Effect of Music on Postoperative Pain in Patients Under Open Heart Surgery

Background: Music, as a non-pharmacological and inexpensive nursing intervention, can be used easily as a complementary technique in reducing pain along with other methods. While some studies have demonstrated pain to decrease after music, others found music to be ineffective on pain. Objectives: The aim of this study was to investigate the effect of music on postoperative pain in patients under open heart surgery. Patients and Methods: A quasi-experimental study was performed on 60 patients under open heart surgery referred to ICU of Shahid Beheshti hospital in Kashan city. Patients were randomly divided into two groups including experimental and control groups. Patients in music group listened to nonverbal music for 30 minutes after surgery by headphones. The control group did not receive any intervention other than routine care. Before and after intervention, pain intensity was measured and recorded by visual analog scale in two groups. Data was analyzed using Chi-Square and t-tests. Results: Before intervention, the mean of pain intensity was 6.32 ± 0.21 and 6.10 ± 0.21 for experimental and control groups, respectively; and the difference was not significant (P = 0.21). After intervention, the mean of pain intensity was 3.11 ± 0.12 and 5.81 ± 0.38 for experimental and control groups, respectively; and the difference was significant (P = 0.04). Conclusions: Listening to the relaxant music can reduce postoperative pain. It is suggested that relaxant music be used as a complementary method in patients in order to reduce prospective pain

Trends of 28 days case fatality rate after first acute myocardial infarction in Isfahan, Iran, from 2000 to 2009

Background: The purpose of the present study was the analysis of the trends in case fatality rate of acute myocardial infarction (AMI) in Isfahan, Iran. This analysis was performed based on gender, age groups, and type of AMI according to the International Classification of Diseases, version 10, during 2000-2009. Methods: Disregarding the Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA), this cohort study considered all AMI events registered between 2000 and 2009 in 13 hospitals in Isfahan. All patients were followed for 28 days. In order to assess the case fatality rate, the Kaplan-Meier analysis, and to compare survival rate, log-rank test were used. Using the Cox regression model, 28 days case fatality hazard ratio (HR) was calculated. Results: In total, 12,900 patients with first AMI were entered into the study. Among them, 9307 (72.10) were men and 3593 (27.90) women. The mean age in all patients increased from 61.36 ± 12.19 in 2000-2001 to 62.15 ± 12.74 in 2008-2009, (P = 0.0070); in women, from 65.38 ± 10.95 to 67.15 ± 11.72 (P = 0.0200), and in men, from 59.75 ± 12.29 to 59.84 ± 12.54 (P = 0.0170),. In addition, the 28 days case fatality rate in 2000-2009 had a steady descending trend. Thus, it decreased from 11.20 in 2000-2001 to 07.90 in 2008-2009; in men, from 09.20 to 06.70, and in women, from 16.10 to 10.90. During the study, HR of case fatality rate in 2000-2001 declined; therefore, in 2002-2003, it was 0.93 95% confidence interval (CI) = 0.77-1.11, in 2004-2005, 0.88 (95% CI = 0.73-1.04), in 2006-2007, 0.67 (95% CI = 0.56- 0.82), and in 2008-2009, 0.69 (95% CI = 0.56-0.82). Conclusion: In Isfahan, a reduction was observable in the trend of case fatality rate in both genders and all age groups. Thus, there was a 29.46% reduction in case fatality rate (27.17% in men, 32.29% in women) during the study period. © 2015, Isfahan University of Medical Sciences(IUMS). All rights reserved

Rotation Symmetry Spontaneous Breaking of Edge States in Zigzag Carbon Nanotubes

Analytical solutions of the edge states were obtained for the (N, 0) type carbon nanotubes with distorted ending bonds. It was found that the edge states are mixed via the distortion. The total energies for N=5 and N>=7 are lower in the asymmetric configurations of ending bonds than those having axial rotation symmetry. Thereby the symmetry is breaking spontaneously. The results imply that the symmetry of electronic states at the apex depends on the occupation; the electron density pattern at the apex could change dramatically and could be controlled by applying an external field.Comment: 19 pages, 3 figure

Environmental and ecological studies in northern Alborz (Golestan Province)

Caspian Sea with an area of 400 thousand square kilometers is the largest lake in the world. The Caspian Sea about 1200 km from north to south on the longest section and an average width of 320 km. Along the coastline around the Caspian Sea is about 6500 kilometers. Caspian Sea is about 78,000 cubic kilometers of water volume that is 44% of stocks of blue lakes around the world. Caspian Sea basin, which is composed of seven major basins of the main watershed from west to east are: juniper, Talsh- Anzali, large Sefidrood between Haraz Sefid and, Hraz- Gharehsou, Nagorno Sv- Gorgan and Atrak in the basin of Aras no limits to the beach. Aras sub-basin is located in the North West and Iran, the second largest sub-basin of the Caspian Sea. Talysh-Anzali on the Caspian Sea basin West and the seventh largest sub-basin of the Caspian Sea. White basin is located in the South East of the Caspian Sea and the extent of the sub-basin of the Caspian Sea. Haraz located in the south Caspian Sea basin and the ninth largest sub-basin of the Caspian Sea. Gorgan is located in the South East of the Caspian Sea basin and the fourth largest sub-basin of the Caspian Sea. In these areas, about 28 percent of the total fish production in the northern waters of aquatic allocated

Environmental and ecological studies in northern Alborz (Guilan Province)

Caspian Sea with an area of 400 thousand square kilometers is the largest lake in the world. The Caspian Sea about 1200 km from north to south on the longest section and an average width of 320 km. along the coastline around the Caspian Sea is about 6500 kilometers. Caspian Sea is about 78,000 cubic kilometers of water volume that is 44% of stocks of blue lakes around the world. Caspian Sea basin, which is composed of seven major basins of the main watershed from west to east are: juniper, Talsh- Anzali, large Sefidrood between Haraz Sefid and, Hraz- Gharehsou, Nagorno Sv- Gorgan and Atrak in the basin of Aras no limits to the beach. Aras sub-basin is located in the North West and Iran, the second largest sub-basin of the Caspian Sea. Talysh-Anzali on the Caspian Sea basin West and the seventh largest sub-basin of the Caspian Sea. White basin is located in the South East of the Caspian Sea and the extent of the sub-basin of the Caspian Sea. Haraz located in the south Caspian Sea basin and the ninth largest sub-basin of the Caspian Sea. Gorgan is located in the South East of the Caspian Sea basin and the fourth largest sub-basin of the Caspian Sea. In these areas, about 28 percent of the total fish production in the northern waters of aquatic allocated

Cube Testers and Key Recovery Attacks On Reduced-Round MD6 and Trivium

CRYPTO 2008 saw the introduction of the hash function MD6 and of cube attacks, a type of algebraic attack applicable to cryptographic functions having a low-degree algebraic normal form over GF(2). This paper applies cube attacks to reduced round MD6, finding the full 128-bit key of a 14-round MD6 with complexity 2^22 (which takes less than a minute on a single PC). This is the best key recovery attack announced so far for MD6. We then introduce a new class of attacks called cube testers, based on efficient property-testing algorithms, and apply them to MD6 and to the stream cipher Trivium. Unlike the standard cube attacks, cube testers detect nonrandom behavior rather than performing key extraction, but they can also attack cryptographic schemes described by nonrandom polynomials of relatively high degree. Applied to MD6, cube testers detect nonrandomness over 18 rounds in 2^17 complexity; applied to a slightly modified version of the MD6 compression function, they can distinguish 66 rounds from random in 2^24 complexity. Cube testers give distinguishers on Trivium reduced to 790 rounds from random with 2^30 complexity and detect nonrandomness over 885 rounds in 2^27, improving on the original 767-round cube attack

Comparison of four different treatment strategies in teeth with molar-incisor hypomineralization-related enamel breakdown–A retrospective cohort study

Background There is little information available on the longevity of non-invasive glass ionomer cement (GIC) and composite restorations as well as conventional composite and ceramic restorations placed on permanent teeth with enamel breakdowns due to molar-incisor hypomineralization (MIH). Aim To compare the longevity of the abovementioned treatment procedures. Design Of 377 identified MIH patients, 118 individuals received restorative treatment and were invited for clinical examination, including caries and MIH status. Finally, survival data from 204 MIH-related restorations placed on 127 teeth were retrospectively collected from 52 children, monitored between 2010 and 2018. Descriptive and explorative analyses were performed, including Kaplan-Meier estimators and the Cox regression model. Results The mean patient observation time was 42.9 months (SD = 35.1). The cumulative survival probabilities after 36 months—7.0% (GIC, N = 28), 29.9% (non-invasive composite restoration, N = 126), 76.2% (conventional composite restoration, N = 27) and 100.0% (ceramic restoration, N = 23)—differed significantly in the regression analysis. Conclusions Conventional restorations were associated with moderate-to-high survival rates in MIH teeth. In contrast, non-invasive composite restorations, which were predominately used in younger or less cooperative children, were linked to lower survival rates

Angiotensin-converting enzyme inhibitor, Enalapril, inhibits tumor growth and potentiates the antitumor efficacy of 5-FU in colorectal cancer

OBJECTIVE: Colorectal cancer (CRC) is among the leading causes of cancer-related death, indicating the need for the identification of novel therapeutic approaches to increase the activity of current therapy or have better efficacy. Angiotensin-converting enzyme (ACE) is being reported to be associated with aggressive behaviors of CRC cells and poor prognosis. Here we explored the therapeutic potency of targeting ACE by Enalapril in CRC in vivo model. MATERIALS AND METHODS: A xenograft model of CRC was used to investigate the effects of Enalapril alone, or in combination with 5-FU, on tumor growth following histological staining (Hematoxylin and Eosin and Masson trichrome staining) and biochemical studies of Malondialdehyde (MDA), total thiols, superoxide dismutase (SOD) and catalase (CAT) activities. RESULTS: Enalapril reduced tumor growth and increased tumor necrosis; this effect was more pronounced in Enalapril plus 5-FU combination. Enalapril/5-FU was able to decrease tumor fibrosis and collagen content. ACE inhibitors also increased MDA level, as an oxidative stress marker, while reducing total thiol group levels, SOD and CAT enzyme activity. CONCLUSIONS: Our findings provide a novel insight on the therapeutic potential targeting of the renin–angiotensin system as a new therapeutic option in combination with current therapeutic agents 5-FU in the treatment of CRC

A novel technique for detoxification of phenol from wastewater: Nanoparticle Assisted Nano Filtration (NANF)

© 2016 Naidu et al. Background: Phenol is one of the most versatile and important organic compound. It is also a growing concern as water pollutants due to its high persistence and toxicity. Removal of Phenol from wastewaters was investigated using a novel nanoparticle adsorption and nanofiltration technique named as Nanoparticle Assisted Nano Filtration (NANF). Methods: The nanoparticle used for NANF study were silver nanoparticles and synthesized to three distinct average particle sizes of 10 nm, 40 nm and 70 nm. The effect of nanoparticle size, their concentrations and their tri and diparticle combinations upon phenol removal were studied. Results: Total surface areas (TSA) for various particle size and concentrations have been calculated and the highest was 4710 × 1012 nm2 for 10 nm particles and 180 ppm concentration while the lowest was for 2461 × 1011 for 70 nm and 60 ppm concentrations. Tri and diparticle studies showed more phenol removal % than that of their individual particles, particularly for using small particles on large membrane pore size and large particles at low concentrations. These results have also been confirmed with COD and toxicity removal studies. Conclusions: The combination of nanoparticles adsorption and nanofiltration results in high phenol removal and mineralization, leading to the conclusion that NANF has very high potential for treating toxic chemical wastewaters

Primary antibody deficiency in a tertiary referral hospital: A 30-year experiment

Background: Primary antibody deficiency (PAD) is the most common group of primary immunodeficiency disorders (PID), with a broad spectrum of clinical features ranging from severe and recurrent infections to asymptomatic disease. Objectives: The current study was performed to evaluate and compare demographic and clinical data in the most common types of PAD. Materials and Methods: We performed a retrospective review of the medical records of all PAD patients with a confirmed diagnosis of common variable immunodeficiency (CVID), hyper IgM syndrome (HIgM), selective IgA deficiency (SIgAD), and X-linked agammaglobulinemia (XLA) who were diagnosed during the last 30 years at the Children�s Medical Center, Tehran, Iran. Results: A total number of 280 cases of PAD (125 CVID, 32 HIgM, 63 SIgAD, and 60 XLA) were enrolled in the study. The median (range) age at the onset of disease in CVID, HIgM, SIgAD, and XLA was 2 (0-46), 0.91 (0-9), 1 (0-26), and 1 (0-10) years, respectively. Gastrointestinal infections were more prevalent in CVID patients, as were central nervous system infections in XLA patients. Autoimmune complications were more prevalent in HIgM patients, malignancies in CVID patients, and allergies in SIgAD patients. The mortality rate for CVID, HIgM, and XLA was 27.2, 28.1, and 25, respectively. No deaths were reported in SIgAD patients. Conclusions: SIgAD patients had the best prognosis. While all PAD patients should be monitored for infectious complications, special attention should be paid to the finding of malignancy and autoimmune disorders in CVID and HIgM patients, respectively. © 2015 Esmon Publicidad