Designing a customized clinical practice guideline regarding antibiotic prophylaxis for Iranian general dentists.

BACKGROUND: Clinical practice guidelines produced by developed countries seemed to be not completely feasible for developing countries due to their different local context. In this study, we designed a customized guideline about antibiotic prophylaxis before dental procedures for Iranian general dentists. METHODS: This study was conducted of two parts, including a qualitative part and a cross-sectional analytic part. A multidisciplinary team searched for related guidelines and other documents, selected the most updated and high quality ones, customized their recommendations based on available antibiotics in Iran, prepared a draft adapted guideline and summarized its recommendations in 3 flowcharts. An expert panel (20 specialists of four Iranian dental universities) participated in a consensus process, afterwards to determine the relevance and clarity of the flowcharts and their items. Then the Content Validity Indices (CVIs) were calculated and any items with CVI higher than 0.79 remained. RESULTS: The adapted recommendations were summarized in flowcharts A to C. Two separate groups of patients who need antibiotic prophylaxis were presented in flowchart A; including those with high risk for distant-site infection (infective endocarditis and prosthetic joint infection) and those at risk for poor healing and orofacial infection (due to impaired immunologic function). Flowcharts B and C described antibiotic regimen and also the dental procedures where antibiotic prophylaxis was needed for mentioned groups. The content validity indices and the percentages of agreement between the expert panel members were considerably high. CONCLUSIONS: A localized, clear and straight forward guideline that addresses all groups of dental patients who need antibiotic prophylaxis has been produced for Iranian general dentists

The Ayurvedic management for Tinea Versicolor by Virechana Karma

Tinea versicolor is a common skin rash caused by over growth of yeast over skin surface resulting in uneven skin colour and scaling which is harmless, asymptomatic and non-contagious.[1] In this case generally medication used are antifungal i.e. Ketaconazoles systemic and tropically which may lead to many side effects and re-occurrence. In Ayurveda there is no detail explanation but somehow correlated with Sidma Kusta, which is one among the Maha Kusta. Which can be treated by Vamana Karma, Virechana Karma or Rakthamokshana.[2] By this we can say Ayurvedic treatment modalities are utilized according to presentation of disease

Alleviation of alloxan-induced diabetes and its complications in rats by Actinodaphne hookeri leaf extract

Leaves of Actinodaphne hookeri Meissn (Family Lauraceae; local name: Pisa) has been in use traditionally for the treatment of diabetes and disorders of the urinary tract which are more common in Chattisgarh and eastern part of India. In the present study, leaves of A. hookeri were subjected to phytochemical investigation and evaluated for anti-diabetic activity. The ethanol and the chloroform extract were found to have significant (p<0.01) blood glucose lowering effect. The extracts also significantly (p<0.01) lowered the increased serum cholesterol and low density lipoprotein levels. Preliminary phytochemical investigation revealed the presence of alkaloids, flavonoids, triterpenoids and glycosides as the major constituents in the ethanol extract. The chloroform extract also showed significant (p<0.01) antihyperglycemic activity and contained alkaloids and triterpenes. It is concluded that the antidiabetic activity of A. hookeri may be due to the presence of alkaloids and triterpenes, and might be promising for the development of phytomedicine for diabetes mellitus along with its associated complications

Frequency and clinical patterns of stroke in Iran - Systematic and critical review

<p>Abstract</p> <p>Background</p> <p>Cerebrovascular disease is the second commonest cause of death, and over a third of stroke deaths occur in developing countries. To fulfil the current gap on data, this systematic review is focused on the frequency of stroke, risk factors, stroke types and mortality in Iran.</p> <p>Methods</p> <p>Thirteen relevant articles were identified by keyword searching of PubMed, Iranmedex, Iranian University index Libraries and the official national data on burden of diseases.</p> <p>Results</p> <p>The publication dates ranged from 1990 to 2008. The annual stroke incidence of various ages ranged from 23 to 103 per 100,000 population. This is comparable to the figures from Arab Countries, higher than sub-Saharan Africa, but lower than developed countries, India, the Caribbean, Latin America, and China. Similarly to other countries, ischaemic stroke was the commonest subtype. Likewise, the most common related risk factor is hypertension in adults, but cardiac causes in young stroke. The 28-day case fatality rate is reported at 19-31%.</p> <p>Conclusions</p> <p>Data on the epidemiology of stroke, its pattern and risk factors from Iran is scarce, but the available data highlights relatively low incidence of stroke. This may reflect a similarity towards the neighbouring nations, and a contrast with the West.</p

Study on immunomodulatory activity of ethanolic extract of<i style=""> Spilanthes acmella</i> Murr. leaves

204-207The leaves of Spilanthes acmella Murr. have been used traditionally as tonic and in the treatment of rheumatism, gout, sailagogine and claimed to possess immunostimulant activity. In the present study, the ethanolic extract (500mg/kg bwt p.o.) of its leaves was evaluated for immunomodulatory activity using various models like modulation of macrophage function (morphometric and functional changes in mice), carbon clearance assay with the help of Indian ink dispersion (0.5ml/100g bwt i.v.) in mice and immunoprophylactic effect with the help of Escherichia coli (0.5ml/100g bwt i.p.) in mice. The extract (500mg/kg b.wt. p.o.) exhibited significant (P&lt;0.01) peritoneal macrophage stimulation and 25 to 50% mortality as compared to control mice, indicating its prominent immunostimulant activity

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Not AvailableOilseed crops play an important role in the agricultural economy. Apart from being an integral component of human diet and industrial applications, they are also gaining importance as replacement to fossil fuels for meeting the energy needs. The last two decades have been marked by several important events in genetic engineering and identification of gene targets for enhancing seed oil content in oilseed crops, and will aid the successful development of new generation high yielding oil crops. Specifically, genetic engineering has shown real breakthrough in enhancing oil content in oilseed rape, camelina, soybean and maize. Moreover, ongoing research efforts to decipher the possibilities of genetic modifications of key regulators of oil accumulation along with physiological and biochemical studies to understand lipid biosynthesis will set a platform to produce transgenic oilseed crops with enhanced oil content. In this review, we briefly describe different genetic engineering approaches explored by different researchers for enhancing oil content. Further, we discuss a few promising and potential approaches and challenges for engineering oil content in oilseed crops.ICA