The prevalence of staphylococcus aureus contamination in the ambulances and on-call emergency medical service personnel of kashan city in iran

Objective: Emergency medical services systems are at the first line of dealing with patients who suffer from various infections. Conducting investigations on the bacterial contamination of emergency ambulances play a crucial role to improve the occupational health of staff as well as the quality of patient care. Therefore, the aim of the present study was to investigate the presence of Staphylococcus aureus and other life treating bacteria in the urban and rural ambulances and their on-call emergency medical service personnel. Methods: This descriptive cross-sectional study was conducted on 12 front line pre-hospital emergency urban and rural ambulances in Kashan, Iran, in 2015. A total of 18 sites were sampled in each ambulance and from the nose of personnel. Grown colonies were confirmed based on colony morphology on mannitol salt agar plates, gram stain reaction and biochemical characteristics reactions. Results: The S. aureus contamination was only isolated from the nose of on-call emergency medical service providers of 12 urban and road ambulances, while no sign of contamination was found in 18 sampling sites of these front-line ambulances. Also, further evaluation of these sampling sites revealed the contamination with coagulase-negative staphylococci in all of them and oxygen tank was introduced as the most contaminated site inside the ambulances. Moreover, the prevalence of equipment contamination was significantly higher in urban ambulances. Conclusion: Identifying the rate of pathogens in clinical settings like the pre-hospital ambulance setting is an important issue which should be carefully considered. © 2020 The Author(s)

Assessment of normal hemodynamic profile of mechanical pulmonary prosthesis by doppler echocardiography: a prospective cross-sectional study

OBJECTIVES: Very few reports have described the Doppler-derived echocardiographic parameters for mechanical pulmonary valve prosthesis (MPVP). This study aims to describe the normal Doppler hemodynamic profile of MPVP using Doppler echocardiography. METHODS: The current prospective, single center observational study enrolled 108 patients who underwent pulmonary valve replacement (PVR) surgery for the first time and had a normally functioning prosthesis post-operation. The hemodynamic performance of MPVPs, considering flow dependent and flow independent parameters, was evaluated at two follow-up points, at week one and week four post-operation. All assessments were conducted by an experienced echocardiographer. RESULTS: The mean age (±SD) of the participants was 26.4 (±8.98). Tetralogy of Fallot (ToF) was the most common underlying disease leading to PVR, with a prevalence of 88. At first week post-operation, measurement of indices reported the following values (±SD): peak pressure gradient (PPG): 18.51(±7.64) mm Hg; mean pressure gradient (MPG): 10.88(±5.62) mm Hg; peak velocity (PV): 1.97(±0.43)m/s; doppler velocity index (DVI): 0.61(±18); pulmonary velocity acceleration time (PVAT): 87.35(±15.16) ms; effective orifice area (EOA): 2.98(±1.02) cm2;and effective orifice area to body surface area ratio (EOA/ BSA): 1.81(±0.62) cm2/m2. Comparing these measurements with those obtained from the second follow-up (at week four post-op) failed to hold significant difference in all values except for PVAT, which had increased from its primary value (p�=�0.038). Also, right ventricular (RV) function showed significant improvement throughout the follow up period. CONCLUSION: The findings of this study help strengthen the previously scarce data pool and better establish the normal values for Doppler hemodynamics in mechanical pulmonary prosthesis

Intravital FRAP Imaging using an E-cadherin-GFP Mouse Reveals Disease- and Drug-Dependent Dynamic Regulation of Cell-Cell Junctions in Live Tissue.

E-cadherin-mediated cell-cell junctions play a prominent role in maintaining the epithelial architecture. The disruption or deregulation of these adhesions in cancer can lead to the collapse of tumor epithelia that precedes invasion and subsequent metastasis. Here we generated an E-cadherin-GFP mouse that enables intravital photobleaching and quantification of E-cadherin mobility in live tissue without affecting normal biology. We demonstrate the broad applications of this mouse by examining E-cadherin regulation in multiple tissues, including mammary, brain, liver, and kidney tissue, while specifically monitoring E-cadherin mobility during disease progression in the pancreas. We assess E-cadherin stability in native pancreatic tissue upon genetic manipulation involving Kras and p53 or in response to anti-invasive drug treatment and gain insights into the dynamic remodeling of E-cadherin during in situ cancer progression. FRAP in the E-cadherin-GFP mouse, therefore, promises to be a valuable tool to fundamentally expand our understanding of E-cadherin-mediated events in native microenvironments

Inhibitive effect of sodium (E)-4-(4-nitrobenzylidenamino) benzoate on the corrosion of some metals in sodium chloride solution

The inhibition performance of a novel anionic carboxylic Schiff base, sodium (E)-4-(4-nitrobenzylideneamino)benzoate (SNBB), was investigated for various metals, namely low carbon steel F111, pure iron and copper, in neutral 10 mM NaCl solution. Potentiodynamic polarization, scanning vibrating electrode technique (SVET), quantum chemical (QC) calculation, and molecular dynamics (MD) simulation were employed. The potentiodynamic polarization data showed that SNBB acts as an effective corrosion inhibitor for both iron and F111 steel, but it is not effective for the copper. In situ spatially-resolved SVET maps evidenced a major change in surface reactivity for Fe and F111 steel immersed in 10 mM aqueous solution in the absence and in the presence of SNBB. Featureless ionic current density distributions were recorded in the presence of SNBB at both their spontaneous open circuit potential (OCP) and under mild anodic polarization conditions, while major ionic flows were monitored above the metals in the absence of SNBB. On the basis of computer simulations, it is proposed that SNBB produces a stable chelate film on iron and steel surfaces that accounts for the good corrosion inhibition efficiency observed. The different inhibition efficiencies of SNBB molecules on the iron and copper was attributed to the special chemical structure of SNBB molecule and its different chelation ability with the released metal ions on the metal surface. The QC calculations also confirmed the high corrosion inhibition efficiency of SNBB. The MD simulation indicated higher binding energy of SNBB on iron surface compared to that of copper surface. The interaction mode of SNBB on iron and F111 steel surfaces corresponds to a mixed chemical and physical adsorption, and it obeys the Langmuir isother

narrating traditional iranian carpet merchants

Iranian carpet merchants developed a collective identitary narrative to enhance their capital creation in the social field of the German market, the field of Iranian foreign trade, and transnational bazari networks. This chapter goes beyond the practicalities of juggling resources across social fields: it explains the motivation behind this agency. Building on David Graeber's anthropology of value, as well as on studies about identity marketing and ethnic entrepreneurship, I show how the merchants' resources were evaluated between the 1950s and today to explain by which systems of value these social fields were shaped. From the confrontation between changing systems of value emerges Iranian carpet merchants' potential to increase the efficiency of their capital creation by—collectively—trying to redefine the meaning of their resources

Association between 25-hydroxyvitamin D levels and the carotid intima-media thickness

Background: There are insufficient data on the association between the serum level of vitamin D and the carotid intima-media thickness (CIMT). The aim of this study was to investigate the association between the level of serum 25-hydroxyvitamin D and the CIMT. Methods: This cross-sectional study recruited 341 patients. The level of 25-hydroxyvitamin D was measured with radioimmunoassay, and the CIMT was measured with color Doppler ultrasound. Results: The mean serum level of 25-hydroxyvitamin D was 14.88±14.63 ng/mL in the patients with a significant carotid artery involvement and 17.02±13.56 ng/mL in those without a carotid involvement, with the difference between the 2 groups constituting statistical significance (P=0.034). The prevalence rate of vitamin D deficiency in those with and without a carotid involvement was 88.6 and 74.4; the rate was significantly higher in the former group (P=0.039). Conclusions: Our study confirmed recent suggestions regarding the association between vitamin D deficiency and the progress of atherosclerosis in carotid arteries as CIMT. © 2019, Iranian Heart Association. All rights reserved

Synthesis, X-ray crystal structure, and electrochemistry of copper(II) complexes of a new tridentate unsymmetrical Schiff base ligand and its hydrolytically rearranged isomer

A new unsymmetrical Schiff base ligand HL1, HBacabza, and its copper(II) complexes [Cu2L21(OAc)(2)] (1) and [Cu2L22(N-3)(2)]center dot 2H(2)O (2) with HBacabza = 3-(2- aminobenzylimino)-1-phenylbutan-1-one as HL1 and its hydrolytically rearranged isomer 3-(2-aminomethylphenyleneimino)-1-phenylbutan-1-one as HL2, have been synthesized and characterized by elemental analyses and spectroscopic methods. The rearrangement of HL1 to HL2 occurs in a hydrolysis-recondensation process in the reaction of HL1 with Cu(ClO4)(2)center dot 6H(2)O and NaN3. The crystal structures of the ligand and its complexes have been determined by single crystal X-ray diffraction. The deprotonated Bacabza coordinates to the metal center as a tridentate ligand. The acetate anion coordinates through one oxygen atom in complex 1 leading to a mono-atomic acetate oxygen-bridging dimeric copper(II) complex. Similarly, the azide anion coordinates through one nitrogen atom in complex 2 leading to a mono-atomic azide nitrogen-bridging dimeric copper(II) complex. The copper(II) ions adopt a distorted square pyramidal (4 + 1) coordination in these two complexes. The cyclic voltammetric studies of these complexes in N, N-dimethylformamide indicate that the reduction process corresponding to Cu-II/Cu-I is electrochemically irreversible in complex 1, presumably due to the structural changes during the course of redox reaction, and quasi-reversible in complex 2

Nasal carriage and resistance pattern of multidrug resistant staphylococcus aureus among healthy children in kashan, Iran

Background: Nasal carriage of Staphylococcus aureus is a substantial source of human infections. Detection and treatment of nasal carriage in children with methicillin-resistant and multidrug resistant S. aureus (MRSA and MDRSA, respectively) may be an important modality in prevention of infections. Objectives: This study determined the prevalence, antibiotic resistance patterns and risk factors for nasal carriage of MDRSA among healthy children. Patients and Methods: This cross-sectional study was carried out on 350 one-month to 14-year-old healthy children in Kashan city, Iran. From all health-care centers, four were chosen by simple random sampling. Nasal samples were cultured in blood agar medium for S. aureus and antibiotic susceptibility profile was determined by disc diffusion and E-test. Risk factors for nasal carriage of MDRSA were also determined. Results: A total of 92 (26.3) S. aureus isolates were obtained, of which 33 (35.9) were MRSA and 27 (29.3) were MDRSA. Of MRSA strains, 19 (70.4) were MDRSA. S. aureus isolates showed 52.2 resistance to cephalothin, 33.7 to co-trimoxazole, 26.1 to clindamycin, 26.1 to ciprofloxacin, 4.3 to vancomycin, and 35.9 to oxacillin. The risk factors for nasal carriage of MDRSA were antibiotic usage during the last three months (P = 0.006), family size of more than four members (P = 0.044), and parental smoking (P = 0.045). Conclusions: MDRSA was not uncommon among healthy children in Kashan and prevention of its spread in the population is judicious. © 2014, Iranian Red Crescent Medical Journal

The effect of colchicine on the echocardiographic constrictive physiology after coronary artery bypass graft surgery

Background: Constrictive physiology is a transitory condition that could lead to constrictive pericarditis, which is a rare complication after open-heart surgery. Anti-inflammatory drugs like colchicine are recommended for prevention of constrictive pericarditis; however, there is no evidence about the effect of colchicine on constrictive pericarditis. Thus, the aim of this study is to evaluate the preventive effect of colchicine on the incidence of echocardiographic constrictive physiology after open-heart surgery. Methods: This was a parallel randomized, double-blind trial. Patients were randomly assigned to receive 1 mg colchicine once-daily from 48 hours before and 0.5 mg twice daily for 5 days after surgery. Primary outcome was the incidence of the constrictive physiology after primary endpoint (1 week after the surgery). The secondary outcome was the primary outcome after secondary endpoint (4 weeks after surgery) plus the new cases of constrictive physiology between the primary and secondary endpoints. Results: Out of 160 participating patients, the primary outcome occurred in 19 patients (23) in placebo and 11 (13) in intervention groups. There was no significant difference between two groups (P =.106). After 4 weeks of follow-up, 19 patients (23) in placebo and 9 (11) in intervention groups had constrictive physiology whereas 2 out of 11 patients (18.2) were recovered. The difference was significant (P =.038). No new case of constrictive physiology occurred between primary and secondary endpoints. Conclusion: Short-term use of colchicine has a preventive effect on reducing constrictive physiology after 1 month of open-heart surgery but not a week after that. © 2020 Wiley Periodicals, Inc