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Background and Objective: The spathe of phoenix dactylifera contains protein, fatty, fiber, sugar, moisture, furfural, coumarin, organic compounds of camphor family, phytosterols, 1, 2-Di methoxil 1, 4-Di methyl benzene. This study was done to evaluate the effect of alcoholic extract of phoenix dactylifera spathe on seminiferous tubules and spermatogenesis in adult male rats. Methods: In this experimental study, 50 adult male rats were randomly allocated into five groups including: control, sham and expermintal groups 1, 2 and 3. Animals in control group did not receive any treatment. Animals in sham group were received 0.2 ml normal saline intraperitoneally. Animals in experimental group 1, 2 and 3 were received 0.05, 0.1 and 0.2 g/kg/bw of alcoholic extract of phoenix dactylifera spathe intraperitoneally, respectively. After 14 days of study, the testis was removed and the sections of tissue were prepared. Testosterone hormone measured by Gamma counter method. Results: Serum levels of testosterone and the spermatozoa count were significantly reduced in the experimental groups in compared to control and sham groups (P<0.05). The count spermatogonia, primary spermatocyte, spermatid, sertoli and leydig cells and seminiferous tubules structures did not reduce in the experimental groups in compared to control and sham groups. Conclusion: Phoenix dactylifera Spathe alcoholic extract at doses of minimum and medium in adult male rats reduces sera level of testosterone and spermatozoa number.

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Background and Objective: Probiotc bacteria have benefical effect on consumer health. This study was done to investigate the antimicrobial effect of several probiotic in combinations with different prebiotics against food patoghenic bacteria including Staphylococcus aureus and Listeria monocytogenes.

Methods: In this descriptive - analytical study, probiotics including Lactobacillus plantarum, L. acidophilus, L. fermntum, L. casei and L. rhamnosus with prebiotics (1%) including raffinose, lactulose, inulin and trehalose were cultured in MRS broth for 24 hours at 30ºC in anaerobic conditions. Antimicrobial property of them was determined with well diffusion plate's method.

Results: Probiotics in the presence of prebiotics indicated the higher antimicrobial effect compared to probiotics alone (P<0.05). The application of prebiotics such as L. casei with raffinose showed higher antimicrobial property against Listeria monocytogenes than the free prebiotics consumption. The diameter of inhibitory growth zone in the presence of raffinose as a prebiotics was 14.66 mm and its absence reduced to 11.75 mm.

Conclusion: Antimicrobial effect of probiotics in combination with prebiotics against Staphylococcus aureus and Listeria monocytogenes was higher than probiotics consumption alone.

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Background and Objective: Hyperlipidemia can be considered as one of the main risk factor, involved in cardiovascular disease and it is a major cause of death. This study was done to determine the effect of air part of Echinophora platyloba extract on Pituitary - thyroid axis hormones and lipid profile in hypercholesterolemic rats.

Methods: In this experimental study, 40 male Wistar rats were randomly allocated into 5 groups (n=8) including control group with normal diet, hypercholesterolemic group along with high cholesterol diet, and the three treatment groups with hypercholesterolemia which animals were received daily doses of 100, 200 and 300 mg/kg/bw of the hydroalcoholic extract of Echinophora platyloba, respectively by gavage during 42 days. At the end of this period, blood sample was obtained. Lipid profile, including total cholesterol, triglycerides (TG), low-density lipoprotein (LDL), very low-density lipoprotein (VLDL), high density lipoprotein (HDL), triiodothyronine (T3), thyroxine (T4) and thyroid hormone stimulation (TSH) were measeared using Radioimnoassay method.

Results: The level of LDL and cholesterol and TG, significantly reduced in treated group receiving the lowest dose of the extract (100 mg/kg/bw) in compare to hypercholesterolemic group (P<0.05). The level of HDL, TSH and T4 significantly increased in the treated group receiving the highest doses of the extract (300 mg/kg/bw) in compare to hypercholesterolemic group (P<0.05).

Conclusion: Echinophora platyloba extract dose dependly can alter Pituitary- thyroid axis hormones and lipid profile in hypercholesterolemic rats.

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Background and Objective: The degeneration of motor neuron in anterior horn of spinal cord can be caused by compression. Hyssopus officinalis of Laminacea family demonstrate antioxidant and anti-inflammation effects. This study was done to evaluate the effect of alcoholic extract of Hyssopus officinalis leaves, on motor neuron in spinal cord after sciatic nerve compression in male rats.

Methods: In this experimental research, 60 male wistar rats were randomly allocated into six groups including; control, compression, and compression + treatment (25, 50, 75, 100 mg/kg/bw). In order to induce compression, sciatic nerve of right leg was exposed to compression for 60 second using locker pincers. Extract injected intraperitoneally in the first and second week after compression. 28 days after compression under profusion method, the lumber spinal cord was sampled. The density of motor neurons (9-20 micron) was measured using dissector and stereological method.

Results: Density of neurons in compression group (611±34) significantly reduced compared to the control group (1658±30) (P<0.05). Moreover, neuronal density was significantly increased in
25 (1179±22), 50 (1260±20), 75 (1350±15) and 100 (1120±10) mg/kg/bw doses in treatment groups in compared to the compression group (P<0.05).

Conclusion: Alcoholic extract of Hyssopus officinalis leaves exhibite neuroprotective effect on neurons in anterior horn of the spinal cord after injury. This effect probably is related to the antioxidant and anti inflammation properties in alcoholic extract of Hyssopus officinalis, dose dependly.

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Background and Objective: Homocysteine and atherogenic index are significant and independent risk factors for cardiovascular diseases. This study was done to determine the effect of 10 weeks endurance swimming training on serum homocysteine level and atherogenic index in rats.

Methods: In this experimental study, 20 adult male Wistar rats (180±20 g) were randomly allocated into control (n=10) and experimental (n=10) groups. Animals in experimental group swam ten weeks of endurance training (5 days a week, for 60 minutes a day) with a 5% body weight load attached to the tail. At the end of 10 weeks and after the last of training session and 12 hours of fasting animals were sacrificed. Blood samples were taken and serum homocysteine level, atherogenic index and
NON-HDL-cholesterol were measured.

Results: Serum homocysteine level, atherogenic index and NON-HDL-cholesterol of animals significantly reduced in the experimental group compared to the controls (P<0.05).

Conclusion: Ten weeks of endurance swimming training with low to moderate intensity improves homocysteine level and atherogenic index in animal model.

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Background and Objective: Use of cell-phone cause adverse effect of radiations in many people. This study was conducted to investigate the effect of cell-phone radiation during pregnancy on serum level of the testosterone, FSH, LH and sex cell lines in 60-day old offspring male rats.

Methods: In this experimental study, 24 rat's dams were randomly allocated into control, sham and interventional groups. Animals in control group have not been affected with the radiation and the interventional groups were exposed to cell-phone radiation from the beginning of pregnancy as much as 4 hours daily for 14 days. The sham group over the same period was exposed around cell-phone turning on without conversation. After childbirth and maturity 10 male offspring of different groups separated and after phlebotomizing, testosterone, FSH, LH was measured for each offspring. After anestasia, testis was removed, weighted, measured and throught histological method leydig, sertoli, spermatogonia and spermatid cells were counted for each offspring.

Results: weight and size of the testis, the volume of seminiferous tubules, the volume of interstitial tissues of seminiferous tubules, and spermatocytes, spermatid, sertoli and spermatogonia cells numbers were significantly reduced in interventional group in compare to control and sham groups (P<0.05) but reduction of leydig cells, FSH, testosterone and increasing level of LH in interventional group did not change significantly in comparision with control and sham groups.

Conclusion: Cell-phone radiations during pregnancy caused significantly reducing in sex cell lines but do not cause significant effect on FSH, LH and testosterone level in mature male offspring.

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Background and Objective: Varicella zoster virus (VZV) can cause a moderate disease in children, but with high risk of serious disease or death in children with acute lymphoblastic leukemia (ALL) Vaccination from infection can be safe, immunogenic, and effective in children with leukemia. This study was done to evaluate the IgG and IgM antibodies against VZV in children with acute lymphoblastic leukemia.

Methods: The descriptive-analytic study was performed on 66 children who were on chemotherapy in Dr Shigh hospital in Mashhad, Iran during 2012. Patients were receivied VZV vaccine. The title negative or positive serum sample for IgG-anti-VZV avidity was determined by using a test kit before and after injection of vaccines VZV for considering the efficacy of vaccines on pediatric patients.

Results: Title serum sample IgG were positive in 32.6% patients, these children have history of chicken pox disease and to be safe against of VZV. 78.3% of the patients were negative for IgG antibody and sensitive against of VZV.

Conclusion: Children with ALL receiving chemotherapy are sensitive to chicken pox disease according to negative IgG titer against VZV.

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Background and Objective: Bisphenol A (BPA) is an endocrine disruptor chemical and as an environmental pollutant is able to generate free radicals causing tissue damage. This study was done to investigate the effect of Nigella sativa oil against BPA induced toxicity on the tissue of male NMRI mice kidney by stereological method.

Methods: In this experimental study 24 adult male NMRI mice (32±3 g) were randomly allocated into control, BPA (200 mg/kg/day), BPA (200 mg/kg/day) plus Nigella sativa oil (5 ml/kg/day) and Nigella sativa oil (5 ml/kg/day) groups and treated for 5 weeks, orally. At the end, animals were sacrificed, their left kidneys were removed, fixed, sectioned, processed and stained with Heidenhain' azan staining method. Then, the kidney tissue sections were evaluated using stereological method and serum malondialdehyde (MDA) level was also measured.

Results: The total weight and volume of kidney, volume of cortex, volume of proximal and distal tubules and volume of their lumen, volume of interstitial tissue, volume of glomeruli, tuft, as well as serum MDA level significantly increased in BPA treated group compared to the controls (P<0.05). These parameters were significantly reduced in BPA plus Nigella sativa oil group compared to BPA ones (P<0.05).

Conclusion: This study revealed that Nigella sativa oil can reduce the oxidative stress toxicity induced by BPA in the mice renal tissue.

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Background and Objective: Nonalcoholic fatty liver disease is the most common cause of liver disease worldwide and it is defined as a disorder of excess fat accumulation in the liver. This study was done to determine the prevalence of fatty liver among overweight, obese and normal children.
Methods: This historical cohort study was conducted on 90 children ages 5 to 13 years old in Taleghani pediatric theching hospital in Gorgan, north of Iran during 2014. Subjects according to Body Mass Index (BMI) classified into obese (95%>BMI), over weight (85-95% BMI) and normal (5-85% BMI). Childern were matched for age and sex. Liver enzymes (ALT Alanine aminotransferase and AST (Aspartate aminotransferase) and lipid profile includingTriglyceride: TG (High Density Lipoprotein: HDL and (Low Density Lipoprotein: LDL were measured and fatty liver evaluated based on sonographic parameters by a radiologist who didnot know children's BMI.
Results: The prevalence of fatty liver was 23.3% in obese children that was non- significantly higher than normal (16.7%) and over weight (16.7%) children. The prevalence of fatty liver was not significantly different between two sexes. AST was significantly higher in children with normal BMI in compared to obese and over weight children (P<0.05). The highest and lowest level of cholesterol was seen in obese and normal children (P<0.05).
Conclusion: This study showed that the prevalence of fatty liver non-significantly was higher in obese children in comparision with normal and over weight children.

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Background and Objective: Sodium meta-bisulphite is used as a preservative in food and pharmaceutical industries. The aim of this study was to determine the effect of vitamin E on the improvement of sodium-meta bisulphite-induced complications on ovarian tissue and sex hormones in rats.
Methods: In this experimental study, 70 adult Wistar rats were randomly allocated into 7 groups including control, sham and interventional groups were received vitamin E (200 mg/kg/bw), sodium metabisulfite (520 mg/kg/bw), and sodium meta-bisulphite (520 mg/kg/bw) was combined with vitamin E in 50, 100 and 200 mg/kg/bw doses. Prescriptions were taken as gavage for 30 days. Blood samples were taken from animals to measure LH, FSH, estrogen and progesterone hormones. Ovaries were removed and follicles were counted after tissue sections.
Results: The concentration of estrogen hormones, progesterone, LH, FSH and number of ovarian follicles in the groups receiving sodium meta-bisulphite and vitamin E alone was significantly lower than control group (P<0.05). In animals treated with sodium meta-bisulphite and vitamin E at 100 and 200 mg/kg/bw, no significant difference was observed. However, in animals which were simultaneously treated with meta-bi-sulfite sodium and vitamin E at dose 100 and 200 mg/kg, in compared with the control group, significant improvement was not observed.
Conclusion: Sodium meta-bisulphite consumption with 50, 100 and 200 mg/kg body weight of vitamin E can reduce the effect of sodium meta-bisulphite on ovarian follicles and sex hormones.

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Background and Objective: Hysterectomy is stressful in women operation, due to increased release the level of catecholamines some physiological reactions including increase in breathing, heart rate and blood pressure are clinically observed. Massage therapy helps to improve the nervous and cardiovascular system and modifies physiological responses. This study was done to determine the effect of foot massage on the vital signs of patients after hysterectomy.
Methods: In this clinical trial study 60 women underway hysterectomy were randomly divided into intervention (n=28) and control (n=29) groups. Subjects in intervention group were received a
20 minute foot massage according to the mentioned method in two sessions first and second day after surgery, with 24-hours interval. Before and 30 minutes after intervention , vital sign including systolic and diastolic blood pressure, pulse, breathing were recorded for each subject.
Results: In the intervention group, all of the signs of vital signs before and after massage in the first and second days after the operation showed a significant decrease (P<0.05). The number of pulses and diastolic blood pressure in the first and second day after surgery and systolic blood pressure on the second day in the control group showed a significant reduction (P<0.05). At the end of the first day after the intervention group, the systolic blood pressure and respiratory rate showed a significant decrease compared to the control group (P<0.05).
Conclusion: Foot massage improves systolic blood pressure and breathing at the first day after hysterectomy, which may indicate an increase in parasympathetic activity.

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Background and Objective: Listeria monocytogenes is an important food-borne intracellular pathogen which can transmit to human through contaminated foods and causing meningitis, meningoencephalitis and abortion. This study was done to determine the frequency, antimicrobial susceptibility and serotyping of Listeria monocytogenes isolated from food samples in Tehran, Iran.
Methods: This descriptive was carried on 150 food samples including vegetables, cheese and meat were collected from supermarkets, open-air markets, and delicatessens in different regions of Tehran, Iran since April to September 2018. The presumptive isolates were characterized biochemically. All L. monocytogenes isolates were further analyzed by serotyping and antimicrobial susceptibility tests.
Results: Out of 150 samples, Listeria spp. was detected in 30 (20%) samples in which 9 (6%) were positive for L. monocytogenes [vegetables (n=4, 44.44%), cheese (n=2, 22.22%) and meat (n=3, 33.33%)]. of the 9 L. monocytogenes isolates, 5 (55.55 %), 3 (33.33 %), and 1 (11.11%) belonged to serotypes 4b, 1/2b, and 1/2a, respectively. The most L. monocytogenes isolates were resistant to Trimetoprime, Sulfamethoxazole, Tetracycline, Streptomycin, Chloramphenicol, and Ciprofloxacin while were sensitive to Penicillin G, Gentamicin, Streptomycin, and Ampicillin, and were intermediately resistant to Ciprofloxacin.
Conclusion: The rate of Contamination of vegetable, cheese and meat samples with L. monocytogenes is important in Tehran, Iran. Due to the potential contamination samples to Listeria, there is necessity need for continuous monitoring and the development of a precise program for identifying this bacterium in Tehran and the whole country.

 

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Background and Objective: Hyperlipidemia and high level of serum total cholesterol are risk factors contributing to prevalence and severity of cardiovascular complications like coronary heart diseases. Lamiaceae plants have terpenoids and flavonoids can reduce triglyceride and cholesterol, therefore. This study was done to evaluate the effect of feeding with essential oil of Thymus deanensis Celak. on lipid profile, blood urea and liver enzymes in hyperchlostrolemic male Wistar rats.

Methods: This experimental study was performed on 36 male Wistar rats. Animals were randomly divided into 6 groups (there were 6 rats in each groups). The groups including control, sham, two groups receiving 200 and 500 ppm Thymus deanensis essential oil and hyperchlostrolemia groups treated with doses of 200 and 500 ppm of Thymus deanensis essential oil. Hyperchlostrolemia was induced by giving high cholesterol (2%) and sweet almond oil (97.5%) diet. The animals were treated for 32 days with essential oil of the thyme. At the end of the 32-day trial, blood sampling was performed. Total cholesterol, triglyceride, urea and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) liver enzymes were measured.

Results: The level of ALT and AST in hypercholesterolemia rats were significantly increased in comparison with the control group (P˂0.05). Thymus daenensis essential oil significantly reduced level of triglycerides and cholesterol (P˂0.05). The high dose of Thymus daenensis (500 ppm) essential oil more than a low dose (200 ppm) significantly reduced the level of cholesterol and triglyceride (P˂0.05). Blood urea nitrogen significantly increased in hypercholesterolemia group in compare to control group (P˂0.05). After the administration of essential oil with a minimum and maximum dose in hypercholesterolemia rats, the level of urea in the blood significantly decreased (P˂0.05). The level of ALT and AST in hypercholesterolemia rats significantly increased in comparison with the control group (P˂0.05). AST level significantly reduced in the groups of rats which received minimal and maximal doses compared to the group hypercholesterolemia (P˂0.05).

Conclusion: By lowering blood lipids, urea and liver enzymes after the use of essential oils, it seems that the Thymus daenensis dose-dependent is effective in improving liver function, kidney and high level of  lipid.

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Atherosclerosis which is the result of cholesterol deposit in coronary arteries is the main cause of morbidity and mortality, worldwide. Reverse cholesterol transport (RCT) is a process that causes efflux of excess cholesterol in vessels layers and reduces the risk of atherosclerosis. Adenosine triphosphate (ATP) binding cassette transporters G5 and G8 (ABCG5 and ABCG8) are two membrane cholesterol transporters in hepatocytes and enterocytes that transport cholesterol into the bile and feces. Considering importance of ABCG5 and ABCG8 in RCT and prevention and treatment of coronary atherosclerosis, the aim of this review article was to study the ABCG5 and ABCG8 functions, the role of them in heart stroke prevention and the effects of exercise trainings on genes expression of these two substances. Atherosclerosis, exercise, physical activity, RCT, ABCG5 and ABCG8 were used keywords for searching of related articles between years 1990 to 2018 in google scholar, PubMed, Elsevier, Scopus, SID, science direct and ProQuest databases. 294 articles were found and after precise reading of them, 84 articles were selected for this review article. Overall, considering role of transcription factors LXR/RXR are responsible for regulation of genes involved in cholesterol efflux (ABCA1, ABCG1), cholesterol transport (lipoprotein lipase, CETP), cholesterol transformation to bile acids (CYP7A) and metabolism and excretion of cholesterol into bile or gut lumen, stimulation of them induces elevation of ABCG5 and ABCG8 genes expression. The effect of exercise on these factors is a novel subject that may increase our knowledge to prevention and treatment of atherosclerosis.

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Background and Objective: Copper oxide nanoparticles with unique properties have numerous biological applications with probably toxicity. This study was conducted to determine the toxicity of copper oxide nanoparticles on the pituitary-gonadal axis and spermatogenesis in male rats.
Methods: In this experimental study, 40 male Wistar rats were randomly allocated into 4 groups including control group and three intervention  groups which receiving the cancentration of 10, 20 and 30 mg/kg of copper oxide nanoparticles 5 times intra-peritoneally, respectively. Blood sampling was collected first day and 15 days after the last injection. Level of testosterone, FSH and LH were measured by ELISA method. After anesthesia and dissection of mice in each group, tissue sections of testis were prepared and stained with hematoxylin-eosin. Morphological status of spermatogenesis process and counting of types of cells (spermatogonium, spermatocyte and spermatid) were studied by optical microscope.
Results: In the first day of blood collection, a significant increase in LH and FSH level was observed at concentrations of 10 and 30 mg/kg, respectively. Also, Testosterone and FSH level decreased significantly reduced at 10 mg/kg/bw concentration compared to control (P<0.05). In 15 days after of the last injection, level of testosterone (P<0.05) and LH (P<0. 05) significantly increased in concentrations of 10 and 30 mg/kg/bw respectively. Also, there was a significant reduction in level of FSH in the concentration of 10 mg/kg/bw (P<0.05). The examination of testis tissue sections showed a significant decrease (P<0.05) in density and number of cell types (spermatogonium, spermatocyte and spermatid) and anomalies in the spermatogenesis process, in a dose-dependent manner. The most disturbances was seen at a concentration of 30 mg/kg/bw of copper oxide nanoparticles.
Conclusion: Copper oxide nanoparticles may interfere with the secretion of gonadotropins and testosterone and ultimately lead to a disruption of the spermatogenesis process.

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Background and Objective: Maxillary sinus gradually extends laterally and inferiorly during pneumatization, and lamina dura of molar and premolar teeth can make a part of sinus floor. Knowledge about this anatomic relationship is essential to prevent complications paticularly iatrogenic perforation of sinus floor. Limitations of periapical and panoramic radiographs to visualization of this relationship led to the usage of cone-beam computed tomography (CBCT). This study was aimed to evaluate the vertical and horizontal relationship between roots of maxillary molars and sinus floor in CBCT images.
Methods: In this descriptive cross sectional study, ninety-five samples were selected of patients in Department of oral and maxillofacial radiology in Tabriz, Iran using simple randomization. Mean age of patients was 32.5 years old. Images were made by VGi cone beam Newtom and reconstructed by NNT viewer version 2.17. The vertical and horizontal relationship between roots of 139 maxillary first and 126 second molar teeth and floor of sinus evaluated.
Results: Type 2 was the most common relationship among the first and second molars, vertically (the inferior wall of the sinus located below the level connecting the buccal and palatal root apices,without an apical protrusion) and horizontally (the alveolar recess of the inferior wall of the sinus located between the buccal and palatal roots). There was a significant relationship between the type of tooth and sinus floor (P<0.05).
Conclusion: Most of the maxillary molar roots were in contact with sinus floor and sinus floor was extended mostly between buccal and palatal roots vertically and horizontally, respectively. Attention to sinus involvement possibility during interventions in maxillary molar region is important.

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Background and Objective: Listeria monocytogenes is a gram-positive and foodborne pathogen that is psychrophilic and has the ability to tolerate a high percentage of salt by more than 10%. This bacterium grows in many food products that have a long shelf life. This study was performed to evaluate the expression of genes hly and inlA of Listeria monocytogenes bacteria in the viable but non-culturable (VBNC) condition in temperatures of 4 degrees Celsius.
Methods: In this descriptive laboratory study, bacteria in 10⁶ counts in mid log phase were inoculated into BHI Agar rich medium and It was investigated and stored at refrigerated temperature (4 degrees Celsius) until the cultivate was lost. At the end of the 16S rRNA gene, the hly and inlA genes were studied as pathogenic genes of this bacterium. The expression of these genes before and after entering to VBNC state was performed to compare their expression.
Results: Listeria bacteria lost its cultivation ability after 5 months of storage at a refrigerated temperature. The results of the gene expression analysis showed that at the end of the period, the bacterium entered "Viable But non-Culturable" form; also the hly and inlA pathogenic genes were not expressed in riched medium. By adding blood to the rich culture medium of this bacterium, the hemolysin O pathogen gene was re-illuminated.
Conclusion: The results of this study show that the possibility of bacterial entry into VBNC mode occurs at the refrigerator condition, and the expression of its pathogenic genes is affected. Blood and its agents can act as an agent for the induction and clarification of the hly gene. Therefore, it is necessary to review the microbial quality control of fishery products.

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Background and Objective: One of the most important attempts in crisis is the nutrition management of affected people during and following the disaster. In March 2019, floods occurred in towns and villages on the outskirts of the Gorganrood River in Golestan province, northern Iran. This study conducted to explain the challenges of nutrition management in the flood crisis of Golestan province.
Methods: In this qualitative study, 31 people affected by floods, urban and provincial managers and experts involved in crisis management were selected by purposive sampling method. Data were collected using an interview guide and semi-structured in-depth interviews. Data were recorded and transcribed and analyzed using the content analysis method and Atlas.ti 8 software.
Results: The managerial challenges included planning, organization, coordination, control, and evaluation. The executive challenges contained food preparation, food distribution, and monitoring. The other challenges included political, economic, cultural, and ecological challenges.
Conclusion: Most of the respondents emphasized the irregularity and confusion in nutrition management during the flood and considered it as a result of managerial challenges, executive challenges, political, economic, cultural and ecological challenges.

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Background and Objective: Familial hypercholesterolemia (FH) is one of the most common inherited familial diseases that cause lipid accumulation in tendons and arteries by increasing the level of low density plasma lipoprotein (LDL). The main cause of FH is a mutation in the low-density lipoprotein receptor (LDLR) gene. This study was performed to evaluate common mutations in LDLR gene in FH patients.
Methods: This descriptive study was performed on 100 patients with suspected familial hypercholesterolemia referred to Sepehr laboratory according to the Simon Broom international standard in Karaj city, Iran during 2015. After complate the questionnaire form and drawing the family tree, it was found that 17 of them had a history of disease in at least one of the first degree relatives. The presence of changes was investigated using PCR-SSCP method, and after identifying the suspected cases direct DNA sequencing was performed.
Results: Among of 17 patients with a history of FH disease, 13 patients had a heterozygote mutation in the LDLR gene. Mutations included: c.97C>T, c.445G>T, c.651-653 (DEL3), c.652-654 (DEL3), c.682G>T, c.925-931 (DEL7), c.936-940 (DEL5), c.986G>T, c.2054C>T, c.2177C>T and c.313+1G>A. Four patients did not have mutations in their LDLR gene. In two patients the common polymorphism c.1959T>C was identified.
Conclusion: The LDLR gene was involved in the development of FH in the study population. However, another gene or locus may be involved in the outbreak of this disease in the studied population.

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Posterior shoulder fracture dislocation (PSFD) is a rare and challenging injury. Early diagnosis and treatment can prevent serious complications and disability, reducing the risk of avascular necrosis of the humeral head and joint destruction. Several treatment options have been proposed, depending on the patient’s age, duration of dislocation, humeral head bone defect, length of the metaphysis attached to the reverse Hill-Sachs, osteopenia and functional demand, and concomitant diseases. Open anatomic reduction and internal fixation is a suitable option, particularly in young and active individuals. Humeral joint replacement is recommended for non-fixable 3- or 4-part fractures, particularly in elderly individuals with low demand and osteoporosis. This article reports a case of closed, irreducible PSFD that was treated with open reduction and internal fixation using a plate and deltopectoral approach.