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Background and Aim: Acquired Immunodeficiency Syndrome (AIDS) caused by Human Immunodeficiency Virus (HIV), is a chronic and potentially life-threatening disease. Numerous factors affect its development and progression. Therefore, the present study attempted to identify characteristics impacting the prognosis and progression of AIDS using multistate models.
Methods & Materials: The present retrospective study consisted of 2185 patients affected with HIV referring to Behavioral Disease Counseling Centers in Tehran City, Iran, from 2004 to 2013. We considered multiple states of AIDS, tuberculosis, and tuberculosis/AIDS in the natural history of the disease (from the onset of HIV disease until death occurred). Then, we applied the multistate models, to examine the effect of contextual demographic and clinical variables on survival time; subsequently, the transition probabilities of HIV.
Ethical Considerations: This study was approved by the Research Ethics Committee of Hamadan University of Medical Sciences (Code: IR.UMSHA.REC.1396.117).
Results: HIV-Related deaths in individuals with an incarnation history were 2.40 times higher than in those without the prison history. Death risk was also 1.70 and 1.80 times higher in those aged 25-44 and 44 years, respectively, compared to the individuals aged less than 25 years. An inverse relationship was also found between CD4 levels and the risk of death in our participants.
Conclusion: Antiretroviral therapy, CD4 count, age, and history of imprisonment were the main factors in the progression of the disease and subsequent death in HIV patients. Thus, preventing the further spread of the disease to the community and controlling the disease in the patients requires targeted educational and therapeutic interventions; accordingly, the community will be familiarized with transmission routes and the preventing principle of disease. Furthermore, we can encourage patients to visit the healthcare centers early.

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Background and Aim: Cancer cannot be explained only by genetic alterations but involves epigenetic processes. Modifying histones by acetylation plays a key role in epigenetic regulation of gene expression and is controlled by the balance between Histone Deacetylases (HDAC) and Histone Acetyltransferases (HAT). The HDACs expression and activity could be involved in several tumorigenesis mechanisms, so their inhibition induces cancer cell cycle arrest and migration.
Methods & Materials: Quisinostat is a novel promising second-generation HDAC inhibitor class of hydroxamic acid with high cellular potency towards classes I and II HDACs. Therefore, its low IC50 (<0.5nM) and bioavailability have been chosen to carry out our studies. Cancer cells were treated with Quiznos at nM200, and cell migration was measured by fluorescent microscopy.
Ethical Considerations: This study was the result of a preliminary study of Shiraz University (Code: 96GCU3M1293).
Results: The data showed that treatment of cancer cells with Quiznos significantly (P<0.05) reduced cell migration. DMSO did not affect reducing cell migration.
Conclusion: In this project try to explore the possible therapeutic application of this HDAC inhibitor against colon cancer. This study showed Quisinostat exerts broad-spectrum antiproliferative activity and migration.

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Background and Aim: Tamoxifen is a group of drugs of selective estrogen receptor modulators, and is one of the drugs effective in the prevention and treatment of some cancers (such as breast cancer). In this study, the interaction of tamoxifen with DNA is investigated experimentally. Also, the electronic structure (at atomic scale) of the molecular system of tamoxifen was theoretically investigated, using atom in molecule (AIM) theory.
Methods & Materials: First, in the experimental section of this study, the interaction of Tamoxifen with DNA were investigated by UV-ViS technique and hydrodynamic method (Viscometry). In addition, the analysis of the experimental results shows the obvious effect of concentration on the mechanism of how the tamoxifen molecule binds to DNA. Then, in the theoretical part of this research, using computational biophysical chemistry methods, some properties of tamoxifen molecular system, such as electronic Density of States (DOS), boundary orbital’s energy (HOMO/LUMO), Electrostatic Potential Energy (EPS) and electronic contour maps of the electron density and its Laplacian, will be calculated.
Ethical Considerations: This article is a meta-analysis with animal sample.
Results: Result of the UV-ViS spectroscopy technique and viscometry indicated hyperchromism and hypochromism effect. In addition, the result were depend on the concentration of the drug and affected the kind of binding of Tamoxifen to DNA. the analysis of computational studies on the drug tamoxifen suggests that the mechanism of the local charge/energy distribution in the molecular system of tamoxifen plays an important role in how this drug binds to DNA.
Conclusion: Based on the experimental results of UV-ViS technique and viscometry, as well as the electronic/vibrational properties of the tamoxifen molecular system, it was defined that the Tamoxifen interacts significantly with all the binding sites of DNA.

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Background and Aim: Among the different periods of human life, adolescence is one of the most important and valuable periods of each personchrs life and anxiety is very common in this period of development and can continue into adulthood. One of the concerns is health concern so it is the best time to target the efforts of preventive behavior during adolescence. Therefore, this study was conducted to investigate the effect of group-based puberty counseling on problem-solving health concerns of adolescent girls.
Methods & Materials: This study is an educational trial with a pre-test and post-test design that is performed on 60 female students aged 15-18 years in Tehran (30 in the experimental group and 30 in the control group) who meet the inclusion criteria and by sampling method. Two-stage cluster random sampling was performed. Data were collected using a questionnaire containing demographic information and a standard health concern questionnaire. The intervention was designed by group discussion during 6 sessions for the experimental group and after 2 months, information was collected from both groups and analyzed by chi-square, independent t-test and paired t-test.
Ethical Considerations: This study was approved by the Research Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.262), and all participants have read and signed the informed consent.
Results: According to the results of the study, before the educational intervention in the experimental group, the mean scores of anxiety in: personal health were 3.90, sexual health was 3.77, communication was 3.83, emotional health was 5.43 and the total score of anxiety was 16.10. The intervention had changed to 2.53, 2.03, 2.97, 3.30 and 10.90, respectively. This change was significant in the areas of sexual health, emotional health and total anxiety score (P<0.005). Also, the experimental and control groups, after the educational intervention, had significant differences in the areas of personal health, emotional health and total anxiety score (P<0.005).
Conclusion The results of the intervention showed that group discussion can reduce the health concerns of adolescent girls.

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Background and Aim: Children with Attention Deficit Hyperactivity Disorder are a good target group for cognitive rehabilitation Because their behavioral problems, including inattention, impulsivity, and hyperactivity, have a specific cognitive and cerebral origin. This adaptation of behavior to cognitive function provides an opportunity to repair behavior by strengthening cognitive function. This study aimed to compare the effectiveness of cognitive rehabilitation based on virtual reality technology as a new method and classical cognitive rehabilitation in improving the executive functions of children with attention deficit hyperactivity disorder.
Methods & Materials: This research was a quasi-experimental study using a pre-test-post-test design with a control group. The statistical population included all children aged 7-12 years with Attention Deficit Hyperactivity Disorder in Tehran in 1398 who were selected by convenience sampling method and randomly divided into 3 groups of 12 people. In the pre-test stage, participants were assessed with the Attention Deficit Hyperactivity Disorder Rating Scale and the Computer Integrated Visual and Auditory Test (IVA-2). The first group received a virtual reality-based cognitive rehabilitation package and the second group received a Captain Log computer cognitive rehabilitation package, 12 sessions twice a week. No intervention was performed in the control group during this period. Post-tests were taken from all 3 groups after the intervention. Univariate analysis of covariance (ANCOVA) was used to analyze the data using SPSS software v. 26.
Ethical Considerations: This study was approved by the Research Ethics Committee of the Islamic Azad University, Central Tehran Branch (Code: IR.IAU.CTB.REC.1400.001). 
Results: The results showed that both methods of cognitive rehabilitation intervention had a significant effect on cognitive functions (selective attention, sustained attention) of Attention deficit hyperactivity disorder (ADHD) children (P<0.01). But no significant difference was observed between the mean scores of selective attention and sustained attention in the first experimental group and the second experimental group (P>0.05). 
Conclusion: Virtual reality-based cognitive rehabilitation is as effective as classical cognitive rehabilitation on selective attention and sustained attention in children with ADHD. Virtual reality-based cognitive rehabilitation can be used as a new approach to rehabilitating this disorder. 

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Background:  Rotator cuff injuries are one of the most common causes of shoulder pain.
There are different therapeutic approaches in this disease. The evidence of the positive effect of exercise therapy in this pathology is inconclusive. This study aimed to investigate the effect of a complete exercise protocol on improvement of the patients with rotator cuff injuries.
Methods: The patients with shoulder pain received the 12-week exercise protocol in 4 phases if they had confirmed rotator cuff injuries in clinical examination and shoulder MRI. 
Pain was measured by visual analog scale (VAS) and function was measured by two questionnaires; disabilities of the arm, shoulder and hand (DASH) and western Ontario rotator cuff index (WORC). Range of shoulder joint motion (ROM) was measured in five directions by goniometry. All of the outcomes were evaluated before intervention and in 6, 12, 24 weeks after starting the intervention.
Ethic: This study was registered in Iranian Registry of Clinical Trials (IRCT20100718004409N13). A written consent was taken from All participants before the study. 
Results: In this study Twenty-four patients with rotator cuff tendinopathy and tear were analyzed finally in terms of effectiveness of exercise therapy. The average of their age was 51.7 years old. 14 patients (53.8%) with Supraspinatus tendinopathy, 6 patients (23%) with Supraspinatus tear, 3 patients (12.5%) with Supraspinatus plus biceps tendinopathy, and one patient (4.16%) with Subscapularis plus Biceps tendinopathy were assessed. The pain score (Visual Analog Scale) decreased at all fallow-ups specially after 24 weeks (3±0.1) versus before intervention (8±0.1) (P value < 0.001). Shoulder range of motions by goniometer and also the patients function based on WORC and DASH Questionnaires were improved after 24 weeks versus before intervention that was significant statistically and clinically (P value < 0.001). 
Conclusion: A 12- week exercise protocol including strengthening, stretching, PNF and dynamic stabilizer exercises was effective on pain reduction and improvement of function and shoulder joint range of motion improvement in the patients with shoulder rotator cuff tendinopathy and partial tear. The improvement of the variables lasted 6 months.
 

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Background and Aim : Despite progressive improvement in medical therapy and standard care, Exercisebased rehabilitation programs have been shown to to have beneficial cardiovascular effects in patients with myocardial infarction through a multifactorial effect. This review study aimed to evaluate exercise-based cardiac rehabilitation strategies in patients with myocardial infarction with special focus on high intensity interval training, as a growing field of research was conducted.
Material and Methods: This is a systematic review study on articles published, without limitation Year, by searching in reputable databases such as PabMed, Science Direct, Google Scholar, Scopus, Springer. Also in the process of searching for articles on the keywords microRNAs (miRNA) and myocardial infarction "," cardiac rehabilitation and myocardial infarction "," cardiac rehabilitation and high-intensity interval training  (HIIT) ", high-intensity interval training (HIIT) and Myocardial infarction was used.
Ethical considerations: All Ethical principles in writing this article have been observed  according to the instructions of the National Ethics Committee and the COPE regulations.
Results: High-intensity interval training (HIIT) is a safe and effective exercise strategy to improve cardiac function in MI, and to prevent abnormal changes in mass, size, geometry, and cardiac function after MI, and Applies significant changes in molecular targets and cell pathway.
Conclusion: Therefore, HIIT targets myocardial necroptosis due to oxidative stress, protects the heart against adverse left ventricular regeneration after MI, and can be considered an integral part of post-MI cardiac rehabilitation programs.

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Introduction: Beyond the members of the charter board, the horizon of Amedwar Kanandah for the sake of Bimaran Niyazmand, the member of the board of the board. In parallel, there is a new medical science in New Mutrah, in the opinion of specialists who claim that it is a model and that they have a source for beyond the organs with children. Definitively The current issue is that of new topics and the question of programs in the possession of jurisprudence and rights, which must be carefully selected from the angles that are the subject of jurisprudence debate.
Methods: This is a book in the form of a textbook and a description - an analysis with the use of the books of science and jurisprudence of his room.
Results: This type of child is based on the basis of investigations, which are believed to be valid, according to the permissibility of the organs that are nozadan with severe cranial defects, i.e., in the womb of a mother, or from a cutaneous period, but from birth in the middle of my heart; A defensible issue.
Conclusions: The use of the nostril organs affected by the cornea with limitations of the cervical spine, but with a significant meaning in the development of Rastafarian, and the use of non-main organs based on multiple rational and legal evidences; Milabashed project. The parts of my life are afflicted with severe corneal ulcers, based on the inevitability and inevitability of the disease, and the reason for the fact that the situation is similar to the meaning of the disease. Develop a legitimate development in the most vigorous manner, and the issue of the necessity of preserving human dignity This is an issue that cannot be denied. But from the point of view of the role that is not a conditional legality, it is a present issue with conditional auspices in no severe form.
 

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Introduction: Hereditary spastic paraplegia is a rare disease with different inheritance patterns. The prevalence of this disease is about 1.8 per 100 thousand people. Most of the affected patients are the result of consanguineous marriages. Weakness and muscle spasm is the main manifestation of this disease. The purpose of this study was to investigate the mutation analysis of a person with hereditary spastic paraplegia by the whole exome sequencing method.
Methods: Peripheral blood samples were obtained from a person suffering from gait disorder and lower limb spasm with autosomal recessive inheritance pattern. DNA extraction and whole exome sequencing was performed. After analyzing the data related to the whole exome sequence, the disease-causing mutation in the affected person was confirm using Sanger sequencing method. Also, parents were investigated to separate mutation and carrier status. This study was approved by Arak University of Medical Sciences (code IR.ARAKMU.REC.1401.039). Ethical principles have been followed in accordance with the guidelines of the National Ethics Committee and COPE regulations.
Results: In the present study, a homozygous pathogenic mutation (NM_030954.4): c.304T>C (p.Cys102Arg) in the RNF170 gene was identified in the patient, therefor, hereditary spastic paraplegia type 85 was confirmed in him. Also, the parents of the affected person were heterozygous for the mutation.
Conclusions: Homozygous mutation in RNF170 gene was detected using whole exome sequencing method. A mutation in this gene causes hereditary spastic paraplegia. Considering the consanguineous marriage of carrier parents, this finding can be used for preventive measures in future children.

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Background and Aim: Diabetes is a type of metabolic disease and one of the most common endocrine diseases. Oxidative stress and inflammation play an important role in the development and progression of diabetes. mTOR signaling pathway play an important role in glucose homeostasis and proliferation of pancreatic beta cells. In the present study, the therapeutic effects of p-cymene on oxidative stress markers and expression of the mTOR gene in diabetic male Wistar rats were investigated.
Materials and Methods: Diabetes was induced by injecting 55 mg/kg body weight of streptozotocin. Biochemical analyses of pancreatic tissue and real-time PCR were done to investigate the effects of metformin (55 mg/kg body weight) and p-cymene (25, 50, and 100 mg/kg body weight) on the activities of catalase and glutathione peroxidase enzymes and mTOR gene expression.
Findings: Streptozotocin decreased catalase and glutathione peroxidase enzymes and decreased the expression of the mTOR gene in pancreatic tissue. Treatment with metformin or p-cymene improved the activities of catalase and glutathione peroxidase enzymes and the expression of the mTOR gene in a dose-independent manner.
Conclusion: Results indicate that p-cymene has antioxidant properties and can regulate the mTOR signaling pathway. Therefore, p-cymene may be effective for the treatment of diabetes alone or in combination with metformin.

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Background and Objectives: The present study was conducted with the aim of investigating the effectiveness of problem solving training on life orientation, positive and negative emotions, and learned helplessness in incompatible couples in Qaemshahr city.
Materials and Methods: The method of the present research was an experiment and a quasi-experimental research design with a control group. The statistical population included all couples who referred to counseling centers in Qaemshahr city in 2023. 30 couples were selected as a sample using available sampling method and randomly assigned to two experimental and control groups (15 people in each group). Then, the subjects of the experimental group received problem solving training during 8 sessions of 60 minutes. In order to collect data from life orientation questionnaires (Shier and Carver, 1994), positive and negative affect (Watson et al., 1988) and learned helplessness (Quinless and Nilsson, 1988) in two stages before and after training in both groups (experiment and control) were used.
Results: The findings from the analysis of covariance test showed that problem solving training improved optimism in life orientation, increased positive emotion, and reduced learned helplessness in the tested group (p=0.05).
 Conclusion: According to the findings of the present research, in the field of therapy and counseling of incompatible couples, training in problem solving for the compatibility of couples and solving their conflicts; It looks very efficient and promising.
 

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Introduction: Gestational diabetes is defined as hyperglycemia with onset or first diagnosis during pregnancy, with a lower frequency than general diabetes. Overweight and obesity, old age at the time of pregnancy, previous history of gestational diabetes, family history of type 2 diabetes, and race are risk factors for gestational diabetes. Recently, the relationship between two polymorphisms (rs9939609 and rs1421085) of Fat mass and obesity-associated (FTO) gene and the risk of gestational diabetes has been investigated in some studies with conflicting results. Therefore, our aim of the present study was to investigate the association study of rs1421085 and rs9939609 of the FTO gene on gestational diabetes.
Methods: In this case-control study, five cc of peripheral blood was collected from 100 cases with gestational diabetes and 116 control pregnant women from Taleghani Hospital in Arak, and then DNA was extracted. After designing the specific primers, the genotypes were determined by the Tetra ARMS-PCR method. Demographic information was compared with genotypes between the two groups were compared using SNPSTAT software.
Results: A significant correlation was observed between obesity, BMI before and during pregnancy, HbA1c, FBS, cholesterol, and triglyceride levels among mothers with gestational diabetes compared to healthy pregnant mothers P = 0.0001. According to data analysis, there was no significant association between rs1421085 and rs9939609 of the FTO gene with gestational diabetes.
Conclusions: Considering the conflicting results between the association of FTO gene polymorphisms with gestational diabetes, to better identify and understand the pathogenesis of the disease, more studies with a higher number of samples and more racial groups are needed. In the future, identifying the profile and locations of genetic susceptibility to gestational diabetes can be used in the patient's management.

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Introduction: One of the clinical manifestations of coronavirus is neurological symptoms. However, due to the emergence of this virus, little information is available about its symptoms. Therefore, this study aimed to evaluate the prevalence of neurological symptoms in patients with coronavirus at hospitals in Arak.
Methods: In this study, all patients hospitalized with COVID-19 in two hospitals in Arak who were willing to participate were selected by census. The questionnaires consisted of two parts: demographic information and the prevalence and severity of neurological symptoms, which were completed by interviews with patients.
Results: 208 patients with a mean age of 60.5±14.1 years participated in the study. Of the 20 neurological symptoms studied, only two (tingling around the mouth and cranial nerve palsy) were absent in patients. The most common neurological symptoms in patients were headache (82.5%), fatigue (81%) and muscle pain (74.9%), respectively. Also, according to the visual scale, participants reported the highest severity for headache (average: 7.5), followed by fatigue (average: 7.03), and muscle weakness (average: 6.9).
Conclusions: The results showed that the most common neurological symptoms in patients with coronary heart disease include headache, fatigue, and muscle pain and the most severe neurological symptoms in these patients are headache, fatigue, and muscle weakness. According to the findings of this study, these results can be used to diagnose patients and follow them up.

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Introduction: Physical activity positively influences various physiological factors, laying the groundwork for beneficial changes. Myostatin and follistatin are among these factors, whose levels are influenced by gender and physical activity. The present study was conducted with the aim of investigating the effect of traditional resistance training (RT) and high functional training (HIFT) on the serum levels of myostatin and follistatin in young women.
Methods: In this semi-experimental study, 30 young women were selected and divided into three groups: intense functional training, traditional resistance training, and control. Blood was drawn 24 hours before and 48 hours after the end of the interventions to measure the serum levels of myostatin and follistatin. The exercise protocols were performed for eight weeks, 3 days a week and 60 minutes a day. Ultimately, the collected data were analyzed using the ANOVA statistical method, with a significance level set at P < 0.05.
Results: The results showed that follistatin level was significantly higher in the RT and HIFT groups than in the control group (P = 0.001). Also, the amount of follistatin in the HIFT group was considerably higher than the RT group (P = 0.01). The results showed that the level of myostatin in the RT and HIFT groups was significantly lower than the control group (P = 0.001). Also, the amount of this factor in the HIFT group was substantially lower than in the RT group (P = 0.01).
Conclusions: In general, the findings of the present study show that performing intense resistance and functional exercises causes a favorable change in the expression of physiological factors related to muscle growth in women. It seems that the effect of intense functional exercises is greater than resistance exercises.

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Introduction: The coronavirus crisis is a multidimensional phenomenon that affects even the family. The impact of the situation on the family has been less discussed. Therefore, a qualitative study was conducted to explain families' experiences with patients suffering from COVID-19.
Methods: A qualitative study was conducted with a content analysis approach in 2021. Sampling started with purposive sampling and continued theoretically until information saturation was reached. The primary data collection tool was a semi-structured, in-depth interview in which
10 participants were interviewed. The participants were people from the family of a patient with COVID-19 who, while willing to participate in the study, were either involved in caring for the patient or were worried about the patient's infection. In addition, their patient recovered from Corona and was alive. The interview location was chosen according to the participants' opinion, whether it was at their home or a place that was convenient for them. The interviews were analyzed using the Granheim and Lundman method.
Results: After analyzing the data, initially, 391 codes, 16 subcategories, and finally, five themes were extracted. The five themes that emerged are the experienced symptoms of the disease with two subcategories (symptoms of the onset of the disease and the course of the symptoms), mental and emotional disturbances with seven subcategories (contagion anxiety, death anxiety, fear of the vague nature of the disease, torment of conscience, obsession, emotional suffering, and financial worries), sacrifice in care with two subcategories (suffering care and multiplicity of roles),  resilience in the path of care with three subcategories (supportive aspects, reduction of caregiving stress and obtaining information about the disease), Change and evolution in the course of life with two subcategories (individual growth and getting the meaning of life).
Conclusions: According to the present study, after one of the family members gets infected with Corona, the other members have a crisis. The individual, psychological, social, and economic dimensions of the family foundation are facing challenges. It needs the comprehensive support of the family as the first and most important institution of society. Although facing this crisis and accompanying challenges leads to the experience of special suffering, it lays the foundation for personal growth and a better understanding of the meaning of life. Therefore, it can be said that the experience of this crisis is not only from the social aspect but also from the individual aspect, along with tremendous positive and negative developments.

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Abstract

Background and Aim: Oculocutaneous Albinism is a hereditary disease with an autosomal recessive pattern. The incidence of this disease is about 1 in every 17 thousand births. Most of the affected people in Iran are the result of consanguineous marriages. White hair, fair skin and reduction of iris pigments are the main manifestations of this disease. Also, exposure to sunlight increases the susceptibility of these patients to skin cancer. The aim of this study was to investigate the genetic cause of a person with Oculocutaneous Albinism by the whole exome sequencing.

Materials and methods:  6cc peripheral blood sample was obtained from a child with oculocutaneous Albinism with autosomal recessive inheritance pattern, DNA extraction and whole exome sequencing was performed. After analyzing the exome sequencing data, the pathogenic mutation was identified. Then, Sanger sequencing method was used to confirm and segregation.

Ethical considerations: This study was approved by Arak University of Medical Sciences (code IR.ARAKMU.REC.1403.273). Ethical principles have been followed in accordance with the guidelines of the National Ethics Committee and COPE regulations.

Findings: The affected case showed homozygous pathogenic mutation (NM_000372.5):c.286dupA p.(Met96AsnfsTer73) in exon 1 of TYR gene. Oculocutaneous albinism IA was determined according to the mutated gene. Also, the parents of the affected person were heterozygous for the mutation.

Conclusion: Conclusion: By using the high efficiency whole exome sequencing method and then confirming the mutation through Sanger sequencing, the mutation causing oculocutaneous albinism was identified in the affected person. Considering the consanguineous marriage of the parents, this finding can be used for preventive measures in the future.