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Background and Objectives: Measuring the H-reflex latency (Tp) is an electrophysiologic test to evaluate the S1 root lesions This reflex traverses a relatively long course and its sensitivity to diagnose mild S1 root lesions is low, so investigators have tried to shorten this pathway Evaluation of the central loop of the H-reflex (Tc) is one of these efforts and may be more sensitive in diagnosing S1 radiculopathy (Compared to standard H-reflex latency). We have tried to determine its influencing factors and find the related regression equation. Materials and Methods: Forty volunteers were investigated with their informed consent. Their history, physical examination and a brief electrophysiologic study were normal. H-reflex latencies (Peripheral- central) of right gastrocnemius-soleus muscle as described in literature, right leg length and age were recorded. Results: This group consisted of 26 males (65%) and 14 female (35%). Mean latencies (And SDs) of peripheral and central H-reflexes were 28.8 (SD: 1.66) and 6.78 (SD: 0.3) milliseconds respectively. The correlation between Tc and leg length was significant (P<0.05). There was no significant correlation between Tc and age (P<0.05). Tc and Tp were correlated. These regression equations were found: Tc=0.04L+5.28, Tc=0.05Tp+4.56, Tp=0.04A+0.3L+16.13 (L: leg length in centimeters, A: age in years, Tc and Tp in milliseconds). Discussion: The results of this study, regarding mean and SD of Tc are in line with the previous studies, and regarding the influence of age on Tc are in contrast with only one study and in line with another study. Conclusion: The correlation between Tc and leg length was significant (P<0.05). There was no significant correlation between Tc and age (P<0.05). These regression equations were found. Tc=0.04L+5.28, Tcx=0.07Tp+4.56, Tp=0.04A+0.3L+16.13 (L: Leg length in centimeters, A: Age in years, Tc and Tp in milliseconds). We concluded that it is wise to use leg length for calculating normal Tc and limiting the normal values. On the other hand, the authors believe that more research on specificity and sensitivity of this test (To diagnose S1 radiculopathy) and comparing it with other diagnostic tools is needed.

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Background & Objective: In this research, we study the simultaneous effects of Nitric Oxide (NO) and stress on prefrontal cortex of rats. Nitric Oxide is an unstable small molecule that involved in many physiological and pathological conditions. Brain’s prefrontal cortex has important role on personality and mental state. Its development continues after birth and this period is the most sensitive time for brain’s cortex to response to environmental parameters such as psychological stresses. Materials & Methods: In this study Wistar male rats received L-arginine (200 mg/kg) as NO precursor, L-NAME (20mg/kg) and 7-nitroindazole (25mg/kg) as non specific and specific NO sentries inhibitors. L-arginine and L-NAME were injected intra peritoneal (IP) and 7-nitroindazole injected subcutaneously (S.C) during one month per day. Rats divided in two groups (with stress and without stress). The kind of stress was immobilization every day for one month during injection of materials. Brains were removed after this period and each brain with a coronal section manner divided in two parts .Anterior part of brain fixed by formalin and tissue processing was done. By using rotatory microtome 10? serial cross sections were obtained and stained with H & E. Posterior part of brain homogenized with such solution then amount of NO in obtained solution was measured by spectrophotometer with 540 nm wavelength. Results: Statistical analysis of light microscopic findings indicated that stress of immobilization with use of L-NAME and 7-nitroindazole result in decrease of thickness of prefrontal cortex , numbers of Betz cells and NO production in rats’ brain, it means L-NAME and 7-nitroindazole exaggerate the brain damage and from other hands L-arginine with stress can convert these results. Conclusion: On the basis of these results we believe that stress of immobilization damages prefrontal cortex and also NOS inhibitors can aggravate the cortical damage. On the other hand although NO precursor (L-arginine) decreases the cortical damage in rats that impress with stress, it can result in these changes in rat’s brain without stress.

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Background&Objective: The life time prevalence of schizophrenia is estimated about 1%-1.5% in United States and various studies have shown that between 7.8-46.6% of these patients suffer from OCD. The differences in these statistics are partly due to the assessment and treatment methods. The purpose of this study was to measure the frequency of OCD in hospitalized schizophrenic patients. Materials&Methods: The study was cross-sectional. 96 inpatients (56 men and 40 women) with DSM-IV schizophrenia diagnostic criteria were selected from Iran Psychiatry Hospital by simple non-random sampling Results: The age range of the patients were 17-73 with a mean age of 35 ±12.6. The majority of patients (88.5%) suffered from paranoid schizophrenia. 47 patients (49%) were diagnosed to have obsessive-compulsive symptoms on interview. The mean age of schizophrenia onset was 24.7 ±8.8 and the mean age of OCD onset in schizophrenic patients was 20.2 ±6.7. In 8 (17%), the two disorders were began simultaneously and in 20 (20.8%), schizophrenia was started earlier. Conclusion: Obsessive-compulsive symptoms are completely prevalent in schizophrenia. The co morbidity of these two clinical entities has both etiological and therapeutic importance.

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Background & Objective: Despite their very wide geographical distribution in the Mediterranean region, most Leishmania infantum strains belong to zymodeme MON-1. As different Leishmania species are known to cause different clinical symptoms and may require different treatment protocols, therefore this study was done to identify and characterize the leishmania agents causing visceral, Leishmaniasis (VL) in humans, reservoirs and vectors in the north-west of Iran by Isoenzyme analyses. Materials & Methods: In this descriptive and cross sectional study, The samples collected from 12 VL confirmed patients (bone marrow aspirates), 26 dogs (spleen and hepatic aspirates) and more than 100 sand flies from northwest of Iran between 2005 and 2006. All aspirated material from human, canine and sandflies demostrated growth of Leishmania parasite in NNN and αMEM media. The above species compared with WHO reference strains, Leishmania (Leishmania) donovani (DD8), L (L) infantum (IPT-1), L (L) tropica (K-27), and L(L) major (5-ASKH), using thin layer starch gel electrophoresis. The enzymes investigated in this study were ALAT, ASAT, SOD, ES,NH, MPI, GPI, MDH, 6PGD, PGM, PEPD, and PDK. Results: In this study L.infuntum. MON-1 was the only zymodeme present in all samples of dogs and human sandflies. Conclusion: We concluded that the visceral Leishmania (VL) focus in northwest of Iran is evidently Mediterranean type, which extends from Portugal and Morocco to Pakistan and the Central Asia and domestic doges act as the reservoir host in northwest of Iran, where the complete life cycle of zymodeme MON-1 has been identified.

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Background and Objective: Cystic fibrosis (CF) is the most common inherited disorder in Caucasian populations caused by mutation in cystic fibrosis transmembrane conductance regulator (CFTR). The type of mutations and their distributions varies widely between different countries and/or ethnic groups. The aim of this study was to characterize mutations involved in this disease in Mazandaran province, Iran. Materials and Methods: In this descriptive study thirty unrelated Iranian cystic fibrosis patients were screened for deltaF508, N1303K, G542X, R347H and W1282X mutations in the CFTR gene using Reverse Dot Blot method during 2004-06. This technique uses biotinilated PCR products for simultaneous hybridization with several normal and mutant probes specific to known mutations fixed on Biodyne C membranes. Results: DeltaF508 mutation was found in 13 (21.66%) alleles. 6 patients were homozygote and one was compound heterozygote for this mutation. Conclusion: These findings reveal an important heterogeneity of CFTR gene mutations in Mazandaran Province. Thus regarding the relative low rate of detectable mutations, it is necessary to undertake larger studies for molecular diagnosis of cystic fibrosis in this province.

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Background and Objective: Valeriana Officinalis administrated for treatment of many gastrointestinal disorders traditionally and probably reduced smooth muscle contraction and bowel movement. The aim of this study was to determine the effect of Valeriana Officinalis extract on Ileum contraction of Guinea pig ileum in In Vitro model.

Materials and Methods: This experimental study done on five male Guinea pigs. The animals were sacrificed and the pieces of ileum with 2-3cm long (at least 6 pieces) dissected and established in normal Tyrod solution plus Carbogen gas in 37ºc. Tissue fixed between of two electrodes that connected to stimulator apparatus. The contraction of ileum carried to physiograph by isotonic transducer and recorded. A solution with 5 concentration of Valeriana Officinalis extract was added to the organ bath during ileum stimulation with stimulator and the muscle contraction recorded in 7 responses.

Results: Hydroalcoholic extract of Valeriana Officinalis root in concentrations of 5, 15, 50, 150, 500 mg/ml during 0.1 Hz stimulation decreased Ileum contractions in a dose dependent manner. The percent of reduce contraction was 34.45%, 36.07%, 47.53%, 56.42%, and 76.22% respectively. Also Ec50% of this effect of Valeriana Officinalis was found to be 50 mg/ml (P<0.05).

Conclusion: This study showed that Valeriana Officinalis extracts can decrease ileum contraction in dose dependent manner.

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Background and Objective: Muscle size is considered to be a good indicator of muscle function. Previous studies demonstrated a major role for longus colli muscle in cervical spine stabilization. This study was designed to compare muscle size and shape of cervical longus colli muscle between patients with bilateral chronic neck pain and healthy subjects. Materials and Methods: In this case – control study, bilateral ultrasound images of longus colli muscle, 2 centimeters below the thyroid cartilage were taken in 20 subjects (10 males and 10 females) with bilateral chronic neck pain and in 20 healthy subjects during 2008. Cross sectional area (cm2) and muscle shape ratio (ratio between lateral and anterior posterior dimensions) were measured. T- test was used for comparison of cross sectional area and shape ratio of right and left sides between the two groups. Results: In healthy subjects the cross sectional area of longus colli muscle in right and left sides were 0.85±0.11 and 0.86±0.12 respectively which was greater than that of neck pain patients: 0.76±0.11 and 0.68±0.07 respectively (P<0.05). In addition, longus colli muscle shape ratio of healthy subjects in right and left sides was 1.18±0.17 and 1.16±0.19 respectively which was smaller than that of neck pain patients: 1.50±0.25 and 1.50±0.27 respectively (P<0.05). Conclusion: This study showd that patients with bilateral chronic neck pain had generally smaller cross sectional area and larger shape ratio of longus colli compared to controls.

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Background and Objective: Opium usage for sedating/relieving from diarrhea or cough causes a public health problem. In the northeast of Iran (Golestan province), opium is used widely for symptomatic therapy of routine illnesses in young children. It may cause severe intoxication and even death. This study was done to determine the toxification with opium in five years old children in Golestan Privine in Iran. Materials and Methods: This cross-sectional study was performed in collaboration with “Adverse Drug Reaction (ADR) Committee” in Golestan University of Medical Sciences. All members of ADR committee in pediatric centers trained to complete a certain valid questionnaire in children under 5-years-old, which either referred or admitted for opium intoxication (September 2006 to February 2007). Data analyzed by Chi-square and Fisher exact tests. Results: In this survey, 67 opium-intoxicated children were recruited. Minimum age of the subjects was 6 days and maximum was 5-years-old. In 41.3% of subject. The opium was given by the mother with low awakness and 61.2% of in toxicated children reside with rural area. More that 80% of the parant had the educational level below. The highschool diploma in 63.6% of cases the pure form of opium were consumed, diarrehea anxiety, were the two main cause for consuming the opium. In this study four subjects decleard dead due to toxification of the opium. Conclusion: Opium intoxication has a high prevalence among children under 5-years-old in our area. Therefore it is suggested that the intoxicated children accompanied with parant ambigious explanation opium toxification should be taken seriously.

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Background and Objective: The food additives, like sodium and potassium benzoate are used in many food products and drugs to prevent the growth of yeast and molds. There is no report about the histopathological effect of potassium benzoate. Placenta, has a critical role in embryonic development therefore this study was set up to evaluate the effects of potassium benzoate on placenta of BALB/c mice.

Materials and Methods: 45 BALB/c female mice were allocated into two experimental (1, 2) and one control groups. Experimental groups received daily intraperitoneal injection of 280 and 560 mg/kg/body weight of potassium benzoate and control group received normal saline. All injections were done during 10 days before mating and 5^th to 16^th of gestational days (GD). In GD 18 all placenta were removed via cesarean section. Macroscopic studies for morphological abnormalities were done and after measuring of placental weight and diameter, for microscopic studies the specimens were fixed and tissue passage were done. Tissue sections were stained with hematoxylin-eosin and histopathological changes were studied. Weight, diameter and percentage of agenesis of placenta in all groups were gathered. Data analyzed with using
SPSS-11.5, ANOVA and Tukey tests.

Results: The mean weight and diameter of the placenta in both experimental groups 1 and 2 were significantly decreased compared to control group. Also atrophy of placenta in the experimental groups was increased significantly compared to the control group (P<0.05). Comparison of weight and diameter between groups 1 and 2 was not significant. Percentage of placenta agenesis in the experimental groups was increased significantly compared to the control group (P<0.05). Massive hemorrhage in labyrinth zone, fetal and maternal zones were seen in both experimental groups.

Conclusion: This study showed that exposure of potassium benzoate during mice pregnancy cause morphological and histopathological changes of placenta, including decrease of weight and diameter, agenesis, hemorrhage and tissue disorders.

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Background and Objective: Spasticity is common problem in stroke patients. Spasticity couse dysfunction and restricted activity. The most of patients have hand dysfunction due to stroke. This study was done to determine the effect of adjustable wrist hand splint on upper limb spasticity in post stroke patients.

Materials and Methods: This randomized clinical trial study was carried out on 15 patients with stroke referred to rehabilitation centers in Tehran-Iran during 2009. Patients randomly were divided into interventional (4 female, 3 men) and control (5 female, 3 men) groups. Common occupational therapy practice was carried out for 4 weeks for both groups equally. In treatment group intervention was based on the use of adjustable wrist hand splint moreover common occupational therapy practice. Upper limb spasticity pre and post intervention based on the Modified Ashworth Scale was evaluated. Data were analyzed by SPPS-17 software, pair-t-test and independent  t-test.

Results: Mean age of patients in interventional and control groups were 61.37±4.10 and 58.85±5.01 years respectively. After 4 weeks of treatment, the mean of spasticity was not significant between interventional and control groups, but internal analysis of spasticity were significant in interventional and control groups (P<0.05).

Conclusion: This study showed that the adjustable wrist hand splint is not useful in reduction of upper limb spasticity in post stroke patients.

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Background and Objective: Tuberculin skin test (TST) is the standard method for diagnosis of latent tuberculous infection. Positive results of TST (significant induration) may be seen in persons with latent M.tuberculosis infection and negative results of this test may be seen in patients with active tuberculosis. After performing TST false positive reactions may be seen with nontuberculous mycobacterial infections or false negative results may be encountered in anergic patients with tuberculosis disease. Quantiferon TB Gold test (QFT) is a new diagnostic test which assays the amount of released interferon gamma from peripheral blood lymphocytes in response to M.tuberculosis antigens. The purpose of this study was to determine the degree TST and QFT correlation.

Materials and Methods: This descriptive study carried out on 72 nurses of two internal medicine and infectious diseases wards of Imam Reza and Imam Khomeini hospitals in Kermanshah located in West of Iran, during 2009. 58 of nurses were vaccinated with BCG vaccine and none of them had any immune compromising condition. TST was performed by intradermal injection of 0.1 ml of standard tuberculin test (5 TU) and QFT was performed 48 hours then after using peripheral whole blood. The amount of released interferon gamma from lymphocytes in response to antigens were measured by ELISA method.

Results: Three of nurses excluded and this study was done on 69 nurses. Overall the degree of agreement of TST and QFT was 63.7% (P=0.69 and Kappa=0.139). The degree of discordance between these tests in PPD negative but QFT positive persons was 15.94% and in PPD positive but QFT negative persons was 20.3%. The sensitivity and specificity of QFT was 41.67% and 75.56% respectively. The degree of agreement of TST and QFT in vaccinated and unvaccinated nurses was 63.8% (Kappa=0.143) and 66.67% (Kappa=0.54) respectively.

Conclusion: There was no significant difference between QFT and TST in diagnosing latent tuberculous infection.

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Background and Objective: The pregnancy period is very sensitive and complicative stages of life. It has been shown that addictive drugs such as ecstasy (MDMA: Methylene Dioxy Metha Amphetamine) can interfere in this stage. The aim of this study was to assess the effect of Methylene Dioxy Metha Amphetamine administration during pregnancy on reproductive system of BALB/c mice. Materials and Methods: In this experimental study, 10 and 5 female BALB/c mice were randomly selected as cases and controls, respectively. The pregnancy was induced following ovarian hyperstimulation with PMSG and hCG followed by mating with male animals. MDMA (5 mg/kg) and saline was injected intraperitoneally in day 7 and 14 of pregnancy in experimental and controls, respectively. The ovarian structure, as well as uterine tube, uterine horns and body, and vagina were studied histologically using light microscopy 27 days post delivery date. Data analyzed by using SPSS-17 and Chi-Square and Fisher exact test. Results: The rate of primary follicles was decreased from 18.42% in experimental to 33.33% in controls (P<0.05). The rate of mature follicles was significantly increased in experimental mice as compared to controls (P<0.05). The number of atretic bodies was lower in experimental than controls. The cellular alterations were observed in some portions of uterine tubes and uterine horns after ecstasy administration. However, no alterations observed in other parts of reproductive system. Conclusion: This study showed that MDMA cause some structural alterations in the uterine tubes and uterine horns, increase follicular maturation and reduction of follicular atresia in BALB/c mice.

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Background and Objective: Alpha thalassemia is one of the most common hemoglobin disorders. Some combination of alpha globin gene mutations may cause HbH disease with severe anemia or intermediate thalassemia. genotype common deletions are routinely tested for suspicious alpha thalassemia couples but because of lack of information about the nature and frequency of point mutations and higher expenosor of sequencing, less attention was paid to them. This study was done to determine the prevalence of common point mutations of alpha globin gene in Babol, Iran.

Materials and Methods: This descriptive study was carried out on DNA of 153 adult suspected to α-thalasemia with deleted α- golobolin gene referred to genetic laboratory in Babol, Iran during 2005-09. a1 and a2 genes were amplified by using specific biotinilated primers by PCR method. PCR products were assayed using 11 specific probs corresponding to common point mutations in alpha gene (C19, IVSI (-5nt), C59, Hb constant spring, Hb Icaria, Hb seal Rock, IVSI (148), C14, poly A (-2bp), poly A2, Poly A1) and fixed on byodine C membrabe. Hybridization between the probes and PCR products was visualized after a colorimetric reaction using of conjugated streptavidin peroxidase and TMB (tetra methyle Benzidine) and H²O².

Results: The prevalence of point mutations in poly A2, 5nt, Hb constant spring and poly A1 were 28.75%, 14.38%, 7.84% and 2.61%, respectively.

Conclusion: Point mutation in alpha globin genes was detected in %53.60 out of 153 adults suspected with alpha thalassemia without common deletion mutations.

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Background and Objective: Budget reforming and distribution of source is considered as one of economic bases of health and treatment. In the ministry of health, performance based budgeting has been performed since 2000. This study was done to identify barriers of operational treatment budget in Islamic Republic of Iran, ministry of health and medical education. Materials and Methods: In this descriptive study, data were gathered by questionairs to identify the barriers in six parts including: human resource, financial management system, financial information system organization structure, performance measurement system and legal necessities during 2007. The questionnaire were distributed among 80 executive staffs whome were responsible to perform operational budgeting plan. Data were analyzed using SPSS-16, fisher's exact test, Karl Pearson, Spearman correlation coefficient tests and Entropy criterion. Results: Disorder in commitment accontity statistical aconite system (0.1464), financial information system, weakening of quantity and proper index (0.1442) for estimating performance program performance measurement system were identified as major barriers. In organizational structure, assignment of authorities and responsiblies for managers and expert were identified as the most priorities (0.1447) of weakness of exact cost controlling system (0.1450) allocated the most rating in the financial management system. Staff resistance (01449) was with high rating in human resource dimension. weakness of rules and internal guidelines for establishment of mentioned budgeting the highest rate in legal barriers. Conclusion: This study indicated that there is corrolation between financial information, performance measurement, financial management systems, organizational structure human resource with barriers of budgeting establishment.

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Background and Objective: The first effect of stress on the immune system is usually a rapid increase in function which manifests itself by an increase in the number of inflammatory cytokines in blood. It is however, followed by a decrease of function in immunological response. During inflammation, the expression of hepcidin gene is increased in order to keep iron away from pathogens. This study was conducted to determine the effect of chronic mild stress on the expression of hepcidin gene in the hippocampus of the male adult rats. Materials and Methods: This experimental study was carried out on 30 adult male Wistar rats, weighing approximately 200-250 grams. They were randomly allocated into two groups of 15 rats: control and chronic mild stress group. Animals in intervention group were exposed to chronic mild stress for 3 weeks. At the end of the stress protocol, 2 ml blood sample was collected to measure the serum concentration of IL-6. Real time PCR method was used to investigate hepcidin expression in hippocampus. Data were analyzed using SPSS-16 and independent t-test. Results: The mean level of IL-6 was significantly higher in the CMS exposure group (27.98±0.84 pg/ml) than control group (18.29±1.18 pg/ml) (P<0.05). Hepcidin expression in the hippocampus of intervention group was significantly higher (2.69±0.226%) in compared to control group (1±0.105) (P<0.001). Conclusion: This study showed that chronic mild stress increases the expression of hepcidingene and the serum level of IL-6 in adult rats.

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Background and Objective: Attention deficit / hyperactivity disorder (ADHD) is a neurodevelopment abnormality. Inattentive behavior is considered a core and pervasive feature of ADHD. This study was done to compare the executive function and working memory in attention deficit / hyperactivity disorder and healthy children. Materials and Methods: This case – control study was done on 50 children with ADHD as cases and 40 healthy children as controls. The disorder was diagnosed by applying Kanerz teacher test and confirmed by a psychiatrist. Stroop test, Wisconsin Card Sorting Test (WCST), Continuous Performance Test (CPT) and n-back test were used to assess the executive function and working memory. Results: There was a significant difference between case and control groups in regard to executive function and working memory (P<0.05). Error omission was 16.98±8.157 and 7.3±3.824 in cases and controls, respectively (P<0.05). Conclusion: Attention deficit / hyperactivity disorder reduces executive function and working memory in children.

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Background and Objective: Valproic acid is used in the epilepsy, bipolar and migraine therapy. As a histone deacetylase inhibitor, Valproic acid has been recently under investigation in cancer treatment, either alone or in combination with either chemotherapy or radiotherapy. This study was done to determine the effect of Valproic acid and radiotherapy on viability of MCF-7 breast cancer cell line. Methods: In this descriptive - analytic study, MCF-7 cell line was obtained from the Iranian Pasteur Institute. The cells were treated and incubated by different concentrations of Valproic acid (1, 2, 4, 8, 16, 32, 64 and 128 mM) either alone or in combination with various dosages (0 .5, 2, 4, 6 and 8 Gray) of radiotherapy. After cell viability assay, using the Neutral red staining, the most nearest results to LD50 were selected. Cell viability was evaluated with trypan blue staining. Results: The most nearest concentrations of LD50 was doses of 2, 8 and 16 mM of valproic acid and dosage of Gray 4 of radiation. There was a significant dose-dependent correlation between reduction of cell viability with valproic acid concentration (P<0.05). Conclusion: Valproic acid, either alone or combination with radiotherapy caused a significant decline in the cell viability of MCF-7 breast cancer cell line.

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Background and Objective: Body psychotherapy technique (BPT) is a program teaches to deal more effectively with stressors. This study was done to evaluate the effectiveness of body psychotherapy technique on the stress and salivary cortisol level in high school girl students. Methods: In this randomized clinical trials study, thirty 15-18 years old female students were randomly divided into intervention and control groups. BPT group was given to the intervention group in nine sessions during two months. Cohen stress scale was used perior and the end of study to determine the scale of stress. Perior and at the end of study, salivary samples of subjects were collected directly after getting up in the early morning , 15, 30 and 45 minutes later on to measure salivary cortisol level. Results: The mean of stress scale scores and salivary cortisol level in the intervention group significantly reduced in comparison with the controls (P<0.05). Conclusion: Body psychotherapy technique reduces stress scale scores and salivary cortisol level in high school girl students in Gorgan, northern Iran.

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Background and Objective: Flax seed has been shown to play a role in the prevention and treatment of dislipidemia and inflammation, which may enhance the benefits of training. This study was done to determine the effect of 10 weeks of aerobic training with flax seed supplementation on blood lipids profile and C-reactive protein in obese women.

Methods: In this clinical trail study, 45 obese middle-age women were randomly divided into 3 groups. Aerobic training program was performed 50-60 min/d, 3d/wk, for 10 weeks. Subjects in aerobic training with flax seed supplementation were received 6-9 garms, daily of flax seed. Body composition and metabolic parameters were assessed before and after the training period.

Results: Flax seed supplementation significantly improved triglyceride, HDL-cholesterol TC/HDL, body weight, body mass index, waist circumference and fat mass (P<0.05). Flax seed supplementation in combination  with aerobic training significantly improved adiposity indices body weight,body mass index, waist circumference , fat mass, triglyceride, HDL- cholesterol, LDL- cholesterol, LDL/HDL and TC/HDL (P<0.05).

Conclusion: Flax seed is safe and effective for improvement of cardiometabolic health in obse women and combination of flax seed can enhance beneficial effect of training over a ten-week period.

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Background and Objective: Yersinia is a gram-negative bacillus that cause diarrhea through consumption of contaminated food and water.  This study was performed to identify the atypical Yersinia virulence markers isolated from children with diarrhea.

Methods: This descriptive cross -sectional study was done on 384 fecal samples of 0- 14 years old children admitted at children medical center from August 2011 to August of 2012. Fecal samples, for the enrichment, after 21 days of incubation in alkaline buffer with pH=7.2 at 4degree C, on days 7, 14 and 21 samples were cultured on CIN agar and Mac agar and then confirm the differentiation atypical Yersinia from other typical Yersinia species from fermentation of different sugars. Isolates were tested for marker of virulence including calcium dependence, auto agglutination, Congo red uptake and binding of crystal violet.

Results: Out of 384 stool samples, 4 (1.04%) were infected with Yersinia (Yersinia frederikseni, Yersinia kristensenii and Yersinia enterocolitica). Out of these three, only two samples in association was positive with virulence markers.

Conclusion: Phenotypic markers can be used to study the properties of phenotypic strains of Yersinia.