14 research outputs found

    Congenital Heart Defects in Children with Dextrocardia: A Ten-Year Study

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    Background Dextrocardia is a malposition of the heart defined as the right-sided development of the heart. It can increase the likelihood of congenital heart defects or diseases (CHD) and the risk of related morbidities and mortalities. We aimed to determine the frequency of CHDs among Dextrocardia patients. Materials and Methods In a retrospective cross-sectional study the records of patients with Dextrocardia who referred to Imam Reza Hospital (tertiary referral center) of Mashhad between 2006 and 2016 were studied. Data were analyzed using SPSS software version 16.0. Results In total 163 patients, 85 of whom (54%) were males were studied. Their mean age was 11.41+ 0.326 years. The frequency of major Dextrocardia subtypes were: Situs inversus in 77 (47%), Situs Solitus in 59 (36%), and Situs ambiguous in 28 (17%) patients. The frequency of associated complex congenital heart defects (CHD) was 55% in Situs inversus, 77% in Situs solitus and 100% in Situs ambiguous. Isolated associated CHD had a greater frequency in the Situs inversus and Situs solitus groups. The most common isolated associated CHD was septal defects. Conclusion More than 90% of all patients with Dextrocardia, had CHD whereas all patients with Dextrocardia and Situs ambiguous had complex CHD

    Sociologie de l’Iran contemporain

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    Farhad Khosrokhavar, directeur d’études L’islam des jeunes. Le djihad au Nord et au Sud Le radicalisme et le fondamentalisme islamiques ont fait l’objet de ce séminaire et en particulier, les formes que revêtent ces deux formes de religiosité en prison. La première partie du cours a été consacrée à la prison, une seconde, au développement du radicalisme au nom de l’islam dans les banlieues. On a discerné trois formes de religiosité : celle des personnes qui ont découvert l’islam avant leur co..

    Sociologie de l’Iran contemporain

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    Farhad Khosrokhavar, directeur d’études Islam en prison La prison est un microcosme des relations sociales. Les musulmans, de plus en plus nombreux, constituent une nouvelle sous-identité, souvent revendiquée, quelquefois assumée, d’autres fois occultée par les détenus. Les musulmans en prison se distinguent selon plusieurs catégories : les « individualistes », les « fondamentalistes » les « borri again » et les « jihadistes ». Dans le séminaire on a notamment discuté des formes de radicalisa..

    Sociologie de l’Iran contemporain

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    Farhad Khosrokhavar, directeur d’études L’idéologie du jihadisme On a tenté de donner une définition de l’islam radical en l’opposant à l’islam « fondamentaliste » d’un côté, et l’islam « réformiste » de l’autre. L’islam radical n’est pas uniquement une réaction à une modernisation ratée ou une sécularisation liée à l’Occident, mais aussi une posture marquée par une activité irréductible à une posture réactive. Le mouvement jihadiste a ses intellectuels qui se distinguent par une indéniable c..

    Associated Congenital Heart Anomalies in Children with Cleft Lip and Palate: A Cross Sectional Study

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    Background: Cleft lip and palate has a frequency of 1 per 700 live births, making it among the most prevalent orofacial congenital anomalies of the craniofacial region. Congenital heart disease is the most commonly associated disease with oral cleft. Hence, we have reviewed the association between heart disease and cleft lip and/or palate in the pediatric population.Methods: In this cross-sectional study, the patients with oral clefts referring to the hospitals affiliated with the Mashhad University of Medical Sciences during 2015 to 2016 were evaluated. Demographic, clinical, and echocardiographic data were collected and analyzed statistically.Results: One hundred twenty two patients with cleft lip and/or palate underwent echocardiography (49.2% males, 50.8% females). Based on Z-score outcomes, most of the patients with scores above zero had isolated cleft palate (63.6%). Patients with Z-scores of 0 to -1.3 and lower than -1.3 mostly had both cleft lip and palate (61.3%) or isolated cleft palate (55.5%), and these differences were significant (p=0.010). Furthermore, the frequency of the patients with Z-scores lower than zero was significantly higher in cleft lip and palate cases with congenital heart disease compared to non-congenital heart disease cases (43 vs. 19; p=0.002). The patients with pathologic symptoms in the physical examination were mainly diagnosed as abnormal based on their echocardiography (71.2%), and those without these symptoms were mainly diagnosed as normal based on their echocardiography (59.2%) with significant differences (p=0.001).Conclusions: No significant difference was observed regarding the distribution of different types of congenital heart disease between the different types of cleft lip and/or palate

    An Insight into the Interactions between α

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    The aim of this study was to investigate the interactions between α-tocopherol and chitosan molecules prepared subsequent to preparation of α-tocopherol-loaded chitosan nanoparticles using ultrasonication. Dynamic light scattering (DLS) and scanning electron microscopy (SEM) analyses showed semispherical particles with an average size of approximately 350 nm. Also from reconstitution test, α-tocopherol was suggested as stabilizing agent during lyophilization/reconstitution process. The zeta potentials of chitosan and α-tocopherol nanoparticles were larger than ±30 mV, representing suitable stability. Data obtained from FTIR showed possibility of chemical interaction between chitosan and α-tocopherol. Furthermore, the results from FTIR, NMR, and XRD spectroscopy confirmed electrostatic interactions between the two molecules. Overall, this procedure could be considered as a facile method to prepare α-tocopherol-loaded nanoparticles

    Iran (les nouveaux intellectuels musulmans)

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    Cette thèse a pour objet premier le mouvement des nouveaux intellectuels musulmans qui émerge dans l'Iran postrévolutionnaire et créé un nouveau rapport, très créatif, entre la tradition religieuse et la modernité occidentale. Dans un premier temps les différents discours qui ont marqué la période prérévolutionnaire ont été présentés et analysées. Dans un deuxième temps la recherche porte sur la période postrévolutionnaire et aborde le contexte de l'émergence de ces nouveaux intellectuels. Quatre aspects sont pris en considération : l'expérience de la révolution, le particularisme du système constitutionnel, la mort de Khomeiny et l'évolution de l'Etat islamique. Ensuite trois courants sont distingués : les néo-traditionalistes héritiers de Motahari, les réformistes ambivalents héritiers de Shariati et les réformistes libéraux qui sont les enfants de la révolution. Enfin deux thématiques qui sont l'occident et la question de la démocratie font l'objet des dernières parties de cette recherche.The main interest of this thesis is to explain the movement of new intellectuals who emerge in post-revolutionary society and to create new links between religious tradition and western modernity. First of all, we presented and analysed the different discours who marked the pre-revolutionary period. Secondy, we nesearched the post-revolutionary period and appwached the emergance of these new intellectualism for aspects have been taken into consideration, the experience of the revolution the particulary of the constitutional system the death of Khomeiny and the evolution of the islamic state. Afterwords three courants were distinguished : the neo-traditionalists heritants of Motahari, the ambivalent reformists heritants of Shariati and the liberal heritants that are the children of the revolution. Finally we approched the two following : the westerne word and the question of democracy.PARIS3-BU (751052102) / SudocPARIS-Fondation MSH (751062301) / SudocSudocFranceF

    Mild Hyperhomocystinemia In Children And Young Adults Were Placed On Dialysis: A Single Center Study

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    Introduction: Hyperhomocysteinemia is common in end stage renal diseases. We aimed to determine the prevalence of hyperhomocysteinemia in dialysis cases and define independent risk factors of the development of hyperhomocysteinemia.Materials and Methods: The total plasma homocysteine values were measured in 46 dialysis patients including 20[43.4 %] girls and 26[56.6 %] boys aged 1.6-25 [19.9±6.5] years based on two different reference values for children [age dependent] and adults [cut off point of 15 µmol/L].Results: Using the reference values for children, 26 cases [56.2 %] had hyperhomocysteinemia including 41.6% of CAPD and 2/3 of hemodialysis patients with no significant difference based on age, gender, duration and modality of dialysis, and dosage of folate supplement [p>0.05 for all]. Using a cut-off point of 15 µmol/L, hyperhomocysteinemia was reported in 30.4% of the patients including 11 hemodialysis and one CAPD [P=0.022], 10 out of 19 girls [52.6%%] and 4 out of 26 boys [15.4%] [p=0.063], but logistic regression analysis did not show any significant differences in the incidence rate of hyperhomocysteinemia according to the modality of dialysis and gender [P=0.998 and 0.137 respectively].Conclusions: We found mild hyperhomocysteinemia as a common finding in dialysis patients; also, the prevalence of hyperhomocysteinemia was comparable in children and young adults. However, we noted that hemodialysis patients and females were more prone to more intense elevations of plasma homocysteine levels. We found that neither gender nor modality of dialysis played a role as risk factors for development of hyperhomocysteinemia in children and young adults.Keywords: Hyperhomocysteinemia; Child; Hemodialysis; Peritoneal dialysis; Adults
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