Human urogenital myiasis caused by lucilia sericata [diptera: calliphoridae] and wohlfahrtia magnifica [diptera: sarcophagidae] in Markazi Province of Iran

We report a case of human urogenital myiasis in an 86-year-old rural man with a penil ulcer and numerous alive and motile larvae from urethra and glans penis. Entomological studies on adult flies showed the larvae were Lucilia sericata and Wohlfahrtia magnifica. The clinical presentation and treatment strategies are discussed

Association between magnetic resonance imaging, temporo-mandibular joint scanographic findings and clinical manifestations of joint pain and sounds in temporo-mandibular disorders

Exploring the association between magnetic resonance imaging [MRI], temporomandibular joint [TMJ] scanography and clinical manifestations of joint pain and sounds in patients with temporomandibular [TM] disorder. This study included 62 TM joints with internal derangement. Sagittal scanography and MRI of these TMJs were obtained and reported blindly by the consensus of two radiologists. No significant association was observed between clinical and scanographic findings with MRI. The abnormal range of motion had significant relationship with pain [P=0.017] and sound [P=0.046]. There was a strong association between sound and condylar flattening [P=0.007]. It was demonstrated that joint pain and sounds were predictors of the abnormal range of motion in TMJ scanography. Sound could be heard more often in patients with condylar flattening, and TMJ scanographic findings as well as joint pain and sounds had limited value in the diagnosis of disk position or effusion

Evaluating the effects of prostatan as an adjunct drug in treatment of benign prostatic hyperplasia

Benign Prostatic Hyperplasia [BPH] is the most common benign tumor in men. Due to the side effects of chemical drugs, phytotherapy has become a treatment method in BPH since 1990s. Prostatan is a plant extract widely available hi Iran. In this study, we evaluated the therapeutic effects of Prostatan drop in combination with Prazosin in alleviating BPH symptoms. In a single blind randomized clinical trial, 66 men over 50 years with BPH symptoms who were visited in Vali-e-Asr hospital of Arak were randomly divided in two groups and treated with either Prostatan [40 drop,TDS] plus Prazosin [ling, BD] or Prazosin [Img, BD] alone. AUA symptom score, PSA [prostate-specific antigen] levels, Prostate volume, post voidal residue [PVR] by sonograms and uroflowmetry results were determined before and 12 weeks after treatment. Data was analyzed by T and Man-Whithey u tests. Before treatment there were no significant differences hi age, PSA, PVR, AUA symptom score, Prostate volume and uroflowmetry between the two groups. After treatment the mean of PSA levels, Prostate volume and PVR did not differ between the two groups. In the Prostatan plus Prazosin group, the mean of AUA symptom score was 3.3 less [p<0.0001] and the mean of maximal urine flow rate was 2.7 ml/s more than the Prazosin group [p<0.0001]. Regarding results, it seems that adding Prostatan to Prazosin against Prazosin alone enhances its effects on controlling BPH symptoms and increases urine flow rates

[Comparison of the accuracy of digital and conventional radiography in evaluation of curved canals lengths]

Proper shaping and cleaning of the root canal system is one of the most important aspects of endodontic treatment. To estimate the canal length before instrumentation in endodontic treatment, traditionally, conventional radiographic techniques and recently Direct Digital Radiography [DDR] are applied. The application of computer technology to radiography has allowed less exposure time, image acquisition, manipulation, storage, retrieval, and transmission to remote sites in a digital format, elimination of wet processing and considerable reduction in the time lapse between image acquisition and display. The purpose of this study was to compare the accuracy of DDR versus conventional radiography in estimating endodontic file lengths of curved canals in first mandibular molars. In this test evaluation study, fourty extracted human first mandibular molars with root curvature were selected. Samples were divided into two groups: With root. Samples were mounted in plaster and more than 25 curvature less than 25 blocks and canal lengths were estimated by using DDR and conventional radiographs. Regression analysis and correlation coefficient were used to calculate statistical differences between the groups with P<0.05 as the limit of significance. Conventional radiography was more precise in canals with less than 25 degrees curvature [P=0.160]. While, DDR was more precise for canals with curvature more than 25 degrees [P=0.605]. However, these differences were not statistically significant. The image quality of DDR system has improved to the point that it can now be used for estimating canal lengths, even for curved canals, with accuracy comparable to that of conventional radiography