The importance of the cellular stress response in the pathogenesis and treatment of type 2 diabetes

Organisms have evolved to survive rigorous environments and are not prepared to thrive in a world of caloric excess and sedentary behavior. A realization that physical exercise (or lack of it) plays a pivotal role in both the pathogenesis and therapy of type 2 diabetes mellitus (t2DM) has led to the provocative concept of therapeutic exercise mimetics. A decade ago, we attempted to simulate the beneficial effects of exercise by treating t2DM patients with 3 weeks of daily hyperthermia, induced by hot tub immersion. The short-term intervention had remarkable success, with a 1 % drop in HbA1, a trend toward weight loss, and improvement in diabetic neuropathic symptoms. An explanation for the beneficial effects of exercise and hyperthermia centers upon their ability to induce the cellular stress response (the heat shock response) and restore cellular homeostasis. Impaired stress response precedes major metabolic defects associated with t2DM and may be a near seminal event in the pathogenesis of the disease, tipping the balance from health into disease. Heat shock protein inducers share metabolic pathways associated with exercise with activation of AMPK, PGC1-a, and sirtuins. Diabetic therapies that induce the stress response, whether via heat, bioactive compounds, or genetic manipulation, improve or prevent all of the morbidities and comorbidities associated with the disease. The agents reduce insulin resistance, inflammatory cytokines, visceral adiposity, and body weight while increasing mitochondrial activity, normalizing membrane structure and lipid composition, and preserving organ function. Therapies restoring the stress response can re-tip the balance from disease into health and address the multifaceted defects associated with the disease

Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and meta-analysis

Background: Early childhood caries (ECC) is a type of dental caries in the teeth of infants and children that is represented as one of the most prevalent dental problems in this period. Various studies have reported different types of prevalence of dental caries in primary and permanent teeth in children worldwide. However, there has been no comprehensive study to summarize the results of these studies in general, so this study aimed to determine the prevalence of dental caries in primary and permanent teeth in children in different continents of the world during a systematic review and meta-analysis. Methods: In this review study, articles were extracted by searching in the national and international databases of SID, MagIran, IranMedex, IranDoc, Cochrane, Embase, ScienceDirect, Scopus, PubMed, and Web of Science (ISI) between 1995 and December 2019. Random effects model was used for analysis and heterogeneity of studies was evaluated by using the I2 index. Data were analyzed by using the Comprehensive Meta-Analysis (Version 2) software. Findings: In this study, a total of 164 articles (81 articles on the prevalence of dental caries in primary teeth and 83 articles on the prevalence of dental caries in permanent teeth) were entered the meta-analysis. The prevalence of dental caries in primary teeth in children in the world with a sample size of 80,405 was 46.2% (95% CI: 41.6–50.8%), and the prevalence of dental caries in permanent teeth in children in the world with a sample size of 1,454,871 was 53.8% (95% CI: 50–57.5%). Regarding the heterogeneity on the basis of meta-regression analysis, there was a significant difference in the prevalence of dental caries in primary and permanent teeth in children in different continents of the world. With increasing the sample size and the year of study, dental caries in primary teeth increased and in permanent teeth decreased. Conclusion: The results of this study showed that the prevalence of primary and permanent dental caries in children in the world was found to be high. Therefore, appropriate strategies should be implemented to improve the aforementioned situation and to troubleshoot and monitor at all levels by providing feedback to hospitals

OPTIMIZING ENERGY CONSUMPTION IN VEHICULAR SENSOR NETWORKS BY CLUSTERING USING FUZZY C-MEANS AND FUZZY SUBTRACTIVE ALGORITHMS

Traffic monitoring and managing in urban intelligent transportation systems (ITS) can be carried out based on vehicular sensor networks. In a vehicular sensor network, vehicles equipped with sensors such as GPS, can act as mobile sensors for sensing the urban traffic and sending the reports to a traffic monitoring center (TMC) for traffic estimation. The energy consumption by the sensor nodes is a main problem in the wireless sensor networks (WSNs); moreover, it is the most important feature in designing these networks. Clustering the sensor nodes is considered as an effective solution to reduce the energy consumption of WSNs. Each cluster should have a Cluster Head (CH), and a number of nodes located within its supervision area. The cluster heads are responsible for gathering and aggregating the information of clusters. Then, it transmits the information to the data collection center. Hence, the use of clustering decreases the volume of transmitting information, and, consequently, reduces the energy consumption of network. In this paper, Fuzzy C-Means (FCM) and Fuzzy Subtractive algorithms are employed to cluster sensors and investigate their performance on the energy consumption of sensors. It can be seen that the FCM algorithm and Fuzzy Subtractive have been reduced energy consumption of vehicle sensors up to 90.68% and 92.18%, respectively. Comparing the performance of the algorithms implies the 1.5 percent improvement in Fuzzy Subtractive algorithm in comparison

A case of imperforate hymen with acute urinary retention in an adolescent girl in Zahedan

Background: Imperforate hymen is an uncommon obstructive anomaly of the female reproductive tract, which occurs due to incomplete degeneration of the central portion of the hymen. The diagnosis of the condition may be ignored until adolescence. After puberty, accumulation of menstrual blood in the vagina (hematocolpos) can manifest clinical symptoms. This report aims to present a rare congenital anomaly.Case report: A 14-year-old girl was admitted to Imam-Ali hospital (Zahedan) with complaints of acute urinary retention, lower abdominal and supra pubic pain. The diagnosis of imperforate hymen was confirmed using gynecological examination and abdominal ultrasonography.Conclusion: The imperforate hymen can usually be diagnosed by taking a careful history of the patient along with gynecological examination. Moreover, pelvic-abdominal ultrasonography can be used for the detection of hematocolpos due to imperforate hymen