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Background and Objective: Hematuria is one of the common causes of pediatric nephrology and urology diseases and is reported in 0.5-2% of children. This study was performed to determine the causes of hematuria in infants and children. Methods: This descriptive study was done on 200 infants, children and adolescents in one month to 18 year old ages with chief complaint of hematuria in Hamadan, Iran. Patients were evaluated by urinalysis, urine culture, measurement of calcium, creatinine and uric acid in random urine sample and abdominal sonography. Results: Microscopic and gross hematuria was detected in 79.5% and 20.5% of patients, respectively. Hematuria was idiopathic in 74 (37%) of patients. Urinary tract stones (18%), urinary tract infections (15.5%), hypercalciuria (13%), hyperuricosuria (10%), urinary tract anomalies (5.5%) and glomerulonephritis (1%) were diagnosed as causes of hematuria. Conclusion: In 56% of patients, hematuria was caused by three common etiologies of stone, urinary tract infections and crystalluria.

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Background and Objective: Radiotherapy is a main therapeutic regiment in the treatment of head and neck cancers. Radiation not only eradicate cancer but it also cause damage to healthy surrounding tissues, giving rise to objective and subjective problems. This study was done to evaluate the subjective complications of post radiation in patients with head and neck cancer. Methods: This descriptive –analytic study was carried out on 45 patients with head and neck cancer (28 males and 17 females) whom were gone under radiotherapy in Rasht, Iran. Subjective complications evaluated before, during, 1 month and 3 months after radiotherapy. Persian version of LENT-SOMA questionnaire was used. Pain, xerostomia, dysphagia, trismus and dysgeusia were recorded for each subject. Results: 80% of subjects experienced Pain. In the study period, pain intensity, frequency and analgesic consumption were belonging to ear and throat. One month after post radiation, pain intensity, frequency and analgesic consumption belong to ear, throat, jaw, mouth and teeth which were significantly more than 3 months after radiotherapy (P<0.05). One month after post treatment, xerostomia, dysphagia, trismus and dysgeusia were significantly more than 3 months after radiotherapy (P<0.05). Pain in ear and jaw had significant correlation with radiation dosage (P<0.05). Conclusion: Intensity of subjective complains were aggravated and merge one month after radiotherapy and can be reduced to nearly the initial stage of treatment, three months after radiotherapy.

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Background and Objective: Diabetes mellitus is common endocrine disease cause learning and memory impairment. This study was done to evaluate the effect of quercetin on learning and memory in STZ-induced diabetic rats was investigated. Methods: In this experimental study, 40 male Wistar rats were randomly allocated into five groups: control, quercetin - treated control, diabetic and quercetin - treated diabetic (10 and 20 mg/kg/bw, intraperitoneally) for 14 days. Induction of diabetes was performed using 60 mg/kg/bw of streptozotosin, interapritonally. Passive avoidance and Y-maze tests were used for the evaluation of learning and memory. Results: In passive avoidance learning, there was no significant difference in initial latency between diabetic and treated - diabetic groups. The mean of step latency in control group (383.57±19.26) significantly reduced to 128.86±10.38 in diabetic group (P<0.05). The mean of step latency in the treated diabetic group significantly increased in compare to the diabetic group (P<0.05). Step latency in quercetin - treated diabetic (10 mg/kg/bw) and (20 mg/kg/bw) groups increased to 316.67±23.76 and 397.50±31.21, respectively. The alternative percentage in diabetic group was significantly lower than control group (P<0.05), but in quercetin -treated diabetic groups it was higher than the diabetic group (P<0.05). Conclusion: Administration of quercetin for 14 days enhances the capability of the memory storage, recall and improves short-term spatial memory in STZ-induced diabetic rats.

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Background and Objective: Leptin has a key role in obesity and type 2 of diabetes. This study was done to compare the effects of eight weeks aerobic and combined training on serum levels of leptin and glucose in type 2 diabetic men. Method: This clinical trial study was performed on 24 men with type 2 diabetes whom reffered to Taleghani Hospital in Kermanshah, West of Iran during June to August 2012. The patients were randomly divided into 3 groups including aerobic training, combined training (aerobic and resistance training) and control groups. Training protocols included three 1-hour sessions per week for eight weeks. Subjects in the control group did not participate in any physical activities. Serum levels of leptin and glucose were measured 48 hours before and 48 hours after intervention as fasting values in pre-and post-tests. Results: There was no significant difference between groups at pre-test for serum levels of leptin and glucose. After intervention, serum level of glucose in the aerobic group and serum level of glucose and leptin in the combined group were significantly reduced in compared to the controls (P<0.05). Conclusion: Aerobic and combined training with beneficial effects on the sera glucose level are recommended for patients with type 2 diabetes. However, combined training, regarding reducing leptin level seems to be more useful for these subjects.

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Background and Objective: Repair of peripheral nerve is one of main challenge in surgery and despite improvement in this field less than 50% of cases have functional improvment. This study was done to evaluate the comparison of epineural and peripheral methods in ulnar nerve repair. Method: In this clinical trial study, 28 patients with ulnar nerve injury in distal of forearm were randomly divided equly into epineural and peripheral surgery methods. After 4 months of surgery, the subjects were examined using with EMG, nerve conduction velocity (NCV) and sensorimotor examination on the first dorsal interosos muscle (FDIM) and abductor digiti minim muscle (ADM). Results: The mean of domain nerve activity, latency nerve activity and NCV in affected upper limb and non affected side had significant differences in epineural and peripheral methods (P<0.05). Latency nerve activity and NCV were similar in both methods. The mean of motor unit potential (MUP) was determined in 71% and 64% of patiants in epineural and peripheral methods, respectively. Muscle activity of FDIM was observed in 64% and 57% of patients in epineural and peripheral methods, respectively. Light touch was determined in 35.7% and 28.5% of patients in epineural and peripheral methods, respectively. Pain was reported in 78.5% and 57% of patients in epineural and peripheral methods, respectively. Conclusion: There was no difference between nerve repair by epineurium and prineurium methods using EMG, NCV and motorosensorial examination.

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Background and Objective: Yersinia enterocolitica is a worldwide pathogen belong to genus Yersinia. The association between acute childhood diarrhea and other diseases caused by Yersinia enterocolitica has been established by several researchers. Due to the lack of sufficient information on other pathogenic Yersinia species, this study was done to determine the prevalence and the pattern of antibiotic susceptibility of atypical Yersinia spp isolated from children, less than 14 years old. Methods: This descriptive cross - sectional study was carried on 384 children with diarrhea whom referred to the Tehran children medical center, Tehran, Iran during August 2011 to August 2012. 384 fecal specimens of children were transferd to the laboratory and cold enrichment in alkaline buffer with pH of 7.2 for 21 days. The samples were cultured in Cefsulodin-Irgasan-Novobiocin Agar (CIN) differential media in 7, 14, and 21 days. The identification of Yersinia species were carried out by conventional procedure. Antibiotic susceptibility test to Ciprofloxacin, Co-trimoxazole, Tetracycline, Chloramphenicol, Erythromycin, Ampicillin, Gentamicin, Penicillin were determined by standard disk diffusion method. Results: Out of 384 fecal samples, 3 (0.7%) were infected with Yersinia. Three species of Yersinia were Y.enterocolitica, Y.Kristensenii and Y.frederiksenii. All three strains were sensitive to Cotrimoxazole, Tetracycline, Chloramphenicol, Ciprofloxacin and Gentamicin. Conclusion: This study showed that atypical Yersinia play important role in diarrhea. Therefore, more attention should be noticed to atypical Yersinia species in addition to Yersinia enterocolitica.

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Background and Objective: Parkinson disease (PD) is the second most common neurologic disorder that results following degeneration of dopaminergic neurons in the pars compacta of substintia nigra (SNc). The 1-methyl-1,2,3,6-tetrahydropiridine (MPTP) is a chemical neurotoxin that widely used in animal models of PD. This study was carried out to evaluate the numerical density of dark neurons (DNs) in the SNc in mice subjected to intraperitoneal and intranasal injection of different doses of MPTP. Methods: In this experimental study, 90 male adult BALB/c mice were randomly allocated into four experimental groups including: group 1 (MPTP was injected via i.p. at the dose of 20mg/kg per 2 hours for 4 times), group 2 (MPTP was injected via i.p. at the dose of 30mg/kg for 5 consecutive days), group 3 (MPTP was injected via i.n. at a single dose of 1mg/kg), group 4 (MPTP was injected via i.n. at a single dose of 1mg/kg), four sham and one normal groups. 20 days after the final injection, the animal's brain were removed and stained by toluidine blue. Numerical density of DNs was counted. Results: Intranasal injection of MPTP significantly increased density of dark neurons in the pars compacta of substintia nigra in compare to intraperitoneally injection of MPTP (P<0.05). Conclusion: Intranasal injection of MPTP is more effective manner to induce degeneration of neurons in substintia nigra in animal model of Parkinson's disease.

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Background and Objective: Different organizers are involved in spinal cord development and differentiation by sending various messages. Specific glycoconjugates secreted from the cells of lateral wall of spinal cord can also act as neurogenesis and neural differentiation messengers. This study was carried out to determine the distribution of sugar compounds in the lateral walls of spinal cord during mice morphogenesis using lectin histochemistry method. Methods: In this experimental study, sections of BALB/c mice from 10-16 embryonic days were fixed in formalin and then histological sections were prepared. Tissue samples for reaction to the glycoconjugates were incubated with DBA, OFA, GSA1B4 and MPA lectins. Alcian blue with pH equal 2.5 was used for background staining. Results: DBA lectin did not react with the lateral wall of the spinal cord. MPA lectin showed severe reaction but consistent, especially in nerve fibers of the lateral wall of spinal cord. GSA1B4 lectin showed weak reaction in the cells and nerve fibers of the spinal cord, but severe reaction was clearly observed in blood vessels. OFA lectin showed severe reaction with α-L-Fucose terminal sugar in the lateral walls of the spinal cord in early stages of morphogenesis. Conclusion: The most reaction in the lateral walls of the spinal cord was related to OFA, which reflects the importance of fucose terminal sugar by connecting (1→6) to the penultimate sugar N-acetyl-D-glocosamin (Glc-Nac) in the development of spinal cord. Due to severe reaction of GSA1B4 to blood vessels of spinal cord, use of this lectin for vascular studies, is recommended.

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Background and Objective: Diazinon is an organophosphate insecticide. , which inhibits the enzyme acetylcholinesterase. This study was done to evaluate the effect of Diazinon on pituitary-gonadal axis and histological alteration of seminferous tubules in adult rat testis. Methods: In this experimental study, 40 adult male Wistar rats were randomly allocated into five groups including control, sham and experimental 1, 2 and 3. Animals in experimental group 1, 2 and 3 were received 50, 100 and 150 mg/kg/bw of diazinon for 28 days, orally, respectively. Animals in control group did not receive any substance. Animals in sham group were received an equivalent amount of normal saline. The animals were euthanized after 28 days and a blood sample was collected via heart puncture and testes were removed for histological studies. Results: Diazinon significantly reduced serum testosterone concentration, sertoli cell, leydig cell count, primary spermatocyte and spermatid (P<0.05). Diazinon had no significant effect on the body and testis weight in the experimental groups compared to controls. Conclusion: Diazinon reduces the concentration of testosterone and cells in seminferous tubule in adult rat.

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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.

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Background and Objective: Hypericin is found in different species of Hypericum genus, as a main compound with antimicrobial, antiviral, nonspecific kinas inhibition and dopamin β-hydroxilase inhibitoring effects. This study was done to compare the hypericin content, antioxidant, antimicrobial and cytotoxic activities of Hypericum perforatum L. from three geographic regions of Iran.

Methods: In this descriptive study, Hypericin content of aerial parts of H. perforatum L. was assessed using UV-Vis spectrometric method. Antioxidant activity was measured using DPPH and β-carotene bleaching assay. Cytotoxicity was evaluated via brine shrimp lethality assay. Antimicrobial activity was determined using inhibition zone diameter evaluation via disc diffusion method and measuring minimum inhibitory concentration (MIC) value.

Results: Hypericin content of aerial parts of H. perforatum L. from Qom, Golestan and Kurdestan provinces were 673, 1223 and 1568 ppm, respectively. Antioxidant and cytotoxic activities in samples from Kurdestan was more than samples from Qom and Golestan. Antimicrobial activity, as far as the number of sensitive microorganisms was evaluated. In this way the order of Golestan>Kurdestan>Qom was exhibited, however the extract of the plant from Kurdestan had the highest activity for two staphylococcus species with the inhibition zone diameter of 17 and 19 mm for S. aureus and S.epidermidis, respectively and MIC value of 250 µg/mL.

Conclusion: Hypericin content was more from samples of Kurdistan province with cold climate. Antimicrobial, antioxidant and cytotoxic activities of aerial parts of all samples were high. There is a relationship between hypericin content of aerial parts of H. perforatum L. and biological activities.

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Background and Objective: Stiffness and restricted range of movement (ROM) affect muscle balance and body alignment. The purpose of this research is the study the relationship between Iliopsoas tightness and hip active range of motion, extensor-flexor muscle strength and thoracolumbar curves.
Methods: This case-control study was carried out on 15 adolescent's male soccer players with short length of Iliopsoas muscle as case group and 15 healthy adolescents witch matched based on age, height, weight, BMI, dominant leg and sport experience as control group. The range of motion was measured with universal goniometer, kyphosis and lordosis with flexible ruler and muscle strength with manual dynamometer.
Results: The range of motion of the hip extension and the strength of the Iliopsoas muscle in the case group were statistically lower than the control group (P<0.05). The rate of lumbar lordosis and the ratio of gluteus maximus to the strength of the Iliopsoas muscle in the case group were significantly higher than the control group (P<0.05). There was no statistically significant difference between the range of motion of hip flexion, dyspnea kyphosis, and gluteus maximus muscle strength in the studied groups.
Conclusion: Adolescents with Iliopsoas tightness have limited hip extension and greater lumbar lordosis and weaker Iliopsoas strength in comparison to healthy counterparts.

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Background and Objective: Dyspnea is the main cause of hospitalization of patients with heart failure and it is often associated with anxiety. This study was conducted to determine the effect of Chamomile tea on the severity of dyspnea and anxiety in patients with chronic heart failure.
Methods: This randomized clinical trial study was conducted on 60 patients with chronic heart failure in an outpatient clinic of Jahrom University of Medical Sciences, Iran during 2014. Patients were randomly divided into intervention and control groups. Subjects in intervention group consumed Chamomile tea for 4 weeks. Oxygen cost diagram (OCD) and Beck anxiety inventory were recorded for each subject.
Results: The mean of severity of dyspnea in the intervention and control groups was 16.66±5.76 and 29.43±13.1, respectively (P<0.05). The mean anxiety severity in the intervention and control groups was 12.07±1.1 and 6.7±6.2, 20, respectively (P<0.05).
Conclusion: Chamomile tea can reduces the severity of dyspnea and anxiety in patients with chronic heart failure.

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

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Background and Objective: Systemic lupus erythatous (SLE) is an autoimmune disease with clinical symptoms. Anti neutrophil cytoplasmic antibody (ANCA) is common in vasculitis which is reported in SLE. This study was done to determine the frequency of ANCA in patient with SLE and its association with disease activity.
Methods: This descriotive study was conducted on 80 patients with SLE whom referred to rheumatology clinic in Gorgan, northern Iran during 2012-15. The patients disorder diagnosed based on the ACR Criteria. According to the disease activity the patients divided to active group and inactive group. Demographic data was completed with questionnaire and blood sample collected in order to evaluate of for serum ANCA by using ELISA method.
Results: The average age was 37.5±12.4 year. Seven (8.5%) patients were males. 91.5% of patients was females. 27 patients (33%) had active lupus and 53 (57%) had inactive lupus. Only one patient has been reported as positive for ANCA. The patient was a 45 years woman with history of 10 years of lupus nephritis with active disease.
Conclusion: There was no relationship between ANCA and disease activity. The main reason for this finding can be a few numbers of positive cases in this study.

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Background and Objective: Various infections and the formation of stones could be the cause for bile duct obstruction of that sterile organ. Determination of pathogenesis factors and the bacteria involved in infections are important in the prevention of disease, and cares needed following surgery. This study was done to determine the bacteria in the gallbladder of patients with cholelithiasis and evaluation of pathogenic factors of the prevalent isolated bacteria.
Methods: In this descriptive laboratory study, 35 samples of gallbladder tissues which contained gallstones were collected under sterile conditions in “Department of General Surgery of Imam Khomeini Hospital”, Tehran, Iran during 2016. The stone types were analyzed and decomposed by chemical procedures, and the bacteria existed in the tissues were also identified using biochemical experiments. The tissues with negative results in microbiological studies were looked for any contaminating bacteria, applying the DNA extracted from gallbladder tissue as a template using F27 and R1492 as the primers for PCR (Polymerase Chain Reaction) amplification of 16SrRNA gene. Those with the positive results of microbiological tests were subjected to the DNA sequencing following gel purification and blasted against the NCBI gene database. The most frequently isolated bacteria were studied according to the intensity of biofilm formation, using the microtitre plate method. CsgF and Ag43 (Flu), the genes involved in the induction of such phenotype were also analyzed in this study. The antibiotic resistance assay of the isolates was performed using disc diffusion procedure.
Results: Thirteen out of thirty five samples of post-surgery gallbladder tissues were found to be infected by different bacteria, including: Klebsiella (3 cases), Escherichia coli (4 cases), Enterobacter (1 case), Staphylococcus aureus (2 cases), Enterococci (2 cases), and Streptococcus (1 case). In 23 out of 35 samples (65.7%), no bacteria could be isolated using microbiological methods. However, in seven out of 23 samples, the amplified 16SrRNA had an indication of Klebsiella (6 cases) and Enterococcus (1 case) isolates. Therefore, the most prevalent genus in gallbladder infections was Klebsiella (47.36%). Chemical analysis showed that the highly frequent compound of gallstones (98%) were of cholesterol and bilirubin. Escherichia coli with fourcases were the highest culture growing isolated bacteria, in all of which, the biofilm formation genes were present. In the two out of four Escherichia coli isolates the intensity of biofilm formation was high. Although, in the remaining two isolates was medium. While, they were found to be sensitive to the most of the antibiotics, they showed resistance to Tetracycline, Ciprofloxacin and Ceftazidime in different ranges.
Conclusion: The present study provided evidence that non-cultural bacteria are hihly present in gallbladder infections. The high potential of the commonly isolated bacteria in biofilm formation should be taken as a warning to follow the precise protocol of antibiotic prescription for treatment of gallbladder infections.

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Background and Objective: Parkinson's disease is a neurological disorder caused by the loss of dopaminergic neurons in pars compacta of substantial nigra. The most important symptoms of this disease include slow motion, lack of movement, tremor and imbalance. This study was done to determine the effect of probiotic Lactobacillus paracasei on motor disorders caused by injection of 6-hydroxy dopamine in Parkinson's model in male rats.
Methods: In this experimental study, 48 male rats were randomly allocated into six groups. To create an animal model of Parkinson's disease, a black body component in male rats was injected 6-hydroxy dopamine (6-OHDA) (0.5 mg/kg) unilaterally by stereotaxic apparatus. After 3 weeks of recovery, to evaluation of degradation rate, animals were received apomorphine, intraperitoneally. In the first experiment, rats were randomly divided into Sham and Parkinson's (injured) groups, the Sham group were received only water and food, and the injured group received 6-hydroxy-dopamine. In the second experiment, male rats were divided into 4 groups of 8 rats, each of the 4 groups was injected 6-hydroxy-dopamine and 21 days later, they were tested for assay of apomorphine. The results were recorded, then for 28 days, the first group was taken as control. The second group of saline, the third group of milk, the fourth group of milk and probiotic were gavaged. At the end of day 28, once again, each group was subjected to rotation of apomorphine test and the rotations were recorded.
Results: The behavioral analysis of saline, milk, milk plus probiotics were indicated that the group receiving probiotic Lactobacillus paracasei plus milk was significantly less apomorphine rotation test than the saline group (P<0.05).
Conclusion: It seems that probiotic Lactobacillus paracasei can reduces Parkinson’s disease symptoms.

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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: Among short-term therapies, psychoanalytic approaches use the therapeutic relationship more than any other approach as a context for change. This study was conducted to evaluate the effectiveness of short-term object relation psychotherapy on interpersonal relationships, self-destruct behaviors and personality organization of patients with borderline personality disorder.
Methods: This clinical trial study was done on the 20 patients with borderline personality disorder who referred to medical clinics in Sari city in northern Iran during 2020. Patients were divided into two intervention and control groups by random sampling. Patients in interventional group were received short-term object relation psychotherapy in 16 individual sessions of 45 minutes once a week. The control group did not receive any intervention. Patients completed the structured clinical interview scales of First et al (SCID-II), the Bell’s object relations inventory (BORI), self-destruct questionnaire of Sharabaf et al and Kernberg’s inventory of personality organization (IPO).
Results: Scores of interpersonal relationships, self-destructive behaviors and personality organization were significantly reduced in interventional group in compared to control group (P<0.05).
Conclusion: Short-term object relation psychotherapy is an effective therapy to reduce the symptoms of patients with borderline personality disorder.

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Background and Objective: The most common enterohemorrhagic Escherichia coli strain is the O157: H7 serotype, which is one of the most important intestinal pathogens and can cause complications such as hemorrhagic colitis, hemolytic uremic syndrome and acute renal failure. The aim of this study was to evaluate the enterohemorrhagic Escherichia coli causing molecular outbreaks of foodborne illness in Iran.
Methods: In this descriptive cross-sectional study, 189 fecal swab specimens were examined during April to September 2018. All suspected isolates were tested for biochemical tests. The isolates were confirmed by molecular PCR and evaluated by antimicrobial susceptibility tests.
Results: From 189 stool swab samples studied, 98 Escherichia coli isolates were detected based on phenotypic tests. Most of the outbreaks occurred in summer and the prevalence of enterohemorrhagic Escherichia coli was 24.5%, which 4% of them were non-O157H7. Most patients were between 1 and 12 years of age and the highest antibiotic resistance to cotrimoxazole and chloramphenicol was observed at 80% and 79%, respectively.
Conclusion: This study showed an increase in enterohemorrhagic Escherichia coli with 24.5% and an increase in antibiotic resistance to the antibiotics of chloramphenicol, cotrimoxazole and carbapenems. Increased resistance to imipenem and meropenem antibiotics makes it difficult to treat beta-lactamase-resistant strains.