Epidemiological and Clinical Characteristics of Scorpion Stings in Ahwaz, Southwest Iran (2006-2010)

Background: Scorpion sting is a health problem in the world including tropical regions of Iran as in rural region of Khuzestan province. Therefore appropriate diagnosis and treatment has a special aspect. The aim of present study was to evaluation of demographic status and clinical aspect of scorpion sting patient due to better prevention and treatment and diagnosis.Methods: This survey done by analyzing medical records of patients suffered from scorpion sting, hospitalize in Razi hospital in Khuzestan province (southwest of Iran) among 2006-2010. Patient information have been extracted and inserted in the inquiry form and data were analyzed by SPSS software.Results: In the present study 1922 patients have been studied. Proportion of females stung by scorpion to male was 1.29 to 1. Place of sting were mostly trunk (693 cases =36.05%) and remains were on other part of body. About 419 persons (21.8 %) have come to hospital about 6-24 hours after being stung and 708 people (36.83 %) came there in less than 6 hours. Most sting (41.2 %) were at night time and other were at daylight. 1308 persons were stung by an unknown black and yellow scorpion and 614 cases (31.94%) by scorpion known as Hemiscorpius lepturus. 708 persons of patients (39.83%) have been suffered from hemoglobinoria , 709 persons (39.88%) were suffered from coagulation dysfunction. Totally 508 persons of patients (26.43%) received blood products. 36 of patients were died, of which 24 cases (1.24%) were female and 12 patients (0.62%) were male. most of patients (1842 cases  95.83%) were hospitalized 1-2 days.Conclusion: In this survey, Patients at the emergency units showed signs of local and systemic effects, 36 patients were died. We propose that public awareness and physician readiness combined with the availability of effective antivenom has potential value in reducing complications and lethality in scorpion envenomation

How copper can impact pig growth : comparing the effect of copper sulfate and monovalent copper oxide on oxidative status, inflammation, gene abundance, and microbial modulation as potential mechanisms of action

The beneficial effect of elevated concentrations of copper (Cu) on growth performance of pigs has been already demonstrated; however, their mechanism of action is not fully discovered. The objective of the present experiment was to investigate the effects of including Cu from copper sulfate (CuSO) or monovalent copper oxide (CuO) in the diet of growing pigs on oxidative stress, inflammation, gene abundance, and microbial modulation. We used 120 pigs with initial body weight (BW) of 11.5 ± 0.98 kg in 2 blocks of 60 pigs, 3 dietary treatments, 5 pigs per pen, and 4 replicate pens per treatment within each block for a total of 8 pens per treatment. Dietary treatments included the negative control (NC) diet containing 20 mg Cu/kg and 2 diets in which 250 mg Cu/kg from CuSO or CuO was added to the NC. On day 28, serum samples were collected from one pig per pen and this pig was then euthanized to obtain liver samples for the analysis of oxidative stress markers (Cu/Zn superoxide dismutase, glutathione peroxidase, and malondialdehyde, MDA). Serum samples were analyzed for cytokines. Jejunum tissue and colon content were collected and used for transcriptomic analyses and microbial characterization, respectively. Results indicated that there were greater (P < 0.05) MDA levels in the liver of pigs fed the diet with 250 mg/kg CuSO than in pigs fed the other diets. The serum concentration of tumor necrosis factor-alpha was greater (P < 0.05) in pigs fed diets containing CuSO compared with pigs fed the NC diet or the diet with 250 mg Cu/kg from CuO. Pigs fed diets containing CuSO or CuO had a greater (P < 0.05) abundance of genes related to the intestinal barrier function and nutrient transport, but a lower (P < 0.05) abundance of pro-inflammatory genes compared with pigs fed the NC diet. Supplementing diets with CuSO or CuO also increased (P < 0.05) the abundance of Lachnospiraceae and Peptostreptococcaceae families and reduced (P < 0.05) the abundance of the Rikenellaceae family, Campylobacter, and Streptococcus genera in the colon of pigs. In conclusion, adding 250 mg/kg of Cu from CuSO or CuO regulates genes abundance in charge of the immune system and growth, and promotes changes in the intestinal microbiota; however, CuO induces less systemic oxidation and inflammation compared with CuSO. Elevated concentrations of copper promote pig growth performance by modulating cytokines and intestinal microbes

Designer Exosomes: A New Platform for Biotechnology Therapeutics

Abstract: Desirable features of exosomes have made them a suitable manipulative platform for biomedical applications, including targeted drug delivery, gene therapy, cancer diagnosis and therapy, development of vaccines, and tissue regeneration. Although natural exosomes have various potentials, their clinical application is associated with some inherent limitations. Recently, these limitations inspired various attempts to engineer exosomes and develop designer exosomes. Mostly, designer exosomes are being developed to overcome the natural limitations of exosomes for targeted delivery of drugs and functional molecules to wounds, neurons, and the cardiovascular system for healing of damage. In this review, we summarize the possible improvements of natural exosomes by means of two main approaches: parental cell-based or pre-isolation exosome engineering and direct or post-isolation exosome engineering. Parental cell-based engineering methods use genetic engineering for loading of therapeutic molecules into the lumen or displaying them on the surface of exosomes. On the other hand, the post-isolation exosome engineering approach uses several chemical and mechanical methods including click chemistry, cloaking, bio-conjugation, sonication, extrusion, and electroporation. This review focuses on the latest research, mostly aimed at the development of designer exosomes using parental cell-based engineering and their application in cancer treatment and regenerative medicine. Graphic Abstract: Figure not available: see fulltext. © 2020, Springer Nature Switzerland AG

Door-to-balloon Time for ST-elevation MI in the Coronavirus Disease 2019 Era

In patients presenting with ST-elevation MI, prompt primary coronary intervention is the preferred treatment modality. Several studies have described improved outcomes in patients with door-to-balloon (D2B) and symptom onset-to-balloon (OTB) times of less than 2 hours, but the specific implications of the coronavirus disease 2019 (COVID-19) pandemic on D2B and OTB times are not well-known. This review aims to evaluate the impact of COVID-19 on D2B time and elucidate both the factors that delay D2B time and strategies to improve D2B time in the contemporary era. The search was directed to identify articles discussing the significance of D2B times before and during COVID-19, from the initialization of the database to December 1, 2020. The majority of studies found that onset-of-symptom to hospital arrival time increased in the COVID-19 era, whereas D2B time and mortality were unchanged in some studies and increased in others

Fibroblast cell-based therapy prevents induction of alopecia areata in an experimental model

YesAlopecia areata (AA) is an autoimmune hair loss disease with infiltration of proinflammatory cells into hair follicles. Current therapeutic regimens are unsatisfactory mainly because of the potential for side effects and/or limited efficacy. Here we report that cultured, transduced fibroblasts, which express the immunomodulatory molecule indoleamine 2,3-dioxygenase (IDO), can be applied to prevent hair loss in an experimental AA model. A single intraperitoneal (IP) injection of IDO-expressing primary dermal fibroblasts was given to C3H/HeJ mice at the time of AA induction. While 60–70% of mice that received either control fibroblasts or vehicle injections developed extensive AA, none of the IDO-expressing fibroblast-treated mice showed new hair loss up to 20 weeks post injection. IDO cell therapy significantly reduced infiltration of CD4+ and CD8+ T cells into hair follicles and resulted in decreased expression of TNF-α, IFN-γ and IL-17 in the skin. Skin draining lymph nodes of IDO fibroblast-treated mice were significantly smaller, with more CD4+ CD25+ FoxP3+ regulatory T cells and fewer Th17 cells than those of control fibroblast and vehicle-injected mice. These findings indicate that IP injected IDO-expressing dermal fibroblasts can control inflammation and thereby prevent AA hair loss.Canadian Institutes of Health Researches (Funding Reference Number: 134214 and 136945)

Targeted cancer therapy using engineered exosome as a natural drug delivery vehicle

Hosna Gomari,1 Mehdi Forouzandeh Moghadam,1 Masoud Soleimani2 1Department of Medical Biotechnology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran; 2Department of Hematology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran Purpose: Exosomes are small 30&ndash;100 nm vesicles secreted by various cell types. They are released by most cell types, indicating their important role in physiological and pathological processes, including signaling pathways, cell-to-cell communication, tumor progression, and molecule transferring. As natural nanovesicles, exosomes can be a good candidate for drug delivery due to low immunogenicity and ability to enter tissues and even cross the blood&ndash;brain barrier. In an effort to improve the efficiency of exosomes for targeted drug delivery with minimal effect on normal cells, we expressed ligands against HER2+ cells. Methods: To purify exosomes, transduced mesenchymal stromal cells were cultured to reach 80% confluency. Next, the cells were cultured in serum-free media for 48 hours and the supernatant was harvested to purify exosomes. These exosomes were then labeled with PKH67 and added to BT-474, SKBR3 (HER2+), and MDA-MB231 (HER2-), cell lines and their binding to HER2+ was evaluated by flow cytometry. Exosomes were loaded with doxorubicin and quantified using intrinsic fluorescence of doxorubicin at 594 nm. Results: Targeted exosomes were preferably uptaken by HER2+ cells. Therefore, untargeted exosomes showed lower binding to HER2+ cells compared to their targeted counterparts. MTT assay was performed to analyze cytotoxic effect of exo-DOX (exosome encapsulated with doxorubicin). Efficiency of exo-DOX and free DOX (doxorubicin) delivery with different concentrations, to the BT-474 cell line, was compared, and no significant difference was observed. Conclusion: Our results imply that targeted exosomes are preferentially uptaken by HER2+ cells relative to HER2- cells and have the potential to be used as an efficient drug delivery system. Keywords: breast cancer, doxorubicin, HER2+, mesenchymal stem cel

Evaluation of Bacterial Profile and Drug Resistance Patterns of Blood Culture Isolates in Amir Al-Momenin Hospital of Gerash, Iran

Introduction: Bacterial bloodstream diseases cause important public health problems and are considered as significant issues in morbidity and mortality in patients who are hospitalized. This study aimed to investigate the frequency of bacterial isolates from suspected septicemia and subsequent drug resistance patterns in affiliated patients to the Amir Al-Momenin Hospital of Gerash, Fars, Iran. Materials and Methods: In this hospital-based cross-sectional study, 2485 blood samples were examined in the Bacteriology Laboratory of Amir AlMomenin Hospital of Gerash, during 2018-2019. Then, drug susceptibility tests were done for positive blood cultures. All specimens were cultivated in MacConkey agar, Blood Agar, and chocolate agar mediums. A total of 120 positive samples were obtained, and biochemical tests were used to classify bacteria to species levels. After identification, a drug susceptibility test was carried out on the Mueller-Hinton agar via 16 antibiotics based on the Clinical and Laboratory Standards Institute guidelines. Results: Of the 2485 blood culture results, 120 (4.82) were determined as positive. The blood culture examination revealed the most common isolated as Staphylococcus epidermidis (45, n=54 cases), Acinetobacter baumannii (10.83, n=13 cases), Escherichia coli (10, n=12 cases), Klebsiella pneumoniae (5.83, n=7 cases), respectively. Additionally, among all the antibiotics tested, the highest percentage of resistance was related to cefoxitin in 48 cases (40), cephalexin in 47 (39.1), clindamycin in 47 (39.1), and erythromycin in 42 (35). Conclusions: Results revealed that most of the bacterial isolates had a high rate of resistance to the most commonly used antibiotics. Therefore, continuous antibiotic resistance pattern evaluation in different areas is necessary

Evaluation of the Analgesic Effects of Teucrium Extract on Rats using the Formalin Test

ABSTRACT BACKGROUND AND OBJECTIVE: Pain is the most frequent symptom in different diseases. In modern medicine, there are two main categories of analgesics: opioids and non-steroidal anti-inflammatory drugs (NSAIDs). Given the importance of medicinal plants in the treatment of different diseases, this study aimed to compare the analgesic effects of the alcoholic extract of Teucrium with morphine and aspirin. METHODS: In this experimental study, 36 Wistar rats were randomly divided into six groups of 6. The negative control group received normal saline (5 ml/kg), two positive control groups received morphine 2.5 mg/kg&nbsp; and aspirin 300 mg/kg, and three treatment groups received hydro-alcoholic extract of Teucrium (100, 200 and 400 mg/kg) intraperitoneally in single doses. Half an hour after the intraperitoneal injection of the extract, 50 microlitres of 2.5% formalin was injected subcutaneously into the right paw of the rats, and the analgesic effects were compared using the formalin test. FINDINGS: In this study, the hydro-alcoholic extract of Teucrium had a dose-dependent analgesic effect, and the most effective dose of the extract was 200 mg/kg. Acute pain scores in the normal saline, aspirin, morphine and 200 mg/kg extract groups were 2.58&plusmn;0.09, 1.39&plusmn;0.06, 4.15&plusmn;0.09 and 1.61&plusmn;0.1, respectively. In addition, chronic pain scores were 2.37&plusmn;0.09, 0.99&plusmn;0.1, 0.33&plusmn;0.09 and 1.18&plusmn;0.06, respectively. Analgesic effects of Teucrium extract on chronic pain were lower compared to morphine, and had no significant difference with aspirin. CONCLUSION:&nbsp;According to the results of this study, and regarding the presence of polyphenolic compounds in this herb, Teucrium is believed to have several analgesic propertie

Haloperidol's effect on the expressions of TGFB, NT-3, and BDNF genes in cultured rat microglia

Introduction: Microglia, small glial cells, i.e. mesodermal in origin and found in the brain and spinal cord, play a key role in the maintenance of neurons and immune defense. Haloperidol, an antipsychotic drug, is used to treat numerous neurological and neurodegenerative disorders. Its mechanism is not understood; however, haloperidol may result in Wnt signaling pathway activation. This study aimed to activate the Wnt signaling pathway using haloperidol and determining the effect of GSK3 inhibition on the expression of TGFB, NT-3, and BDNF genes in cultured rat microglia. Methods: Microglia isolation was conducted, and the immunohistochemistry technique was performed to confirm microglia purity. The RNA extraction was followed by cDNA synthesis. Real-time RT-PCR was used to evaluate any significant changes in the expression level of these genes. Results: The three gene expressions in microglia were proportional to the different concentrations of the drug. More concentration of drugs resulted in higher levels of expression of these genes. Besides, the haloperidol did not affect the expression of the beta-actin gene as the reference gene. Conclusion: The obtained results supported the beneficial use of haloperidol in targeted microglia therapy. This study can be a breakthrough in neurology research. © 2020 Iran University of Medical Sciences. All rights reserved