Fuzzy net present value for engineering analysis

Cash flow analysis is one of the most popular methods for investigating the outcome of an economical project. The costs and benefits of a construction project are often involved with uncertainty and it is not possible to find a precise value for a particular project. In this paper, we present a simple method to calculate the net present value of a cash flow when both costs and benefits are given as triangular numbers. The proposed model of this paper uses Delphi method to figure out the fair values of all costs and revenues and then using fizzy programming techniques, it calculates the fuzzy net present value. The implementation of the proposed model is demonstrated using a simple example

Inhibitory effect of plant essential oils on Malassezia strains from Iranian dermatitis patients

Introduction: The genus Malassezia is an important skin resident of human. The present study aimed to analyze in vitro activity of the essential oils of Lavandula stoechas, Cuminum cyminum and Artemisia sieberi against clinical strains of Malassezia species. Methods: A total of 47 Malassezia strains, including Malassezia furfur, Malassezia globosa and Malassezia obtuse, were used in this study. A disk diffusion technique was selected for testing the susceptibility of Malassezia strains to the essential oils. Results: All the essential oils showed in vitro activity against Malassezia strains, with M. furfur and M. obtusa being the highest and lowest susceptible of the strains, respectively. The highest antifungal activity was associated with the essential oil of C. cyminum (mean ± SD: 50.0 ± 0.0 mm), followed by L. stoechas (mean ± SD: 46.8 ± 3.1 mm) and A. sieberi (mean ± SD: 36.9 ± 5.7 mm). The inhibition zone ranges were 12.5 to 15.6 mm (mean ± SD: 14.4 ± 1.6 mm) for ketoconazole and 11.6 to 13.3 mm (mean ± SD: 12.4 ± 0.9 mm) for fluconazole. Although all the antifungal drugs were found to possess good antifungal activities against Malassezia strains, their effects were lower than the activities shown by the essential oils tested (P<0.05). Conclusion: These results indicated that the essential oils tested, especially the one from C. cyminum, inhibited the growth of clinical strains of Malassezia, implying its potential use in the treatment of Malassezia infections. This indicates that this plant may be useful in preparation of new drugs

FBG Sensor for Contact Level Monitoring and Prediction of Perforation in Cardiac Ablation

Atrial fibrillation (AF) is the most common type of arrhythmia, and is characterized by a disordered contractile activity of the atria (top chambers of the heart). A popular treatment for AF is radiofrequency (RF) ablation. In about 2.4% of cardiac RF ablation procedures, the catheter is accidently pushed through the heart wall due to the application of excessive force. Despite the various capabilities of currently available technology, there has yet to be any data establishing how cardiac perforation can be reliably predicted. Thus, two new FBG based sensor prototypes were developed to monitor contact levels and predict perforation. Two live sheep were utilized during the study. It was observed during operation that peaks appeared in rhythm with the heart rate whenever firm contact was made between the sensor and the endocardial wall. The magnitude of these peaks varied with pressure applied by the operator. Lastly, transmural perforation of the left atrial wall was characterized by a visible loading phase and a rapid signal drop-off correlating to perforation. A possible pre-perforation signal was observed for the epoxy-based sensor in the form of a slight signal reversal (12–26% of loading phase magnitude) prior to perforation (occurring over 8 s)

Pathogenesis, Risk Factors, and Therapeutic Options

The incidence and mortality rate of Clostridium difficile infection have increased remarkably in both hospital and community settings during the last two decades. The growth of infection may be caused by multiple factors including inappropriate antibiotic usage, poor standards of environmental cleanliness, changes in infection control practices, large outbreaks of C. difficile infection in hospitals, alteration of circulating strains of C. difficile, and spread of hypervirulent strains. Detection of high-risk populations could be helpful for prompt diagnosis and consequent treatment of patients suffering from C. difficile infection. Metronidazole and oral vancomycin are recommended antibiotics for the treatment of initial infection. Current treatments for C. difficile infection consist of supportive care, discontinuing the unnecessary antibiotic, and specific antimicrobial therapy. Moreover, novel approaches include fidaxomicin therapy, monoclonal antibodies, and fecal microbiota transplantation mediated therapy. Fecal microbiota transplantation has shown relevant efficacy to overcome C. difficile infection and reduce its recurrence

Determining the Concentration of Particulate Matters and Microbiological Quality of Indoor Air in Intensive Care Units of Kashan Hospital, Iran

Introduction: Maintaining hospital air quality is very important, especially in intensive care units (ICUs), where patients undergo invasive procedures. Therefore, the present study was conducted with the aim of determining the relationship between particulate matters (PMs) and bioaerosols in pediatric ICU (PICU), neonatal ICU (NICU), and ICU open heart (ICU OH) of Shahid Beheshti Hospital in Kashan. Materials and Methods: This cross-sectional study was conducted for six consecutive months, i.e., autumn and winter of 2021. PM samples were taken using a Grimm Dust Monitor and microbial samples were taken using a Quick Take 30 sampler. Kolmogorov-Smirnov test was used for analysis and then ANOVA and LSD were used for further tests. Results: The maximum and minimum PM10 concentrations in the PICU and ICU OH were 59.19 and 9.71 μg/m3, respectively; and the maximum and minimum PM2.5 concentrations were 20.23 μg/m3 in the NICU and 4.69 μg/m3 in PICU. The mean PM concentration and the number of bacterial and fungal colonies were consistent with the WHO and EPA guidelines. Gram-positive Staphylococcus were the most abundant bacteria (90.96%). The most abundant fungi were Aspergillus (54.23%), Penicillium (15.64%), and Cladosperium (12.17%) species. There was also no significant relationship between PMs and bioaerosols. Conclusion: The mean concentrations of PMs and bioaerosols match with the guidelines, which can be attributed to more observance of health protocols and restrictions on the movement of people into ICUs due to the COVID-19 outbreak

Comparative Efficacy of Nebivolol and Metoprolol to Prevent Tachycardia-Induced Cardiomyopathy in a Porcine Model

Chronic tachycardia is a well-known cause of nonischemic cardiomyopathy. We hypothesized that nebivolol, a β-blocker with nitric oxide activity, would be superior to a pure β-blocker in preventing tachycardia-induced cardiomyopathy in a porcine model. Fifteen healthy Yucatan pigs were randomly assigned to receive nebivolol, metoprolol, or placebo once a day. All pigs underwent dual-chamber pacemaker implantation. The medication was started the day after the pacemaker implantation. On day 7 after implantation, each pacemaker was set at atrioventricular pace (rate, 170 beats/min), and the pigs were observed for another 7 weeks. Transthoracic echocardiograms, serum catecholamine levels, and blood chemistry data were obtained at baseline and at the end of the study. At the end of week 8, the pigs were euthanized, and complete histopathologic studies were performed. All the pigs developed left ventricular cardiomyopathy but remained hemodynamically stable and survived to the end of the study. The mean left ventricular ejection fraction decreased from baseline by 34%, 20%, and 20% in the nebivolol, metoprolol, and placebo groups, respectively. These changes did not differ significantly among the 3 groups (P =0.51). Histopathologic analysis revealed mild left ventricular perivascular fibrosis with cardiomyocyte hypertrophy in 14 of the 15 pigs. Both nebivolol and metoprolol failed to prevent cardiomyopathy in our animal model of persistent tachycardia and a high catecholamine state

Indoor environment assessment of special wards of educational hospitals for the detection of fungal contamination sources: A multi-center study (2019-2021)

Background and Purpose: The hospital environment was reported as a real habitat for different microorganisms, especially mold fungi. On the other hand, these opportunistic fungi were considered hospital-acquired mold infections in patients with weak immune status. Therefore, this multi-center study aimed to evaluate 23 hospitals in 18 provinces of Iran for fungal contamination sources.Materials and Methods: In total, 43 opened Petri plates and 213 surface samples were collected throughout different wards of 23 hospitals. All collected samples were inoculated into Sabouraud Dextrose Agar containing Chloramphenicol (SC), and the plates were then incubated at 27-30ºC for 7-14 days.Results: A total of 210 fungal colonies from equipment (162, 77.1%) and air (48,22.9%) were identified. The most predominant isolated genus was Aspergillus (47.5%),followed by Rhizopus (14.2%), Mucor (11.7%), and Cladosporium (9.2%). Aspergillus(39.5%), Cladosporium (16.6%), as well as Penicillium and Sterile hyphae (10.4% each), were the most isolates from the air samples. Moreover, intensive care units (38.5%) and operating rooms (21.9%) had the highest number of isolated fungal colonies. Out of 256 collected samples from equipment and air, 163 (63.7%) were positive for fungal growth.The rate of fungal contamination in instrument and air samples was 128/213 (60.1%) and 35/43 (81.2%), respectively. Among the isolated species of Aspergillus, A. flavus complex (38/96, 39.6%), A. niger complex (31/96, 32.3%), and A. fumigatus complex (15/96, 15.6%) were the commonest species.Conclusion: According to our findings, in addition to air, equipment and instrument should be considered among the significant sources of fungal contamination in the indoor environment of hospitals. Airborne fungi, Hospital, Indoor air, Equipment, Sources of fungal contamination in the indoor environment of hospitals

An empirical study to measure the impact of e-business on organizational performance with an emphasis on integrated production information

During the past few decades, there have been different studies on e-business but there are limited numbers of works accomplished on measuring the impact of e-business on supply chain. Although e-business may not directly influence on organizational performance, it can have significant indirect impact on unifying customers and suppliers, which yields to a better performance of organizations. In this study, we perform an empirical study to measure the indirect impact of e-business on organizational performance. The proposed study of this paper designs a questionnaire and distributes it among 40 professional experts in various industries in province of Ilam, Iran. The survey examines four hypothesis for a possible correlation between e-business and integrated suppliers, e-business and customers, integrated customers and suppliers with organizational performance. The results of this survey confirm a positive relationship between all these components either directly or indirectly

The comparision of serum antioxidant capacity and superoxide dismutase and catalase activity of cigarette smokers to nonsmokers

Background : Oxidative stress plays an important role in the pathogenesis of some diseases such as lung cancer, chronic obstructive pulmonary diseases and atheroscleorosis. Smoking may enhance oxidative stress through the production of reactive oxygen radicals in smoke and weakens the antioxidant defense system.The present study was conducted to determine the effect of cigarette smoking on superoxide dismutase, catalase enzymes activities and total antioxidant capacity in cigarette smokers. Methods: This research was done on thirty male volunteers (25-35 years-old) who smoked over 10 cigarettes per day. Controls were thirty non-smoker male volunteers (25-35 years-old). Blood samples from overnights fasted subjects were used for the study. Catalase and superoxide dismutase activity and total anti oxidation capacity were analyzed. Data was described as mean±SD and data means of the two groups was compared by independent T-test. Data was analyzed by SPSS 18 software. Results: The amount of total antioxidant capacity and catalase and superoxide dismutase activity had a significant statistical decrease in the group compared to the control group (p<0.05). Conclusion: This study showed that oxidative stress causes a decline of the body antioxidant protective system which in long time it can cause cardiac and blood-vessels diseases in cigarette smokers

International Journal of Farming and Allied Sciences Evaluation morphological diversity and essential oil content of Thymus transcaspicus Klokov. in Iran

ABSTRACT: Thymus transcaspicus Klokov is a member of the genus Thymus. It is native to Iran with limited distribution in the Northeast. Thymus is a traditional medicinal plant which is also used as a spice and aromatic plant in different industries. In this investigation, genetic diversity of some Thymus transcaspicus populations were evaluated by using morphological traits and essential oil content. In the first trial, in order to determine diversity of this species for using in future breeding programs and also medicinal purposes, 25 genotypes related to five populations were evaluated using 32 quantitative and qualitative parameters. In based on cluster analysis, five populations separated into three groups. The most similar populations were between Hiqu and Pakotal, while most dissimilar populations were among Hiqu and Reiin . In the second experiment, oil content and composition of T. transcaspicus was determined. In general, 34 components were identified comprising 97.32% of total components in the oils. Thymol (35.71%), ρ-Cymene (19.14%), Carvacrol (9.22%), Borneol (8.23%), 1,8 cineol (3.83%) were the dominant compounds of essential oil. Yield percentage of essential oil was 1.2% (v/m) of plant dry matter