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Sialoprotein is one of the most abundant non-collageneous and phosphorylated glycoproteins in human. This protein plays an important role in the structure of human teeth. The aim of this project is to measure the amount of dentin Sialoprotein in the healthy and decay teeth to evaluate the variation in the teeth structure. In this investigation 50 decay teeth has been collected from patients referred to the clinic. The dentin was separated and placed in liquid Nitrogen. One gram of each dentin was washed with distilled water for 30 mins and subsequently the dentin was powdered, and relocated to the gaunidin-Hcl tris buffer, and incubated at 4°C for 48 hrs. The dentin powder was centrifuged at 3000 g for 20 mine. The supernatant was discarded, and the samples again was centrifuged at 10000 g. Finally one ml of this supernatant transferred to the sepharose column and washed with gaunidin-Hcl tris at 1 ml/min. The fractions obtained by chromatography was monitored by electrophoresis. The amount of decay teeth Sialoprotein was 17.23±1.45 ng/l and in the healthy teeth was 26.39±4.27 ng/l. The results from this study indicate that the Sialoprotein content in patient dentin decreased by about 1.5 time compared normal subjects.

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Background&Objective: Primary dysmenorrhea is one of the common causes of absence from work place and life quality among women. According to some studies, fish oil administration results in production of weaker prostaglandin’s (PG) and reduces the severity of dysmenorrhea. The aim of this study is to experience the efficacy of fish oil on dysmenorrhea, which is a cheap drug and with low side effects. Materials&Methods: In this clinical trial, the students separated into two groups those affected with primary dysmenorrhea by referring to girls' high schools and complete the questionnaires. In the next stage randomly were selected two groups each group included 22 students with primary dysmenorrhea. In first group fish oil capsules and the other group placebo were recommended for duration of two months. These students were evaluated before drug recommendation, at the end of two months treatment and two months afterward. In these three stages pain severity by VAS (Visual Analogue Scale) system and pain duration by Cox scaling system were be recorded in each group. Results: There is not meaningfull statistically difference in the average age, age of menarche, menstrual condition (regular or irregular) and accompaniment with symptoms of PMS (premenstrual syndrome) between fish oil and placebo groups. Before recommendation of capsules the average of pain severity did not have a meaningful statistically difference between two groups. The average pain duration also had similar situation. After two months treatment, the average of pain severity (VAS) in fish oil group was significantly less than which in placebo group (p<0.05). Also the average of pain duration in fish oil group was less than which in placebo group with a statistical difference of (p<0.05). Moreover, two months after the end of treatment the average of pain severity (VAS) and pain duration (hour) had meaningfull statistically difference between fish oil and placebo groups and were less in fish oil group. Conclusion: As compared with placebo, the fish oil capsule after two months of consumption had a significant effect on reduction of pain severity and duration in primary dismenorrhea. Also two months afterward from the end of this clinical trial the effect was more than placebo.

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Background&Objective: Precelampsia with prevalancy of 5-10% is one of the important causes of maternal morbidity and mortality and neonatal prematurity that prevention of it has aessential role in reduction of maternal and fetal mortality. Pathogenesis of disease is endothelial dysfunction and free radicals can exaggerated of endothelial damage.this study designed to evaluate antioxidants (vit E,C) effect on preeclampsia in primipar women. Materials&Methods: This study was a randomized clinical trial in 580 primipar women that randomized in two treatment and control groups. To the Treatmet group in 18-22w of gestation during routin prenatal care vitamin E (400 IU) and vitamin C (lg) administrated daily untile end of pregnany. Control group recieved routin ferrous sulfate and incidence of preeclampisa compaired in two-group .Data analyzed by chi-square test. Results: Incidence of preeclampsia was 1.7% in treatment group and 6.2% in control group (p<0.05). Conclusion: antioxidant (vit E,C) have an effect on reduction of preeclampsia incidence.

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Background & Objective: Pharmacological studies and traditional medical literature point to the cardiovascular effects of the Citrus aurantium L. (Rutaceae) in many instances. In the present study, we used isolated perfused AV-node of rabbit as an experimental model to determine the effect of various concentrations of essence of Citrus aurantium (0.1-0.3 v/v) on electrophysiological properties of isolated heart. The second goal of the present study was to assess the protective role of essence of Citrus aurantium on arrhythmogenic effects of ouabain. Materials & Methods: This was a semi-experimental study. We used isolated perfused rabbit AV-nodal preparation, in three groups. In the first group, the effect of various concentration of the Citrus aurantium (0.1, 0.2, 0.3 ml/l) was assesed on the AV-node. In the second and third groups, the effect of Citrus aurantium was tested in the presence of ouabain (0.1?molar) and verapamil (0.1?molar). We used 6 rabbit in each group. Statistical analysis was preformed by SPSS Mean±SE was used in the all results. Results: Our results showed depressant effects of extract of Citrus aurantium on Wenchebach Cycle Length (WBCL), AV Conduction Time (AVCT), Effective and Functional Refractory Periods (ERP & FRP). Rate-dependent properties such as Facilitation and fatigue significantly increased by Citrus.a (0.3ml/l). We had significant increase in the AVCT (32.6±3.6 to 40±6.08 msec) and FRP (147±5.1 to 166.6±3.6 msec) by Citrus.a. We had a protective role of Citrus aurantium on ouabain induced AV-nodal depression. The magnitude of facilitation and fatigue in the concentration of 0.3 C.aurantium was 7.5±0.3 and 6.5±0.5, respectively. Conclusion: The above results indicated potential inhibitory and antiarrhythmic effect of Citrus aurantium in treating supraventricular tachyarrhythmia.

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Background & Objective: Burning is a general health problem and is also a global injury as well as a very serious sanitary issue in industrial and developing countries. In its severe form, burning can claim lives. It seems essential in every society to analyze burning, to study the causes of burning, treatment outcomes and the death rates, etc. to find proper preventive measures. Materials & Methods: In this cross-sectional study, the medical records of all patients who were hospitalized and finally deceased during the years 2002 and 2004 in Zare' teaching hospital, Sari, were examined. Some variables including the age span average, the degree and percentage of burning, patients' residence, gender, the cause of burning (i.e. boiling water, fire, acids and explosives), average hospitalization period, surgery and also the abundance of self – burning attempts were examined. Results: This study indicate that during these 3 years the total number of those who died from burns was 506 (23.4%). The residential places were in Mazanderan province (41.7%), Golestan province (41.4%), and Gilan province (10.2%). The abundance of burning ranges as below: The 2 and 3 degree of burning at 91.8%. Regarding the percentage of burns, 31.7% of abundance pertains to burning at 90% and more. The greatest external causes leading to burns are petrol, gas, and gas oil at 57.9%. Also, the percentage of burns does not have much influence on death rate among 50 – year – olds and older people. Conclusion: This study indicated that the importance of death between burned patient in special sex and age. To establish hospitals, some issues must be considered as: distance, transportation, route dangers, characteristics of area, existing epidemiological survey, and finally the epidemics and event statistics.

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Background&Objective: Ectopic pregnancy is a main cause of maternal death and is 10-15% of refered patint to first trimester emergency ward. Due to importance of early detection and prevention of excessive blood loss in Ectopic pregnancy this study designed that evaluated the correlation between vital signs and quantity of hemo-peritoneum and except of traditional vital sign another method with more sensivity can be used in detection of tubal rupture and nessersirily of Emergency surgary. Materials&Methods: This study is a analytic cross sectional design in 105 patients had diagnosis of ruptured ectopic pregnancy in fatemieh hospital. positive predictive value and sensitivity and specifity of pulse rate, BP and shock Index (SI) in correlation to ruptured Ectopic pregnancy and hemoperitoneum evaluated. Results: Hundred five patients were studied (70 ruptured EP and 35 unruptured EP). Mean of shock index in unruptured and ruptured EP was 0.6±0.29 and 0.94±0.22 respectively that was nonsignificant. (p<0.05) Sensitivity of pulse rate, systolic pressure and shock Index (Pulse/SBP) was 17.6%±9%, 32.4 %±10% and 91.4%±6% respeictively. negative predictive value was 34.1%, 38.7 % and 50% respeictively.mean primary Hb had no difference in two group. Conclusion: Normal vital sign alone are poor predictors of ruptured ectopic pregnancy and shock Index (Pulse/SBP) Correlate best with the quantity of intaperitoneal hemorrhage.

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Background and Objective: Brain ischemia is one of the most important factor of morbidity and mortality and leaving many people with mental and physical disabilities. Until now there are no appropriate medications to prevent and cure ischemic injury. This study was done to evaluate the protective effect of Adenosine A1 receptor and ascorbic acid on hippocampal neuronal density and memory disorder in ischemia reperfusion induced Rats. Materials and Methods: This experimental study was performed on the hippocampus pyramidal neurons on 56 male BALB/c mice. Animals randmly allocated into 8 groups (N=7) including: 1) intact, 2) ischemic control group, 3) ischemic, plus agonist and adenosine of A1 receptor, 4) ascorbic acid (100 mg/daily), 5) ischemic plus agonist adenosine receptor (1 mg/1 kg) one week after ischemia, 6) ischemia, ascorbic acid befor and after ischemia and A1 receptor (1 mg/1 kg) agonist after ischemia, 7) A1 receptor, antagonist (2.25 / 1 kg), one weed after ischemia, 8) Ascorbic acid (100 mg/1kg) before and after ischemia plus A1 receptor antagonist (2.25 / 1 kg) after ischemia. Ischemia induced by clamping of common carotid artery and the drugs was injected subsequently into peritoneum after reduction of inflammation of ischemic zone. The Y-maze memory test performed after completing the treatment period, afterward brains fixed and prepared for microscopic nissl staining method. The counting of pyramidal cells were performed at 53500 square micrometer of CA1. Data were analyzed using SPSS-15 and ANOVA test. Results: The Y-maze test showed extensive deficit in short-term memory in ischemic group (PA=200) but in treatment groups this deficit significantly reduced (PA=243, 248 and 265). The normal neuronal cell in ischemic group was significantly lowered (n=87) than treatment groups (n=111, 105 and 125) including ascorbic acid group (125), adenosine receptor agonist (105) and ascorbic acid plus agonist adenosine receptor (111). The number of normal neuronal cell in ischemic groups significantly is reduced compared to treatment group (P<0.05). Conclusion: This study showed that concurrent treatment of ascorbic acid and Adenosine A1 receptor agonist can significantly reduce the complications caused by brain ischemia in CA1 area of hippocampus.

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Background and Objective: Alpha lipoic acid (ALA) is a powerful biological antioxidant which is involved in metabolism and energy production as a co-factor in mitochondrial dehydrogenase enzyme complex. This study was done to evaluate the effect of aerobic exercise and alpha lipoic acid supplement on insulin resistance in females with type 2 diabetes. Methods: In this quasi-experimental study, 44 females with type 2 diabetes divided into four groups including: control, supplementation, training and supplementation + training groups. Patients of supplementation and complex (supplementation + training) groups took three 100mg ALA capsules per day for eight weeks. The training program consisted of 8 weeks and three sessions per week. In each session, the subjects warmed up for 10-15 minutes, ran on a treadmill with the intensity of 40-50% of maximum heart rate for 30 minutes and then cooled down for 5-10 minutes. Blood samples were taken after 12-14 hours fasting in two stages - the beginning and the end of the eighth week. Results: Eight weeks of taking ALA supplements significantly reduced patients' insulin resistance (P<0.05). Eight weeks of running on a treadmill with an intensity of 40-50% of maximum heart rate non-significantly reduced insulin resistance in the training group compared to the controls. In the supplementation + training group a significant reduction of insulin resistance was observed (P<0.05). Conclusion: Alpha lipoic acid supplementation reduces insulin and insulin resistance. While, reduction in fasting blood glucose level causes reduction in insulin resistance in the combination of supplementation and training.

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Background and Objective: Probiotics are beneficial organisms therapeutic within microbial flora. Shigella, Escherichia coli and Salmonella are the most common cause of intestinal infectious diseases that lead to morbidity and mortality in infant and children worldwide. The aim of this study was to evaluate anti-microbial activity of Lactobacillus acidophillus and Lactobacillus ruteri against entero-pathoges by in vitro and in vivo methods. Methods: In this experimental study, the therapeutic effect of the lactobacillus acidophilus ATCC 4356 and ruteri ATCC 23272 against Shigella sonnei ATCC 9290, Escherichia coli ATCC 25922 and Salmonella enterica BAA-708 were evaluated by in vitro (spot agar) and in vivo (BALB/c mice) methods. Weight improvment and survival rate in mice were recorded. Results: Lactobacillus acidophillus and ruteri had protective and therapeutic effect against diarrhea caused by pathogenic bacteria. Probiotics reduced the weight, colonization of pathogens and increased the survival rate of animals (P<0.05). Conclusion: Lactobacillus acidophillus and ruteri has anti-microbial activity and their consumption can be effective in the prevention and also the treatment of intestinal disease.

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Background and Objective: The flowers of Citrus aurantium L. are traditionally used in the treatment of neurological disorders such as seizures, epilepsy and neurasthenia. With regard to the importance of nausea and vomiting and effects of strengthening the stomach of Citrus aurantium L. extract, this study, was done to determine the antiemetic effect of the metabolic, aesthetic and aqueous extract of flowers of Citrus aurantium L. in young chickens.

Methods: In this experimental study, induction of emesis was performed in 138 young chickens
(23 groups, n=6) using copper sulfate (60 mg/kg, orally) and ipecac (600 mg/kg, orally). The aqueous, methanolic and acetonic extract at doses of 50, 100 and 250 mg/kg/bw were injected intraperitoneally (i.p.) and metoclopramide (as positive control). The number of nausea was recorded 50 and 20 minutes after copper sulfate and ipecac administration, respectively.

Results: Our results showed that all kind of extract at doses of 100 and 250 mg/kg significantly inhibited copper sulfate and ipecac induced–emesis that showed better effect than metoclopramide. Also, comparison of antiemetic effect of different extract revealed that methanolic, aqueous and acetonic had better effect on prevention of nausea, respectively in comparision with metoclopramide.

Conclusion: All kinds of Citrus aurantium (Methanolic, Aesthetic and Aqueous) showed antiemetic effect due to copper sulfate and ipecac dose dependly in Young chickenin in comparision with metoclopramide.

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Background and Objective: Memantine (MEM) an uncompetitive N-methyl-D-aspartate receptor antagonist is used for treatment of patients with Alzheimer disease. This study aimed to examine the effect of Memantine on the spatial learning and memory in electrical lesion’s model of nucleus basalis magnocellularis (NBM) in animal model of Alzheimer's disease.
Methods: In this experimental study, 56 adult male Wistar rats were allocated into eight groups: control group; lesion group, which received bilateral electrically lesion (0.5 mA, 3s) in NBM; sham group (the electrode was entered into the NBM with no lesion); Memantine groups (lesion+1 mg/kg/bw of MEM; lesion+3 mg/kg/bw of  MEM; lesion+5 mg/kg/bw of  MEM; lesion+7 mg/kg/bw of MEM) and Vehicle group (lesion+0.2 mL saline). After one week, animals were trained to perform the Y-maze task for five days. Twenty five days after training, a retention test was performed to determine long-term memory.
Results: The bilateral lesion of NBM impaired the spatial learning compared to the control and sham groups (P<0.05). No effect on spatial learning was seen in saline group compared with the lesion group. The treatment with Memantine in  lesion+MEM 3 mg/kg/bw, lesion+MEM 5mg/kg/bw and lesion+MEM 7mg/kg/bw groups significantly improved spatial learning (P<0.05). Moreover, no significant difference of memory was observed between the results in the 5th day of training and the retention test of the 30th day.
Conclusion: Treatment with memantine improves spatial learning defects in electrical leisions model of NBM of Alzheimer's disease in dose dependent manner in animal model.

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Background and Objective: Childhood behavioral and emotional problems may be continus to puberty, even extend to elderly. This study was carried out to determine the role of family accommodation of child symptoms, parenting style and parental stress in prediction of anxiety disorder in children with 6 - 10 years old in Golestan province, north of Iran.

Methods: In this descriptive-analytic study 300 children with 6-10 years old and their mothers were selected by randomized cluster sampling method during 2017. The questionnaires of family accommodation scale-anxiety (FAS-A, 2013), parent stress index-sort form (PSI-SF, 2000), Bamerind parenting styles questionnaire 1973 and Spence child anxiety scale-parent form (SCAS-P, 1998) were completed by the mothers.

Results: Increasing family accommodation and parenting stress significantly correlated with increasing children anxiety (P<0.05). The authenticated childbearing style by parents significantly correlated with reducing the anxiety in children (P<0.05), but authoritarian parenting and permissive parenting by parents significantly correlated with increasing the anxiety in children (P<0.05). Authenticated childbearing style along with authoritative parenting style, parental stress and family support could predict 49% of children's anxiety (F=97.91, P<0.0001).

Conclusion: Authoritative and authoritarian parenting, parenting stress, family accommodation has an effective role in predicting children's anxiety.

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Background and Objective: Ovarian cancer, also known as “The Silent Killer,” is one of the most dangerous cancers for women, which often diagnosed late and incurable. On the other hand, conventional therapies currently have limitations, failures and various side effects. This study was performed to determine the effect of pomegranate peel extract on the expression of angiogenesis stimulating gene (Vascular Endothelial Growth Factor: VEGF) by culturing A2780 cell line of ovarian cancer.
Methods: In this descriptive-analytical study, pomegranate peel extract was prepared and then ovarian cancer cells (A2780 cell line) were exposed to different concentrations of pomegranate peel extract (500, 250, 100, 75, 50, 25 and 10 µg/ml) for 48, 24 and 72 hours. Also, the survival rate of the cells was tested by MTT assay and VEGF gene expression was evaluated using RT-PCR.
Results: Pomegranate peel extract concentration of 500 µg/ml reduced the survival rate to 18% in 72 hours (P<0.05). At concentrations of 200, 100 and 50 µg/ml of pomegranate peel extract, the expression of VEGF reduced by 7%, 16% and 19%, respectively, which was significant compared to the control group (P<0.05).
Conclusion: Pomegranate peel extract, due to its numerous compounds and significant antioxidant properties, is likely to reduce metastasis and malignant manifestations by reducing the expression of the angiogenesis agent.

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Background and Objective: Multiple sclerosis (MS) is an autoimmune disease that targets the central nervous system. Various studies have shown that several factors influence this disease’s occurrence and prevent its progress. Multiple studies have shown that several factors affect this disease’s occurrence and prevent its progress. Helicobacter pylori can be mentioned among these factors. This study was conducted to determine Helicobacter pylori infection in MS patients and healthy individuals.
Methods: This case-control study was conducted on 100 patients with MS (mean age: 36.99±9.87 years) and 100 healthy subjects (mean age: 38.05±11.38 years) in Golestan province, north of Iran during 2021. The case group included eighty relapsing-remitting cases and twenty secondary progressive cases. Blood samples were taken from both groups, and after separating the serum using the ELISA test, anti-Helicobacter pylori antibody (IgG) was detected by determining the antibody titer.
Results: Helicobacter pylori IgG in the MS and control groups was 21% and 44%, respectively (P<0.05). The mean concentration of IgG in the case group was significantly lower than the control group (13.48±10.83 versus 19.78±16.14 AU/ml). The percentage of positive cases of IgG antibody against Helicobacter pylori in the relapsing-remitting and secondary progressive group of patients with MS was determined as 21.2% and 20%, respectively, and the difference between these two groups was not statistically significant.
Conclusion: The history of Helicobacter pylori infection is less than two times in patients with MS compared to healthy people probably indicate the protective role of this bacterium against this disease.