Background:Otomycosis is a superficial fungal infection often involves the pinna and external auditory canal. It is a pathologic condition, with Candida and Aspergillus, the most common fungal species. It is common worldwide but more prevalent in tropical and subtropical countriesObjectives:The aim of this study was to determine the etiologic agents and local epidemiologic pattern of otomycosis in northwest Iran.Patients and Methods:A series of 140 patients with clinically symptomatic otomycosis were studied in 21 cities, towns, and villages throughout northwest Iran between 2009 and 2011. Clinical samples were collected by swabs and then assessed by mycological investigation.Results:Otomycosis was diagnosed in 129 cases (92%, 76 male, 53 female) with the highest prevalence of cases occurring in males between 21 - 40 years of age. From an etiological point of view, 116 patients (90%, 21 - 40 years old) were infected by saprophytic mold and 9 patients (7%) were infected by yeast. Three cases (2%) involved dermatophytes, and in one case (1%) the subject was infected with Eurotium (the perfect stage of Aspergillus fumigatus). Aspergillus niger was the most common mold that was isolated, followed by A. flavus, A. fumigatus, Penicillium spp., Fusarium spp., and Rhizopus spp. A total of 2 yeasts belonging to genus Candida, C. albicans and C. tropicalis, were isolated.Conclusions:Our study showed a high prevalence of otomycosis in the northwestern area of Iran. As such, proper diagnosis and treatment by aseptic techniques for this disease is urgently needed.

Introduction: Vitronectin (VN), malondialdehyde (MDA) and high-sensitivity C-reactive rotein (hs-CRP) are cooperative agents involved in the atherosclerosis process. The study was conducted to assess the correlation of VN, MDA and hs-CRP with the severity of coronary artery disease (CAD). Methods: Parameters such as serum VN, MDA and hs-CRP were measured in 250 subjects including 200 patients with angiographically diagnosed CAD (50 subjects with non-significant CAD, 50 with single vessel disease, 50 with double vessel disease, and 50 with triple vessel disease) and 50 CAD-free subjects as a control group. Serum VN was measured with ELISA; MDA was measured based on reaction with thiobarbituric acid (TBA); and hs-CRP level was measured by a Commercial Kit by Immunoturbidimetry. Results: Serum VN, MDA and hs-CRP were significantly higher in patient groups compared to control group (P < .05). The mean value of MDA between 1 vessel and 3 vessel groups had significant difference (P = .01), also mean value of MDA between 2 vessel and control group and normal group showed significant difference (P < .001). The difference of MDA between 3 vessel and normal and 1 vessel and control group was significant (P < .001). Conclusion: The association and correlation between VN, MDA and hs-CRP indicate their involvement in the atherosclerosis process that may lead to progression of CAD. Also, these findings suggested that serum levels of VN, MDA and hs-CRP can help as diagnostic and monitoring markers in CAD patients and as markers of disease severity.

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Varicocele is classified as grade I-III regarding its severity. This study was aimed to determine the correlation between height and weight with varicocele grade in 18-30 years age group. We enrolled 400 persons aged 18-30 years referred to the specialist's clinics of Tabriz Medical Sciences University or Medical Commission Since Sep. 2004 to Mar. 2005. First we divided the volunteers in two groups including Varicocele Group and Non-varicocele Group, then varicocele patients were classified to three grades considering the severity of the disease: severe (Grade III), moderate (Grade II) and mild (Grade I). Finally, the correlation between height, weight and Body Mass Index (BMI) was evaluated. There was a significant relation between height and grades of left-side varicocele; in other words the severity of disease was increased with height (p = 0.004). Also, height increased the prevalence ofvaricocele (p = 0.011). On the other hand, low weight and BMI increased the prevalence of varicocele (p = 0.000, p = 0.004) but did not affect the severity of disease (p = 0.364, p = 0.172). In conclusion, the height of patients directly affected the prevalence and severity of left-side varicocele which probably is related to length of left internal spermatic veins in these patients and increased hydrostatic pressure in taller patients. Also, the weight and BMI is effective on the prevalence of varicocele. It seems that slim and tall persons will benefit from evaluation while puberty.

Background: Myrtus communis L. is an evergreen perennial shrub belonging to the Myrtaceae family that is spontaneously growing throughout the Mediterranean area. Myrtle has demonstrated important antimicrobial and antifungal activities to treat bacterial and fungal diseases. Objectives: This study was aimed to develop a new method to evaluate the anti-fungal activity of hydroalcoholic extracts of Myrtle on dermatophytes by bioautography. Materials and Methods:The species used for this study were: Microsporum canis, M. gypseum and Trichophyton mentagrophytes. The fungi were kept on Sabouraud dextrose agar (SDA) slants at 4°C and subcultured monthly throughout this study. Various fractions were prepared from hydroalcoholic extracts based on polarity. The antifungal assay of different solvent extracts was performed by agar disc diffusion method. A thin layer chromatography (TLC) method was developed to carry out bioautography TLC, the same solvent system as that of bioautography was used. Results: Ethyl acetate and total methanolic extracts respectively had the best antifungal effects against three tested genera of dermatophytes. The ethyl acetate extract and methanolic extract that had the most inhibitory effect compared with any other fractions, were separated by solvent system (trifluroacetic acid, ethyl acetate, methanol, water: 0.1: 10: 0.04: 0.04) by TLC method. The best antifungal effects of the three fungi extracts was obtained in Rf: 0 -0.3. Conclusions:The active compound may be a flavonoid. Existence of flavonoids in tested fractions could be the important medicinal properties of M. communis leaves. Further work is required to evaluate the exact effect of these biological compounds on animal model or human volunteers.