Metabolic pathways of tetraidothyronine and triidothyronine production by thyroid gland: a review of articles

Tetraidothyronine (T4) and Triiodothyronine (T3) are the two vital hormones in human metabolism produced by thyroid gland. The major pathways in thyroid hormone biosynthesis begin with iodine metabolism which occurs in three sequential steps: active iodide transport into thyroid followed by iodide oxidation and subsequent iodination of tyrosyl residues of thyroglobulin (Tg) to produce idotyrosines monoidotyrosine (MIT) and diiodothyrosine (DIT) on Tg. Oxidized iodine and tyrosyle residues which are an aromatic amino acids are integral part of T4 and T3. The thyroid iodine deficiency of either dietary, thyroid malfunction, or disorder of hypothalamus and pituitary to produce enough Thyroid Stimulating Hormone (TSH), eventually lead to hypothyroidism with sever side effects. Iodine oxidation is the initial step for thyroid hormone synthesis within thyroid, is mediated by thyroperoxidase enzyme (TPO), which itself is activated by TSH required for production of MIT and DIT. T4 and T3 are subsequently are synthesized on Tg following MIT and DIT coupling reaction. Thyroid hormones eventually produced and released into circulation through Tg pinocytosis from follicular space and subsequent lysozomal function, a process again stimulated by TSH. The production of T4 and T3 are highly regulated externally by a negative feed-back interrelation between serum T4, T3 and TSH and internally by the elevated iodine within thyroid gland. It is believed the extra iodine concentration within thyroid gland control thyroid hormones synthesis by inhibition of the TPO and hydrogen peroxide (H2O2) formation which is also an essential factor of iodine oxidation, via a complex mechanism. In healthy subjects the entire procedures of T4 and T3 synthesis re-start again following a drop in serum T4 and T3 concentration. On conditions of thyroid disorders, which caused by the distruption of either of above mechanisms, thyroid hormone deficiency and related clinical manifestations eventually begin to show themselves.     

Biochemistry of pyrethroid resistance in German cockroach (Dictyoptera, Blatellidae) from hospitals of Sari, Iran

BACKGROUND: The German cockroach is an important household insect pest mechanically involved in transmission of a variety of diseases to humans. Different classes of insecticides have extensively been used for its control leading to insecticide resistance development. Hence, for an optimal control of this pest, the status and underlying mechanisms of insecticide resistance should be studied in this group of insects. METHODS: Adult German cockroaches were collected from Imam and Bouali Cina Hospitals (Sari, Iran) and subjected to bioassay using jar test method. The results were compared to those of a susceptible laboratory strain. Biochemical assays of esterases, monooxigenases and glutathione S-transferase (GST) levels were undertaken on German cockroaches from Imam and Bouali Cina Hospitals and the results were compared to a susceptible laboratory strain. RESULTS: The LT50 values of the three strains were 20.24+/-2.2, 19.87+/-2.3 and 8.89+/-0.26 for permethrin; 19.3+/-3.05, 17.6+/-0.68 and 8.8+/-0.99 for deltamethrin; 19.64+/-2.9, 18.66+/-3.45 and 8.64+/-0.62 min for cypermethrin, respectively. The mean -esterase activity of Imam and Bouali Cina Hospitals and susceptible strains were 6.941x10(-4), 6.940x10(-4) and 8.01x10(-5) nmol/min/mg protein; the mean -esterase activity in those strains were 5.8x10(-4), 4.25x10(-4) and 7.28x10(-5) nmol/min/mg protein; the mean content of p450 in the above-mentioned strains were 5.64x10(-6), 1.89x10(-6) and 1.2x10(-6) nmol/mg protein; the mean GST activity were 6.66x10(-2), 0.102 and 5.72x10(-2) mol/min/mg protein, respectively. CONCLUSION: The LT50 values and also the mean activity of all enzyme groups in field strains were significantly different from those of the susceptible strain, indicating a vigour tolerance to insecticides and pyrethroids in particular. Hence, insecticide resistance monitoring techniques should be put in place and also resistance management strategies and measures should be considered implementing in the area.     

Diagnostic accuracy of Doppler ultrasonography in differentiation between malignant and benign cervical lymphadenopathies in pediatric age group

Cervical lymphadenopathy is a relatively common finding in pediatric age group and is caused by a wide spectrum of diseases from transient infections to malignancies especially lymphomas. The present study was aimed at evaluating the diagnostic performance of grey-scale ultrasonography, color Doppler ultrasonography and power Doppler ultrasonography in differentiation of reactively and metastatically enlarged cervical lymph nodes in pediatric age group. Fifty children with cervical lymphadenopathies were assessed by ultrasonographic methods. In each patient, the longest (L) and transverse (T) diameters, L/T ratio and presence or absence of the normal hilar pattern were checked by grey-scale ultrasonography. Spectral parameters (resistive and pulsatility indices) and vascular distribution pattern of nodes were recorded by color and power Doppler ultrasonography, respectively. Following the ultrasonographic evaluations, biopsy and/or clinical follow up was applied for six months, based on the clinical and paraclinical findings. Statistical analyses were performed by chi-square test, independent t-test and receiver operator characteristic curves. The mean age of patients was 12.42 +/- 2.42 years. Twenty eight patients (56%) had malignant enlargement of lymph nodes. The mean value of L/T ratio in malignant group was 1.70 +/- 0.22 and 2.40 +/- 0.38 in non-malignant nodes (p < 0.001). Sensitivity, specificity and accuracy of combined grey-scale and power Doppler ultrasonography were 70, 86 and 81%, respectively. Combination of grey-scale and power Doppler ultrasonography is recommended for the differentiation between the malignant and benign lymphadenopathies in children. Moreover, our findings revealed no diagnostic role of color Doppler ultrasonography in the selection of malignant cervical lymph nodes in children.     

Presence of Aflatoxin M1 in raw milk at cattle farms in Babol, Iran

In this study, raw cow milk samples were collected from milk churns at 40 traditional and semi-industrial cattle farms located in Babol (Northern Iran) in winter 2006. In total, 120 raw milk samples were tested for Aflatoxin M1 (AFM1) contamination by competitive ELISA. In 68 out of 120 samples (56.7%) the presence of AFM1 was detected by concentration ranging from 50 to 352.3 ng L(-1). Fifty two samples (43.3%) contained AFM1 at levels of 4-50 ng L(-1) (The AFM1 contamination levels were between 4-352.3 ng L(-1) by the average of 102.73 ng L(-1)). In general, 56.7% of samples were beyond the limit of European community regulations (50 ng L(-1)). In other words, the AFM1 contamination levels in raw milk were more than twice over standard levels. The AFM1 contamination levels, (> 50 ng L(-1)), in January, February and March were 40, 65 and 65%, respectively. Estimation of contamination of AFB1 using AFM1 in feed stuff showed that it was about 0.25 to 22 microg kg(-1) holding the average of 46.7%, being higher than European community limit (5 microg kg(-1)).     

Natural immunity to hemophilus influenza type b in children, south of Iran: need for vaccination

Hemophilus influenza type b (Hib) infection has a high morbidity and mortality rate especially in children less than 5 years of age. The incidence of Hib disease in Iran is not known and Hib vaccine is not included in the National Immunization Program. The aim of the present study was to investigate the level of antibody to Hib of children five years or younger living in Jahrom, Iran. Three hundred eighty six children 5 years or younger were selected by random sampling method. A blood samples were taken from those children. Anti-Hib IgG antibody (anti-PRP) level was determined in the serum by using anti-Hemophilus influenza IgG EIA kit (IBL, Germany). An anti-PRP antibody levels of 0.15 microg mL(-1) and over were accepted as the natural immunity. The mean concentration of Hib antibody was 0.94 +/- 0.480 microg mL(-1). Natural immunity was determined in three hundred and twenty six (84.5%) of the children. The proportion of natural immunity was increased from 64.9% among children = 12 month old to 95.2% in children aged 49-60 month (p < 0.001). The exposure rate of children with Hib was higher than expected, even in children who were just a few months old. Present data revealed need to be introducing Hib conjugate vaccine in the National Immunization Programs.     

Etiology of pediatric chronic kidney diseases in north-west of Iran

The aim of this study was to evaluate the etiology of pediatric Chronic Kidney Disease (CKD) in a tertiary care hospital in north-west of Iran. Medical records of admitted children with CKD in Children's Hospital of Tabriz from 1999 to 2009 were studied retrospectively. CKD was defined as GFR less than 60 mL min(-1) 1.73 m2 for more than 3 month. The etiology of CKD was determined by clinical, biological, radiological and histopathological examination. During 10 years 115 children including 61 boys (53%) and 54 girls (47%) were studied. The mean age of patients was 8.1 +/- 3.53 years (range: 4 months to 14 years). Urological abnormalities were the most common cause of CKD (36.5%) followed by acquired glomerular diseases (23.5%), hereditary nephropathies (21.7%), unknown etiology (9.5%) and systemic diseases (6%). The most common urologic anomaly was vesicoureteral reflux (VUR) that accounted for 24.3% of total etiologies followed by obstructive uropathies. Focal segmental glomerulosclerosis was the most frequent glomerular disease and was responsible for 13.9% of patients. Nephronophtisis, cystinosis, infantile polycystic disease and congenital nephrotic syndrome were the most frequent hereditary nephropathies in a descending order. Frequency of parental consanguinity in patients with hereditary nephropathy was significantly higher than other patients (p = 0.001). High frequency of VUR in present study compared with developed countries necessitates more efforts for improving the management and follow up of urinary tract infections.     

Comparison of topical triamcinolone and oral atorvastatin in treatment of paederus dermatitis Northern Iran

Dermatitis caused by stimulation of beetle paederus, is a common health problem in Northern and some southern parts of Iran. Since by now, traditional medicine and some corticosteroid agents have been used for treatment of dermatitis caused by beetle paederus. Because, there are few researches about classical treatment of the disease at academic level, this study planned to compare the effectiveness of triamcinolone ointment and atorvastatin tablet with placebo in treatment ofpaederus dermatitis in Northern Iran. A randomized double-blind clinical trial was carried out on 30 patients referred to the hospital and clinics at Sari and Neka countries in Northern Iran during 6 months. Patients were randomly divided into two therapeutic equal groups. The first group was triamcinolone ointment twice a day and a placebo atorvastatin tablet daily. The second group was oral atorvastatin one tablet (20 mg) daily and a placebo triamcinolone ointment twice a day. In Seventh day of visits, therapeutic response of the patients in triamcinolone and atorvastatin group were 93.33 and 80%, respectively. No significant differences were found in therapeutic outcome between the two groups (p > 0.05). The results showed both oftriamcinolone ointment and oral atorvastatin had similar effect on paederus dermatitis. Because the paederus dermatitis is a self-limited disease use of topical therapy for treatment of the disease is recommend.     

Comparison of vitamin D deficiency and secondary hyperparathyroidism in obese and non-obese children and adolescents

Obesity subjects individuals into metabolic and endocrine disorders. Thus obesity may increase the risk of vitamin D deficiency. This text aims at studying the prevalence of vitamin D deficiency and secondary hyperparathyroidism in obese children. In a non-randomized case control study on 52 obese children (body mass index (BMI) >95th percentile) aged 4 to 16 years undertaken at the outpatient endocrine clinic of the Children Hospital at Tabriz University between 2009-2011. This study was conducted to compare the prevalence of vitamin D deficiency and secondary hyperparathyroidism in obese children compared with 57 non obese (BMI < 85th percentile). 109 children including 52 (50.5%) boys and 57 (49.5%) girls were studied. Most of case (76.9%) and control (42.1%) groups suffered from degrees of vitamin D deficiency. There was meaningful statistical difference between two groups considering to vitamin D deficiency and parathyroid hormone (p = 0.001). A negative relations was found between iPTH and vit D level (p < 0.001, r = -0.2), BMI and 25-OH vit D (p < 0.001, r = -0.2). A positive relation was observed between parathyroid hormone and BMI (p = 0.009, r = 0.1). Obese children are at high risk at vitamin D deficiency and secondary hyperparathyroidism. BMI appears to be an important risk factor for vitamin D deficiency.     

Evaluation of serum C-reactive protein level and its related factors in hemodialysis patients in Sari, Iran

Chronic inflammation, as reflected by increased level of acute phase protein such as C-reactive Protein (CRP) is highly prevalent in hemodialysis patients. CRP is a strong predictor of overall and cardiovascular mortality and morbidity in hemodialysis patients. This research was conducted to determine the C-reactive Protein (CRP) levels and its correlation to demographic and clinical characteristics and Laboratory values in hemodialysis patients in Sari, Iran. In a cross sectional study, 147 hemodialysis patients were studied. Patients' demographic and clinical data were recorded and also serum CRP, Cholesterol, Albumin, Phosphorous, Calcium, Hemoglobin and Hematocrit levels were measured. Overall, the mean CRP concentration was 15.8 mg L(-1). With considering to the different cutoff point (5, 6.2, 10 mg L(-1)) for CRP level, 107 patients (72.8%) had CRP level >5 mg L(-1), 99 patients (67.3%) had CRP level > 6.2 mg L(-1) and 77 patients (52.4%) had CRP level >10 nmg L(-1). The CRP levels greater than 6.2, had a direct statistically significant correlation with duration of hemodialysis and phosphorus level (p = 0.01). Also, CRP levels above 10 mg L(-1) had a direct statistically significant correlation with age and phosphorus levels (p = 0.02). According to the prevalence of high CRP level and it's correlation with age, duration ofhemodialysis and phosphorus level in hemodialysis patients, CRP level should be screened in this group of patients routinely because of its prognostic importance.     

Demographics of patients with surgical and nonsurgical cystic echinococcosis in East Azerbaijan from 2001 to 2012

Echinococcosis is very frequent helminthic infection in human being. The disease is endemic in Iran and particularly in its northwestern region, East Azerbaijan. The objective of this study was to study demographics of patients with cystic echinococcosis in East Azerbaijan; as well as to repot the sites of involvements. In this cross-sectional study, 318 patients with surgical and nonsurgical cystic echinococcosis were recruited from three referral centers in Tabriz within a 10-year period of time. The patients' demographics (age and gender) and the site of infection were investigated. Among the patients, females were predominant (57.5 vs. 42.5%). The mean age of patients was 32.59 +/- 18.47 (range: < 1-87) years and the most frequently age group was 20-30 years (23.6%), followed by the age groups of 30-40 years (21.7%), 10-20 years (14.2%), 40-50 years (11.9%), 50-60 years (11.3%), < 1 year (6%), 60-70 years (4.7%), 1-10 years (4.1%) and finally, > 70 years (2.5%). The lung was the most frequently infected organ (48.1%), followed by the liver (28.9%), gallbladder (3.5%), spleen and kidney (each one in 2.2%), abdomen, intestine, pleura, bronchus and mediastinum (each one in 1.6%), chest wall and heart (each one in 1.3%), brain, pericardium, facial sinus, pancreas and esophagus (each one in 0.6%) and the ovary, uterus, axillary region, pelvis and femur (each one in 0.3%). In conclusion, this study showed that the patients with hydatid cysts in East Azerbaijan Province are mainly females in the age group of 20-40 years. The lung and liver are the major sites of infection in these patients.     

Effect of inhaled corticosteroids on growth and puberty in Egyptian asthmatic children and adolescents

Growth suppression and delayed puberty may be major concerns for Inhaled Corticosteroids (ICS) treatment in children. Thus, we aimed to assess the effect of long-term ICS on growth and pubertal status in 30 asthmatic children and adolescents in comparison to 20-matched healthy subjects. Auxological measurements, Tanner staging and bone age assessment were performed. Measurements of basal and Lutenizing hormone releasing hormone (LHRH) stimulated follicle stimulating hormone (FSH) and Lutenizing hormone (LH) were done for patients only. In addition, pelvic ultrasound for measurements of uterine length and right ovarian volume was done for females aged > 11 years. Patients' height, bone age and their Standard Deviation Scores (SDSs) were significantly lower, while weight SDSs were significantly higher than controls. ICS at doses > 400 microg/day negatively affected height and its SDS (OR: 8.5, 95% CI: 2.15-33.8), whereas the use of ICS for > 1 year significantly affected all auxological parameters with a particular risk on height SDS (OR: 9, 95% CI = 3.10-10.64) and weight for height SDS (OR: 6.82, 95% CI: 1.36-34.27). Significantly lower stimulated gonadotropins were encountered at doses > 400 microg/day, while a duration > 1 year was associated with significantly lower basal and stimulated gonadotropins. Logistic analysis revealed that the use of ICS for > 1 year carried the highest risk of association with low stimulated FSH (OR: 5.80, 95%, CI: 1.54-33.70) and LH (OR: 8.31, 95% CI: 1.83-50.47). In conclusion, ICS at doses > 400 microg/day carry a significant risk of retarding height of asthmatic children while their continuous use for > 1 year carries significant risks of short stature, weight gain and delayed puberty.     

Immunogenicity of neonatal BCG vaccination in children entering primary school

This study has been designed to evaluate the immunogenicity of neonatal BCG-vaccination in children at the age of 7 to 8 years, by skin test using Purified Protein Derivative (PPD), as BCG vaccination at birth is a part of routine program of immunization in our country, Iran; we decided to study its efficacy and also tried to determine if there is any correlation between PPD-test results and BCG scar size. This is a comparative study on 150 children (94 males and 56 females) at the age of 7 to 8 years, who possess neonatal-BCG scar. They were chosen from several primary schools in Tabriz-Iran, by simple random sampling and tested with 0.1 mL of 5-unit-PPD solution (a product of Iran Institute of Razi); then observations recorded. The average diameter of BCG scars were 7.03 mm in girls, 5.45 mm in boys and 6.05 for all. The diameter of induration area resulted from PPD-test after 72 h was less than 5 mm in 95.33% and 5-9 mm in 4.66% of studied children; there was no case with induration area of 10 mm or more at all. Every child who developed an induration area of 5 mm or more by PPD test, had a BCG scar with the diameter of 5 mm or more. There was a statistically meaningful direct correlation between sizes of neonatal-BCG scar and diameter of induration area after PPD-test (r = 0.21 and p = 0.008). This study shows that reactivity to PPD test (and probably immunity against tuberculosis) decreases as age increases; therefore it seems to be necessary to repeat BCG-vaccination in children at the age of entering primary school.     

Endoscopic findings and Helicobacter pylori in children on long-term hemodialysis

The aim of this study is to evaluate the prevalence of GI symptoms, endoscopic abnormalities, histologic gastritis and Helicobacter pylori infection in children with End Stage Renal Disease (ESRD) undergoing maintenance hemodialysis. Upper endoscopy and gastric biopsy were performed in 31 consecutive ESRD children from 2002-2007, before renal transplantation. H. pylori status was determined by urease test and histology. The mean age of patients was 11 +/- 3.3 years (4-16 year). The mean duration of dialysis was 12.4 +/- 11 months (1.5-54 months). Seventeen patients (54.8%) were symptomatic. Twenty patients (64.5%) had endoscopic abnormalities. Antral erythema, esophagitis, antral nodularity and diffuse gastritis were common endoscopic findings. Endoscopic abnormalities were more common in symptomatic patients than asymptomatic patients (p < 0.05). Twenty patients (64.5%) were H. pylori positive. There was no statistical correlation between age, sex, serum creatinine level, presence of any symptoms and endoscopic abnormalities with H. pylori positivity. The mean duration of dialysis in H. pylori negative patients was significantly longer in comparison with H. pylori positive patients. High prevalence of eodoscopic abnormalities and H. pylori infection in both symptomatic and asymptomatic patients emphasize the necessity of upper GI evaluation in ESRD children before renal transplantation.     

Effect of ovariectomy on reference memory version of Morris water maze in young adult rats

Background: The effect of ovariectomy and accompanying sudden loss of circulating gonad hormones on spatial learning performance in the young adult rats was examined. We hypothesized that spatial learning and memory in a considerable number of women who undergo a surgical menopause and estrogen deprivation before their natural menopause be impaired. Methods: In this study, we used 26 Wistar rats (approximately five months of age) and divided them into two groups: intact and ovariectomized (OVX). They were tested for spatial reference memory in Morris water maze 6 weeks after OVX. Results: The results showed that the performance of OVX group in the water maze was significantly lower than the control group. Although, mean path length decreased across blocks in both groups, OVX rats had significantly longer path length than controls across blocks 2-6 (P<0.05). OVX rats had lower percent of total time spent in target quarter than controls in probe trials (P<0.05). Body weight gain was significant only in OVX group during the experiment (P<0.05). Plasma estrogen significantly decreased after OVX (P<0.05). Conclusion: This finding provides further evidence for the role of estrogen, a gonadal steroid hormone, in the manipulation of functions related to learning and memory. It is suggested that estrogen loss following OVX impaired spatial reference memory in young adult rats. Our results suggest that it is necessary to protect women who undergo a surgical menopause before their natural menopause from cognition impairments.     

基于MaxEnt模型的可可潜在适宜分布研究

根据野外采样和文献查阅,系统整理了可可的地理分布记录,并利用MaxEnt生态位模型和ArcGIS软件对可可的潜在适宜分布范围进行预测。结果表明:北美洲南部、中南美洲北部、非洲西部、亚洲东南部以及太平洋美拉尼西亚群岛地区均是可可的潜在适宜分布区域。其中,中国海南、台湾南部、云南西双版纳、广东雷州半岛也属于可可的适生范围。经ROC(Receiver operating characteristic)曲线分析法验证,MaxEnt模型的AUC(Area under curve)值为0.977,表明预测结果具有较高的可信度。各环境变量重要性的Jacknife检验表明,极端最低温度、年降雨量、年温度变化范围、最暖季降雨量对可可的潜在分布影响最大。     

Seroepidemiological study for toxocariasis among children in Zanjan-northwest of Iran

Determination of seroepidemiological survey of Toxocara infection in 810 sera from children inhabitants in rural and urban area of Zanjan (North-West of Iran) was adjusted for specific antibody level against of second stage larvae of Toxocara for excretory and secretory antigens based on ELISA technique. In contrast of the other studies, the overall seroprevalence was quite low, reaching to 2.7% out of 810 samples was positive to anti Toxocara species antibodies. Neither age nor gender seemed to be significant factor to positive serology. Seroprevalence of anti Toxocara antibody were detected in 8 out of 494 (1.6%) children from urban area, whereas 316 sample (4.4%) were the positive in the rural area. Positive children who had contact or ownership of cats and dog were 6.9 and 3.9%, respectively. Albeit, concerning to this study, seroprevalence of toxocariosis is lower than other countries and other studies in Iran. But protections of toxocariosis in children must be taking into account in public health program. Suggest that increase of hygiene education would be a crucial affective on population to reduce infection risk factor and zoonotic disease.     

Relationship of growth parameters and nutrients uptake with canola (Brassica napus L.) yield and yield contribution at different nutrients availability

A field experiment was conducted to evaluate the effect of different nutrients on canola (Brassica napus L.) growth parameters, nutrient uptake and ultimately on seed yield. For this purpose a split plot experimental design, with 10 treatments in 4 replications was carried out in 2004-2005, in silt-clay soil at Baiecola Agricultural Research Station, Mazandaran Iran. Canola seed yield, growth parameters (CGR, LAI, RGR and NAR), dry matter accumulation and HI and nutrient content of the leaf were examined. NPK fertilizers together with S and Zn, singly or in combination were applied. The results showed that at treatments T5 (NP), T8 (NPK), T9 (NPKS) and T10 (NPKZn) the higher seed yield (> 2600 kg ha(-1)) coincided with TDM > 880 g m(-2) the peak CGR > or = 13.9 g m(-2) day(-1) and the maximum LAI > or = 4.1. The higher seed yield at T5, T8, T9 and T10 coincided with higher concentrations of nutrients: N, P, K, S and Zn in leaf at flowering having > or = 3.40%, > or = 0.25%, > or = 1.53%, > or = 110 ppm and > or = 22.7 ppm, indicating substantial levels of translocation of nutrients at various stages of plant growth and higher number of pods per plant (> or = 179). Combined application of NPKZn at T10 resulted in maximum seed yield (3090 kg ha(-1)), coinciding with the maximum number of pods per plant (230), maximum TDM (1043 kg ha(-1)), maximum CGR (20.09 g m(-2) day(-1)) and maximum LAI (4.69).     

Status of insecticide resistance and associated mutations in Q-biotype of whitefly, Bemisia tabaci, from eastern China

Resistance levels in five field strains of Bemisia tabaci Q-biotype in eastern China to six representative insecticides were determined, and the frequencies of synaptic acetylcholinesterase ace1 mutation (F331W) and para-type voltage gated sodium channel mutations (L925I and T929V) were detected using polymerase chain reaction-based monitoring techniques. Compared with the reference strain, the field strains exhibited low to high resistance to two neonicotinoids (RF 8.68-75 for imidacloprid and 7.48-46.40 for nitenpyram). Low resistance to dichlorvos (RF 1.37-2.83) and cypermethrin (RF 2.61-8.69) were observed in these strains. All strains were susceptible to abamectin and carbosulfan. The F331W mutation in ace1 gene was fixed in all field strains, the frequencies of the L925I mutation and T929V mutation in sodium channel gene were in the range of 39.6-70% and 63-86.7%, respectively. Information on insecticide resistance status and resistance allele frequency reported in this study provided baseline data for management of insecticide resistance of Q-biotype B. tabaci in eastern China.     

Prevalence of asthma in elementary school age children in Iran--a systematic review and meta analysis study

Asthma is a common chronic disease of childhood which causes considerable morbidity. Asthma affects 1 in 13 school-age children and is a leading cause of office and emergency department visits, hospitalizations, and school absenteeism. Estimating the prevalence of asthma in the community is important in assessing the impact of asthma at the level of population. Since the pooled prevalence of asthma in Iranian elementary school age children (6-12 years old) was not identified, we decide to conduct a meta-analysis study to estimate the prevalence of asthma in elementary school age children in Iran. In order to gather the data, we searched a number of international electronic sources such as Pub Med, Embase, science direct, and ISI for English articles, and Iranian National Knowledge Infrastructure (scientific information) sources such as Iranmedx, Iran-doc, and SID for Persian articles from February 1995 to January 2010 to access the data. We used the words childhood, asthma, prevalence, and Iranian for searching relevant papers and used a data extraction form for the extracted data. The outcome in this Meta analysis study was response to the question, "Ever had asthma", based on the ISSAC program questionnaire. Eleven relevant articles were included for the Meta analysis. The pooled prevalence for girls, boys, and the two genders was obtained as 3.2% (CI; 2.5 to 3.9%), 4.3% (CI; 3.5 to 5.1%) and 3.9% (CI; 3.2 to 4.7%), respectively. The pooled prevalence of asthma in Iranian elementary school age children is low in comparison to the other reports.