Comparison of the Effect of Milk and Pistachio Snacks on Anthropometric Indices in Overweight or Obese Women: A Randomized Crossover Trial.

BACKGROUND: Weight management is the key to prevent and treat the adverse consequences of overweight and obesity. The aim of this study was to compare the effect of consuming milk and pistachio snacks on anthropometric indices in overweight or obese women. METHODS: In this randomized crossover trial, 60 overweight or obese women with a mean age of 24 ± 4.2 years were randomly divided into two groups. Women in the milk group received 200 mL/day low-fat milk while women in the other group received 30 g/day pistachio for 4 weeks. After a 6-day washout period, the participants received a similar intervention in a crossover manner. RESULTS: Out of the total 60 participants, 52 completed the study. At the end of the study, the weight of women in the milk group significantly decreased (70.8 ± 8.4 vs. 69.9 ± 8.3, P value = 0.001). No statistically significant changes were observed in the weight of participants in the pistachio group (70.3 ± 8.4 vs. 70.6 ± 8.3, P value = 0.06). Further analyses showed a slightly significant beneficial effect on waist circumference (WC) (P-value =0.068) and body mass index (BMI) in the milk group P value = 0.01). CONCLUSIONS: Based on the observed positive effects of milk intake on weight loss in this crossover study, milk consumption may be considered an appropriate snack in weight loss programs in overweight or obese women.

Physical workload and musculoskeletal disorders in back, shoulders and neck among welders.

This study aimed to determine the effect of the physical workload on the back, neck and shoulders of welders. The prevalence of musculoskeletal symptoms was assessed using the Nordic questionnaire among 15 welders. The physical workload of the neck, back and upper arms was then measured by means of inclinometry as the welders were working. The results revealed that the highest prevalence of musculoskeletal disorders during the previous 12 months was in the lower back and shoulders. The median trunk and neck flexion were significantly associated with back and neck pain in welders with symptoms during the past year (p < 0.05). Physical exposure in welders with pain was characterized by significantly more awkward postures and percentage of time spent with the trunk and neck flexed more than 20°. The nature of their work and the design of their workstations may be causes of the symptoms they experienced during work.

Cross-Cultural Adaptation and Validation of the Vocal Fatigue Index into Persian.

INTRODUCTION: The aim of the present study was the cross-cultural adaptation and validation of the Vocal Fatigue Index (VFI) in Persian. METHODS: The English version of the VFI was translated to Persian using the guidelines of International Quality of Life Assessment. Eighty participants with voice disorders and 50 healthy controls without any voice disorders completed the Persian version of the VFI. The 80 participants with voice disorders completed the VFI a second time a week from the initial completion to evaluate test-retest reliability. RESULTS: The VFI measure demonstrated a strong internal consistency. Cronbach alpha coefficient was 0.95 for tiredness and avoidance of voice use, 0.86 for physical discomfort and 0.83 for improvement or lack thereof of symptoms with voice rest. VFI also showed a high test-retest reliability (r = 0.75-0.89). CONCLUSIONS: The Persian version of the VFI is considered to be a valid and reliable questionnaire for identifying individuals with probable vocal fatigue. The VFI can be utilized in clinics across Iran in the assessment and treatment of individuals with vocal fatigue.

Assessment of low back disorders risk based on allowable weight limits for manual lifting in Iran.

In 2011, load limits for manual lifting were adopted in Iran to protect workers from low back injury without prior testing of accuracy with Iranian workers. This investigation examined how accurate the adopted ACGIH TLVs at the allowable limits predict risk for LBP disorders for a group of Iranian workers using biomechanical criteria. Testing took place in the laboratory with participants completing a series of 2-handed lifting tasks as defined in the Iranian Guideline for Manual Lifting. To test accuracy, both compression and shear forces were estimated for fifteen male Iranian workers who completed 25 lift combinations that varied in height and reach with the maximal allowable load. The findings, when compared to a risk threshold of 3400 N compression and 700 N shear, showed above-threshold forces for compression and little-to-no safety margins with repetitive lifting for most lifts at torso height and below. Since Government, employers and workers use these guidelines to decide on work/workplace design; these guidelines require further review and revision based on the anthropometrics of Iranian people.

Biocontrol of the Brown-Banded Cockroach, Supella longipalpa F. (Blattaria: Blattellidae), with Entomopathogenic Fungus, Metharhizium anisopliae.

BACKGROUND: Considering to the high distribution of cockroaches as urban pests, the efficacy of different formulations of Metarhizium anisopliae strain Iran 437C were assessed against the brown-banded cockroach, Supella longipalpa F. under laboratory and field conditions. METHODS: Metarhizium anisopliae isolates were screened with immersing adults of the brown-banded cockroachs in aqueous suspension of 10(8) conidia ml(-1) followed by surface or bait treated with different doses of the most virulent isolate against the nymphs. Then formulations of conidia oil-in-water were examined versus cockroach nymphs using different plant oils and paraffin. Then they were evaluated and compared with aqueous suspension and control group. On a large-scale, the sunflower oil-in-water formulation of conidia was sprayed at houses using a hand sprayer. RESULTS: Metarhizium anisopliae IRAN 437C was the most virulent isolate against the brown-banded cockroach, causing 100% mortality in adults at seven days post-exposure. Inoculated bait with this isolate was not enough pathogenic against the cockroach even at two weeks after treatment. Treated surface with conidia as aqueous suspension or oil-in-water formulation was more effective than the bait formulation against the cockroach caused 39.4-97.2% mortality compared with 2.5% mortality in control group after two days. Spraying the conidia formulated with sunflower oil was an effective formulation causing 76.1% reduction in the cockroach density on the third day post treatment in the houses. CONCLUSION: The oil-in-water formulation of M. anisopliae IRAN 437C could be recommended as a promising alternative for cockroach control.

The effect of vitamin D on vaginal atrophy in postmenopausal women.

BACKGROUND: Most of the women suffer from vaginal atrophy and dryness, and therefore, efficient and safe treatment is needed to improve vaginal lubrication. Vitamin D has several important functions which may be effective in proliferation and repair of the epithelial tissue. This study aimed to evaluate the effect of vitamin D vaginal suppositories on maturation index, pH, and dryness in postmenopausal women. MATERIALS AND METHODS: Women were enrolled in this double-blind clinical trial, in whom menopause occurred at least one year ago. Those women who had an abnormal Papanicolaou smear, had undergone hormonal treatment, or have had vaginal infection in the previous year were excluded. Forty-four women who found eligible were randomized into two equal groups, the treatment and control groups, which received vitamin D and placebo vaginal suppository daily for 8 weeks, respectively. Vaginal pH and maturation value were measured at the beginning and end of the study. Pain, dryness, and paleness were assessed before treatment and at the end of the 2, 4, and 8 weeks of treatment. RESULTS: In the treatment group, the number (Mean ± SD) of superficial cells increased (69.76 ± 12.4) and vaginal pH decreased (1.42 ± 0.67) significantly compared to the control group after 56 days. The mean pain significantly reduced after 8 weeks in the treatment group (1.23 ± 0.53) compared to the control group 1.95 ± 0.74 (P < 0.001). The mean of dryness and paleness reduced significantly in the treatment group versus control at 56 days. CONCLUSIONS: Vitamin D is effective in improving the maturation index and decreased the pH and dryness of the vaginal atrophy due to menopause.

Evaluation of Conidia-Dust Formulation of the Entomopathogenic Fungus, Metarhizium anisopliae to Biocontrol the Brown-Banded Cockroach, Supella longipalpa F.

BACKGROUND: The brown-banded cockroach Supella longipalpa (F.) as a mechanical vector of pathogens and source of allergens has recently become widespread in the city of Ahvaz, southwestern Iran. OBJECTIVES: This research was done to evaluate the efficacy of a dust-formulation of Metarhizium anisopliae isolate IRAN 437C, as a common entomopathogenous fungus, against S. longipalpa. MATERIALS AND METHODS: Conidia dust-formulations of M. anisopliae were prepared in proportions of 1%, 5%, 10%, 25%, 50% and 100% with bad wheat flour as the carrier. Cockroaches were exposed to surfaces treated with 1.5 mg/cm(2) of the formulations under laboratory and semi-field conditions. RESULTS: Cockroach mortality rates increased and survival times (ST50) decreased with an increased proportion of conidia from 1% to 100% but records taken for mortality and survival time from proportions of 25%, 50% and 100% were not significantly different. The mortality rates reached 100% and 90-100% in adults and nymphs, respectively on the seventh day. The lowest ST50 was related to the proportion of 100% (3 days). Probit analysis indicated LD50 and LD90 values of 1.7 × 10(6) and 1.7 × 10(7) conidia/cm(2) for adults and these values changed to 4.5 × 10(6) and 2.9 × 10(7) for third and fourth instar nymphs at three days post exposure. Proportion of 25% caused mortality rates of 87%, 81% and 73% in adult, adult & nymph and nymph populations, respectively at four days after exposure under room conditions. CONCLUSIONS: Conidia dust-formulation of M. anospliae isolate IRAN 437C could present a promising alternative to control the brown-banded cockroach.

Variation in the Prevalence of Domestic Violence between Neighboring Areas.

Domestic violence against women is an important health issue, but few studies have focused on city of residence and ethnic differences. To estimate the prevalence of various forms of domestic violence and certain related factors, with a specific focus on city of residence and ethnicity, we studied 1820 married women attending public health centers in 4 large cities in Khuzestan Province, southwestern Islamic Republic of Iran. We used an interviewer-administered questionnaire for data collection. The prevalence of some forms of lifetime domestic violence against women was 47.3%. The prevalence of physical, psychological, and any form of lifetime violence was the highest in Dezful (25.7%, 54.8%, and 57.7%, resp.). For sexual violence, the highest prevalence was reported in Ahvaz (17.7%). The highest prevalence of physical and sexual violence during any point of life was reported by Arab women (25.1% and 16.7%). The experience of all forms of violence was significantly associated with city of residence. Results of regression logistic analysis revealed that all of the forms of violence except psychological violence were statistically significantly associated with ethnicity (P < 0.05).

Two-Point Discrimination Test in the Treatment of Right-handed Females with Lumbosacral Radiculopathy.

Non-somatic causes of pain may aggravate painful complaints and complicate the conservative management of diseases such as lumbo-sacral disk root disease. The two-point discrimination test has been used for assessment of diseases, which change patients' skin sensation. This study aims to find out how applicable is two-point discrimination test in the conservative treatment of lumbo-sacral disk diseases. Twenty right-handed females suffering from unilateral lumbo-sacral disk disease were admitted for a conservative treatment from 2006 to 2009. The treatment consisted of a week bed rest, physiotherapy, and medication. They were subjected to straight leg raising tests, and their pains were evaluated using visual analog scale. The values of two-point discrimination test were obtained bilaterally for L(4), L(5) and S(1 )dermatomes. Changes between the involved and intact lower limbs as well as values of two-point discrimination test before and after the treatment were also compared. In addition, the correlation between the outcome of two-point discrimination, straight leg raising tests, or pain scores were evaluated. There was a significant (P<0.001) difference between the changes in the values of two-point discrimination test, pain scales, or straight leg raising tests in the involved and intact limbs before and after the treatment. However, correlation among variables did not reach statistical significance (P<0.94, r=0.017). The results indicated that although two-point discrimination test is a feasible and objective tool to evaluate patients' improvements during the conservative management of lumbo-sacral disk diseases, there were no strong correlations between two-point discrimination test and straight leg raising tests, or pain scale.