The Effect of the GekoTM Device on Post Kidney and Pancreatic Transplantation Leg Edema

Introduction: Kidney and pancreas transplant recipients risk thromboembolism and lower limb edema due to immobility and fluid shift after surgery. Intermittent pneumatic compression (IPC) devices + hromboembolic deterrent (TED stockings) are used to mitigate these risks. However, they risk peroneal nerve injury, discomfort, excessive heat and sweating under the cuffs. The Geko TM device, is an internally powered calf neuromuscular stimulator, shown to have beneficial effects in improving blood flow and skin capillary perfusion. Its role in transplantation has not previously been assessed. Our objective was to prospectively evaluate the effects of IPC+TED stocking and the Geko TM devices on lower limb edema in renal and pancreatic transplant patients. Methods: In a prospective, randomized, and controlled, single-center study we enrolled patients randomly to wear IPC + TED stockings or the Geko TM device post-operatively until day 6 after kidney or kidney and pancreas transplant surgery. Results: We observed a significant reduction in lower limb edema, increased urine output, and a significantly improved patient satisfaction rate with the use of the Geko TM device. Conclusion: The use of the Geko TM device in the immediate post-operative period leads to an improvement in lower limb edema in kidney and pancreas transplant recipients compared to IPC+TED stockings

CFD simulation of effects of dimension changes of buildings on pollution dispersion in the built environment

AbstractAs pollutions impose adverse effects on human health and environment, assessment of their dispersion within the urban regions can much help to control them. In urban regions, dynamics of pollutants will be affected by buildings and barriers, and to investigate the dispersion of the pollutants, these barriers must be considered. In this article, CFD simulation is done by applying the 3D approach, the k−ε Realizable turbulence model and two Schmidt numbers (0.3 and 0.7). It has seen that height, length and width of the building in front of the wind, and, the distance between the two buildings back to the main building (the building on which the stack is present), have much influence on the concentration of pollutions. Although there are some differences between the results with different Schmidt numbers, the trend of changes of the concentration in different locations is identical for the two Schmidt numbers

The development of an interface instrument for collecting elec-tromyography data and controlling continuous passive motion machine

There is a lack of research in using electromyography (EMG) signals to control a continuous passive motion (CPM) machine. This study aimed to develop an interface instrument for digitalising EMG signals and controlling a CPM machine. Methods: The proposed device was designed with the following: (1) a signal processing unit which converted the EMGs from analogue to digital for the controller; (2) a personal computer which stored and displayed the EMG signals; (3) an LCD device to display the running angle of the CPM; and (4) a microcontroller unit to control the input/output signals and process the algorithm, driving the CPM. To validate the reliability of the proposed system, a total of 600 EMG trials were collected from 10 healthy subjects by using the proposed device via the Delsys® TringoTM EMG system and simultaneously using the Vicon® motion capture system. Result: This proposed device was able to digitalise and process EMG signals from eight channels of muscles, and the signals were able to drive a CPM. The validated results showed that the digitalised EMG signals by the proposed device were statistically similar to and correlated with the signals by the Vicon system with a median correlation coefficient of 0.81, with the 25% and 75% range being 0.56–0.92 with all pairs (300 pairs of EMG trials) (p &lt; 0.001). Conclusions: This study confirmed that the developed device can digitalise EMG signals and drive a CPM as an applicable prototype that can work as an interface between EMG and CPM devices with high reliability.<br/

First Canadian experience with robotic laparoendoscopic single-site vs. standard laparoscopic living-donor nephrectomy: A prospective comparative study

INTRODUCTION: We aimed to compare the outcomes of robotic laparoendoscopic single-site living donor nephrectomy (R-LESS LDN) vs. standard laparoscopic living donor nephrectomy (LLDN). METHODS: Between October 2013 and November 2015, 39 patients were allocated to either standard LLDN (n=25) or R-LESS LDN (n=14). Patient demographics, perioperative outcomes, analgesic requirement, visual analogue scale of pain at postoperative days 1, 3, 7, and 30, and a health-related quality of life and body image questionnaire were prospectively collected. RESULTS: There were no significant differences in demographics and intraoperative outcomes between the two cohorts. The R-LESS LDN cohort had lower analgesic requirement (p=0.002) and lower visual pain scores on days 1 and 3 (p=0.001). Additionally, body image and satisfaction scores in the R-LESS group were also superior compared to the LLDN cohort (p=0.008). There was no significant difference in the postoperative complications according to the Clavien-Dindo system. Recipient graft functional outcomes were equivalent. CONCLUSIONS: This is the first evidence that R-LESS LDN is safe and associated with comparable surgical and early functional outcomes compared to LLDN, while pain, donor body image, and satisfaction scores were improved compared to LLDN

Ruta graveolens and rutin, as its major compound: investigating their effect on spatial memory and passive avoidance memory in rats

Context: There are numerous pharmacological activities for Ruta graveolens and its bioactive constituent, rutin, on learning and memory. Objective: This study aimed to examine the effect of R. graveolens and rutin on memory in rats. Materials and methods: In this study animals were treated with the hydroalcholic extract of R. graveolens and rutin by IP injection for 10 days. Behavioural and biochemical tests as well as HPLC analysis and antioxidant activity of extract have been evaluated. Results: R. graveolens extract and rutin significantly increased learning and improved spatial memory, as well as secondary latency; moreover, there were significant increases in the serum and brain antioxidant capacity as well as the level of TBARS in serum and brain tissues. Results also showed that R. graveolens has significant DPPH radical scavenging effect (IC50: 159.17 +/- 1.56 mu g/mL). The HPLC analysis of extract showed that caffeic acid (19.92 +/- 0.01), rutin (40.15 +/- 0.01), and apigenin (0.84 +/- 0.01) mg/g of dry extract are the main components of the extract. Discussion and conclusion: Regarding the effects of R. graveolens extract and rutin on animal brain cells, memory function, and learning, additional studies, including clinical trials, might be beneficial in producing natural supplementary drugs from this herb

Diosmetin Mitigates Cognitive and Memory Impairment Provoked by Chronic Unpredictable Mild Stress in Mice

Background and Aim. Numerous reports have indicated that dealing with stressors in life is a main risk factor for the occurrence and progression of cognitive and memory impairment. Available treatments such as benzodiazepine and antidepressants address only certain aspects of this stress disorder and have numerous side effects. The present study was aimed at investigating the effect of diosmetin, as a flavonoid compound with potent antioxidant and anti-inflammatory effects, on cognitive impairment and chronic stress memory. Materials and Methods. In the present experimental study, male NMRI mice were exposed to chronic unpredictable mild stress (CUMS) paradigm for 35 days. Diosmetin (at doses of 10, 20, and 40 mg/kg. i.p.) or diosmetin solvent (normal saline + DMSO, 1 ml/kg; i.p.) was administered 30 min before stress induction. After 28 days, memory and cognitive performance were assessed by shuttle box and novel object recognition tests. Finally, antioxidant capacity (FRAP) and malondialdehyde (MDA) level of serum and brain, and serum corticosterone level were evaluated. Results. Behavioral tests showed that CUMS significantly reduced the secondary latency in passive avoidance memory test and diagnosis index in novel object recognition test compared to the control group (P<0.001), whereas treatment with diosmetin (20 and 40 mg/kg) significantly improved memory performance in the two tests (P<0.001). In addition, diosmetin (40 mg/kg) could pronouncedly suppress increase in serum corticosterone levels, reduction in antioxidant capacity, and production of excess MDA caused by CUMS compared to the control group (P<0.01, P<0.001, and P<0.001, respectively). Conclusion. Chronic stress can impair memory and cognition and treatment with diosmetin can partly improve this disorder in male mice by increasing the antioxidant capacity of brain tissue and serum and improving serum corticosterone levels

Effect of Curcuma zedoaria hydro-alcoholic extract on learning, memory deficits and oxidative damage of brain tissue following seizures induced by pentylenetetrazole in rat

Background Previous studies have shown that seizures can cause cognitive disorders. On the other hand, theCurcuma zedoaria(CZ) has beneficial effects on the nervous system. However, there is little information on the possible effects of the CZ extract on seizures. The aim of this study was to investigate the possible effects of CZ extract on cognitive impairment and oxidative stress induced by epilepsy in rats. Methods Rats were randomly divided into different groups. In all rats (except the sham group), kindling was performed by intraperitoneal injection of pentylenetetrazol (PTZ) at a dose of 35 mg/kg every 48 h for 14 days. Positive group received 2 mg/kg diazepam + PTZ; treatment groups received 100, 200 or 400 mg/kg CZ extract + PTZ; and one group received 0.5 mg/kg flumazenil and CZ extract + PTZ. Shuttle box and Morris Water Maze tests were used to measure memory and learning. On the last day of treatments PTZ injection was at dose of 60 mg/kg, tonic seizure threshold and mortality rate were recorded in each group. After deep anesthesia, blood was drawn from the rats' hearts and the hippocampus of all rats was removed. Results Statistical analysis of the data showed that the CZ extract significantly increased the tonic seizure threshold and reduced the pentylenetetrazol-induced mortality and the extract dose of 400 mg/kg was selected as the most effective dose compared to the other doses. It was also found that flumazenil (a GABA(A)receptor antagonist) reduced the tonic seizure threshold compared to the effective dose of the extract. The results of shuttle box and Morris water maze behavioral tests showed that memory and learning decreased in the negative control group and the CZ extract treatment improved memory and learning in rats. The CZ extract also increased antioxidant capacity, decreased MDA and NO in the brain and serum of pre-treated groups in compared to the negative control group. Conclusion: It is concluded that the CZ extract has beneficial effects on learning and memory impairment in PTZ-induced epilepsy model, which has been associated with antioxidant effects in the brain or possibly exerts its effects through the GABAergic system. Keywords:Curcuma zedoaria; Pentylenetetrazole; Repeated seizures; Oxidative stress; Memor

Effects of Foeniculum vulgare L. extract on anxiety-like behaviors in ovariectomized mice

Background and Aims: Anxiety is one of the symptoms of menopause, which is due to stopping of ovarian activity. The aim of this study was to investigate the effect of Foeniculum vulgare L. extract on anxiety-like behaviors in ovariectomized mice.Methods: Eighty female mice weighing 25-30 g and aged 6-8 weeks were divided into 10 groups of eight each, controls: the group without ovariectomy given distilled water, positive controls: the ovariectomized group receiving 40 µg/kg of estradiol valerate, the groups without ovariectomy given F. vulgare extract by gavage at 200, 500, and 750 mg/kg, the ovariectomized group given distilled water, the ovariectomized groups given F. vulgare extract at 200, 500, and 750 mg/kg, and the ovariectomized group given diazepam at 1 mg/kg. Elevated plus maze (EPM) and open field were used to investigate anxiety in mice. The level of malondialdehyde (MDA) and total antioxidant capacity (TAC) of the brain and serum were also measured. Results: In ovariectomized mice, the number of entries to the closed arms of EPM was significantly increased compared with control group (P<0.05). Treatment of ovariectomized mice with 500 and 750 mg/kg of the extract significantly increased the number of entries to the open arms and significantly decreased the number of entries to the closed arms of EPM (P<0.05). The time spent in the center and the crossing squares in the open field significantly decreased in ovariectomized mice compared with control group and treatment with estradiol significantly increased them (P<0.05). In ovariectomized mice, serum and brain MDA levels significantly increased and their TAC significantly decreased compared with control group. Different doses of extract, estradiol and diazepam significantly reduced MDA levels and increased TAC in both brain and serum (P<0.05).Conclusion: vulgare extract may ameliorate the symptoms of anxiety in ovariectomized mice by reducing oxidative stress

Effect of hydroalcoholic Allium atroviolaceum L. on the pathology of testicular tissue in cyclophosphamide-treated mice

Background: The most important side effects of Cyclophosphamide, as an anticancer broad-spectrum drug, are the negative effects on the reproduction and fertility because of oxidative stress. Considering the antioxidant properties of medicinal plants, especially those of the Allium genus, this paper studied the effect of hydroalcoholic extract of Allium atroviolaceum L. on the pathology of testicular tissue in CP-treated mice. Methods: Groups of this experimental study consisted of normal saline recipients; three groups receiving A. atroviolaceum extract at 50, 100, 200 mg/kg; three groups receiving A. atroviolaceum extract at 50, 100, and 200 mg/g and 6.6 mg/kg of Cyclophosphamide; and a group given Cyclophosphamide at 1.6 mg/kg. All injections were performed intraperitoneally. After 30 days, the testicular histological profile as well as the number of spermatozoa, the number of primary and round spermatocytes, and the number of spermatogonia were investigated. Results: Cyclophosphamide treatment significantly reduced the lumen diameter, the seminiferous tubule diameter, the epithelial thickness, as well as decreased the quantity of spermatozoa and round and primary spermatocytes compared to the control group. Cyclophosphamide groups treated with A. atroviolaceum extract at 50, 100 and 200 mg/kg in a significant manner improved these variables (P < 0.001). Conclusion: A. atroviolaceum extract can significantly improve Cyclophosphamide-induced toxicity and pathological process on testicular tissue. It seems that this plant, with high antioxidant capacity, can be considered a complementary therapy for Cyclophosphamide to prevent undesirable effects on the reproductive system. Keywords:Cyclophosphamide; Allium atroviolaceum; Pathology; Testicular tissu