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Background and Objective: Post dural puncture headache (PDPH) is a relatively common complication in spinal anesthesia. Several regimens had explained for treatment of this problem. The aim of this study was to determine the effect of intravenous single dose of Aminophylline (1.5mg/kg/body weight) on the incidence of PDPH in cesarean section under spinal anesthesia. Materials and Methods: In a double blind randomized trial study, 120 patients undergone spinal anesthesia for the elective cesarean section in Motahhari hospital of Marvdasht in Fars province in south of Iran during 2008. After umbilical cord clamping 1.5mg/kg/body weight of Aminophylline injected slowly and intravenously in 60 patients. In placebo group (n=60) normal saline injected intravenously. At the 1st, 4th, 24th and 48th hour after surgery, PDPH in patients were evaluated. Results: The incidence of PDPH was significantly lower in cases compared with controls during the first 24 hours post operation (5% vs. 31.7%, P<0.001). Incidence of PDPH in case and control groups after 48 hours was 5% and 23.3% respectively (P<0.004). Conclusion: This study revealed that the intravenous single dose of Aminophylline (1.5mg/kg/body weight) significantly reduced PDPH after spinal anesthesia in cesarean section.

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Background and Objective: Human immunodeficiency virus (HIV) belongs to the retroviridae family and is the agent of acquired immunodeficiency syndrome (AIDS). Treatment of HIV for the global health has made a special importance for the new antiviral drug discoveries in addition to HIV vaccine developments. Materials and Methods: In this experimental study single cycle replicable (SCR) HIV-1 virions with the capability of one cycle of replication were produced by the co-transfection of three plasmids of pmzNL4-3, psPAX2 and pMD2.G to the HEK cells and their replication capacity of the first generation SCR visions in HEK 293T, MT-2, and mouse spleen cells was examined by p24-capture ELISA, syncytium formation assay. The infectivity of the SCR-produced virions was also analysed on MT-2 cells. Results: Experiments showed the efficient production of SCR virions. Moreover, results indicated the replication potency of SCR virions on the investigated cells and the inactivity of the produced SCR HIV virions. Complete HIV antigens are expressed in their native forms by SCR virions, but this second viral particles lack the replication capacity. Conclusion: SCR HIV virions produced in this study are capable of one cycle of replication and will be inactivated thereafter.These features make SCR virions as a good candidate for HIV vaccine studies. Moreover, considering the one cycle replication, SCR virions do not need the severe biosafety concerns involved in retrovirus studies.

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Background and Objective: There are some reports about probable association between acute leukemia and special blood groups. Frequency of ABO and RH blood group is different in each population. This study was done to determine frequency of ABO and Rh blood groups in patient with acute leukemia and healthy population.

Materials and Methods: This case - control study was done on 214 patients (132 males, 82 females) that suffering from acute leukemia as case group and 117026 individuals healthy population who were voluntary blood donors as controls in Mashhad, Iran during 2001-07. Age, sex, ABO blood group and RH blood group were collected from hospital files for each cases. Furthermore the results of ABO and RH blood groups of controls were collected. Data were analyzed with Chi-Square, fisher test and Odd’s ratio.

Results: The frequency of A, B, AB, O and RH blood groups in cases were 23.8%, 32.8%, 7.0%, 36.4% and 90.7%, respectively. The frequency of A, B, AB, O and RH blood groups in controls were 29.8%, 27.4%, 8.9%, 33.9% and 88.3%, respectively. Odds Ratio test didn’t show association of ABO and RH blood groups with acute leukemia. Odds Ratio test showed association of B blood group with acute leukemia in females (OR=0.571, 95%CI: 0.358-.0908, P=0.021).

Conclusion: This study showed although there was not any association between ABO and RH blood groups and acute leukemia but probably females with B blood group are more susciptible toward acute lymphoblastic leukemia.

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Background and Objective: Morphological alterations of hippocampus and dentate gyrus due to opium were reported in humans and animals. Also other evidences have shown that astrocytes actively participate in synaptic plasticity. This study was done to determine the conditioning place preference (CPP) on astrocytes number of Rat dentate gyrus by immunohistochemical technique.

Materials and Methods: In this experimental study, 48 male Wistar Rat weighted average 220-250 g were used. For behavioural tests, Rats divided into eight experimental groups. The Rats were received morphine at different doses (2.5, 5, 7.5 mg/kg) for three days by subcutaneous injection and sham groups, received saline dose (1 mg/kg) and then CPP test in them were investigated. 48 hours after behavioural testing animals were decapitated under chloroform anesthesia and their brains fixed and after tissue processing, slices stained with immunohistochemistery techniques. For morphometric study PTAH staining of astrocytes was used.

Results: The most dose responses of morphine was observed in 7.5mg/kg. The number of astrocytes in the controls (20.627±6.129) was similar to control-saline group (17.339±4.71). This difference was not significant, while the difference in the number of astrocytes in control group with morphine-treated experimental groups was significant (P<0.05).

Conclusion: We concluded that the phenomenon of conditioned place preference induced by morphine can cause a significant increase in the number of astrocytes of sham and experimental groups compared to controls.

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Background and Objective: Dissection of the axillary lymph nodes is considered as one of the common measures in management of breast cancer. Edema and limitation in hand movement are accompanied with dissection of axillary lymph nodes. Sentinel lymph node biopsy can be used to evaluate axillary metastasis. This study was carried out to evaluate the diagnostic value of sentinel lymph node biopsy in patients with breast cancer. Materials and Methods: This descriptive study was performed on 30 selected patients with breast cancer less than 5 cm without any involvement of axillary lymph nodes in Ghaem Hospital in Mashhad, North-East of Iran during 2009 -10. Initially, the lymphoscintigraphy was performed. Subsequently, prior, to the surgery, the blue dye as a marker was injected for detecting sentinel lymph node and with the use of probe gamma counter and observing blue color on lymph nodes, the sentinel node was determined and separated. Finally, axillary dissection was performed for removing the lymph nodes of I and II level in all patients. Results: Among 30 patients who were evaluated for sentinel lymph nodes and axillary dissection, false negative were observed only in two cases (6.6 %). The sensitivity rate was determined to be 84.6%. Conclusion: Considering the high success rate of detection of sentinel lymph node and limited false negative cases, sentinel lymph node biopsy is recommended in cases of breast cancer without axillary involvement.

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Background and Objective: Fanconi anemia is the most prevalent inherited aplastic anemia. Diagnosis based solely on the recognition of clinical symptoms is not reliable. This study was done to determine chromosomal aberrations in patients suspected with the risk of Fanconi anemia in the Eastern Azarbaijan province- Iran. Materials and Methods: This descriptive study was conducted on 20 patients in the Eastern Azarbaijan province-Iran. The cytogenetic method was used to determine type and number of chromosomal disorders. Results: Nine eight and nine patients had co-morbid anemia, platelet deficiency and 9 patients had hand and finger deformities, respectively. Using cytogenetic method, Fanconi anemia was confirmed in 5 (25%) of the cases. The percentage of mitotic abnormalities in the chromosomes without administration of mitomycin C varied between 5-30% in the cultures of the 5 affected and between 0-4% in the 15 unaffected patients with the administration of mitomycin C, the percentages were increased up to 35-78% and 0-20% in affected and unaffected patients, respectively. Conclusion: Fanconi anemia is confirmed precisely in 25% of suspected patients using cytogenetic method.

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Background and Objective: The shoulder joint is continuously under various pressures. Shoulder impingement syndrome is the most common problem. Stability of the shoulder is due to the interaction between static and dynamic stability which is caused through mediation of sensorimotor system (proprioception). This study was investigated to determine the effect of 6 weeks resistance training with elastic-band on proprioception in male athletes with shoulder impingement syndrome. Method: In this quasi-experimental study, 30 adult males with shoulder syndrome divided into control and interventional groups. Subjects in interventional group were received resistance exercises with elastic-band for six weeks. The shoulder joint proprioception, perior and at the end of study in 0, 45 and 90 angle were measured using isokinetic, Biodex System 3. Results: Significant improvement in the shoulder joint proprioception in 0, 45 and 90 angle were observed in interventional group in comparision with controls (P<0.05). Conclusion: Six weeks of resistance training with elastic-band improved shoulder joint proprioception of males with impingement syndrome.

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Background and Objective: Modification of life style, nutrional regiment and insulin therapy is used for improvement of pregnancy outcomes in pregnant women with gestational diabetes mellitus (GDM). This study was done to evaluate the effect of the dietary approaches to stop hypertension (DASH) eating plan on pregnancy outcomes in pregnant women with gestational diabetes mellitus. Methods: In this clinical trial study, 52 women with GDM were randomly divided into DASH and control groups for 4 weeks. The control diet contained 45-55% carbohydrates, 15-20% protein and 25-30% total fat. The DASH was rich in fruits, vegetables, whole grains and low-fat dairy products, and contained lower amounts of saturated fats, cholesterol and refined grains with a total of 2400 mg/day sodium. The numbers of women whom commenced insulin therapy after dietary intervention, the mode of delivery and prevalence of polyhydramnios were assessed. The length, weight and head circumference of infants were measured during the first 24 h after birth. Results: 46.2% of women in the DASH group needed to have a cesarean section, this rate for the control group was 80.8% (P<0.05). The percentage of those who needed to commence insulin therapy after intervention was 23% for DASH group vs 73% for controls (P<0.05). Infants born to mothers on the DASH group had significantly lower body weight (3222.7 vs 3818.8 g, P<0.05), head circumference (34.2 vs 35.1 cm, P<0.05) and ponderal index (2.50 vs 2.87 kg/m3, P<0.05) compared to those born to mothers on the control diet. Conclusion: Consumption of dietary approaches to stop hypertension for 4 weeks among pregnant women with GDM resulted in improved pregnancy outcomes.

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Background and Objective: Several studies reported the immunological activity of Lycium barbarum. This study carried out to determine the effect of aqueous extract of fruits of Lycium ruthenicum L. on morphometric and histomorphometric indices in mice lymphatic organs. Methods: In this experimental study, 36 adult mice were randomly allocated into six experimental and control groups. The experimental groups were received Lycium ruthenicum L. fruit aqueous extract in the doses of 50, 100, 200, 400 and 800 mg/kg/bw, daily by feeding tube for 21 days. In the control group animals were recived 100 mg/kg/bw of saline using feeding tube. After the treatment, the relative increase in the body weight, morphometric, histomorphometric and histopathologic indices in thymus, lymph node and spleen were measured. Results: The administration of extract in doses of 50 and 100 mg/kg/bw did not effect on body weight of mice but in the doses of 200, 400 and 800 mg/kg/bw significantly reduced the body weight (P<0.05).Thymus index in 800 mg/kg/bw of extract significantly reduced in comparison with controls (P<0.05). Thickness of thymus medulla in low doses significantly increased while it was not visible in higher doses (P<0.05). Thickness of capsule in lymph node and spleen in dose of 800 mg/kg/bw significantly increased in comparison with control group (P<0.05). Low doses of the Lycium barbarum extract increased stimulation and infiltration of the immune cells and hematopoiesis in the lymphoid organs while in doses of 400 and 800 mg/kg/bw caused pathological changes including fibrosis in capsule, degeneration in follicles and stromal cell apoptosis. Conclusion: Aqueous extract of fruits of Lycium ruthenicum L. in doses of 400 and 800 mg/kg/bw causes histopathological alterations in the lymphoid organs.

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Background and Objective: Sea cucumber (Holothuria leucospilota) is used for food purposes and traditional medicine in the South East and East Asia. This study was done to determine the antiviral effect of methanolic extract, of Holothuria leucospilota species against HIV-1 virus. Methods: In this laboratory study, sea cucumbers were collected from Larak Island, Persian Gulf, Iran at depths of 10-30 m. Methanol solvent was used for extraction process. Extract was concentrated by rotary evaporator at 40-45 degree C, and subsequently was prepared in the form of dry powder using vacuum freeze dryer lyophilization. Results: The extract in 100 and 1000 µg/ml of concentrations inhibited by 94% and 92.5% the replication of HIV-1, respectively. 10 µg/ml of extract had not specific antiviral effect. Approximately the half of concentration of extract (35.89 µg/ml) prevents 50% of proliferation of HIV-1, which was 50% toxic of on host cells (P<0.05). Conclusion: Sea cucumber methanolic body wall extract of Holothuria leucospilota species had no antiviral effect against HIV-1 virus. It can be due to cytotoxic effect of extract on the host cells.

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Background and Objective: After chronic stress, brain volume and weight reduces and in turn, adrenal weight and volume increases. This study was performed to determine the effect of chronic stress and memantine administration within amygdala on the alterations of brain’s volume and weight ratio to volume and weight of the adrenal gland on male mice.

Methods: In this experimental study, bi- or unilateral amygdala cannulation was preformed stereotaxically. A week after recovery, animals were received different doses of memantine (1, 0.5, and 0.1 µg/mouse), five min before stress induction. Electric foot shock induced to animals for seven consecutive days. At the end of the seventh day, animals were sacrificed and their brain and adrenal glands were fixed in formalin 4%. The volume and weight was determined by mercury immersion and accurate balance respectively.

Results: Stress non- significantly reduced brain’s volume ratio to volume of the adrenal gland and brain’s weight ratio to weight of the adrenal gland. Memantine administration within amygdala inhibited stress effect. Memantine administration in low and medium doses within right and left amygdala significantly increased brain’s volume and weight ratio to volume and weight of the adrenal gland (P<0.05).

Conclusion: Memantine dose and side dependently inhibits the effect of induced stress in male mice. Also, unilateral memantine administration within the left and right amygdala was more effective.

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Background and Objective: Attention deficit hyperactive disorder (ADHD) is commnest psychological disorders in children. This study was done to evaluate the effectiveness of rhythmic games on social skills of children with ADHD.

Methods: In this quasi -experimental study with pretest, post test and follow up with control group, 30 boys student with ADHD were non-randomly divided into the two groups. Conners rating scale and social skills checklist were used.

Results: Social skills significantly increased in ADHD students and this effectiveness continued in follow up stage (P<0.05).

Conclusion: Play therapy is effective on social skills of children with ADHD.

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Background and Objective: HIV treatment influences the global health and finding new compounds against HIV virus is increased. This study was done to evaluate anti-HIV activity of 8-phenyl-4-quinolone derivatives containing different substituents at position 3.

Methods: In this descriptive study, single cycle replicable (SCR) HIV Virions were produced by co-transfecting HEK 293T cells with pmzNL4-3, pSPAX.2, pMD2.G plasmids. HeLa cells were infected with the SCR virions and then inhibit of virus replication by compounds were measured by p24 Antigen with ELISA kit. The cytotoxicity of these compounds on HeLa cells were measured by XTT method.

Results: All compounds including NPZ_4F, NPZ-2F, NPZ-4CL and NPZ-2CL had the best inhibitory effect at a concentration of 100µM with the inhibition rate of respectively 51%, 48%, 33%, and 25%, respectively. The compounds of NPZ-4F and NPZ-2CL had negligible cellular toxicity and have inhibited HIV replication at the highest concentration. This issue can make them a valuable compound since they are better compounds in therapeutic terms, which at a suitable concentration, they have the lowest rate of cellular toxicity and highest power to inhibit HIV replication.

Conclusion: Novel compounds derived from 8-phenyl-4-quinolone containing different substituents at position 3 can prevent HIV replication which is capable of high anti-viral and low cellular toxicity and suitable candidates for further investigation in antiviral studies.

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

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Background and Objective: Sedentary life and vitamin D deficiency are considered as related factors to increased inflammation and oxidative stress in obese individuals. This study was performed to determine the effect of Pilates training with vitamin D supplement on Monocyte chemoattractant protein-1(MCP-1) level and superoxide dismutase (SOD) activity in overweight men.
Methods: In this single-blind clinical trial, 56 overweight men were randomly assigned to control, Pilates, vitamin D and combination groups. The Pilates training was performed for 8 weeks with the intensity of 50-75% of reserve heart rate, 3sessions/week. The vitamin D and combination groups received 50,000 units of vitamin D per week. The levels of MCP1 and SOD activity were in the first and 8 weeks after interventions.
Results: Vitamin D status in subjects was lower than normal level. MCP-1 level in Pilates, vitamin D and combination groups significantly reduced and SOD activity increased after 8 weeks (P<0.05), but the combined intervention had a stronger effect on the modulation of MCP-1 level and SOD activity compared to the other two interventional groups (P<0.05). In addition, the effect of Pilates exercises on increasing SOD activity was more than vitamin D intake (P<0.05).
Conclusion: It seems that Pilates training and Vitamin D intake can be exert their protective effects in overweight individuals with abnormal vitamin D status by an increase on the SOD activity and decreasing the inflammatory index of MCP-1. Although these effects developed with combined intervention, Pilate training was associated with greater increases in antioxidant levels than vitamin D.
 

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Background and Objective: Hypoxia is one of the most common clinical stresses that occur during pregnancy, which has adverse effects on fetal development. Fish oil, with its antioxidant properties, prevents fetal disorders during pregnancy. This study was conducted to determine the effects of fish oil on apparent congenital abnormalities and fetal dimensions caused by hypoxia during gestation in rats.
Methods: In this experimental study, 36 female pregnant Wistar rats were divided into 6 groups of control, hypoxia, fish oil 0.5 ml, fish oil 1 ml, hypoxia+fish oil 0.5 ml, and hypoxia + fish oil 1 ml. Fish oil was administered by gavage, and the hypoxia model was established between 6 and 15 days of gestation by 3 hours of daily exposure to 10% oxygen and 90% nitrogen. On the 20th day of pregnancy, the embryos were removed from the uterus. First, the number of obtained embryos from each group was counted. Then, in terms of apparent abnormalities, the number of live fetuses and fetal resorption was evaluated. Finally, the length and weight of the fetuses were measured.
Results: The frequency of embryos with apparent abnormalities in the hypoxia and control groups was 18.18% and nil, respectively. The frequency of fetal resorptions in the hypoxia and control groups was 27.27% and 1.92%, respectively. Moreover, fetal weight and length were significantly reduced in the hypoxia group compared with the control group (P<0.05). However, the average weight and length of fetuses in the hypoxia groups receiving fish oil showed a significant increase compared to the hypoxia group (P<0.05).
Conclusion: Hypoxia during pregnancy in rats reduces fetal body dimensions and increases fetal abnormalities. However, fish oil can reduce the harmful effects of hypoxia on apparent congenital abnormalities and fetal body dimensions during pregnancy.
 

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Background and Objective: With the increase in the spread of COVID-19, mental health consequences such as fear, anxiety, and depression have become prevalent. This study aimed to investigate the predictive role of fear of COVID-19 and quarantine fatigue on depression in congenital heart disease patients during the pandemic.
Methods: This descriptive-analytical study was conducted on 105 patients with congenital heart disease (6 men and 99 women) who were referred to Shahid Rajaee Hospitals and Tehran Heart Center during 2021-22. Data were collected using a depression scale, a fear scale for COVID-19, and a quarantine fatigue questionnaire.
Results: The results showed that 28.6% of patients with congenital heart disease experienced mild depression, while 7.6% had severe depression. Quarantine fatigue was found to be mild in 43.8% of patients. Additionally, fear of COVID-19 (r=0.195, P=0.001) and quarantine fatigue (r=0.617, P=0.001) were significantly correlated with depression in congenital heart patients.
Conclusion: Fear of COVID-19 is related to depression caused by coronavirus and quarantine fatigue in patients with congenital heart disease.
 

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Background and Objective: Exercise training and Zataria multiflora have a positive effect on health and can modulate cardiovascular risk factors. Adipose tissue-derived factors such as ANGPTL8 and adhesive molecules play an important role in exerting the pathological effects of obesity. This study aimed to investigate the effect of eight weeks of resistance-endurance exercise training combined with Zataria multiflora ingestion on the levels of ANGPTL8, ICAM-1, and VCAM-1 in sedentary overweight and obese men.
Methods: In this clinical trial study, 40 sedentary overweight and obese men (with an average body mass index of 28.41±1.75 kg/m2) were randomly assigned to four groups with 10 subjects each. The groups included placebo, Zataria multiflora, training, and training + Zataria multiflora. The exercise training was combined training consisting of resistance-endurance exercise, conducted three times per week over eight weeks. Zataria multiflora supplement consumption was set at 500 mg daily. Blood sampling was conducted before and after the eight-week intervention, and the levels of ANGPTL8, ICAM-1, and VCAM-1 were measured using the ELISA method.
Results: A significant decrease in serum levels of ANGPTL8 was observed in the training and training + Zataria multiflora groups compared to the placebo and Zataria multiflora groups (P<0.05). A decrease in serum ICAM-1 levels was significant in the training + Zataria multiflora group compared to the placebo group (P<0.05). Statistically significant decreases in serum VCAM-1 levels were observed in the training and training + Zataria multiflora groups compared to the placebo and training + Zataria multiflora groups (P<0.05).
Conclusion: Zataria multiflora consumption, along with combined training, can have a synergistic effect in decreasing ANGPTL8, ICAM-1, and VCAM-1 levels.
 

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The rise in patients seeking corneal refractive surgery, despite having systemic autoimmune diseases, underscores the need for special considerations when treating these individuals. Recent studies have expanded our knowledge in identifying and evaluating autoimmune disorders and their potential side effects in the results of corneal refractive surgery with laser. This study briefly examines the pathogenic factors, clinical aspects, and possible complications in patients with systemic autoimmune disorders subjected to these surgeries. In total, 132 articles were selected for this research among the reviewed studies. Considering that the release of various cytokines caused by systemic autoimmune disorders can lead to destructive corneal consequences, the need for early diagnosis before any laser surgery for refractive errors seems essential. Although procedures such as LASIK and PRK are commonly performed on patients with autoimmune disorders, important considerations must be made. Studies have not yet confirmed definitive contraindications to laser refractive surgery for autoimmune disorders.

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Background and Objective: Obesity is a well-known public health problem that affects people of all ages. It has myriad effects on several body tissues, including the thyroid, in both human and animal models. Some treatments, such as dietary modification and physical activity, may be effective or ineffective in reducing obesity. Accordingly, the present research investigated the effects of obesity on thyroid tissue and the impact of diet modification and aerobic exercises on histopathological and hormonal changes in the thyroid tissue of obese male rats.
Methods: In this experimental study, for obesity induction, 50 three-week-old male Wistar rats were exposed to a high-fat diet (including 40% fat, 40% protein, and 20% carbohydrate) for 12 weeks. Then, 25 rats were randomly divided into 5 groups: healthy control, obese + high-fat diet, obese + normal diet, obese + high-fat diet + aerobic, obese + normal diet + aerobic. After the induction of obesity, 2 groups were given a standard diet (including 20% fat, 10% protein, and 70% carbohydrates). Aerobic exercises for 8 weeks included 30 minutes per day, 8 m/min, and 5 days per week. After anesthesia, an autopsy was performed, and the thyroid tissue was sent to the laboratory for histopathological studies. Also, 5 cc of blood was taken to study TSH, T3, and T4 using a radioimmunoassay kit.
Results: The serum levels of TSH hormone increased slightly in the high-fat diet groups compared to the control group and the normal diet with/without aerobic activity group. Also, the amount of T3 hormone in the group receiving a normal diet along with aerobic activity was significantly lower than in the control, high-fat diet, and high-fat diet along with aerobic activity groups (P<0.05). The T4 hormone increased significantly in all obesity groups compared to the control group (P<0.05), and these values were at the level of the control group (P<0.05) only in the group receiving the normal diet along with aerobic activity. Regarding the histopathological results, many changes were found in the follicular, parafollicular, and follicle cells of the thyroid tissue in the obesity group continuing the high-fat diet; these changes were significantly reduced in the groups for which the diet was changed to the normal diet alone and with aerobic activity.
Conclusion: Induction of obesity causes significant structural and biochemical changes in the thyroid, and the combination of diet modification and aerobic activity is more effective in alleviating these changes.