---

Background and Objective: Sodium Arsenite is an environmental pollutant which can generate free radicals causing tissue damage. This study was done to evaluate the effect of Green Tea (GTE), as a strong antioxidant, on kidney tissue in mice treated with Sodium Arsenite. Methods: In this experimental study 24 adult male NMRI mice were randomly allocated into four groups including: control, GTE (100mg/kg/day), Sodium Arsenite (5mg/kg/day) and Sodium Arsenite + GTE, for 34 days, orally. Animals were scarified and left kidney was taken out, fixed, sectioned, processed and stained using Heidenhain'azan method. Using stereological technique the total volume of kidney, volume of cortex, medulla, proximal and distal tubule, renal corpuscle, gelomerelus, tuft and capillary, membrane and space of Bowman's capsule and length of proximal and distal tubule were determined. Creatinine, BUN and MDA serum samples were measured. Results: The mean of total volume of cortex, proximal tubule, distal tubule, renal corpuscle and gelomerolus, taft, Bowman's capsule space, size of epithelium and lumen of proximal and distal tubule were significantly reduced in Sodium Arsenite group compared to control (P<0.05). These parameters were significantly increased in the Sodium Arsenite + GTE group in comparison with Sodium Arsenite group (P<0.05). The creatinine, Blood urea nitrogen (BUN) and MDA were significantly increased in the Sodium Arsenite group in compared to the control group (P<0.05). These parameters were significantly reduced in the Sodium Arsenite + GTE group in comparison with Sodium Arsenite group (P<0.05). Conclusion: Green tea has a protective role in Sodium Arsenite induced nephrotoxicity.

---

Background and Objective: Musculoskeletal disorder is a professional disease which is due to undesirable work condition and is a disturbing factor of health and welfare in societies. This study was carried out to determine the prevalence of musculoskeletal disorders in nurses and its relationship with the knowledge of ergonomic and environmental factors in north of Iran. Methods: This descriptive-analytic study was carried out on 110 nursing staff in Razi and Imam Khomeini hospitals in north of Iran. Questionnaire of the rate of awareness measurement, general questionnaire of musculoskeletal diseases (Nordik), the questionnaires of the health status and the study relationships between some factors in work place were filled out for each nurse. Results: Prevalence of the pain in neck, back, low back, shoulder, knee, thing pain, arm, leg among nurses was 50%, 49%, 58%, 44.9%, 47.3%, 32.7%, 36.4% and 56.4%, respectively. The condition of work place including air filtration (23.6%), light (22.7%) and air condition (4.5%) was not well. Chair (31%) and work table (34%) for work condition and body position of nurses was unsuitable. There was a significant relationship between low back pain and age and time of working per week of nurses (P<0.05). Nurses knowledge in the filed ergonomy was 77% and 22.2% of nurses trained in body condition during work. 60% of nurses were not trained for correct patient transportation and relocation. Conclusion: Nurses suffered more from pain in low back, knee, neck and legs. Training of nurses for patient transportation and body position during working in hospital is essential.

---

Background and Objective: Vitiligo is one of the most frequent skin disorders with a prevalence of 1-2% in different populations. Although many theories have been suggested for its pathogenesis, but the most popular hypotheses is the role of autoimmunity in Vitiligo. This study was done to evaluate the thyroid dysfunction and thyroid autoantibodies in patients with Vitiligo.

Methods: This case-control study was carried out on 45 patients with Vitiligo and 45 age- and sex-matched healthy individuals as control group. Age, gender, duration of the disease and type of Vitiligo were collected through a standard questionnaire. Thyroid autoantibodies including thyroglobulin antibody, anti- thyroglobulin and thyroid peroxidase antibody, and anti-TPO thyroid hormones Tetraiodothyronine (T4), Triiodothyronine (T3) and thyroid stimulating hormone (TSH) in Vitiligo patients and healthy volunteers were measeared.

Results: Serum level of T4 was significantly reduced in Vitiligo patient compared to controls (P<0.05). Serum level of T4 in 20% of Vitiligo patient and 2.2% of control cases was less the normal level. Anti-TPO in 14 (31.1%) of Vitiligo patient and 6 (13.3%) of controls were higher than normal range (<60 IU/m) (P<0.05). Serum level of anti- thyroglobulin was significantly higher in those with Vitiligo in compared to controls (P<0.05).

Conclusion: This study showed that the thyroid dysfunction particularly hypothyroidism and anti-TPO is more common in Vitiligo patients.

---

Background and Objective: Hippocampus is the main region in cortex of the brain that involved in epilepsy. This study was done to determine the effect of intraventricular injection of vitamin C on histological structure of dentate gyrus of hipocampus in adult male epileptic rats.

Methods: In this experimental study, 40 adult male rats were randomly allocated into 5 groups (n=8). Animals in three groups were received vitamin C at dose (12.5, 25 and 50 mg/kg/bw) during 28 days, intraventricularly after were kindled by (pentylentetrazol; 40 mg/kg). Animals in forth group were received normal saline after were kindled by (pentylentetrazol; 40 mg/kg). Animals in the fifth group were received normal saline. After 28 days, rats were anesthetized by ketamin, then structure of hypocamp dissected. Histological passage was done in samples and coronal section was carried out. The sections of samples were stained by Hematoxyline-eosin. Forty fields systematicly were counted the normal neurons in dentate gyrus. Morphological change was determined by immunohistochemical method.

Results: The mean  number of normal neurons in dentate gyrus in epileptic rats which  received 25 g/kg vitamin C was more than animals in groups which were received doses of 12.5, 25 and 50 mg/kg vitamin C (P<0.05). This mean number of normal neurons in dentate gyrus of hypocamp in epileptic rats which received normal saline was lower than control and other experimental groups (P<0.05). Extensive morphological change in neurons of dentate gyrus in epileptic rats which received normal saline were observed (P<0.05). The lowest  morphological change were observed in neurons of dentate gyrus in epileptic rats which received at dose 25 mg/kg vitamin C in compared to the other groups (P<0.05).

Conclusion: Intraventricular injection of vitamin C in epileptic rat's dose dependly had neuroprotective effect on dentate gyrus neurons.

---

Background and Objective: Nowadays, microorganisms have high resistance to antibiotics due to indiscriminate and unnecessary consumption. Treatment of infections caused by resistant bacteria has become difficult and expensive. Galls wild rose created by wasp's species Diplolepis mayri. This study was done to evaluate antibacterial activity of methanol, acetone and aqueous extracts of Wild Rose gall against Staphylococcus aureus and Enterococcus faecalis.
Methods: In this experimental laboratory study, the methanol, acetone and aqueous extracts of wild rose galls in 15.6, 31.3, 62.5, 125, 250 and 500 mg/dl were prepared by Soxhlet apparatus. Antibacterial activity of extracts was determined using well diffusion. MIC and MBC were determined by microdilution method. The active compounds of gall were evaluated by GC-MS.
Results: The inhibition zone of 500 mg/ml methanol, acetone and aqueous extracts of wild rose gall were 27.3, 26.7 and 20.0, respectively. The inhibition zone of wild rose gall was similar to imipenem (antibiotics). The extract concentration was related with antibacterial activity. The gall rose methanol extract showed the highest antibacterial effect. The MIC and MBC of methanol extract against Staphylococcus aureus and Enterococcus faecalis was 62.5, 31.3 mg/ml, respectively.
Conclusion: This study showed that aqueous, methanol and acetone extracts of wild rose galls have strong antibacterial activity.

---

Background and Objective: Considering the communication patterns of couples is one way of looking at the structure of the family through which spouses interact each other. This study was carried out to determine the effectiveness of emotionally coupled therapy and redecision therapy on changing of marital communication skills in married women.
Methods: This quezi-expermental study was done on 30 women who were chosen via available sampling through distressed women referred to centers of counselling in Gorgan, northern Iran during 2016. Selected women non-randomly divided in three groups including control, treated with emotionally focused couple therapy intervention and the redecision therapy intervention groups. Women in control group did not receive any intervention. Communication styles questioner was used for pretest and post test.
Results: Emotionally focused couple therapy and redecision therapy significantly improved the communication styles of married women and maintain healthy gains, even up to six months after treatment (P<0.05). There was no significant difference between the effectiveness of emotionally focused couple therapy and redecision therapy methods.
Conclusion: Emotionally focused couple therapy and redecision therapy have the same effect on improvement of communication styles of married women.

---

Background and Objective: Curcumin is a combination of active polyphenol from the Curcuma Langa plant, which has extensive biological activities including effects anti-inflammatory, anti-bacterial and cytotoxic markers for multiple cancer cells. Berberine is an alkaloied isokinolin that is present in berberine and suppresses the growth of many tumor cells. This study was designed to determine the antibacterial effect of berberine and indium curcumin and indium diastile curcumin complexes against E-coli and Bacillus pumilus and comparison of their cytotoxicity on the cell lines of the bladder and stomach cancer cells.
Methods: In this descriptive-analytic study, antimicrobial activity and cytotoxicity effect of berberine and indium curcumin and indium diastile curcumin complexes was investigated by MTT and dilution test method respectively. E-coli [BL21 (DE 3)], Bacillus pumilus (PTCC 1529), cell lines of bladder (5637) and stomach (AGS) were evaluated.
Results: The minimum inhibitory concentration (MIC) of berberin for E-coli was determined 5 mM. At 100 micromolar concentration of berberine approximately 100% of the bladder cancer cells have disappeared. Cytotoxic effect of curcumin complexes on two bladder and stomach cancer cell lines showed that both complexes have different inhibitory effects on cell line life. Cytotoxicity of 20μM indium curcumin and indium diastile curcumin complexes for bladder cancer cells were 58% and 55%, respectively, and for stomach cancer cells were 61% and 34 %, respectively. Antibacterial activity of complexes against Bacillus pumilus and E-coli showed that none of the complexes has antimicrobial effect against Bacillus Pamilus, but both complexes inhibited the growth of E-coli bacteria. The bacteria population in the presence of indium curcumin and indium diastile curcumin complexes was reduced to 40% and 24%, respectively.
Conclusion: This study indicated that indium complexes of curcumin and diacetyl curcumin have a potential for anticancer and antibacterial therapy. Furthermore, berberine as an alkaloid has anticancer and antibacterial activity.

---

Background and Objective: Marriage disturbance and dissatisfaction in marital life have important consequences for the family. This study was conducted to determine the effectiveness of emotion focused couple therapy (EFCT) on marriage function and psychological well-being of women with marrital conflicts.
Methods: This clinical trial study was done on 53 women with marrital conflicts reffered to Binesh, Rastin and Education Counseling Centers in Gorgan, northern Iran during 2016. The participants were randomly divided into intervention and control groups. The Ryff’s psychological well-being scale made and marriage function assessment inventory made were completed before, one week and eight weeks after intervention by the participants. Counselling with EFCT approach was performed for intervention group through 15 group sessions, once a week and lasted for 90-120 minutes. The follow up was done two months later. The marriage function and psychological well-being scores were recorded for each participant at the end of the study and two months after the end of intervention.
Results: At the end of 15 intervention sessions, the mean score of marriage function was significantly higher in intervention group (263.32±22.15) Compared to control group (162.39±31.56) (p<0.05). Also, the mean score of psychological well-being was significantly higher in intervention group (372.48±35.69) compared to control group (237.57±42.38) (p<0.05). Two months after the end of study, the mean score of marriage function of intervention group (268.56±22.95) was significantly more than control group (145.32±11.96) (p<0.05). Also, the mean score of psychological well-being was significantly higher in intervention group (398.64±22.35) in comparsin with controls (201.50±13.32) (p<0.05).
Conclusion: Emotion focused couple therapy promotes marriage function and psychological well-being of women with marrital conflicts through the de-escalation of negative cycles of interaction, changing interactional positions and facilitating the emergence of new solutions to old problems.

---

Background and Objective: Parents of children with autism have difficulty in their daily activities and social relationships and have a low quality of life. The negative effect of having a low intelligence or disabled child is more likely to cause tension and pressure on mother than the other family members. This study was conducted to determine the quality of life of mothers with autism children compared to mothers with normal children.
Methods: This case-control study was performed on 36 mothers with autistic child and 114 mothers with healthy children in Gorgan (Iran) during 2015. Sampling was done randomly and the data gathering tool was SF-36 quality of life standard questionnaire.
Results: The quality of life of mothers with autistic child had a significant reduction in comparison with the quality of life of mothers with healthy child (P<0.05). Also, items of quality of life including  general health, social function, and role limitation due to psychological, emotional and physical functioning in the group of mothers with autistic children were significantly lower than mothers with healthy ones (P<0.05).
Conclusion: Mothers with autistic children had low quality of life. Therefore, it is recommended to design suitable programs for improving the health status and quality of life as a priority of health care plans.

---

Background and Objective: Organic aromatic compounds as common environmental pollutants can be existing in the effluent of different industries in concentrations ranging from trace quantities to hundreds of milligrams per liter. Phenol compounds extremely have been used in pharmaceutical, wood industry and paper and dyes industries which introduced to environment via effluents. This study was done to evaluate the efficacy of persulfate activated by Fe²⁺ in the present of UV for removal of phenol from aqueous solutions.
Methods: This photocatalytic degradation experiment was performed in batch mode using a 2.5 L cylindrical reactor equipped with low-pressure Hg vapor lamp of 55 W for wavelength production of 253.7 nm. The effects of operating parameters such as pH of the solution (pH: 3-10), different initial persulfate concentration (10-75 mmol/l), initial Fe²⁺ concentration (5-30 mmol/l) and initial phenol concentration (10-100 mg/l). Concentration changes of phenol were determined using UV–VIS spectroscopy at the wavelength of 500 nm.
Results: Degradation of phenol was significantly decreased with increasing of pH from 3 to 10, whereas the highest phenol removal rate was 82% at pH=3 in 45 min contact time. Also, the phenol removal rate is depending on initial persulfate and Fe²⁺ concentration. The degradation of phenol by this photocatalytic followed first order rate decay kinetics (R²>98%(. Under optimum operational conditions, the removal of TOC was obtained to be 61% in 45 min contact time.
Conclusion: This study indicated that activation of persulfate by Fe²⁺ in the present of UV process could serve as a novel treatment technique for removal of phenol in aqueous solution.
 

---

Background and Objective: Reducion of efficiency of the muscles after long duration training increases the probability of injury after the occurrence of fatigue. Sprain lateral ankle is one of the most common injuries occurs during sport activities. This study was done to compare the effect of two types of hopping and combined balance - strength training on the balance of static and dynamic balance and strength of selected muscles in soccer men with unilateral chronic ankle instability.
Methods: In this quasi-experimental study 36 soccer men with unilateral chronic ankle instability non-randomly divided into the three groups including: control, hopping and combined balance - strength training groups. Check list was used to collect demographic information, for the measurement the balance of the static, dynamic balance and strength respectively of the tests bass stick and Y balance and manual muscle test were used.
Results: There was significant increasd of the balance of the static and the total result of dynamic balance in the two training groups in compare to controls (P<0.05). The subjects of the group trianing balance - strength in the all directions of the test Y performance were better than training hopping group (P<0.05). After training, the strength of abduction, adduction and inversion of ankle significantly increased in the two training groups in compare to controls (P<0.05). According to invertion test the ankle of subjects in balance - strength training group had beter function in compare to training hopping group (P<0.05). However, other factors such as strength, extension and flexion of the knee and dorsi and plantar flexion of the ankle were not significant between the two intervention groups.
Conclusion: Both the balance - strength and hopping training can be effective in improving the balance and strength soccer men with chronic ankle instability unilateral. However, it seems the training selected balance - strength training due to the comprehensive nature of it and the reason as to strengthen each of these factors for conduit and have a greater effect on athletes with chronic ankle instability to have faster recovery.

---

Background and Objective: Attention deficit hyperactivity disorder (ADHD) is a development nervous disorder that it is usually caused by a defect in the executive functions of the brain and reduces the amount of attention, accuracy, and increased mobility and impulsive behaviors in the individual. This study was performed to determine the effectiveness of cognitive rehabilitation and cognitive rehabilitation after drug therapy on the executive functions of brains of childrens with attention deficit hyperactivity disorder.
Methods: In this clinical trial study, 45 children with ADHD were randomly divided into three groups including one control and two intervention groups, were monitored by the education counseling center. Intervention group one (cognitive rehabilitation) and intervention group two (cognitive rehabilitation after medication) were received therapeutic intervention for 12 sessions of 45 minutes, twice a week. No intervention was performed for the control group. After the last treatment session, a post-test was performed. The follow-up phase took place 1.5 months after the end of the last intervention session.
Results: The executive functions of the brains of children with cognitive impairment in the cognitive rehabilitation group and the cognitive rehabilitation group after drug therapy showed a significant increase in comparison with the control group (P<0.05). The executive functions of fertilizer after 1.5 months of follow-up in the cognitive rehabilitation group after drug therapy were higher than in the cognitive rehabilitation group (P<0.05).
Conclusion: Cognitive rehabilitation therapy after drug therapy was more effective in treating increased executive functions of the brain in children with cognitive impairment than cognitive rehabilitation therapy alone.

---

Background and Objective: Exercise-induced muscle hypertrophy occurs through increased rate of muscle protein synthesis that is regulated via molecular signaling pathways. The mammalian target of rapamycin (mTOR) pathway is believed to play a major role, via phosphorylation of the ribosomal protein S6 kinase of 70 kDa (p70S6K). Results concerning the effect of concurrent training on these factors have been contradictory. This study was done to determine the effect of 8 weeks of resistance training and concurrent resistance and aerobic training on phospho-mTOR (p-mTOR) and phospho-p70S6K (p-p70S6K) responses in skeletal muscle in rats.
Methods: In this experimental study, 24 wistar rats (age: 8 weeks) were randomly allocated into resistance training (n=8), concurrent training (n=8), and control (n=8) groups in equal laboratorial condition. Resistance group performed 5 sessions per week consisted of 10 repetitions ladder climbing with load suspended from the tail between 30-80% individual maximum overload test that was weekly performed to adjust the individual load throughout the week. The concurrent group performed resistance training followed by 5 minutes rest and endurance training consisted of treadmills run, that speed and duration of running gradually increased during training period, from 9 m/min and 10 minutes in the first week to 30 m/min and 60 minutes in the last week. The flexor hallucis longus (FHL) muscle of rats were removed under sterile condition at 24 hours after the last session of training and the proteins levels of p-mTOR and p-p70S6K were measured by ELISA method.
Results: The level of p-mTOR was significantly greater in resistance training and concurrent training groups in compared to control group. No significant difference was observed between training groups. However, the significant increase of p-p70S6K was observed only in resistance group in compared to control group.
Conclusion: Because of the increased of p-mTOR in concurrent group was not accompanied by increase of p-p70S6K compared with resistance group, thus concurrent training probably attenuate signaling responses of downstream targets of mTOR.

---

Background and Objective: Candida species are the second most common cause of vaginitis in worldwide after bacterial agents. This study was performed to determine the etiological factors of Candida vulvovaginitis in pregnant women.
Methods: This descriptive-analytical study, was performed on 100 pregnant women with vaginal discomfort that referring to gynecologic and obstetric clinics of the Sanandaj Social Security Hospital, Kurdistan province, Iran during 2016. After obtaining informed consent and collecting background information using a questionnaire, the patients were examined by a specialist physician and samples were collected. Identification of isolates was done based on colony color and also using PCR-restriction fragment length polymorphism (PCR-RFLP) method.
Results: Candida vulvovaginitis was seen in 29% of women. Candida albicans were the most common cause of the disease (86.2%) followed by Candida paraposilosis (10.43%) and Candida glabrat (45.3%) . There was no significant relationship between diabetes and candida vulvovaginitis. There was a significant relationship between the history of antibiotic usage, age over 35 and third trimester of pregnancy with Candida vulvaginitis (P<0.05).
Conclusion: The prevalence of Candida vulvovaginal candidiasis was 29% and Candida Albicans was the most common cause of the disease.

---

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.

---

Background and Objective: Obesity by releasing inflammation factors such as Interleukin-6 (IL-6) cause atherosclerosis and cardiovascular diseases. Also, L-carnitine reduces inflammatory factor such as IL-6. The study was done to determine the effect of eight week endurance training with L-carnitine supplementation on IL-6, nitric oxide (NO), blood pressure, and body composition in young obese women.
Methods: In this clinical trial study, 40 volunteer young obese women (age: 23.3±2.3 yrs. and BMI: 31.1±1.4 kg/m²) randomly assigned in the endurance training with L-carnitine (ETL; n=10), endurance training with placebo (ETP; n=10), L-carnitine supplementation (LCS; n=10) and control (Con; n=10). The training protocol consisted of endurance training with gradually increasing of duration and intensity (25-min at 50% HR max and increased to 45-min at 70% HR max), three session a week for 8 weeks. The supplement groups consumed 3gr of L-carnitine daily, while the placebo group ingested the same amount of maltodextrin. Blood pressure and blood samples were obtained before and 36 hours after training protocol, and serum levels of IL-6 and NO were measured by ELISA method.
Results: IL-6, weight, fat mass and fatty percent was significantly reduced in ETL and ETP groups compared to control and LCS groups (P<0.05), and this reduction was lower in the ELT than ETP group (P<0.05). Also, NO was significantly increased in the ELT and ETP groups compared to the LCS and controls (P<0.05).
Conclusion: Although the implementation of endurance training with and without L-carnitine for 8 weeks caused to decrease of IL-6, increase of NO and improved body composition, but the effect of endurance training with L-carnitine on decreasing of IL-6, weight and fat mass was significantly better.

---

Background and Objective: Unhealthy lifestyle is the main cause of morbidity, mortality and preventable complications in the elderly. Performing health promotion behaviors are one of the most effective factors in maintaining and improving health. This study was done to determine the health promotion lifestyles in the elderly people.
Methods: This descriptive-analytical study was performed on 110 elderly people aged 60-88 years referred to teaching and medical centers in Gorgan, north of Iran during 2019. Data was collected using Health Promotion Lifestyle Profile 2 (HPLP-II) questionnaire. This questionnaire includes six dimensions of spiritual growth, responsibility for health, interpersonal relationships, stress management, physical activity and nutrition for evaluation health promotion behaviors status. The total score range of the instrument ranges from 52 to 208. A score of 52-103 was considered low level of compliance with health promotion behaviors and a score of 104-155 and scores above 156 was considered intermediate and high level, respectively.
Results: The mean±SD of health promotion lifestyle was 143.52±17.36. There was a significant relationship between lifestyle and demographic characteristics (P<0.05). Spiritual growth and interpersonal relationships had the highest score among the six dimensions of health promotion behaviors.
Conclusion: Health promotion lifestyle in the elderly was low in terms of physical activity and stress management.

---

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.

---

Background and Objective: Stroke and cerebral ischemia are the second leading causes of death in the world. Currently, there are limited therapeutic interventions for patients with ischemia / reperfusion. This study was performed to determine the protective effect of aerobic exercise and adenosine on changes in inflammation mediators after transient ischemia of common carotid arteries in male Wistar rats.
Methods: In this experimental study, fifty male Wistar rats were randomly allocated into to 5 groups: control, cerebral ischemic control, aerobic exercise + cerebral ischemia, adenosine + cerebral ischemia and aerobic exercise + adenosine + cerebral ischemia. Ischemia was performed by blocking the common carotid artery for 45 minutes after a period of exercise and injection of adenosine. Neuronal structure was examined by Nissel tissue staining. The expression of NGF and Glutamate genes were measured in CA1 region of hippocampal tissue samples.
Results: Cell death was increased in neurons in the CA1 region of the hippocampus in the ischemia / reperfusion group, While a significant reduction in cell death in the adenosine + ischemia / reperfusion and aerobic exercise + ischemia /reperfusion groups was due to adenosine administration and aerobic exercise (P<0.05). NGF and glutamate gene expression in the adenosine + ischemia/reperfusion and adenosine + aerobic exersice + ischemia/reperfusion groups significantly increased and reduced compared to the ischemia/reperfusion control, respectively (P<0.05).
Conclusion: Co-administration of adenosine combined with aerobic exercise increase the protective effect of aerobic exercise on improving the neuronal damage after ischemic / reperfusion.

---

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.