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Abstract Health literacy and mental health are among the most important issues in the modern health and era of public health. This study aimed to investigate the association between health literacy and mental health status. This was a national cross-sectional study that was conducted in Iran. A sample of literate individuals aged 18–65 was entered into the study using multistage sampling. The data were collected by the Health Literacy Instrument for Adults (HELIA) and the 12-item General Health Questionnaire (GHQ-12). Logistic regression and path analysis were used for data analysis. A total of 20,571 individuals completed the questionnaires. The mean(± SD) age of participants was 34.9(± 11.8) years old, 51% were female, and 38.1% had higher education. The mean(± SD) health literacy score was 68.3(± 15.2), and 29.8% of the respondents reported some mental health problems. Logistic regression analysis showed that limited health literacy was associated with poor mental health status (OR 2.560, 95% CI 2.396–2.735, P = 0.001). The path analysis showed that an increase in health literacy could reduce psychological and social dysfunction (the effect of health literacy on reducing psychological distress is more profound). It is recommended to carry out interventions that strengthen adult’s cognitive and communication skills to improve their ability to access and use health information to make healthy choices.

The complex interplay between ferroptosis and efferocytosis in cancer has attracted significant interest recently. Efferocytosis, the process of eliminating apoptotic cells, is essential for preserving tissue homeostasis and reducing inflammation. However, dysregulation of efferocytosis can have profound effects on cancer. Apoptotic cells accumulate because of impaired efferocytosis, which triggers chronic inflammation and the release of pro-inflammatory chemicals. Surprisingly, accumulating evidence suggests that dysregulation of ferroptosis- a form of controlled cell death characterized by lipid peroxidation and the buildup iron-dependent reactive oxygen species (ROS)-can influence efferocytic activities within the tumor microenvironment. Dysfunctional iron metabolism and increased lipid peroxidation, are associated with ferroptosis, resulting in inadequate apoptotic cell clearance. Conversely, apoptotic cells can activate ferroptotic pathways, increasing oxidative stress and inducing cell death in cancer cells. This reciprocal interaction emphasizes the complex relationship between efferocytosis and ferroptosis in cancer biology. Understanding and managing the delicate balance between cell clearance and cell death pathways holds significant therapeutic potential in cancer treatment. Targeting the efferocytosis and ferroptosis pathways may offer new opportunities for improving tumor clearance, reducing inflammation, and sensitizing cancer cells to therapeutic interventions. Further research into the interaction between efferocytosis and ferroptosis in cancer will provide valuable insights for the development of novel therapies aimed at restoring tissue homeostasis and improving patient outcomes.

ABSTRACT Background Despite remarkable progress in contemporary medical technology and enhanced survival outcomes for various cancer types, pancreatic cancer (PC) continues to stand out as a particularly deadly gastrointestinal malignancy. Given a persistent rise in both incidence and the corresponding mortality rates of PC globally, evaluations of PC burden by sex are of great importance. Here, we used the illness‐death multi‐state model (IDM) to forecast the prevalence of PC through the year 2040. Methods IDM was established based on obtainable data to predict the future prevalence of PC on global, regional, and national scales from 2019 to 2040. Analyses were also performed regarding sex and 95% confidence intervals (CIs) are presented for all estimates. Results The projected prevalence rate for 2040 is anticipated to be 6.093 ([95% CI 5.47–6.786] per 100,000) worldwide, indicating a significant increase of 31.45% since 1990, and a 12.29% increase since 2019. The estimated average annual increase since 2020 was 0.5%. Considering sex differences, females are expected to have a steeper slope in prevalence rate than males. Intriguingly, when considering the percentage changes between the periods of 2019–2040 and 1990–2019 for both sexes, females exhibited 29% and 11% increase relative to males (2.6‐fold greater increase). Conclusions By 2040, it is predicted that the prevalence of PC will increase globally, with women being at higher risk of developing the disease. Considering the percentage changes, regions with lower socioeconomic status are anticipated to face a greater risk of experiencing PC compared to other geographical areas.

Background and Aim: Triple negative breast cancer (TNBC) is an aggressive form of breast cancer, necessitating effective treatment methods. This study aimed to assess the expression level of miR-21, a target of the Phosphatase and tensin homolog (PTEN) gene receptor in the PI3K signaling pathway, in clinical samples of TNBC. Methods: Fifteen TNBC tumor samples and 15 adjacent normal tissue samples were obtained from the tumor bank of Imam Khomeini Hospital in Tehran, Iran. RNA extraction, cDNA synthesis, and Quantitative Real-Time PCR (qRT-PCR) analysis were conducted. Relative expression of PTEN and miR-21 was analyzed using REST 2009® software, with gene expression also evaluated using the UALCAN database. Additionally, ROC curve analysis was performed to assess the diagnostic value of miR-21 in TNBC. Results: qRT-PCR analysis revealed a significant decrease in PTEN expression in most clinical samples (13 samples) by 4.6-fold, and a decrease in miR-21 target expression by 6.8-fold in 10 samples and 8.9-fold in 5 samples compared to normal tissue. These findings were supported by results from the UALCAN database. Furthermore, ROC curve analysis demonstrated the diagnostic potential of miR-21 in TNBC, with an area under the curve of 0.742. Conclusion: The study suggests that miR-21 could serve as a promising candidate for inhibiting PTEN gene expression, potentially aiding in targeted treatment for TNBC. However, further research in this area is recommended.

Functionalization of widely used graphene oxide (GO) can be beneficial not only in tuning its characteristics along with preventing the restacking of its layers and improving wettability but also in providing pseudocapacitance as a supercapacitor electrode. In this research, for the first time, the electrochemical performance of guanidine-functionalized graphene oxide (G-GO) examined by means of both computational and experimental methods. As a high-performance supercapacitor electrode, G-GO illustrates a high specific capacitance of 612F/g at the current density of 1.5 A/g together with extraordinary cyclic stability for 12,000 cycles at high current density of 10 A/g. Moreover, quantum capacitance together with the layer distance change during functionalization reaction, calculated via density functional theory (DFT), also exhibit the superior performance of G-GO.

Abstract Background A bibliometric review of the biomedical literature could be essential in synthesizing evidence if thoroughly conducted and documented. Although very similar to review papers in nature, it slightly differs in synthesizing the data when it comes to providing a pile of evidence from different studies into a single document. This paper provides a preliminary guideline for reporting bibliometric reviews of the biomedical literature (BIBLIO). Methods The BIBLIO was developed through two major processes: literature review and the consensus process. The BIBLIO started with a comprehensive review of publications on the conduct and reporting of bibliometric studies. The databases searched included PubMed, Scopus, Web of Sciences, and Cochrane Library. The process followed the general recommendations of the EQUATOR Network on how to develop a reporting guideline, of which one fundamental part is a consensus process. A panel of experts was invited to identify additional items and was asked to choose preferred options or suggest another item that should be included in the checklist. Finally, the checklist was completed based on the comments and responses of the panel members in four rounds. Results The BIBLIO includes 20 items as follows: title (2 items), abstract (1 item), introduction/background (2 items), methods (7 items), results (4 items), discussion (4 items). These should be described as a minimum requirements in reporting a bibliometric review. Conclusions The BIBLIO for the first time provides a preliminary guideline of its own kind. It is hoped that it could contribute to the transparent reporting of bibliometric reviews. The quality and utility of BIBILO remain to be investigated further.

Abstract Background The epithelial–mesenchymal transition (EMT) and angiogenesis are morphogenetic processes implicated in tumor invasion and metastasis. It is found that the aberrant expression of microRNAs (miRNAs) contributes to these processes. Exosomes are considered potential natural vehicles for miRNA delivery in cancer therapy. miR-218 is one of the tumor suppressor miRNAs and its downregulation is associated with EMT and angiogenesis. We aimed to use adipose mesenchymal stem cells-derived exosomes (ADMSC-exosomes) for miR-218 delivery to breast cancer cells and evaluate miR-218 tumor-suppressing properties in vitro. Methods Exosomes were isolated from conditioned media of ADMSCs. miR-218 was loaded to exosomes using electroporation. mRNA expression of target genes (Runx2 and Rictor) in MDA-MB-231 breast cancer cells was evaluated by qPCR. To explore the effects of miR-218 containing exosomes on breast cancer cells, viability, apoptosis, and Boyden chamber assays were performed. The angiogenic capacity of MDA-MB-231 cells after treatment with miR-218 containing exosomes was assessed by in vitro tube formation assay. Results miR-218 mimic was efficiently loaded to ADMSC-exosomes and delivered to MDA-MB-231 cells. Exposure to miR-218 containing exosomes significantly decreased miR-218 target genes (Runx2 and Rictor) in MDA-MB-231 cells. They increased the expression of epithelial marker (CDH1) and reduced mesenchymal marker (CDH2). miR-218 restoration using miR-218 containing exosomes reduced viability, motility, invasion, and angiogenic capacity of breast cancer cells. Conclusions These findings suggest that ADMSC-exosomes can efficiently restore miR-218 levels in breast cancer cells and miR-218 can prevent breast cancer progression with simultaneous targeting of angiogenesis and EMT.

Abstract In this research, graphene oxide (GO) functionalized with tris(hydroxymethyl)aminomethane (T) was synthesized with a simple one-pot method, and applied as an electrode material for supercapacitors. Electrochemical measurements on the synthesized tris(hydroxymethyl)aminomethane-functionalized graphene oxide (GO@T) indicated a specific capacitance of 549.8 F g− 1 at a specific current of 2.5 A g− 1 and a specific capacitance of 358 F g−1 at a specific current of 7 A g− 1 in the potential range of − 0.5–0.5 V versus Ag/AgCl. It also showed a high cyclic stability. According to the results, 80 and 68% of the initial capacitance was retained after 5500 and 9300 cycles, respectively. Density functional theory calculations were used to investigate the quantum capacitance, free energy change during functionalization reaction, and the layer distance of GO and GO@T.

Abstract Exposure to coronavirus disease 2019 (COVID-19) news pandemic is inevitable. This study aimed to explore the association between exposure to COVID-19 news on social media and feeling of anxiety, fear, and potential opportunities for behavioral change among Iranians. A telephone-based survey was carried out in 2020. Adults aged 18 years and above were randomly selected. A self-designed questionnaire was administered to collect information on demographic variables and questions to address exposure to news and psychological and behavioral responses regarding COVID-19. A multivariate logistic regression analysis was performed to assess the relationship between anxiety, fear, behavioral responses, and independent variables, including exposure to news. In all, 1563 adults participated in the study. The mean age of respondents was 39.17 ± 13.5 years. Almost 55% of participants reported moderate to high-level anxiety, while fear of being affected by COVID-19 was reported 54.1%. Overall 88% reported that they had changed their behaviors to some extent. Exposure to the COVID-19 news on social media was the most influencing variable on anxiety (OR 2.21, 95% CI 1.62–3.04; P

Aim and Introduction In recent decades, the environment has become one of the most important concerns of societies and governments. Achieving economic growth and development is costly and leads to an increase in the consumption of ecological capital. The efforts of countries to increase per capita income and prosperity, if not accompanied by environmental considerations, will bring irreversible losses, including rapid climate change and environmental destruction. Thus, comprehensive investigation and determination of economic and non-economic effective factors on the environment is of particular importance, to the extent that it has forced governments to adopt short- and long-term policies and programs to protect the environment. The existing economic literature on the Environmental Kuznets Curve (EKC) hypothesis indicates that at a threshold level of per capita income, countries reach a level of development where environmental improvements are achieved, but these studies have a serious flaw. Because they only focus on GDP per capita as a key variable to achieve environmental improvements and ignore the social dimension which is considered the pillar of sustainable development. Since the human development index includes the simultaneous description of social development and economic development, therefore, in this research, the Human Development Index is used instead of GDP per capita to investigate the Environmental Kuznets Curve (EKC) hypothesis and the relationship between HDI and the quality of the environment. Furthermore, political institutions can have a long-term direct impact on the environment and its sustainability. Therefore, investigating whether the indicators of human development, political and civil liberties can affect the quality of the environment, can be important. Method In the present study, the effects of human development, political and civil liberties indicators on the environmental performance index (Ecological Footprint) in developing countries and developed countries are investigated using the System Generalized Method of Moments method (GMM-SYS). Then the Environmental Kuznets Curve hypothesis is investigated in selected countries. Likely, a country that has benefited from more ecological capital for its needs in the past will be more prone to environmental destruction and use of ecological resources in the future. Therefore, it is necessary to investigate the impact of the variable interruption of the ecological footprint on its value in the current year. Accordingly, in this research, the method of the System generalized moments is used, which helps to solve the possible problems of endogeneity caused by the existence of an interval of the ecological footprint variable as an independent variable by using instrumental variables. The Generalized Moments' estimator is used in cases where the independent variables of the model are not completely exogenous. This estimator controls for the endogeneity problem by using instruments from the intercept of the dependent variable or the intercept of any other endogenous variable that is assumed to be uncorrelated with the fixed effects. The validity of the tools used in the model can be measured using the j-Hansen (1982) and Arellano and Bond AR (2) tests. Findings The results of the research indicate that the Human Development Index in selected developing and developed countries has a significant and negative effect on the ecological footprint, and a higher human development index is useful for improving the quality of the environment and reduces of pollutant emissions. Therefore, when the level of income, education, and health services in a country improves, the awareness of the importance of a safe and quality environment will increase. Similarly, according to the results of the Kuznets hypothesis, the relationship between the Human Development Index and the ecological footprint in the studied countries, confirms the hypothesis of Kuznets and the inverted U. The index of political development and civil liberties has a negative and significant effect on the ecological footprint in both developing and developed countries. It seems that the increase in civil liberties, higher democracy, and improvement of political rights will reduce the damage to the environment. The results suggest that with the increase in the consumption of fossil fuels, more pollutants are released into the environment, which leads to the destruction of the environment and harming it. Based on the results of the research, it can be said that trade liberalization and active international trade allow the transfer of newer technologies to developing countries that produce fewer pollutants. In addition, increasing urbanization in developing countries has a negative impact on the quality of the environment, but countries that focus more on economic development and scale can improve the quality of the environment by promoting the use of advanced technologies in parallel with urbanization. Discussion and Conclusion The findings of the research indicate that policymakers are more likely to achieve sustainable economic development by improving the level of the human development index. Therefore, providing education and a health care system for all members of society can lead to the reduction of environmental degradation through the improvement of the human development index; Thus, increasing democracy, clarifying laws and regulations, freedom of assembly, freedom of the media and awareness can control corruption and prevent the personal use of natural and environmental resources by officials and powerful people. Policies such as pollution tax, green tax, development of energy-saving vehicles, and replacing them with worn-out vehicles can reduce energy consumption and reduce the emission of pollutants in the environment. Furthermore, increasing the degree of trade openness allows the entry of advanced and improved technologies that produce less pollution. Therefore, policymakers in developing countries are advised to import clean and renewable energy technologies to their country by increasing active international trade. Keywords: Human Development Indicator, Political Development Indicator, Ecological Footprint, Environmental Kuznets Curve (EKC) Hypothesis, Systemic Generalized Method of Moments JEL Classification: F18, O13, P28, P48, Q56

Background: Immune cells and their secreted cytokines are known as the first barrier against pathogens. Leishmania major as an intracellular protozoan produces anti-inflammatory cytokines that lead to proliferation and survival of the parasite in the macrophages. miRNAs are small non-coding RNA molecules that regulate mRNAs expression. We aimed to investigate the relationship between the expression of TGF-β and a bioinformatically candidate miRNA, in leishmaniasis as a model of TGF-β overexpression. Methods: The miRNAs that target TGF-β -3´UTR were predicted and scored by bioinformatic tools. After cloning of TGF-β-3'UTR in psi-CHECK TM- 2 vector, targeting validation was confirmed using Luciferase assay. After miRNA mimic transfection, the expression of miR-27a, TGF-β, as well as Nitric Oxide concentration was evaluated. Results: miR-27a received the highest score for targeting TGF-β in bioinformatic predictions. Luciferase assay confirmed that miR-27a is targeting TGF-β-3'UTR, since miR-27a transfection decreased the luciferase activity. After miRNA transfection, TGF-β expression and Nitric Oxide concentration were declined in L. major infected macrophages. Conclusion: Bioinformatic prediction, luciferase assay, and miRNA transfection results showed that miR-27a targets TGF-β. Since miRNA and cytokine-base therapies are developing in infectious diseases, finding and validating miRNAs targeting regulatory cytokines can be a novel strategy for controlling and treating leishmaniasis.

Objective (s): Chronic low back pain is one of the most common chronic diseases that influence people's health and quality of life. The first line of non-medical management of chronic low back pain is psychological interventions. The current scoping review aimed to determine psychological interventions usually are used to treat chronic low back pain. Methods: This scoping review examined studies published in English language with related keywords including ‘chronic low back pain’, ‘cognitive behavior therapy’, ‘behavioural/behavioral therapy’, ‘mindfulness’, ‘mediation’, ‘stress reduction’, ‘biofeedback’, ‘pain education’, ‘counselling’ and ‘acceptance and commitment therapy’ in PubMed. The data were extracted and tabulated to summarize evidence. In addition, information on instruments used to measure pain were addressed. Results: In all 156 papers was retrieved. Of these, 21 papers fulfilled the inclusion criteria. 19 articles out of 21 articles had a control group. The findings of the study showed that cognitive behavioral therapy, behavioral therapy, mindfulness and biofeedback were used more than other types of interventions. The results of cognitive behavioral therapy, behavioral therapy and mindfulness interventions confirmed their effectiveness, but using biofeedback intervention did not show certain result in the treatment of chronic back pain. The Numerical Rating Scale (NRS) was the most widely used instrument for pain assessment. Conclusion: The findings showed that psychological interventions were effective in the treatment of chronic low back pain (especially back pain with psychosomatic causes). In cases where chronic low back pain has a specific cause, psychological intervention alone is not effective and should be used in combination with clinical interventions or other non-medical interventions such as rehabilitation.

Abstract Background As a gram-negative and microaerophilic bacterium, Helicobacter pylori (HP) is the main cause of chronic gastritis. Therefore, considering the high prevalence of HP infection worldwide, as well as the increasing prevalence of metabolic disorders, the present study aimed to investigate the relationship between HP infection eradication and metabolic profile. Methods This prospective case-control study was performed on patients with HP infection whom referred to 7 medical centers in 3 countries (Iran, Egypt, and Vietnam) in 2020–2021. The metabolic profile of all of the participants evaluated before starting of treatment for HP eradication and 3 months after the treatment. Then changes of metabolic profile compared between those with successful HP eradication (group A) and subjects who failed to eradicate (group B). Results Overall, 199 patients, including 93 male (46.7%) with the mean age of 44.5 years (18–93 years) included. Based on response to treatment, the participants allocate into group A (those who respond to HP eradication): 164 cases (82.42%); or group B as those who failed to achieve eradication (35 cases, 17.58%). Racially 86.9% of participants were Caucasian and 89% diagnosed as non-ulcer dyspepsia (NUD). The most prevalent comorbidity include hypertension (11.5%) and hyperlipidemia (10%) which were more prevalent in group B (P = 0.002). Three months after therapy, average weight of participants among those who achieved eradication (group A) decreased from 73.1 to 71.4 kg (P = 0.01), but in comparison with group B, was non-significant (P = 0.171). The BMI of patients before and after treatment did not show any significant differences. The biochemical parameters of patients before and after treatment were not significantly different regardless of treatment success (P > 0.05). The levels of total cholesterol and VLDL cholesterol after treatment were not significantly different from baseline values in two groups. HDL and LDL cholesterol levels before and after treatment in the resistant group were significantly higher than the responding group. Average serum TG level decreased significantly after treatment in the group A (P 0.05). The results of logistic regression showed that the eradication of infection has no significant affect any of the metabolic profile parameters. Conclusion HP infection treatment in individuals without significant metabolic disorders does not affect metabolic parameters up to 3 months after eradication. HP eradication among subjects with several comorbidities mandates eradication protocol intensification to avoid treatment failure.

IntroductionSuicide is a major issue of concern for public health. It is estimated that suicide accounts for 700,000 deaths every year. A personal history of one or more suicide attempts is the most important determinant of suicide among the general population. This study aimed to assess the major risk factors associated with suicidal behaviors among Iranian employees in a medical setting.MethodsIn this study, 3,913 employees of Tehran University of Medical Sciences who participated in the employees' cohort study conducted by the university were recruited. Suicidal behaviors (SBs) and their associated risk factors were evaluated using the World Mental Health Composite International Diagnostic Interview (CIDI) Version 3.0. Univariate and multivariate logistic regressions were performed to identify the determinants of SBs among the participants, and crude and adjusted odds ratios (ORs) with corresponding 95% confidence intervals (95% CIs) were calculated.ResultsOverall, 49.6% of respondents (n = 1,939) reported that they were tired of life and thinking about death. The lifetime prevalence rate of suicidal ideation (SI) was 8.1% (n = 317), that of suicide planning (SP) was 7.3% (n = 287), and that of suicide attempts (SA) was 3.1% (n = 122). Being female (OR: 1.87, CI: 1.64–2.12), being divorced (OR: 3.13, CI: 1.88–5.22), having a low level of education (OR: 1.57, CI: 1.15–2.14), and working in clinical and medical services (OR: 1.25, CI: 1.09–1.43) were associated with being tired of life and thinking about death. These factors were also associated with SI, SP, and SA.DiscussionThese findings highlight the need to prioritize mental health for suicide prevention, especially for high-risk groups, in workplace mental health promotion programs and policies.

Objective(s): Since usually health literacy should be assessed in complex health care settings, this study aimed to develop a short version of the Health Literacy Instrument for Adults (HELIA-SF). Methods: In this methodological study, the research team selected a number of items from the main instrument covering the main constructs of the HELIA. The selection was based on the most relevant items to each construct. A group of 12 experts and ten adults assessed content and face validity respectively. Exploratory and confirmatory factor analysis was performed to assess structural validity. The reliability of the instruments was evaluated by internal correlation (Cronbach's alpha coefficient) and intraclass correlation (ICC). Results: A nine-item questionnaire was developed. Experts identified the content validity of the short version as desirable (the CVR was more than 0.56 the CVI was more than 0.79). Also, the face validity as assessed by ten adults was satisfactory. The results obtained from exploratory factor analysis showed a two-factor structure for the questionnaire namely basic skills and decision-making skills that jointly accounted for about 61% of variance observed. Furthermore, the confirmatory factor analysis indicated acceptable fit indexes for the data: X2/df =20/2, GFI=95/0, CFI=97/0, NFI=95/0, NNFI=96/0, SRMR=068/0, and RMSEA=074/0. The Cronbach's alpha coefficient and ICC for each of the two dimensions were satisfactory (alpha = 0.84 and 0.81 and ICC = 0.85 and 0.82). The values for the whole items were 0.91 and 0.81, respectively. Conclusion: The HELIA-SF, including nine items and two subscales (basic skills and decision-making skills) was found to be reliable and valid instrument to measure health literacy in adults. This version is suitable for measuring health literacy in different urban and rural population groups due to its short and concise nature.

Abstract Fragile X syndrome (FXS) is caused by a mutation in the FMR1 gene which can lead to a loss or shortage of the FMR1 protein. This protein interacts with specific miRNAs and can cause a range of neurological disorders. Therefore, miRNAs could act as a novel class of biomarkers for common CNS diseases. This study aimed to test this theory by exploring the expression profiles of various miRNAs in Iranian using deep sequencing-based technologies and validating the miRNAs affecting the expression of the FMR1 gene. Blood samples were taken from 15 patients with FXS (9 males, 6 females) and 12 controls. 25 miRNAs were differentially expressed in individuals with FXS compared to controls. Levels of 9 miRNAs were found to be significantly changed (3 upregulated and 6 downregulated). In Patients, the levels of hsa-miR-532-5p, hsa-miR-652-3p and hsa-miR-4797-3p were significantly upregulated while levels of hsa-miR-191-5p, hsa-miR-181-5p, hsa-miR-26a-5p, hsa-miR-30e-5p, hsa-miR-186-5p, and hsa-miR-4797-5p exhibited significant downregulation; and these dysregulations were confirmed by RT‐qPCR. This study presents among the first evidence of altered miRNA expression in blood samples from patients with FXS, which could be used for diagnostic, prognostic, and treatment purposes. Larger studies are required to confirm these preliminary results.

Background: Recurrent implantation failure (RIF) is defined as three or more failed in vitro fertilization attempts and is due to several factors such as oocyte and embryo quality. Methods: Fifty-one RIF patients and 19 controls were selected based on the inclusion criteria. EFNB2, CAMK1D, AREG, and PTGS2 as well as miR-34, miR-145, miR-204-5p, and miR-26-5p were selected since the microRNAs (miRNAs) targeted the genes based on bioinformatic predictions and literature review. Total RNA was extracted from cumulus cells (CCs) and follicular fluid (FF) of the oocytes. We performed real-time polymerase chain reaction to evaluate the expression of the genes and the miRNAs in CC and FF of pregnant and nonpregnant RIF patients. The expression of CAMK1D, AREG, miR-34-5p, and miR-26-5p was higher in CC than FF. Results: The expression of CAMK1D, PTGS2, and miR-26-5p in CC of the pregnant group was higher than FF. The expression of EFNB2, PTGS2, miR-145, and miR-204-5p was lower in the CC, and the expression of EFNB2, AREG, miR-34-5p, mR-145, and miR-204-5p was lower in the FF of the pregnant group. The expression of CAMK1D, AREG, PTGS2, miR-34-5p, and miR-26-5p was higher in the CC and FF of the high quality (HQ) embryos than non-HQ (NHQ) embryos. The expression of EFNB2, miR-145, and miR-204-5p was higher in the CC and FF of the NHQ embryos. The difference was statistically significant for EFNB2 in CC and FF as well as miR-145 in CC. The level of progesterone and prostaglandin E2 in the FF of the pregnant group was higher than their level in the nonpregnant group. Conclusion: CAMK1D expression and overexpression of miR-34-5p and miR-26-5p could be considered as markers of successful pregnancy. In addition, the results show that normal FF treatment of RIF patients may result in the production of high-quality embryos.

The fundamental mechanism responsible for the aggressiveness of metastatic cancers such as triple-negative breast cancer (TNBC) is the epithelial-mesenchymal transition (EMT). In cancer microenvironments, the Phosphoinositide 3-kinases (PI3K)-Akt- mammalian target of rapamycin (mTOR) signaling pathway plays a critical role in regulating the EMT mechanism. The current study focuses on the impacts of rapamycin, a newly retargeted chemotherapeutic agent against mTOR, and MicroRNA (miR)-122 on the aggressive behavior of TNBC. The half-maximal inhibitory concentration (IC50) of rapamycin on 4T1 cells was determined using an MTT assay. Also, miR-122 was transiently transfected into 4T1 cells to study its effect on the pathway. Quantitative real-time polymerase chain reaction (qRT-PCR) was conducted to assess the expression level of central mTOR and EMT-related cascade genes. Moreover, cell mobility and migration were evaluated using scratch and migration assays, respectively. Both rapamycin and miR-122 significantly decreased the expression levels of PI3K, AKT, and mTOR, as well as ZeB1 and Snail genes. However, no significant change was observed in Twist gene expression. Furthermore, scratch and migration assays revealed that the migration of 4T1 cells was markedly reduced, especially following miR-122 induction. Our experimental findings and gene enrichment studies indicated that miR-122 mainly operates on multiple metabolic pathways, as well as EMT and mTOR, while rapamycin has restricted targets in cancer cells. Consequently, miR-122 can be considered a potential cancer microRNA therapy option, which can be validated in the future in animal studies to demonstrate its efficacy in cancer control.

Objective(s): This study aimed to review Persian biomedical literature on psychometric properties of health literacy measures in Iran. Methods: The Scientific Information Database (SID) and Google Scholar were searched using the keyword ‘health literacy’ in the titles of the articles. First, duplicate articles were removed from the search list. Then, articles that met the inclusion criteria were included in the study. Finally, information about the health literacy measures including development or psychometric evaluation in Persian literature were extracted and presented in relevant tables. Results: In all, 600 articles were identified. After excluding duplicates and papers that did not meet inclusion criteria, 26 articles were included in the review. Of these, 17 articles reported on the development of a health literacy measure. These measures assessed health literacy among general populations, specific populations, or specific topics. The remaining nine articles reported translation and psychometric properties of a number of known measures, including the TOFHLA, the STOHFLA, the NVS, the FCCHL, the OHLI, the MHLAP, the RELAM, and the Health Literacy Scale for Women of Reproductive Age. Conclusion: The results indicated that the development of a new health literacy measure was more prevalent among Iranian investigators instead of using existing measures. In addition, improper reporting on the development and psychometric evaluation of measures was evident.

Background: Coronary artery ectasia (CAE) is dilatation of an arterial segment to a diameter at least 1.5 times that of the adjacent normal coronary artery. The incidence of coronary artery ectasia is distinct in different countries that can be found in 1.2% to 5% of angiographic examinations. Methods: This is a retrospective study that was conducted from September 2019 to February 2020 in Kermanshah University of Medical Sciences and the results were reported briefly. To obtain the desired articles, electronic searches were conducted in databases including the Scopus, PubMed, and Science Direct databases without time limited until October 2019. The keywords used were Coronary Artery Ectasia AND (Diabetes OR "Diabetes Mellitus"). This was done by two individuals separately and the final results were confirmed by a third person. Mixed method appraisal tool (MMAT) was used to evaluate the quality of studies. The structure of writing and the process of performing and reporting the study are based on the PRISMA checklist. Results: Based on the search strategy carried out at PubMed, Scopus and Science Direct databases, 106 studies were found, which resulted in 24 articles being analyzed based on inclusion and exclusion criteria of which three were conducted in China, 18 in Turkey and one in Sweden, Egypt, and France. Finally, 24 articles were analyzed and the results showed a direct and effective relationship between diabetes mellitus and CAE (OR=1.19, CI: 0.94, 1.51). Conclusion: Based on these results, the risk of CAE in subjects with diabetes mellitus was 19% higher than in subjects without diabetes mellitus.

Objective In this study for the first time, different strains of Agrobacterium rhizogenes, co-cultivation times, and concentrations of acetosyringon in leaf explants of Echium khuzistanicum were examined to produce hairy roots. Materials and methods The leaves of 21-day-old plant, different concentrations of acetosyringone (0,100,200 µM) and 3 strains of Agrobacterium (A4, ATCC15834 and 11325) were used for hairy root induction. In each explant, surficial wounds were created by a syringe contaminated with the bacterium and put for 10 minutes in bacterial suspension. After infection, the explants were transferred in the ½ MS solid medium supplemented with ascorbic acid (100 mg/L) to a light free growth chamber with 25 ° C temperature for 48 or 72 hours. PCR technique was used to confirm transformation by gene amplification with the rolBprimers. HPLC analysis was conducted on a high performance liquid chromatography system for shikonin measurement. Results The results of this study showed that, the first hairy roots emerged from wounded places after 14-21 days. The presence of A. rhizogenes T-DNA in the hairy root genome was confirmed by PCR using specific primers for rolB gene. Strain ATCC15834 had the highest rate of hairy root induction at 100 and 200 µM concentrations of acetosyringone indicating that the phenolic compound, acetosyringone, was effective in increasing hairy root induction. Generally, High concentrations of acetosyringone and more co-cultivation time together resulted in a significant increase in the hairy root induction in three strains of Agrobacterium rhizogenesis. Line 1 of hairy root produced 254.4±0.56 µg/g FW of shikonin. Conclusions For the first time the results of this research showed that transformation and hairy root induction in E.khuzistanicum is possible by Agrobacterium rhizogenes and it can be used in the gene transfer and hairy root culture in order to shikonin production.

Objective(s): microRNAs are small non-coding molecules that regulate gene expression in various biological processes. T-cell acute lymphoblastic leukemia (T-ALL) is a malignancy accompanied with genetic aberrations and accounts for 20% of children’s and adult’s ALL. Notch signaling pathway dysregulation occurs in 60% of T-ALL cases. In the present study, we aimed to determine the relationship between miRNAs and genes involved in Notch signaling pathway. Materials and Methods: Considering the role of the pathway and its down-stream genes in proliferation, differentiation, cell cycle, and apoptosis, NOTCH1, c-Myc, and CCND1 genes were selected as target genes. Using bioinformatics studies, miR-34a, miR-449a, miR-1827, and miR-106b were selected as miRNAs targeting the above-mentioned genes. We evaluated these genes and miRNAs in T-ALL clinical samples as well as Jurkat cell line, in which NOTCH1 is overexpressed. Results: Quantitative Real-Time PCR indicated that NOTCH1, c-Myc, and CCND1 were overexpressed in samples with decreased expression of miR-34a. In addition, we observed that samples with decreased expression of miR-449a showed increased expression of NOTCH1 and CCND1. Furthermore, we analyzed the expression of miR-1827 and miR-106b, which target c-Myc and CCND1, respectively. We found out that the expression of miR-1827, miR-106b, and their respective target genes were inversely correlated in 80% and 75% of the cases (r=0.8), respectively. Furthermore, in Jurkat cell line, the expression of target genes was increased while the candidate miRNAs except miR-34a were decreased. Conclusion: These miRNAs can be proposed as biomarkers and new therapeutic targets in T-ALL patients who have NOTCH1 overexpression.

Objectives The Bristol Stool Form Scale (BSFS) is the most widely used scale for stool form assessment. This study aimed to translate the BSFS into the Persian version and determine its content validity, face validity, and reliability.Design Following permission, a forward–backward translation procedure was applied to translate the scale from English into Persian. A cross-sectional study was conducted on a sample of 210 participants from the general and gastrointestinal clinics of a teaching hospital affiliated with the Tehran University of Medical Sciences, Tehran, Iran, from January 2020 to August 2020. The samples were selected using convenience sampling. A group of 10 experts and 10 adults assessed content and face validity, respectively. The kappa index evaluated the reliability of the instruments.Results Participants’ mean (±SD) age was 37.62 (±8.87) years. Most of the participants (65.7%) were women. The highest percentage of concordance was 100% for stool type 7, and stool type 5 had the lowest concordance percentage (78.1%). The overall kappa index was 0.79.Conclusion The Persian version of the BSFS is a valid and reliable measure for assessing stool form, and now it can be used in research and clinical practice.

BackgroundIt has been about 30 years since the first health literacy instrument was developed. This study aimed to review all existing instruments to summarize the current knowledge on the development of existing measurement instruments and their possible translation and validation in other languages different from the original languages.MethodsThe review was conducted using PubMed, Web of Science, Scopus, and Google Scholar on all published papers on health literacy instrument development and psychometric properties in English biomedical journals from 1993 to the end of 2021.ResultsThe findings were summarized and synthesized on several headings, including general instruments, condition specific health literacy instruments (disease & content), population- specific instruments, and electronic health. Overall, 4848 citations were retrieved. After removing duplicates (n = 2336) and non-related papers (n = 2175), 361 studies (162 papers introducing an instrument and 199 papers reporting translation and psychometric properties of an original instrument) were selected for the final review. The original instruments included 39 general health literacy instruments, 90 condition specific (disease or content) health literacy instruments, 22 population- specific instruments, and 11 electronic health literacy instruments. Almost all papers reported reliability and validity, and the findings indicated that most existing health literacy instruments benefit from some relatively good psychometric properties.ConclusionThis review highlighted that there were more than enough instruments for measuring health literacy. In addition, we found that a number of instruments did not report psychometric properties sufficiently. However, evidence suggest that well developed instruments and those reported adequate measures of validation could be helpful if appropriately selected based on objectives of a given study. Perhaps an authorized institution such as World Health Organization should take responsibility and provide a clear guideline for measuring health literacy as appropriate.

Background Health is one of the most important factors that affect happiness. This study aimed to assess the association between happiness and self-rated health among the Iranian adult population. Methods This cross-sectional study was conducted on a sample of adults aged 18–65 In Iran in 2020. Demographic information, the Oxford Happiness Questionnaire, and a single item on self-rated health were used to collect the data. The relationship between happiness with demographic variables and self-rated health was examined by performing logistic regression analyses. Results In all, 19499 were studied (9845 males and 9654 females). The mean age of participants was 36.38± 8.17 years. The mean happiness score was 4.1± 0.57 (out of 6) and this for self-rated health was 3.66±1.2 (out of 5). The results obtained from logistic regression analysis showed that very poor health status (OR: 5.114, 95% CI, P = 4.490–5.824, p Conclusion The results showed that self-rated health was the most significant factor that affected happiness even after adjustment for socioeconomic variables, including age, income, employment, and education. Indeed, improving population health might be an effective measure to improve happiness among Iranians.

Background : Helicobacter pylori infection is a major cause of chronic gastritis, peptic, mucosa associated lymphoid tissue Misdiagnosed as lymphoma and gastric cancer. The eradication rate of H. pylori with standard treatments are decreasing worldwide. The aim of this study was to determine the efficacy of adding simvastatin or probiotic as adjuvant to quadruple therapy on the eradication of H. pylori. Methods : This randomized clinical trial study was conducted on 160 patients with H. pylori. The patients were randomly divided in to 4 groups. The group 1: standard quadruple eradication regimen consisting of two antibiotics (clarithromycin 500 mg and amoxicillin 1 g, all twice per day), a proton pump inhibitor (pantoprazole 40 mg twice daily), Bismuth (120 mg twice daily) with placebo (daily), group 2: standard regimen plus probiotic (daily east 250 mg), group 3: standard regimen supplemented with simvastatin (10 mg daily) and group 4: standard regimen plus simvastatin (20 mg daily) for 14 days was given. The Eradication was determined by stool antigen test at least 1 month after treatment. Results : The risk ratio of eradication of the infection in the simvastatin group 10 mg and simvastatin 20 mg was 0.375 and 0.625 times in compare with the placebo group, indicating a negative effect of simvastatin 10 and 20 mg on the treatment of H. pylori infection, this relationship is not statistically significant (P > 0.05). Conclusion : Due to the high efficacy of simvastatin in H. pylori eradication, further studies are needed to evaluate the use of statins as adjunctive to improve the eradication rate.

Objective(s): MicroRNAs (miRNAs) could regulate many cellular processes such as proliferation and differentiation. let-7a miRNA is one of the key regulators in the developmental transition of retinal progenitor cells into differentiated cells. Current evidence suggests that mesenchymal stem cells (MSCs) can isolate from various tissues such as bone marrow and conjunctiva. In this study, we investigated the effect of let-7a overexpression on induced differentiation of conjunctiva mesenchymal stem cells (CJMSCs) into photoreceptor-like cells.Materials and Methods: After isolation and characterization, CJMSCs were transduced with lentiviruses containing let-7a or empty vector. The effect of let-7a overexpression on expression of photoreceptor-specific markers was evaluated by quantitative real-time PCR (RT-qPCR) after 28 and 42 days of transduction.Results: The relative expression of rhodopsin and recoverin genes was evaluated by RT-qPCR in let-7a overexpressing cells, control vector transduced cells and untransduced CJMSCs (control cells). Our results indicated that following overexpression of let-7a, after 28 and 42 days of transduction, significant up-regulation in the expression of recoverin (574.7 and 43.9 folds) and rhodopsin (3334.7 and 53.1 folds) were observed, respectively.Conclusion: Our findings indicate that overexpression of let-7a microRNA can increase the expression of photoreceptor-specific genes in CJMSCs. Moreover, it is prospective that let-7a overexpression can use as an alternative protocol for the differentiation of mesenchymal stem cells into photoreceptors. It seems that the effect of let-7a on the differentiation of CJMSCs into photoreceptors is also time-dependent.

Aims: Many information sources, including mass media, are trying to play an important role in health-promoting of people in society through increasing their health information. The aim of the present study was to investigate the rate of use of health information, presented in mass media and virtual social networks among citizens of Tehran. Instruments & Methods: This cross-sectional descriptive study was carried out on 1196 citizens of Tehran aged 18-65 years old in 2016. The subjects were selected using a multi-stage cluster sampling method. Data were collected by a researcher-made questionnaire after assessment of its validity and reliability. Data were analyzed by SPSS 19 software, using appropriate descriptive statistical methods. Findings: 1,196 citizens of Tehran (581 women and 615 men) were studied in this research with a mean age of 37.2±13.2 years old. The highest use of media health information was about television (about 81%), internet (about 64%) and the print media (about 58%). The use of health information in virtual social networks was about 56%. The use of health information of mass media and virtual social networks in the age group of 24 to 35 years old, married, the group with 13 years of education and workers were more than other groups. Conclusion: The rate of use of television health information among citizens of Tehran is significant. Also, Internet search and social networking sites for health information should be taken into consideration by health care providers.

Objective (s): Many information sources including mass media provide health information in order to increase awareness and promote peoplechr('39')s health. The aim of this study was to examine people’s trust in mass media and virtual social networks health information. Methods: This cross-sectional study was conducted among a random sample of adults aged 18 to 65 years living in Tehran, Iran. The data were collected using a questionnaire and descriptive statistics were applied to analyze the data. Results: A total of 1174 adults (581 women and 615 men) with a mean age of 37.2 ± 13.02 years and mean education years of 12.5 ± 3.8 years were studied. The highest trust in health information was reported for television (65%) followed by radio (56%). This for social media was 30%. The results obtained from multiple logistic regression analysis indicated that there were no association between trust and demographic variables. However, association between trust and the amount of mass media or social networks use was observed. A unit, increase in the use of mass media and social networks health information increased the odds for trust about 2 to 3.4 times. Conclusion: The study results showed that people’s trust on television and radio for seeking health information was relatively high. This implies that those who provide health for television v and radio have significant responsibility to convey correct information to the public.

In this paper, a numerical method is used to solve the one-dimensional inverse heat transfer problem, which is a combination of punctuation with wavelet collocation method and Tikhonov's method of stabilization. In order to validation of the heat transfer problem, the input data is used as including noise data ranging from 1 to 5%. Also, in this study, the Haar functions, in addition to estimating the unknown functions, are also used to reduce output noise. From the results, two main advantages of the repeated method have been proven, first, the precision of this method in estimating the unknown boundary condition and the second processing speed due to the lack of need for wavelet functions to be collocated at low intervals. This suggests that this method is also high speed. According to the obtained results it can be admitted that the present method maintains its sustainability with small error in input data.

Medicinal plants used in the treatment of diseases earlier times are potential sources of new drugs. The present study was undertaken to study the chemical composition, antioxidant and antibacterial activity of certain medicinal plants of Iran by gas chromatography and mass spectrometry (GC/MS), DPPH and disk diffusion method. According to the results of GC/MS, there are 46 kinds of chemical compounds including mucilage, fatty acids, flavonoid and diterpenes in flower of Echium khuzistanicum. There are aldehydes (7.9%), phenols (7.5%), fatty acids (5.8%) and furfural (5.4%) in the methanol extract of Echinops cephalotes. Furfural, steroids, vitamin B and flavonoids are the main compounds of Marrubium anisodan. Results of the antibacterial test showed that Staphylococcus aureus and Bacillus subtilis were more sensitive to methanol extract of Echium khuzistanicum root. Pseudomonas auruginosa was more sensitive to DMSO extract of Marrubium anisodan at 600 mg/ml concentration. Maximum flavonoid and phenol contents were belonging to Echinops cephalotes. Marrubium anisodan showed the best DPPH free radical scavenging activity.

Background: We aimed to investigate the effect of miR-15a mimic and inhibitor of miR-155 expression on apoptosis induction in macrophages infected with Iranian strain of Leishmania major in-vitro and in-vivo. Methods: RAW 264.7 cells were infected with L. major promastigotes (MRHO/IR/75/ER), and then were treated with miRNAs. For in-vivo experiment, BALB/c mice were inoculated with L. major promastigotes, and then they were treated with miRNAs. For evaluation of miRNA therapeutic effect, in-vitro and in-vivo studies were performed using quantitative Real-time PCR, Flow cytometry, lesion size measurement, and Limiting Dilution Assay (LDA). This study was performed in Shahid Beheshti University of Medical Sciences in 2019. Results: In-vitro results of flow cytometry showed that using miR-15a mimic, miR-155 inhibitor or both of them increased apoptosis of macrophages. In in-vivo, size of lesion increased during experiment in control groups (P

Objectives: Aberrant Wnt signaling cascade is a hallmark of the triple-negative breast cancer (TNBC) that is linked with the increased proliferation, invasion, and poor overall survival. many genes are post-transcriptionally regulated by microRNAs (miRNAs) therefore; it is indisputable that the dysregulation of the miRNAs is an explanation for the aberrant signaling cascades. Thus, the present study was conducted to find the putative miRNA targeting the key players of Wnt/β -catenin cascade in the TNBC. Methods: The miR-130a-3p was found as a potential regulator of the Wnt signaling cascade by applying several bioinformatic algorithms. Quantitative real-time PCR (qRT-PCR) was used to analyze the expression levels of miR-130a-3p and Wnt cascade genes in the TNBC cells. Afterward, TNBC cells were transiently transfected with the miR-130a-3p to investigate its effects on the expression of Wnt cascade genes. Subsequently, MTT, soft agar colony formation, scratch, transwell cell migration, and transwell cell invasion assays were used to determine the behavior of the TNBC cells in response to miR-130a-3p restoration. Results: Results of the qRT-PCR showed downregulation of miR-130a-3p and upregulation of the Wnt cascade genes in the TNBC cells compared to the normal cells. Transient overexpression of miR-130a-3p decreased the expression levels of Wnt cascade genes significantly in the TNBC cells. Moreover, following the miR-130a-3p overexpression, the proliferation, anchorage-independent growth, and migration of the TNBC cells were reduced. Conclusion: Overall, our findings provided an evidence for the significant role of miR-130a-3p in the regulation of Wnt/β-catenin cascade, and also introduced the miR-130a-3p as a new therapeutic target for the patients with TNBC.

Background: Cutaneous Leishmaniasis (CL) is an emerging uncontrollable and neglected infectious disease worldwide including Iran. The aim of this study was to investigate the expression profile of apoptosis- related miRNA and its target gene in macrophages. Methods: This study was carried out in the Department of Medical Parasitology and Mycology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran from January 2016 to November 2018. Applying literature reviews, bioinformatics software, and microarray expression analysis, we selected miRNA-24-3p interfering in apoptosis pathway. The expression profile of this miRNA and target gene were investigated in Leishmania major (MRHO/IR/75/ER)-infected primary and RAW 264.7 macrophages (IBRC-C10072) compared with non-infected macrophages (control group) using quantitative Real-time PCR. Results: Results of bioinformatics analysis showed that miR-24-3p as anti-apoptotic miRNA inhibits pro-apoptotic genes (Caspases 3 and 7). Microarray expression data presented in Gene Expression Omnibus (GEO) revealed a significant difference in the expression level of selected miRNA and its target gene between two groups. QRT-PCR results showed that the expression of miR-24-3p was upregulated in L. major infectioned macrophages that approved the results of bioinformatics and microarray analysis. Conclusion: Parasite can alter miRNAs expression pattern in the host cells to establish infection and its survival. Alteration in miRNAs levels likely plays an important role in regulating macrophage functions following L. major infection. These results could highlight current understanding and new insights concerning the gene expression in macrophages during leishmaniasis and will help to development of novel strategies for control and treatment of CL.

Human cardiomyocytes (CMs) have potential for use in therapeutic cell therapy and high-throughput drug screening. Because of the inability to expand adult CMs, their large-scale production from human pluripotent stem cells (hPSC) has been suggested. Significant improvements have been made in understanding directed differentiation processes of CMs from hPSCs and their suspension culture-based production at chemically defined conditions. However, optimization experiments are costly, time-consuming, and highly variable, leading to challenges in developing reliable and consistent protocols for the generation of large CM numbers at high purity. This study examined the ability of data-driven modeling with machine learning for identifying key experimental conditions and predicting final CM content using data collected during hPSC-cardiac differentiation in advanced stirred tank bioreactors (STBRs). Through feature selection, we identified process conditions, features, and patterns that are the most influential on and predictive of the CM content at the process endpoint, on differentiation day 10 (dd10). Process-related features were extracted from experimental data collected from 58 differentiation experiments by feature engineering. These features included data continuously collected online by the bioreactor system, such as dissolved oxygen concentration and pH patterns, as well as offline determined data, including the cell density, cell aggregate size, and nutrient concentrations. The selected features were used as inputs to construct models to classify the resulting CM content as being “sufficient” or “insufficient” regarding pre-defined thresholds. The models built using random forests and Gaussian process modeling predicted insufficient CM content for a differentiation process with 90% accuracy and precision on dd7 of the protocol and with 85% accuracy and 82% precision at a substantially earlier stage: dd5. These models provide insight into potential key factors affecting hPSC cardiac differentiation to aid in selecting future experimental conditions and can predict the final CM content at earlier process timepoints, providing cost and time savings. This study suggests that data-driven models and machine learning techniques can be employed using existing data for understanding and improving production of a specific cell type, which is potentially applicable to other lineages and critical for realization of their therapeutic applications.

Abstract Background Breast cancer is the most prevalent cancer among women, and AXL and MET are the key genes in the PI3K/AKT/mTOR pathway as critical elements in proliferation and invasion of cancer cells. MicroRNAs (miRNAs) are small non-coding RNAs regulating the expression of genes. Methods Bioinformatic approaches were used to find a miRNA that simultaneously targets both AXL and MET 3′-UTRs. The expression of target miRNA was evaluated in triple-negative (MDA-MB-231) and HER2-overexpressing (SK-BR-3) breast cancer cell lines as well as normal breast cells, MCF-10A, using quantitative real-time PCR. Then, the miRNA was overexpressed in normal and cancer cell lines using a lentiviral vector system. Afterwards, effects of overexpressed miRNA on the expression of AXL and MET genes were evaluated using quantitative real-time PCR. Results By applying bioinformatic software and programs, miRNAs that target the 3′-UTR of both AXL and MET mRNAs were determined, and according to the scores, miR-34a was selected for further analyses. The expression level of miR-34a in MDA-MB-231 and SK-BR-3 was lower than that of MCF-10A. Furthermore, AXL and MET expression in SK-BR-3 and MDA-MB-231 was lower and higher, respectively, than that of MCF-10A. After miR-34a overexpression, MET and AXL were downregulated in MDA-MB-231. In addition, MET was downregulated in SK-BR-3, while AXL was upregulated in this cell line. Conclusions These findings may indicate that miR-34a is an oncogenic miRNA, downregulated in the distinct breast cancer subtypes. It also targets MET and AXL 3′-UTRs in triple-negative breast cancer. Therefore, it can be considered as a therapeutic target in this type of breast cancer.

Introduction: The aim of the present study was to assess the radiosensitivity parameters for SK-BR-3 (SKBR3) breast cancer cells that could be implemented in the cutting-edge treatment planning systems (TPS) for accelerated partial-breast irradiation (APBI). Materials and Methods: The cell survival fraction and its relevant radiosensitivity coefficients, namely α and β, in linear-quadratic (LQ) formalism were evaluated for 6 MV X-rays and 60Co γ-rays using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. During the irradiation time, the medium temperature was kept at 4°C to prevent the repair of sublethal radiation damages over the exposure time and keep the survival fractions independent of the dose rate. Results: Fitting the LQ model to experimental data, α, β, and α/β radiosensitivity parameters were obtained as 0.156±0.027 Gy-1, 0.026±0.007 Gy-2,and 6.0 Gy for 6 MV X-rays and 0.162±0.028 Gy-1, 0.028±0.007 Gy-2, and 5.8 Gy for 60Co gamma radiation, respectively. The average relative biological effectiveness (RBE) values were 0.91 and 0.96 for 6 MV X-rays and 60Co γ-rays, respectively. The derived LQ parameters were also compared with those previously obtained from in vitro studies for different breast cancer cell lines using various regimes, such as radiotherapy modality with different dose rates and delivered doses. Conclusion: The results of this study provided essential constant values for α and β parameters. The data could be useful for the improvement of TPS to include the effect of different biological responses to radiation in APBI treatment plans.

Breast cancer is the most prevalent diagnosed cancer and the second cause of cancer death among women worldwide. There are different mechanisms that play crucial roles in the onset and progression of breast cancer including microRNAs. microRNAs are small noncoding RNAs that regulate gene expression by repressing translation post-transcriptionally. miR-31 is an integrin modulator implicated in different cellular processes such as apoptosis, cell cycle control, and DNA repair. According to the literature, RhoA is one of the genes regulated by miR-31. It has an important role in actin-myosin contraction and subsequently in cell motility and migration in metastasis cascade. Breast cancer cell lines, MCF-7 and MDA-MB-231, as well as normal breast cells, MCF-10A, were cultured. RNA extraction, cDNA synthesis, and SYBR Green I quantitative real-time PCR were used to investigate the expression of miR-31 and RhoA. In addition, 10 metastatic breast cancer clinical samples were analyzed to assess miR-31 and RhoA expression, and normal cells from the same patients were used as controls. Pearson’s correlation co-efficient was applied to find out any probable relation between miR-31 and RhoA expression. Gene expression analyses in MCF-7 cell line showed downregulation of miR-31 while RhoA was upregulated in the cell line (inverse correlation). miR-31 and RhoA were both upregulated in metastatic MDA-MB-231 cell line and downregulated in 90% of clinical samples. Pearson’s correlation co-efficient showed complete positive correlation between miR-31 and RhoA expression. The expression of miR-31 and RhoA is positively correlated, and it is declined in metastatic breast that cancer clinical samples save MDA-MB-231 cells. Unlike previous reports, we found that miR-31 is not the main silencer of RhoA expression. Therefore, more investigation on genes and miRNAs affecting metastasis process can elucidate new biomarkers and therapeutic targets for metastatic breast cancer. Highlights • miR-31 is an important miRNA implicated in different cellular processes as well as cancer. • The protein product of RhoA gene plays a role in actin-myosin contraction and cell motility in cancer metastasis. • We approved bioinformatically and experimentally that RhoA is one of the genes regulated by miR-31

A brass Vortex Tube (VT) with interchangeable parts is used to determine the optimum cold end orifice diameter, main tube length and diameter. Experiments were carried out to study the effects of operating pressure as well. It is shown that there is an optimum value for cold end orifice diameter, which is equal to 4mm and there is an optimum value for cold and hot exit temperature difference at CF=0.4.A 2-D Computational Fluid Dynamics (CFD) model is validated against the present experimental data. CFD code is applied to investigate the role of vortex tube diameter and length on the temperature separation. The code is also used to investigate and analyze the highly rotating flow field structure and its characteristic with respect to various cold fractions. Finally the results are extrapolated for investigating the effect of inlet pressures up to 1053kPa, VT on separation performances.

Background: Job satisfaction of physicians in family physician team is considered as one of the important factors for health system. The aim of the preent study was to compare the quality of work life (QoWL) in rural family physicians and general physicians with private clinics in Kurdistan province. Methods: A cross-sectional study was conducted among 103 general physicians including 50 rural family physicians and 53 general physicians with private clinics in Kurdistan province in 2016. The data were collected using QoWL questionnaire and analyzed using SPSS, v. 16. Descriptive statistics including frequency, percentage, mean, and standard deviation (SD) were used to describe the data and to examine the relationship between the variables, T-test was run. Results: The QoWL of rural family physicians with a mean of 55 (SD = 7.6) was higher than average scores. But QoWL of other general physicians with a mean of 47.7 (SD = 13.5) was lower than average scores. The results of t-test showed that there was a significant difference between QoWL of family physicians and other general physicians (t = 82.3, p = 0.001). In rural family physicians, there is a significant association between the QoWL and gender (t=2.7, P = 0.009) as well as native status (t=2.53, P = 0.004). In general physicians with private clinics, the QoWL of native physicians was higher than that of non-native physicians (t = 4.3, P = 0.001). Conclusion: The QoWL of rural family physicians is better than that of others general physicians, even though it is unsatisfactory in both studied groups. Therefore, improving the QoWL of rural family physicians, especially female and non-native rural family physicians, is recommended because promoting the rural family physicians' satisfaction can decrease the likelihood of turnover, and thus increase service quality and responsiveness, as a goal of the health system.

Background and Objectives: Osteoporosis is a common metabolic bone disorder among females. Primary prevention is the easiest and cheapest way to deal with this condition. Therefore, it is important to educate about osteoporosis risk factors and preventive behaviors during adolescence. This study aimed to evaluate the effect of osteoporosis prevention education on knowledge, attitude and practice of adolescent female students in Kermanshah, Iran. Materials and Methods: We performed this quasi-experimental research in 118 adolescent female students in Kermanshah in 2014. The participants were selected with multistage cluster sampling form guidance schools of the city. They were allocated randomly to intervention (n=53) and control (n=65) groups. We collected data by a four-part questionnaire including demographic information, knowledge, attitude and behavior about osteoporosis prevention. Data were analyzed in SPSS 19 using independent t-test, paired t-test, chi-squared and Pearson’s correlation. Results: The mean scores of knowledge, attitude and practice displayed no significant difference between case and control groups at pre-intervention (P>0.05). However, the averages of knowledge (P=0.024) and attitude (P=0.003) increased significantly in the training group after performing the educational program. Although, the behavior mean had no significant difference between the two groups at post-intervention (P= 0.086). Conclusions: Educating about osteoporosis prevention led to promote the knowledge and attitude of adolescent female students in Kermanshah. However, this training had no influence on behavior. It is necessary to consider this problem in designing educational interventions in this target group.

Background: Nowadays, quality of patient care is one of the major and important concerns of health care delivery which is extremely dependent on the medical staff. Objectives: The purpose of this study was to investigate the relationship between Quality of Work Life (QWL) and quality of patient care. Methods: This study was a descriptive-analytic study based on correlation which was conducted in the educational hospitals of Kermanshah. A total of 320 medical staffs were selected for the study. Quality of Work Life and Quality of Patient Care questionnaires were used to collect the data. For data analysis, descriptive statistics, person correlation coefficient, t-test and multivariate regression were used by using SPSS16 Results: Data analysis showed that the Quality of Work Life of medical staffs was in a medium level. Our findings indicate that there is a significant, negative relationship between stress at work and quality of patient care (P-value=0.001 & r=-0.247) and there is a significant, positive relationship between control & job satisfaction and quality of patient care (P-value=0.001 & r=0.217). Results of multivariate regression analysis showed that stress at work net account for 6% of the variance of the quality of patient care. Conclusion: Focusing on improving the working conditions of medical staffs can be incredibly useful in increasing the quality of health care.

Introduction: Diabetes mellitus type I is a chronic metabolic disease with an autoimmune origin. The initial manifestations mainly appear during childhood and its prevalence is on the rise in many countries. Some of the complications of diabetes mellitus are problems related to oro-dental structures and periodontal diseases. Aim: The present study was undertaken to evaluate the relationship between diabetes mellitus type I and dental and periodontal status in Tehran, Iran. Materials and Methods: This cross-sectional study was carried out on 50 patients with diabetes mellitus type I who were under treatment in the Diabetic Patients’ Center in Tehran and 50 healthy individuals who did not have diabetes, all recruited from schools. The subjects were divided into two age groups of 6-12 and 13-18 years. In test group, HbA1c (glycosylated haemoglobin) level of the patients was collected from the medical records of Association of Diabetic Patients. To make sure that the control subjects did not suffer from diabetes mellitus, their blood glucose was measured with the Glucocard 01 blood glucose monitoring kit (GT-1920, Japan). The periodontal and dental status were assessed using dmft/ DMFT (Decayed, Missing, Filled Permanent Teeth), GI (Gingival Index), PPD (Periodontal Pocket Depth), PI (Plaque Index) and CI (Calculus Index). The data obtained from each group were compared statistically using the Mann-Whitney test and Kruskal Wallis Test. Results: There was increase in PPD, GI and DMFT values with aging, with no significant differences between the diabetic and non-diabetic groups. PI and DMFT not only increased with aging but also were higher in both age groups in patients with diabetes compared to healthy subjects (p

Hepatocellular carcinoma is the major form of primary liver cancer, which is the second and sixth leading cause of cancer-related death in men and women, respectively. Extensive research indicates that Wnt/β-catenin signaling pathway, which plays a pivotal role in growth, development, and differentiation of hepatocellular carcinoma, is one of the major signaling pathways that is dysregulated in hepatocellular carcinoma. Cyclin D1 is a proto-oncogene and is one of the major regulators of Wnt signaling pathway, and its overexpression has been detected in various types of cancers including hepatocellular carcinoma. Using several validated bioinformatic databases, we predicted that the microRNAs are capable of targeting 3′-untranslated region of Cyclin D1 messenger RNA. According to the results, miR-20a was selected as the highest ranking microRNA targeting Cyclin D1 messenger RNA. Luciferase assay was recruited to confirm bioinformatic prediction results. Cyclin D1 expression was first assessed by quantitative real-time polymerase chain reaction in HepG2 cell line. Afterward, HepG2 cells were transduced by lentiviruses containing miR-20a. Then, the expression of miR-20a and Cyclin D1 was evaluated. The results of luciferase assay demonstrated targeting of 3′-untranslated region of Cyclin D1 messenger RNA by miR-20a. Furthermore, 238-fold decline in Cyclin D1 expression was observed after lentiviral induction of miR-20a in HepG2 cells. The results highlighted a considerable effect of miRNA-20a induction on the down-regulation of Cyclin D1 gene. Our results suggest that miR-20a can be used as a novel candidate for therapeutic purposes and a biomarker for hepatocellular carcinoma diagnosis.

Background: Screening is the most important action in the early diagnosis of breast cancer. This study investigates the impact of educational intervention based on the integrated behavioral model on breast cancer screening behavior in women in Karaj City, 2016. Methods: This semi-experimental study was conducted on 138 women who were attended to health centers in Mohammad Shahr city. The samples were selected using cluster sampling and were randomly divided into two groups, experimental and control group. Data gathering tool was a four-part questionnaire (demographic characteristics, knowledge, Champion's Health Belief Scale, subjective norms). Two 50-min sessions were held for educational intervention in the experimental group. Training was presented through lecture, questioning and answering and group discussion. The data were completed in three steps (before, immediately after and 2 months after the intervention) and were analyzed using SPSS 16 software. Results: The results showed that the mean score of all structures except the perceived benefits of mammography and mammography behavior have a significant difference in the intervention group than the control group in 2 months after intervention (P < 0.001). In all the studied structures, except the perceived benefits of mammography (P = 0.083) and mammographic behavior (P = 0.156), there was a significant difference between the two groups before and immediately after the intervention (P < 0.001). Conclusions: The finding of this study showed that the efficiency and effectiveness of an educational intervention based on health belief model along with subjective norms that emphasize the opinions of others about the behaviors of individuals also has a very dramatic effect on the promotion of breast cancer screening behaviors.

Background: Nontuberculous mycobacteria (NTM) are a group of opportunistic pathogens and these are widely dispersed in water and soil resources. Identification of mycobacteria isolates by conventional methods including biochemical tests, growth rates, colony pigmentation, and presence of acid-fast bacilli is widely used, but these methods are time-consuming, labor-intensive, and may sometimes remain inconclusive. Materials and Methods: The DNA was extracted from NTM cultures using CTAB, Chelex, Chelex + Nonidet P-40, FTA® Elute card, and boiling The quantity and quality of the DNA extracted via these methods were determined using UV-photometer at 260 and 280 nm, and polymerase chain reaction (PCR) amplification of the heat-shock protein 65 gene with serially diluted DNA samples. Results: The CTAB method showed more positive results at 1:10–1:100,000 at which the DNA amount was substantial. With the Chelex method of DNA extraction, PCR amplification was detected at 1:10 and 1:1000 dilutions. Conclusions: According to the electrophoresis results, the CTAB and Chelex DNA extraction methods were more successful in comparison with the others as regard producing suitable concentrations of DNA with the minimum use of PCR inhibitor.

Background: Smoking is one of the most important risk factors for health and also health problems, such as heart diseases, especially for young people. This study aimed to investigate the effect of factors related to smoking among the secondary high school students in the city of Marivan (Kurdistan-Iran), in 2015, based on the constructs of health belief model (HBM). Methods: This cross-sectional study was conducted in 470 secondary high school students in Marivan in 2015. The samples were selected by random cluster sampling. A question with four sections was used to collect data (demographic questions, knowledge section, attitude section, and questions related to e constructs of HBM). Results: According to the results, the correlation of smoking was stronger with attitude (r = 0.269 and odds ratio = 0.89) but weaker with perceived barriers (r = 0.101). There was not a significant correlation between smoking behavior and knowledge of the harms of smoking (r = −0.005). Moreover, Cues to action was effective predictor of smoking behavior (r = 0.259). Conclusions: The findings of this study show that the prevalence of smoking in the studied sample is somewhat lower than other regions of Iran, but it should be noted that if no interventions are done to prevent smoking in this age group. The findings of the study also showed that the structure of attitudes, self-efficacy, and Cues to action are the strongest predictors of smoking among students. Albeit, attitude was strongest predictor of smoking that shows the prevalence of smoking can be reduced by focusing in this part. Considering the mean age of participants (16/2 ± 0.25 years), that shows the riskiest period for smoking is 16 years and authorities can make change in policies of cigarette selling only for over 18 years.

Background: Due to some problems of serological assays in diagnosis of patients infected with HIV-1 and HCV, the use of molecular assay has become widely accepted. However, molecular assays have a major drawback of high cost and dependency to expensive thermocycler instruments. Methods: This research described the development of a multiplex nucleic acid sequence-based amplification (NASBA) assay for the simultaneous or single detection of HIV-1 and HCV genomes in plasma samples. The sensitivity and specificity of this assay has been evaluated using several clinical samples. Findings: The results showed that the primers used in this assay did not have any interactions with each other or with other possible interfering agents. The analytical sensitivity of this assay for both HIV-1 and HCV was calculated as 1000 copies/ml. The clinical sensitivity and specificity of the assay were considered as 90% and 100%, respectively. Conclusion: The developed multiplex NASBA assay can be used for simultaneous or single detection of HIV-1 and HCV viruses with a suitable sensitivity and specificity. Due to easy application, multiplexity, and no need to thermocycler instruments, this assay can be used as a low cost method in laboratories with limited instruments.