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عضویت

جستجوی مقالات مرتبط با کلیدواژه « inflammatory cytokine » در نشریات گروه « پزشکی »

  • Falah Hasan Obayes AL-Khikani*, Zeytoon Abdulridha Alkhafaji
    Backgrounds

    Immune-inflammatory responses appear to play a key role in severe SARS-CoV-2 infections. Interleukin-35 (IL-35) and presepsin (PSN) are inhibitory cytokine and pro-inflammatory interleukin, which play a crucial role in the immune system modulation, respectively. Therefore, the study of IL-35 and PSN interaction with other parameters may be critical for managing patients with COVID-19.

    Materials & Methods

    A total of 125 severe/critical COVID-19 patients and 60 healthy persons as a control group were enrolled in this work. These patients were admitted to Marjan medical city and Al-Sadeq hospital in Iraq during February to August 2022 and diagnosed as severe cases depending on the SpO2 percentage according to the guidelines released by the National Health World. Anti- and pro-inflammatory cytokines (IL-35 and PSN) were detected by ELISA technique.

    Findings

    Presepsin showed a positive correlation with admission to the respiratory care unit (RCU) (r= .022, p= .011). A negative correlation was found between presepsin and C- reactive protein (CRP) (r= .21, p= .018). Both PSN and IL-35 in biochemical tests showed a positive strong effect on glucose levels in COVID-19 patients (r= .234, p= .008 and r= .241, p= .007, respectively). IL-35 had a positive impact on alkaline phosphatase (ALP) (r= .28, p= .002). Hemoglobin (Hb) level showed a positive correlation with presepsin (r= .2, p= .02).

    Conclusion

    This study confirms the growing evidence showing the direct role of regulatory pro-inflammatory cytokines in the development and control of COVID-19 through the interaction with other parameters.

    Keywords: Interleukin-35, COVID-19, Inflammatory cytokine, Presepsin, SARS-CoV-2}
  • Hosseinali Ghaffaripour, Amir Rezaei *, Maryam Hasanzad, Habib Emami, Esmaeil Mortaz, Alireza Mahdaviani, Ali Akbar Velayati
    Background
    It is known that inflammatory responses occur in the airways of patients with non-cystic fibrosis bronchiectasis during respiratory exacerbations but the role of these cytokines is not clear in this condition. Herein we evaluated the levels of interleukin-1b (IL-1b), IL-8 and tumor necrosis factor a (TNF-a) in the serum and bronchoalveolar lavage among children with non-cystic fibrosis bronchiectasis.
    Materials and Methods
    This cross-sectional study was performed on all children with non-cystic fibrosis bronchiectasis who were admitted with respiratory exacerbation in the pediatric pulmonology ward of Masih Daneshvari Hospital, Tehran-Iran. All patients underwent fiberoptic bronchoscopy and spirometry before and after the bronchoscopy. IL-1b, IL-8, and TNF-a levels were measured in the serum and bronchoalveolar lavage.
    Results
    Patients included 10 (59%) female and 7 (41%) male subjects with mean age of 13.8 years (range, 5-18). Mean values for forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were below the normal range before and after bronchoscopy. Mean value for FVC (from 55% to 63%, P= 0.01) and FEV1 (from 60% to 64%, P= 0.26) increased after bronchoscopy compared to before that. IL-1b and IL-8 levels were increased and TNF-a level was decreased in the serum and bronchoalveolar lavage but no significant correlation was found between spirometry and these cytokines levels.
    Conclusion
    Changes in inflammatory cytokines levels in serum and bronchoalveolar lavage during respiratory exacerbation in patients with non-cystic fibrosis bronchiectasis have no significant correlation with spirometry and cannot be used in clinical practice.
    Keywords: Non-cystic fibrosis bronchiectasis, Inflammatory cytokine, Bronchoalveolar Lavage, Serum}
  • Ahmad Alikhani, Kimia Mahmoodi, Leila Delavaryan, Ebrahim Salehifar, AliReza Rafiei, Mahmoud Sadeghi Zavare*
    Background

    The northern coastal regions of Iran are endemic for leptospirosis which may range from a subclinical illness to a progressively fatal disease. There has been growing evidence that inflammatory markers play a significant role in the severity and prognosis of leptospirosis. This study aimed to investigate inflammatory cytokines in patients with leptospirosis.

    Methods

    This descriptive-analytical prospective study was performed in 75 patients over 18 years old who had a positive microscopic agglutination test (MAT) titer from January to June 2019. SPSS software Version 20 was used for statistical analysis and the significance level was considered as p<0.05.

    Results

    The patients’ age enrolled in this study are from 21 to 75 years with a mean and standard deviation of 48.6 ± 14.0. The male to female ratio in our participants was 54/21. Fever was the most common symptoms in 66 (88.0%) patients, followed by myalgia in 62 (82.7%) cases. The level of interleukin 10 was significantly higher in severe illness (P=0.003) and fatal cases (p<0.028) compared with recovered patients. The level of TNF-α level was also higher in the severe illness and Weil's syndrome compared with the mild kind (P=0.022).

    Conclusion

    Our results showed that the levels of TNF-α and IL-10 significantly increased in severe leptospirosis. Also, IL-10 was significantly higher in fatal cases. The inhibition of IL-10 production might play an important role in decreasing the risk of fatal outcomes in leptospirosis.

    Keywords: Leptospirosis, Inflammatory cytokine, treatment, outcome, IL10}
  • Fahime Hoseini *, Saeide Hoseini, Mohammad Fazilati, Esmaeil Ebrahimie, Farzane Hoseini, Ali Choopani
    Introduction
    Spirulina (Arthrospira) exerts a wide spectrum of pharmacological activities that are largely attributed to its phycobiliprotein content,  mainly  to  C-phycocyanin.  C-Phycocyanin  is  a  natural  blue  pigment  with  many commercial  applications  in  foods, cosmetics, and medicines.
    Methods
     In this study, the stimulatory effect of  C-phycocyanin on the immune system was investigated using blood tissue and Peripheral  Blood  Mononuclear  Cells  (PBMC)  and  the  measurement  of  inflammatory  cytokine,  interferon-gamma, which  has important effects on dedicated immune responses. For this purpose, extraction of PBMC blood cells from blood tissue The range of  purified  C-phycocyanin  extract  concentrations  with  drug  puritywas:  1  µg/ml,  10  µg/ml,  100  µg/ml,  250  µg/ml.  Then, the response of PBMC cells to C-phycocyanin at the protein level was investigated. Finally, interferon-gamma was measured using the culture supernatant and ELISA sandwich method.
    Results
     Descriptive  analysis  of  the  read  concentrations  results  by  ELISA  technique  showed  that  C-phycocyanin  is dosedependent  and  the  results  of  the  effect  of  C-phycocyanin  on  PBMC  cells  in  blood  tissue  showed  the strengthening  of  the immune system by increasing the amount of inflammatory cytokines. According to the results of the analysis of variance, it isobserved that the p-value is less than 0.05. This means there is a significant difference between the mean read concentration of ELISA in different concentrations of cytokines.
    Conclusion
    The results of the experiments demonstrate that C-phycocyanin activates PBMC cells in a manner that is consistent with the recruitment of diverse populations of leukocytes in response to inflammatory and infectious signals.
    Keywords: C--phycocyanin, Peripheral Blood Mononuclear Cells, IFN gamma, Phycobiliprotein, inflammatory cytokine, Cell Culture}
  • سمیره نعمتی، محمدامین عدالت منش*
    سابقه و هدف

    استرس بی حرکتی بارداری (Prenatal Restraint Stress; PRS) ناهنجاری های شناختی-رفتاری و اختلالات نوروپاتولوژیک در نوزادان را به دنبال دارد. مطالعه حاضر به ارزیابی اثر تریکوستاتین A (Trichostatin A; TSA) بر سطح سایتوکاینهای التهابی و ضد التهابی در هیپوکامپ موش های صحرایی مدل استرس بی حرکتی بارداری پرداخت.

    روش بررسی

    در این مطالعه تجربی، تعداد 20 سر موش صحرایی ماده باردار نژاد ویستار به صورت تصادفی به 4 گروه کنترل، PRS+NS، PRS+TSA5 و PRS+TSA10 تقسیم شدند. القاء PRS از روز 13 بارداری، روزانه یک ساعت و به مدت 7 روز اعمال شد. تجویز درون صفاقی TSA دو ساعت قبل از PRS صورت گرفت. در پایان یک ماهگی، سطح هیپوکامپی سایتوکاین های پیش التهابی نظیر اینترلوکین-1 بتا (IL-1β)، اینترلوکین-6 (IL-6)، فاکتور نکروزدهنده توموری آلفا (TNF-α) و سایتوکاین ضد التهابی اینترلوکین-10(IL-10) با تکنیک الایزا سنجیده شدند. تحلیل آماری با آنالیز واریانس یک طرفه و آزمون تعقیبی Tukey انجام شد و 05/0˂p معنی دار در نظر گرفته شد. 

    یافته ها

    افزایش معنی دار سایتوکاین های پیش التهابی و کاهش بیان IL-10 در هیپوکامپ گروه PRS+NS در مقایسه با گروه کنترل دیده شد (05/0˂p). در حالی که تیمار با TSA سطح IL-1β،  IL-6و  TNF-αرا نسبت به گروه PRS+NS کاهش و بیان IL-10 را به طور معنی دار و وابسته به دوز افزایش داد (05/0˂p).

    نتیجه گیری

    به نظر می رسد TSA با اثرات ضد التهابی خود سبب تعدیل سطح سایتوکاین های التهابی و کاهش میزان التهاب در هیپوکامپ نوزادانی که در دوران جنینی در معرض استرس بوده اند، می شود.

    کلید واژگان: استرس بی حرکتی, بارداری, سایتوکاین های التهابی, هیپوکامپ, موش صحرایی}
    Samireh Nemati, MohammadAmin Edalatmanesh*
    Background

    Prenatal Restraint stress (PRS) leads to cognitive-behavioral disorders and neuro-pathological deficits in children. The present study evaluated the effect of trichostatin A (TSA) on hippocampal level of pro- and anti-inflammatory cytokines in rat model of prenatal restraint stress.

    Materials and methods

    In this experimental study, 20 pregnant Wistar rats were randomly divided into 4 groups, including control, PRS+NS, PRS+TSA5, and PRS+TSA10. PRS was induced from 13 embryonic day, one hour per day during seven days. Two hours before PRS, administration of TSA was intraperitoneally performed. At the end of one month, the hippocampal levels of pro-inflammatory cytokines such as interleukine-1β (IL-1β), interleukine-6 (IL-6),tumor necrosis factor-α (TNF-α) and anti-inflammatory cytokine (interleukine-10; IL-10) were measured by ELISA technique. Statistical differences between groups were analyzed by ANOVA and Tukey post hoc test and p˂0.05 was considered statistically significant.

    Results

    A significant increase in pro-inflammatory cytokines content and decrease level of IL-10 in hippocampus were observed in PRS+NS group compared to the control (p˂0.05). However, TSA treatment was significantly decreased IL-1β, IL-6 and TNF-α and increased IL-10 compared to the PRS+NS group in dose manner (p˂0.05).

    Conclusion

    It seems that TSA with anti-inflammatory effects leads to the modification of hippocampal inflammatory cytokines and reduces inflammation in offspring’s hippocampus who exposed to stress in the prenatal period.

    Keywords: Restraint stress, Pregnancy, Inflammatory cytokine, Hippocampus, Rat}
  • محمد امین عدالت منش*، سولماز شاهسون، سمانه رفیعی، حبیب الله خدابنده
    زمینه و هدف
    تری متیل تین (Trimethyltin; TMT) ، اورگانوتینی است که سبب دژنراسیون انتخابی هیپوکامپ و بروز نشانه های افسردگی در انسان و جوندگان می گردد. مطالعه حاضر، اثر اسید گالیک (Gallic Acid; GA) را بر نشانه های افسردگی، شاخص های استرس اکسیداتیو و فعالیت سایتوکاین های التهابی در هیپوکامپ موش های صحرایی به دنبال مسمومیت با TMT بررسی می کند.
    مواد و روش ها
    در این مطالعه تجربی، 50 سر موش صحرایی نر نژاد ویستار به صورت تصادفی در 5 گروه شامل کنترل، TMT+Saline، 50TMT+GA،100TMT+GA و 200TMT+GA قرار گرفتند. 48 ساعت پس از مسمومیت با TMT، گروه های دریافت کننده GA، دوز های 50، 100 و 200 میلی گرم بر کیلوگرم وزن بدن و گروه TMT+Saline، نرمال سالین را به مدت 14 روز دریافت کردند. پس از بررسی علائم افسردگی، سطوح هیپوکامپی سوپراکسید دیسموتاز (SOD) ، کاتالاز (CAT) ، گلوتاتیون پراکسیداز (GPX) ، مالون دی آلدئید (MDA) ، فاکتور نکروزدهنده توموری آلفا (TNF-α) و اینترلوکین 1 بتا (IL-1β) به روش الایزا سنجیده شد. جهت بررسی اختلاف بین گروه ها از آنالیز واریانس یک طرفه با آزمون تعقیبی Tukey استفاده شد.
    یافته ها
    نتایج نشان دهنده افزایش مدت زمان بی حرکتی در گروه TMT+Saline نسبت به گروه کنترل و کاهش معنی دار این زمان در گروه های دریافت کننده اسید گالیک در دوز های بالا بود (001/0>p). اسید گالیک سبب افزایش فعالیت آنزیم های آنتی اکسیدانی (SOD، CAT و GPX) و کاهش میزان MDA، TNF-α و IL-1β نسبت به گروه TMT+Saline گردید (05/0˂P).
    نتیجه گیری
    تجویز اسید گالیک با تعدیل فاکتور های التهابی و کاهش استرس اکسیداتیو سبب بهبود علائم افسردگی ایجاد شده توسط TMT گردید.
    کلید واژگان: تری متیل تین, افسردگی, اسید گالیک, استرس اکسیداتیو, موش صحرایی, سای توکین های التهابی}
    M. A. Edalatmanesh*, S. Shahsavan, S. Rafiei, H. Khodabandeh
     
    Background and Objectives
    Trimethyltin (TMT) is an organotin which causes selective degeneration in hippocampus and leads to the appearance of depression in humans and rodents. The present study investigated the effect of Gallic acid (GA) on depression symptoms, oxidative stress markers and inflammatory cytokines functions in rats’ hippocampus after TMT intoxication.
    Materials and Methods
    In this experimental study, 50 adult Wistar rats were randomly devided into 5 groups: Control, TMT+Saline, TMT+GA50, TMT+GA100, and TMT+GA200. 48 h after TMT intoxication, GA-treated groups received 50, 100 and 200 mg/kg of GA, and TMT+saline group received saline for 14 days. After evaluation of depression symptoms, the hippocampal levels of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPX), malondealdehyde (MDA), Tumor necrosis factor (TNF-α) and interleukin-1β (IL-1β) were measured by ELISA technique. Differences between the groups were analyzed by ANOVA with Tukey’s post hoc test.
    Results
    The results indicated an increase in the immobility time in the TMT+Saline group compared with the controls and a significant decrease in immobility time in the groups treated with high doses of GA (p˂0.001). GA treatment increased the function of antioxidant enzymes (SOD, CAT and GPX) and decreased MDA, TNF-α and IL-1β in comparison with the TMT+Saline group (p˂0.05).
    Conclusion
    Administration of GA led to amelioration of depression symptoms caused by TMT intoxication through adjustment of inflammatory factors and reduction of oxidative stress.
    Keywords: Trimethyltin, Depression, Gallic acid, Oxidative stress, Inflammatory cytokine, Rat}
  • Samireh Nemati, Mohammad Amin Edalatmanesh *
    Introduction
    Maternal stress during pregnancy leads to neuroinflammation of the fetus and cognitive disorders in children. On the other side, Trichostatin A (TSA) as a histone deacetylase inhibitor has anti-inflammatory and neuroprotective effects. The aim of the present study was an evaluation of TSA effect on amelioration of spatial memory deficit and modification of pro-inflammatory cytokines in rat’s hippocampus of prenatal footshock stress model.
    Methods
    In the present study, 24 pregnant Wistar rats were divided into 4 groups including control, PFS+Saline, PFS+TSA5, and PFS+TSA10. In order to induce prenatal footshock stress (PFS), the pregnant rats were subjected to electrical shock at 1 mA, 50 Hz for 2 seconds with 5 repetitions at 3-minute intervals from 12 to 18 days of pregnancy. Two hours before applying the shock intraperitoneal administration of TSA was performed daily. When the offsprings were one-month old, their spatial memory was assessed by the Morris water maze. Finally, the levels of pro-inflammatory cytokines (TNF-α, IL-1β, and IL-6) were measured by ELISA method.
    Results
    a reduction in spatial memory and an increase in the level of TNF-α, IL-1β, and IL-6 were observed in PFS+Saline group compared to the control. Besides, spatial learning showed a significant increase in TSA-treated groups compared to PFS+Saline.
    Conclusion
    TSA with anti-inflammatory effects led to the reduction of hippocampal inflammatory cytokines and amelioration of spatial memory in offsprings who were exposed to stress in the prenatal period.
    Keywords: Prenatal Stress, Inflammatory Cytokine, Hippocampus, Rat}
  • Marjan Mokhtare, Rahele Alimoradzadeh, Shahram Agah, Hossein Mirmiranpour, Niloofar Khodabandehloo
    Background
    The effect of changes in intestinal microbiota on constipation is contraversial. Constipation is more prevalent in elderly. Therefore, the current study was designed to assess the role of modulating inflammatory cytokines in old age patients with constipation by evaluating the serum levels of tumor necrosis factor alpha (TNF-α), interleukin 1 (IL-l), and interleukin 6 (IL-6).
    Methods
    This case-control study was done on 100 participants, aged 65 years or higher, with and without functional constipation according to ROME III criteria (50 participants in each group). Baseline demographic, clinical characteristics, and serum levels of TNF-α, IL-1, and IL-6 were compared between the case and control groups. Independent t test and Chi-square test were used for analysis of data.
    Results
    Mean levels of TNF-α, IL-1, and IL-6 were (666.80±101.40 pg/mL vs. 489.20±53.68 pg/mL, p
    Conclusion
    This study showed a significant association between the serum level of modulating inflammatory cytokines and age-related constipation in Iranian subjects. It seems that the serum level of modulating inflammatory cytokines can be affected by diversity and abundance in the gut microbiota. The role of diversity in microbial population and their abundance in gut must be evaluated in further studies.
    Keywords: Inflammatory cytokine, Constipation, Geriatrics, Iran}
  • Song Liu*, Zhonghua Wang, Bo Xu, Kui Chen, Jinyuan Sun, Lianping Ren
    Objective(s)
    Intermittent hypoxia (IH), caused by obstructive sleep apnea (OSA), could cause hippocampus or neuron damage through multiple signaling pathways, while the underlying mechanisms are still unclear. Thus, the present study aimed to explore the effect of IH on the biological functions of microglia cells.
    Materials And Methods
    Cell proliferation of BV2 cells after exposure to IH were observed by MTT assay and then DNA damage was detected by comet assay. RNA-sequencing assay was performed in cells under IH condition and normal conditions to find out the differentially expressed genes, which were further confirmed by reverse transcriptase polymerase chain reaction (RT-PCR) and Western blot assay.
    Results
    As results, IH inhibited the proliferation of BV2 cells, as well as caused DNA damage. RNA-sequencing assay revealed 4 differentially expressed genes (p21, Cyclin D1, Cyclin E2, and Gadd45α) which were associated with the network of P53 signaling pathways in BV2 cells, among which, p21 and Gadd45α were dramatically increased while Cyclin D1 and Cyclin E2 were both decreased significantly. Moreover, inflammatory factors including IL-6, TNF-α and iNOS were significantly up-regulated in microglia cells under IH conditions for 8 hr.
    Conclusion
    Our results indicated that IH could inhibit cyclin D1 and cyclin E2 expression via initiating multiple P53 pathways, which further blocked cell cycle transition and attenuated proliferative capability of BV2 cells. Meanwhile, IH activated inflammation reactions in BV2 cells. Present study elaborate the effects of IH on biological functions of microglia and provide theoretical foundation for further study on new therapy methods for OSA.
    Keywords: Inflammatory cytokine, Intermittent hypoxia, Microglia, P53 signaling pathways}
  • سعید هادی، پروین میرمیران، وحید هادی، سمیه حسین پور نیازی، سید محمد هادی امامت
    سابقه و هدف
    در سال های اخیر نقش سیاه دانه در پیشگیری و درمان عوامل تشکیل دهنده سندرم متابولیک مورد بررسی قرار گرفته است. هدف از مطالعه مروری سیستماتیک حاضر، بررسی اثر سیاه دانه بر عوامل تشکیل دهنده سندرم متابولیک می باشد.
    مواد و روش ها
    با جستجو در پایگاه های اطلاعاتی Pubmed، Science direct، Google scholar، SID، Iranmedex، Scopus و استفاده از کلید واژه«Nigella sativa»، «Timokinon»، «Type 2 diabetes»، «Insulin resistance»، «blood glucose»، «Lipid profile»، «Metabolic syndrome»، «body weight»، «Inflammation» و «antioxidant»، مقالات چاپ شده به زبان های فارسی و انگلیسی تا آگوست 2014 جمع آوری شدند.
    یافته ها
    مداخله با اشکال مختلف سیاه دانه سبب بهبود مقاومت به انسولین،کاهش قند خون، کاهش HbA1c، افزایش تولید انسولین، کاهش گلوکونئوژنز کبدی و کاهش جذب گلوکز روده ای می شود. سیاه دانه پروفایل لیپیدی سرم را نیز بهبود می دهد. این ماده مغذی سبب بهبود وضعیت التهابی (از طریق کاهش سایتوکین های التهابی و افزایش انواع ضد التهابی آن، مهار فاکتورNF-KB و نیتریک اکسید) و استرس اکسیداتیو (ازطریق افزایش فعالیت آنزیم های آنتی اکسیدانی و کاهش رادیکال های آزادی هم چون مالون دی آلدهید) در بیماری دیابت می شود. هم چنین سیاه دانه از طریق بهبود شاخص های تن سنجی، سبب تعدیل سندرم متابولیک مرتبط با دیابت نوع 2 می گردد.
    استنتاج: مصرف سیاه دانه اثرات مفیدی در کنترل عوامل خطر بیماری های قلبی عروقی مانند اختلالات چربی خون، شاخص های التهابی و استرس اکسیداتیو دارد.
    کلید واژگان: سیاه دانه, سایتوکین های التهابی, اختلالات چربی خون, شاخص های استرس اکسیداتیو}
    Saeid Hadi, Parvin Mirmiran, Vahid Hadi, Somayeh Hosseinpour, Niazi, Seyed Mohammadhadi Emamat
    Background and
    Purpose
    In recent years the role of nutrition and herbal medicine are considered in the control of cardiovascular risk factors. The aim of this review was to evaluate the effect of nigella sativa on glycemic indices, lipid profiles, markers of inflammation, oxidative stress, and anthropometric indices.
    Materials And Methods
    An electronic literature search was conducted on websites such as Science direct, Google scholar, SID, Iranmedex, and Scopus using the following keywords: nigella sativa, Timokinon, type 2 diabetes, insulin resistance, blood glucose, lipid profile, metabolic syndrome, body weight, inflammation, and antioxidant. Published articles (until August 2014) in English and Persian were selected.
    Results
    Nigella sativa in various interventions improved insulin resistance, lowered blood sugar and HbA1c, increased insulin production, and decreased hepatic gluconeogenesis and glucose absorption in the intestine. Nigella sativa also showed improvements in lipid profile. It can improve the inflammatory status (by reducing the inflammatory cytokine and anti-inflammatory increase in the inhibition of NF-KB factor and Nitric oxide) and oxidative stress (by increasing the activity of antioxidant enzymes and reducing free radicals, such as Malondialdehyde) in treatment of diabetes. Nigella sativa modifies the metabolic syndrome associated with type 2 diabetes by improving anthropometric parameters.
    Conclusion
    Nigella sativa have a favorable effect on management of cardiovascular risk factors such as dyslipidemia, inflammatory markers, and oxidative stress.
    Keywords: nigella sativa, inflammatory cytokine, dyslipidemia, oxidative stress}
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  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
درخواست پشتیبانی - گزارش اشکال