were introduced in to SPSS software and analyzed by paired t-test, X[2], t-test and P>0.05 was considered significant. Comparison of the incidences of hypotension, FNHTR, allergic reactions and hemoglobin drop between pre-storage and post-storage filtration methods showed no significant differences. A significant difference was observed in the transfusion rates between the two methods which indicated a lower transfusion rate in the pre-storage method [p<0.001]. Pre-storage filtration method is not superior to post-storage filtration method for blood transfusion in thalassemia patients.

[Effect of using designed program based on [expectancy theory] by head nurses on nurses' job satisfaction]

Introduction: One of the nursing challenges is nurses' motivation and job satisfaction. Applying motivational theories by nurse managers might be an effective strategy

The aim of this study was to determine the effect of using designed program based on [Expectancy Theory] by head nurses on nurses' job satisfaction

Materials and Methods: This study was a quasi-experimental study that was done in two hospitals in Zanjan providence. Data were gathered by [Nurses' Job Satisfaction Questionnaire]

In this study, internal consistency reliability [Cronbach's alpha] of the questionnaire was measured [alpha=0.9]. Method of sampling was census and nurses were selected in the case group [n=20] and nurses in the control group [n 19]

They were matched in two groups. The applied program was based on [Expectancy Theory] that implemented in case group for 6 months. Data were analysed by Mann-Whitney, Wilcoxon Chi-Square and SPSS/16 used

Findings: The nurses in two groups were matched [P>0.05]

Job satisfaction before and after in two groups did not different significantly, it showed by using Wilcoxon test [P>0.05]

But findings showed that nurses' job satisfaction in case group increased 7%

Conclusion: The program based on "Expectancy Motivational Theory" had clearly implementation steps for applying this theory that it would be practical guide for nurse managers. Use of this theory for improving nurses' job satisfaction is suggested

[Determination of furanic compounds from coffee powders in Tehran market using liquid phase microextraction followed by gas chromatography-mass spectrometry]

Furan was classified as "possibly carcinogenic to humans" by the International Agency for Research on Cancer in 1995. The joint FAO/WHO Committee set the maximum permissible furan at 2 mcg/kg body weight/day in 2010. The furan content of coffee is high as compared to other processed foods. Considering the increasing trend of coffee consumption in Iran, this study was initiated to determine the furan content of different kinds of coffee powder available in Tehran Market by headspace liquid-phase microextraction coupled with gas chromatography mass spectrometry [HS-LPMEGC-MS]. The e CCD mployed included 32 treatments at 5 levels for 4 factors with 8 replicates of center point. The furanic compounds from 66 different coffee samples were extracted by HSLPME atoptimal extraction conditions [salt 0 gram, stirrer rate 700 rpm, extraction temperature 45°C, and extraction time 15 min]. The effect of coffee brewing and coffee mix preparation on furanic compound content of coffee was also determined. The proposed method was validated by determining linearity, repeatability, recovery, enrichment factor, LOD, and LOQ. Determination of furan in coffee samples showed that there were significant differences [p<0.05] in furan concentration of different coffees [prepared by different methods] and that preparation method was the most important factor influencing the furan content of coffee. The coffee brewing and preparation of instant coffee and coffee mixes reduced furanic compounds concentration except furfural. The lowest and highest concentrations of furan in commercial coffee products were10 and 6320 ppb, respectively. In the present work, a simple, fast micro-extraction method [HS-LPME] for extraction and pre-concentration of furanic compounds in coffee samples was developed and validated. The advantages of this method are reduced solvent use, low-cost equipment use, simple experimental setup, acceptable precision and accuracy, a high enrichment factor, and no matrix interference. Differences detected in the furanic compound contents in the coffee samples are due to different green coffee bean species, coffee production process [roasting condition [time and temperature], time of degassing, and grade of grinding process]. Brewing coffee in open systems can result in decreases in the content of these compounds to an acceptable level

[Effectiveness of individual dialectical behavior therapy skills training on major depression]

All over the world, depression is a serious and debilitating public health problem with high prevalence. Medications significantly reduce the depressive symptoms and mortality. However, psychosocial interventions increase efficacy of medication. This study aimed to study the effects of dialectical behavior therapy skills on depressive symptoms and suicidal ideation in depressed patients. Our study design was a quasi-experimental and participants were selected based on volunteer sampling. 18 depressed inpatients were assigned in experimental [n=9] and wait-list control [n=9] groups. Patients were assessed by Beck Depression Inventory [BDI] and Reasons for Living [RFL] Scale before and after training. Dialectical behavior therapy skills training were performed individual weekly format and lasted for over 6 month and 20 sessions. Results of ANCOVA showed that skills training were effective in reducing depressive symptoms. Experimental group had a statistical significance in depression [P=0.001] and suicidal ideation [P=0.008] scores. Augmentation of medication with dialectical behavior therapy improves effectiveness of treatment of depressive symptoms and suicidal ideation. Experimental group was superior to control group in reducing symptoms. These skills can be used for the depressed inpatients

[ study of educational needs of medical records staff of hospitals in Khuzestan province [2011]]

In recent years, There has been a change from paper to electronic medical records with more attention to the contents of health data resulting in the development of new opportunities and concurrently new educational needs for medical records professionals. The aim of the present study was to assess the educational needs of medical records staff. The population of this descriptive study consisted of all the medical records staff in 52 hospitals of Khuzestan province. Job and education relatedness were considered as the inclusion criteria for participation in the study. Data, having been gathered by a questionnaire, were analyzed through descriptive statistics. It was generally found that literacy in the areas of computer and information technology were considered as the most significant educational needs by the staff [70.4%] while literacy in the areas of safety and occupational health were regarded as the least significant needs [50%]. Regarding needs differences of the staff with different academic degrees, the highest needs of the holders of associate, bachelor, and master degrees were the skills in the implementation of health statistical activities [78%], use of computer and information technology [74%], and the implementation of health statistical activities in medical records [72%], respectively. It can be concluded that, along with the development of computerized health information systems, the enhancement of computer and information technology literacy of medical records staff are the needs to be met by authorities

Fluoride concentration in potable groundwater in rural areas of Khaf city, Razavi Khorasan province, northeastern Iran

Long-term exposure to high concentrations of fluoride is associated with several adverse effects on human including dental and skeletal fluorosis. We studied all the groundwater wells located in rural areas of Khaf city, Razavi Province, northeastern Iran between 2009 and 2010. Fluoride concentration of water samples was measured by SPADNS method. We found that in rural areas the fluoride concentration ranged from 0.11 to 3.59 ppm-the level was less than the permissible limit in 31% of studied samples, higher than the permissible limit in 4% of the samples, and within the optimum limit of 1 to 1.5 ppm in 65% of water samples

[Effect of incubation temperature and inoculation ratio of starter culture on propionic acid production in dairy beverage fermented with propionibacterium]

Increasing trends of overweight and obesity prevalence have prompted food producers to develop products that can enhance satiety signals. The role of short-chain fatty acids as satiety-inducing triggers seems to be of interest in this regard. The objective of this research was to investigate the impact of two process variables, namely, incubation temperature and inoculation ratio of starter bacteria, on propionic acid production in the fermented dairy beverages containing Propionibacterium immediately after fermentation and during cold storage. Fermented dairy beverage [FDB] samples were prepared using mixed cultures of Lactobacillus acidophilus and Propionibacterium freudenreichii ssp. shermanii at a ratio of 1:2, 1:4 and 1:8, repectively, at incubation temperatures of 30, 35 and 40°C, until the pH reached 4.0 +/- 0.1. Propionic, lactic and acetic acid contents of the samples were measured immediately after fermentation using HPLC. The FBD samples were refrigerated for 28 days and the concentrations of the acids in the samples with the highest propionic acid content were measured. Sensory evaluation of the samples produced was made by 11 trained panelists using the hedonic scale. The maximum propionic acid content [w/w%] was observed in a mixed culture of L. acidophilus and P. freudenreichii ssp. shermanii at a ratio of 1:4 and an incubation temperature of 30 °C. It increased from 0.75 at day 0 to 1.2 at day 28 during storage at 4°C. The incubation temperature had a statistically significant inverse effect [P<0.05] on the propionic acid production in the fermented dairy beverages

An experimental study on broiler chicken co-infected with the specimens containing avian influenza [H9 subtype] and infectious bronchitis [4/91 strain] viruses

This experimental study was carried out to induce a co-infection of H9 AIV and IBV with inoculums prepared from tracheal scrubbed epithelium tissues in natural co-infected birds to rule out the effect of field undesired environmental conditions and also other infectious causative agents. Eighty 1-day-old broilers were randomly divided into four equal groups. At 21 days of age, three test groups were inoculated intranasally with prepared inoculums containing IBV and H9 AIV alone and a co-infected group

The fourth group remained uninfected as a control group

The results showed that experimental co-infection of AIV and IBV increased the severity of clinical signs, mortality rate and gross lesions

The HI titer against AIV infection in the co-infected group was significantly higher than the HI titer of other groups, which may indicate that IBV could promote the propagation of H9N2 AIV or stimulate the immune response?

[Effect of Diclofenac suppository on postoperative shivering in cesarean section]

Background: Postoperative shivering is a complication of general anesthesia. Shivering increases cardiac output, oxygen demand, and postoperative surgical incision's pain

Objective: The aim of this study was to evaluate the effect of Diclofenac Na suppository on postoperative shivering

Methods: This was a case-control study performed on 140 women who were divided into two equal groups of 70 members each and marked as case and control groups. The case group received diclofenac Na supp 100mg, ten minute before the induction of anesthesia whereas the control group was given no such medication. Axillary temperature was measured before the induction and 1 hr after the extubation. Data were analyzed by SPSS and chi-square test

Findings: The incidence of shivering in case and control groups were [27.1%] and [48.1%], respectively. There was a significant difference between two groups [P=0.014]. The mean temperature changes in case and control groups were [-0.18[degree]C +/- 0.02[degree]C] and [-0.29[degree]C +/- 0.029[degree]C], respectively. The difference between two groups was found to be significant, statistically [P=0.004]

Conclusion: Our findings showed that diclofenac Na supp has the potential to effectively decrease the postoperative shivering while maintaining the body temperature more stable

Effectiveness of two H9N2 low pathogenic avian influenza conventional inactivated oil emulsion vaccines on H9N2 viral replication and shedding in broiler chickens

The objective of this study was to compare the effect of two conventional H9N2 avian influenza [AI] vaccines on replication and shedding of the H9N2 AI virus in broiler chickens. These inactivated oil emulsion vaccines contain either a UAE or an Iranian H9N2 AI isolate. One hundred and fifty one-day-old commercial broiler chickens were randomly divided into six groups. The birds, except for the control group [group 4], were challenged with a low pathogenic A/Chicken/Iran/SH-110/99[H9N2] virus isolate. Birds in groups 1 and 5 were vaccinated with an Iranian AI vaccine and groups 2 and 6 with an UAE vaccine type. Birds in groups 5 and 6 were also vaccinated with an H120 strain of infectious bronchitis live vaccine. On days 3, 7, 11, and 15 post inoculations [PI] the trachea, lungs, kidneys and faeces were collected for molecular detection and quantitation of the H9N2 AI virus using TaqMan real time PCR assay. The results showed that frequency of virus recovery and viral titration was generally higher for unvaccinated challenged birds [group 3] on all days PI. No virus was detected in the chicks of group 1. The virus was detected in some cases in the tracheas and lungs of chicks in groups 2, 5 and 6. However, there was no statistically significant difference in viral replication in the trachea and lungs between chicks vaccinated with the UAE and Iranian type vaccines. The most frequent detection of the virus was in the kidneys in comparison with the other samples. The viral titer in the kidneys of unvaccinated challenged birds [group 3] on day 3, 7, 11 and 15 PI was higher than those of the same organs in the vaccinated challenged birds [groups 1, 2]. The highest titer of the virus was observed in the faeces of unvaccinated challenged and the chicks vaccinated with the IB and UAE type vaccine [group 6] on day 7 PI. There was a statistically significant difference in viral shedding between groups [1 and 3], [2 and 3] and [5 and 6] [P=0.008]. Infectious bronchitis live vaccine could increase the AI virus propagation and shedding in co-infected groups [groups 5 and 6]. Altogether, both AI H9N2 vaccines could effectively reduce viral replication and shedding in broiler chicken, however, in order to achieve efficient control of the disease, vaccination should be accompanied with other preventive measurements including biosecurity practices

[Application of quality management system criteria for assessing medical records departments in teaching hospitals of Iran university of medical sciences; 2008]

Quality management is an intelligent, steady and continuous procedure with a synergic effect on organization goals resulting in customer satisfaction, increased efficiency and enhanced ability to compete in the market. The procedure is considered as an improvement in traditional methods of business and an established technique which ensures organization survival in today's competitive world. The current study aimed at examining medical records departments in Teaching Hospitals of Iran University of Medical Sciences [IUMS] applying Quality Management System Criteria. It was a descriptive, cross-sectional study. The statistical population included medical records departments of ten IUMS Teaching Hospitals. Data collection was done through interview, observation and five checklists which were in accordance with major criteria of Quality Management System mentioned in ISO 9001- 2000 standard. Descriptive statistics was used for data analysis. The findings showed that resources management with 77% and the measurement of criteria, analysis and process improvement with 47% gained the highest and the lowest scores, respectively. The rates of quality management system, management accountability, and service production were 57%, 56%, and 61%, respectively. The overall average of all criteria applied at Iran University teaching hospitals was 60%. The unacceptable 60% rate of conformity of medical records departments system with the expectations of quality management system can be promoted by adjusting the quality of the functions of these departments with the defined requirements of Quality Management System

[Evaluation of diseases with symptoms similar to chronic sinusitis, Booali hospital, Tehran, 2009-2010]

Chronic sinusitis is a common cause of attending Otorhinolaryngology clinics. Hence in this study diseases with symptoms similar to chronic sinusitis were evaluated in Booali Hospital during 2009 and 2010. In this descriptive-analytical cross-sectional survey, 184 nonrandom patients attending Otorhinolaryngology clinics in Booali Hospital during 2009 and 2010 were evaluated. Patients with underlying diseases and or with previous history of sinus surgery and patients less than 16 years or more than 70 years of age were excluded. For statistical analysis Chi square, t, One way ANOVA, Fisher's exact tests and SPSS V. 11.5 were used. The observed differential diagnoses included: 16.3% allergic rhinitis, 10.9% bacterial rhinitis, 19.6% vasomotor rhinitis, 9.8% medicomentosa rhinitis, 4.3% reflux-induced rhinitis, 15.2% tension headache, 13.6% migraine headache, 2.2% temporomandibular dysfunction, 44.6% nasal anatomical obstruction, 1.1% somatization disorder, and 10.9% olfactory dysfunction. According to the findings, it may be concluded that in patients with symptoms similar to chronic sinusitis, the differential diagnoses especially allergic and non-allergic rhinitis should be mentioned