Effect of home-based walking on performance and quality of life in patients with heart failure

Introduction: Chronic heart failure defined as the inability of the heart to meet the demands of the tissues, which results in symptoms of fatigue or dyspnoea on energy progressing to dyspnoea at rest. The inability to perform the exercise without discomfort and poor quality of life may be one of the first symptoms experienced by patients with heart failure and is often the principal reason for seeking medical care. Objectives: The aim of the study was to find the effect of a home walking programme on the performance and quality of life in the patients with heart failure. Methods and results: Sixty patients with New York Heart Association class II and III heart failure were divided into two matched and equal groups. The quality of life scores and 6-minute walking scores were measured for each patient at entry and after 8weeks. Both groups were followed for 8weeks. The results showed between mean walking distance on the 6minutes at entry and after 8weeks in the training group (p<0.001), but no significance was seen between the control groups (p=0.351). Furthermore, results showed a significant difference between mean of quality of life scores at entry and after 8weeks in the training group, but such significance was not reported between before and after control group scores. Conclusion: The home-based walking showed improvement in the performance, exercise tolerance time and quality of life in heart failure patients. Therefore, Nurses should employ alternatives such as home exercises in the caring of heart failure patients. © 2012 Nordic College of Caring Science

Detecting Crowdsourced Spam Reviews in Social Media

User submitted reviews are used by potential buyers to evaluate products before their purchase. In this work we study cases of deceptive reviews on Amazon.com which rate the products favorably. These were paid for through a number of crowd- sourcing websites. The behavior of the review spammers as a group has distinguish- able characteristics which are used in our proposed method. We use a probabilistic model for spammer pairwise collaboration which is used to cluster reviewers. The introduced model is verified on a set of synthetic data and outperforms a baseline classifier which treats reviews on their own, without their social context. The performance of the proposed method for detecting clusters of spammers is also compared to an alternative approach. Finally we demonstrate some of the detected clusters of review spammers on the data set which was crawled from Amazon

The pregnant mouse uterus exhibits a functional kisspeptin/KISS1R signaling system on the day of embryo implantation

Background: Expression of kisspeptin (protein) and Kiss1r (mRNA) was recently documented in the mouse uterus on D4 of pregnancy (the day of embryo implantation) suggesting that the uterine-based kisspeptin (KP)/kisspeptin receptor (KISS1R) signaling system regulates embryo implantation. Despite this important suggestion, it was never demonstrated that the uterus actually exhibits a functional KP/KISS1R signaling system on D4 of pregnancy. Thus, the goal of this study was to determine whether a functional KP/KISS1R signaling system exists in the mouse uterus on D4 of pregnancy. Findings: Since kisspeptin/KISS1R signaling triggers the phosphorylation of the mitogen-activated protein kinases p38 and ERK1/2, through immunohistochemical analyses, we determined whether exogenously administered kisspeptin could trigger p38 and ERK1/2 phosphorylation in the uterus on D4 of pregnancy. The results clearly demonstrated that kisspeptin could and that its effects were mediated via KISS1R. Additionally, the robust kisspeptin-triggered response was observed in the pregnant uterus only. Finally, it was demonstrated that on D4 of pregnancy the Kiss1 null uterus expresses functional KISS1R molecules capable of mediating the effects of kisspeptin. Conclusions: These results lead us to conclude that on D4 of pregnancy, the mouse uterus expresses a functional KP/KISS1R signaling system strengthening the possibility that this signaling system regulates embryo implantation. These findings strengthen the rationale for determining whether such a functional system exists in the uterus of the human female and if so, what role it might play in human pregnancy

Pathotypic and phylogenetic study of diarrheagenic Escherichia coli and uropathogenic E. Coli using multiplex polymerase chain reaction

Background: Acute diarrheal disease and urinary tract infection are leading causes of childhood morbidity and mortality in the developing world. Diarrheagenic Escherichia coli (DEC) has been identified as a major etiologic agent of diarrhea worldwide, and urinary tract infection (UTI) caused by uropathogenic Escherichia coli (UPEC) is one of the most common bacterial infections among human beings. Quick and precise detection of these bacteria help provide more effective intervention and management of infection. Objectives: In this study we present a precise and sensitive typing and phylogenetic study of UPEC and DEC using multiplex PCR in order to simplify and improve the intervention and management of diarrheal and UT infections. Materials and Methods: In total, 100 urinary tract infection samples (UTI) and 200 specimens from children with diarrhea, which had been diagnosed with E. coli as the underlying agent by differential diagnosis using MacConkey�s agar and biochemical study, were submitted for molecular detection. Pathotyping of E. coli pathotypes causing urinary tract infection and diarrhea were examined using a two set multiplex PCR, targeting six specific genes. Phylogenetic typing was done by targeting three genes, including ChuA, YjaA and TspE4C2. Results: Overall, 88 of DEC and 54 of UTI isolates were positive for one or more of the six genes encoding virulence factors. Prevalence of the genes encoding virulence factors for DEC were 62, 25, 24, 13, 7 and 5 for ST (ETEC), LT (ETEC), aggR (EAggEC), daaD (DAEC), invE (EIEC) and eae (EPEC), respectively; whereas, the prevalence rates for the UTI samples were 23, 14, 6, 6 and 4 for aggR (EAggEC), LT (ETEC), daaD (DAEC), invE (EIEC) and ST (ETEC), respectively. No coding virulence factors were detected for eae (EPEC). Group B2 was the most prevalent phylogroup and ST was the most frequently detected pathotype in all phylogroups. Conclusions: ETEC and EAggEC were the most detected E. coli among stool and UTI samples, emphasizing the need to ded cate more health care attention to this group. In addition, our phylogenetic study may be helpful in figuring out the infection origin and for epidemiological studies. Nonetheless, more research studies with larger sample sizes are suggested for confirming our results. © 2016, Ahvaz Jundishapur University of Medical Sciences

Investigation of the Relationship between Serum Leptin levels and Nausea and Vomiting of Pregnancy

Background: Worldwide, half of women suffer from nausea and vomiting in early pregnancy which generally continues to the 20th week of pregnancy. Although pathogeneses of nausea and vomiting of pregnancy as well as hyperemesis gravid arum are still unknown, some believe that nausea and vomiting of pregnancy is likely related to maternal serum leptin level. Objectives: This study aimed to examine the relationship between leptin and pregnancy nausea and vomiting. Methods: In this case-control study, 45 pregnant women at first and second trimesters were selected through convenient sampling. Mothers’ blood samples were taken in the 6th, 12th, 15th, and 20th weeks of pregnancy. The participants were devised into healthy, without nausea, (24) and with nausea and vomiting groups (21). The relationship among the variables was analyzed using independent t-test, Pearson correlation, regression tests, and Lambda statistic (P value <0.05). Results: The mean age of the participants was 27.47±5.55 years, and Body Mass Index (BMI) was found to be 5.458±26.57. There was no significant difference between groups in this regard. Based on results, changes in maternal serum leptin had significant correlation with nausea and vomiting of pregnancy (p<0.04), meaning that the mean of leptin changes in patients with nausea and vomiting was significantly lower. Moreover, serum leptin at first and second trimesters of pregnancy did not have significant correlation with nausea and vomiting (p=0.5 and 0.3, respectively). Conclusion: With regard to leptin peak level at second trimester of pregnancy, leptin changes at first and second trimesters can be a good index to predict the nausea and vomiting of pregnancy. Thus, further domestic studies are required in this respect

Pyogenic spondylitis

Pyogenic spondylitis is a neurological and life threatening condition. It encompasses a broad range of clinical entities, including pyogenic spondylodiscitis, septic discitis, vertebral osteomyelitis, and epidural abscess. The incidence though low appears to be on the rise. The diagnosis is based on clinical, radiological, blood and tissue cultures and histopathological findings. Most of the cases can be treated non-operatively. Surgical treatment is required in 10–20% of patients. Anterior decompression, debridement and fusion are generally recommended and instrumentation is acceptable after good surgical debridement with postoperative antibiotic cover

Identification of the GDF9 mutation in two sheep breeds by using polymerase chain reaction- restriction fragment length polymorphism (PCR-RFLP) technique

A genetic mutation with major effects on the litter size in sheep was recently identified in the growth differentiation factor (GDF9) gene of the TGF-B super family (transforming growth factor). GDF9 gene has been localized to chromosome 5 in sheep. In order to evaluate the GDF9 gene polymorphism, blood samples were collected randomly from 42 Kordi sheep and 44 Arabic sheep from Kordestan and Khozestan provenance. Exon 1 from GDF9 gene was amplified to produce a 462 bp and exon 2 from GDF9 gene was amplified to produce a 139 bp fragment. The amplified fragment of Exon 1 was digested with Hin6I restriction enzyme and the amplified fragment of exon 2 was digested with DdeI restriction enzyme. Exon 1 revealed two alleles, (denoted A and B) and exon 2 revealed a single allele. In these populations for exon 1, AA and AB genotypes were observed. With attention to the role of a GDF9 in increasing ovulation rate, it seems that this gene can be used as a marker for increasing the twin rate.Key words: Polymorphism, PCR- RFLP, GDF9 gene