Neglected simultaneous bilateral femoral neck fractures secondary to narcotic drug abuse treated by bilateral one-staged hemiarthroplasty: a case report

Simultaneous bilateral femoral neck fractures are extremely rare and associated with various conditions. Up to now Most cases had correlations with major trauma, repetitive minor trauma, seizure, parathyroid or renal dysfunction, anti-epileptic medications, seizure, etc. A 28-year-old addict man referred to us with a 10-year history of narcotic drug abuse and history of 8 months bilateral groin pain. He admitted with displaced bilateral femoral neck fracture. Because of long duration of this condition and osteonecrosis revealed on bone scan, one-staged bilateral hip hemiarthroplasty was done. A good function was noted after surgery to 4-month follow up. Up to now, have not be founded in the literature that a case of bilateral femoral neck fracture associated with narcotic drug abuse

Numerical and Experimental Analysis of Stacking Sequences Effects in Composite Mechanical Joints under Impact Loadings

Composite structures in the field of advanced and modern structures in engineering design and according to high specification of composite materials such as high strength to weight ratio use in various industries such as aerospace, marine. One of the most important fields that Researchers have paid less attention to that is to investigate the effect of stacking sequence on the strength of mechanical joints under impact loading. In view of changing the mechanical properties of composite materials by changing the arrangement of layers, in this study, the effect of different orientation of layers on the strength of pin joints in glass-epoxy composites under low-velocity tensile impact has been investigated. Using the Abaqus software and the finite element method, the impact simulation and the force applied to the mechanical joint were analyzed. To evaluate the simulations, the results of the finite element method have been compared with the experimental results. By observing the results, the introduced finite element model is well-considered and is well-matched with the result of the experimental dataset, which made it a valuable tool for predicting the strength of multi-layer composite materials under impact loadings. Using the results of the model, one can analyze the distribution and type of stress and strain in each layer of composite.&nbsp

On the Post-Printing Heat Treatment of a Wire Arc Additively Manufactured ER70S Part

Wire arc additive manufacturing (WAAM) is known to induce a considerable microstructural inhomogeneity and anisotropy in mechanical properties, which can potentially be minimized by adopting appropriate post-printing heat treatment. In this paper, the effects of two heat treatment cycles, including hardening and normalizing on the microstructure and mechanical properties of a WAAM-fabricated low-carbon low-alloy steel (ER70S-6) are studied. The microstructure in the melt pools of the as-printed sample was found to contain a low volume fraction of lamellar pearlite formed along the grain boundaries of polygonal ferrite as the predominant micro-constituents. The grain coarsening in the heat affected zone (HAZ) was also detected at the periphery of each melt pool boundary, leading to a noticeable microstructural inhomogeneity in the as-fabricated sample. In order to modify the nonuniformity of the microstructure, a normalizing treatment was employed to promote a homogenous microstructure with uniform grain size throughout the melt pools and HAZs. Differently, the hardening treatment contributed to the formation of two non-equilibrium micro-constituents, i.e., acicular ferrite and bainite, primarily adjacent to the lamellar pearlite phase. The results of microhardness testing revealed that the normalizing treatment slightly decreases the microhardness of the sample; however, the formation of non-equilibrium phases during hardening process significantly increased the microhardness of the component. Tensile testing of the as-printed part in the building and deposition directions revealed an anisotropic ductility. Although normalizing treatment did not contribute to the tensile strength improvement of the component, it suppressed the observed anisotropy in ductility. On the contrary, the hardening treatment raised the tensile strength, but further intensified the anisotropic behavior of the component

In vitro antifungal activity of aqueous-ethanolic extract of Allium jesdianum against fluconazole-susceptible and -resistant human vaginal Candida glabrata isolates

Introduction: About 50 of women are diagnosed with an episode of vulvovaginal candidiasis (VVC) during first 25 years of their lives. Candida glabrata is considered the second most prevalent non-C. albicans species associated with VVC. In this study, we examined the antifungal effect of a medicinal plant, Allium jesdianum, as a natural therapeutic agent against fluconazole-susceptible and -resistant human vaginal C. glabrata isolates, collected from two groups of volunteers; healthy women and women with VVC.Methods: An aqueous-ethanolic extract of A. jesdianum was prepared by maceration method. Vaginal specimens were collected from 28 women diagnosed with VVC and eight healthy subjects. The specimens were cultured using fungal-specific media in optimum conditions. The antifungal susceptibility of clinical isolates of C. glabrata to the plant extract and fluconazole was evaluated according to the standard protocols.Results: Candida glabrata was found to be the major cause of vaginal infection among 15.2 of women with VVC. We could identify the Candida spp. yeasts that colonized the vagina of 35 of healthy women while 19 of the isolated yeasts strains were detected as C. glabrata. Moreover, 7.1 of isolates obtained from VVC-patients were fluconazole resistant. The results showed the antifungal effect of A. jesdianum against all fluconazole resistant and susceptible C. glabrata vaginal isolates. The MIC90 of aqueous-ethanol (A-EtOH) extract of A. jesdianum against C. glabrata isolates from both VVC-patients and healthy women was 3 mg/mL.Conclusion: Our results showed the promising antifungal efficacy of aqueous-ethanolic extract of A. jesdianum. A. jesdianum extract might be used as an alternative choice to treat the VVC infections caused by fluconazole resistant Candida spp

Ameliorative impact of ezetimibe on gentamicin-induced kidney damage; A histopathological perspective

Introduction: Gentamicin, despite its beneficial effects, has significant nephrotoxic effects that are observed in 20% of the patients. Ezetimibe is recognized as an inhibitor of cholesterol absorption. Objectives: The present study aimed to investigate the histopathological effects of ezetimibe on gentamicin-induced kidney damage. Materials and Methods: Twenty male Wistar rats were randomly divided into five groups and treated as the following; group 1 (normal group), group 2 [gentamicin group, daily 80 mg/kg, intra-peritoneal (i.p.) for seven days], group 3-5 (gentamicin 80 + ezetimibe at doses of 2.5, 12.5, and 37.5 mg/kg, respectively). Kidney sections were examined for histopathological parameters including vacuolization of the tubular renal cells, degeneration, necrosis, flattening of the tubular cells and debris in the tubular lumen. Results: Gentamicin injection significantly induced histopathological alterations (P < 0.05). Ezetimibe therapy significantly decreased the levels of vacuolization, degeneration, necrosis, flattening of the tubular cells and debris in the nephrotoxic rats (P < 0.05). Conclusion: The results illustrated that treatment with ezetimibe can improve kidney damage caused by gentamicin injection

Testosterone May Hold Therapeutic Promise for the Treatment ofIschemic Stroke in Aging: A Closer Look at Laboratory Findings

Male sex is more prone to cerebrovascular disorders, yet the exact role of androgens in cerebralischemia remains unclear. Here we reviewed current understanding of testosterone (TES)neuroprotective activity against ischemic stroke and mechanisms underlying these effects inaging. TES may exert a neuroprotective effect in aging through pathways including inhibition ofoxidant molecules production, enhancing the enzymatic antioxidant capacity of the brain andmodulation of apoptotic cell death. Given this, a better understanding of the neuroprotectiveroles of TES may propose an effective therapeutic strategy to improve the quality of life anddecrease androgen-related cerebrovascular problems in the aging men

Dysfunctional lens syndrome

Purpose: To report the pre- and post-operative findings of a case with dysfunctional lens syndrome. Methods: An adult patient was evaluated using iTrace aberrometer, Tomey topographer and slitlamp biomicroscopy to confirm dysfunctional lens syndrome. Results: A 45-year-old male patient presented with the chief complaint of poor visual quality; uncorrected visual acuity 20/40 in the right eye, best spectacle corrected visual acuity 20/25 in the right eye with refraction Plano/−1.50 × 80 (SE = −0.75D). Pre- and post-operative root-mean-square (RMS) of total higherorder aberrations in the entire eye, the internal optics and the cornea were 0.350 & 0.257, 0.311 & 0.236 and 0.214 & 0.191 micron (μ), respectively. Also, the magnitude of preoperative total, internal and corneal coma was 0.254 μ × 222°, 0.274μ×242° and 0.097μ × 131° and postoperative values were 0.170 μ × 162°, 0.131 μ × 177°, 0.054 μ × 125°, respectively. Conclusion: These results show that sometime the HOAs of the internal optics, mainly crystalline lens, are not compensated by the cornea and this may cause visual discomfort in the absence of any significant cataract, this situation is known as dysfunctional lens syndrome (DLS)