Evaluation of bacteriological and chemical quality of dialysis water and fluid in Isfahan, central Iran

Background: Chemical and microbial quality of water used in hemodialysis play key roles in a number of dialysisrelated complications. In order to avoid the complications and to guarantee safety and health of patients therefore, vigorous control of water quality is essential. The objective of present study was to investigate the chemical and bacteriological characteristics of water used in dialysis centers of five hospitals in Isfahan, central Iran. Methods: A total of 30 water samples from the input of dialysis purification system and dialysis water were analyzed for chemical parameters. Heterotrophic plate count and endotoxin concentration of drinking water, dialysis water and dialysis fluid of 40 machines were also monitored over a 5-month period in 2011-2012. Results: Concentration of the determined chemicals (copper, zinc, sulfate, fluoride, chloramines and free chlorine) did not exceed the recommended concentration by the Association for the Advancement of Medical Instrumentation (AAMI) exclude lead, nitrate, aluminum and calcium. Furthermore, the magnesium; cadmium and chromium concentration exceeded the maximum level in some centers. No contamination with heterotrophic bacteria was observed in all samples, while the AMMI standard for endotoxin level in dialysis fluid (<2 EU/ml) was achieved in 95 of samples. Conclusion: Dialysis water and fluid failed to meet the all chemical and bacteriological requirements for hemodialysis. To minimize the risk of contaminants for hemodialysis patients therefore, a water quality management program including monitoring, maintenance and development of water treatment system in hemodialysis centers is extremely important. In addition, an appropriate disinfection program is needed to guarantee better control of bacterial growth and biofilm formation. © 2016, Iranian Journal of Public Health. All rights reserved

Mortality associated with avian reovirus infection in a free-living magpie (Pica pica) in Great Britain

Avian reoviruses (ARVs) cause a range of disease presentations in domestic, captive and free-living bird species. ARVs have been reported as a cause of significant disease and mortality in free-living corvid species in North America and continental Europe. Until this report, there have been no confirmed cases of ARV-associated disease in British wild birds

Association of Serum Uric Acid Level with the Severity of Brain Injury and Patient's Outcome in Severe Traumatic Brain Injury

Introduction: The prognostic value of serum Uric Acid (UA) levels in Traumatic Brain Injury (TBI) is unclear. Aim: To investigate the relationship between serum UA levels and prognosis of patients with TBI when in hospital and at six months after discharge. Materials and Methods: All patients attended our emergency department during July 2014 and December 2015 and were consecutively entered into the study and among 890 evaluated candidates based on inclusion criteria we finally investigated the serum UA levels of 725 TBI patients. Computed Tomography (CT) images of the brain were obtained within the first 24 hours of hospitalization. Outcome was assessed using the Glasgow Outcome Scale (GOS) score at discharge and at six months after discharge. Results: Data of 725 patients (42.89 men; mean age: 54.69+/-12.37 years) were analyzed. Mean+/-Standard Deviation (SD) of Glasgow Coma Scale (GCS) scores was 4.65+/-1.76. Serum levels of UA, when in hospital and at six months after discharge, among those who died were lower than those who survived (in hospital: 0.126+/-0.026 vs. 0.243+/-0.942 mmol/l, p = 0.000; 6 months post-discharge: 0.130+/-0.044 vs. 0.286+/-0.069 mmol/l, p<0.001). The mean UA plasma was significantly different between deceased and alive patients according to GOS scores (p<0.001 and p=0.030, respectively). The UA levels showed a significant relationship with GCS scores and severity of brain injury assessed using the Marshall Classification Score (p=0.005). Conclusion: Our results showed a strong relationship between UA levels and patients' outcomes either in hospital or at six months after discharge. Serum UA level could be considered as a valuable marker for evaluating the severity of brain injury and outcomes of TBI

Becoming Resilient: Promoting the Mental Health and Well-Being of Immigrant Women in a Canadian Context

This paper reports on grounded theory findings that are relevant to promoting the mental health and well-being of immigrant women in Canada. The findings illustrate how relationships among settlement factors and dynamics of empowerment had implications for “becoming resilient” as immigrant women and how various health promotion approaches enhanced their well-being. Dimensions of empowerment were embedded in the content and process of the feminist health promotion approach used in this study. Four focus groups were completed in Toronto, Ontario, Canada with 35 racialized immigrant women who represented diverse countries of origin: 25 were from Africa; others were equally represented from South Asia (5), Asia (5), and Central or South America and the Caribbean (5). Participants represented diverse languages, family dynamics, and educational backgrounds. One focus group was conducted in Somali; three were conducted in English. Constructivist grounded theory, theoretical sampling, and a critical feminist approach were chosen to be congruent with health promotion research that fostered women's empowerment. Findings foreground women's agency in the study process, the ways that immigrant women name and frame issues relevant to their lives, and the interplay among individual, family, community, and structural dynamics shaping their well-being. Implications for mental health promotion are discussed

On a 3D material modelling of smart nanocomposite structures

Smart composites (SCs) are utilized in electro-mechanical systems such as actuators and energy harvesters. Typically, thin-walled components such as beams, plates, and shells are employed as structural elements to achieve the mechanical behavior desired in these composites. SCs exhibit various advanced properties, ranging from lower order phenomena like piezoelectricity and piezomagneticity, to higher order effects including flexoelectricity and flexomagneticity. The recently discovered flexomagneticity in smart composites has been investigated under limited conditions. A review of the existing literature indicates a lack of evaluation in three-dimensional (3D) elasticity analysis of SCs when the flexomagnetic effect (FM) exists. To address this issue, the governing equations will incorporate the term ∂/∂z, where z represents the thickness coordinate. The variational technique will guide us in further developing these governing equations. By using hypotheses and theories such as a 3D beam model, von Kármán's strain nonlinearity, Hamilton's principle, and well-established direct and converse FM models, we will derive the constitutive equations for a thick composite beam. Conducting a 3D analysis implies that the strain and strain gradient tensors must be expressed in 3D forms. The inclusion of the term ∂/∂z necessitates the construction of a different model. It should be noted that current commercial finite element codes are not equipped to accurately and adequately handle micro- and nano-sized solids, thus making it impractical to model a flexomagnetic composite structure using these programs. Therefore, we will transform the derived characteristic linear three-dimensional bending equations into a 3D semi-analytical Polynomial domain to obtain numerical results. This study demonstrates the importance of conducting 3D mechanical analyses to explore the coupling effects of multiple physical phenomena in smart structures

A Human-Centric Approach to Group-Based Context-Awareness

The emerging need for qualitative approaches in context-aware information processing calls for proper modeling of context information and efficient handling of its inherent uncertainty resulted from human interpretation and usage. Many of the current approaches to context-awareness either lack a solid theoretical basis for modeling or ignore important requirements such as modularity, high-order uncertainty management and group-based context-awareness. Therefore, their real-world application and extendability remains limited. In this paper, we present f-Context as a service-based context-awareness framework, based on language-action perspective (LAP) theory for modeling. Then we identify some of the complex, informational parts of context which contain high-order uncertainties due to differences between members of the group in defining them. An agent-based perceptual computer architecture is proposed for implementing f-Context that uses computing with words (CWW) for handling uncertainty. The feasibility of f-Context is analyzed using a realistic scenario involving a group of mobile users. We believe that the proposed approach can open the door to future research on context-awareness by offering a theoretical foundation based on human communication, and a service-based layered architecture which exploits CWW for context-aware, group-based and platform-independent access to information systems

Plagiarism checker for Persian (PCP) texts using hash-based tree representative fingerprinting

With due respect to the authors’ rights, plagiarism detection, is one of the critical problems in the field of text-mining that many researchers are interested in. This issue is considered as a serious one in high academic institutions. There exist language-free tools which do not yield any reliable results since the special features of every language are ignored in them. Considering the paucity of works in the field of Persian language due to lack of reliable plagiarism checkers in Persian there is a need for a method to improve the accuracy of detecting plagiarized Persian phrases. Attempt is made in the article to present the PCP solution. This solution is a combinational method that in addition to meaning and stem of words, synonyms and pluralization is dealt with by applying the document tree representation based on manner fingerprinting the text in the 3-grams words. The obtained grams are eliminated from the text, hashed through the BKDR hash function, and stored as the fingerprint of a document in fingerprints of reference documents repository, for checking suspicious documents. The PCP proposed method here is evaluated by eight experiments on seven different sets, which include suspicions document and the reference document, from the Hamshahri newspaper website. The results indicate that accuracy of this proposed method in detection of similar texts in comparison with "Winnowing" localized method has 21.15 percent is improvement average. The accuracy of the PCP method in detecting the similarity in comparison with the language-free tool reveals 31.65 percent improvement average

Some Physiological Effects of Nanofertilizers on Wheat-Aphid Interactions

The increasing use of nanofertilizers in modern agriculture and their impact on crop yield and pest management require further research. In this study, the effects of nano-Fe, -Zn, and -Cu (which are synthesized based on nanochelating technology), and urea (N) fertilizers on the antioxidant activities of wheat plants (cv. Chamran), and the wheat green aphid Schizaphis graminum (Rondani) are investigated. The authors observed the highest levels of phenolics in non-infested nano-Zn-treated plants (26% higher compared with control). The highest H2O2 levels are in the infested and non-infested nano-Zn-treated and infested nano-Fe-treated plants (in infested nano-Zn and nano-Fe treated plants, 18% and non-infested nano-Zn-treated plants, 28% higher compared with control). The highest peroxidase (POX) activity is observed in the infested and non-infested N-treated and non-infested water-treated plants (almost 14%, 37%, and 46% higher than control, respectively). The lowest activity is in the infested plants’ nano-Zn and -Fe treatments (almost 7 and 5 folds lower compared to the control, respectively). The highest and lowest catalase (CAT) activity are in the infested N-treated plants (almost 42% higher than control) and water-treated plants, respectively. The infested nano-Zn, -Fe, -Cu and Hoagland-treated plants showed the highest superoxide dismutase (SOD) activity. Regarding the antioxidant enzyme activities of S. graminum, the highest POX activity is in the nano-Cu treatment (more than two folds higher compared with control); the highest CAT and SOD activities are in the nano-Cu and -Zn treatments. It can be concluded that the application of nanofertilizers caused increasing effects on the wheat plant’s antioxidant system and its resistance to S. graminum