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Background and Objective: Oxaliplatin is the main agent used in the treatment of colorectal cancers. Oxaliplatin inhibits DNA replication and transcription and to induce apoptosis or necrosis in cancer cells and rapidly dividing cell lines. This study was designed to determine the effect of Oxaliplatin on sperm parameters of 60 days old offspring during pre-pregnancy, pregnancy and lactation period in mice.
Methods: In this experimental study, 32 female NMRI mature mice were randomly allocated into 4 groups. Animals in control group were received 0.2 ml saline intraperitoneally (IP) during 21 days of pre-pregnany, pregnancy and lactation periods. Animals in experimental groups including pre-pregnant, pregnant and lactation groups were received 3 mg/kg oxaliplatin trice a week IP during 21 days before mating, during pregnancy and lactation periods, respectively. At the 60th postnatal day, all the male offspring were euthanized and sperm samples were obtained. Analysis of sperm parameters including count, motility, vitality, maturation and DNA integrity was done.
Results: Sperm count, motility and DNA integrity were significantly reduced in all three groups of Pre-pregnancy, pregnancy and lactation in comparison with control group (P<0.05). Moreover, the percentage of immature and dead sperms were significantly increased in oxaliplatin groups (P<0.05).
Conclusion: Admistration of oxaliplatin induces adverse effect on sperm quality in perinatal period. The greatest effect of this drug is on lactation period. Also, by increasing the time interval for oxaliplatin administration in mice to puberty of offspring, the adverse effects of this drug on the quality of sperm parameters are reduced.

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Background and Objective: Researches has shown that exercise and nutrition exercises can have a different effect on serum Brain Derived Neurotrophic Factor (BDNF( levels and resting blood pressure in young people. This study was done to determine the effect of a period of High Intensity Interval Training (HIIT) with omega-3 supplementation on the serum levels of BDNF and resting blood pressure in inactive male students.
Methods: In this clinical trail study, 32 non-athlete male students were randomly divided into control, supplements, training and training + supplement. Subjects in supplementary group were received daily (2000 mg) of omega-3 capsules. The training groups were also subjected to HIIT training for 6 weeks. The training + Supplemental group also included a combination of the same training program were associated with omega-3 supplementation. BDNF levels were measured by ELISA method 24 and 48 hours perior the exercise protocol and after the last training session. Blood pressure disturbances were also evaluated at the same time and before blood sampling according to the recommendations of the British Heart Association.
Results: The serum levels of BDNF in the group after 6 weeks in the training + supplementation group and the training group increased significantly compared to the pre-test values (P˂0.05). Also, a significant difference between-group training + supplementation group and training, supplementation and control groups were observed (P˂0.05). Systolic and diastolic blood pressures were significantly reduced in training + supplementary, training and supplementation groups compared to pretest values (P˂0.05). A significant reduction in systolic blood pressure in the training + supplementation group was observed compared to supplemental and control groups (P˂0.05).
Conclusion: HIIT combined with supplementation with omega-3 supplementation improved the BDNF serum level and reducing resting blood pressure in inactive male students.

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Background and Objective: Sodium levothyroxine is one of the common medicines used for treatment of hypothyroidism and thyroid cancer. The study was done to determine the effect of sodium levothyroxine on knee articular cartilage tidemark integrity, plateau tibia cartilage thickness (calcified and non-calcified) and liver enzymes in induced hypothyroidism rats.
Methods: In this experimental study, 50 adult female BALB/c mice, weighting 25-30 grams were randomly allocated into one control and four experimental groups. Animals in control did not receive any medicine. Animals in the second group were received different increasing doses of sodium levothyroxine daily for 8 weeks. Animals in the third group were received constantly high dose of levothyroxine daily for 8 weeks. In the fourth group, the animals became hypothyroid with propylthiouracil (PTU). In the fifth group, animals with hypothyroidism were received sodium levothyroxine by gavage same as group 2. After 8 weeks serum samples were taken to determine ALT, AST and ALP. The plateau tibia cartilage stained with hematoxylin-eosin. Histologic changes evaluated by light microscopy. Using a light microscope equipped with camera, the samples were photographed and using a computer equipped with axiovision software. Cartilage (calcified and non-calcified) thickness measured in micrometer. The integrity of tidemark line on hematoxylin-eosin staining also evaluated.
Results: The results of the present study showed separation, disruption and destruction in tidemark line in group 3 (the group with high dosage of sodium levothyroxine from the beginning of the treatment). The total cartilage and non-calcified part thickness in groups 3, 4, 5 were reduced and in group 3 showed significant reduction (P<0.05). Calcified cartilage thickness in all groups were reduced and in group 3 showed significant reduction (P<0.05). ALT level decreased in all groups compared to control group but only in the second and third groups, the decrease of ALT was significant (P<0.05). AST serum level in all groups significantly increased in compared to control group (P<0.05). ALP serum level in all groups increased compared to the control group, but this increase was significant only in the groups 4, 5.
Conclusion: Consumption of sodium levothyroxine with constantly high dose can cause severe alteration in knee joint cartilage in hypothyroidism rats.

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Background and Objective: Cryptosporidium is one of protozoan parasites. Cryptosporidium is important in human public health. This parasite has many species, some of which are common in animal and human hosts. One of the animal hosts of this parasite is pet bird. This parasite causes digestive and respiratory problems in pet birds. This study was performed for molecular identification of Cryptosporidium as a zoonotic pathogen of pet birds.
Methods: In this descriptive laboratory study, fecal samples of 114 cages (50 Passeriformes and 64 Psittaciforms) from all over Isfahan city in Iran were collected by collecting history and after extracting the genome; the Cryptosporidium was detected by specific primers, based on ssrRNA gene.
Results: In 16.66% of the canaries with gastrointestinal symptoms and 4.54% of apparently healthy canaries the ssrRNA gene of Cryptosporidium was detected. In addition, the gene was detected in 10% of cockatiel and 4.16% of budgerigars and in other species of Psittaciforms was not detected.
Conclusion: Pet birds in Isfahan can be considered as a source of Cryptosporidium infection.

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Background and Objective: Behavioral disorders among children and adolescents are common and incapacitating which cause many problems for the families and the patient themselves and associated with high prevalence of negative social consequences. This study was done to evaluate the prevalence of psychiatric disorders among children and adolescents in Gorgon, north of Iran (2019).
Methods: This descriptive-analytical study was performed on 1025 children and adolescents aged 6-18 years in Gorgan, north of Iran (2019). Subjects were selected by Multistage Cluster Sampling. Digital version of K-SADS test was studied for 24 types of child and adolescent psychiatric disorders. Sampling was done by trained psychologists, among general population and by referring to the house of people. Psychiatric disorders included mood disorders, behavioral disorders, neurodevelopmental disorders, substance abuse disorders, and elimination disorders.
Results: The prevalence of psychiatric disorders among children and adolescents was 13.2%. This prevalence was 14.3 % and 12.1% in males and females, respectively. According to age groups, The prevalence of psychiatric disorders was common in 6 to 9 years olds with 17.8% which in comparison with other age groups was significant (P<0.05). Eliminatory disorder with 6.1% was the most common illness followed by behavior (6%), tension disorders (4.8%) and neurodevelopmental disorders (3.3%).
Conclusion: The prevalence of psychiatric disorders among children and adolescents in this area is in a median range compared to other domestic and overseas.

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Background and Objective: Balance in intellectual disability individuals is very important due to the weakness in performing balance tasks. This study was performed to determine the effect of six weeks of vestibular stimulation exercises on the balance of children with mild intellectual disability.
Methods: In this clinical trial study, 30 intellectual disability boys were randomly divided into control and experimental groups. Subjects in experimental group were receiving vestibular stimulation training for six weeks. No intervention was performed on the subjects in the control group. A single leg test was used to screen the subjects with a balance of weakness. To assessment the static, dynamic and functional Balance, the Bruninks Oseretsky test was used and a Timed Up and Go (TUG) was used, respectively.
Results: After the end of the training period, static balance, dynamic balance and functional balance was significantly increased in experimental group compared to controls (P<0.05).
Conclusion: Six weeks of vestibular stimulation exercises have a positive effect on static, dynamic and functional balance in intellectual disability boys.

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Background and Objective: Pain after tonsillectomy is one of the most common complications. This study was done to compare the effect of Gabapentin and promethazine as premedication to reduce pain after tonsillectomy.
Methods: This clinical trial study was performed on 104 patients aged 7-15 years who were candidate for tonsillectomy. Patients were randomly divided into gabapentin and promethazine groups. The first group received oral gabapentin 20 mg/kg/bw, and the second group was treated with promethazine syrup 0.5 mg/kg/bw one hour before anesthesia. Pain score was recorded based on the MOPS index and recorded and compared during 3, 6, 12, and 24 hours after surgery.
Results: The mean±SD of pain severity in the intervention group with promethazine at 3, 6, 12 and 24 hours after surgery were 1.35±0.84, 0.9±0.87, 0.25±0.52, 0.04±0.19, respectively. Pain severity was 1.58±0.98, 1.13±0.91, 0.69±0.27, and 0.06±0.24 in gabapentin group, respectively. There was no significant difference between pain score of two groups in 3, 6, 12 and 24 hours after surgery.
Conclusion: Gabapentin and promethazine as premedication have a similar analgesic effect in patients after tonsillectomy.

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Background and Objective: Car accidents are one of the most common causes of traumatic mental disorders. This study was done to evaluate the symptoms of post-traumatic stress disorder (PTSD) in patients with lumbar spinal dislocation fractures caused by road accidents.
Methods: This case-control study was performed on 100 patients with lumbar spine dislocation fractures due to road accidents. After the seventh day, they were admitted to the orthopedic and trauma wards of Imam Khomeini Hospital in Sari. It was done six months after hospitalization. Data collected from 100 non-injured individuals using the Marmar and Weiss Revised Event Impact Questionnaire (Impact of Event Scale - Revised: IES-R) were compared.
Results: There was no statistically significant relationship between PTSD and age, sex, marital status, education of the two groups. In all subscales related to the effect of the event, ie avoidance, disturbing thoughts, and over stimulation indices, the mean score of the participants in the case group was significantly higher than the mean scores of the individuals in the control group (P<0.05). The mean in case group was significantly higher than the mean in the control group (P<0.05).
Conclusion: The results of this study indicate the important role of road accidents in the formation of PTSD symptoms.

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Background and Objective: The emergence of drug resistance in Mycobacterium tuberculosis and especially drug resistant strains has created problems for the treatment of tuberculosis control, worldwide. This study was performed to evaluate the changes in N-acetyltransferase (NAT) pattern of methylsonone in patients who did not respond to first-line treatment for Mycobacterium tuberculosis.
Methods: This descriptive-analytical study was performed on 200 patients with tuberculosis. After preparing the blood sample, saturated salt method was used to extract DNA. For the determination of quantity and quality of DNA, two methods of spectrophotometry and electrophoresis on agarose gel were used. The methylation pattern of NAT1 gene was investigated by HRM method.
Results: 34 patients were resistant to the first line of treatment. 18 patients showed hypermethylation pattern, 12 patients showed non-methylated pattern and 4 patients showed hypomethylated pattern. 166 patients were not resistant to the first line, of which 23 patients in hypermethylated group, 120 patients in group Non-methylated and 23 patients were in the hypomethylated row. There was a statistically significant relationship between methylation level and drug resistance (P<0.05).
Conclusion: This study showed that resistance to first-line treatment of Mycobacterium tuberculosis was related to the level of N-acetyltransferase gene methylation.

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Background and Objective: Congenital anomalies are one of the major causes of neonatal mortality. Congenital heart disease (CHD) is the most common birth defect world wide, and recent studies about CHD have reported congenital heart disease approximately is about one percent of all live births. This study was done to determine the frequency of congenital heart disease using ecocardiography in patients with extra-cardiac anomalies in Gorgan peadiatric center in north of Iran.
Methods: In this descriptive study, 55 girls, 84 boys a total of 139 patients were in the age range of birth to 12 years of age whom have referred to Taleghani Teaching and Medical Center in Gorgan during 2012-17. 139 cases of congenital heart disorders with echocardiographic report sheet in their medical record were evaluated. Information of patients including age, sex, ethnicity, type of extra-cardiac, anomalies, cardiac anomalies (simple, complex and ductal anomalies), cardiac murmur status, and clinical symptoms were extracted from their medical records.
Results: From of total of echocardiography, 139 patients (88.5%) were affected by congenital heart disease. The anomalies were included of 88 cases (56.05%), 48 cases (31.21%), 2 cases (1.27%) simple, complex anomaly and ductal dependent anomaly respectively. The other disorders accompanied with congenital heart diseases were 17 cases (12.2%) with cleft palate, 4 cases (2.9%) with congenital diaphragmatic hernia, 8 cases (5.8%) with closed anus, 52 cases (37.4%) with Down syndrome, 4 cases (2.9%) with Turner syndrome, 4 cases (2.9%) with ileum atresia, 11 cases (7.9%) with Esophageal atresia, 7 cases (5%) with Hirschsprung's disease, 6 cases (4.3%) with urogenital anomalies and 26 cases (18.7%) with other extra-cardiac abnormalities.
Conclusion: Down syndrome and cleft palate are among the highest prevalant anomalies with congenital heart diseases.

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Background and Objective: Diabetes is one of the most common chronic diseases and also the biggest health problem in all countries. The world health organization has called it a silent epidemic. Self-care is one of the most important factors in controlling blood sugar in diabetics’ patients. This study was done to determine the relationship between self-care and glycosylated hemoglobin level diabetic patients in rural area in Golestan Province, northern Iran.
Methods: This descriptive-analytical study was done on 239 male and female patients with type 2 diabetes (56.92±10.70 years) in rural area in Golestan Province, northern Iran during 2016. Data collection tool were a standard diabetes self-care questionnaire with demographic variables and HbA1C test. Completion of data and sampling was done by referring to the health center and calling patients.
Results: There was no significant relationship between glycemic controls with any of the self-care items studied. Mean of HbA1c was 8.23±1.85%. 97 patients (40.6%) had good blood sugar control (less than 7.5%). Patient's self-care had a mean of 3.58, of which the highest score was related to the dietary regimen (6.60) and the lowest was related to self-monitoring of blood glucose (0.88) and regular physical activity (2.3).
Conclusion: Self-care of the patients was moderate. Interventions to increase self-care of patients are recommended in this area.

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Background and Objective: The use of packaged drinking water is on the rise nowadays in most countries, including Iran. Currently, more than 100 different brands of packaged drinking water are produced and distributed in Iran. This study was done to evaluate the quality of Iranian, foreign packaged drinking waters and municipal drinking water in Golestan Province, north of Iran.
Methods: This descriptive-analytical study was done on 56 packaged drinking waters of different Iranian and foreign brands, eight brands produced in Golestan province and a number of municipal drinking water samples were collected from Gorgan and Gonbad Kavous cities in northern Iran. To assess the quality of packaged drinking water and drinking water, their physicochemical parameters were compared with National Iranian Standards 1053 and WHO. Stiff and Piper diagrams were plotted to determine the type and hydrochemical facies of water samples. Gibbs and Schoeller diagrams were used to determine the water chemistry controlling factors of water samples and their water quality for drinking, respectively.
Results: The concentrations of physicochemical parameters (except bicarbonate) were within the range of national drinking water standards 1053 and WHO. The average nitrate concentration in all packaged drinking and drinking water was within the standard range. The fluoride concentration of all packaged drinking waters and drinking water was within the range of WHO standard. However, only 14 samples of all packaged drinking and drinking water samples are within the range of 1053 National Iranian Water Standard. The total concentration of soluble solids and the total hardness of packaged drinking water were within the range of 1053 NW. There was also a significant difference (P<0.05) between the chemical parameters of magnesium, sodium, chloride and nitrate in packaged drinking water produced in Golestan province with the municipal drinking water samples.
Conclusion: The amount of fluoride in drinking water in this study was less than desirable and required fluorination. The quality of packaged drinking water in Golestan province is better than the municipal drinking water.

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Background and Objective: The acute exercise leads to the induction of some cardiac and inflammatory biomarkers that are related to factors such as severity, type, training experience, gender and environment. This study was conducted to compare the effect of acute endurance and resistance training at two different intensity levels of high-sensitivity cardiac Troponin T (hs-cTnT) and tumor necrosis factor alpha (TNF-α) in male runners and bodybuilders.
Methods: In this quasi-experimental study, 20 male runners and bodybuilders with an age range of 20-24 years were purposefully and accessibly selected. The study was performed with a pre-test-post-test design on 10 male runners (endurance training) and 10 bodybuilding men (resistance training). The runners ran 6 km with moderate (70-75% of reserve heart rate) and high (85-85% of reserve heart rate) intensities at intervals of one week, during separate sessions. Bodybuilders also performed resistance training at moderate (70-75% of one repetition maximum) and high (80-85% of one repetition maximum) intensities.  Bodybuilders also performed resistance training at moderate (70 to 75% of a maximum repetition) and high (80 to 85% of a maximum repetition) intensities. Blood samples were taken before and immediately after exercise. Then the serum levels of hs-cTnT and TNF-α were measured.
Results: The serum level of hs-cTnT and TNF-α was significantly increased after acute running and resistance training with moderate and high intensities (P˂0.05), but intense acute exercise had a greater effect on increasing the levels of these variables. Also, the acute effect of intense aerobic exercise was associated with a greater increase in hs-cTnT level in compared to moderate-intensity aerobic exercise, high and moderate-intensity resistance training (P˂0.05).
Conclusion: In endurance and resistance athletes, the hs-cTnT and TNF-α responses are affected by the intensity of training and increase more with intense training. But the high intensity aerobic exercise is associated with a greater increase in hs-cTnT levels.

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Background and Objective: Hypertension is associated with changes in the structure and function of the vessels. This study was done to evaluate the effect of aerobic training with Garlic consumption on matrix metalloproteinase-3, 9 (MMP-3, MMP-9) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in obese postmenopausal women with hypertension.
Methods: This double-blind clinical trial study was done on 36 obese postmenopausal women with hypertension. Participants were randomly divided into 4 groups including control group, Garlic consumption, aerobic training and training with Garlic consumption. Subjects in training groups participated in a progressive aerobic training for eight weeks, three sessions a week (55% to 65% of the reserved heart rate and for 30 to 55 min). Garlic and training with Garlic groups consumed 1000 mg of garlic supplement for eight weeks (after breakfast and dinner). Two days before and after the protocol, blood samples were taken in fasting state.
Results: The level of MMP-3 and MMP-9 were significantly decreased in Garlic, aerobic training and training with Garlic groups in compared to the control group (P<0.05). Also, the level of MMP-3 in the training with Garlic was significantly reduced in compared to the training and the Garlic groups (P<0.05). MMP-9 in the training with Garlic was significantly reduced in compared to the Garlic group (P<0.05). However, TIMP-1 level were significantly increased in the Garlic, training and training with Garlic in comparison with control group (P<0.05).
Conclusion: Aerobic training alone and in combination with Garlic affect on extracellular matrix thorough reduction of MMP-3, MMP-9 and increasing TIMP-1, improves systolic blood pressure in obese postmenopausal women with hypertension.

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Background and Objective: Gilbert's syndrome is a relatively common genetic disorder, which is caused by defection in uridine diphosphate glucuronosyl transferase enzyme. The indirect bilirubin increases in this syndrome, although the function of the liver is normal. Gilbert's syndrome can be seen in 3 to 10% of different populations. According to the differences in ethnic groups in Golestan Province, no studies have been conducted on the prevalence of the syndrome in the province, so far.This study was conducted to determine the prevalence of suspected Gilbertʼs syndrome in Golestan province in north of Iran.
Methods: This descriptive-analytical study was performed on 1664 subjects with 18-45 years old referring to rural and urban health centers in Golestan province, North of Iran during 2014. Liver function tests were normal in subjects. Fasting blood samples were taken from each subject and total bilirubin was tested. People with a total bilirubin of more than 1.5 mg/dl were treated with a single oral dose of rifampin 600 mg. After taking rifampicin, the individuals with an indirect bilirubin level of more than 1.3 mg/dl were found suspected of Gilbert’s syndrome.
Results: The prevalence of suspected Gilbert's syndrome was 5.8%. Moreover, suspected Gilbert’s syndrome was more common in males than females (10% in males and 4.3% in females) (P<0.05). According to ethnicity, the prevalence of suspected Gilbert's syndrome was 5.4%, 5.4%, and 6.8% in Sistani, Fars and Turkmen subjects, respectively. This difference was not significant. The prevalence of suspected Gilbert's syndrome in three ethnicities was higher in males than females and it was statistically significant in Sistani and Fars ethnicities (P<0.05) but not significant in Turkmen ethnicity.
Conclusion: Suspected cases of Gilbert's syndrome were more common in men than women, and more prevalent in the Turkmen ethnic group.

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Background and Objective: Postural defects are increased among students due to inactivity. Their unwillingness to perform traditional activities, requires finding appropriate ways to increase physical activity. This study was done to compare the effect of selected Xbox Kinect games and normal on the posture in low activity students.
Methods: In this quasi-experimental study, 26 sedentary fourth and fifth grade students were non-randomly divided into two groups. During the 6-week period, one group engaged in 3 sessions per week of selected Xbox Kinect games and the other group engaged in routine school physical education activities during school hours. The photogrammetry and Kinovea software was used to study the posture of the joint angles.
Results: In static posture, head position angle, thoracic arrow, horizontal scapula alignment, horizontal pelvic alignment, and body alignment were found positive effect in Xbox Kinect group in compared to  normal physical activity (P<0.05). There was not any significant difference between the two groups in Lumbar Arrow, Lumbar Angle, pelvic Tilt Pelvis, Knee Position, Quadriceps Angle and Foot Pronation.
Conclusion: Xbox Kinect games are a good way to correct postural deviations in sedentary students in low activity student.

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Background and Objective: Coronary heart disease (CAD) is one of the most important causes of death in most countries including Iran. Exercise training after coronary artery bypass grafting and the resulting adaptations increase the capillary density of skeletal and cardiac muscle along with the development of new capillaries and improve cardiovascular and functional ability due to increased mitochondrial biogenesis. This study was done to evaluate the effect of aerobic-resistance training on plasma levels of PGC1α (Peroxisome proliferator 1a) in post coronary artery bypass grafting (CABG) patients.
Methods: This clinical trial study was done on 30 male patients aged 45-60 years who underwent bypass surgery. The patients were randomly divided into intervention and control groups, respectively. Subjects in interventional group were received aerobic resistance training for eight weeks (3 sessions per week). Subjects in control group did not receive any intervention. To measure lymphocytes, fasting blood samples were taken 48 hours prior to the bigning of the first training session and also 48 hours after the last training session. PGC1α was measured using ELISA method.
Results: Aerobic-resistance training caused a significant increase in plasma level of PGC1α in the training group compared to the control group (P<0.05). In intervention group, plasma level of PGC1α was significantly higher after the exercise than before the exercise (P<0.05).
Conclusion: Aerobic-resistance training exercise with increasing serum levels of PGC1α can play a role as an effective factor in initiating angiogenic processes and increasing capillary density and be used as an effective factor in various people, especially cardiovascular patients.

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Background and Objective: One of the most common complications of mild cognitive impairment is increased body sway and falls. This study was performed to evaluate the effect of Pilates training on control posture in patients with mild cognitive impairment.
Methods: This clinical trial study was performed on 30 women with mild cognitive impairment who referred to elderly Research Center in Kermanshah city, north-west of Iran during 2019. Subjects were randomly divided into two groups including Pilates Training and control groups. Pilates training group was trained for eight weeks, 3 sessions per week and duration for each session was one hour. The control posture of the subjects before and after the exercise was evaluated.
Results: There was significant difference in obtained scores in the size and distance of the center of pressure area range with open and closed eyes in the intervention group, prior and after training (P<0.05). The mean postural control (the size and distance of the center of pressure area range with open and closed eyes) reduced after 8 weeks of Pilates exercises in the intervention group in compared to control group (P<0.05).
Conclusion: Pilates training is effective in improving postural control in patients with mild cognitive impairment.

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Late postpartum hemorrhage (PPH), as an unpredictable obstetrics emergency, is characterized as a leading cause of mortality and maternal complications worldwide. Uterine artery pseudoaneurysm (UAP) is a rare cause of PPH, which may develop after uncomplicated cesarean and Gynecologic surgeries, including dilatation and curettage, hysterectomy, and myomectomy. Uterine artery embolization has become a popular treatment for postpartum hemorrhage. In this case report, we present a patient with PPH due to UAP who was treated by endovascular embolization of the uterine artery. A 39-years-old woman was admitted 55 days after her third cesarean section due to massive vaginal bleeding resulting in severe hemodynamic derangements. After initial resuscitative measures, diagnostic studies revealed the UAP, and soon after, the coil embolization of the uterine artery was performed. When conservative managements fail to control massive late postpartum hemorrhage, angiography and embolization of the uterine artery can be the modality of choice, rather than hysterectomy (with its potential complications) which preserves the patient's fertility.

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Background and Objective: Binding of antibiotics to nanoparticles increases the antibacterial potential of nanoparticles and antibiotics. This study was performed to determine the antibacterial and hemolytic effect of zinc / ferrite / cellulose nanocomposite (ZnFe2O4 @ Cell) (single nanoparticle), zinc / ferrite / cellulose nanocomposite was aminated with 3-aminopropyltriethoxysilane (APTES) with the name of ZnFe2O4@Cell@APTES (Coated nanocomposite) and ZnFe2O4@Cell@APTES@Van nanocomposite (coated nanocomposite bound to vancomycin) against gram-negative bacteria Escherichia coli (E. coli) and Pseudomonas aeruginosa (P. aeruginosa) and gram-positive bacterium Staphylococcus aureus (S. aureus).
Methods: In this descriptive study, antibacterial-activity was evaluated by broth macro dilution method. Minimum inhibitory concentration (MIC) and minimum lethal concentration (MBC) were determined for E. coli, S. aurous and P. aeruginosa. The hemolytic activity of nanoparticles was investigated by colorimetric method.
Results: Nanoparticles did not have hemolytic activity. ZnFe2O4@Cell and ZnFe2O4@Cell@APTES@Van did not have a significant antibacterial effect against gram-positive and gram-negative bacteria, and vancomycin binding resulted in antibacterial-activity. ZnFe2O4@Cell@APTES@Van inhibited the growth of Gram-negative bacteria Escherichia coli and Pseudomonas aeruginosa. The growth of E. coli was reduced to 85% at a concentration of 0.4 mg/ml and a concentration of 0.1 mg nanoparticles completely prevented the growth of P. aeruginosa. The growth of gram-positive S. aureus bacteria at a concentration of 0.3 mg/ml nanoparticles was completely stopped.
Conclusion: Vancomycin-modified nanocomposite has antibacterial-activity against both gram-positive and gram-negative bacteria and has the potential to overcome the antibiotic resistance of bacteria.