Initial Experience of Dobutamine Stress Echocardiography in Ibn Al-Bitar Hospital for Cardiac Surgery

Background: Dobutamine stress echocardiography (DSE) is a well established non invasive test for the diagnosis and risk stratification of patients with coronary artery disease. Aim of the study was to conduct a pilot study in order to establish the basis for the future routine practice of DSE in our center (Ibn Al- Bitar Hospital for Cardiac Surgery). Patients and Methods: Fifty consecutive patients who were referred from the outpatient of our center, from August 2007 to July 2008, were included. The age range was 39 – 70 years with an average of 57.18 years. Fifty-eight percent were males. Patients were enrolled in the study in accordance with the American Heart Association/ American College of Cardiology guidelines, including mainly those who are unable to exercise due to an orthopedic problem (26%) or limited functional capacity (30%). Some Patients with resting electrocardiographic changes (20%) and non diagnostic exercise test (14%) were also included as well as five patients (10%) for the assessment of myocardial viability. The baseline echocardiogram was normal in 44 % of cases. Others had resting wall motion abnormalities due to previous myocardial infarction (50%) or left bundle branch block (6%). Dobutamine was given by a syringe or an infusion pump at incremental doses (every three minutes) of 5,10,20,30, and finally 40 μg/kg/min. Atropine was needed at peak test in 36% of cases to increase the proportion of patients who reach the target heart rate. Results: The test was positive in 5 patients (10%); negative in 34(68%), non diagnostic in 2(4%), aborted due to intolerable symptoms in 3(6%) and stopped due to arrhythmias in 3(6%) patients. Side effects included chest tightness and irritability in 40%, headache in 12%, nausea and vomiting in 10%, and postural hypotension in 4%. Infrequent ventricular/atrial ectopics occurred in 13%, supraventricular tachycardia in one patient, and complex multiple ventricular ectopics in 3 patients; no incidence of sustained ventricular tachycardia or ventricular fibrillation occurred. There was no incidence of myocardial infarction or death. Conclusions: DSE is a safe and practical test provided it is used according to the recommendedprotocols. A special unit for DSE in our centre is recommended

Spatiotemporal and estimation of washed out seaweeds biomass in Sistan and Baluchistan coasts

In order to studing and determination of Seaweed biomass in the Oman Sea coast (Sistan & Baluchestan Province), according to obtained reasults and experiments and observations on seaweed studies in 15 years ego, Beris, Chabahar, Pozm and Tang were high density zones and Jood and Lipar were low density zones in west and east of chabahar respectively that were selected for study stations. Total length of sistan and balochistan coasts from Gwatr area with geografical position 25˚ 10′ N & 61˚ 30′ E to Mydani with geografical position 25˚ 24′ N & 59˚ 5′ E were 354.3 Km. Among this length, 54.6 Km were rocky coast and 299.7 Km were sandy coast. Among this, 18.2 Km were high density zone and 281.5 Km were low density zone. Washout Seaweeds area in intertidial zones determind by measuring and recording of geographic positions by meter and GPS, then were obtained 2 transects determind with equal distance in high density area and 1 transects in low density for monthly sampling. The length of these transects were 100 meter and cross of Each transects were seaweed washed out average. The transects divided to 10 bluck and sampling were done randomly monthly from 5 bluck or 50 persent. The samples were transfered to the lab and the weight of each species was obtained after being cleaned, and separating. The biomass of each species per area unit and in the total area was obtained after determing the average weight of species and also determind geografical position by GPS. In relation to this project were done water sampling for recording of fisical chemistry factors. Total data for analysis recorded in this computer. During this research 9 species were collected. Among these seaweeds, 2 species green algea (composed of 2 families and 2 orders), 6 species brown algae (composed of 3 families and 3 orders) and 1 species red algae were identified. Wet biomass of Sargassum in the total area of Sistan & Baluchestan coasts were 445.9 ton in 2012. Among this biomas, 269.1 ton (%60.35) high density area (Beris 112 ton or %25.11, Pozm 83.7 ton or %18.76, Chabahar 59 ton or %13.22 and Tang 14.5 ton or %3.26) and low density zone 176.8 ton (%39.65). Monthly average were estimated about 74.3 ton (high density zone 44.9 and low density zone 29.5 ton). The maximum biomass was obtained 270.4 ton (high density zone 155.5 and low density zone 114.9 ton) in Azar and minimum biomass was obtained 3.5 ton in Esfand. At last, were suggested, This project were done in persian gulf coasts nessesery

Mitochondrial physiology

As the knowledge base and importance of mitochondrial physiology to evolution, health and disease expands, the necessity for harmonizing the terminology concerning mitochondrial respiratory states and rates has become increasingly apparent. The chemiosmotic theory establishes the mechanism of energy transformation and coupling in oxidative phosphorylation. The unifying concept of the protonmotive force provides the framework for developing a consistent theoretical foundation of mitochondrial physiology and bioenergetics. We follow the latest SI guidelines and those of the International Union of Pure and Applied Chemistry (IUPAC) on terminology in physical chemistry, extended by considerations of open systems and thermodynamics of irreversible processes. The concept-driven constructive terminology incorporates the meaning of each quantity and aligns concepts and symbols with the nomenclature of classical bioenergetics. We endeavour to provide a balanced view of mitochondrial respiratory control and a critical discussion on reporting data of mitochondrial respiration in terms of metabolic flows and fluxes. Uniform standards for evaluation of respiratory states and rates will ultimately contribute to reproducibility between laboratories and thus support the development of data repositories of mitochondrial respiratory function in species, tissues, and cells. Clarity of concept and consistency of nomenclature facilitate effective transdisciplinary communication, education, and ultimately further discovery

Mitochondrial physiology

As the knowledge base and importance of mitochondrial physiology to evolution, health and disease expands, the necessity for harmonizing the terminology concerning mitochondrial respiratory states and rates has become increasingly apparent. The chemiosmotic theory establishes the mechanism of energy transformation and coupling in oxidative phosphorylation. The unifying concept of the protonmotive force provides the framework for developing a consistent theoretical foundation of mitochondrial physiology and bioenergetics. We follow the latest SI guidelines and those of the International Union of Pure and Applied Chemistry (IUPAC) on terminology in physical chemistry, extended by considerations of open systems and thermodynamics of irreversible processes. The concept-driven constructive terminology incorporates the meaning of each quantity and aligns concepts and symbols with the nomenclature of classical bioenergetics. We endeavour to provide a balanced view of mitochondrial respiratory control and a critical discussion on reporting data of mitochondrial respiration in terms of metabolic flows and fluxes. Uniform standards for evaluation of respiratory states and rates will ultimately contribute to reproducibility between laboratories and thus support the development of data repositories of mitochondrial respiratory function in species, tissues, and cells. Clarity of concept and consistency of nomenclature facilitate effective transdisciplinary communication, education, and ultimately further discovery

Relationship between late preterm birth and expression of attention-deficit hyperactivity disorder in school-aged children: clinical, neuropsychological, and neurobiochemical outcomes

L Ben Amor,1,2 S Chantal,3 A Bairam41Department of Psychiatry, Hotel Dieu de Levis, 2Department of Psychiatry, Laval University, 3Enfant Jesus Hospital, 4Department of Paediatrics, Laval University, Quebec, CanadaAbstract: Attention-deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in school-aged children, and prematurity is a recognized risk factor. Late-preterm birth, which represents 75% of premature births, is associated with ADHD symptoms, impaired cognitive performance, and behavior problems. However, little is known of the characteristics of ADHD associated with late prematurity. The purpose of this study was to compare the clinical, neuropsychological, and neurobiochemical characteristics associated with late-preterm ADHD with those of at-term ADHD.Methods: Eighty-six children with ADHD, aged 5–13 years, were recruited. They included 20 late-preterm children with ADHD and 66 at-term children with ADHD. The Diagnostic Interview Schedule for Children-IV and the Continuous Performance Test (CPT) were used to evaluate their clinical and neuropsychological characteristics. Proton magnetic resonance spectroscopy was used to measure the ratio of metabolites (glutamate, choline, and N-acetyl-aspartate) to creatine in both the prefrontal and striatal regions as well as the left cerebellum.Results: The groups did not differ in regards to clinical outcomes. However, the ADHD late-preterm group had worse omissions and commissions T-scores on CPT (P ≤ 0.05) than the ADHD at-term group. The ADHD late-preterm group also had lower ratios of glutamate in the left prefrontal cortex than the ADHD at-term group (P ≤ 0.05).Conclusion: Among children with ADHD, those born at late preterm have lower attention scores as evaluated by CPT and are associated with lower relative concentrations of glutamate in the prefrontal region than those born at term. Etiological factors could play a role in the expression of ADHD.Keywords: attention-deficit hyperactivity disorder, preterm, neuropsychological, risk factors, magnetic resonance spectroscopy, glutamate, prefrontal corte