57 1735-4374 Bushehr University of Medical Sciences 469 General Comparison of therapeutic efficacy between acupuncture and low level laser in the treatment of cervical myofascial pain syndrome: a single blinded randomized clinical trial study Eslamian Fariba b Hajialilo Mehrzad c Mohammadi Leila d b Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, IRAN c Department of Rheumatology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IRAN d Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, IRAN 1 1 2014 16 6 380 393 15 09 2012 20 10 2012 Abstract Background: Neck pain is a medical and public problem with a prevalence of 9-18 percent in general population. Myofascial pain syndrome (MPS) is a regional pain syndrome that is characterized with muscular tender and triggers points. Laser therapy and acupuncture are two methods applied in the treatment of MPS. The aim of this study was to compare the effects of acupuncture and low level laser in cervical MPS treatment. Material and Methods: In a randomized clinical trial study, during a 15-month period, 60 patients with CMPs, referred to physical medicine and rehabilitation clinic, were divided into three groups Gr1 underwent acupuncture plus drugs, Gr2 laser therapy plus drugs and Gr3 only medication. Pain severity using visual analogue scale (VAS), Range of motion (ROM) with goniometry, palpation sensitivity with finger compression and daily function with neck questionnaire were assessed before, immediately after and two months after treatment. The obtained data were analyzed using statistical software SPSS version 16. Results: Sixty patients of CMPs were included in this study. In acupuncture group, 5 male and 15 female (mean age of 38.8±6.36), in laser group, 6 male and 14 female (mean age of 37.7±5.64) and in control group, 8 male and 12 female (mean age of 37.6±5.17) were evaluated. There was significant difference in majority of parameters in two treatment groups compared to control group. But neck ROM in left lateral bending and VAS score, showed better improvement in acupuncture group than the other 2 groups (P<0.001). Nevertheless two months afterwards, no significant difference was detected between laser and acupuncture groups. Conclusion: This study demonstrated that both acupuncture and laser therapy along with exercise and drugs are more effective than routine and only medication treatments in management of CMPs. However, with respect to myofascial pain pathology, acupuncture, at least in short term has more beneficial effects in pain improvement and neck range of motion than laser or medical therapy alone.
470 General Evaluation of Rapid Urease Test Compared with Polymerase Chain Reaction for Diagnosis of Helicobacter pylori Pakbaz Zahra e Shirazi Mohammad Hassan f Pourmand Mohammad Reza g Azhdarkosh Hossein h Vaise Malekshahi Ziba i Afshar Davood j . Hajikhani Sara k Mardani Nadia l e Department of Pathobiology, School of Health, Tehran University of Medical Sciences, Tehran, IRAN f Department of Pathobiology, School of Health, Tehran University of Medical Sciences, Tehran, IRAN g Department of Pathobiology, School of Health, Tehran University of Medical Sciences, Tehran, IRAN h Department of Internal Training, School of Health, Tehran University of Medical Sciences, Tehran, IRAN i Department of Biotechnology, School of Sciences, Shahed University, Tehran, IRAN j Department of Pathobiology, School of Health, Tehran University of Medical Sciences, Tehran, IRAN k Department of Pathobiology, School of Health, Tehran University of Medical Sciences, Tehran, IRAN l Department of Pathobiology, School of Health, Tehran University of Medical Sciences, Tehran, IRAN 1 1 2014 16 6 394 400 31 12 2011 23 02 2012 Abstract Background: Current diagnostic methods for detecting Helicobacter pylori infection include rapid urease test (RUT), urea breath test (UBT), histology, culture, and polymerase chain reaction (PCR). RUT is the most commonly method to diagnose Helicobacter pylori infection because of its simple, rapid and accurate characters. The aim of this study is evaluation of rapid urease test compared with PCR for diagnosis of Helicobacter pylori. Material and Methods: In this study 94 patients with dyspeptic symptoms attending the endoscopy suite of gastroenterology section of the Firouzgar University Hospital, Tehran, Iran, were enrolled. Patient’s antrum biopsy specimens were collected at endoscopy for the rapid urease test and PCR. Data was recorded on a data sheet and analyzed using SPSS version 19.0. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of RUT was compared against PCR. The gold standard test for the diagnosis of Helicobacter pylori infection was PCR. Results: Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of RUT respectively were 97.2%, 89.2%, 81.4% and 98%. Conclusion: RUT has high sensitivity and specificity for detection of Helicobacter pylori infection. 471 General A comparative study on the effects of Menstrogol and Mefenamic acid on postpartum after-pain Shadipour Mahshid m Simbar Masoomeh n Salamzadeh Jamshid o Nasire Navideh p m Department of Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Shahid Beheshty University of Medical Sciences, Tehran, IRAN n Department of Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Shahid Beheshty University of Medical Sciences, Tehran, IRAN o Department of Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Shahid Beheshty University of Medical Sciences, Tehran, IRAN p Department of Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Shahid Beheshty University of Medical Sciences, Tehran, IRAN 1 1 2014 16 6 401 409 19 10 2011 26 02 2012 Abstract Background: After pain is one of the complications occurring during postpartum, this requires an appropriate analgesic to relieve the pain. The current study was designed to study and compare the analgesic effects of Menstrogol and Mefenamic acid on postpartum pain. Material and Methods: This study was a randomized single-blinded controlled clinical trial in which pregnant mothers having normal vaginal delivery and suffering from postpartum pain were studied. Volunteer (consented) pregnant women were randomly entered into two study groups of Menstrogol (containing 500 mg of dried extracts of celery, saffron and anise) and Mefenamic acid (250 mg) oral capsules. Using the visual analogue scale (VAS), after pain was determined during the first 2 hours after delivery and patients received drugs if a pain score ≥ 4 was expressed by patients. These women were administered 3-4 doses of drugs per day (every 6-8 hours). Severity and duration of pain were measured and recorded before and 1 hour after dosage administration. Data was analyzed using the Statistical Package for Social Scientists (SPSS version 13). Results: Results revealed that Mefenamic acid and Menstrogol both are effective in reducing the severity of postpartum pain (p<0/05). Comparison analyses showed that Menstrogol could not only result in a higher reduction in the pain and its severity in postpartum women but also its effect began faster than Mefenamic acid. In addition, incidence rate of adverse reactions was lower in the Menstrogol group compared to Mefenamic acid group (p<0/05). Conclusion: Our results show that Menstrogol is an effective and safe alternative for Mefenamic acid in women suffering from post partumpain. This is a confirmation for effectiveness of herbal medicines in contrast to chemical drugs. 472 General 25-OH Vitamin D serum level in pregnant women in Bushehr- 2012 Hatami Gisoo Ahmadi Shahnaz Motamed Niloofar Eghbali Seyyed Sajjad Amirani Sara Department of Pediatrics, School of Medicine, Bushehr University of Medical Sciences, Bushehr, IRAN Department of Obstetrics & Gynecology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, IRAN Department of Community Medicine, School of Medicine, Bushehr University of Medical Sciences, Bushehr, IRAN<br>Persian Gulf Nuclear Medicine Research Center, The Persian Gulf Biomedical Research Center, Busheh University of Medical Sceinecs, Bushehr, IRAN Department of Pathology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, IRAN School of Medicine, Bushehr University of Medical Sciences, Bushehr, IRAN 1 1 2014 16 6 410 418 03 03 2013 23 06 2013 Abstract Background: Vitamin D deficiency during pregnancy has important implications for the mother and infant. Adequate vitamin D concentrations during pregnancy are necessary to neonatal calcium homeostasis, bone maturation and mineralization. This study was designed to evaluate serum 25-OH vitamin D concentration in Bushehrian mothers and effect of vitamin D deficiency on pregnancy outcomes. Material and Methods: One hundred full-term pregnant women were recruited from a university hospital in Bushehr port, in spring & summer 2012. Maternal blood samples were collected on the day of delivery. Serum was assayed for 25-hydroxy vitamin D, calcium, phosphors and PTH. Vitamin D concentration of less than 20 ng/ml was considered as hypovitaminosis D. Results: Prevalence of vitamin D Deficiency was 76%. A significant direct correlation was seen between maternal serum calcium and birth weight of neonates (r= -0.31, P= 0.002). Mean serum level of vitamin D in mothers aged less than 30 years was significantly higher in comparison to less than 30 years mothers. (P= 0.24, 95% CI= 0.02-0.32). A significant direct correlation was seen between serum vitamin D level and parathormone (r= -0.33, P= 0.001). Conclusion: Consideration of adequate calcium and vitamin D intake during pregnancy is essential. Furthermore, it seems it is necessary to reconsider recommendation for vitamin D supplementation during pregnancy. 473 General The investigation of exposure to benzene, toluene, ethylbenzene and xylene (BTEX) with Solid Phase Microextr action Method in gas station in Yazd province Mosaddegh Mehrjerdi Mohammad Hossein Tahmasebi Nasim Barkhordari FiroozAbadi Abolfazl Fallahzadeh Hossein Esmaielian Sanaz Soltanizadeh Kazem Department of Pharmacology, School of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, IRAN Department of Health, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, IRAN Department of Health, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, IRAN Department of Statistics, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, IRAN Department of Health, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, IRAN National Iranian Oil Products Distribution Company 1 1 2014 16 6 419 427 22 10 2011 23 02 2012 Abstract Background: Benzene, toluene, ethylbenzene and xylene (BTEX) are volatile organic compounds which their physical and chemical characteristics are similar. Evaporation of BTEX from gasoline in petrol station into the air causes gasoline station attendants expose to them. A new extraction method of volatile organic compounds is solid phase microextraction (SPME). The aim of this study is to optimize extraction conditions of BTEX from air samples and then determination of gasoline station air contamination with BTEX in Yazd. Material and Methods: In this study air samples were collected using Tedlar bags and then extracted and analyzed with SPME fiber and gas chromatography equipped with a flame ionization detector. Results: Our results indicate that PDMS/CAR has the best peak area in comparison with two other fibers The Optimized extraction and desorption times are estimated 3 and 1 minutes, respectively Mean concentration of benzene, toluene, ethyl benzene and xylene in gas station’s air were 1932±807, 667±405, 148±89, 340±216 µg/m3 respectively. Conclusion: Benzene mean concentration is above threshold limit value (0.5PPM). Whereas, toluene, ethylbenzene and xylene mean concentration are lower than threshold limit values. 474 General Individual and Environmental determinants of Health Related Quality of Life in Iranian patients with type II diabetes Hadipour Maryam Abolhasani Farid Molavi Vardanjani Hossein Eybpoosh Sana Research Center for Modeling in Health, Kerman University of Medical Sciences, Kerman, IRAN Endocrinology and Metabolism Research Institute, School of Medicine, Tehran University of Medical Sciences Tehran, IRAN Students Research Committee, School of Health, Kerman University of Medical Sciences, Kerman, IRAN Research Center for Modeling in Health, Kerman University of Medical Sciences, Kerman, IRAN 1 1 2014 16 6 428 435 16 10 2011 18 04 2012 Abstract Background: In recent two past decades prevalence of Type II diabetes has increased dramatically. Despite its financial costs, one of its consequence outcomes is decreasing quality of life of Diabetic patients. So it seems to be more useful to evaluate the influential personal and also environmental factors on patient’s quality of life. The purpose of this study was to assess effects of personal and environmental factors on Health Related Quality of Life (HRQoL) of Iranian type II diabetic patients. Material and Methods: We worked on some parts of data form a national cross sectional study conducted in 2006. Sampling technique was random cluster sampling. Data collection method was face to face interview based on EQ-5D questionnaire. Interview form, also measured personal factors include: gender, age, duration of diseases from diagnosis, educational and family economic status. We collected our environmental factors such as literacy rate, urbanization rate, number of medical clinics and endocrinologists from latest national census, 1385. For data analysis we used multilevel regression analysis by Ml-win software. Results: Available data were analyses for 3472 diabetic patients. Gender, age, duration of disease, economic status and educational level in personal level and urbanization rate as an environmental factor were statistically significant factors in relation with health related quality of life. Conclusion: Based on study results, gender, and age, duration of illness, family economic and educational status of patients and the rate of urbanization affect on the HRQoL of type II diabetic patients. 475 General Relationship between personality trait and self- management in diabetic patients referred to Bushehr medical centers in 2012-13 Noroozi Azita Tahmasebi Rahim Shaybani Behnaz Department of Health Education & Promotion, School of Health, Bushehr University of Medical Sciences, Bushehr, IRAN Department of Biostatistics, School of Health, Bushehr University of Medical Sciences, Bushehr, IRAN<br>The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sceinecs, Bushehr, IRAN Public psychology, Allameh Tabatabaei University, Tehran, IRAN 1 1 2014 16 6 436 446 08 12 2012 28 02 2013 Abstract Background: Diabetes is a serious problem and self- management is effective factor for diabetes control. Personality trait is one of the important factors in diabetes self- management. In this study, purpose was determination of effective personality traits in self- management. Material and Methods: In this cross sectional study, data were collected from a convenience sample of 396 diabetic patients, using self- management and Big five personality Scales. For data analysis, multiple linear regression models were used. Results: Among five personality traits, the most effective traits in self- management were conscientiousness, openness, and extraversion (R2= 32%). Conscientiousness and openness were significant predictors for all of self- management aspects. Extraversion was effective factors in self- regulation, self- integration, and following treatment. Conclusion: The education for diabetic patients with neuroticism and agreeableness traits is necessary and Patients with conscientiousness, openness, and extraversion traits can be used as model in educational process. 476 General The influence of two type’s aerobic exercise in two different conditions on the thermal resistance of the airways resistance and bronchospasm athlete male students in Ahwaz City Asle Mohammadizadeh Mahmood Ghanbarzadeh Mohsen Habibi Abdolhamid Nikbakht Masoud Taghavi Orveh Ali Department of Sport Physiology, School of Physical Education & Sport Sciences, Shahid Chamran University, Ahvaz, IRAN Department of Sport Physiology, School of Physical Education & Sport Sciences, Shahid Chamran University, Ahvaz, IRAN Department of Sport Physiology, School of Physical Education & Sport Sciences, Shahid Chamran University, Ahvaz, IRAN Department of Sport Physiology, School of Physical Education & Sport Sciences, Shahid Chamran University, Ahvaz, IRAN Department of Sport Physiology, School of Physical Education & Sport Sciences, Shahid Chamran University, Ahvaz, IRAN 1 1 2014 16 6 447 458 11 12 2011 29 04 2012 Abstract Background: Respiratory system is the only body system that is directly exposed to environmental temperature and humidity can cause different reactions. Respiratory rate at rest and exercise in adolescents also because the depth is less than most adults. This requires that the increase in respiratory complications in these patients should be examined. The aim of this study the resistance of the airways and the status of bronchospasm in two different conditions of hot and cold air in young male athletes. Material and Methods: Thirty-five high school students volunteer in Ahwaz city (16-18) year’s average height (178 cm), weight (66 kg), body mass index of 25/14. 92 percent of lung function of FVC, The winter air temperature 14 ° C and 68% relative humidity and air temperature in spring, 42 ° C and relative humidity was 76%. Before running the tests measurements are recorded. Low intensity aerobic exercise protocols used to measure the bulk has been. High-intensity aerobic exercise test to measure the Astrand on the treadmill in the winter (January) and spring (June) has been made. In the seasons before and after the exercise test, pulmonary parameters of FVC, FEV1, FEV1/FVC were measured. Using t-test, paired and independent results after the test with a (p ≤ 0.05) in two different storage temperatures and at high intensity and low-practice cases are compared. Results: Results showed that compared FEV1, FEV1/FVC to the pre-test parameters and test the bulk test in winter and spring and winter and spring Strand test is significant. Astrand test results as well as between the Bulks test in the winter and spring, significant differences were observed. According to the results, only 4 people (14%) followed by the low-intensity activity in spring and develop bronchospasm were airway resistances. On the other hand, high intensity activities in winter in 14 patients or 40% of subjects are bronchospasm and increased resistance of the air way. Conclusion: General exercise with high intensity in cold weather conditions caused evoked of the lungs airway and and restricted the airflow (than exercise with low intensity in warm weather conditions) in boy's students. 481 General Seroepidemiology of Rubella, Cytomegalovirus, Herpes simplex & Varicella zoster virus in college women of Bushehr. Barazesh Afshin Zandi Keyvan Hadavand Fahimeh Moatamed Niloofar Hefzollah Farnaz Hefzollah Behnaz Vahdat Katayoun The Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr, IRAN The Persian Gulf Marine Biotechnology Research Center,The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sciences, Bushehr, IRAN The Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr, IRAN The Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr, IRAN The Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr, IRAN The Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr, IRAN The Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr, IRAN 1 1 2014 16 6 459 466 23 07 2013 18 08 2013 Abstract Background: Acute viral infections such as cytomegalovirus, Rubella, Herpes simplex and varicella zoster virus in pregnant women can cause congenital infection with increased risk of developing congenital anomalies and morbidity. We aimed to identify young women susceptible to these viral infections in Bushehr. Materials and Methods: In 2009, 180 female were randomly selected from high schools and college students who were been assisted in marriage consulting clinics. In this cross sectional study, IgG antibodies against varicella zoster virus (VZV), Herpes simplex virus I,II (HSV I,II) , Rubella & cytomegalovirus (CMV) were determined by indirect enzyme immunoassay (ELISA) technique. Results: Mean age of the participants was 18.72 years old. %99.4 and %95 of sera were positive for cytomegalovirus & Rubella respectively and also Antibodies against VZV & HSV were detected in %74.5 & %69.4 of samples. There were no significant correlation between antibody seropositivity and education level, living places (rural or urban) and occupation. (P<0/05). Conclusion: Although, The findings of this study indicated that high prevalence rate of VZV &HSV 1,2 in child bearing age women, but 1/3 -1/4 of them, are still susceptible to these infections, so routine screening of these viruses is suggested in antenatal care. 477 General Evaluation of antibiotic resistance among isolated pathogenic bacteria from shrimp hatcheries in Bushehr province Moghimi Azam Afsharnasab Mohammad Dashtiannsab Aghil Mesbah Mehrzad Yeganeh Vahid 1 1 2014 16 6 467 478 24 08 2011 27 11 2011 Abstract Background: Rapid development of shrimp aquaculture has resulted in widespread use of antibiotics for preventing and curing diseases. In aquaculture, particularly shrimp hatcheries antibiotics are routinely used at therapeutic levels to treat disease and at sub-therapeutic levels as prophylactic agents to increase feed efficiency. Antibiotic residues in the environment are likely to lead to the development and maintenance of antibiotic resistance in microbial populations. The aim of this study was determine of antibiotic resistance to two shrimp pathogens Vibrio harveyi, V.alginolyticus, that they are agents of mortality in shrimp hatcheries. Material and Methods: After isolation and detection(by biochemical tests) of two species of bacterial pathogens from three hatcheries of Bushehr province, bacterial strains were tested for sensitivity to antibiotics including erythromycin, streptomycin, oxytetracyclin, and trimetoprim by disk diffusion method. Results: Results showed that all isolated bacteria Vibrio harveyi from three hatcheries were sensitive to oxytetracyclin and trimetoprim, but to streptomycin were resistant, and to erythromycin in hatcheries A, B, C was intermediate, resistance, sensitive respectively. Bacteria Vibrio alginolyticus isolated from three hatcheries were resistant to streptomycin. But they isolated from a hatchery to the other antibiotics erythromycin, oxytetracyclin and trimetoprim were resistant, intermediate and intermediate, respectively. Also they isolated from B hatchery were resistant, sensitive and sensitive to erythromycin, oxytetracyclin and trimetoprim, respectively And from C hatchery were intermediate, sensitive and sensitive to antibiotics, respectively. Conclusion: Isolated bacteria showed the most resistance to streptomycin and erythromycin respectively. These antibiotics is used frequently in medicine and veterinary, with entrance of human and animal's bacteria resistance via waste and fluid water to the sea, maybe transferred the resistant plasmid from resistant bacteria to Vibrio spp. 478 General Evaluation of resistancy to imipenem in positive blood culture in bushehr educational hospitals -1389 Hadavand Fahimeh Maneshi Hesamaldin Moatamed Niloofar Vahdat Katayoun Fattah Majid AlizadehOtaghvar HamidReza Heydari GHolamReza The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Research Institute, Bushehr university Of medical sciences The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Research Institute, Bushehr university Of medical sciences The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Research Institute, Bushehr university Of medical sciences The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Research Institute, Bushehr university Of medical sciences School Of Medicine, Bushehr university Of medical sciences Department Of Surgery, School Of Medicine, Bushehr university Of medical sciences The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Research Institute, Bushehr university Of medical sciences 1 1 2014 16 6 479 485 19 12 2012 25 06 2013 Abstract Background: Imipenem is a betalactam antibioticthat has antibacterial activity against gram positive,gram negative and anerobic species. Antibiotic resistance is a problem in Iran. In this study, we asses imipenem resistance in blood cultures in Bushehr educational hospitals. Material and method:This cross sectional study was done in 2010. Blood cultures were taken from admitted patients in hospitals. For all samples, antibiogram with disk diffusion was done. And result of culture was categorized into three groups :resistance, sensitive and intermediate. Data was analyzed with SPSS Version13. Results: This study consisted of 200 patients. 48% Male, 37% female, 14% NeonateThe age of study group was ranged between 1 and 90 years (Mean 21, Standard deviation 28). . Psuedomonus aeroginosa and staphilococcus epidermis had higher perevalence. Resistancy to imipenem was 29/5%. Resistancy to imipenem was 41/4% in NICU. Concdlsion: Findings indicated that antibiotic resistancy is increasing in Bushehr. Therfore, it is necessary to modify antibiotic prescription and restrict using wide spectrum antibiotics such as imipenem. 482 Microbiology and Immunology A Review of Novel Coronavirus, cause of Middle East Respiratory Syndrome Vahdat Katayoun Amini Azam Najafi Akram Haeri‌nejad Mohammad Javad Department of Infectious diseases, The Persian Gulf Tropical Medicine research Center, Bushehr University of Medical Sciences, Bushehr,IRAN Department of Internal Medicine, School of Medicine, Bushehr University of Medical Sciences, Bushehr, IRAN Department of Infectious diseases, The Persian Gulf Tropical Medicine research Center, Bushehr University of Medical Sciences, Bushehr,IRAN The Persian Gulf Marine Biotechnology Research Center,The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sciences, Bushehr, IRAN 1 1 2014 16 6 486 492 01 07 2013 18 08 2013 Abstract Background: Isolation of a novel virus belonging to coronavirdae family in September 2012, from patients in Middle East who had died of an acute respiratory illness & renal failure lead to researches on this new virus. Here, a brief review to summarize the events of scientific findings of this new emerging virus. Material and Methods: This review is based on a comprehensive search of three databases (Pubmed, Embase and Cochrane) and WHO reports. The searched keywords were new coronavirus, Middle East, acute respieratory distress syndrom & Saudi Arabia. Results: Due to novelty of virus only limited papers exist on searched databases, so only 50 papers were identified which after omitting repeated case reports, papers related to SARS and updated WHO reports, 30 papers were finally reviewed. Conclusion: WHO recommendation is evaluation of all patients with acute respiratory illness and history of travel to Saudi Arabia or other countries where this novel virus is epidemic. 479 General The injuries with stonefish toxinology, clinical presentations and treatment Jafari Mahboobeh Mohebbi GholamHossein Vazirizadeh Amir Nabipour Iraj The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sceince, Bushehr, IRAN The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sceince, Bushehr, IRAN Department of Marine Biotechnology, The Persian Gulf Research and Studies Center, The Persian Gulf University The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sceinecs, Bushehr, IRAN 1 1 2014 16 6 493 507 06 09 2013 11 11 2013 Abstract The members of Scorpaenidae family, including stonefish (genus Synanceja) are among the most dangerous and venomous fishes in the word that inhibit in the tropical shallow waters. The toxinology of the venom of stonefish (genus Synanceja) showed that it is a mixture of proteins, containing several enzymes like hyaluronidase. The crude venom can produce cytolytic, hemolytic, neurotoxic and hypotensive effects in vivo. Immediate increasing intensive pain, local ischemia followed by cyanosis, edema and swelling are the local clinical presentations. Systemic manifestations are not uncommon. Hot water immersion of the injured limb, a local anesthetic agent without adrenaline, infiltrated into and around the wound, debridement of the necrotic tissue and the prescription of prophylactic antibiotic are the main therapeutic measures. The administration of antivenom may be considered. 480 General Prevalence of intestinal parasites among workers involved in collection, transportation and recycling of wastes in the Pars Special Economic Energy Zone, Bushehr Fouladvand MoradAli Barazesh Afshin Tahmasebi Rahim The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sceinecs, Bushehr, IRAN The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sceinecs, Bushehr, IRAN The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Research Center, Bushehr University of Medical Sceinecs, Bushehr, IRAN 1 1 2014 16 6 508 518 08 04 2013 30 06 2013 Abstract Background Intestinal parasitic infections are of one most important problems in developing countries and job is one of the most important factors determining the rate of intestinal parasitic infections. Persons who deal with waste elimination and recycling, due to close contact with infectious sources are more likely to be infected than others. Because of industrialization, population density and immigrants residing in Assaluyeh region , and due to the lack of history of a study for intestinal parasitic infection, the prevalence rate of intestinal parasitic infections among workers in the collection, transportation and recycling of wastes in the Pars Special Economic Energy Zone was evaluated. Material and methods: In a descriptive cross-sectional study, demographic questionaire was completed for each person, Stool samples were taken and sample containers were transferred to parasitology research laboratory of university. Samples were examined for intestinal parasites by preparing direct smear (wet mount) and formalin-ether sedimentation technique. Data were collected by questionnaire and analyzed using SPSS 15.0 software and Chi square test. Results: The results showed that 37.3% of samples were infected at least with one intestinal parasite, 10.7% of samples were infected with more than one parasite. Giardia lamblia (6%) and Entamoeba coli (13/4%), showed the highest infection rate among all parasite species. Prevalence rate of intestinal parasites in worker from Nakhl-e- Taghi municipality was higher than other region of the study area. Conclusion : Job type and duration of contact with infectious source play important roles in determining rate of intestinal parasitic infection. Workers involved in collection, transportation and recycling of wastes are more at risk of intestinal parasitic infections than others. Therfore, providing personal protective equipments and health education in this group can play an important role in community health promotion.