A comparison of 2% Lidocaine and Epinephrine with 3% Mepivacaine in inferior alveolar nerve block

The purpose of this study was evaluation of anesthesia success rate of 3% mepivacaine compared with 2% lidocaine 1/80000 epinephrine in inferior alveolar nerve block in thirty voluntary students. All of the subjects were healthy and had not received any medicament. They pariticipated for two appointments and each time randomly received an inferior alveolar nerve injection with one of the anesthetic solutions. Before anesthesia the first molar, second premolar, and canine teeth were tested with electric pulp tester (EPT). After injection, when subjects felt numbness in inferior lip, the time for starting of anesthesia was recorded according to schedule time from 3 to 49 minutes after lip numbness. When teeth had no response to EPT in maximal output, the pupal anesthesia was achieved. The t paired test was used for data analysis. Results showed that although subjects felt numbness in their lips, anesthetic success was defined only 76.6% in molars, 73.3% in premolars, and 66.7% in canine teeth after injection of mepivacaine. Success was defined 66.7% & 76.7% in molars and premolars and 53.3% in canine teeth when 2% lidocaine 1/80000 epinephrine was administered. No statistically significant difference was found in onset, success or failure rate between both anesthetic solutions in lidocaine group, however, premolar and molar teeth showed significant differences with canine teeth. Keywords: Inferior alveolar nerve block, Lidocaine, Mepivacain

Direct carboxylation of aromatic compounds using the sodium hydrogen carbonate/triphenylphosphine ditriflate system

A new procedure was developed for the highly regioselective synthesis of aromatic carboxylic acids using the sodium hydrogen carbonate/triphenylphosphine ditriflate system in ethanol at room temperature. This metal-free system was used for the carboxylation of thiophenol with unexpected products in terms of selectivity. The simplicity of the procedure, readily available aromatic compounds, short reaction times, and mild reaction conditions are other advantages of this protocol.We have developed a novel approach for direct carboxylation of a wide range of aromatic compounds in moderate to good yields with high regioselectivity using NaHCO3/TPPD system in EtOH. This metal-free protocol does not need to use carbon monoxide or carbon dioxide gases

Altered allergic cytokine and antibody response in mice treated with Bisphenol A

The Objective of this study was to elucidate if Bisphenol A (BPA) administration modulates T helper (Th) cell component of immune responses in a mouse challenged with ovalbumin (OVA), a major food antigen. BALB/c mice, (6 weeks old, female) were orally given either OVA (OVA-fed) or water (Water-fed), immunized intraperitoneally with OVA and injected with either BPA in corn oil or the vehicle alone. After subsequent 2nd immunization, serum titers of total IgE, OVA-specific IgE, IgG, IgG1 IgG2a and ability of their splenocytes for production of interferon (IFN)-γ, interleukin(IL) -4andIL-12 were examined by ELISA. Lymphocyte proliferation assay against concanavalin A (ConA) or OVA was also performed for 3H-Thymidine incorporation. In Water-fed groups, treatment with BPA resulted in lower titers of total IgE(P<0.01) and higher levels IgG2a (P<0.05) followed by a higher IFN-γ (P<0.05) and IL-12 (P<0.05) with an intact IL-4. When OVA-fed groups were examined, the compound did not change production of total and OVA-specific IgE and -IgG2a but resulted in lower production of IFN-γ (P<0.05). Also, BPA resulted in impaired lymphocyte proliferation to Con A in Water-fed groups (P<0.05) but not in tolerated animals. The findings indicate that BPA results in augmentation of Th1 immune responses but no significant effect on an established tolerance to OVA

Validity and reliability of the Iranian preterm birth experiences and satisfaction scale: A methodological and cross-sectional study

Background: Women's experience and satisfaction with childbirth care are increasingly being addressed by health care providers, managers, and policymakers. Due to need for a validated special scale for assessing satisfaction of women with preterm birth, we aimed to translate and adapt the first specific tool, Preterm Birth Experiences and Satisfaction Scale (P-BESS), into Persian language and evaluate its psychometric properties. Methods: A methodological and cross-sectional study was conducted in two tertiary levels of maternal hospitals in Tabriz. The Iranian version of the scale was developed from the original English version using forward-backward translation. After confirmation of its face and content validity, the scale was completed by 201 women who had given birth prematurely. Results: Exploratory factor analysis revealed three factors (staff professionalism and empathy, confidence in Staff, information and explanations) with eigenvalues greater than 1, explaining a total variance of 55.4%. Confirmatory factory analysis showed that the 17-item, three factor model fitted the data well: the root mean square error of approximation 0.060. There were moderate correlations between the total and sub-scales of Iranian P-BESS and overall satisfaction (r = 0.45 to 0.66), as well as need for improvement (r = -0.46 to -0.61), which confirm convergent validity. Internal consistency and test-retest reliability of the scale and its sub-scales were satisfactory (α = 0.852 to 0.922, intraclass correlation coefficient; 0.83 to 0.92). Conclusion: The Iranian version of P-BESS is a valid and reliable scale which can be used by policy makers, managers, health care providers and researchers

Frequency of inter- and intraventricular dyssynchrony in patients with heart failure according to QRS width

Aims: Cardiac resynchronization therapy (CRT) is an effective treatment for heart failure patients with prolongation of QRS duration. Despite careful patient selection, some do not respond to CRT based on QRS complex duration. We sought to evaluate the presence of left ventricular dyssynchrony using tissue Doppler imaging (TDI) according to QRS duration in heart failure patients. Methods and results: Ninety-nine patients (mean age 52.6 ± 15.3 years) with severe heart failure left ventricular (LV) ejection fraction, 40 ms and intra-LV mechanical delays (defined as Ts-SD >33.4 ms and Ts-diff >100 ms) were correlated with the QRS width and morphology. We found a greater IVMD in Group II patients, compared with patients in Group I (42.5 ± 22.3 vs. 26.8 ± 21, respectively, P 40 ms. Conclusion: A substantial proportion of patients with prolonged QRS (32.1%) did not exhibit inter- or intraventricular dyssynchrony, which may represent a limitation in identifying the ideal QRS interval for the selection of patients for CRT. © The Author 2007

Cholangiocarcinoma in Magnetic Resonance Cholangiopancreatography and Fascioliasis in Endoscopic Ultrasonography

Fascioliasis is a worldwide zoonotic infection with Fasciola hepatica and Fasciola gigantica. The zoonoses are particularly endemic in sheep-raising countries and are also endemic in Iran. Typical symptoms that may be associated with fascioliasis can be divided by phases of the disease, including the acute or liver phase, the chronic or biliary phase, and ectopic or pharyngeal fascioliasis. Cholestatic symptoms may be absent, and in some cases diagnosis and treatment may be preceded by a long period of abdominal pain, eosinophilia and vague gastrointestinal symptoms. We report a case with epigastric and upper quadrant abdominal pain for the last 4 years, with imaging suggesting cholangiocarcinoma. Considering a new concept of endoscopic ultrasonography, at last F. hepatica was extracted with endoscopic retrograde cholangiography

Optimizing the Gamma Ray-Based Detection System to Measure the Scale Thickness in Three-Phase Flow through Oil and Petrochemical Pipelines in View of Stratified Regime

As the oil and petrochemical products pass through the oil pipeline, the sediment scale settles, which can cause many problems in the oil fields. Timely detection of the scale inside the pipes and taking action to solve it prevents problems such as a decrease in the efficiency of oil equipment, the wastage of energy, and the increase in repair costs. In this research, an accurate detection system of the scale thickness has been introduced, which its performance is based on the attenuation of gamma rays. The detection system consists of a dual-energy gamma source ( 241 Am and 133 Ba radioisotopes) and a sodium iodide detector. This detection system is placed on both sides of a test pipe, which is used to simulate a three-phase flow in the stratified regime. The three-phase flow includes water, gas, and oil, which have been investigated in different volume percentages. An asymmetrical scale inside the pipe, made of barium sulfate, is simulated in different thicknesses. After irradiating the gamma-ray to the test pipe and receiving the intensity of the photons by the detector, time characteristics with the names of sample SSR, sample mean, sample skewness, and sample kurtosis were extracted from the received signal, and they were introduced as the inputs of a GMDH neural network. The neural network was able to predict the scale thickness value with an RMSE of less than 0.2, which is a very low error compared to previous research. In addition, the feature extraction technique made it possible to predict the scale value with high accuracy using only one detector

Improvement of black tilapia (Oreochromis niloticus) diets with replacement of low-cost, native materials

Fish meal production has been fixed in the world because of a limitation in fish stocks. On the other hand, demand of fish meal is growing daily and consequent the cost, too. Therefore, attention to the other protein sources is nessesary. Some plant protein sources, especially oilseeds, have valuable potentials for replacing fish meal because of relative high production in the world and Iran and low cost. According to existing information and availability, cottonseed meal and canola meal were selected as oilseeds; and Azolla was considered whether to be controlled in north provinces of Iran as weed. Growth indices (WG and SGR), food (FCR) and protein efficiency (PER and PCE) of fingerling Nile tilapia Oreochromis niloticus were evaluated in 3 synchronous examinations with 12 treatments and 36 replications. Groups of control, canola meal (at rates of 25, 50, 75 and 100%), cottonseed meal (at rates of 15, 25, 35 and 45%), as the replacements of expensive protein sources (fish meal and soybean meal), and azolla (at rates of 13, 21 and 29% of diet) were studied. Growth indices, total food intake and protein intake of control group were higher than all diets contained plant protein sources. They decreased with plant protein increasing in every grous, separagely (p0.05) between control and canola meal (at rates of 25 and 50%), cottonseed meal (at rates of 15, 25 and 35%) and azolla (at rates of 13 and 21%). All plant protein ingredients were unpalatable, and consequent total food intake, protein consumption and growth decreased. It will be expected that Canola meal and cottonseed meal replace expensive protein sources at the rates of 50 and 35% respectively, and azolla use at the rate of 21% in diets If the problem in palatability solves