ABSTRACT Background: Over the last decade, a significant area of Zagros forests, especially in Ilam Province, west of Iran, has been affected by the phenomenon of oak decline. The most basic item for fighting the decline of these forests is to know site suitability, the parameters affecting it, determining the criteria affecting the decline and preparing a map of the decline potential of these forests. In this study, the efficiency of Maxent on preparing site suitability map of Dalab and Bankol and the most important criteria affecting P.Oak decline was investigated by TOPSIS. The integrated valuation of ecosystem services and tradeoffs (InVEST) was used to prepare a zoning map of decline potential of P.Oak site. Validation of maps was done with receiver operating characteristic curve (ROC) and field visits. Results: The results showed that pc-forest, distance from rivers and temperature are the most important criteria of the distribution of P.Oak. In addition, many parts of both sites were found to lack site suitability. The results of TOPSIS showed that the most important criteria of P.Oak decline are socio-economic criteria. Conclusions: Decline potential in Bankol was much higher and the pressure caused by stressful criteria was higher in this site. The results showed 6 general stresses of land use change, grazing, pests, charcoal disease, fires and tourism in two sites. Dalab has shown a better condition in terms of decline potential. The reason for this is the operation of conservation management in this site. The obtained results show the efficiency of the used methods.

ABSTRACT Background: During the past decade, the phenomenon of Oak decline has affected valuable Zagros Oak Forests in western Iran. Quercus brantii as the most important tree species of these forests has been damaged more than any other species. Many factors are involved in this phenomenon. The purpose of this study was to identify areas with high potential for decline and determine the most important factors affecting it. In this study, using multi-criteria evaluation methods based on the Geographic Information System (GIS) Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) method and fuzzy logic, the map of decline potential of two selected stands (Dalab and Cheghasabz) in Ilam Province was prepared to reveal the high-risk areas of decline. The analytical hierarchical process was used to determine the weight of the factors. Results: The results showed that both selected stands had decline potential. However, the Dalab stand at 25% and the Cheghasabz, at approximately 60% of the stand has an extreme potential for decline. Rainfall factors, pests, and diseases also have the greatest effect on Oak forest decline. Conclusion: Due to socio-economic problems such as land use change, fire, tourism, grazing, and pruning, the Cheghasabz is more prone to decline than the Dalab, which was a forest reserve. The multi-criteria evaluation model used in the study can be a guide in identifying high-risk areas in other parts of the Zagros forests. The large area of critical areas in these two regions reveals the need for planning to implement support operations to reconstruct damaged ecosystems.

Resumo Introdução: A colectomia minimamente invasiva vem sendo realizada há alguns anos em muitos pacientes no mundo inteiro, apresentando menos intercorrências do que a abordagem aberta. Neste estudo, os autores relatam sua experiência com uma modificação da colectomia total laparoscópica e extração de espécime em orifício natural (NOSE) pelo reto, usando uma cobertura plástica pela primeira vez. Métodos e materiais: Este foi um estudo experimental sobre uma nova técnica de colectomia total com uma pequena modificação. A colectomia total foi realizada com base na abordagem laparoscópica de sete portas. O reto foi poupado. O cólon foi então retirado pelo canal anal usando uma cobertura plástica. Resultados: Treze pacientes foram submetidos a colectomia total laparoscópica por remoção do espécime pelo reto. A idade média dos pacientes foi de 42,23 ± 8,15 anos. A duração média da operação foi de 130 ± 32,4 minutos. Para todos os pacientes, a internação pós-operatória transcorreu sem intercorrências. Discussão: Foi comprovado que a colectomia total laparoscópica apresenta benefícios superiores à abordagem aberta. Na técnica NOSE, o cólon é removido mais rapidamente do canal anal, sem nenhuma intercorrência. Essa técnica pode causar menos dor e remove as complicações associadas a uma incisão na pele para remover o espécime. Além disso, devido ao baixo preço de uma cobertura plástica comum, ela pode ser usada no lugar de outras técnicas para remover o espécime pelo reto.

Abstract Introduction: Minimally invasive colectomy has been performed for some years for many patients worldwide without much complications compared to the open approach. In this study we explained our experience regarding a modification in laparoscopic total colectomy and removing the specimen with Natural Orifice Specimen Extraction (NOSE) through rectum using a plastic cover for the first time. Methods and material: This was an experimental study on a new technique of total colectomy with a small modification. Total colectomy was performed based on 7 port laparoscopic approach. Rectum was sparred. Colon was then taken out through the anal canal using a plastic cover. Results: Thirteen patients underwent laparoscopic total colectomy by removal of the specimen through rectum. Mean age of patients was 42.23 ± 8.15 years. Mean duration of operation was 130 ± 32.4 min. All patients had an uneventful postoperative hospitalization. Discussion: Laparoscopic total colectomy has been proven to have superior benefits than the open approach. In NOSE technique, colon is removed from the anal canal without any complication or consuming much time. This technique might have less pain and removes the complications associated with an incision on the skin to remove the specimen. Also, due to low price of a usual plastic cover, it can be used instead of other techniques to remove the specimen through the rectum.

Abstract Background: Tattooing is among identified risk factor for blood-borne diseases. Objective: This study aims to determine the prevalence of tattooing during lifetime and in prisons and its related factors among Iranian prisoners. Methods: This is a cross-sectional study. The required data was obtained from hepatitis B and C surveillance surveys in prisons in 2015-2016 that was collected through face-to-face interview. 12,800 prisoners were selected by multi-stage random sampling from 55 prisons of 19 provinces in Iran. Weighted prevalence and associated factors (using Chi-Square test and multivariate logistic regression) were determined by Stata/SE 14.0 survey package. Results: Out of 12,800 prisioners, 11,988 participated in the study (93.6% participation rate). The prevalence of tattooing in lifetime and in prisons was 44.7% and 31.1% respectively. The prevalence of tattooing during lifetime was significantly associated with age < 35 years, being single, illiteracy, history of imprisonment, drug use, piercing during lifetime, extramarital sex and history of STI; the prevalence of tattooing in prison had a significant association with history of imprisonment, drug use, piercing in prison, and history of extramarital sex (p < 0.05). Study limitations: Information and selection bias was one of the study limitations. Conclusion: The results of this study showed that the prevalence of tattooing during lifetime and in prison among prisoners was significantly high especially in high-risk groups such as drug users and sexually active subjects. Given the role of tattooing, drug injection and sex in the transmission of blood-borne diseases, harm reduction programs are recommended to reduce these high-risk behaviors in prisons.

Resumo Introdução A lavagem peritoneal com antibiótico ou com soro fisiológico normal é benéfica para reduzir o risco de dor ou de infecção durante cirurgias laparoscópicas, além de poder ser aplicada também em colectomias laparoscópicas. Neste estudo, comparamos os efeitos da lavagem com solução antibiótica (gentamicina-clindamicina) e da lavagem com solução salina normal em pacientes submetidos à colectomia laparoscópica. Método Neste Ensaio Clínico Randomizado (ECR), controlado e duplo-cego, 40 pacientes submetidos à colectomia laparoscópica foram divididos em dois grupos (20 pacientes em cada grupo) para receberem antibiótico ou solução salina normal. Dor pós-operatória, necessidade de analgésico, contagem de leucócitos, nível de proteína C-reativa, tempo de internação e infecção da ferida foram comparados entre os grupos em 30 dias. Resultados De forma significativa, o Grupo Antibiótico apresentou menos dor que o Grupo Salina Normal (p < 0,05) em 3, 6, 12 e 24 horas após a cirurgia. O nível de proteína C-reativa, a contagem de leucócitos, o uso de analgésicos e o tempo de internação foram significativamente menores no Grupo Antibiótico. Porém, não houve diferença em relação à infecção da ferida ou intra-abdominal entre os dois grupos. Conclusão O uso da lavagem peritoneal com gentamicina-clindamicina ajuda a reduzir a dor, a necessidade de analgésicos e o tempo de internação de pacientes submetidos à colectomia laparoscópica.

Abstract Introduction Peritoneal antibiotic or normal saline lavage is seen to be beneficial in order to reduce the pain or infection risk through laparoscopic surgeries. It can also be applied for laparoscopic colectomy surgeries. In this study, we have compared the effects of antibiotic solution lavage (gentamycin-clindamycin) with normal saline lavage in patients undergoing laparoscopic colectomy surgery. Method In this double-blind Randomized Controlled Trial (RCT), 40 patients undergoing laparoscopic colectomy surgery were divided into antibiotic and normal saline lavage groups (20 patients in each group). Post-operational pain, need for painkiller, white blood cells count, C-reactive protein level, duration of hospitalization and wound infection were compared in 30 days between the groups. Results Antibiotic lavage group had significantly less pain than the normal saline group (p < 0.05) through 3, 6, 12 and 24 h after surgery. C-reactive protein level, white blood cells count, painkiller use, and hospitalization duration were significantly lower in antibiotic group. However, there was no difference regarding wound or intra-abdominal infection between the both groups. Conclusion Using gentamicin-clindamycin peritonea lavage helps patients undergoing laparoscopic colectomy surgery in pain reduction, need for painkillers and hospitalization duration.

RESUMO Introdução: O índice de posição anal é calculado com uma fórmula simples, usada para determinar a posição exata do ânus no períneo. Atualmente, esse índice é usado apenas em neonatos e bebês. O deslocamento anterior do ânus é uma causa comum de constipação crônica. No presente estudo, avaliou-se a associação entre o índice de posição anal e as características dos pacientes, constipação crônica, prolapso uterino, prolapso do reto e número de partos. Material e Métodos: Este estudo transversal, realizado em 2018, incluiu 63 adultos admitidos na clínica de cirurgia colorretal. As distâncias ânus-frênulo dos lábios, cóccix-frênulo, cóccix-escroto e ânus-escroto foram medidas com uma fita métrica simples. O SPSS for Windows (v. 18) foi usado para análise dos dados. O teste t de Student para variáveis independentes, o coeficiente de correlação e o teste ANOVA foram usados. Resultados: Sessenta e três pacientes com idade entre 22 a 75 anos foram recrutados; 48 eram do sexo masculino (76,2%) e 15 do sexo feminino (23,8%). Destes, 29 (46%) apresentavam constipação crônica. A média ± DP do índice, com intervalo de confiança de 95%, foi de 0,5325 ± 0,11861 no sexo masculino e 0,4510 ± 0,16803 no sexo feminino. Além disso, a média do índice foi de 0,4616 ± 0,14007 em pacientes com constipação crônica e 0,5570 ± 0,11559 em pacientes sem constipação. Discussão: O índice de posição anal pode ser um fator prognóstico para predizer constipação crônica e alterações da anatomia do assoalho pélvico em pacientes adultos e pediátricos.

ABSTRACT Introduction: Anal position index is calculated with a simple formula, which is used to determine the exact position of anus in perineum. This index is currently used only in neonates and infants. Anteriorly displacement of anus is a common cause of chronic constipation. Here we assessed the association between anal position index with patients’ characteristics, chronic constipation, rectum prolapse uterine prolapse, and number of delivery. Material and methods: This was a cross-sectional study performed in 2018 on 63 adult admitted to colorectal surgery clinic. Anus-forchuette, coccyx-forchuette and coccyx-scrotum and anal-scrotum were measure by a simple meter tape. Statistical Package for the Social Sciences (SPSS for Windows, ver. 18) was used for data analysis. Independent Student's t-test, correlation coefficient and ANOVA were used. Results: Sixty-three patients within age range of 22-75 years old were recruited. 48 were male (76.2%) and 15 females (23.8%). Twenty-nine (46%) had chronic constipation. The mean ± SD of the index with confidence interval of 95% was 0.5325 ± 0.11861 in males and 0.4510 ± 0.16803 in females. Also the mean of the index was 0.4616 ± 0.14007 in patients with chronic constipation and 0.5570 ± 0.11559 in patients without constipation. Discussion: Anal position index can be a prognostic factor to predict chronic constipation and pelvic floor anatomy disturbance in adults as well as pediatrics.

ABSTRACT Screening of medicinal plants from Iranian flora against human cancer cell-lines have shown that an hexane extract from roots of Salvia sahendica Boiss. & Buhse, Lamiaceae, is active against human cervical cancer (HeLa) and colorectal adenocarcinoma (Caco-2) cell-lines at the test concentration of 100 µg/ml (100% inhibition). Cytotoxicity of the extract was localized with the aid of HPLC-time-based activity profiling adapted to the tetrazolium colorimetric bioassay. Four abietane-type diterpenoids in active time-windows were identified as cytotoxic compounds namely: sahandone (1), sahandol (2), 12-deoxy-salvipisone (3) and sahandinone (4). Compound 1 showed the highest toxicity against HeLa cells (IC50 = 5.6 ± 0.1 µg/ml), which was comparable with betulinic acid (IC50 = 4.3 ± 1.2 µg/ml), the positive control. Compound 2 was active against the HeLa cells (IC50 = 8.9 ± 0.7 µg/ml) but not the Caco-2 cell-line. Compounds 1, 3 and 4 exhibited moderate activity (IC50 = 22.9–41.4 µg/ml) against the Caco-2 cells. This study reveals that the HeLa cells are more sensitive to all tested compounds than the Caco-2 cells. In silico molecular docking study showed a rigid binding of the compounds to tyrosine kinase pp60src, and proved their cytotoxic activity.

The growth pattern of children is affected by anthropometric dimensions. This study was aimed to investigate anthropometric factors related to growth of preschool children of a sample population in Iran. This study was performed in year 2011 on 1320 of 47 years old preschool children in Arak. To classify, body mass index (BMI), height and weight were recorded. The four contact points (head, back, buttocks, and heels) were maintained against the spine of the stadiometer during measurement. The head was positioned in the Frankfurt plane, and the sliding bar was lowered the crown of the head. Height was measured and recorded by the researchers. A pair of manual calibrated Seca scales was used to measure body mass in kilograms. The participants were least dressed in the uniform. We have classified BMI to four groups as group1, BMI with 10.7515 and group 2, 3, 4 with 15.117 and 17.120, 20.122.5, respectively. Foot length was recorded as the distance from the posterior aspect of the heel to the most distal aspect of the longest toe. Foot length was measured with subjects standing upright using a foot board, a plastic device with calibrated lineation (in centimeters and millimeters). Analysis showed that sex neither affect on BMI nor foot measurements. The present findings contribute to the understanding of the effect of body mass on the structural development of the pediatric foot and musculoskeletal system. Excessive body mass seems to lead to increased foot length and width.

El patrón de crecimiento de los niños se ve afectado por las dimensiones antropométricas. El objetivo fue investigar los factores antropométricos relacionados con el crecimiento de los niños en edad preescolar de una muestra poblacional de Irán. Este estudio se realizó en el año 2011 en 1320 niños, de 4-7 años, de edad preescolar de Arak. Para clasificar el índice de masa corporal (IMC), se registraron la altura y el peso. Los cuatro puntos de contacto (cabeza, espalda, glúteos y talones) se mantuvieron contra la columna del estadiómetro durante la medición. La cabeza fue colocada en el plano de Frankfurt, y la barra de deslizamiento se redujo al nivel de la corona de la cabeza. Los investigadores midieron y registraron la altura. Se utilizaronn par de escalas manuales Seca calibradas para medir la masa corporal en kilogramos. Los participantes fueron vestidos con el uniforme escolar. Se clasificó el IMC en cuatro grupos: grupo 1 entre 10,7515, grupo 2 entre 15,117, grupo 3 entre 17,120 y grupo 4 entre 20,122,5. La longitud del pie se definió como la distancia existente desde la cara posterior del talón hasta la porción más distal del dedo más largo. La longitud de pie se midió con los sujetos en posición de pie utilizando una tabla de pie, dispositivo de plástico con la alineación calibrada (en centímetros y milímetros). El análisis mostró que el sexo no influye en el índice de masa corporal ni las medidas del pie. Los presentes hallazgos contribuyen a la comprensión de los efectos de la masa corporal en el desarrollo estructural del pie y el sistema músculo-esquelético pediátrico. La masa corporal excesiva parece conducir a un aumento de la longitud y ancho del pie.