The Prevalence of Hepatitis C Virus (HCV) Infection and Genotypes in Patients with Hemophilia and Other Blood Coagulopathies in Mashhad, Iran

Background and Aim: Patients with blood coagulopathies treated with multiple transfusions have a high risk to acquire some viral infections such as hepatitis C. This research was aimed to identify hepatitis C virus (HCV) infection prevalence, and the viral genotypes among patients with hemophilia and other inherited coagulopathies in Mashhad, Iran. Methods: Medical records of 760 patients with inherited coagulopathies including hemophilia were reviewed in Sarvar Clinic of Mashhad. Plasma samples were subjected to detect antibodies against HCV (anti-HCV) by enzyme-linked immunosorbent assay. HCV RNA and genotypes were determined by a real-time polymerase chain reaction (PCR) method. Results: Totally 128 individuals (16.8%) including patients with hemophilia (n=116) and individuals with other coagulopathies (n=12) were found to be seropositive for anti-HCV. They comprised 122 men and six women with a mean age of 31.6 ± 10.5 years. The PCR results were available for 118 patients, of whom 86 individuals (72.9%) were found to have detectable HCV RNA in their serum. The most frequent genotypes were 1a and 3a (49.1% and 35.8%, respectively). HCV genotypes were not significantly correlated with the patients’ age (p=0.477) as well as with the serum levels of alanine aminotransferase (p=0.655) and aspartate aminotransferase (p=0.332). Conclusion: The patients with blood coagulation disorders had a greater prevalence of HCV infection in comparison with the general population in our region. The most common subgenotypes of HCV were 1a, and 3a, respectively. These results could assist professionals to choose more efficient approaches for the management of their patients. *Corresponding Author: Mohammad Reza Hedayati-Moghaddam; Email: [email protected] Please cite this article as: Badiei Z, Ahmadi-Ghezeldasht S, Sima HR, Habibi M, Khamooshi M, Azimi A, Hedayati-Moghaddam MR. The Prevalence of Hepatitis C Virus (HCV) Infection and Genotypes in Patients with Hemophilia and Other Blood Coagulopathies in Mashhad, Iran. Arch Med Lab Sci. 2021;7:1-7 (e9). https://doi.org/10.22037/amls.v7.3396

Co-occurrence of upper respiratory tract disorders with gastrointestinal infections of helicobacter pylori in patients: a systematic review and meta-analysis

Background: Helicobacter pylori infection and respiratory tract infection at the same time cause pathogenicity increase and death. The aim of this study was to evaluate the co-occurrence of upper respiratory tract disorders and gastrointestinal infections of H. pylori. Methods: The present study was conducted as a systematic review and meta-analysis, from August 2019 to Agusut 2020, at Qazvin University of Medical Sciences. Articles in the international databases (April 2001-December 2018) on the coexistence of upper respiratory tract disorders with H. pylori gastrointestinal infections were examined. The random effect model with a 95% confidence level was used to analyze the data. Results: The highest prevalence of respiratory disorders co-occurrence associated with adenoid tissue (33%), nasal polyps (100%), chronic rhinosinusitis (71%) and gastrointestinal infections of H. pylori was reported in 2006 in Turkey, 2011 in Poland and 2015 in Egypt .Concurrent prevalence of the disease, according to the type of upper respiratory tract disorders in all studies, the estimated effect size according to the random model was 53% in chronic rhinosinusitis, 63% in nasal polyps, 62% in adenoid tissue and 60% in total, which was significant (P=0/000). The prevalence of co-occurrence of upper respiratory tract disorders with gastrointestinal infections of H. pylori in patients was estimated to be 61% at the age of more than 27 years and 60% at the age of fewer than 27 years. Pooled estimation of the concurrent prevalence of infection (in total) was estimated to be 60% and was significant among the studies (P=0/000). Conclusion: The concurrent prevalence of upper respiratory tract disorders with gastrointestinal infections of H. pylori was observed to be almost equal and significant in elderly and young patients. Due to the fact that the simultaneous occurrence of two types of infections and diseases in people is very dangerous, screening of patients with each of these infections is necessary to identify the other infection and prescribe appropriate drugs

Exosomes from Adipose Tissue-derived Mesenchymal Stem Cells Induce Regulatory T Cells in COVID‐19 Patients

An imbalance between regulatory T (Treg) and T-helper (Th)-17 cells has been implicated in the pathogenesis of coronavirus disease 2019 (COVID-19). Mesenchymal stem cells (MSCs) exert immunomodulatory properties through secreting exosomes. This study aimed to assess the effect of MSC-derived exosomes (MSC-Exo) on the differentiation of peripheral blood mononuclear cells (PBMCs) into  Tregs from patients with COVID-19. Exosomes were isolated from adipose tissue–derived MSCs. PBMCs were separated from the whole blood of COVID-19 patients (n=20). Treg frequency was assessed before and 48 hours after treatment of PBMCs with MSC-Exo using flow cytometry. Expression of FOXP3 and cytokine genes, and the concentration of cytokines associated with Tregs, were assessed before and after treatment with MSC-Exo. The frequency of CD4+CD25+CD127-  Tregs was significantly higher after treating PBMCs with MSC-Exo (6.695±2.528) compared to before treatment (4.981±2.068). The expressions of transforming growth factor (TGF)-β1, interleukin (IL)-10, and FOXP3 were significantly upregulated in MSC-Exo–treated PBMCs. The concentration of IL‐10 increased significantly after treatment (994.7±543.9 pg/mL) of PBMCs with MSC-Exo compared with before treatment (563.5±408.6 pg/mL). The concentration of TGF-β was significantly higher in the supernatant of PBMCs after treatment with MSC-Exo (477.0±391.1 pg/mL) than PBMCs before treatment (257.7±226.3 pg/mL). MSC-Exo has the potential to raise anti-inflammatory responses by induction of  Tregs, potentiating its therapeutic effects in COVID-19

Monkeypox: a systematic review of epidemiology, pathogenesis, manifestations, and outcomes

Introduction. Since May 2022, an unusually large number of new monkeypox infections-a previously rare viral zoonotic disease, mainly reported from central and western Africa has been reported globally, and the World Health Organization (WHO) declared a global health emergency in July 2022. We aimed to systematically review the monkeypox virus epidemiology, pathogenesis, transmission, presentations, and outcomes. Materials and methods. Our aim is to systematically review the epidemiology, pathogenesis, manifestations, and outcomes of Monkeypox disease. We searched the keywords in the online databases of PubMed, Embase, Scopus, and Web of Science and investigated all English articles until December 2022. In order to ascertain the findings, this study adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. In order to optimize the quality, this review study benefits from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. To minimize any probable bias risk, we utilized the Newcastle-Ottawa Scale (NOS) risk assessment tool. Results. The most prevalent symptoms were rash and fever. The infection was accompanied by different complications such as, but not limited to, encephalitis (mainly in children), septicemia, bacterial cellulitis, retropharyngeal and parapharyngeal abscesses, etc. A wide range of hospitalization from 3.7% to 100% has been reported. The mortality rate ranged from 0% to 23%, which mainly occurred in infants and children. High mortality of the monkeypox rate was reported among pregnant women. The mortality rate of monkeypox is lower among women and those who received the smallpox vaccine compared to men and those who did not receive the vaccine. A wide range of the overall second-rate attack was reported, which is more pronounced in unvaccinated patients. Conclusion. In our systematic review of 35 studies on monkeypox, we cast light on the existing evidence on its epidemiology, pathogenesis, manifestation, and outcomes. Further studies are needed to elucidate the natural history of the disease in various patients’ population, as well as detailing the monkeypox attack rate

Will I Ever Be Enough? : A Marxist Analysis of Women Protesting Obligatory Veiling in the Islamic Republic of Iran

The My Stealthy Freedom (MSF) movement on social media has garnered over 1 million likes on Facebook and continues to make headlines in major media outlets. The founder Masih Alinejad routinely speaks out against obligatory veiling in the Islamic Republic of Iran (IRI). This study analyses hijab and the MSF movement from a Marxist feminist perspective, evaluating the emancipatory potential for women. The study attempts to untangle Islam from the discourses around the oppression of women to find the material roots of oppression upon which the discourse has been built. The legislation of women’s clothing and women’s bodies has a long history, with just the hijab having been made compulsory and forbidden three times in Iran within the previous century. Through the use of Multimodal Critical Discourse analysis, photographs and videos from the MSF movement are compared to hijab propaganda by the IRI to identify whether the concern of the MSF movement is limited to obligatory hijab, or if it places within the broader movement for women’s emancipation. The results show that despite the visual emphasis on the hijab, the MSF movement has a broader aim emancipating women as expressed by the activists of the movement

Will I Ever Be Enough? : A Marxist Analysis of Women Protesting Obligatory Veiling in the Islamic Republic of Iran

The My Stealthy Freedom (MSF) movement on social media has garnered over 1 million likes on Facebook and continues to make headlines in major media outlets. The founder Masih Alinejad routinely speaks out against obligatory veiling in the Islamic Republic of Iran (IRI). This study analyses hijab and the MSF movement from a Marxist feminist perspective, evaluating the emancipatory potential for women. The study attempts to untangle Islam from the discourses around the oppression of women to find the material roots of oppression upon which the discourse has been built. The legislation of women’s clothing and women’s bodies has a long history, with just the hijab having been made compulsory and forbidden three times in Iran within the previous century. Through the use of Multimodal Critical Discourse analysis, photographs and videos from the MSF movement are compared to hijab propaganda by the IRI to identify whether the concern of the MSF movement is limited to obligatory hijab, or if it places within the broader movement for women’s emancipation. The results show that despite the visual emphasis on the hijab, the MSF movement has a broader aim emancipating women as expressed by the activists of the movement

Will I Ever Be Enough? : A Marxist Analysis of Women Protesting Obligatory Veiling in the Islamic Republic of Iran

The My Stealthy Freedom (MSF) movement on social media has garnered over 1 million likes on Facebook and continues to make headlines in major media outlets. The founder Masih Alinejad routinely speaks out against obligatory veiling in the Islamic Republic of Iran (IRI). This study analyses hijab and the MSF movement from a Marxist feminist perspective, evaluating the emancipatory potential for women. The study attempts to untangle Islam from the discourses around the oppression of women to find the material roots of oppression upon which the discourse has been built. The legislation of women’s clothing and women’s bodies has a long history, with just the hijab having been made compulsory and forbidden three times in Iran within the previous century. Through the use of Multimodal Critical Discourse analysis, photographs and videos from the MSF movement are compared to hijab propaganda by the IRI to identify whether the concern of the MSF movement is limited to obligatory hijab, or if it places within the broader movement for women’s emancipation. The results show that despite the visual emphasis on the hijab, the MSF movement has a broader aim emancipating women as expressed by the activists of the movement