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Background & objectives:  Fleas are clinically important parasites for affecting human health. These insects are carriers of some pathogens such as Yersinia pestis, Rickettsia typhi, Q fever, Tularemia and Bartonella henselae which are infectious for humans and animals. The aim of this cross –sectional study was to detection of Rickettsia, Bartonella and Wolbachia pathogens in infected Ctenocephalides canis and Pulex irritans using molecular method in West and Northwest of Iran.
Methods: The present study is a, descriptive, cross-sectional study (prevalence rate=10%, confidence level=95%,  error rate=5%) which  performed on samples collected from five provinces including  Kermanshah, Kurdistan, Azerbaijan Western, Lorestan and Hamedan for 13 months from May 2018 to June 2019. In this study, samples were collected by optical trap, human prey and direct isolation of the sample from the host and identified in the parasitology laboratory using valid diagnostic keys. The prevalence of Rickettsia, Bartonella and Wolbachia in the collected samples was detected using polymerase chain reaction (PCR). Amplification and sequencing of gltA, pap31 and 16SrRNA genes were used for molecular diagnosis of  Rickettsia, Bartonella, and Wolbachia respectively.
Results: The collected samples included 918(47.39%) fleas of C.canis and 1019 (52.60%) fleas of P.irritant. The PCR products of each gene was subject to sequencing. In this study, 12.9% , 5.21% and 5.21% of fleas were positive for  Wolbachia , Rickettsia and Bartonella, respectively .
Conclusion: Bartonella, Rickettsia and Welbachia are vector borne infectious agent. Due to their high pathogenicity and easily transmission among insect and human, monitoring of insects is essential for the controlling of the infection and preserving the public health in endemic area.

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Background & objectives: Obesity and osteoporosis are major problem that their prevalence is increasing. Physical activity can be effective in the prevention of osteoporosis by some mechanisms such as changes in anthropometrics variables. Body mass index (BMI) in men and women is closely related to bone mineral density (BMD). However, the relationship varies between BMI and BMD according to the  different studies. Therefore, the aim of this study was to investigate the relationship between body mass index and lumbar bone mineral density in active and inactive middle-aged women.
Methods: Sixty active, middle-aged women and 60 inactive women in the age range of 50 to 65 years, with medical records and clinical trials were selected in Milad Hospital in Tehran. Body mass index was calculated and bone mineral density was measured by DEXA scan in the lumbar spine (L₁ to L₄). Independent t-test and Pearson correlation coefficient were used to evaluate the data. SPSS software version 26 was used for data analysis.
Results: The results of this study showed that in the active group in L₁, L₃ and L₄ lumbar vertebrae (p=0.034, p=0.017, p=0.019, respectively), and in the inactive group in L₃ and L₄ vertebrae (p=0.034, p=0.022, respectively), there was a positive and significant relationship between body mass index and bone mineral density. No significant relationship was found in other lumbar vertebrae of both groups.
Conclusion: The results of the present study showed that weight gain and consequently BMI among active women reduce the risk of osteoporosis. Physical activity in women seems to lead to more muscle mass, which in turn leads to an increase in bone mineral density. Considering this issue, it can be said that one of the applications of the results of the present study is the use of this index in predicting the bone density of individuals

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Background & objectives: Preptin and adropine are peptide hormones that play an important role in the controlling of obesity by regulation of carbohydrate metabolism. The purpose of the present study was to investigate the effect of aerobic training on preptin, adropine and insulin resistance in men with overweight.
Methods: In this clinical trial study, 18 overweight and obese men (age 58.39±3.92, body mass index 28.75±1.23) were selected and randomly divided into two groups (control and exercise). Exercise group participated in an aerobic exercise program for eight weeks, five sessions per week (with an intensity of 65 to 85% of maximum heart rate, 40 minutes). Two days before and after the protocol, fasting blood samples were taken. Preptin and adropine were measured by ELISA. Data were tested using independent t-test and ANCOVA at a significance level of p<0.05.
Results: The level of preptin in the experimental group was significantly reduced compared to the control group (p=0.001) and the pretest (p=0.000). Also, the adropine level in the experimental group increased significantly compared to the control group (p=0.000) and the pretest (p=0.000). Also, Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) values in the exercise group compared to the control group (p=0.000) and pretest (p=0.000) showed a significant decrease.
Conclusions: Exercise improved glycemic index in obese and overweight men by improving the levels of preptin and adropine. It seems that aerobic exercise can be an effective intervention method to control and prevent the occurrence of metabolic diseases in these people.

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Background & objectives: Epilepsy is one of the most common problems in the health system, of which some cases are resistant to treatment. Recently, environmental enrichment has shown beneficial results in the recovery of some cases of epilepsy.
Methods: Male mice were reared in an enriched or normal medium during their growth period. To induce seizures, at adult age, each group was divided into two subgroups, which one of them received pentylenetetrazole eleven times, with two days interval.
Results: The enriched environment greatly reduced seizure behaviors and prevented the occurrence of anxiety-like behavior and cognitive disorders. It also prevented an increase in the inflammatory cytokine of TNF-α in the hippocampus.
Conclusion: Therefore, a suitable growth environment in childhood and adolescence can be useful in preventing seizure disorders in adulthood.

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Background & objectives: The deposition of amyloid beta (Aβ) peptide in the brain is one of the most important features of Alzheimer's disease. In addition to memory loss, Aβ can lead to depression behavior. Alpha-pinene is a type of monoterpene that has antioxidant, anti-inflammatory, and neuroprotective effects. Here, by using an animal model for Alzheimer's disease, we investigated the effect of alpha-pinene on neuronal cell death in the hippocampus and depression induced by Aβ_1-42.
Methods: Male Wistar rats weighing 240-260 g were divided into four groups including control, alpha-pinene, Aβ, and Aβ-alpha-pinene. Rats were placed in stereotaxic surgery apparatus and Aβ_1-42 was injected into the hippocampus (4 µg per side) and alpha-pinene was treated intraperitoneally (50 mg/kg) for 14 consecutive days. At the end of the course, the level of depression was assessed using the forced swimming test. The animals' hippocampus was also examined microscopically after Nissl staining.
Results: Intra-hippocampal injection of Aβ_1-42 increased the total immobility time in the forced swimming test (p<0.01), decreased the number of pyramidal neurons in the CA1 area (p<0.001), and reduced the thickness of the neuronal layer in this region of ​​the hippocampus. Treatment with alpha-pinene largely prevented these changes.
Conclusion: It can be concluded that alpha-pinene decreased the beta-amyloid-induced depressive behavior in rats and inhibited the neuronal loss, suggesting that this neuroprotective compound may have a critical role in depression. Alpha-pinene is probably a suitable therapeutic strategy for repressing Aβ-induced neurodegeneration

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Background & objectives: Caffeine can affect many physiological functions of the body. The aim of this study was to investigate the response of aerobic function, blood pressure and some immune system factors of trained men to acute caffeine consumption in dehydrated condition and warm and humid environment.
Methods: Thirty male athletes with a mean age of 26.6±3.9 years in dehydrated conditions voluntarily participated in this study, which was performed in a double-blind manner. Subjects were divided into three groups: caffeine consumption group (n=10), placebo group (n=10) and control group (n=10). The Caffeine group consumed 6 mg/kg body weight of caffeine. Sixty minutes later, the subjects performed an increasingly exhausting exercise. Blood samples collecting and blood pressure measuring took place before, immediately after and 24 hours after exercise. Analysis of variance with repeated measures (group * time) and one-way analysis of variance were used for statistical calculations.
Results: The duration of the exhaustion test in the caffeine consumption group was significantly longer than the control (p≤0.01) and placebo (p≤0.05) groups. In the blood sampling immediately after exercise, the level of leukocytes, neutrophils and lymphocytes in the exercise groups were significantly higher than the control group (p≤0.001). Also, the caffeine group experienced a lower increase in leukocytes and neutrophils compared to the placebo group (p≤0.001). Blood pressure values ​​in the exercise groups were significantly higher than the control group (p≤0.001). Also, the caffeine group experienced a greater increase in systolic blood pressure at baseline and immediately after exercise compared to the placebo group (p≤0.001).
Conclusion: In general, exhausting exercise in a warm environment and dehydrated condition increases the number of immune system cells and blood pressure. In addition to improving aerobic function, caffeine seems to prevent further increases in the number of immune system cells, while increasing blood pressure in the normal range in warm and humid environment.

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Background & Objectives: Gastric cancer is the fourth most common cancer in the world and Ardabil province is in the top ranks in the world. MicroRNAs are non-coding RNA molecules with a length of 18 to 21 nucleotides and due to their regulatory role in post- transcriptional gene expression; single nucleotide polymorphisms (SNPs) could affect their function on target genes regulation.
Methods: Genomic DNA was extracted from peripheral blood of 150 healthy volunteers, which were born and living in Ardabil province, 30 SNPs in microRNA genes have been detected by the Whole Exome Sequencing assay. Then, the obtained results were evaluated using Sanger-based PCR-Sequencing method. The Pearson correlation test was used for finding significant relationships.
Results: After confirming the WES results, the population frequency of the selected variants was compared with the general populations of Iran, Europe and the world. Based on the age-standardized rate (ASR), six variants with significant differences, including rs10061133, rs12220909, rs12983273, rs2292832, rs2505901 and rs6505162 were observed.
Conclusion: According to the previous case-control studies which indicate the association between the variants rs10061133, rs12220909, rs12983273, rs2505901, and rs6505162 and gastric carcinogenesis in various populations, the observed significant differences in our population could imply on the presence of the cancer susceptibility in Ardabil province.

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Background & objectives: Insulin-like growth factor -1 (IGF-1) has a variety of roles, but the abundance of scientific evidence indicates that it is a metabolic biomarker associated with physical fitness and health. The present study investigates the effect of eight weeks of polarized exercise training on serum GH / IGF-1- indices in active young men.
Methods: In this double-blind experimental study, 20 young males were allocated randomly into polarized training group (N=10) and a control group (N=10). The polarized training group performed 80-70% of the main workout volume (30 minutes) with light to moderate with 50-60% reserve heart rate (RHR) intensity and the remaining 20-30% at 85-95% RHR intensity; in a way that they ran two periods consisting 3 repetitions of 15-30 seconds, with 30-60 seconds of active rest after each repetition and 3 minutes of active rest after each period. Blood samples were taken from all subjects in three stages, including: pre-test stages, 24 hours before the start of the post-test, and after 12 hours overnight fasting. Post-test samples were collected, one sample immediately after the first session and the another  48 hours after the end of the last exercise session.
Results: The results of the present study showed that bipolar training significantly increased growth hormone and free IGF-I levels after one training session, and after eight-week bipolar training program. However, total IGF-1 levels decreased significantly after one exercise session and after eight-week bipolar exercise program. Also, no significant change was observed in IGFBP-3 and IGFBP-5 levels after one training session and eight-week training program. Acid-labile subunit levels did not change significantly after one training session, but decreased significantly after eight weeks of bipolar training.
Conclusion: Based on the results of the present study, it seems that the use of bipolar exercises, training may be a good way to improve the hormonal function and assess the level of health and physical fitness of active young men.
 

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Background & objectives: Age-related cardiovascular dysfunction is often accompanied by impaired mitochondrial biogenesis and function. Exercise training can improve mitochondrial function and content in muscle to meet the energy demands of the cells. The purpose of the present study was to investigate the effect of moderate-intensity (MRT) and high-intensity (HRT) resistance training on the expression of PGC-1α, TFAM and AMPK of cardiomyocytes in elderly rats.
Methods: In this experimental study, 30 elderly male rats (23 months) were divided into 3 groups: control (C), MRT and HRT. Training groups exercised resistance training for eight weeks (5 days a week). The resistance training protocol consisted of climbing a 110- centimeter -long ladder, with a weight attached to a tail sleeve. In the MRT group, the training protocol with 60% MVCC, 14-20 times climbing the ladder; In the HRT group with 80% MVCC, 9-10 times climbing the ladder was performed. Data were tested using ANOVA at a significance level of p<0.05.
Results: the expression of PGC-1α, TFAM and AMPK was significantly increased in MRT and HRT groups compared to control group (p=0.000). There was no significant difference between MRT and HRT groups on the expression of PGC-1α, TFAM and AMPK (p=0.574).
Conclusions: Eight weeks of MRT and HRT exercise improved mitochondrial biogenesis by increasing the expression of AMPK, PGC-1α and TFAM Cardiomyocytes in Elderly Rats. Both types of exercise training may be considered an effective intervention to improve mitochondrial function

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Background & objectives: Using medications that decrease postoperative pain and opioid consumption is a widely recommended approach. The aim of this study was to evaluate the efficacy of intravenous Ibuprofen and its complication in controlling pain after abdominal surgery.
Methods: This study was a randomized, double-blind, interventional clinical trial. Sixty patients aged 20 to 60 years were candidates for abdominal surgery (inguinal hernioplasty and appendectomy). Patients were divided into two equal size groups (n=30) using a random block design method. The First group received (400 mg IV) ibuprofen every 6 hours for 24 hours as well as (15 microgram/ml bolus) fentanyl pump with PCA. Second group only received (15 microgram/ml blous) fentanyl pump with PCA. 
Results: Demographic characteristics and duration of surgery, ASA class, type of anesthesia and type of surgery were similar in the two groups. Pain severity in 24 postoperative hours was significantly lower in the ibuprofen group compared with the control group. Nausea and vomiting frequency in 24 postoperative hours was significantly lower in the ibuprofen group compared with the control group. Patients belonging to ibuprofen group were significantly more satisfied with their analgesic method.
Conclusion: Results showed that using 400 mg intravenous ibuprofen every 6 hours mitigates postoperative pain, reduces fentanyl consumption and is highly tolerated by patients.

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Background & objective: Despite of significant advances in medicine, infectious diseases still threaten the health of society. A new type of Coronavirus called Covid-19 has become increasingly common in the world.  Because of quarantine, the interactive patterns between family members, especially couples with Corona was affected and changed. The main goal of this research is to study the factors affecting interactive patterns between couples in the Corona period according to the conditions of the disease and home quarantine.
Methods: This study is a qualitative research and was done by Phenomenological method. The Participants included 15 men and women coronavirus survivors in 2020 that were selected by targeted sampling method. Semi-structured interviews were used to collect data.
Results: This research findings indicated that 5 main themes included: Changing roles, experiencing negative emotions, Coping behaviors, Support and Communication problems and 22 sub-themes.
Conclusions: The results showed that the performance of couples can play an effective role in the transition from crisis and disease and the type of their behaviors in this period can affect marital satisfaction or dissatisfaction.

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Background & objectives: Low birth weight is considered one of the most serious health problems in the world that puts tremendous pressure on the health care system and family. The aim of this study was to investigate the relationship between some maternal risk factors and low birth weight.
Methods: The present study was a cross- sectional study performed on 264 cases. The data gathering tool was a checklist with two parts to compare two groups in this research. The first part was related to the infant's characteristics (sex, weight, and gestational age of the newborn), and the second part related to maternal characteristics. Data were analyzed using SPSS software. Inferential statistics including Mann–Whitney u, chi-square, fisher exact test and logistic regression were used to investigate the relationship between the variables.
Results: In this study, the level of education was lower in mothers with term low birth weight neonates (p=0.024), also normal delivery was reported more frequently among mothers with low birth weight infants (p=0.0001). Also, the mean BMI and the weight at the beginning of pregnancy and overweight in mothers with term neonates and normal weight were greater (p=0.0001, in all). The first minute Apgar score and the fifth minute Apgar score were lower in mothers with low-birth term infants (p=0.002 and p=0.0001). Also distinguished that the gestational age (week) was lower in mothers with low-birth term infants (p=0.0001).
Conclusion: According to the results, increasing progress the pregnancy per week makes it possible to increase the normal weight of newborns by 3.11%.

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Background & objectives: Vitamin D deficiency and poor sleep quality are important factors in health disorders and are common among women. The aim of this study was to investigate the effect of physical activity on vitamin D levels and improving sleep quality in women.
Methods: This descriptive-analytical study was conducted on active and inactive women (85 individuals in each group), aged 30-48 years that were selected using convenience randomized sampling. The Pittsburgh Sleep Quality Questionnaire was used to assess sleep quality and a score higher than 5 was determined as poor sleep quality. For analysis of data, Kruskal Wallis and Mann Whitney U tests and Spearman coefficient were used at a significance level of 0.05.
Results: The results showed that 54.12% and 28.82% of women had a deficiency and insufficient levels of vitamin D, respectively, and 61.8% had poor sleep quality. Active women had higher levels of vitamin D and better sleep quality compared to inactive women (p<0.05). There was also a direct relationship between vitamin D levels and sleep quality in active and inactive women. However, this association was significant in active women with vitamin D deficiency and inactive women with different vitamin D status.
Conclusion: It seems that physical activity can increase vitamin D levels and improve sleep quality in women. But vitamin D status, especially its deficiency, may be one of the most important determinants of sleep quality in active and inactive women.

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Background & objectives: The aim of this study was to evaluate the effects of preventive administration of ketamine, fentanyl and paracetamol on pain intensity and hemodynamic parameters after deep vitrectomy.
Methods: In this clinical trial, 80 candidates of deep vitrectomy surgery were randomly assigned into 4 groups (1-4) and received 0.5 mg / kg ketamine, 2 μg / kg fentanyl, 10 mg/kg of paracetamol and equivolume of normal saline respectively intravenous infusion during the last 15 minutes of surgery. Pain intensity and hemodynamic parameters were recorded and analyzed.
Results: Pain intensity was significantly higher in placebo group during the first 4 hours after operation (p<0.01), but no significant differences were observed between the study groups at 8 and 24 hours after operation in this regard. There were no significant differences between the three intervention groups in terms of pain intensity during the study. Also there were no significant differences between the 4 study groups regarding to hemodynamic parameters.
Conclusion: The use of each of the three intervention drugs significantly reduced the pain intensity compared to the control group without any hemodynamic derangement.

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Background and objectives: Urinary tract infection (UTI) is the most prevalent infection and Escherichia coli (E. coli) is one of the main causes of UTI worldwide. Integrons are mobile genetic elements considered to be responsible for dissemination of multi-drug resistance infections. Therefore, the aims of this study were to investigate the antibiotic resistance patterns and distribution of class I, II and III integrons among E. coli isolated from patients.
Methods: In this descriptive cross-sectional study, from Jun 2020 to March 2021, in total, 70 non-duplicate strains of E. coli were isolated from patients with UTI referred to Amiralmomenin hospital, Zabol, Iran. Antibiotic resistance patterns were determined using Kirby-Bauer’s disk diffusion method and Clinical and Laboratory Standards Institute (CLSI) guidelines. Class I, II and III integrons were detected using polymerase chain reaction (PCR).
Results: The isolates showed high resistance toward ampicillin (77.1%), trimethoprim- sulfamethoxazole (58.5%) and ceftriaxone (35%), whereas were mostly susceptible to meropenem (97%). Based on results of PCR, 34 (48.6%) and 3 (4.3%) isolates were classified as class I and class II integron-positive strains, respectively.
Conclusion: Resistance rate to ampicillin, ceftriaxone and trimethoprim-sulfamethoxazole was at a high level and their prescription should be restricted. Class I integron is widely distributed among E. coli isolates and play a crucial role in the emergence of antibiotic resistance

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Background & objectives: Long QT syndrome (LQTS), congenital or acquired disorder, is characterized by a prolonged QT interval associated with syncope attacks and sudden death. Jervell and Lange-Nielsen first described LQTS in conjunction with sensory-neural congenital deafness. In long QT syndrome, the modified QT interval is greater than 440 ms and 460 ms in men and in women respectively. Acquired forms of prolonged QT are the consequence of metabolic disorders and various medications.
Since the number of people with congenital deafness in the society is not low and studies in Iran about this syndrome, especially in children are limited, therefore identification of these patients by performing an ECG and simple measures, may be useful in reducing sudden death among these patients. The aim of this study was to determine the prevalence of prolonged QT syndrome in children with congenital sensory-neural deafness which undergoing cochlear implant surgery.
Methods: In this study, a single-center cross-sectional observational study, all children with congenital deafness which undergoing cochlear plantation at northwest of Iran were enrolled. Patients' heart rate and QT interval were calculated using Bazett's formula. The association of long QTc with syncope and sudden death, evaluated by using Schwartz's criteria in children with long QT syndrome.
Results: Of the 357 studied patients, 204 (57.1%) were male and 153 (42.9%) were female. The mean±SD of the current age of the patients was 7.15±2.93 years with a mean of 7 years. The mean±SD of QT interval in the studied patients was 291.01±26.89 ms with a mean of 280 ms. the mean±SD of the  QTc interval in the studied patients was 400.52±25.74 ms with a median of 404 ms. Frequency of Long QTc in the studied patients was 17 cases (4.8%) and long QT syndrome was 5 cases (1.4 %).  
Conclusion: The prevalence of prolonged QT syndrome in patients with congenital deafness in northwest of Iran in 2019 was 4.8%, and 2 cases had syncope and 3 cases had sudden death.

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Background & objectives: The main motivator of hospitals is manpower. The expansion and complexity of educational medical centers and the appearance of new diseases such as Covid-19 have increased the need for effective management. During the Covid-19 crisis, in which hospitals are at the forefront, special measures should be taken for better management in critical situations. The current study has been conducted with the aim of identifying the main factors affecting management in crisis and its control.
Methods: The study method was the "Mix Method" performed in two stages. The first stage was exploratory; in this stage 19 university experts as a research sample were selected by simple random sampling. The second stage was a quantitative, confirmative, and survey study. 202 patients were selected randomly as a research sample from both educational-medical centers involved in Covid-19 of Ardabil city. Data were collected by using a questionnaire. Descriptive analysis of data was performed using SPSS software for heuristic factor analysis, and LISREL software was also used for confirmatory factor analysis and finding correlations between factors.
Results: In this study, 17 factors were identified and confirmed, affecting the crisis management in 5 dimensions, including; safety training, crisis control, trust in human resources, sense of vulnerability, the physical and mental health, transparency, justice, participation in decision-making, trust in the manager, honesty, the expectation of needs, efficiency, reward, elimination of stresses, fulfillment of manager's promises, controlling of crisis, inter-sectorial solidity. There was a significant correlation between factors with latent variables.
Conclusion: From the perspective of management, being prepared and training the committed forces are very important in controlling the crisis. Manpower plays the main role in the Covid-19 crisis and treating patients, so paying attention to them by considering the factors and dimensions of leadership, social, motivation, organization, and quickness has high importance.
 

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Background & objectives: Sex impacts the manner in which a person responds to such disease as susceptibility and progression. The aim of this study was to investigate the sex differences in the genotype distribution and allele frequency of some of the adiponectin gene polymorphisms and the comparison of the interaction of the studied polymorphisms and type 2 diabetes-related environment risk factors between males and females.
Methods: This study included 103 males and 79 females with type 2 diabetes and 94 healthy males and 61 healthy females for control. Genotyping was performed using amplification refractory mutation system-PCR (T-ARMS-PCR). Statistical analysis was done using SPSS-26.0. The interaction between SNP-SNP and SNPs-environmental factors was analyzed using MDR (version 3.0.2) software.
Results: Sex-genotype interaction effect was significantly associated only for triglycerides with SNP-11391G/A (p= 0.027). For SNP+45T/G, the difference genotypes were distinctly associated with hemoglobin A1c (p=0.024), body mass index (p=0.033) and body fat percentage (p=0.018). For +276G/T fasting insulin level detected a potential difference in genotypes (p=0.016). Regarding to the results of MDR analysis, the combination of fasting blood glucose, rs17300539 and sex was the best three-factor model. In this model, the distribution of patients according to sex is demonstrated that most men with GA and AA genotypes of -11391G/A had Hemoglobin A1C more than 8.5 while in women there was no relation to genotype found.
Conclusion: Sexual difference impact the interaction between adiponectin gene polymorphisms and environmental risk factors. According to the findings of this study, the effect of environmental risk factors on the progression of type 2 diabetes related to Adiponectin gene polymorphisms are demonstrated within the males more than females.

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Background & objectives: Research on intelligent nanomaterials that accelerate the process of nerve regeneration and treatment by different methods such as antioxidant effects, stimulation of nerve cell proliferation, modulation of the immune system and inflammatory factors is great importance. The aim of this study was to prepare cinnamon-coated cerium oxide nanoparticles and evaluate its antioxidant and cytotoxicity effects on PC12 cell line.
Methods: Cinnamon-coated cerium oxide nanoparticles were prepared and their structural properties were evaluated by transmission electron microscopy (TEM) and Fourier transform infrared spectroscopy (FTIR). To evaluate the antioxidant properties of the compounds, free radical trapping methods 2 and 2 diphenyl-1-picryl hydrazyl were used. Cell viability in the presence of compounds was measured by a toxicity test (MTT) [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide]. Data were analyzed by one-way analysis of variance and Tukey's post hoc test.
Results: FTIR spectra and TEM images showed the processing of nanoparticles with an average size of less than 100 nm with cinnamon coating on their surface. Also, the antioxidant capacity of cinnamon-coated cerium oxide nanoparticles was significantly higher (*p<0.038) than extracts and nanoparticles alone at similar concentrations. Evaluation the results of cytotoxicity showed that the lowest toxicity was observed in the cinnamon-coated cerium oxide nanoparticles group.
Conclusion: Results showed higher antioxidant properties and low cytotoxic effects of cinnamon-coated cerium oxide nanoparticles compared to other groups, which leads to better efficacy, proliferation, longer cell survival, its green synthesis and coverage by cinnamon

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Background & objectives: Flat foot is one of the most common physical and motor disorders among students. The aim of this study was to investigate the effects of three comprehensive corrective exercise protocols on the correction of flexible flat foot in boy students with overweight.
Methods: In this quasi-experimental study, which was performed as a pre-test, post-test with a control group, a total of 80 overweight students with flexible flat foot were selected purposefully and divided into four equal groups (n=20) randomly; (Theraband exercise, NASM, water resistance training and a control group). The experimental groups performed correction exercises for 8 weeks, 3 sessions with 45 minutes per week. Variables were measured at the baseline and after 8 weeks of correctional program. Data were analyzed using analysis of covariance by SPSS 24 software at the significance level of p<0.05.
Results: The results of the study showed that the three protocols; Theraband exercise, NASM and water resistance training had a significant effect on the improvement of flexible flat feet in overweight male students with coefficients of 0.23, 0.32 and 0.15, respectively (p≤0.05). Furthermore, it was observed a significant difference between of these three corrective protocols on flexible flat foot.
Conclusion: These findings indicated that the three correction exercises have a significant effect on the improvement of flexible flat feet. Therefore, it is recommended trainers of rehabilitation centers and corrective movements use these training methods.