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Inguinal hernia is common in midlle age and elderly. It is in two form of direct and indirect. Often the hernia sac consists of omentum and or intestinal segmants, but bladder hernia is very rare. In present patient massive inguinal hernia and urinary retention were associated with ipsilateral nonvisulization and nonfuncting kidney that showed the disease is chronic in nature. The diagnosis is confirm by ultrasonography and retrograde cystography. In cystography, contrast maternal is show in scrotal cavity and commnication of it with bladder. In our case, the diagnosis is made preoperatively with ultrasonograpy and cystography. The patient able to void post-oprative day and scrotal enlargment is compelely reduce. In conclusion it is advised that in patients older than 50 years who have massive inguinoscrotal herina and prostatism cystography to be done mandatory and also preoperative diagnosis is to be made to prevente the injury of bladder and ureter in operating time.

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Background&Objective: Carbohydrate chains link to glycoproteins and glycolipids of the cell surface particulary their terminal sugars have key roles in cellular activities of almost all biological systems. Distribution of these glycoconjugates in adult kidney has not received fair attention yet. The purpose of this study was to identify in situ location of galactose – N – acetyle galactoseamine moleucles on the surface of the adult rat kidney. Materials&Methods: After the resection of rat kidney and rotin fixation with regular lectin histochemical technique, MPA and PNA conjugated to horseradish peroxidase, lectins specific to indentify these terminal sugars in rat kidney. Results: Intense reaction of PNA to collective tubules, less intense and reaction with luminal surface of proximal tubules and MPA identified distinct cells among distal tubules as well as glomerules were observed. Conclusion: It seems that this specific sugars related to the cellulars function of this region of adult kidney and probably genetically is regulated during embryonic development.

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Background&Objective: Pediatric renal tumors represent approximately 7% of all childhood cancers and are completely different from those occurring in adults. The aim of this study was to make an analysis of clinical and pathological characteristics of these tumors. Materials&Methods: In this descriptive study all of the pediatric patients diagnosed as having renal neoplasm in departments of pathology of Dr Sheikh children hospital and Imam Reza hospital from 1991-2006 were evaluated. Results: 52 patients including 27 boys and 25 girls with mean age of 40.63 months were studied. Tumors involved each kidney in 24 (45.3%) and were bilateral in 5 (9.4%) patients. Abdominal mass was the commonest clinical symptom and sign. Congenital anomalies were presented in 6 (14.6%) patients. Histopathological examination showed Wilms tumor in 46 (86.8%), cystic partially differentiated nephroblastoma in 2 (3.8%), mesoblastic nephroma in 2 (3.8%) rhabdoid tumor of the kidney in 1 (1.9%), metanephric adenofiroma and low-grade tubulopapillary carcinoma in 1 (1.9%) and clear cell sarcoma of the kidney in 1 (1.9%) patient. 11 (20.8%) cases were in stage I, 16 (30.2%) stage II, 13 (24.5%) stage III, 8 (15.1%) stage IV and 5 (9.4%) stage V. Conclusion: Although Wilms tumor is the commonest renal neoplasm in childhood there are also recently described entities such as metanephirc tumors and juvenile renal carcinoma that must be considered in histopathological evaluation of a pediatric renal neoplasm. Role of molecular and cytogenetic methods is increasing for classification and treatment of childhood renal neoplasms.

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Background & Objective: Congenital spinal deformities usually present in infancy and make parents  worry about their child future. Because of congenital nature of these deformities, cord anomalies and other organ abnormalities must be evaluated. This study was done to determine Congenital spinal deformity and associated anomalies.

 

Materials & Methods: This cross sectional study was done on 97 patients who referred to Shafa hospital in Tehran- Iran with congenital back deformities from October 2005 to January 2007. All patients were assessed with physical examination, spinal radiography, MRI, urinary system sonography and echocardiography.

 

Results: Mean age of patients at presentation was 81 month. 81 patients had congenital scoliosis and 16 patients had congenital kyphosis. Mean cobb angle was 52 degrees for congenital scoliosis and 70 degrees for congenital kyphosis. 22 patients had neurologic or skin signs that 81% of them had cord abnormalities (p<0.05). Cord anomalies were seen in 36 scoliosis (46.5%) and 2 kyphosis (15%) (p<0.05). Most common cord anomalies were syingomyelia,diastematomyelia and tethered cord. Congenital heart anomalies was seen in 3 patients (4%) and valvular heart disease in 10 patients (13.5%) and kidney anomalies in 7 patients (12%). Only one patient with congenital heart disease and one patient with kidney anomaly had kyphosis.

 

Conclusion: Regarding to prevalence of congenital spinial deformity (CSD) in scoliosis and kyphosis patients, all of patients with CSD should screued for determiation of conganital anomalies by MRI, Eco cardiography and kidny sonography.

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Background & Objective: Destructive effects of ethanol consumption have been confirmed on several organs of the body. Nevertheless, classic research which has been done on kidney in this field had less attention. The aim of this study was to evaluate of ethanol effects on light microscopic structure of Mice kidneys. Materials & Methods: In this experimental study, Balb/c strain mice, equally 40 males and females, weighing 30-35 grams were divided in two equal experimental and control groups randomly. The Mice in control and expermented groups further divided in two sub groups. One sub group received 1mg/gr body weight daily of ethanol for one month, intraperitoneally and other sub group received 1mg/gr body weight of ethanol for two months, intraperitoneally. Control groups divided in two sub groups and Mice received daily salin with same volume as experimental groups. Then, the Mice have been anesthetized and sacrificed and then, subsequently kidneys were removed. Routine histological methods and Hematoxylin and Eosin staining were done. Slides were observed by light microscope. Results: In experimental group, Mice which received ethanol for one month, interstitial bleeding and inflammatory cells infiltration in cortical zone of kidney was observed. In Mice which received ethanol for two months, we observed massive and concentrated lymphoblastic infiltration, especially on deep medulla around the blood vessels with extending to calyxes and pelvis of the kidney. No histological changes were observed in control groups. Conclusion: This study showed that the intraperitoneal injection of ethanol cause progressive destruction effects on cortex and medulla of the kidney. These effects depend on duration of ethanol consumption.

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Background and Objective: Computerized tomographic angiography (CTA) is a minimally invasive modality to image the vasculature without the morbidity of direct large vessel vasculature access and its major indications in urology are assessment of the renal vasculature in preparation for donor nephrectomy, identification of extravessel in evaluation of ureteropelvic junction obstruction and for diagnosis of renal artery stenosion. This study was done to evaluate vescels of kidney donors using CTA and formal angiography and comparison with intraoperative findings. Materials and Methods: In this descriptive study, kidney vessels of 70 and 30 living kidney donor were assessed with computerized tomographic angiography and formal angiography respectively. The pattern of vessels of kidney during operation were examined. Two observers assessed the findings of preoperative CTA and formal angiography with intra operation observations. Results: In CTA group there were two patients each with two main renal veins which were observed during operation was not recorded on computerized tomographic angiography. In formal angiography group there was one patient with unrevealed two main renal veins prior to surgery. In both groups, the accuracy of anatomical diagnosis of the main kidney artery were 100%. Conclusion: This study showed that kidney vascular assessment by either the computed tomography angiography or formal angiography have similar clinical diagnostic accuracy.

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Background and Objective: Chronic diabetes mellitus is accompanied with enhanced oxidative stress and reduce the activity of antioxidant defense system. Due to significant role of enhanced oxidative stress in development of renal damage in diabetices, this study was conducted to evaluate the effect of chronic administration of Silymarin on oxidative stress markers in renal tissue of diabetic rats. Materials and Methods: In this experimental study, 40 male Wistar rats were divided into 5 groups: control, silymarin-treated control (100 mg/kg bw), diabetic, and silymarin -treated diabetic groups (50 and 100 mg/kg bw). Silymarin was administered (daily and intraperitonealy) ten days after Streptozotocin injection for 4 weeks. Tissue level of malondialdehyde and nitrite and nitrate and activity of superoxide dismutase in kidney tissue were measured. Data were analyzed using ANOVA and Tukey tests. Results: A significant increase in tissue level of malondialdehyde, nitrite and nitrate in diabetic rats were observed (P<0.05). Silymarin treatment (100 mg/kg/bw) significantly reduced the tissue level of Malondialdehyde, nitrate and nitrate (P<0.05). Non-significant recduction of activity of superoxide dismutase was oberved in diabetic rats and Silymarin treatment (50 and 100 mg/kg bw) did not significantly altered enzyme activity. Conclusion: Four weeks treatment of Silymarin (100 mg/kg bw) reduce oxidative stress indexes in renal tissue of diabetic rats.

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Background and Objective: Nitric oxide synthase (NOS) paly a role in nitric oxide (NO) generation. Despite the beneficial effects of NO on different body systems its overproduction of produce reactive nitrogen species (RNS) and nitrosilation of proteins. This study was done to evaluate the effect of asymmetric dimethylarginine (ADMA) and NG-Monomethyl-L-arginine methyl ester (L-NMMA) on inhibition of nitric oxide synthase activity. Materials and Methods: In this laboratory study, Nitric oxide synthase was extracted from 500 grams of sheep kidney by homogenization, ammonium sulphate precipitation and column chromatography on DEAE-32 Cellulose and 2', 5'-ADP-agarose. During purification, protein content was measured according to the Bradford and enzyme activity was assayed using the Griess reactions the inhibitory effects of 25 μΜ concentrations of ADMA and L-NMMA on purified enzyme were determined. Results: Specific activity and yield of NOS were 0.6 units/mg protein and 0.9%, respectively. Molecular weight of purified enzyme was 54 KD with SDS-PAGE. ADMA and L-NMMA in 25 μΜ concentrations reduced enzyme activity by 76 and 61.2%, respectively. Km values for NOS in absence and in presence of ADMA and L-NMMA were 5.32 μM, 31.25 μM (P<0.05) and 14.29 μM (P<0.05), respectively. Vmax for NOS in absence and presence of inhibitors was not changed. Conclusion: ADMA and L-NMMA have competitive inhibitory effect on NOS activity and ADMA have higher inhibitory effect than L-NMMA.

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Background and Objective: The kidney has a key role in homeostatic regulation. Vascular endothelial growth factor (VEGF) is essential regulator of stimulatory and inhibitory processes for neonatal, post-natal endothelial cell differentiation. This study was done to determine the effect of maternal swimming during pregnancy on VEGF level of kidney in rat pups. Methods: In this experimental study, sixteen Wistar rat dams were allocated into interventional swimming and control groups. In the first day of pregnancy, in interventional group, swimming was performed for 30 minutes a day and 5 minutes every day was added until the time of training gradually reached to one hour per workout. Dams swimming endurance training were performed in 5 days per week for three weeks. Pups’ kidneys were removed two days after birth and kindney tissue VEGF level was determined using ELISA method. Results: Kidney tissue VEGF level in interventional swimming group (133.13 pg/ml) was significantly increased in compared to controls (48.19 pg/ml) (P<0.05). Conclusion: Swimming endurance training increases the pups’ kidney VEGF level.

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Background and Objective: Diabetes mellitus can cause kidney histological changes. This study was done to evaluate the effect of barley grain (Hordeum vulgare L.) consumption during pregnancy in diabetic rats on kidney histological altrations of offsprings. Methods: In this experimental study, 60 adult female albino rats, randomly allocated into four groups including: healthy with regular meals consumption as control, healthy which consumed barley (10 grams per each rat per daily), diabetic with regular meals consumption and diabetic group which consumed barley (10 grams per each rat per daily). Diabetes was induced by intraperitoneal injection of 45 mg/kg/bw of streptozotocin. After confirmation of pregnancy by observing the vaginal plug, on 21th day, the dams were anesthetized and embryos were removed. Crown rump length and weight of embryos were recorded. After kindney tissue processing, sections with 5 micrometer thickness were stained with H&E method. Results: Interstitial tissue and capillary congestion, Bowman's capsule wall thickening, degeneration of epithelial tissue, distal and proximal tubules, incomplete formation of glomerular and inflammation were observed in embryos of diabeticts group. These tissues alterations significantly reduced in the embryos of diabetic group which consumed barley. The crown rump length of embryos significantly reduced in diabetic group in comparision with controls. There was not any diferences in crown rump length of embryos between diabetic consumed barley and diabetic group. The weight of embryos was non - significantly more in diabetic groups than controls. The weight of embryos reduced non - significantly in diabetic plus barley consumption in comparision with controls. Conclusion: The consumption of barley is beneficial in reducing kidney histological alterations in embryos of diabetic rats.

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

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Background and Objective: Iron oxide nanoparticles have wide applications such as MRI contrast agent and drug delivery. Nevertheless, their effects on human health have not been fully investigated yet. After cellulose, chitin is one of the most abundant organic materials in nature which is widely used in food industry, cosmetics, agriculture, medicine and the environment. This study was done to evaluate the effect of iron oxide nanoparticles coated with chitosan on renal functional indeces in rat.

Methods: In this experimental study, 60 adult female Wistar rats were allocated into 10 equal groups. Concentrations of 50, 100 and 150 mg/kg/bw from chitosan, iron oxide nanoparticles and chitosan coated nanoparticles were intraperitoneally injected into 9 groups and animals in control group were received normal saline. Blood samples were collected directly from the rat heart in the days 15 and 30 post after injection and renal functional indeces including urea, creatinine, uric acid, sodium, potassium and total protein were measured.

Results: There were no significant differences in the level of urea, creatinine, uric acid, sodium, potassium and total protein in the groups whom received chitosan-coated iron oxide nanoparticles compared to control. There was no mortality during the study time.

Conclusion: Short-term using of iron oxide nanoparticles coated with chitosan does not create any toxicity in the rat kidney.

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Background and Objective: Iron oxide nanoparticles, including nanoparticles is important in industry and medicine. Nanoparticles affect on detoxification of environmental pollutants such as Pesticides and chlorinated organic solvents.This study was done to evaluate the short term effect of Fe2NiO4 composite nanoparticle on kidney function indeces in wistar rats.

Methods: In this experimental study, Twenty four Wistar rat were randomly allocated into three groups, including: control, treated groups 1 and 2. Animales in control, treated groups 1 and 2 were received 0.5cc of saline, 0.5cc of solution containing 100, 200 ppm Fe2NiO4 for 7 days, respectively. Uric acid, ceratinine and urea (BUN) were measured at day 2, 7 and 14.

Results: BUN level in treated groups 1 and 2 significantly reduced in comparison with control group at day 7, 14 after intervention (P<0.05). Uric acid level in treated groups 1 and 2 significantly increased at day 7 and 14. 2 week after intervention, the mean creatinine levels in treated group 2 group significantly reduced in compare  to the in treated group 1 and controls (P<0.05).

Conclusion: It seems that the application of Fe2NiO4 nanoparticles in biological system has no toxic effect on the kidney function indeces.

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Background and Objective: Aging eldely is associated with impaired angiogenesis, glomerulosclerosis and increased susceptibility to nephrotoxic injury. This study was done to compare the independent and combined effect of aerobic exercise and garlic extract on the levels of renal vascular endothelial growth factor (VEGF) and transforming growth factor-β1 (TGF-β1) in eldely rats.

Methods: In this experimental study, 35 aged eldely male Wistar rats were randomly allocated into 5 groups including control, sham, garlic (2.5 g/kg/bw), aerobic exercise, garlic plus exercise. The animals exercised by swimming training at 5 min to 60 min per day, 3 days a week over 8 weeks. Animals in garlic plus exercise were received garlic extract (2.5 g/kg/bw) and swimming training. The renal TGF-β1 and VEGF level were evaluated by ELIZA method.

Results: 8 weeks swimming training, garlic supplementation and the combined intervention were associated with a significant increased the renal VEGF and reduced TGF-β1 level (P<0.05). There was no difference between swimming training, garlic supplementation and garlic plus exercise on renal VEGF and TGF-β1 levels in aged rats.

Conclusion: It seems that the protective role of regular swimming training, garlic supplementation and the combined intervention in the renal aging process meight in part be related to their ability to attenuate TGF- β1 and up regulating VEGF.

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Background and Objective: Bisphenol A (BPA) is an endocrine disruptor chemical and as an environmental pollutant is able to generate free radicals causing tissue damage. This study was done to investigate the effect of Nigella sativa oil against BPA induced toxicity on the tissue of male NMRI mice kidney by stereological method.

Methods: In this experimental study 24 adult male NMRI mice (32±3 g) were randomly allocated into control, BPA (200 mg/kg/day), BPA (200 mg/kg/day) plus Nigella sativa oil (5 ml/kg/day) and Nigella sativa oil (5 ml/kg/day) groups and treated for 5 weeks, orally. At the end, animals were sacrificed, their left kidneys were removed, fixed, sectioned, processed and stained with Heidenhain' azan staining method. Then, the kidney tissue sections were evaluated using stereological method and serum malondialdehyde (MDA) level was also measured.

Results: The total weight and volume of kidney, volume of cortex, volume of proximal and distal tubules and volume of their lumen, volume of interstitial tissue, volume of glomeruli, tuft, as well as serum MDA level significantly increased in BPA treated group compared to the controls (P<0.05). These parameters were significantly reduced in BPA plus Nigella sativa oil group compared to BPA ones (P<0.05).

Conclusion: This study revealed that Nigella sativa oil can reduce the oxidative stress toxicity induced by BPA in the mice renal tissue.

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Background and Objective: The unique properties of carbon nanotubes have been used for medical, biological and industrial applications, but it simultaneously exposure to humans and organisms poses a potential for toxic effects on human health and the environment. This study was done to evaluate the effect of multi-wall carbon nanotubes toxicity on kidney function and tissue in rats.
Methods: In this experimental study, 50 mature female Wistar rats were allocated into five groups including: control and experimental groups with dosage of 2.5, 5, 10, 20 mg/kg/bw, respectively. Animals in control group were received physiological saline and Tween.Animals in treatment groups were received 2.5, 5, 10, 20 mg/kg/bw of multi-wall carbon nanotubes functionalized with carboxylic group with diameter less than 8 nm and length 30 micrometers in 8 steps in one day intraperitoneally. Blood samples were conducted in two phases: one day after the last injection and 20 days after the last injection. Urea, uric acid, creatinine and malondialdehyde levels were measured in blood serum. Tissue samples were provided by preparing histological sections of kidney in each group and stain with hematoxylin-eosin. The tissue structure of the kidney was examined by optical microscopy.
Results: In the first stage (one day after the last injection), only the amount of uric acid at concentrations of 2.5 and 5 mg/kg significantly reduced in comparison with controls and other treated groups, respectively (P<0.05). There were no significant changes in the level of other biochemical factors in compared to the control. However, 20 days after the last injection, significant reduction in the level of uric acid and urea was observed in 2.5, 5, 10, 20 mg/kg/bw of multi-wall carbon nanotubes in compared to the control group, although significant reduction in creatinine was seen in dosages of 5 and 10 mg/kg/bw of multi-wall carbon nanotubes in compared to controls (P<0.05). Histological studies showed altrations in trated groups including  accumulation of hyaline-like substances derived from the activity of eosinophils and accumulation of inflammatory cells (basophils and neutrophils) in the cortical and medula of the kidney, glomerular degeneration, Bowman capsule dilatation and degeneration of  proximal tube wall in the renal cortex which  these alterations  were dose-dependent.
Conclusion: Multi-wall carbon nanotubes functionalized with carboxyl groups even in low dosage (2.5 mg/kg) and after 20 days of injection cause toxicity in tissue structure and kidney function.

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Background and Objective: Acquired kidney cysts usually occur in end stage renal disease (ESRD) patients undergoing long-term hemodialysis. Increasing growth of cysts is also seen in asymptomatic patients and they can cause complications such as retroperitoneal and intrarenal bleeding, Erythrocytosis, infection of cysts and renal cell carcinoma with distant metastases. This study was designed to evaluate the prevalence of acquired kidney cysts and its related factors in hemodialysis patients.
Methods: In this descriptive-analytical study, 123 patients (mean age 55.22+13.23 years) were selected from hemodialysis patients referred to dialysis center. Patients with autosomal polycystic kidney disease, medullary sponge kidney and medullary cystic kidney disease were not included. Diagnosis of acquired kidney cysts of Patients was performed by ultrasonography.
Results: The overall prevalence of kidney cysts was 44.6%. 30 percent of diabetic patients had kidney cysts, while kidney cysts were present in 51.2% of nondiabetic patients. 32.4% of patients were received twice a week dialysis and 42.4% of patients were received three times a week dialysis had kidney cysts. Mean±SD of duration of dialysis history in patients with cystic kidneys was 22.02±22.65 months, while these measures in patients with noncystic kidneys were 22.65±14.65 months. There was a relationship between kidney cysts and the numder of hemodialysis per week (P<0.05). There was a relationship between prevalence of kidney cysts and the qulity of hemodialysis (P<0.05)
Conclusion: This study showed that there was a relationship between prevalence of kidney cysts and the qulity of hemodialysis and the numder of hemodialysis per week.

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Background and Objective: Aspartame is a kind of artifical and non-sugar sweetener that is used as a sugar substitute in some foods and beverages. This study was done to determine effect of Aspartam on histomorphometric alterations, kidney function and expression of Bcl2, Bax, Caspase 3, P53 Genes in Mice.
Methods: In this experimental study, 36 adult male NMRI mice were allocated into four groups including control group and three experimental groups. The mice in the control group received 0.3 ml of distilled water by oral gavage for 90 days and the experimental groups received 40, 80 and 160 mg/kg aspartame, respectively orally and daily. One day after treatment, blood and kidney tissue samples were taken to evaluate biochemical, histomorphometric alterations and gene expression.
Results: Renal capsule diameter, glomerulus diameter and height of the epithelial layer of distal and proximal tubules were significantly reduced in treated groups compared to control group with increasing dosage of aspartame (P<0.05). However, the size of the urinary space and the diameter of the lumen of distal and proximal tubules were significantly increased in treated groups in compared to control group (P<0.05). The level of blood nitrogen urea (BUN) and creatinine significantly increased treated groups in compared to the control group with increasing dosage of aspartame (P<0.05). Also, with increasing dosage of aspartame, Bcl2 gene expression significantly reduced in treated groups in compared to the control group (P<0.05) however expression of Bax, Caspase 3 and p53 genes were significantly increased in treated groups compared to the control group (P<0.05).
Conclusion: Aspartame can cause changes in biochemical, histomorphometric indices, expression of Bcl2, Bax, Caspase 3 and P53 genes in mice kidney.

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Background and Objective: Vitamin deficiency is common in patients with chronic low back pain and is one of the most important risk factors for chronic kidney disease. The aim of this study was to evaluate the effect of one course of core stabilization exercise and vitamin D intake on some of renal function biomarkers in patients with chronic back pain.
Methods: This single-blind clinical trial study was done on 48 women with chronic low back pain with random assignment in 4 groups of 12 people including control, exercise, vitamin D and combined groups. The exercise and combined groups performed 8 weeks of core stabilizing exercises with different levels. The vitamin D and combined groups received 50,000 IU vitamin D/week. Creatinine, urea and uric acid levels were measured before and after the interventions.
Results: The results showed that 74.26% and 25.64% of the patients had deficiency and insufficiency of vitamin D, respectively. After 8 weeks, significant reduction was observed in creatinine, urea and uric acid indicators of the exercise, vitamin D and combined groups (P˂0.05). In addition, combined intervention induced more reduction in mean of urea, and uric acid levels in compared to the two other interventions but the effect of exercise on the reduction of uric acid was more than vitamin D intake (P˂0.05).
Conclusion: Both core stabilization exercises and vitamin D intake intervention can be effective in improving renal function in chronic low back pain patients having abnormal low vitamin D levels. On the other hand the combined intervention seems to have more effectiveness.

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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.