Combined Branch Retinal Vein and Artery Occlusion in Toxoplasmosis with Hyperhomocysteinemia, and Mutation of Factor V Leiden

Moreover, heterozygosity of a mutation of factor V Leiden; FVL (coagulation factor V gene) was also observed in the case. The patient was diagnosed with branch retinal vein and artery occlusion with hyperhomocysteinemia and mutation of factor V Leiden. The patient was underwent intravitreal injection of bevacizum (IVB), and PRP laser due to severe retinal ischemia and extensive NVD. The patient was treated with sulfamethoxazole (800 mg), trimethoprim (160 mg), and corticosteroid (1-1.5 mg/kg/day). Vitamin B6 (100 mg/daily), acid folic (5 mg daily), and vitamin B12 (112 mg/daily) were also added to the treatment for 8 weeks. After treatment, the assessment of plasma homocysteine showed that the level of homocysteine was normal. This is the first report of combined retinal branch vein and artery occlusion in toxoplasmosis with hyperhomocysteinemia and mutation of factor V Leiden

Design a Collector with More Reliability against Defects during Manufacturing in Nanometer Technology, QCA

ABSTRACT Nowadays Quantum Cellular Automata (QCA) as the leading technology in design of microelectronic systems has been raised. With respect to high velocity and density in low power and also simple concepts, this technology is a viable alternative to CMOS technology. In collector design, the primary component of each processor is very important. Due to the small elements in this technology, failure rate in manufacturing process technology is very high. In the other hand, the simulation shows that the intersection point of two wires is one of the critical points in QCA circuits. This means that defects in the manufacturing process around these points can cause malfunction in the circuit performance. In this paper, a collector in cross sections of wire in his new method used higher reliability against defects during manufacturing has been developed. QCA Designer software is used to simulate the case study system

Infra-specific morphological, anatomical and genetic variations in Lallemantia peltata (L.) Fisch. & C. A. Mey. (Lamiaceae)

Lallemantia is a small genus with 5 species, which one of them is Lallemantia peltata. This aromatic plant grows in a limited area of the Iran and is known as medicinal herb in folk medicine. We have no information on the infraspecific variations on morphological, anatomical and molecular features of this species. Therefore, in the current study; we investigated these variations on six geographical populations of it. These plants were used for morphological, anatomical and molecular investigations. GenAlex, GenoDive and PAST softwares were used for statistical analyses. In morphological study, we used fifteen characteristics. PCA bi-plot revealed some characteristics had diagnostic value in separation of the populations. The studied populations were clustered into two groups. We examined fifteen qualitative and quantitative anatomical variables. PCA loading revealed that some anatomical variables had the highest positive correlation and were the most variable anatomical characters among the studied populations. Based on the anatomical traits, theses populations divided into two groups. Ten ISSR primers were used for examination of genetic variations among the populations. The STRUCTURE analyses of ISSR data revealed two groups in theses populations that they were divided into two groups in MDS plot. The results of morphological, anatomical and also ISSR studies were similar. Clustering and ordination of the studied populations separated some of these populations from the others and suggest the existence of two groups within this species

Pollen morphological analysis of the genus Lallemantia (Lamiaceae) of Iran

Lallemantia is a small genus of Lamiaceae with five herbaceous annual or biennial species. Some of these species are of medicinal value, while others have been used as the source of food. All five Lallemantia species occur in Iran. Although, there are many discussions about infra-generic variations in the genus, very scarce comprehensive studies are found about its taxonomy. Therefore, in the current study, pollen grain morphology was investigated using scanning electron microscopy. We used SPSS ver. 15 and PAST ver. 2.17 for multivariate statistical analyses of data. In total, we studied eleven qualitative and quantitative traits. Pollen equatorial and polar views were similar among the species and were prolate and circular, respectively. Pollen ornamentations differed as bireticulate (L. royleana and L. iberica), microreticulatm (L. peltata and L. Baldshuanica) and reticulate- faveolate (L. canescens). PCA-biplot showed some traits such as pori length/width ratio were important in identifications of species. The studied species created two groups in the WARD method tree of palynological data. L. royleana and L. baldshuanica were grouped together, and in the other group L. canescens and L. iberica placed nearly and L. peltata placed far from them. Our obtained results were similar to previous morphological study of the genus. The present study revealed taxonomic implication of the micromorphological study in the interspecific classification of the genus

Outcomes of Retinal Detachment Surgery in Eyes with Chorioretinal Coloboma

Purpose: To report the anatomical and functional outcomes of surgery for retinal detachment associated with chorioretinal colobomas. Methods: In this retrospective interventional case series, 28 eyes of 28 patients (including 18 male subjects) who had undergone surgery for retinal detachment associated with chorioretinal colobomas were evaluated regarding the type of intervention, final visual acuity and anatomical outcomes, as well as complications. Cases with less than 3 months of follow-up were excluded. Results: Primary surgery included vitrectomy in 25 (89.3%) and scleral buckling in 3 (10.7%) eyes. The internal tamponade used in eyes undergoing vitrectomy was silicone oil in 23 (92%) eyes and 20% sulfur hexafluoride (SF6) in 2 (8%) eyes. Silicone oil was removed in 11 eyes (45.8%). The mean number of operations per eye was 1.57±0.74, mean follow-up was 40±36 months, and the retina remained attached in 26 eyes (92.9%) at final follow-up. Mean preoperative visual acuity was 2.33±0.55 (range, 1.15-2.9) logMAR which significantly improved to 1.72±0.9 (range, 0.09-3.1) logMAR postoperatively (P < 0.001), however, final median visual acuity was counting fingers at 2 m. The most common complications were cataracts (100%) and ocular hypertension (46.4%). Conclusion: The most prevalent surgical procedure for treatment of retinal detachment associated with chorioretinal coloboma was pars plana vitrectomy and the most frequently used tamponade was silicone oil. Although anatomical success was satisfactory, functional outcomes were not encouraging which reflects the complexity of the condition and associated abnormalities

Cultural Aspects of Social Anxiety Disorder: A Qualitative Analysis of Anxiety Experiences and Interpretation

Objective: Anxiety is a complex phenomenon on which culture has a prominent influence. The present study aimed to investigate the cultural aspects of social anxiety disorder (SAD) in an Iranian population. Method: A qualitative content analysis research was done to answer the study question. A total of 16 individuals with social anxiety disorder (six men and 10 women) were selected using purposeful sampling method (M = 24.43, SD = 4.56). The study was conducted in Tehran, Urmia, and Sanandaj- Iran. Participants were from different ethnic backgrounds (LOR, FARS, TURK, and KURD). Data were analyzed by thematic analysis using an inductive method. Results: Analysis of participants’ records yielded five distinct categories with some subcategories, which are as follow: (1) anxiety experiences; (2) core beliefs; (3) reasons of being anxious; (4) effects of SAD on life aspects; and (5) coping strategies. Conclusion: It seems that symptoms of social anxiety and its underlying beliefs, causes and effects and coping strategies are almost experienced and interpreted in a way that could be the same as DSM-5 clinical presentation of social anxiety, with the exception that somatic symptoms are experienced by almost all participants

Excess Deaths During the COVID-19 Pandemic in Southern Iran: Estimating the Absolute Count and Relative Risk Using Ecological Data

Objectives: The coronavirus disease 2019 (COVID-19) pandemic led to increased mortality rates. To assess this impact, this ecological study aimed to estimate the excess death counts in southern Iran. Methods: The study obtained weekly death counts by linking the National Death Registry and Medical Care Monitoring Center repositories. The P-score was initially estimated using a simple method that involved calculating the difference between the observed and expected death counts. The interrupted time series analysis was then used to calculate the mean relative risk (RR) of death during the first year of the pandemic. Results: Our study found that there were 5571 excess deaths from all causes (P-score=33.29%) during the first year of the COVID-19 pandemic, with 48.03% of these deaths directly related to COVID-19. The pandemic was found to increase the risk of death from all causes (RR, 1.26; 95% confidence interval [CI], 1.19 to 1.33), as well as in specific age groups such as those aged 35-49 (RR, 1.21; 95% CI, 1.12 to 1.32), 50-64 (RR, 1.38; 95% CI, 1.28 to 1.49), and ≥65 (RR, 1.29; 95% CI, 1.12 to 1.32) years old. Furthermore, there was an increased risk of death from cardiovascular diseases (RR, 1.17; 95% CI, 1.11 to 1.22). Conclusions: There was a 26% increase in the death count in southern Iran during the COVID-19 pandemic. More than half of these excess deaths were not directly related to COVID-19, but rather other causes, with cardiovascular diseases being a major contributor

Longitudinal Shunt Slot Excitation by Wiggly Ridge Substrate Integrated Waveguide

Application of a substrate integrated waveguide with wiggly ridge shape is presented for excitation longitudinal shunt slot antenna. Two main design equations for design substrate integrated waveguide structure and get parameters of structures, for longitudinal shunt slot excitation by shape wiggly ridge in substrate integrated waveguide are modified. Proposed method is used by applied the crinkle shape to ridge for ridge substrate integrated waveguide structure. This shape wiggly ridge just under longitudinal slot. The slot is place at centreline of substrate integrated waveguide (siw) in center of waveguide and on dielectric copper surface, top of substrate integrated waveguide. Amount of crinkle depth of waveguide centreline is proportional with needful radiation of slot and normalized conductance could be much to increase crinkle depth. In this paper the shunt element distribution assumption for prposed structure is spoted. Results of simulation show, proposed method is suitable candidate for replacing with usual longitudinal shunt slot. Structure’s useful is, low fabrication price, small profile and adaptation with microstrip circuit. Also slot place along waveguide centerline and wiggle depth substitute slot offset, therefore this procedure can suppress second order bim in array containing suggestion structure

Biometric changes after vitrectomy with silicone oil tamponade

Background: The Lenstar LS 900 (Haag-Streit AG, Koeniz, Switzerland) is an optical biometer, and its measurements are highly repeatable and precise in cataractous eyes. This study investigated changes in biometric parameters, including axial length (AL), anterior chamber depth (ACD), lens thickness (LT), vitreous cavity depth (VD), and central corneal thickness (CCT) before and after three-port 23-Gauge pars plana vitrectomy with silicone oil tamponade. Methods: This was a prospective follow-up study. Patients who were scheduled for surgery underwent a detailed slit-lamp examination and objective cycloplegic refraction preoperatively. In eligible cases, the Lenstar LS 900 was used to measure biometric parameters. At the 1-month postoperative follow-up, we repeated the same assessments for the silicone oil (SO)-filled eyes. Data were analyzed to assess the significance of changes and to test the possible correlation of values between the two time points. Results: Twenty-three patients with a mean ± SD age of 60 ± 12 years completed the study. Postoperatively, we found a significant increase in AL and a decrease in ACD and CCT (all P &lt; 0.05), with no significant changes in LT and VD. A significant correlation was found for ACD, CCT, and cylinder values between the two time points (all P &lt; 0.05). Postoperatively, the spherical and cylindrical components of refraction demonstrated a hyperopic shift, but did not change statistically significantly. Conclusions: The Lenstar LS 900 underestimated the ACD and overestimated the AL in SO-filled eyes when comparing pre- and postoperative values, in phakic as well as pseudophakic eyes. In planning for cataract surgery in this group of patients, it is more reasonable to calculate IOL power based on the biometric data of the fellow eye, although this may not eliminate possible errors. Further studies with a larger sample size, longer follow-up, and robust study design are necessary to confirm our preliminary results