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Background and objectives: The incidence of candiduria caused by Candida spp. has increased in recent years, particularly in hospitalized patients. Candiduria is most commonly caused by Candida albicans; however, an increase in the prevalence of non-albicans species has been observed during last decades. This study aimed at molecular identification of Candida species isolated from candiduria in hospitalized patients.
Methods: This cross-sectional study was conducted on 530 hospitalized patients in two hospitals in the Mazandaran Province, Iran. Midstream urine specimens were collected and then cultured on CHROMagar Candida medium. Molecular identification of common Candida species was carried out using the polymerase chain reaction-restriction fragment length polymorphism method after enzymatic digestion with MspI. C. albicans and Candida parapsilosis species complexes were identified by amplification of the HWP1 and intein-containing vacuolar ATPase precursor genes, respectively.
Results: The frequency of candiduria was estimated at 14% among hospitalized patients. Of 74 samples positive for candiduria, 65 (87.8%) were isolated from females. The most common predisposing factor to candiduria was diabetes (n=36; 48.6%). The most frequent isolates were C. albicans complex (n=44; 59.4%), followed by Candida glabrata (n= 16; 21.6%), Candida tropicalis (n= 10; 13.5%), Candida Krusei (n= 3; 4%) and C. parapsilosis (n= 1; 1.3%).
Conclusion:  Based on the results, the conventional and molecular methods produced similar results for identification of Candida species. However, accurate identification of Candida spp. requires the use of molecular techniques such as PCR-RFLP, HWP1, and intein-containing vacuolar ATPase precursor genes. Nevertheless, chromogenic methods such as CHROMagar Candida can be used for diagnosis of Candida spp. in laboratories with limited resources.

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Background and objectives: Developing scaffolds is important for tissue engineering and repairing damaged tissues. The present study aimed to investigate effects of pre-incubation of an electrospun silk fibroin scaffold in complete and serum-free media on proliferation and survival of cells seeded on the scaffold.
Methods: After removing sericin from the silk cocoon and preparing the fibroin solution (3% w/v), the electrospun silk fibroin scaffold was fabricated and its morphology was evaluated by scanning electron microscopy. The scaffolds were pre-incubated in complete and serum-free Dulbecco's Modified Eagle media for one hour (short-term) and 10 days (long-term), and the hydrophilicity of scaffolds was evaluated by measuring the water contact angle. Rat bone marrow mesenchymal stem cells were seeded onto the scaffolds, and cell survival and genomic DNA concentration were evaluated after 21 days.
Results: The short-time pre-incubation of electrospun silk fibroin scaffolds in the complete medium increased the proliferation of seeded cells because of serum protein adsorption. In addition, long-term pre-incubation of the scaffolds in the complete and serum-free media increased cell proliferation due to the increased hydrophilicity of the scaffold (p<0.05). However, only long-term pre-incubation of the scaffolds in the complete medium had a significant effect on cell survival.
Conclusion: The results demonstrated that long-term pre-incubation of the scaffolds in the complete medium have more profound positive effects on cell survival and proliferation compared to short-term pre-incubation.

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Background and objectives: In coronavirus disease 2019 (COVID-19), elevated serum levels of C-reactive protein (CRP), a marker of systemic inflammation, are commonly observed. We aimed to investigate the associations between CRP test results and clinical characteristics in patients with COVID-19.
Method: In this cross-sectional study, data from 399 patients with COVID-19 were collected through a census method. The patients were divided into a CRP-positive group (n=335) and a CRP-negative group (n=64). Demographical data, laboratory findings, clinical characteristics, and history of some underlying diseases were compared between the two groups. All analyses were carried out in SPSS (version 21).
Results: The frequency of hypertension was 40.1% among the study population, 42.4 % among CRP-positive patients, and 28.1% among CRP-negative patients. Diabetes and heart disease were the most common comorbidities among the patients. Dyspnea (60.4%), fever (52.7%), fatigue (45.4%), and dry cough (40.1%) were the most commonly observed symptoms. The mean duration of hospitalization was 8.14±6.18 days, and the mean duration of intensive care unit stay was 9.09±9.41 days. Moreover, CRP positivity was significantly associated with hypertension, immunosuppressive therapy, and higher duration of hospitalization (p<0.05).
Conclusion: Pre-existing hypertension, diabetes, and heart disease with the coincidence of some clinical symptoms are associated with higher levels of CRP in COVID-19 patients, which results in longer hospitalization.

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Background and objectives: Urinary tract infection (UTI) is one of the most common bacterial infections. Staphylococcus saprophyticus is a common Gram-positive bacterium that causes uncomplicated UTIs in women. The present study aimed to study the drug resistance pattern and phenotypic and genotypic variation of S. saprophyticus isolates from women with UTI in Gorgan, northern Iran.
Methods: This study was performed from May 2018 to September 2020. During this time,   35 S. saprophyticus strains were isolated from patients with UTI. The antimicrobial patterns of the isolates were determined by a conventional method. Phenotypic criteria such as pigment production, mannitol fermentation, urease production, and 16SrRNA gene valuation were studied.
Results: All isolates were sensitive to nitrofurantoin, gentamicin, and linezolid. S. saprophyticus isolates showed the highest level of resistance to penicillin (85.7%) and erythromycin (51.4%). A variation was detected among S. saprophyticus isolates in terms of pigment production i.e. about 51.4% showed yellow pigment in Muller Hinton agar, and 62.9% of the isolates were able to ferment mannitol sugar. Of 11 isolates that were sequenced for the 16SrRNA gene, only two isolates showed different patterns.
Conclusion: Nitrofurantoin and trimethoprim-sulfamethoxazole are the antibiotics of choice for the treatment of UTI caused by S. saprophyticus in the study area. Due to the phenotypic and genotypic differences among S. saprophyticus isolates, typing of S. saprophyticus at the subspecies level is recommended.

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Background and objectives: Foodborne pathogens can significantly affect the public health and cause medical, social, and economic burden. Listeria monocytogenes, Salmonella ­enterica, and Yersinia enterocolitica are important foodborne pathogens that can cause various diseases. Plant-derived compounds are promising bioactive substances with inhibitory effects against bacteria. Perovskia abrotanoides Kar. is a medical plant with broad therapeutic activities. In the present study, we aimed to investigate the inhibitory effects of P. abrotanoides extracts against some foodborne pathogens.
Methods: Flowering branches of P. abrotanoides were collected in 2018 and 2019 from three different habitats in the eastern Alborz Mountains, Iran. The antimicrobial activity of the extracts was evaluated using the agar well diffusion test. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of the extracts were determined against L. monocytogenes, S. ­enterica, and Y. enterocolitica. In addition, the antioxidant activity of the extracts was investigated by the DPPH test.
Results: The lowest MIC (200 µg/ml) and MBC (400 µg/ml) values against Y. enterocolitica were related to the ethyl acetate extract of plants collected from habitat 1 in 2019. The lowest MIC (50 µg/ml) and MBC (400 µg/ml) values against L.­­ monocytogenes were related to the dichloromethane extract of plants collected from habitat 1 in 2019. All extracts showed antioxidant properties. Results of one-way ANOVA indicated that the DPPH scavenging activity of extracts from plants collected in 2019 was greater than that of those collected in 2018. In most cases, the methanol and ethyl acetate extracts showed more radical scavenging potential.
Conclusion: It seems that P. abrotanoides is a rich source of antimicrobial and antioxidant compounds with great potential for use in the pharmaceutical and food industries.

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Background: Escherichia coli consists of a wide range of strains with huge diversity in their genome, distributed in nature and the alimentary tracts of animals and humans. This study analyzed the phylogenetic group determination and genetic diversity of E. coli strains isolated from domestic animals and human clinical samples.
Methods: Twenty E. coli isolates from domestic animals were analyzed for phylogenetic grouping. Also, 100 clinical samples and 20 animal samples were evaluated by the enterobacterial repetitive intergenic consensus–polymerase chain reaction (ERIC-PCR) technique. The results and the similarity between the strains were determined based on the Dice similarity coefficient in the SAHN program of the NTSYS-pc software.
Results: The frequency of phylogroups among animal samples were A = 5%, B1 = 65%, B2 = 20%, and D = 10%. Based on the ERIC-PCR results, the clinical strains were allocated into 19 clusters. Most strains were in the E7 cluster. Fifty percent of the E. coli isolated from animal specimens belonged to the E4 group, and the lowest number of strains was in the E3 and E5 (1 strain) groups.
Conclusion: The results confirmed the efficiency and usefulness of the ERIC-PCR tool for the identification and classification of bacteria. Also, we demonstrated the most phylogroup among animal samples.
 

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ABSTARCT
Background and objectives: Mesenchymal stem cells (MSCs) are well known as a major immune modulator. A subgroup of the nucleotide-binding oligomerization domain (NOD) like receptors (NLRs) has been recently found to play an immune/inflammatory regulatory role.
We aimed to analyze and compare the gene expression level of the NOD‐like receptor family pyrin domain containing protein (NLRP), such as NLRP6 and NLRP12, in Wharton’s jelly-derived mesenchymal stem cells (WJ-MSCs) treated with interferon-gamma (IFN-γ), the pro-inflammatory cytokine, and untreated cells as well.  
Methods: The immunophenotypic characterization of the isolated WJ-MSCs was performed by flow cytometry. Next, they were cultured with or without IFN-g, followed by the comparison of expression level of NLRP6 and NLRP12 genes by using qPCR.
Results: The treatment of cells with IFN-γ indicated a statistically significant increased expression of NLRP12 gene as compared to untreated cells while the expression of NLRP6 was failed to detect in the cells with or without IFN-γ treatment.
Conclusion: The altered expression level of NLRP12 might be suggested its contributory role in the inflammatory regulation mediated by WJ-MSCs in response to the exposure to IFN-g; however, additional studies are needed to validate its role in experimental inflammatory-related disease models.
 

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Background and objectives: Type 2 diabetes is a serious chronic disease associated with hyperglycemia, overweight and metabolic syndrome. The prevalence of this disease is constantly increasing. The aim of this trial was to investigate the separate and combined effects of resistance training and cucumber juice consumption on liver indicators in women with type 2 diabetes.
Methods: Type 2 diabetic women aged 35 – 70 years (N = 40) were selected. Subjects were randomly placed into four groups  (three experimental groups and one control group). The Training+placebo group implemented resistance training and consumed placebo, The Training+ Supplement group implemented resistance training and consumed cucumber juice, The Supplement consumed cucumber juice, and control group consumed placebo for eight weeks. 48 hours before and after the research, blood sampling was done and the changes of liver enzymes levels were investigated and compared among the groups. Data were analyzed using one-way analysis of variance and Tukey post hoc test at the significance level of 0.05.
Results: The results of the present study showed that eight weeks of separate or combined resistance training and consumption of cucumber juice led to a significant reduction in the levels liver (ALT, AST and ALP) indices (P≤0.05).
Conclusion: In the present study, liver enzymes levels decreased. Therefore, separate or combined implementation of resistance training and consumption of cucumber juice can be used as therapeutic aids to control the levels of liver enzymes in women with type 2 diabetes.