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To evaluate the association between disease severity and hepatic steatosis in patients with ulcerative colitis (UC) and non-alcoholic steatohepatitis (NASH). Consecutively selected UC patients admitted to the gastroenterology clinic were enrolled in the study. UC severity was assessed by Truelove and Witts classification. Patients with severe UC were excluded from the study. NASH was determined based on persistently elevated serum aminotransferase levels and detection of fatty liver ultrasound. Patients with other etiologies for elevated aminotransferase levels were excluded. Liver fat content (LFC) was assessed by measuring liver fat score (LFS). One hundred patients (42% male) were included in the study. According to liver ultrasound examination, 62 (%) patients were identified with grade 1 fatty liver disease, and 38 (%) patients were classified as advanced (grade 2 and 3) fatty liver disease. Sixty-one patients had left-sided UC and (46%) had mild UC disease severity index. LFS was significantly higher in UC patients with the moderate disease than patients with mild disease (3.53±2.68 vs. 5.89±2.85, respectively; P

Objective There are some controversial studies on effects of anti-epileptic drugs (AEDs) on serum IgG subclasses; however, the role of these medications is still unclear. The aim of this study was evaluation the effects of anti-epileptic drugs on serum concentration of IgG and its subclasses Methods Serum IgG and IgG subclasses of 61 newly diagnosed epileptic patients were measured at the beginning of monotherapy with carbamazepine, sodium valproate, and phenobarbital, and 6 months later. Measurement of IgG and its subclasses was performed using nephlometry and ELISA techniques, respectively. Findings Reduction of at least one IgG subclass was found in 6 patients 6 months after treatment with AEDs. Among 27 patients receiving carbamazepine, decrease in at least one serum IgG subclass level was found in 5 patients. Among 20 patients using sodium valproate, only one patient showed decrease in IgG2 subclass. None of the 14 patients using phenobarbital revealed significant decrease in IgG subclasses. No infection was seen in the patients with reduction of subclasses. Conclusion Although in our study, children with selective IgG subclass deficiency were asymptomatic, assessment of serum immunoglobulin levels could be recommended at starting the administration of AEDs and in serial intervals afterward in epileptic patients.

Kermanshah is a city in Iran's Zagros seismotectonic region regarded as one of the cradles of prehistoric and historic cultures. This novel study investigates the quantitative assessment of the seismic vulnerability of historical buildings in Kermanshah using numerical modeling . This study uses the hybrid method to estimate seismic vulnerability for seven mosques in Kermanshah's historical heritage. The structures are modeled by macro-elements. The material properties for the numerical models of the mosques are calibrated through ambient vibration tests . Furthermore, the efficiency and accuracy of Italian indirect method in evaluating the damage probability in Iranian historical buildings could be determined by the comparison with the hybrid method results. Moreover, it provides the knowledge for developing these methods by the architecture and structural specifications of Iranian historical structures. In the indirect method, the aggregate effect of mosques interacting with other structures is taken into account. Finally, considering local site effects, the fragility curves of both methods are developed and compared to each other at the probable design acceleration acquired from the Iranian seismic standard. The results show the seismic vulnerability of investigated mosques and the necessity to provide some parameters for the type of ceiling and configuration of the aggregates to evaluate the Iranian historical structures by indirect method more effectively.

Existing models for predicting the small strain behaviour of unsaturated soil are not capable of predicting the initial shear stiffness during suction reduction under normally consolidated conditions. This problem has been addressed in the present study by combining an existing elastoplastic model and recent experimental data to provide a new model for the initial shear stiffness. The model, which is similar to that typically adopted for saturated soils, uses the average skeleton stress and an additional function of the degree of saturation. This new model not only captures the behaviour of the new experimental results, but it also describes a unique relationship between saturated and unsaturated soils.