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Background and objectives:  Oxidative stress is the most important pathophysiological cause of diseases. Studies have shown that exercise and supplementation with medicinal plants have limited side effects. The aim of the present study was to evaluate effects of aerobic exercise and ethanolic extract of purslane seed on ATP, O-6-Methylguanine DNA methyltransferase (MGMT), malondialdehyde (MDA) and prooxidant-antioxidant balance (PAB) levels in the heart tissue of rats poisoned with hydrogen peroxide.
Methods: In this experimental trial, 72 male Wistar rats were randomly divided into nine groups: (1) control + H₂O₂ , (2) aerobic exercise, (3) aerobic exercise and 50 mg/kg purslane seed extract, (4) aerobic exercise and 200 mg/kg purslane seed extract, (5) aerobic exercise and 400 mg/kg purslane seed extract, (6) 50 mg/kg purslane seed extract, (7) 200 mg/kg purslane seed extract, (8) 400 mg/kg purslane seed extract, and (9) healthy control. Oxidative stress was induced by intraperitoneal injection of 1 mmol/kg hydrogen peroxide three times a week for eight weeks. Aerobic exercise was performed three sessions a week for eight weeks, and the purslane seed extract was intraperitoneally injected daily at the mentioned doses.
Results: Aerobic exercise and purslane seed extract alone or combined significantly increased ATP, MGMT and significantly reduced MDA and PAB levels in cardiac tissue of rats exposed to hydrogen peroxide (P<0.05). Moreover, the effect of purslane seed extract was dose dependent.
Conclusion: It seems that aerobic exercise and purslane seed extract supplementation have synergistic cardioprotective effects under oxidative stress.

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Background and objectives: Chitosan is a preservative that is commonly used in food packaging due to forming a film with antimicrobial activity. Many antimicrobial agents have been used to control the growth of different bacteria, fungi and yeasts in food products using chitosan coating. The present research was conducted to examine inhibitory effects of a coating incorporated with the essential oils of Zataria multiflora (ZEO) and Bunium persicum (BEO) on the growth of Pseudomonas artificially inoculated onto salmon fillets over a period of 12 days at 4 °C.
Methods: The antibacterial activity of BEO against P. aeruginosa was evaluated using the microdilution method via determining minimum inhibitory concentration and minimum bactericidal concentration. For the food model investigation, three P. aeruginosa strains were inoculated onto trout fillets as culture cocktail to assess their survival over 12 days of storage.
Results: The results indicated that ZEO and BEO had stronger inhibitory effect on P. aeruginosa in trout fillets when applied along with gel type nano-emulsion of chitosan solution. The separate use of each of these substances also significantly inhibited the growth of these pathogenic bacteria compared with the control. In addition, the use of chitosan coating without any antimicrobial agent affected the growth of P. aeruginosa.
Conclusion: The gel type nano-emulsion of chitosan coating containing ZEO and BEO can be applied on foodstuff, particularly fish and its products, as an antimicrobial agent.

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Background and objectives: Hydatidosis is an important zoonotic disease with widespread distribution. For unknown reasons, some cysts are unable to produce protoscoleces, and little is known about the mechanisms involved in infertile cyst production. Therefore, characterization of hydatid cyst fluid (HCF) components could help clarify the host-parasite relationship and the fertility process of cyst. The aim of this study was to identify and quantify biochemical components of HCF of fertile and infertile cysts from different hosts.
Methods: A total of 35 HCF samples were obtained from the liver and lung of 16 cattle, 16 sheep and three humans. Fertility of cysts was determined by examination of cysts’ content. Then, total fluid was aspirated aseptically from each cyst. The samples were centrifuged at 10000×g for 15 min at 4°C, and then concentrated and dialyzed against phosphate buffer saline using an Amicon Ultra-15 5000 MWCO centrifugal filter device (Millipore, USA). All biochemical components were quantified by an automatic analyzer.
Results: The value of lactate dehydrogenase, potassium, calcium, cholesterol, glucose, urea and uric acid differed significantly in cysts collected from different hosts (P<0.001). There was also a significant difference in the amount of lactate dehydrogenase, aspartate aminotransferase and cholesterol between fertile and infertile cysts (P<0.039).
Conclusion: Due to the differences in biochemical composition of HCF of different host origin, it is possible that the host plays a crucial role in determining the type of biochemistry in hydatid cyst as well as in hydatid cyst fertility.

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Background and objectives: Blood flow restriction training (BFRT) has gained substantial interest due to the lower required intensity, which may be beneficial for individuals who are not able to lift heavy weights. Therefore, we aimed at evaluating effects of 12 weeks of resistance training with and without blood flow restriction on follistatin (FST) concentrations and physical performance in elderly females.
Methods: Thirty elderly female were randomly assigned into the following groups: resistance training with blood flow restriction (BFRT; n=10), resistance training without blood flow restriction (WBFRT; n=10) and control ( n=10). The resistance training was carried out three session a week for 12 weeks. Serum concentrations of FST, muscular endurance and dynamic balance were assessed at baseline and after the 12week intervention.
Results: Significant main effects of time were observed for FST (p =0.03, η2 = 0.15), muscular endurance (p = 0.00, η2 = 0.59) and dynamic balance (p=0.00, η2 = 0.57). FST [BFRT= 1.4 ng/ml (effect size Cohen’s {d} = -0.8) significantly increased only in BFRT group. However, muscular endurance [BFRT= 95 (d= -4.1) and WBFRT = 32 (d= -0.9)] significantly increased in both intervention groups (P<0.05). In addition, dynamic balance [BFRT= -0.5 seconds (d= 2.2)] significantly increased only in the BFRT group (P<0.05).
Conclusion: BFRT was able to increase FST concentrations. Due to its mechanistic role in muscle mass alterations, elderly females can incorporate our BFRT protocol to improve anabolic conditions for muscular adaptations. 

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Background and objectives: Given the growing prevalence of obesity in children, the present study aimed to investigate effects of continuous and interval aerobic training on insulin resistance index and serum cortisol levels of obese girls.
Methods: The study was performed on 36 healthy girls aged 9-11 years with a body mass index (BMI) of higher than 85th percentile. The subjects were randomly divided into three groups of interval training, continuous training and control. The training groups performed exercises three days a week for eight weeks. The exercises were performed at 70% of VO2max in the first four weeks and at 80% of VO2max in the following weeks. Fasting blood samples were taken 72 hours before the first session and 72 hours after the last training session in order to measure levels of cortisol, glucose, insulin and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR).Weight, BMI and body fat percentage were also measured by conventional methods. Data analysis was performed in SPSS 21 using paired t-test and one-way analysis of variance.
Results: The mean level of BMI and body fat percentage decreased significantly after the interval and continuous training, respectively (P<0.05). The HOMA-IR index did not change significantly in the study groups (P>0.05). The cortisol level increased slightly in the continuous training and control groups (P=0.075) and decreased insignificantly (P=0.131) in the interval training group. There was no difference between the training groups and the control group in terms of HOMA-IR and cortisol levels.
Conclusion: Insulin levels, HOMA-IR showed a decrease trend while a reasonable increase in cortisol level we showed in the continuous training group. BMI level and fat percentage decreased in two both training groups.

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Background and objectives: The aim of this study was to compare the effect of an eight-weeks endurance and strength training on levels of cellular and vascular adhesion molecules in obese men.
Methods: Twenty-four obese volunteer men as subjects in this study were selected from Tehran and randomly assigned to control, endurance training, and strength training groups. The enduranBackground and objectives: Obesity, particularly abdominal obesity, is the most common cause of metabolic abnormalities, such as metabolic syndrome. The aim of this study was to compare effects of eight weeks of endurance and strength trainings on serum levels of cellular and vascular adhesion molecules in obese men.
Methods: Twenty-four obese men were randomly assigned to control, endurance training and strength training groups. The endurance training group performed a modified treadmill running protocol with an intensity of 50-70% of maximum heart rate. The resistance training included chest press, armpit stretch and leg and crus presses at intensity of 50-80% of one-repetition maximum. Serum levels of intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion protein 1 (VCAM--1) were measured using commercial ELISA kits. Data were analyzed by one-way ANOVA and post hoc Tukey test at significance of 0.05.
Results: Serum VCAM-1 and ICAM-1 levels decreased significantly in both training groups compared to the control group (P=0.0001). The reduction of serum VCAM-1 and ICAM-1 levels was more significant in the endurance training group than in the resistance training group.
Conclusion: Given the favorable effects of endurance and resistance trainings on serum levels of VCAM-1 and ICAM-1, the eight-week training could be performed as a protective intervention in obese people.ce training group performed a modified running protocol with an exercise intensity of 50% to 70% of HR_max on the treadmill. Resistance exercises also included chest press, armpit stretch, and leg and crus presses. The training intensity was 50% to 80% of 1-RM. Serum levels of VCAM-1 and ICAM-1 were measured using ELISA commercial kits. Data were analyzed by One-way ANOVA and post hoc Tukey at the significant level P<0.05.
Results: VCAM-1 and ICAM-1 levels decreased significantly in training groups compared to the control (P = 0.0001). Significant differences were also found between the values ​​of VCAM-1 and ICAM-1 in the endurance training group compared to the resistance training group (P = 0.0001).
Conclusion: Overall, the levels of molecules showed that the values ​​of VCAM-1 and ICAM-1 decreased significantly in the exercise group compared to the control group, but this decrease was more significant in the endurance training group. Therefore, it seems that 8 weeks of training in obese people can be very useful and prevent many diseases.
 

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Background and objectives: Multiple sclerosis (MS) is a demyelinating and neurodegenerative disease of the centralnervous system that can be tracked through biomarkers of disease status. The present study aimed to examine effect of eight weeks of resistance training on serum levels of neurofilament light chain and tau protein in women with multiple sclerosis (MS).
Methods: The study population consisted of 24 women with MS (aged 25 to 40 years) in Bojnourd (Iran) with expanded disability status scale score of 2-5. Patients were randomly divided into two groups of resistance training (n=12) and control (n=12). The training group performed 45-60 minutes of resistance training, three sessions a week for eight weeks. The control group did not partake in sports activity. Blood samples were taken 24 hours before the first session and 48 hours after the last training session. Analysis of covariance was used to analyze data at a significance level of 0.05.
Results: The eight-week resistance training intervention significantly decreased serum level of tau protein but had no significant effect on serum level of neurofilamet light chain.
Conclusion: According to the research results, eight weeks of resistance training could have favorable effects on serum level of tau protein in MS patients.

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Background and objectives: As a chronic inflammatory airway disease, asthma can increase level of markers of inflammation and muscle damage. In this study, we aimed to evaluate the effects of short-term continuous aerobic exercise combined with vitamin D supplementation on high-sensitivity C-reactive protein (hs-CRP), lactate dehydrogenase (LDH) and creatine kinase (CK) levels in asthmatic women.

Methods: In this study, 30 overweight (body mass index=26.97± 1.24 kg/m²) women with mild to moderate asthma were purposefully selected.. The subjects received a vitamin D tablet with a daily dose of 1000 IU for six weeks. The training protocol consisted of two sessions of Balke treadmill test (one session before and one session after the vitamin D supplementation). Blood samples were taken before and immediately after the exercise and before and after vitamin D supplementation. Repeated measures ANOVA was used to evaluate changes in the levels of hs-CRP, CK and LDH.

Results: The variables were not significantly affected by the exercise and vitamin D supplementation (P>0.05).

Conclusion: It seems that a single session of short-term aerobic exercise and six weeks of vitamin D supplementation do not significantly affect hs-CRP, CK and LDH levels in asthmatic women.

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Background and objectives: Acute myeloid leukemia (AML) is a malignancy that involves the bone marrow and peripheral blood. Some chemokines play a role in the progression, migration and tumor initiation and are therefore associated with poor prognosis. CCL2 promotes tumor growth and is associated with poor prognosis in AML patients. We investigated effects of chemotherapy on serum level of CCL2 in AML patients.
Methods: Throughout this case-control study, blood samples were collected from 25 healthy individuals and 25 AML (M4 and M5) patients before and after the first stage of the current chemotherapy regimen (7+3). Serum level of CCL2 was measured using commercial ELISA kits. Data were analyzed in SPSS 22 using the two-sample t-test and paired t-test.
Results: Before chemotherapy, serum level of CCL2 was significantly higher in the patients than in the healthy controls. Following chemotherapy, the serum level of CCL2 reduced significantly to a level comparable to that of the healthy controls.
Conclusion: The current chemotherapy (7+3) can effectively inhibit CCL2 in AML patients.

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Background and objectives: Physical activity has long been considered as the cornerstone of interventions for reducing the burden of cardiovascular diseases (CVDs). Homocysteine and obesity indices are important indicators of CVD risk. The present research aimed to evaluate homocysteine and obesity variables in female CVD patients and healthy counterparts with different physical activity levels.
Methods: This study was carried out on 85 CVD patients (40-55 yr, n=41, 60-75 yr, n=44) and 80 healthy women (40-50 yr, n=40, 60-75 yr, n=40). Subjects were divided into three groups based on their physical activity level: sedentary, moderately active and active. Serum homocysteine, body roundness index (BRI), a body shape index (ABSI), body mass index (BMI) and waist circumference (WC) were measured. Data were analyzed using the independent t-test and one-way ANOVA.
Results: Physically active middle-aged CVD patients had significantly lower BRI (p=0.022) and homocysteine (p=0.008) levels compared with the sedentary counterparts. In addition, physically-active old CVD patients had significantly lower BRI (p=0.041), ABSI (p=0.011) and homocysteine (p=0.001) compared with the sedentary counterparts. Physically-active healthy middle-aged individuals had significantly lower BRI (p=0.013) and BMI (p=0.008) levels compared with sedentary counterparts. Active elderly subjects also had significantly lower BRI (p=0.001) and WC (p=0.008) compared with the sedentary counterparts.
Conclusion: Physical activity can reduce the risk of CVD and improve health status of women by reducing homocysteine, BRI and ABSI.

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Background and objectives: Breast cancer is the leading cause of death in women. Cytokines regulate the intensity and continuity of immune response by balancing cell-mediated immunity and humoral responses. This study aimed to investigate the relationship between two polymorphisms of the interleukin-16 (IL-16) gene and risk of breast cancer.

Methods: Blood samples were collected from 80 breast cancer patients and 80 healthy individuals. Polymorphisms rs11556218 T/G and rs4072111 C/T were investigated by polymerase chain reaction-restriction fragment length polymorphism (RFLP-PCR). Then, genotype and allele frequency distributions were evaluated in each group using the SPSS software (version 24).

Results: The frequency of genotype rs11556218 differed significantly between the patients and controls (P=0.007). The TG genotype (odds ratio [OR]= 2.471, 95% confidence intervals [CI]: 1.229-4.965, P= 0.001) and total TG+GG genotypes (OR= 3.095, 95% CI: 1.624-5.899, P= 0.001) had a significant relationship with increased risk for breast cancer. The allele and genotype frequencies of rs4072111 C/T polymorphism did not differ significantly between the patients and controls.

Conclusion: Our findings suggest that the rs11556218 T/G polymorphism of the IL-16 gene may be associated with susceptibility to breast cancer.

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Background and objectives: Tuberculosis (TB) is a serious public health problem and a significant diagnostic and therapeutic challenge worldwide. Molecular diagnostic techniques are crucial parts of the World Health Organization’s new tuberculosis control strategy. This study aims to identify Mycobacterium tuberculosis and rifampin resistance in pulmonary and extra-pulmonary clinical specimens using the Gene Xpert MTB/RIF assay.
Methods: The study was carried out on 220 specimens from pulmonary and extra-pulmonary TB patients that were sent to the Kavosh Laboratory in Gorgan (Iran) during 2018-20. The Gene Xpert MTB / RIF method was applied to detect M. tuberculosis and rifampin resistance.
Results: Of 220 specimens, 15 (6.81%) were found to be positive, four (26.6%) of which were related to pulmonary and 11(73.3%) to extra-pulmonary specimens. None of the positive samples was resitant to rifampin according to assay.
Conclusion: Our findings demonstrate that the Gene Xpert MTB/RIF is able to accurately detect M. tuberculosis in pulmonary and extra-pulmonary specimens. The accurate and early diagnosis of TB infection allows timely therapeutic intervention, which is beneficial not only for the patient but also for possible contacts.

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Background and objectives: Different environmental factors, such as infection, can cause Alzheimer's disease (AD). Herpes simplex virus types 1 (HSV1) and 2 (HSV2) and cytomegalovirus (CMV) are related to AD. This study explores the potential role of HSV1, HSV2 and CMV in AD progression.
Methods: Plasma samples were taken from 100 AD patients (47 women and 53 men). After isolating viral DNA, PCR was performed using specific primers for the detection of the viruses.  
Results: The prevalence of CMV, HSV1 and HSV2 was 27%, 8% and 4%, respectively. Although CMV was most prevalent in AD patients, HSV1 and HSV2 were found in patients with advanced AD. The prevalence of HSV1 and HSV2 was significantly associated with dysphoria, hallucination, insomnia and depression (P˂0.05), while CMV was significantly associated with hallucination and dysphoria (P=0.001). AD symptoms were higher in patients with HSV1 and HSV2.
Conclusion: It seems that HSV and CMV infections may be related to the severity of AD. 

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Background and objectives: Bone-related osteokines play an important role in the response of bone metabolism to physical activity. The purpose of this study was to investigate effects of different intensities of resistance training on serum levels of some osteokines associated with the Wnt signaling pathway and receptor activator of nuclear factor kappa-Β ligand (RANKL) pathway in old male Wistar rats.
Methods: Twenty-four old (23 months) male Wistar rats (mean weight: 437.93±33 g) were randomly divided into three groups of moderate-intensity resistance training (n=8), high-intensity resistance training (n=8) and control (n=8). Moderate- and high-intensity resistance trainings were performed at 60% and 80% maximal voluntary carrying capacity, respectively. The level of wclerostin, osteoprotegerin (OPG) and RANKL was evaluated by enzyme linked immunosorbent assay. Data were analyzed using one-way analysis of variance and at significance level of ≤0.05.
Results: The results showed that sclerostin (p=0.014), OPG (p=0.049) and RANKL (P=0.034) differed significantly between the study groups. The Tukey post-hoc comparison showed that sclerostin decreased significantly in the high-intensity resistance training group  compared to moderate-intensity resistance training group (P=0.048). In addition, OPG decreased significantly in the moderate-intensity resistance training group compared to the control group (P=0.033). Moreover, RANKL decreased significantly in the high-intensity resistance training group compared to the control (P=0.048).
Conclusion: The results showed that resistance training with appropriate repetition and intensity can have positive effects on bone formation signaling pathways.

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Background and objectives: Coronary artery disease (CAD) refers to stenosis or obstruction of coronary artery due to atherosclerosis or clotting. The aim of this study was to evaluate possible association of serum miRNA-197 (miR-197) expression as a biomarker for CAD diagnosis.
Methods: In this study, 100 patients with CAD who had angiography and vascular transplantation were selected. Expression of miR-197 was evaluated using real-time RT-PCR technique and the SYBR Green method. The Pearson's correlation coefficient was used to determine relationship of miR-197 expression and severity of coronary artery disease. The t-test was used to determine significance of expression of miR-197 in the study groups. All statistical analyses were carried out in SPSS 16 and at significance of 0.05.
Results: The results showed a direct relationship between miR-197 expression and CAD severity. The relative expression of miR-197 in the CAD patients was significantly higher than that in control subjects (P<0.004).
Conclusion: It seems that miR-197 can be considered as an indicator of coronary endothelial cell function. This microRNA could be used as a biomarker for CAD prognosis and treatment progression.

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Background and objectives: Antibiotic resistance is a major public health challenge. The pervasive antibiotic misuse can lead to increased antibiotic resistance. Thus, there is a need for discovery of new compounds against drug-resistant microorganisms. We synthesized new series of 1, 3, 4-oxadiazole derivatives (4a-4d) and evaluated the antibacterial and antifungal activity of the derivatives against Staphylococcus aureus, Staphylococcus epidermidis, Acinetobacter baumannii, Klebsiella pneumoniae, Aspergillus fumigatus and Aspergillus flavus.
Methods: The new derivatives of 1, 3, 4-oxadiazole were synthesized using a single-stage, high-yield method. The structure of the new compounds was confirmed by infrared spectroscopy, carbon-nuclear magnetic resonance and hydrogen- nuclear magnetic resonance. Then, antibacterial and antifungal activities of the prepared derivatives (1 mg/ml) were evaluated by determining minimum inhibitory concentration and minimum bactericidal/fungicidal concentration using the agar well diffusion method.
Results: All synthesized compounds, especially (4d) with methoxyphenyl group, exhibited powerful antibacterial activity against the tested bacteria. However, the compounds had no antifungal effect.
Conclusion: Our findings indicate the antibacterial potential of the novel synthetic 1, 3, 4-oxadiazole compounds.

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Background and Objectives: Asthma is one of the most common respiratory diseases. Inhaled particles that may trigger allergic reactions and air routes are important factors contributing to asthma. This study aimed to determine the abundance of allergens in children with asthma in Gorgan, Iran.
Methods: In this retrospective study, we randomly collected records of all asthmatic patients over five years of age referred to asthma and allergy clinic in Gorgan, Iran. Furthermore, data related to skin prick test were recorded.
Results: The severity of asthma differed significantly between males and females. There was a direct relationship between age and reaction to one allergen. In addition, 18 of 25 (72 %) patients with severe asthma were allergic to more than two allergens. Moreover, the most common allergen was mite (56%).
Conclusion: Mites are the most common allergen among children with asthma in the study area.

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Background and objectives:  Safety is a key criterion for assessment of probiotics. The objective of this study was to evaluate safety of a new Iranian Lactobacillus paracasei IBRC-M 11110 strain as a candidate probiotic. 
Methods: Eighteen male and 18 female Wistar rats were divided into two experimental and a control group. The experimental groups received the bacterium at two doses of 6 × 10⁸ CFU/day and 6× 10⁹ CFU/day for 28 days through oral gavage. The control groups received normal saline. On day 29, blood, serum and tissue samples were taken for analysis.
Results: Administration of the bacterium did not affect the general health and body weight of the rats during the study period. No significant change was observed in the blood parameters of rats in the experimental groups except for a significant decrease in mean corpuscular volume and mean corpuscular hemoglobin of male rats. Serum analysis showed a significant increase in the alanine transaminase and a significant decrease in aspartate transaminase in the experimental groups of male and female rats, respectively. In both male and female rats, a significant decrease in urea and a significant increase in creatinine were observed in the experimental groups. However, the above parameters were all within the normal range. Histopathological analysis of liver and kidney tissues also showed no abnormality.
Conclusion: The results confirm that L. paracasei IBRC-M 11110 was safe in the subacute toxicity test in Wistar rats.

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Background and objectives: Differential diagnosis between clonal lymphocytosis (CL) and reactive lymphocytosis (RL) is often established through blood smear examination but with some limitations. We aimed to evaluate ability of clinical data and extended-cells blood count (CBC) parameters to discriminate CL from RL and to establish a decision-making algorithm for moderate lymphocytosis in adults.
Methods: A total of 85 samples were collected from adults with absolute lymphocytescount of >5G/l. The samples were divided into RL group (n=34) and newly diagnosed CL group (n=51).Demographic data, CBC parameters including high fluorescence lymphocytes cells percentage (HFLC%) and abnormal lymphocytes or blasts  (’AbnLym/BL’’) morphological flag were evaluated for each study group. New threshold for discriminating parameters were determined using receiver operating characteristic (ROC) curves and used in an algorithm for moderate lymphocytosis.
Results: Age, high lymphocytes count and the presence of the ’AbnLym/BL’’ flag and low HFLC% were predictor of malignant lymphocytosis. Age threshold of 62.5 years and absolute lymphocytes count of > 10.47 G/l were highly effective in CL detection with area under the ROC curve of 0.9 and 0.99, respectively. In addition, HFLC% showed an area under the ROC curve of 0.71. Considering ALC threshold of 10.47 G/l alone, a sensitivity of 96.7% and a specificity of 100 % were achieved. For moderate lymphocytosis ranging between 5 and 10.47G/l, no false positive or negative result was detected when we considered both the proposed ALC and age cut-offs. 
Conclusion: A combination threshold for ALC and age appears to be helpful for screening CL, especially in moderate lymphocytosis for both laboratory and clinical routine practice.

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Introduction: COVID 19 pandemic caused by SARS-COV2 virus has taken a toll all over the world. The susceptibility of various diseases like Helicobacter Pylori, Hepatitis B virus and Norwalk Virus and even SARS Corona Virus 1 have been associated with ABO blood groups. However, very limited data is available regarding the COVID 19 susceptibility and ABO blood groups. Methods: In the present report we investigated 500 admitted patients who were RTPCR positive for corona virus. Significant Tests were applied to study association of blood groups vis a vis disease severity, ICU admissions and assisted ventilation. Results:  We found out that Type A blood group is more susceptible to severe COVID 19 infection, even though maximum patients were of type B blood group. We also found that type A blood group needed more ICU admission and assisted ventilation then non type A groups and difference was statistically significant. Conclusion: Patients with type A blood group COVID 19 patients with type A blood group might require more vigilant surveillance and aggressive treatment measures. Further studies are required to validate the disease susceptibility.