Effect of low dose nicotinic acid on hyperphosphatemia in patients with end stage renal disease.

Hyperphosphatemia is a risk factor for ectopic calcification and coronary artery diseases in end stage renal diseases (ESRD). The aim of this study was to assess the effect of low-dose nicotinic acid on hyperphosphatemia in patients with ESRD. This randomized, double-blind clinical trial was done on 70 ESRD patients with serum phosphoure ≥5.5 mg/dl. Patients were randomly divided into two equal groups (n = 35) and the intervention group received niacin 25 mg/day as the initial dose. After 4 weeks, in patients who did not respond to treatment, niacin dose was increased up to 50 mg/dl. At the end of week 8, in case there was no treatment effect, the dose was raised to 100 mg/day. The appropriate response to treatment was defined as serum phosphorous level reductions <5.5 mg/dl. The age was 50.5 ± 14.3 years and duration of dialysis 5.1 ± 5.3 months. In the niacin group, mean phosphorus level decreased from 6.7 ± 0.84 mg/dl at the end of the 1(st) month to 5.8 ± 1.0 mg/dl at the end of the 2(nd) month and to 4.4 ± 1.4 mg/dl at the end of the 3(rd) month (P = 0.004). In the placebo group, mean phosphorus level increased from 6.5 ± 1.2 mg/dl to 7.2 ± 0.91 mg/dl at the end of the 3(rd) month (P = 0.006). In the niacin group, high density lipoprotein (HDL) increased significantly from 45.00 ± 14.9 to 47.2 ± 11.6 (P = 0.009). We conclude that niacin (100 mg/day) decreased phosphorus serum level and increased HDL serum level in patients on dialysis.

Methylene blue based device for pathogen reduction in human plasma.

BACKGROUND: Despite improvement in safety of plasma transfusion some virus transmission still remains a problem. So as World Health Organization (WHO) recommends, many countries developed Pathogen Reduction Technologies (PRT) to inactivate pathogens, in plasma components. The Methylene Blue (MB) based methods is one of the most universal one. The purpose of this research was, produce a device that can inactivate viruses in MB environment. MATERIALS AND METHODS: In this interventional study, each Plasma Sample was illuminated by 70Pieces (PCs) of 1 w red Light Emitting Diodes (LEDs) from one side. These LEDs emit light at central wavelength of 627 nm with 20 nm Full Width at Half Maximum (FWHM). Two model viruses Herpes Simplex Virus (HSV) and Vesicular Stomatitis Virus (VSV) were used and Tissue Culture 50% Infection Dose (TCID50) was used to calculate virus Log reduction. Two concentration of MB and 5 different illumination times were used. RESULTS: In 10 µm concentration of MB, HSV had 6.00±0.2 maximum log reduction that obtain after 60 minutes illumination and VSV had 5.50± 0.3 maximum log reduction after 75 minutes illumination. In 1 µM concentration of MB, HSV had 5.20±0.3 maximum log reduction that obtain after 60 minutes illumination and VSV had 4.90± 0.2 maximum log reduction after 75 minutes illumination. CONCLUSION: Results of virus inactivation in this method were similar to other methods (P-value<0.05 in comparison with Spring method, and P-value>0.05 in comparison with Theraflex), and it showed this device could inactivate viruses according to WHO recommendation.

The effect of preseason training on mucosal immunity in male basketball players.

AIM: This study examined the effects of pre season training on restring level and acute response of mucosal immunity in male basketball players. METHODS: Twenty male basketball players performed 8 weeks progressive exercise training, consisting of interval and continuous parts. Five mL un-stimulated saliva was collected from each subject before, immediately and one hour after the end of one bout of exercise to exhaustion on treadmill at the beginning of the first week and end of 8 weeks to determine the acute responses. At the beginning of each 2 weeks (resting state) induced changes in basal mucosal immunity was evaluated. The concentration of sIgA and total protein was measured by the ELISA and Bradford methods respectively. RESULTS: One bout exercise training at beginning of first week decreased significantly sIgA level but not at the end of 8th week. Total protein did not change significantly at 1st week after exercise, but at eight week significantly increased and remained at high level until one hour after exercise. sIgA to total protein ratio at first week significantly decreased and remained constant one hour after exercise. At the eight week sIgA decreased significantly immediately after exercise and remained low until one hour after exercise. The comparison of sIgA and total protein levels indicates significant decrease after eight weeks training. CONCLUSION: These results suggest that repetition of single bout of exercise training have a cumulative effect on the mucosal immune system.

The effects of triple therapy (acupuncture, diet and exercise) on body weight: a randomized, clinical trial.

OBJECTIVES: The purpose of this study was to compare the effects of diet and exercise vs acupuncture, diet and exercise on the body weight and related parameters of adult women. METHODS: Twenty-seven obese women with a body fat percentage of more than 30% were randomized into three groups. The first experimental group had diet and exercise, whereas the second experimental group had diet, exercise and acupuncture. The control group received no intervention at all. The study period lasted for 8 weeks. Body weight, skin fold thickness, body mass index and fat mass were measured before and after 8 weeks. RESULTS: Body mass index and fat mass, decreased significantly (P<0.05) in both experimental groups when compared with the control group. However, there was no significant difference between the two experimental groups. Changes in lean body mass after 8 weeks were not significantly different from those in the control group. CONCLUSION: It is concluded that acupuncture combined with diet and exercise does not generate larger reductions in body weight, fat mass or body mass index than diet and exercise alone.

A new expertness index for assessment of secondary structure prediction engines.

Improvement of prediction accuracy of the protein secondary structure is essential for further developments of the whole field of protein research. In this paper, the expertness of protein secondary structure prediction engines has been studied in three levels and a new criterion has been introduced in the third level. This criterion could be considered as an extension of the previous ones based on amino acid index. Using this new criterion, the expertness of some high score secondary structure prediction engines has been reanalyzed and some hidden facts have been discovered. The results of this new assessment demonstrated that a noticeable harmony has been existed among each amino acid prediction behavior in all engines. This harmony has also been seen between single global propensity and prediction accuracy of amino acid types in each secondary structure class. Moreover, it is shown that Proline and Glycine amino acids have been predicted with less accuracy in alpha helices and beta strands. In addition, regardless of different approaches used in prediction engines, beta strands have been predicted with less accuracy.