The impact of cardiopulmonary rehabilitation in phase II cardiac rehabilitation program on the health-related quality of life of patients undergoing coronary artery bypass graft surgery

BACKGROUND

Coronary artery bypass surgery is the leading cause of change in the quality of life and pulmonary function of patients. One strategy to enhance lung muscle strength and improve overall quality of life is pulmonary rehabilitation. This study aimed to investigate the impact of incorporating a pulmonary rehabilitation program into phase II cardiac rehabilitation program on the quality of life of patients undergoing coronary artery bypass graft surgery.

METHODS

This randomized clinical trial study included 53 patients who underwent coronary artery bypass graft surgery at Imam Reza Hospital in Mashhad between September 2019 and March 2020. The research participants were selected based on specific inclusion criteria and divided into two groups. The control group followed the routine rehabilitation program, whereas the intervention group underwent a pulmonary rehabilitation program for 20-30 min after each session of the cardiac rehabilitation program. Data collection tools included a demographic information questionnaire and the Ferrans and Powers' quality of life index. The data were analyzed using the independent t-test, Mann-Whitney test, paired t-test, Spearman correlation, Wilcoxon test, and SPSS25.

RESULTS

The mean quality of life score in the intervention group(20.7±1.8) was significantly higher than that of the control group (18.8±2.3)(P < 0.05). Furthermore, the intervention group exhibited significantly higher mean scores in the physical, psychological-spiritual, and family dimensions than the control group(P < 0.05).

CONCLUSION

The study results demonstrate the positive impact of incorporating a pulmonary rehabilitation program into cardiac rehabilitation on the health-related quality of life of patients undergoing coronary artery bypass graft surgery.

TRIAL REGISTRATION

IRCT20190707044132N1.

A Comparative Study on the Biodiversity and Species Richness of Phlebotomine Sand Flies (Diptera: Psychodidae) in Kermanshah and Khuzestan Provinces of Iran

Background: Leishmaniasis is one of the most important vector-borne and neglected tropical diseases in many parts of the world. The main objective of this study was to determine the biodiversity of phlebotomine sand flies (Diptera: Psy­chodidae, Phlebotominae) in Khuzestan and Kermanshah Provinces of Iran. Methods: Sampling was conducted in Khuzestan and Kermanshah Provinces using sticky paper traps and CDC light traps. The samples were then stored in 96% alcohol-containing vials, mounted, and identified. Afterward, the alpha di­versity (using Simpson’s, Shannon-Weiner’s diversity, evenness, Maghalef’s, Menhinick’s, Hill N1 and N2 indices) and beta diversity indices (using Sorensen’s and Jaccard’s coefficients) were calculated. Results: A total of 4302 sand flies were caught and identified which comprised mostly of Phlebotomus papatasi, Ph. alexandri and Ph. sergenti. It was found that among the four counties of Ahvaz, Shush, Shushtar and Dezful in Khuzestan Province, Shush had the lowest, and Shushtar, the highest amount of species diversity and evenness. In the four studied counties of Kermanshah Province, species diversity in Kermanshah County had the lowest amount and Sarpol-e-Zahab, the highest. The species richness in Kermanshah County was the lowest, while Qasr-e-Shirin County had the highest amount. Conclusion: An overview of the biodiversity of phlebotomine sand flies in Kermanshah County in Kermanshah Prov­ince, and Shush County in Khuzestan Province, showed less stability in community structure of these vectors, which can be counted as an alarm for emerging dominant vectors among the studied counties and have the potential to increase the prevalence of leishmaniasis.

The different aspects of attractive toxic baits containing fipronil for control of the German cockroach (Blattella germanica)

The use of Attractive Toxic Baits (ATBs) is considered to be a low-risk practical method for controlling cockroaches. This study evaluates the attractiveness of a lab-made, fipronil-containing bait, and its effect on the food consumption and mortality of the German cockroach Blattella germanica, under field and laboratory conditions. Different developmental stages of the cockroach were used to determine their preferred carbohydrate/protein rich foods and examine the effectiveness of lab-made baits. The analysis of variance (ANOVA) with Tukey's Test was determined using SAS 9.1 and GraphPad Prism software programs. The significance level was considered at p<0.05. The most-consumed foods were carbohydrate-rich foods (biscuit and banana powder) and food consumption rate was highest in non-gravid females. The most attractive bait ingredients were 20% roasted peanut butter, 50% biscuit and 30% banana powder. The highest lethality was recorded from the baits containing 0.02% fipronil under laboratory conditions, while infested houses baited with the lab-made bait showed 76.5% and 100% decline, respectively, in cockroach numbers in the first- and fourth-week post-baiting. In conclusion, palatable foods with a pleasant odour, like biscuit powder, banana powder and peanut butter were the most effective ingredients for the ATBs. The ATBs impregnated with 0.02% fipronil provide a promising approach for control of the German cockroach. However, there is a need to evaluate the potentials of the lab-made baits, under laboratory and field conditions, in the control of other health-important cockroaches.

Stress-Induced Grain Refinement in Hard Magnetic Mn52Al45.7C2.3 Fabricated Using the Ball-Milling Method

Mn₅₂Al₄₅.₇C₂.₃ flakes with different sizes were prepared with two distinct surfactant-assisted ball-milling methods using cylindrical and barrel containers. Different microstructure and magnetic properties were measured based on the sequence of the container shape and different ball-milling times (2, 5, and 10 h). Morphology investigations showed that for powders milled in a barrel container, the amount of τ-phase was more compared to the samples milled in a cylindrical container. Moreover, in the powders milled with barrel containers, considerably higher magnetic properties were obtained in terms of saturation magnetization (M_s) and remanent magnetization (M_r) compared to those powders milled with cylindrical containers. Magnetic properties were found to be a function of the ball-milling time. High remanent magnetization and saturation magnetization have been found for powders milled in barrel containers, whereas only mediocre remanent magnetization and saturation magnetization have been measured in the case of milling in cylindrical containers. The highest M_s = 52.49 emu g^-1 and M_r = 24.10 emu g^-1 were obtained for the powders milled in barrel containers for 2 h. The higher magnetic properties taken from the milling in barrel containers is due to the higher shear stress and more uniform strain distribution induced by the barrel configuration, resulting in the stable τ-phase at a reasonably low-strain microstructure.

Evaluation of anti-malaria potency of wild and genetically modified Enterobacter cloacae expressing effector proteins in Anopheles stephensi

Background

Malaria is one of the most lethal infectious diseases in tropical and subtropical areas of the world. Paratransgenesis using symbiotic bacteria offers a sustainable and environmentally friendly strategy to combat this disease. In the study reported here, we evaluated the disruption of malaria transmission in the Anopheles stephensi-Plasmodium berghei assemblage using the wild-type (WT) and three modified strains of the insect gut bacterium, Enterobacter cloacae.

Methods

The assay was carried out using the E. cloacae dissolvens WT and three engineered strains (expressing green fluorescent protein-defensin (GFP-D), scorpine-HasA (S-HasA) and HasA only, respectively). Cotton wool soaked in a solution of 5% (wt/vol) fructose + red dye (1/50 ml) laced with one of the bacterial strains (1 × 10⁹cells/ml) was placed overnight in cages containing female An. stephensi mosquitoes (age: 3–5 days). Each group of sugar-fed mosquitoes was then starved for 4–6 h, following which time they were allowed to blood-feed on P. berghei–infected mice for 20 min in the dark at 17–20 °C. The blood-fed mosquitoes were kept at 19 ± 1 °C and 80 ± 5% relative humidity, and parasite infection was measured by midgut dissection and oocyst counting 10 days post-infection (dpi).

Results

Exposure to both WT and genetically modified E. cloacae dissolvens strains significantly (P < 0.0001) disrupted P. berghei development in the midgut of An. stephensi, in comparison with the control group. The mean parasite inhibition of E. cloacae^WT, E. cloacae^HasA, E. cloacae^S−HasA and E. cloacae^GFP−D was measured as 72, 86, 92.5 and 92.8 respectively.

Conclusions

The WT and modified strains of E. cloacae have the potential to abolish oocyst development by providing a physical barrier or through the excretion of intrinsic effector molecules. These findings reinforce the case for the use of either WT or genetically modified strains of E. cloacae bacteria as a powerful tool to combat malaria.

Graphical Abstract

Supplementary Information

The online version contains supplementary material available at 10.1186/s13071-022-05183-0.

Investigation of the effect of ergonomic flooring on the distribution of foot pressure in long standing

Introduction: Many occupations require prolonged standing during exercise, which is one of the most important causes of musculoskeletal disorders, causing pain and discomfort in the back, lower limbs, and especially the soles of the feet, resulting in improper distribution of pressure in the soles of the feet. Epidemiological studies also show a strong association between prolonged standing and pressure on the lower back and lower limbs. One of the ergonomic solutions to reduce the problems caused by long-standing activities is to correct the surface under the fee. Therefore, this study investigates the effect of ergonomic flooring and conventional flooring on the distribution of foot pressure in healthy individuals; based on that, the effect of using ergonomic flooring in comparison with conventional flooring, more appropriate distribution, and reduction of pressure in the sole can be determined. Materials and Methods: This descriptive-analytical study was performed on 16 students with a mean age of 27.87±7.31 and a body mass index of 24.15±4.31. According to previous comparative studies and data analysis obtained from pilot samples, by considering the 95% confidence interval, the samples were determined by the convenience sampling method. Each participant was measured at eight anatomical points for one hour at two different surfaces of ergonomic and ordinary floor. Foot pressure distribution using a pedar-x device while the volunteers were barefoot. Data were analyzed by paired t-test and Wilcoxon using SPSS software. Results: This study showed that the ergonomic flooring significantly reduced the mean pressure on the plantar pressure (p≤0.001). Also, there is a significant difference in the mean pressure of left and right legs in different anatomical points when using ordinary surfaces and flooring (p≤0.001). Conclusion: There is a difference between the distribution of plantar pressure in ergonomic flooring and conventional flooring. Ergonomic flooring has better distribution than the ground and reduces the pressure on the sole during static activities.

Molecular Identification of Leishmania Species in Phlebotomus alexandri (Diptera: Psychodidae) in Western Iran

Background:

Visceral and cutaneous leishmaniasis are common in some areas of Iran and consider as health problems. Phlebotomus alexandri has been incriminated as a suspected vector for the both form of leishmaniasis.

Methods:

This study was carried out in 4 western provinces of Iran. Sand flies were collected using sticky traps and light traps from indoor and outdoor resting places. Nested PCR was employed to detect Leishmania parasites among collected sand flies.

Results:

Seven hundred and twenty two P. alexandri females were collected and pooled in 179 batches. Results of nested PCR showed, out of 9 samples from East Azerbaijan Province, only one sample was infected by Leishmania infantum. Of 34 individual and pooled samples from Kermanshah Province, only one pooled sample was infected with Leishmania major and among 30 individual and pooled samples in Fars Province, five specimens were infected by L. major, L. infantum, Leishmania donovani and Leishmania tropica. Furthermore, out of 108 individual and pooled samples from Khuzestan Province, 10 samples showed infection with L. major and L. infantum.

Conclusion:

The results of this study showed that P. alexandri is more active in hot zones than in moderate zones and this species may be considered as a permissive species.

Dynamics of Transgenic Enterobacter cloacae Expressing Green Fluorescent Protein Defensin (GFP-D) in Anopheles stephensi Under Laboratory Condition

BACKGROUND

Enterobacter cloacae bacterium is a known symbiont of the most Anopheles gut microflora and nominated as a good candidate for paratransgenic control of malaria. However, the population dynamics of this bacterium within An. stephensi and its introduction methods to the mosquitoes have not yet been explored.

METHODS

Enterobacter cloacae subsp. dissolvens expressing green fluorescent protein and defensin (GFP-D) was used to study transstadial transmission and the course of time, larval habitat, sugar, and blood meal on dynamics of the bacterium in the mosquito life stages in the laboratory condition. The bacterial quantities were measured by plating samples and counting GFP expressing colonies on the Tet-BHI agar medium.

RESULTS

The E. cloacae population remained stable in sugar bait at least for eleven days whereas it was lowered in the insectary larval habitat where the bacteria inadequately recycled. The bacterium was weakly transmitted transstadially from larval to adult stage. The bacterial populations increased smoothly and then dramatically in the guts of An. stephensi following sugar and blood meal respectively followed by a gradual reduction over the time.

CONCLUSION

Enterobacter cloacae was highly stable in sugar bait and increased tremendously in the gut of female adult An. stephensi within 24h post blood meal. Sugar bait stations can be used for introduction of the transgenic bacteria in a paratransgenic approach. It is recommended to evaluate the attraction of sugar bait in combination with attractive kairomones as well as its stability and survival rate in the semi-field or field conditions.

Larval Habitats Characteristics of Mosquitoes (Diptera: Culicidae) in North-East of Iran

BACKGROUND

There are unorganized, published documents about the ecology of mosquitoes (Diptera: Culicidae) in northeastern part of Iran. The purpose of this study was to determine the distribution and characteristics of larval habitats of Culicidae in Kalaleh County.

METHODS

Larvae were collected using dipping method and adults by human landing catch technique during April-October, 2012. Larval habitat characteristics were recorded such as vegetation status, and sunlight, water situation. Lacto-phenol and de Faure's media were used for conserving and mounting samples. Data were analyzed using SPSS statistical software, version 11.5.

RESULTS

Out of the 395 larvae collected, 332 were adult mosquitoes comprising; Culiseta, Culex, Anopheles and Ochlerotatus genera and 14 species including An. superpictus, An. maculipennis s.l., An. hyrcanus, An. psudopictus, An. claviger, Culex pipiens, Cx. theileri, Cx. perexiguus, Culiseta longiareolata, Cs. subochrea, Ochlerotatus caspius, Oc. echinus and Oc. geniculatus. Culex pipiens larvae were predominant (27.6%) and Cs. subochrea (1%) was found as the lowest species in terms of number. In the adult form, Cx. pipiens (28.9%) was predominant whereas, Cs. subochrea and Cx. perexiguus were reported to have had the lowest frequency.

CONCLUSION

The larvae of An. superpictus and An. maculipennis species as the main vectors of malaria in north of Iran were reported in permanent habitats with clear water and vegetation, full and partial sunlight situations and muddy as well as sandy substrates that are important in larvicide application programs. Exclusive studies are necessary to diagnose An. maculipennis species complex using molecular and morphological analysis in the future.

A Pictorial Key for Culex pipiens Complex (Diptera: Culicidae) In Iran

BACKGROUND

The aim of this study was to design pictorial key and taxonomic literature of Culex pipiens complex in Iran.

METHODS

Larvae were collected using standard dipping methods in 13 randomly selected areas of Bushehr, Hamedan, Kerman, Khorasan-e-Razavi, Khuzistan, Mazandaran, Tehran, Sistan and Baluchistan and Yazd Provinces from April 2009 to October 2010. The data were analyzed using SPSS Ver. 11.5.

RESULTS

Culex pipiens larvae were identified based on the Seta 1 of the abdominal segments III-IV in north and central parts of Iran. This diagnostic character had some variation among the Cx. quinquefasciatus collected from south of the country. The identification value of intersection of costa, subcosta and bifurcation of R2+3 of female veins, was calculated as 90-100 % for Cx. pipiens. This diagnostic character was varied among the Cx. quinquefasciatus specimens. The male genitalia found as the main characters to distinguish of Cx. quinquefasciatus from Cx. pipiens.

CONCLUSION

It is necessary more studies on the behavior and genetic variations of Cx. pipiens complex in Iran.

Antioxidant and antidiabetic activities of 11 herbal plants from Hyrcania region, Iran

In the present study, 2,2-diphenyl-1-picrylhydrazyl radical scavenging, α-amylase and α-glucosidase inhibition activities, and total phenolic contents of n-hexane, ethyl acetate, and methanol extracts of various parts of Allium paradoxum, Buxus hyrcana, Convolvulus persicus, Eryngium caucasicum, Heracleum persicum, Pimpinella affinis, Parrotia persica, Primula heterochroma, Pyrus boissieriana, Ruscus hyrcanus, and Smilax excelsa were investigated. These plants, which mostly serve as food flavoring, were collected from Hyrcania region, Sari, Iran. Some extracts of H. persicum, S. excels, P. boissieriana, P. persica, and P. heterochroma exhibited significant antidiabetic activities in α-amylase and α-glucosidase assays, more effective than acarbose (concentrations that cause 50% inhibition = 75.7 μg/mL and 6.1 μg/mL against α-amylase and α-glucosidase, respectively). Also, C. persicus, P. boissieriana, and P. heterochroma showed strong antioxidant activities, compared with butylated hydroxytoluene (concentration that causes 50% inhibition = 16.7 μg/mL). In conclusion, this study can recommend these plants as good candidates for further investigations to find potent antidiabetic natural products or probable lead compounds. Statistical analysis showed significant correlation between the 2,2-diphenyl-1-picrylhydrazyl scavenging activity and total phenolic contents (r = 0.711, p < 0.001).

The Ecological Aspects of Culex pipiens (Diptera: Culicidae) in Central Iran

BACKGROUND

The aim was to survey the specific factors, which cause to decrease blood feeding of mosquitoes important to succeed vector control.

METHODS

Larval collection was carried out from fixed and variable breeding places of Yazd County, central Iran in 2009. Autogeny-Anautogeny, Stenogamy-Eurygamy, and blood preference of Culex pipiens were studied using standard mosquito cages blood meal source for Cx. pipiens females considered as the chickens and human and fed females were kept in insectary condition (16:8 L: D, 27±3 °C and 70±10% RH). The data were analyzed using SPSS Ver. 11.5 soft ware.

RESULTS

Totally, 96 females' mosquitoes were tested for Stenogamy versus Eurygamy and 122 for blood preference assay. In the small cages (20 × 20 × 20cm) and large cage (60 × 40 × 60cm), the ability of mating and insemination rates were 60.0 and 67.0%, respectively. In spite of Cx. pipiens fed from sucrose 5%, none of them laying eggs in 60 × 40 × 60 cages during the study. This finding indicated the Anautogeny behavior of this species. This species was found of low tendency to human blood and almost 4 fold fed on chicken.

CONCLUSION

The occurrence of Steno-Eurygamy, Anautogeny, and Ornithophilic behaviors of Cx. Pipiens was noted. More studies need to be carried out about the bionomics of this species to gain more data about the ecophysiological and behavioral characteristics in other parts of Iran.

The molecular and morphological variations of Culex pipiens complex (Diptera: Culicidae) in Iran

BACKGROUND & OBJECTIVES

Taxonomic status of Culex pipiens is well-known as many years with such a wide variety of morphological and biological characteristics. These changes have been the subject of extensive investigation by many researchers. There are a little information about the morphology and molecular data of Cx. pipiens complex in Iran. The taxonomic status of the complex is very important because of medical and veterinary importance and wide distribution in the country.

METHODS

This study was carried out in 11 areas in Iran using dipping technique from April 2009 to October 2010. Molecular study was carried out using primers F1457 as forward and B1256 as reverse, which amplified Ace.2 gene and performed PCR-RFLP using ScaI restriction enzyme.

RESULTS

Culex quinquefasciatus found in south to central areas of Iran and reported as sympatric with Cx. pipiens in the central regions. Culex pipiens distributed in many areas of the country. Sequencing alignment of Ace.2 gene of Cx. quinquefasciatus and Cx. pipiens showed 6.5% variation in 46bp, especially in intron locus of gene. Culex pipiens complex from Iran are located in two separate clades with sister branches using phylogenetic sequencing tree.

INTERPRETATION & CONCLUSION

The male genitalia found as the most reliable diagnostic characters for identification of Cx. pipiens complex in Iran that confirmed by amplify the Ace.2 gene in the samples but we recommended the use of sequencing PCR products of microsatellite loci and COI gene in future study.

The morphological variations of Culex pipiens (Diptera: Culicidae) in central Iran

OBJECTIVE

To determine the variations in morphological characters of Culex pipiens complex and identify the species complex.

METHODS

A study was carried out from April to October 2009 in Yazd Province, Iran. This study was performed in two randomly selected rural villages in Yazd County using different sampling methods such as larval collection, hand catch, pyrethrum space spray, light trap, and pit shelter collections. The data were analyzed using SPSS software Ver. 16. ANOVA and Tukey's post-hoc test was used to compare the ratios of the samples.

RESULTS

The average of the DV/D ration was 0.090±0.007 and the range was 0-0.33. The average D/V ratio was 1.07±0.02, with maximum 1.6 and minimum 0.6. The costa and subcosta intersection were observed beyond the bifurcation of R2+3 in most of the specimens. The bifurcations of R2+3 and M1+3 veins were not on one direction in all samples. The range of the R-Cell/R2+3 ratio was 2.42-7.91. The average ratio of cross wing was 2.25±0.04 with a range of 1.36-3.70.

CONCLUSIONS

More populations of Culex pipiens from different areas of Iran need to be studied to gain complete information about the taxonomy and ecology of the species.

The Morphological Variations of Culex pipiens Larvae (Diptera: Culicidae) in Yazd Province, Central Iran

BACKGROUND

Culex pipiens complex shows variations in morphological and biological characters including different biological forms and has medical and veterinary importance. Because of having morphological variations, sometimes it is not easy to separate this species from Cx. quinquefasciatus and Cx. torrentium. The aim of this study was to identify the Culex pipiens complex species in order to use in control programs in the future.

METHODS

This study was carried out in two randomly selected rural villages in Yazd County, eastern Iran using dipping technique from April to October 2009. The data were analyzed using SPSS software version 16.

RESULTS

Average of siphon index in fourth-instrar larvae was 3.86±0.03, the minimum and maximum were calculated 2.43 and 5.14, respectively. Siphon/Saddle index was measured as average, minimum and maximum 3.2±0.2, 2.78, and 4.42 respectively. In our study, only 4 specimens had single seta 1 on segments III and VI (2.5%) and the remaining beard double seta (97.5%). The maximum 3-6 branches seta 1a-S and 1b-S (95%) were observed on siphon.

CONCLUSION

More populations of Culex pipiens from different areas of Iran need to be studied to gain complete information about the taxonomy and ecology of the species in the country.