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Background&Objective: Carpal tunnel syndrome is the most common entrapment neuropathy which causes smuch morbidity for patients. Corticosteroid injection is a conventional way to treat CTS. This study was done to compare the wrists verses palm methyprednisolone injection for treatment of carpal tunnel syndrome. Materials&Methods: In a prospective and double blind study, 64 patients who had mild to moderate CTS based on clinical and electerophysiological findings were classified into two groups, the first group received traditional injection technique, the injection site is on the volar wrist surface just proximal to the distal wrist crease between the palmaris longus and flexor carpi radialis tendons. But the second group was injected by new technique. The injection site is about midpalmar area. The patients were followed for one month. Results: Mean rise in nerve conduction velocity (NCV) was 4.00 m/s and 12.03 in the first (wrists method) and second (palm method) groups. Pain score based on visual analog scale decreased 2 sacle unit in both groups similarly. Conclusion: We found 3 times increased at sensory nerve conduction velocity compare to traditional method. This new injection method had better effect on sensory nerve conduction velocity compared to old one so it seems that it can be an alternative way for treatment of CTS.

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Background and Objective: Gestational diabetes is affected 3-12% of women and occurs at the final stage of second trimester. This study was done to determine the fructosamine and glycated hemoglobin level in pregnant women with abnormal glucose challenge test. Methods: This case – control study was carried out on 96 pregnant women with glucose challenge test (GCT)>140 mg/dl as cases and 96 pregnant women with GCT<140 mg/dl as controls. The serum fructosamine and glycated hemoglobin determined using ELISA and chemical methods, respectively. Results: In pregnant woman with abnormal GCT, there was a significant correlation with glycated hemoglobin and fructosamine. The glycated hemoglobin correlation was more significant compared to fructosamine (0.63 to 0.24). There was not significant correlation between GCT with fructosamine and glycated hemoglobin in individuals with normal GCT. Conclusion: The measurement of glycated hemoglobin is more accurate than fructosamine in pregnant women with abnormal glucose challenge test.

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Background and Objective: An activity performed through a new motional pattern and very intensively often leads to a kind of muscle soreness whose indicator is delayed onset of pain, which is called Delayed Onset Muscle Soreness (DOMS). This study was done to determine the effect of vitamin C and E supplementation on lipid peroxidation and delayed onset muscle soreness in professional basketball players. Methods: In this clinical trial study, 24 male professional basketball players were randomly divided into four groups including vitamin C (1000 mg), vitamin E (800 IU), vitamin C (500 mg) + vitamin E (400 IU) and placebo (Glucose 500 mg). Supplement was consumed two hours before and 24 hours after leg press and scuat exercise. Blood samples were collected before the first supplementation and immediately (post- exercise), 24 hour and 48 hour after exercises. Serum creatine kinase (CK), malondialdehyde (MDA), vitamin C and vitamin E and the level of perceived muscle soreness were evaluated. Results: MDA in Vitamin E group significantly decreased in the 24-hr to 48-hr after the exercise in compared to bignning of exercise (P<0.05). Serum CK significantly increased 24-hr and 48-hr after the exercise in all groups (P<0.05). Muscle pain perception non significantly increased after the exercise in all groups in compare to baseline level. Conclusion: Short period supplementationin of vitamin C and E, either alone or in combination can not reduce pain and muscle damage and lipid peroxidation following the leg press and scuat exercise in professional basketball players.

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Background and Objective: Nonalcoholic fatty liver disease (NAFLD) is one of the most common chronic hepatic diseases which may be associated with cardiovascular disease. This study aimed to consider the effect of combined therapy with resveratrol supplementation and interval exercise training on heart cells apoptosis in rats with NAFLD using TUNEL assay.
Methods: This experimental study was done on 35 Wistar rats. Animals were randomly allocated into five groups including control (healthy) and four NAFLD groups, including patient, resveratrol, interval exercise, and resveratrol + interval exercise. A TUNEL assay kit was applied for the detection of apoptosis in heart tissue.
Results: The patient group had significantly higher percentage of heart apoptotic cells (24.38±0.69%) compared to the other groups (P<0.05), while the resveratrol + interval exercise (9.02±0.49%) and resveratrol (9.47±0.83%) groups showed significantly lower mean levels of heart apoptotic cells compared to the patient and interval exercise (P<0.05) groups. There was no significant difference in mean of apoptotic cells between resveratrol and resveratrol + interval exercise groups. The mean of apoptotic cells in interval exercise group was 11.39±0.28%.
Conclusion: Nonalcoholic fatty liver disease is considerably associated with heart cells apoptosis. Resveratrol supplementation especially combined with interval exercise significantly reduces apoptotic cells in heart tissue.

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Background and Objective: Acute ischemic preconditioning improves exercise performance. This study was done to determine the effect of four weeks of ischemic preconditioning on vascular grow factor (VEGF), lactate metabolism and fatigue indices.
Methods: In this clinical trial study, twenty inactive young men were randomly divided experimental (n=10) and control (n=10) groups. Subjects in experimental group perceived ischemic preconditioning (consisted of four 5-minute cycles of ischemia, followed by five minutes of reperfusion) for four weeks prior training. Blood samples were taken in the rest in order to measuring of VEGF. 48 hours prior and after the last intervention session, subjects performed an anaerobic Wingate test and rating the perceived exertion immediately and blood lactate were measured before, immediately, 5, 10 and 15 min after of Wingate test.
Results: 4-week IPC treatment significantly increased VEGF in compared to control group (138.2±8.2 vs 160.1±10.3) (P<0.05). Rating of perceived exertion (6.4±0.5 vs 6±0.1) and lactate accumulation in 15 min after exercise was significantly lower in experimental group in compare to controls (4.1±0.8 vs 5.6±1.2) (P<0.05). There was no significant difference between groups for power output (745.2±131.6 vs 769.7±148.6) and fatigue index (50.58±7.2 vs 46.2±11.8).
Conclusion: Four weeks of ischemic preconditioning increase VEGF and reduce rating the perceived exertion and blood lactate after intensive exercise in inactive young men.

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

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Background and Objective: Sphingosine-1-phosphate (S1P) plays an important role in muscle biology and is involved in hypertrophy and activation of satellite cells. This study was done to determine the effect of eight weeks of concurrent training with different order on S1P in fast and slow muscles in wistar rats.
Methods: In this experimental study, 40 male wistar rats (weight 180-200 gr) were randomly allocated into 5 groups including control, resistance training, endurance training, resistance- endurance training, endurance- resistance training. Resistance training consisted 1-meter ladder climbing with the loading of percent of overloading test (%75 of weight body) in the first week and increased to 30 gr per week. Endurance training consisted of running on treadmill with speed of 12 m/min and 10 minutes in the first week to 30 m/min and 60 minutes in the last week. The resistance- endurance group performed resistance training 5 minutes before endurance training and the endurance- resistance group performed endurance training 5 minutes after resistance training. The protein level of S1P was measured in flexor hallucis longus (FHL) and soleus muscles.
Results: The S1P level in fast and slow twitch muscle increased significantly in endurance- resistance training, resistance- endurance training and resistance training compared to controls (P<0.05). There were no significant differences between concurrent training with differing order.
Conclusion: It seems that exercise order in concurrent training result in no different effect on S1P level in fast and slow twitch muscles in wistar rats.

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Background and Objective: Molybdenum trioxide (MoO₃) is a type of nanoparticle used in the industry as an antibacterial agent. The kidney is one of the most important organs in the body, responsible for filtering waste products and regulating blood factors that are affected by various agents. Due to the widespread use of MoO₃ in disinfecting operating room equipment and the importance of renal glomeruli in blood plasma purification, this study aimed to determine the effect of molybdenum trioxide nanoparticles on rat kidneys.
Methods: In this experimental study, thirty Wistar rats weighing 250-300 g were randomly divided into five groups (n=6), including a control group, a sham group (receiving normal saline), and three experimental groups (receiving MoO₃ at doses of 50, 100, and 200 mg/kg/bw IP). Intraperitoneal injections were given for 35 days. After the treatment period, the animals were anesthetized, and blood samples were collected from the heart. The right kidney was then removed, and after tissue preparation, the samples were examined by stereology to determine changes in the volume of cortex, medulla, urinary space, renal body, and glomeruli.
Results: Significant increases in urinary space volume were observed in the groups receiving MoO₃, and a decrease in medulla volume was observed in the group receiving a dose of 200 mg/kg/bw compared to the control and sham groups (P<0.05). A significant increase in cortex volume was observed in the group receiving nanoparticles at a dose of 50 mg/kg/bw compared to the control and sham groups. MoO₃ caused weight reduction in animals, as well as an increase in urea and a decrease in renal volume (P<0.05).
Conclusion: Molybdenum trioxide nanoparticles can cause changes in the morphology of rats' kidneys.