The effect of consumption of Agaricus blazei edible mushroom on caspase 2 gene expression in hepatitis C patients using system biology and microarray data

Introduction: Agaricus blazei mushroom is used as a food and medicine, its effective composition is beta-glucan, which is used to treat some cancers and infections, including hepatitis C.Hepatitis C is an inflammatory disease that causes liver necrosis. Caspase2 protein is one of the factors promoting cell apoptosis and plays a role in tumor suppression. The purpose of this study is to determine the expression changes of the caspase2 gene and its effects on liver cancer. Materials and Methods: In this project, raw expression data was obtained from the NCBI (National Center for Biotechnology Information) GEO (Gene Expression Omnibus) database section and using bioinformatics tools and methods and system biology such as Matlab (An abbreviation of "MATrix LABoratory), GEOR2 (Online software) and Cytoscape, the effect of consuming the desired mushroom on caspase2 gene expression was investigated. Results: It was found that the beta-glucan combination has an increasing effect on target gene expression (p-value=0.05692). Conclusion: The results show that the beta-glucan present in the mushroom can play a role as a prevention and even treatment of liver cancer by increasing the expression of caspase 2 protein by directing the damaged cell towards apoptosis

Effect of Foeniculum Vulgare Aqueous and Alcoholic Seed Extract against Zoonotic Cutaneous Leishmaniasis

BACKGROUND፡ Cutaneous leishmaniasis is considered one of the major neglected tropical diseases. Drug resistance, limitary efficacy, and severe side effects remain a challenge for treatment. Foeniculum vulgare is known as a medicinal plant belonging to the Apiaceae, and anti-microbial properties of this plant have already been confirmed.METHOD: The F.vulgare sterile aqueous and alcoholic extracts were prepared. In vitro has used RAW 264.7 cell line and L. major parasite (MRHO/IR/75/ER). Cytotoxicity assay on macrophages (CC50), cytotoxicity assay on promastigotes (IC50), and cytotoxicity assay on infected macrophages (EC50) were accomplished with both extracts by MTT and light microscopy methods. Four in vivo were allocated in four groups and five BALB/c mice each group. Stationary phase promastigotes were inoculated into the base of mice tails subcutaneously (SC).Measurement of the body weight, lesion size, parasite burden of the lesion, and spleen after 4 weeks for evaluation effects of the alcoholic extract on CL was done.RESULTS: The results of in vitro revealed that the optimal concentrations of both extracts reducing the promastigotes and amastigotes growth. Alcoholic extract no harmful side effects for the host macrophages, while were indicated has a potent action against L. major. In vivo results after 4 weeks did not show any variation in lesion size and body weight. Also, lesion size and spleen parasite burden decreased in comparison to no treatment group.CONCLUSION: The alcoholic extract could be a new alternative treatment for cutaneous leishmaniasis. However this extract needs more investigation for novel herbal drugs against CL.&nbsp

Diagnostic performance of forced expiratory volume in six seconds for the detection of obstructive and restrictive pulmonary diseases in a population of young adults in south of Iran

Background: Forced expiratory volume in 6 seconds (FEV6) is a reliable substitute for forced vital capacity (FVC) to identify pulmonary diseases. This study aimed to determine the diagnostic performance of FEV6 in the detection of obstructive and restrictive spirometric patterns. Methods:In this cross-sectional study, spirometry was performed on patients referred to the occupational medicine clinic of Shahid Mohammadi Hospital, Bandar Abbas, Iran, 2018. Spirometric parameters, including FEV1, FVC, and FEV6, were recorded for those tests meeting the American Thoracic Society (ATS) standards. Taken as the reference, the FEV1/FVC ratio<70% indicated airway obstruction, and the restrictive pattern was defined as FVC<80%. Results: In general, 1100 spirometries were included after meeting the ATS standards. The optimal cut-off of FEV1/FEV6 for the prediction of airway obstruction was 71.45% with a sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy of 97.22%, 98.22%, 89.17%, 99.57%, and 98.09%, respectively. The best cut-off of FEV6 for the prediction of the restrictive pattern was 79.23% with the corresponding diagnostic indices of 97.29%, 99.05%, 94.11%, 99.57%, and 98.81%, respectively. Based on the FEV1/FEV6 cut-off, the frequency of obstruction was 14.27% (157/1100) compared to 13.09% based on FEV1/FVC. The frequency of restriction was 13.90% (153/1100) according to the FEV6 cut-off compared to 13.45% with respect to FVC. Conclusion: Overall, our results indicated the applicability of FEV1/FEV6 as an accepted surrogate for FEV1/FVC to diagnose airway obstruction, particularly to screen for chronic obstructive pulmonary disease (COPD) among high-risk patients. In addition, FEV6 is potentially an appropriate substitute for FVC to detect a restrictive pattern

Assessing the image quality and eye lens dose reduction using bismuth shielding in computed tomography of brain

Background: Epidemiological studies show that computed tomography (CT) is one of the main sources of ionizing radiations. Shielding of radiosensitive organs is one of the dose reduction methods. This study aimed to assess the eye lens dose reduction and image quality resulting from the use of radio-protective bismuth shield in brain CT imaging. Methods: Bismuth shields were constructed with two different thicknesses (0.02 and 0.06 cm) and two different geometries including: direct contact with eye (contact setup) and 4 cm above the eye (distant setup). The lens dose was determined using thermo luminescent dosimeter (TLD)-207A chips inside an anthropomorphic head phantom during the CT examinations. Noise, SNR (signal to noise ratio), and CNR (contrast to noise ratio) were calculated to evaluate the image quality. Results: The lens dose reduction was higher using the shield with 0.06 cm thickness and in ‘contact setup’. On the other hand, the bismuth shield with the thickness of 0.02 cm and in ‘distant setup’ had lower dose reduction and better image quality. Conclusion: Bismuth shield with the thickness of 0.02 cm and in ‘distant setup’ could decrease the lens dose to the acceptable levels, while providing a better image quality in comparison with the contact shield setup and with 0.06 cm thickness. Using the bismuth shield is a simple and low cost method for protecting the eye lens in brain CT scans with conventional scanners especially in low income or developing countries

Necessary Indicators for Developing a Hazmat Response Team of the Iranian Health System

Introduction: Although some countries have set up predetermined programs and specialized teams to deal with hazardous materials (Hazmat) induced events, in other countries including Iran there are many weaknesses in this regard.&nbsp;Objective: We aimed to develop the necessary indicators for the formation of teams to deal with Hazmat accidents in the health system based on existing standards and resources as well as the indigenous conditions of Iran.&nbsp;Methods: This cross-sectional study was carried out in two stages from 2018 to 2020.&nbsp; In the first stage, the literature review was performed and the current guidelines, standards, and models presented in other countries were reviewed and related items were extracted. In the second stage, semi-structured and purposeful interviews by managers and physicians specialized in Hazmat incidents working in Iran, were conducted. The interviews were recorded and later the recordings were transcribed and simultaneously the categorizing and coding of the interviews were performed.&nbsp;Results: In the first stage, searching through the available resources for the present study identified 12 published references through which 10 indicators to develop a Hazmat team were ultimately extracted. In the second stage, a total of 10 interviews were conducted and data saturation occurred. Based on the results of the content analysis for the main indicators of designing and developing teams, 8 categories and 19 sub-categories were developed.&nbsp;Conclusions: By interviewing and localizing the 10 main indicators that were achieved in the first stage, we finally reached the 8 indicators including: Training hazmat team’s members, required equipment for team, response plan, medical surveillance program, hazmat team structure, incident command system, hazmat team qualification of different levels, certification and maintenance of the certificate

High Seroprevalence of Anti-H. pylori Antibodies in Patients with Ventilator Associated Pneumonia

Background: Despite major advances in the management of ventilator-associated pneumonia, its pathogenesis is not clearly known. Recently, the role of gastric colonization has been proposed. We compared the prevalence of H. pylori by serology in patients with VAP and in control subjects to determine the role of H. pylori and gastric colonization in the pathogenesis of VAP. Methods:118 intubated and mechanically ventilated patients were included and divided into two groups; 59 subjects with VAP and 59 control patients. Results of the serologic tests, demographic characteristics and time of blood sampling were registered. Results: Mean age in seropositive patients was significantly higher. 71.2% in the VAP group and 61.01% in controls were IgG seropositive (P=0.24). IgM seropositivity was 23.73% versus 8.47% in VAPs and controls, respectively (P=0.024). By increasing the time of intubation, more patients became seropositive for IgM (Pearson’s correlation coefficient=0.4, P=0.002). Conclusion:  IgM seropositivity and serum level were significantly higher in VAP patients. Also by increasing the duration of intubation and time of sampling, serum levels and seropositivity for IgM increased significantly

Implementation of Fuel Cells in Aviation from a Maintenance, Repair and Overhaul Perspective

Hydrogen is one of the most promising power sources for meeting the aviation sector’s long-term decarbonization goals. Although on-board hydrogen systems, namely, fuel cells, are extensively researched, the maintenance, repair and overhaul (MRO) perspective remains mostly unaddressed. This paper analyzes fuel cells from an MRO standpoint, based on a literature review and comparison with the automotive sector. It also examines how well the business models and key resources of MRO providers are currently suited to provide future MRO services. It is shown that fuel cells require extensive MRO activities and that these are needed to meet the aviation sector’s requirements for price, safety and, especially, durability. To some extent, experience from the automotive sector can be built upon, particularly with respect to facility requirements and qualification of personnel. Yet, MRO providers’ existing resources only partially allow them to provide these services. MRO providers’ underlying business models must adapt to the implementation of fuel cells in the aviation sector. MRO providers and services should, therefore, be considered and act as enablers for the introduction of fuel cells in the aviation industry

High seroprevalence of anti-Helicobacter pylori antibodies in patients with ventilator-associated pneumonia

Background: The pathogenesis of ventilator-associated pneumonia (VAP) is not clearly known. Recently, the role of gastric bacterial colonization has been proposed. The role of gastric colonization with Helicobacter pylori in pathogenesis of VAP was determined by comparing the prevalence of H. pylori in patients with VAP and control participants. Materials and Methods: One hundred and eighteen mechanically ventilated patients were divided into two groups; 59 participants with VAP and 59 without VAP. Serologic tests for H. pylori were registered. Results: Mean age in seropositive patients was significantly higher. About 71.2% in VAP group and 61.01% in controls were IgG seropositive (P = 0.24). IgM seropositivity was 23.73% versus 8.47% in VAPs and controls, respectively (P = 0.024). By increasing the time of intubation, more patients became seropositive for IgM (Pearson's correlation coefficient = 0.4, P = 0.002). Conclusion: IgM seropositivity and serum levels were significantly higher in VAP patients. Furthermore, by increasing the duration of intubation, serum levels for IgM increased significantly

User Interface Problems of a Nationwide Inpatient Information System: A Heuristic Evaluation

Introduction: While studies have shown that usability evaluation could uncover many design problems of health information systems, the usability of health information systems in developing countries using their native language is poorly studied. The objective of this study was to evaluate the usability of a nationwide inpatient information system used in many academic hospitals in Iran. Material and Methods: Three trained usability evaluators independently evaluated the system using Nielsen’s 10 usability heuristics. The evaluators combined identified problems in a single list and independently rated the severity of the problems. We statistically compared the number and severity of problems identified by HIS experienced and non-experienced evaluators. Results: A total of 158 usability problems were identified. After removing duplications 99 unique problems were left. The highest mismatch with usability principles was related to “Consistency and standards” heuristic (25%) and the lowest related to “Flexibility and efficiency of use” (4%). The average severity of problems ranged from 2.4 (Major problem) to 3.3 (Catastrophe problem). The experienced evaluator with HIS identified significantly more problems and gave higher severities to problems (p<0.02). Discussion: Heuristic Evaluation identified a high number of usability problems in a widely used inpatient information system in many academic hospitals. These problems, if remain unsolved, may waste users’ and patients’ time, increase errors and finally threaten patient’s safety. Many of them can be fixed with simple redesign solutions such as using clear labels and better layouts. This study suggests conducting further studies to confirm the findings concerning effect of evaluator experience on the results of Heuristic Evaluation

Eeloscope – Design eines neuartigen endoskopischen Systems für die Instandhaltung von Flugzeug-Treibstofftanks

Currently, mechanics must perform fuel tank inspection tasks manually inside the confined tank environment under physical, cognitive and psychological stress, while maintaining the highest safety and quality standards. In addition, there are issues such as the complex preparation and the lack of digital transparency regarding the tank condition. In order to address these problems and requirements, a suitable and specific solution needs to be identified. By applying an adapted Design Thinking process, this work presents a novel endoscopic system called ‘Eeloscope’, which allows to access and dive through an aircraft wing kerosene tank in a minimally invasive matter