Effects of Chamomile Essential Oil on Granulocyte Count In Patients with Neutropenia

Introduction Neutropenia is an abnormality in neutrophil count which lessens to lower than 1500 / microL (<1.5×109/L). Early recognition and treatment are needed in neutropenia cases. Matricaria chamomilla (chamomile) belongs to Asteracea family which often is referred as "star among medicinal species". Recently, valuable effects of chamomile in multitherapy, cosmetics and nutrition has been published in several papers. The phytochemical analysis exhibited flavonoids, essential oils, cumarins and sesquiterpene lactones derivatives like matricin and chamazulene in the plant. The aim of this research wasevaluation of chamomile essential oil on granulocyte count in patients with neutropenia. Methods and Results Essential oil of chamomile was collected consecutively via Clevenger method.  85 people were participated in the clinical trial and divided into three groups. 15 healthy people as control group received chamomile drop, 35 neutropenia patients induced by chemotherapy received chamomile drop as treatment group and 35 neutropenia patients induced by chemotherapy did not receive the drop as non-treated group. Blood sampling was done at the time of the admission and every other day for 10 consecutive days after chamomile drop consumption. Granulocytes, polymorphonuclear cells (PMNs) and white blood cells (WBC) were counted after every sampling. The average of WBC, PMNs and granulocytes numbers were significantly raised in control and treatment group with P<0.05 90±11/ 3520±611, 1.14±0.83/ 17.37±22.8 and 150±0.07/ 1537±305, respectively. In non-treated group the WBC, PMNs and granulocyte were 40±72, 7.91±22.96 and 190±48, respectively.        ConclusionConsumption of chamomile drop significantly increased the level of WBC, PMNs and granulocyte in control and treatment groups in comparison to non-treated group. As the result, chamomile essential oil could be considered as an adjuvant in neutropenia or other immune system deficiencies

Ability of Ultrasonography in Detection of Different Extremity Bone Fractures; a Case Series Study

Introduction: Despite radiography being the gold standard in evaluation of orthopedic injuries, using bedsideultrasonography has several potential supremacies such as avoiding exposure to ionizing radiation, availabilityin pre-hospital settings, being extensively accessible, and ability to be used on the bedside. The aim of thepresent study is to evaluate the diagnostic accuracy of ultrasonography in detection of extremity bone fractures.Methods: This study is a case series study, which was prospectively conducted on multiple blunt trauma patients,who were 18 years old or older, had stable hemodynamic, Glasgow coma scale 15, and signs or symptomsof a possible extremity bone fracture. After initial assessment, ultrasonography of suspected bones was performedby a trained emergency medicine resident and prevalence of true positive and false negative findingswere calculated compared to plain radiology. Results: 108 patients with the mean age of 44.6 § 20.4 years werestudied (67.6% male). Analysis was done on 158 sites of fracture, which were confirmed with plain radiography.91 (57.6%) cases were suspected to have upper extremity fracture(s) and 67 (42.4%) to have lower ones.The most frequent site of injuries were forearm (36.7%) in upper limbs and leg (27.8%) in lower limbs. Prevalenceof true positive and false negative cases for fractures detected by ultrasonography were 59 (64.8%) and 32(35.52%) for upper and 49 (73.1%) and 18 (26.9%) for lower extremities, respectively. In addition, prevalence oftrue positive and false negative detected cases for intra-articular fractures were 24 (48%) and 26 (52%), respectively.Conclusion: The present study shows the moderate sensitivity (68.3%) of ultrasonography in detectionof different extremity bone fractures. Ultrasonography showed the best sensitivity in detection of femur (100%)and humerus (76.2%) fractures, respectively. It had low sensitivity in detection of in intra-articular fractures

Formulation and evaluation of licorice shampoo in comparison with commercial shampoo

Aim: Glycyrrhiza glabra (G. glabra) or licorice with isoflavonoid, flavonoids, and triterpenoid glycosides (saponins) components are highly regarded in the cosmetic industry. This study has been planned as the first project for formulating a new herbal shampoo by utilizing the aqueous extracts of G. glabra. Materials and Methods: The dried powdered root of G. glabra was extracted with boiled water through percolation method, and the pH was set by ammonia; then it was used with other constituents to formulate the herbal shampoo. The desirability of licorice shampoo was evaluated by physicochemical tests including visual inspection, detergency evaluation, pH assessment, percentage of solid contents, viscosity, foaming volume, and wetting time and compared with a commercial shampoo. Also, the product was checked for microbial control and consumers were asked about the quality of the licorice shampoo. Results: The licorice shampoo has excellent cleansing ability, acceptable clarity, and viscosity. The volume of created foam and the wetting time were similar to the commercial shampoo. No microbial contamination was observed during the microbial control assessment tests. The licorice shampoo scored well on consumer’s poll and was free from complication and also able to obviate hair and scalp problems. Discussion and Conclusion: The results indicated that the consumers were satisfied with using the formulated licorice shampoo. Licorice shampoo seems to be helpful in obviation of hair problems, but specific investigations are required to prove this claim. The shampoo was safe from microbial contamination and showed acceptable results in physicochemical evaluations. Licorice shampoo could be useful in the treatment of many hair diseases, so further research is needed for discovering the potential of licorice shampoo

Preparation of chitosan from <i>Penicillium</i> <span style="mso-bidi-font-style:italic">spp. and determination of their degree of deacetylation </span>

231-235Four fungal strains, Penicillium waksmanii, P. aurantiogriseum, P. viridicatum and P. citrinum were investigated for their chitosan production. Their chitosan yields were in the range of 20-30% of the dry wt mycetium. The degree of deacetylation was estimated by analytical method FT-IR; it ranged between 47.3-65.1%. The viscosity of 1% chitosan in 1% acetic acid solution was determined. P. waksmanii showed the highest degree of deacetylation and viscosity

Drug use evaluation of Meropenem at a tertiary care university hospital: A report from Northern Iran

Objective: The inappropriate use of antibiotics remains the primary factor in antimicrobial drug resistance. In this study, we evaluate the use of meropenem in surgical/medical wards of Imam Khomeini Tertiary Referral Hospital, Sari, Iran. Methods: This retrospective observational study was used to assess rational use of meropenem. The study was conducted by reviewing medical records of 100 admitted patients who received meropenem during March 2013 to January 2014. Findings: Meropenem was prescribed most frequently in Intensive Care Unit (22%), and pneumonia was the most common diagnosis (35%). The third-generation cephalosporins were the most frequently prescribed antimicrobials after meropenem (53%). In 21% of the patients, imipenem was changed to meropenem. Most of the inappropriate uses were seen in terms of frequency of meropenem use (34%), followed by duration of meropenem therapy (28%). Conclusion: Comparing our study results has shown higher inappropriate use. It is necessary to take action to improve prescribing habit in order to reduce the unnecessary usage of antibiotic thus enhance rational antibiotic use

Antibacterial Activities of Gel Containing 5% Hydroalcoholic Extract of Rhamnus cathartica L. bark

Background and purpose: Acne is a chronic inflammatory disease of the pilosebaceous glands caused by opportunistic microorganisms. The Rhamnus cathartica is known to have biological and antioxidant properties. This research aimed at investigating the in vitro effect of gel containing 5% R. cathartica extract on acne vulgaris. Materials and methods: The gel formulation contained 25g of dried R. cathartica bark extract, 0.5 liters distilled water, glycerin 50g, carbopol 940 5g, methyl paraben 0.75g, and propyl paraben 0.5g. After 24 hours, the formulation was put outside the refrigerator. Then, triethanolamine was added to the formulation under stirring with 500 rpm to solidify the gel. The effect of the product was measured against Cutibacterium acnes, Staphylococcus epidermidis, and Staphylococcus aureus and MIC and MBC values were also determined. Results: Total phenolic content of R. cathartica was 351.6±4.5 mgGA/g/DW, total flavonoid content was 23.15±1.355 mgCE/g/DW, and total anthraquinone content was 1.85 ± 0.05 mgAE/g/DW. The pH of the product was 5.5-6. The MIC values of R. cathartica 5% gel were 195.3 µg/ml, 24.41 µg/ml, and 97.65 µg/ml against C. acnes, S. epidermidis and S. aureus, respectively. The MBC testing showed 25000 µg/ml, 25000 µg/ml, and 12500 µg/ml against C. acne, S. epidermidis and S.aureus. Conclusion: R. cathartica is believed to contain active ingredients and can act as an antibiotic against acne causing microorganisms

Evaluation of the Therapeutic Effect of the Traditional Herbal Medicine Atrifil and Oshagh Gum on Testosterone-Induced Benign Prostatic Hyperplasia in Wistar Rats

Benign prostatic hyperplasia (BPH) is a common disease that affects elderly men with various complications. This study evaluates the effects of an Iranian traditional herbal medicine “Atrifil and Oshagh gum” on BPH in male Wistar rats. Atrifil is a combination of three medicinal plants: Emblica officinalis Gaertn, Terminalia chebula Retz, and Terminalia bellerica Retz” extracts, and Oshagh gum is Dorema ammoniacum D. Dono gum. In this study, 30 male Wistar rats were divided into five groups: normal control, disease, finasteride, and extract with 300 and 600 mg/kg groups. The extract is a combination of hydroalcoholic Atrifil extract and Oshagh gum. All groups received intramuscular testosterone enanthate to induce BPH except the normal control group. On the twenty-eighth day, prostate glands were separated. Histopathological changes were observed. Furthermore, the prostate-specific antigen (PSA) and prostate weights were measured. The binding propensities of finasteride, equol, and flavonoids present in this extract such as quercetin, rutin, and kaempferol for 5α-reductase, estrogen receptor alpha and beta, and estrogen-related receptor gamma were assessed using in silico docking approach. Histopathological evaluation, biochemical parameter, and PSA level results indicated significant inhibition of accruing and progression of BPH in groups treated with 600 mg/kg extract (p<0.01). Furthermore, molecular docking showed that rutin had a high affinity to bind the receptors 5α-reductase, estrogen receptor beta, and estrogen-related receptor gamma even more than finasteride, and on average, quercetin had a higher affinity to all these receptors. In the end, it can be concluded that Atrifil and Oshagh gum is effective in preventing BPH