1 2228-5091 Arak university of Medical Sciences 488 Traditional medicine The Effect of Aaromatherapy with Bitter orange extract on Sleep quality in Patient with type 2 diabetic abdollahi fariba Mohaddes ardebili fatima najafi ghezelje tahereh hosseini fatima 1 9 2017 7 2 1851 1861 12 03 2017 10 04 2017 Introduction: More than one third of diabetic patients suffer from sleep disorders. The aim of this study is to determine the effect of aromatherapy with bitter orange extract on Sleep quality in type 2 diabetic Patients. Methods: This study was a clinical trial in which sixty diabetic patients were selected by the convenience sampling. Signing an informed testimonial, women and men of medical wards randomly assigned to either experimental or control groups. The patients in experimental group inhaled 8 drops of bitter orange extract 20% during the three consecutive nights. The control group did not receive any intervention. All the participants in both groups completed a Richard Campbell sleep questionnaire at the beginning and end of the experiment. Data were collected and analyzed by SPSS software version 22 and chi-square tests, fisher exact, independent t-test and paired t-test. Results:. The mean of total sleep quality score was 45.79±17.47 in the experimental group and 44.67±19.10 in control group at the beginning of the study; and it was 49.79±16.05 in the experimental group and 44.38±17.87 in control group at the end. Statistically, it was not observed as a significant difference in both groups. Score changes was statistically meaningful in experimental group before and after study -4±5.007, compared with control 0.286±3.72 (p <0.001). Conclusion: Considering its low cost, safety and simplicity, aromatherapy with bitter orange extract can be used in order to improve sleep quality in patients with type 2 diabetes.
475 Medicinal Plants The effect of different levels of short-term Silybum marianum (silymarin) extract supplementation on some of systemic inflammatory markers response in active males induced one-bout of aerobic exercise moin akbar f zarghami khameneh ali g f Tabriz, Islamic Azad University, Basmenj Branch. g PhD student of Exercise Physiology, Faculty of Physical Eduction and Sport Sciences, University of Tabriz, Tabriz, Iran. 1 9 2017 7 2 1862 1873 03 01 2017 15 06 2017 Introduction: Milk thistle has been used for centuries as a herbal medicine for the treatment of different diseases. The aim of this study was to investigate the effects of different doses of short-term milk thistle extract supplementation on the inflammatory markers response in active male induced by one-session aerobic exercise. Methods: For this purpose, Twenty-seven active male with VO2max 45-50 ml.kg-1.min, after completing consent forms, in a quasi-experimental and double-blind design were divided in three homogeneous groups of 9 subjects; supplement (Silymarin: 5 and 10 mg.kg1.day) and placebo (Dextrose: 5 mg.kg-1.day). After 14-day supplementation, all subjects were participated in a single aerobic exercise include; running on the treadmill at the 0% slope for 30 min with the intensity of 70-75% HR reserve. Blood samples were taken at three phases (baseline, after supplementation period and 24 hour after the exercise). Data were analyzed using repeated-measure 3×3 ANOVA, Bonferroni and independent t-test at α≤0.05. Results: The results showed that a single bout of aerobic exercise causes a significantly increased 24-hour inflammatory indices in all groups (P=0.001). However, in comparison to the placebo group, silymarin ingestion groups cause to attenuate the inflammatory markers response (CRP & PBMC) for placebo, 5 and 10 mg.kg-1.day of silymarin, respectively; P=0.023 and P=0.014) following one-session aerobic exercise. Conclusion: Based on the present findings, it can be concluded that the short-term of silymarin supplementation in dose-dependent response together with aerobic exercise could reduce the inflammatory markers in active males. 494 Nursing and Midwifery The Effect of 8 Weeks Tai Chi Exercise on the Fasting Blood Glucose of people with Type 2 Diabetes Rafii Forough h Masroor Daryadokht i Haghani Hamid j Azimi Hamideh k h Nursing Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences i Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences j Department of Biostatistics, School of Public Health, Iran University of Medical Sciences k Student Research Committee, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences 1 9 2017 7 2 1874 1886 26 03 2017 15 06 2017 Introduction: Changing life style is considered as an important factor in the reduction of diabetes incidence and its side effects. Due to the tendency of sedentary life style and automation, The aim of this study was to determine the effect of tai chi exercise on fasting blood glucose levels in patients with type2 diabetes. Methods: It was a semi-experimental two group trial that was done in 2 Tehran’s hospital(firoozgar-rasol) in 1395. After gathering written testimonial, a total of 67 patients with type2 diabetes were randomly assigned into two groups (Tai chi and control). Tai chi group practiced 30minutes, 3days a week for 8 consecutive weeks. fasting blood glucose was measured before and after the study in hospital. Data was analyzed by descriptive statistics (Relative ferequency, Mean, standard deviation), kolmogrov-smirnov test, paired T, independent T, ANOVA and Chi-square tests using SPSS(v.16). Significant level was considered at less than 0.05. Results: Most contributers were women in both groups. There was not a significant difference of the gender between two groups (p=0.882). Age mean of people in Tai chi group was 51.63±6.35 and in control group was 51.85±7.83. There was not an important difference between two groups (p=0.995). The majority of participants in both groups were diploma. There was not a significant difference in the education level between two groups (p=0.160). An important difference was seen between the mean of initial (149.82±36.13) and last fasting blood glucose of Tai chi exercise groups(124.21±29.92)(p=0.013). There was also a significant difference between the mean of last fasting blood glaucose of Tai chi and control groups (p=0.003). Conclusion: According to the findings, 8weeks of tai chiexercise reduces fasting blood glucose levels; therefore this exercises is recommended to patients with type2 diabetes and must be put in nursing Curriculum. 493 Physiology Plasma Irisin increases after acute endurance exercise in obese and normal weight women a-saremi@araku.ac.ir 1 9 2017 7 2 1887 1896 14 03 2017 25 06 2017 Introduction: Irisin is a myokine that has been proposed to exert anti-obesity benefits. The purpose of this study was to evaluate the effects of acute aerobic exercise on plasma Irisin level, insulin resistance and lipid profile in obese and normal weight women. Methods: In this semi-experimental study with pretest–posttest design, 12 obese women (BMI: 32.4 kg.m2, age: 27.5 yr) and 12 normal weight women (BMI: 20.9 kg.m2, age: 25.4 yr) participated. After measuring the maximal uptake oxygen of participants, they did acute endurance exercises using treadmill. After at least 8-hour-fasting, blood samples including before, immediately and one hour after activity samples were collected to measure the levels of irisin, glucose, insulin and lipid profile. Data analyzed using repeated measures ANOVA. Results: At baseline, irisin (p=0.01) and HDL (p=0.05) level was greater in normal-weight than obese women. Plasma irisin increased above baseline immediately after exercise (p=0.03) with no differences between obese and normal weight women (p=0.23). Blood glucose (p=0.01) and insulin resistance (p=0.04) decreased immediately after exercise, while insulin resistance improvement was greater in obese than in normal-weight women (p=0.02). Conclusions: A single bout of endurance exercise induces improvements in circulating irisin concentrations and insulin resistance in obese and normal weight women. 443 Medicinal Plants The comparision of the antimicrobial effect of P. harmala smoke and hydrogen peroxide on hospital germs jadidi Ali o Golitaleb Mohammad p Sadrkia Gholamreza o Arak University of Medical Sciences p Arak University of Medical Sciences Arak University of Medical Sciences 1 9 2017 7 2 1897 1905 11 09 2016 05 05 2017 Introduction: March medicinal plant with the scientific name of Peganum harmala L., is considered as herbaceous species which is traditionally used as an antimicrobial drug in the treatment of infectious diseases. This study aimed to compare the antimicrobial effect of Peganum harmala smoke and hydrogen peroxide solution on the microbial load in the hospital wards. Methods: This study was a trial study done in indifferent parts of a teaching hospital. Two trolleies were collected from each ward of the hospital, then a primary culture samples were taken. The sample were divided into two halves. One was disinfeted with smoke harmala (10gr/m3) and the other with Hydrogen peroxide. After the appropriate time, the re-sampling was carried out on blood agar and Mac Cancan. The results were analyzed using the software SPSS16. Results: The results showed that hydrogen peroxide had some antimicrobial effects on staphylococs and gram-positive, and Peganum harmala smoke had the effects on the gram-negative bacilli. Chi-square test revealed no differences in their antimicrobial effects between Peganum harmala smoke and Hydrogen peroxide solution. Conclusions: Since Peganum harmala smoke can be as effective disinfectant as hydrogen peroxide in their properties, and regarding its effects on the Gram-negative bacilli, it can be used as an auxiliary disinfectant in the theraputic wards. 457 Nursing and Midwifery The effects of Progressive Muscle Relaxation and Guided Imagery on gestational hypertension Azimian Jlill pashazadeh Fatemeh Alipour Heidary Mahmood Ranjkesh Fatemeh Qazvin medical science university Qazvin medical science university Qazvin medical science university Qazvin medical science university 1 9 2017 7 2 1906 1917 06 11 2016 28 04 2017 Introduction: Hypertension is a common disorder in pregnancy. Although this disorder is accompanied by many difficulties in pregnancy, no effective therapy has still been found to treat it. One of the main methods in the treatment of hypertension is stress reducing programs such as relaxation and Guided Imagery. This study is aimed to evaluate the effects of progressive muscle relaxation and guided imagery on the gestational hypertension. Methods: The present study is a randomized clinical trial in gestational hypertension patients undergoing in Kosar hospital, Qazvin, Iran. 80 patients were selected after obtaining the informed consent by convenience method and randomly allocated in intervention and control groups. The intervention group received physical and mental relaxation for eight weeks, twice a week. Blood pressures were measured before and after the relaxation sessions for the intervention group and the control group blood pressure were measured twice a week after 15-minute rest. Data were collected by a check list and were analyzed by SPSS v20. Statistical testes such as T-test, chi squares, Mann–Whitney and repeated measure were used for analysis. Results: The mean age of participants was 31.21±7.25 years. The results indicated that the physical and mental relaxation significantly decreased the systolic and diastolic (131.00±2.02,80.37±1.37 mmhg) blood pressure in the intervention group compared by the control group(150.08±0.67,97.02±0.75 mmhg)(p=0.000). Conclusion: According to the results, physical and mental relaxation is effective on the decrease of the systolic and diastolic blood pressure during pregnancy and it is suggested as a treatment for gestational hypertension.   461 Other cases The effect of eight weeks combined resistance - endurance exercise training on serum levels of serotonin and sleep quality in menopausal women Shabani Ramin Moazzeni Malahat Mehdizadeh Mona Rasht Branch, Islamic Azad University Rasht Branch, Islamic Azad University Rasht Branch, Islamic Azad University 1 9 2017 7 2 1918 1930 06 11 2016 28 04 2017 Introduction: Menopause, an expected event in a woman’s life, is associated with multiple symptoms. The aim of this study was to investigate the effect of combined resistance-endurance exercise training on body composition, cardiorespiratory endurance, serum levels serotonin and sleep quality in menopausal women. Methods: 22 sedentary postmenopausal women voluntarily participated in this study who were randomly assigned to two groups: experimental group (n=12) and control group (n=10). Written consent was obtained from the research samples. The experimental group performed endurance and resistance exercise training for 8 weeks (3 sessions a week). Body composition variables, cardiorespiratory endurance, serum levels of serotonin and Pittsburgh Sleep questionnaire were measured at the beginning and end of exercise period. These data were analyzed by SPSS (version 22) software. p<0.05 was considered statistically significant. Dependent and independent T-tests were used to test the hypothesis. Results: The results showed a significant reduction in body composition variables (p=0.01) and the overall quality of sleep (p=0.001) as well as a significantly increase in   cardiorespiratory endurance (p=0.01) and serum serotonin level (p=0.01) in the experimental group. During the study, no significant change was observed in the control group (p>0.05). Conclusions: The results indicated that a combined resistance - endurance training would probably improve the body composition, sleep quality, and serum serotonin levels in postmenopausal women.   463 Medicinal Plants Comparison the effect of evening primrose oil and vitamin E on premenstrual syndrome masumi zahra khalili arash delforooz fatemeh faradmal javad shayan arezoo 1 9 2017 7 2 1931 1943 11 09 2016 05 05 2017 Introduction: Premenstrual syndrome is a common disorder among women. This study aimed to comparison effect of vitamin E oil, evening primrose were on premenstrual syndrome. Methods: Study was double-blind clinical trial and randomly on 70 volunteers Imam Hossein health centers in Hamadan, was carried out. After obtaining consent, the first group (n = 35) received a capsule of vitamin E (400 UI) and the second group (n = 35) capsules of evening primrose oil (each capsule 1000 mg) 3 successive doses for 60 days. As tools for collecting data were demographic questionnaire form and the daily status of premenstrual syndrome. Data using SPSS software (version 16) were analyzed. Results: After the intervention, evening primrose consumer groups, the mean scores of stress symptoms(p=0.004), sleep disturbance(p=0.019), appetite for sweets(p=0.014), sore breasts(p=0.025), bloating(p<0.001), was dropped significantly after the intervention and in the total score of symptoms of premenstrual syndrome after intervention in the floral group (90.66 ± 64.66) and the vitamin E group was (108.84 ± 74.88), that difference was significant(p<0.05). Conclusion: The effect of evening primrose oil in the symptoms of premenstrual syndrome was better than the drug Vitamin E, but drug Evening primrose oil can used to relieve symptoms of premenstrual.