39 2228-7043 Iran University of Medical Sciences 5198 Microbiology Antibacterial properties of a bacteriophage cocktail against Salmonella enterica serotypes (enteritidis, typhimurium, infantis) compared to ciprofloxacin in vitro: First Report From Iran Esmaeilzadeh Mohammad Reza b Rajabi Zahra c Soltan Dallal Mohammad Mehdi d b Tehran University of Medical Sciences, Tehran, Iran c Tehran University of Medical Sciences, Tehran, Iran. d Tehran University of Medical Sciences, Tehran, Iran 1 9 2018 25 6 1 10 22 02 2018 26 05 2018 Background: Salmonellosis is a gastroenteritis caused by the infection with different serotypes of Salmonella. Salmonella enterica is an enterica subtype, enteritidis, typhimurium, and infantis are the most important factors of gastroenteritis in humans. In recent years, increasingly commonly used antibiotics and treatments are resistant. The main purpose of this study was to compare the antibacterial effects of lytic bacteriophage Cocktail and ciprofloxacin on Salmonella enterica strains in laboratory conditions. Methods: Standard strains of salmonella (enteritidis, typhimurium, and infantis) were collected from the Faculty of Veterinary Medicine, University of Tehran, and their specific bacteriophages were isolated by soft agar method. Specificity of bacteriophages was investigated for strains of Salmonella and Staphylococcus aureus, Shigella dysenteriae and Enteropathogenic E. coli (EPEC) bacteria using spot test. Antibiotic sensitivity was determined using E-Test method. In order to obtain an appropriate headline for evaluating the therapeutic results, different concentrations of bacteriophage with bacteria were evaluated. Finally, the preventive and therapeutic effect was evaluated in comparison with ciprofloxacin. Results: Different concentrations of bacteriophages have the ability to reduce and eliminate strains of salmonella (enteritidis, typhimurium, and infantis). Bacteriophage specific plaque against other strains of Salmonella and other intestinal pathogenic bacteria did not have any lytic function. Conclusion: The results showed that bacteriophages function as specified. Due to the increasing prevalence of antibiotic resistance and treatment concerns, bacteriophages can be a good alternative to the use of antibiotics in the treatment of bacterial infections.    
5016 Exercise Physiology Comparison of the effectiveness of walking assotiated with stretching exercises and cinnamon In take on the primary dysmenorrhea Habibian Masoumeh e Safarzadeh Zeynan f e Islamic Azad University, Qaemshahar, Iran f Department of Physical Education and Sports Sciences, Sari Branch, Islamic Azad University, Sari, Iran 1 9 2018 25 6 11 19 07 10 2017 29 05 2018 Background: Primary dysmenorrhea is characterized by cramping lower abdominal which happens just before and/ or during menstruation and has a negative impact on women's quality of life. The aim of this investigation was comparison of the effectiveness of walking assotiated with stretching exercises and cinnamon intake on the primary dysmenorrhea. Methods: In this semi-experimental study 59 sedentary females with moderate or sever primary dysmenorrhea were selected via purposeful and available sampling method, were randomly divided into control, exercise, cinnamon and exercise-cinnamon groups. Exercise training program comprised 6 stretching exercise (30-45 min per day) and walking training (25-45 min per day), and 3 sessions per week for 8 weeks. Cinnamon (capsule containing 500 mg Cinnamon) used 3 times per day with beginning the pain and during first 72 h of menstrual, respectively. Visual analogue scale (VAS) and Cox Menstrual Scale (COX) were used for measuring the severity and duration of pain during menstruation. Repeated measures of ANOVA and one-way ANOVA used to analyze data. Results: All the three interventions were associated with significantly decrease in the severity and duration of pain dysmenorrhea after 4 and/ or 8 weeks. There was no statistically significant difference between these the effectiveness of the interventions on the severity and duration of pain. But the effect of 8 weeks one of these interventions on pain severity and combined intervention on pain duration was only greater in comparison to the 4 weeks. Conclusion: Each of the non-medicinal interventions of either walking associated with regular stretching exercises and cinnamon intake or their combination is likely to reduce the severity and duration of pain during menstruation in sedentary females. Thus, these interventions can be regarded as safe and effective treatments for primary dysmenorrhea.   5084 Exercise Physiology Interactive Effect of Saffron Supplementation and Resistance Training on serum levels of sex hormones in young men Gaeini Abbas Ali g pournemati Parisa h hooshmand moghadam babak i g University of Tehran, Tehran, Iran h University of Tehran, Tehran, Iran i Ferdowsi University of Mashhad, Mashhad, Iran 1 9 2018 25 6 20 30 30 11 2017 19 05 2018 Background: Regarding wide range of saffron applications in traditional medicine and its proved effects on male sex hormones and also the importance of muscle contraction in stimulating the secretion of sex hormones, the aim of this study was to study the interactive impact of saffron supplement and resistance training on sex hormones levels (testosterone, LH and FSH) in young adults. Methods: In the form of semi-experimental design, 30 young men were selected as samples and randomly assigned to two resistance training groups: one with mere resistance training (n= 15) and the other with both resistance training and saffron supplements (n= 15) groups. These two groups carried out a resistance training protocols of 60 to 70% 1 RM. In this manner, the latter participants were consuming 150 mg pure saffron tablets per day, in the same period. Bloodletting was performed, before and after six weeks, to assess variables. Thereafter, the research findings were analyzed using independent t-test at a significance level of 0.05. Results: Data analysis showed that training and training with saffron supplements has significantly increased levels of testosterone, LH and FSH (p≤0.05). Also, significant difference in levels of testosterone, LH and FSH between mere resistance training and resistance training with saffron supplement groups was observed (p≤0.05). Conclusion: Generally, it could be concluded that synergistic effect of saffron supplements and resistance training would further increase the sex hormones in young men.     4971 Educational Health The effect of preventive educational intervention for promoting iron supplement use in high school female’s students: an application of health belief model Ghoreishi Mastoureh Sadat j Abusalehi Aida k Peyman Nooshin l Tehrani Hadi m j Mashhad University of Medical Sciences, Mashhad, Iran. k Neyshabur University of Medical Sciences, Neyshabur, Iran. l Mashhad University of Medical Sciences, Mashhad, Iran m Mashhad University of Medical Sciences, Mashhad, Iran 1 9 2018 25 6 31 42 03 09 2017 26 05 2018 Background: Iron supplementation is a necessary component of programs to control iron deficiency anemia because in many populations, the amount of iron absorbed from the diet is not sufficient to meet many individuals’ requirements and it can lead to increased prevalence of iron deficiency among adolescents that are one of high risk groups. This study aimed to determine the effect of preventive educational intervention for promoting iron supplement use in high school female’s students. Methods: In this quasi-experimental study, 140 high school girl students from Mashhad participated during 2016-2017 (test group n=70 and control group n=70). The research tools included one questionnaire of demographic information, knowledge and the HBM constructs regarding iron consumption. After collecting pre-test data, the educational intervention was implemented for adolescent girls in the test group & the post-tests were carried out immediately and three months after the intervention ended. The data were analyzed using appropriate statistical tests through SPSS software v.19. Results: Before the study, both groups had not any significant difference in all variables and constructs (p>0.05). After intervention a significant difference was reported between the test and control group concerning knowledge (p=0.01), perceived barrier (p=0.002), perceived benefit (p=0.03), self-efficacy (p=0.01) and iron consumption (p=0.005). Conclusion: Health education programs which are based on health belief model can be effective in promoting health awareness, and cognitive perceptions and behavior high school girl students. 5055 Nutrition Sciences Association of adherence to Alternative Healthy Eating Index with the metabolic syndrome in Tehranian elderly Kord Varkaneh Hamed n Rrahmani Jamal o Shab-Bidar Sakineh p n Tehran University of Medical Sciences, Tehran, Iran. o Tehran University of Medical Sciences, Tehran, Iran. p Tehran University of Medical Sciences, Tehran, Iran 1 9 2018 25 6 43 51 29 10 2017 19 06 2018 Background: Previous studies have shown that high adherence to Alternate Healthy Eating Index (AHEI-2010) reduces the risk of the diseases. However, there is no study related to AHEI-2010 with the metabolic syndrome in the elderly population. The present study aimed to investigate the relationship between the Alternate Healthy Eating Index (AHEI-2010) with the metabolic syndrome in the elderly population. Methods: This cross-sectional study was conducted on 226 elderly residents in Tehran, with a mean age of 67.04 (60-83). Food frequency questionnaire includes 147 food items were collected by qualified and trained experts. Then the score of AHEI-2010 was calculated based on the 11-item food intake and after anthropometric and biochemical measurements the metabolic syndrome was defined by the National Cholesterol Education (NCEP-ATP III). Results: Higher adherence to AHEI-2010 showed a significant relationship with the metabolic syndrome in the elderly people (p=0.031). This relationship still remained significant after adjustment for age, total energy intake, sex, physical activity level, income, marital status and education level also individuals in the highest tertile of AHEI-2010 had respectively 56 and 59 percent lower chance of developing metabolic syndrome and hyperglycemia. Conclusion: The present study showed that high adherence to the AHEI-2010 had inverse relationship with the metabolic syndrome among the elderly people of Tehran.   5079 Clinical Psychiatry Investigating the Personality subtypes of women with advanced breast and endometrial cancers and breast and endometrial cancers survivors: A qualitative study Shahvaroughi Farahani Neda Eskandari Hossein Borjali Amad Allameh Tabataba'i University, Tehran, Iran Allameh Tabataba'i University, Tehran, Iran Allameh Tabataba'i University, Tehran, Iran 1 9 2018 25 6 52 62 25 11 2017 19 05 2018 Background: Breast and endometrial cancers are the most common types of cancer among Iranian women which have high rates of incidence and survive. Due to the importance of personality variables, the aim of the present study is to investigate the personality subtypes of women with advanced breast and endometrial cancers and breast and endometrial cancers survivors. Methods: This is a qualitative study with 18 participants divided into 8 advanced breast and endometrial cancer patients, and 10 breast and endometrial cancer survivors referred to medical centers in Tehran from April to September 2017. They were selected via purposive sampling. For data collection, Shedler-Westen Assessment Procedure (SWAP) was used. To analyze the data, SWAP software was used and generated tables and scores were analyzed. Results: The findings of this study showed that high functioning depression and dissociation were high in both groups. Individuals with advanced cancer also showed subthreshold dependent personality disorder. Survived cancer patients had higher psychological health. Conclusion: According to the results, there were significant differences and similarities between the two groups in personality variable. Therefore, the use of emotion based psychotherapies for cancer patients would be appropriate as it would result in a healthy emothinal experience and the reduction of ineffective defenses. 5141 Clinical Psychiatry The Effectiveness of Integrative psychotherapy on Body Image in women with systemic sclerosis (Scleroderma) Shamkoeyan Layla Lotfi Kashani Farah Sayrafi Mohammadreza Ahadi Hassan Kavosi Hida 1 9 2018 25 6 63 75 15 01 2018 29 05 2018 Background: Systematic scleroderma is a chronic autoimmune, complex and progressive disease that has many physical, psychological and social consequences. The purpose of this study was to investigate the effect of integrated psychotherapy with the orientation of four common factors on reducing image body anxiety as well as its two sub-scales (the dissatisfaction and embarrassment of the person from their appearance and the interference of appearance anxiety in the social function of the individual) in women with Scleroderma. Methods: The research was a semi-experimental design with pre-test and post-test design in both experimental and control groups, and follow-up after 3 months of intervention. The statistical population included women with scleroderma referred to Shariati Hospital of Tehran and Iran's Rheumatism Center in 2017. Of these, 30 patients were selected as available samples and randomly were placed in two control and treatment (experiment) groups. The research tool was the Littleton's Body Image Questionnaire (2005). Data were analyzed by SPSS24 software and repeated measures analysis of variance after completing the questionnaires. Results: Integrated psychotherapy with four common factors guidance reduced image body anxiety and its two sub-scales in women with systemic sclerosis, and this effect was lasting after three months. Conclusion: Throught this therapeutic approach, we can help to reduce the concern of the body image in patients with scleroderma.   4996 Psychiatric Rehabilitation Impact of transcranial direct current stimulation on food craving. Forogh Bijan Yusefi Naseh Moradi Katayoun Roomizadeh Peyman Kheirollah Yadollah Iran University of Medical Sciences, Tehran, Iran Iran University of Medical Sciences, Tehran, Iran Iran University of Medical Sciences, Tehran, Iran Iran University of Medical Sciences, Tehran, Iran 1 9 2018 25 6 76 83 23 09 2017 14 02 2018 Background: Food craving is a strong temptation and motivation to eat foods. Transcranial Direct Current Stimulation (tDCS) is a noninvasive method of stimulating or inhibiting specific areas in the cortex of brain. In this study we investigated the efficacy of tDCS on patients with food craving. Methods: This randomized clinical trial was conducted on 30 patients with food craving. The intervention group (15 patients) received 2mA direct electrical stimulation for 20 minutes. The control group (15 patients) only received sham tDCS. The patients were assessed using standardized Food Craving Questioner (FCQ-S, FCQ-T). Results: There was no significant difference in the mean FCQ-T and FCQ-S scores between the two study groups. After the study, the mean FCQ-T score was significantly lower in the intervention group as compared to the control group. Similarly, the mean FCQ-S score in the intervention group was lower than the control group, and the difference was statistically significant. Conclusion: Based on the findings of this study, tDCS showed to be efficient in controlling food craving. 4997 Clinical Biochemistry Assessing the changes in some biochemical parameters in hemodialysis patients before and after hemodialysis, in 5 Azar Hospital of Gorgan Hesari Zahra Mansourian Azadreza Ghasempour Ghasem Ahmadi Alireza Iran University of Medical Sciences, Tehran, Iran. Golestan University of Medical Sciences, Gorgan, Iran. Iran University of Medical Sciences, Tehran, Iran. Golestan University of Medical Sciences, Gorgan, Iran 1 9 2018 25 6 84 89 24 09 2017 26 05 2018 Background: The serum levels of various hormones change in patients with chronic renal failure. The aim of this study was to compare the serum levels of hormones and various biochemical parameters before and after hemodialysis. Methods: This study included 111 patients with chronic renal disorder and was conducted in Gorgan's 5 Azar hospital. Blood samples were collected from all patients before and immediately after dialysis to measure T3, T4, FT3, T3UP, TSH, FT4, cholesterol, triglycerides, creatinine, BUN, uric acid and fasting blood sugar. Results: The results showed that the levels of FT3, FT4 and T3 were significantly increased after hemodialysis; the levels of creatinine, BUN and uric acid were decreased; but the levels of Cholesterol, triglycerides and FBS were shown a significant increase in blood. Conclusion: Dialysis can improve and augment the levels of thyroid hormones in patients with renal failure. On the other hand, hemodialysis leads to rise total cholesterol and triglycerides and as a result can increase the risk of cardiovascular diseases.   3674 Pathology Comparison of CD34 + fibrocytes in the stroma of CINIII and invasive squamous cell carcinoma of the cervix Zare Mehrjerdi Ali Zojaji kohan Faremeh Mohammadi Navid Iran University of Medical Sciences, Tehran. Iran. Iran University of Medical Sciences, Tehran. Iran. Iran University of Medical Sciences, Tehran. Iran. 1 9 2018 25 6 90 96 12 05 2015 04 11 2015 Background: Cervical cancer does not have symptoms in the early stages and almost all invasive carcinomas of the cervix have an earlier stage in which abnormal cells are confined to the epithelium. The intra-epithelial lesions associate with cytological features of invasive cancer. So, it is important to differentiate a cervical intraepithelial neoplasia (CIN) Ш from an invasive cervical squamous cell carcinoma (SCC). Methods: A list of the patients with a diagnosis of CIN Ш, uterine cervical SCC and normal cervix was extracted from the archives of the department of pathology at two teaching hospitals in Tehran. The blocks were separated and stained slides were prepared. Appropriate blocks for immunohistochemistry (IHC) staining were chosen. The blocks were cut in 4 micrometers thickness and stained for CD34 antigen. The results were interpreted and scored by a pathologist. The data were analyzed through SPSS 17 software using descriptive and chi-square analyses. Results: The cervical tissue sample of 65 patients were studied; 20 with normal cervix (30.8%), 20 patients with the CIN III (30.8%), and 25 patients with SCC (38.4%) with a mean age of 48.9±3.19. All slides with normal condition (20 cases), 100% of patients with CINIII (20 cases), and 52% of patients with SCC (13 cases) were positive for presence of CD34 + fibrocytes in cervical stroma (p<0.001). Conclusion: The significant relationship between the loss of CD34 antigen and pathological findings introduces the antigen as a diagnostic test for the detection of changes related to invasive carcinoma in cervix samples. 5266 medical education The relationship between emotional intelligence and organizational socialization and employee productivity city health centers Lamerd Hashemi Said Ahmad Azad University, Lamerd, Iran 1 9 2018 25 6 97 105 21 04 2018 29 05 2018 Background: Of the most important objectives pursued by governments and organizations are sustained productivity, innovation and quality of life. This study aimed to investigate the relationship between emotional intelligence and organizational socialization and employee productivity at Lamerd city health centers. Methods: The study is an applied cross-correlation research. The study population consisted of 2131 employees in working at Lamard city health centers. In order to collect the data, Emotional Intelligence Questionnaire Austin and colleagues, Ralph Katz questionnaire of organizational socialization and inventory efficiency by Smith et al. were used and the validity was confirmed by experts. To analyze the data, Pearson correlation coefficient and multiple regression coefficients were used. Results: The correlation coefficient between emotional intelligence and organizational socialization and employee productivity at Lamerd city health centers at a significance level p=0.002 and p=0.0001 were significant. Also, the F=13.11 in the p=0.001 was significant. It can be concluded that the predictor variables (emotional intelligence and organizational socialization) can predict criterion variable (efficiency). Conclusion: A significant relationship revealed between emotional intelligence and organizational socialization and employee productivity at Lamerd city health centers. Emotional intelligence and organizational socialization can significantly predict productivity.