Comparison between prothrombin complex concentrate (PCC) and fresh frozen plasma (FFP) for the urgent reversal of warfarin in patients with mechanical heart valves in a tertiary care cardiac center

Fresh frozen plasma (FFP) and prothrombin complex concentrate (PCC) reverse oral anticoagulants such as Warfarin. We compared the standard dosage of FFP and PCC in terms of efficacy and safety for patients with mechanical heart valves undergoing interventional procedures while receiving Warfarin. Fifty patients were randomized (25 for each group) with mechanical heart valves international normalized ratio (INR) >2.5. FFP dosage was administered based on body weight (10-15 mL/Kg), while PCC dosage was administered based on both body weight and target INR. INR measurements were obtained at different time after PCC and FFP infusion. The mean ± SD of INR pre treatment was not significantly different between the PCC and FFP groups. However, over a 48-hour period following the administration of PCC and FFP, 76% of the patients in the PCC group and only 20% of the patients in the FFP group reached the INR target. Five (20%) patients in the PCC group received an additional dose of PCC, whereas 17 (68%) patients in the FFP group received a further dose of FFP (P=0.001). There was no significant difference between the two groups in Hb and Hct before and during a 48-hour period after PCC and FFP infusion. As regards safety monitoring and adverse drug reaction screening in the FFP group, the INR was high (INR > 2.5) in 86% of the patients. There was no report of hemorrhage in both groups. PCC reverses anticoagulation both effectively and safely while having the advantage of obviating the need to extra doses. © 2015 by School of Pharmacy Shaheed Beheshti University of Medical Sciences and Health Services

A symmetry classification for a class of (2+1)-nonlinear wave equation

In this paper, a symmetry classification of a $(2+1)$-nonlinear wave equation $u_{tt}-f(u)(u_{xx}+u_{yy})=0$ where $f(u)$ is a smooth function on $u$, using Lie group method, is given. The basic infinitesimal method for calculating symmetry groups is presented, and used to determine the general symmetry group of this $(2+1)$-nonlinear wave equation

Optical quantification of intracellular mass density and cell mechanics in 3D mechanical confinement

Biophysical properties of cells such as intracellular mass density and cell mechanics are known to be involved in a wide range of homeostatic functions and pathological alterations. An optical readout that can be used to quantify such properties is the refractive index (RI) distribution. It has been recently reported that the nucleus, initially presumed to be the organelle with the highest dry mass density (ρ) within the cell, has in fact a lower RI and ρ than its surrounding cytoplasm. These studies have either been conducted in suspended cells, or cells adhered on 2D substrates, neither of which reflects the situation in vivo where cells are surrounded by the extracellular matrix (ECM). To better approximate the 3D situation, we encapsulated cells in 3D covalently-crosslinked alginate hydrogels with varying stiffness, and imaged the 3D RI distribution of cells, using a combined optical diffraction tomography (ODT)-epifluorescence microscope. Unexpectedly, the nuclei of cells in 3D displayed a higher ρ than the cytoplasm, in contrast to 2D cultures. Using a Brillouin-epifluorescence microscope we subsequently showed that in addition to higher ρ, the nuclei also had a higher longitudinal modulus (M) and viscosity (η) compared to the cytoplasm. Furthermore, increasing the stiffness of the hydrogel resulted in higher M for both the nuclei and cytoplasm of cells in stiff 3D alginate compared to cells in compliant 3D alginate. The ability to quantify intracellular biophysical properties with non-invasive techniques will improve our understanding of biological processes such as dormancy, apoptosis, cell growth or stem cell differentiation. <br

The use of EBT3 film and Delta4 for the dosimetric verification of EclipseTM treatment planning system in a heterogeneous chest phantom: An IMRT technique

Background: This study aimed to evaluate the dose calculation accuracy of EclipseTM treatment planning system (TPS) in a heterogeneous chest phantom with the intensity modulated radiotherapy (IMRT) technique using EBT3 film and Delta4. Materials and Methods: Two IMRT plans (A and B) were prepared for radiotherapy of the heterogeneous chest phantom. Plan A was between the left lung and the surrounding soft tissue and plan B was carried out on the soft tissue. EBT3 film and Delta4 were used for dose measurement in the phantom. EclipseTM TPS was also used for dose calculation. Finally, the gamma index values of the TPS with film and TPS with Delta4 were obtained. A 95 passing rate of gamma index with the passing criterion of 3mm/3 and a dose threshold of 20 as the standard criterion was considered in this study. Furthermore, the passing rates of gamma indices of the film and Delta4 were compared with each other via Bland-Altman analysis. Results: The mean passing rate of gamma index with standard passing criterion between the TPS calculations and film measurements was 96.95±0.22, while it was equal to 97.7±0.56 and 98.45±0.21 between the TPS calculations and 2D and 3D Delta4 measurements, respectively. Additionally, the differences between the passing rates of gamma indices of the film and Delta4 were less than 5. Conclusion: The findings demonstrate that the accuracy of dose calculations of EclipseTM TPS in a heterogeneous chest phantom with the IMRT technique is within the standard passing criterion. Furthermore, it can be concluded that there is a good agreement between the film and Delta4, as IMRT QA devices. © 2019 Novin Medical Radiation Institute. All rights reserved

Symmetry group classification for general Burger's equation

The present paper solves the problem of the group classification of the general Burgers' equation $u_t=f(x,u)u_x^2+g(x,u)u_{xx}$, where $f$ and $g$ are arbitrary smooth functions of the variable $x$ and $u$, by using Lie method. The paper is one of the few applications of an algebraic approach to the problem of group classification: the method of preliminary group classification. A number of new interesting nonlinear invariant models which have nontrivial invariance algebras are obtained. The result of the work is a wide class of equations summarized in table form.Comment: 9 page

Study the Response of Physiological Traits and Grain Yield to Integrated Use of Chemical Nitrogen Fertilizer with Sugarcane Residue Compost in Heat Stress Conditions

IntroductionIn the pursuit of a resilient and progressive agricultural system, the incorporation of diverse fertilizers is deemed essential. This practice not only enhances product quality but also aids in cost reduction. However, over-reliance on a specific type of input can inadvertently lead to unintended repercussions. The unrestricted utilization of chemical fertilizers, for instance, can precipitate adverse outcomes such as imbalanced pH levels, the accumulation of heavy elements, soil structure deterioration, and environmental contamination. Conversely, organic fertilizers, while environmentally friendly, often release nutrients at a slower rate, potentially disrupting optimal plant growth. To attain a balanced and sustainable agricultural approach, the combined application of organic and chemical fertilizers is advocated. Moreover, harnessing the biological potential inherent in soil ecosystems, including beneficial microbial communities encompassing bacteria and fungi, emerges as a promising avenue in cultivating sustainable agriculture. Acknowledging the adverse impact of late-season heat stress on wheat production in Khuzestan and recognizing the significance of reducing chemical fertilizer usage while augmenting organic and biological fertilizers to foster ecological health, this experiment undertakes the exploration of the effects of a synergistic approach. Specifically, it delves into the combined utilization of nitrogen and compost fertilizers, complemented by the incorporation of plant growth-promoting rhizobacteria. This endeavor aims to shed light on how this combined strategy operates within the context of terminal heat stress, assessing its influence on the physiological attributes and yield of the wheat cultivar Chamran 2.Materials and MethodsThis experiment was carried out as split-split plots based on a randomized complete block design with three replications in the crop year of 2021-2022 in the research farm of Agricultural Sciences and Natural Resources University of Khuzestan. The experimental factors include three planting dates: December 1st, December 20th, and December 10th in the main plots; Six levels of combined use of nitrogen fertilizer with compost fertilizer include control (without nitrogen and organic), 100% nitrogen, 75% nitrogen+ 25% compost, 50% nitrogen+ 50% compost, 25% nitrogen+ 75% compost and 100% compost in sub-plots and two levels of application and non-application of plant growth promoting rhizobacteria in sub-plots. Each sub-plot was 3 meters long and 2 meters wide (with an area of 6 square meters) and included 10 crop lines at a distance of 20 cm from each other. The distance between the main and secondary plots was considered to be half a meter and the distance between the blocks was two meters. After physiological maturity, the plants were harvested and the physiological traits and grain yield were measured.Results and DiscussionVariance analysis showed that the interaction effect of planting date, combined use of nitrogen with compost, and plant growth promoting rhizobacteria, on the traits of relative leaf water content, planting to flowering, and grain yield were significant at the 1% probability level. Also, the interaction effect of planting date and the combined use of nitrogen with compost on all traits except the length of the grain filling period and the length of sowing to physiological maturity was significant at the probability level of 1%. The mean comparison showed that the highest relative leaf water content, cell membrane thermostability, and canopy temperature depression were obtained from the treatment of 100% compost, and the highest traits of the length of sowing to flowering and length of sowing to physiological maturity were obtained in the use of 100% nitrogen. Also, the longest grain filling period, grain filling rate, and grain yield were obtained in the combined use of 50% nitrogen+ 50% compost and plant growth-promoting rhizobacteria, and the lowest value was obtained in the control of not using nitrogen and compost. In general, the delay in planting and the occurrence of terminal heat stress caused a decrease in grain yield, but on different planting dates, the combined use of 50% nitrogen+ 50% compost compared to the treatment of 100% nitrogen increased wheat grain yield.ConclusionAccording to the obtained results, in areas with terminal heat stress, the combined use of 50% nitrogen+ 50% compost and plant growth-promoting rhizobacteria can be considered to increase the growth and yield of wheat

Effect of end of Season Drought Stress on Morphology, Yield Components and Grain Yield of Rapeseed (Brassica napus L.) Cultivars

IntroductionWater is now the main limiting factor for crop production in arid and semi-arid regions. Water-cut or irrigation interruption has been suggested as one of the main strategies agro-technique to get the most benefit from limited water resource available. In this regard, plant growth stage, time of stress induction and the genotype are the main key factors to determine the degree of success. Canola is one of the most important oil crop. It can survive some degree of water stress while there is a need for research to find the most appropriate genotypes for plantations in water-limited areas.Materials and MethodsIn order to determine the effect of water stress at the various growing stages of canola genotypes a split-plot experiment was conducted based on the randomized complete block design with three replications at the research farm of the department of plant production and genetics, Agricultural Sciences and Natural Resources University of Khuzestan, Iran during 2020-2021. Main plots included three irrigation treatments: control (without interruption of irrigation), interruption of irrigation in the beginning of the flowering stage (phenology code 60) to the formation of 50% pods (phenology code 75), and interruption of irrigation in the stage of formation of pods until harvest (Phenology code 99) in the main plots and the cultivars (Long pod, Aram, RGS 003, Jankom, Solar, Hayola 4815, Mahtab, Julius, Agamax and Sala) were arranged in sub-plots with respect to irrigation treatments. At the end of the growing season, plant height, number of branches, silique length, number of pods per plant, number of seeds per pod, 1000 grain weight, and grain oil percentage were measured. Also, after removing the marginal effect, economic performance, biological performance and harvest index were measured.Results and DiscussionOur results revealed there was a significant interaction effect between irrigation interruption stress and genotype on all studied traits. The number of sub-branch among cultivars varies as a result of Irrigation interruption stress. The genotypes of the long pod and Hayola 4815 had the highest number of branches compared to other genotypes when irrigation was interrupted at the flowering stage up to 50%, while when applied stress at the stage of flowering up to harvest, genotype, solar exhibited the highest number of sub-branch. The lowest number of sub-branches in all interruption of irrigation and control treatments was obtained by Jankom genotype. The mean comparisons in the conditions without irrigation interruption (control) the highest percentage of seed oil was obtained from Solar (48.3%), Hayola 4815 and 4815 (46.3%), stress application in flowering stage up to 50% sowing of a long pod (45%) and Hayola 4815 (43%) genotypes in the sowing stress to harvest the highest percentage of seed oil from Sala and Long pod genotypes with average (44.3%) the lowest percentage of seed oil in all present treatments belonged to Jankom genotype. In the present study, the highest (2093.8 kg.ha-1) and the lowest (540 kg.ha-1) grain yield and the highest (986.51 kg.ha-1) and the lowest (191.21 kg.ha-1) grain oil yield in both conditions without irrigation interruption (control) and terminal drought stress were obtained from Hayola 4815 and Jankom genotypes, respectively.ConclusionThe highest and the lowest grain yield, seed oil and biological yield were obtained from Hayola 4815 and Jankom, respectively. According to the results, Hayola 4815, long pod and Solar are highly recommended to cultivate in the regions where there is terminal water stress at the end of the growing season

Survival features, prognostic factors, and determinants of diagnosis and treatment among Iranian patients with pancreatic cancer, a prospective study

Objectives Investigating the survival features, and determinants of treatment and stage at presentation in Iran Methods 461 patients with pancreatic ductal adenocarcinoma (PC) were prospectively enrolled from Shariati hospital, Tehran, Iran, between 2011�2018. All patients underwent endoscopic ultrasonography, computed tomography scanning, and physical examination. Validated questionnaire was completed for the participants and all were actively followed on monthly basis. Results Median survival time was 6.5 months, and 1-, and 5-year survival rates were 26.2, and 1.5. Patients who were older (p<0.001), illiterate (p = 0.004), unmarried (p = 0.003), rural inhabitant (p = 0.013), opium user (p = 0.039), and had lower body mass index (BMI) (p = 0.002) had lower overall survival. Tumors located in the head of pancreas were more commonly diagnosed at lower stages (p<0.001). Only 10.4 of patients underwent surgery who were more commonly educated (p<0.001), married (p = 0.005), had a tumor located in the head of pancreas (p = 0.016), and were diagnosed at lower stages (p<0.001). After adjustment for potential confounders and risk factors, rural inhabitance (HR: 1.33 (95 CI: 1.01�1.74)), having more symptoms (HR for each increasing symptom: 1.06 (1.02�1.11)), using opium (HR: 1.51 (1.04�2.20)), having a tumor located in the body of pancreas (HR: 1.33 (1.02�1.75)), and having an advanced tumor stage (HR: 2.07 (1.34�3.19)) remained significantly associated with increased risk of mortality. After the adjusting for potential confounders, we did not find significant relationships between smoking, alcohol intake, and BMI with the risk of death among patients with pancreatic cancer. Conclusions Iranian patients with PC have very poor long-term survival. Besides tumor�s stage and location, socioeconomic disparities could affect the probabilities of receiving treatment and/or survival in these patients. Opium use is an independent risk factor for mortality among PC patients in Iran. © 2020 Sheikh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited