C-reactive protein and coronary calcium score association in coronary artery disease

Background: Both high-sensitivity C-reactive protein (hs-CRP) and spiral computed tomography coronary artery calcium score (CCS) are valid markers of cardiovascular risk. It is unknown whether hs-CRP is a marker of atherosclerotic burden or whether it reflects a process leading to acute coronary events. Methods and Results: We studied the relation between hs-CRP and CCS in 143 patients that were candidates for coronary artery bypass grafting (CABG). In our cross-sectional study, we found no significant association between hs-CRP and CCS in bivariate (p = 0.162) and multivariate (p = 0.062) analysis, but in patients who did not use statins this association was positive and significant in bivariate analysis (p = 0.001), and in multivariate analysis this association was negative and significant (p = 0.008). Conclusions: High-sensitivity CRP was not correlated with CCS. The relation between CRP and clinical events might not be related to atherosclerotic burden. Measures of inflammation, such as hs-CRP, and indices of atherosclerosis, such as CCS, are likely to provide distinct information regarding cardiovascular risk

Efficacy evaluation of drinking water distribution network existence in microbial quality desirability and its chlorination status in small communities - Case study: Kermanshah province villages

Background and Aims: Safe drinking water supply is very important for human societies. The goal of this study is the determination of drinking water distribution network existence in microbial quality desirability and its chlorination status in small communities – Case study: Kermanshah province villages.Material and Methods: This method of the study is descriptive and analytical. The required data and information were collected from existing data of health center. The collected samples for microbial quality monitoring of rural drinking water were taken by health center during three-year period, that were 9174 samples. Data analysis was taken by SPSS software by using T-Test and ANOVA.Results: The results showed 79.7% and 84.3% as an average rate of desirability of microbial water quality and residual chlorination status respectively in villages having distribution system and 60.36% and 69.56% in those without distribution system.Conclusion: Assessing of microbial quality of water in all rural areas showed that villages with distribution network have better quality than other villages. So development planning for implementation of water distribution networks are suggested in other rural communities also for improvment of water quality in all rural communities (with and without distribution networks) the water safety plane should be employed.Key words: Microbial quality, Residual chlorine, Rural area, Distribution network, Kermansha

Survey of pollutant emissions from stack of Saman cement factory of Kermanshah city from year 2011 to 2012

Background and Aims: Toxic gases and hazardous particulates that release into environment from cement factories have considered as the environmental problems. This study aimed to determine the level of air pollutants from the stacks and the ambient air of the Kermanshah Saman cement factory and its comparison with existing standards.Materials and Methods: This is a Descriptive - analytical study. The assessed parameters include the suspended particles CO, NO2, NO and SO2 from pre-heater, crusher, and electro filter have performed according to the method of Perkinz air pollution control.Results: Results showed that amount of suspended particulates was lower than the industry emissions standard, which has been approved as a national standard for crusher (200 mg per cubic meter) electro-filter (150 mg per cubic meter). However, the amount of gases emission was more than standard.Conclusions: This study revealed that the controlling devices have good ability in particles control. Although the exhaust gases seemingly different from the standard, but the difference is not significant.However further controls are recommended for control of gases pollutants.Key words: Cement factory, Particulate, Polluting gases, Kermanshah

The Effect of Magnesium Sulfate on Renal Colic Pain Relief; a Randomized Clinical Trial

Introduction: Renal colic can be managed by preventing the contraction movements of ureter muscles. By reducing acetylcholine in the nerve terminals, magnesium sulfate could be effective in this regard. The aim of this study is to investigate the effect of magnesium sulfate on acute renal colic pain relief. Method: The present study was a double-blind clinical trial in which the patients suffering from acute renal colic were randomly divided into 2 groups of who either received standard protocol (intravenous infusion of 0.1 mg/Kg morphine sulfate, 30 mg of Ketorolac, and 100 ml normal saline as placebo/15 minutes) or standard protocol plus 15 mg/Kg of intravenous magnesium sulfate 50%/100 ml normal saline/15 minutes. Severity of patients’ pain was measured by visual analogue scale (VAS) at baseline, and 30 and 60 minutes after infusion. The collected data were analyzed using STATA statistical software. Results: 100 cases were randomly allocated to intervention or control group. The two groups were similar in baseline pain score and demographic characteristics. At 30 and 60 minutes, mean pain score was less in the intervention group compared to the control group. Moreover, the difference between the two groups was statistically significant regarding the additional amount of morphine, suggesting that the intervention group needed less additional morphine than the control group. Conclusion: The results of this study showed that Magnesium sulfate can be used as an adjunct drug in treatment of patients suffering from renal colic. It not only alleviates the pain in the patients, but also diminishes the need for pain medications

The Survey of Knowledge, Attitude and Performance Of Female Barbers in Relation to Job's Environmental Health: A Case Study of Malayer City

Hygiene disregarding and usage of contaminated tools leads to viral infections, fungal, bacterial and skin diseases, eczema, warts, tetanus and so on. Thus assessment of knowledge, attitudes and performance of barbers in order to ensure the security and public health is really necessary. This study is aimed at determining the knowledge, attitude and performance of female barbers in relation to job's environmental health in Malayer city. In present descriptive- analytical study, 75 female barbers sampling of Malayer city were selected by clusters – systematic method. The data were obtained through questionnaires for completion and checklist. Data analysis was performed using SPSS 21 statistical software. The result showed, 86.66% of people have attained correct awareness of regulations and 92.28% had positive attitude toward regulations and 86.38% of people in this study showed appropriate health practice. In order to, compare the average knowledge level in regard to parameters such as age, work experiences and income situation showed a statistically significant difference. In attitude and performance section, the difference between age and mentioned parameters was not statistically significant (P≥ 0.05). Despite the desirable level of knowledge, attitude and practice of barbers female in Malayer city, in order to improve the situation, to be better the presence of barbers in special guilds courses to train seriously