An epidemiological study of cutaneous leishmaniasis in Kashan (2007-2008)

Introduction: Leishmaniasis is a parasitological disease, which is common between human and animals. This disease cause always serious health problems for the human communities. This disease is prevalent in many parts of the world. Cutaneous leishmaniasis (CL) is a prevalent parasitological disease with diverse clinical manifestations in Iran. It is an important health problem in many parts of Iran as well and its incidence has doubled over the last decade. This study was designed to determine the epidemiology of CL in Kashan during 2007-2008. Materials and Methods: This was a cross-sectional study in which 5098 persons were randomly selected in thirteen rural and urban districts of Kashan. The disease was diagnosed based on clinical examination and microscopic observation of the parasite in the ulcer site. The patient's information such as age, sex, job, number and sites of ulcer(s) or scar(s), date and place of the ulcer, and results of clinical examination and laboratory tests were recorded. Data analysis was performed using statistical Ki-square test. Results: The prevalence rate of disease in 5089 inhabitants studied was 6.4. One hundred and three persons (2) had active ulcers and 223 persons (4.4) had scar. Fifty three out of 200(26.5) infected male suffering from CL, and fifty out of 126 (39.7) infected female had active ulcer (P=0.013) The highest frequency and the least infected age groups were observed in 20-29 years old patients with a rate of 23.3 and 0-9 years old with the rate of 7.8, respectively. 49.5 of the infected cases were under 30 years old. 64.1 of the patients had one and 35.9 had two or more ulcers. The most common location of ulcers were on hands (46.6) and then on feet, on face and on the other parts of the body. 75.8 of the patients were infected in Kashan city. The estimated rate for CL incidence was approximately 37.6 cases in 100000 people in Kashan during 2007-2008 Conclusion: The prevalence and incidence rate of CL are higher than expected rate in Kashan city. Such a high prevalence and incident rate is alarming and require control and prevention measures. Further epidemiological investigations of disease particularly CL are suggested

Chemical Polymerization Kinetics of Poly-O-Phenylenediamine and Characterization of the Obtained Polymer in Aqueous Hydrochloric Acid Solution Using K 2

The oxidative chemical polymerization of o-phenylenediamine (OPDA) was studied in hydrochloric acid solution using potassium dichromate as oxidant at 5°C. The effects of potassium dichromate, hydrochloric acid, and monomer concentrations on the polymerization reaction were investigated. The order of reaction with respect to potassium dichromate, hydrochloric acid, and monomer concentration was found to be 1.011, 0.954, and 1.045, respectively. Also, the effect of temperature on the polymerization rate was studied and the apparent activation energy of the polymerization reaction was found to be 63.658 kJ/mol. The obtained polymer was characterized using XPS, IR, UV-visible, and elemental analysis. The surface morphology of the obtained polymers was characterized by X-ray diffraction and transmission electron microscopy (TEM). The TGA analysis was used to confirm the proposed structure and number of water molecules in each polymeric chain unit. The ac conductivity (σac) of (POPDA) was investigated as a function of frequency and temperature. The ac conductivity was interpreted as a power law of frequency. The frequency exponent (s) was found to be less than unity and decreased with the increase of temperature, which confirms that the correlated barrier hopping model was the dominant charge transport mechanism

The effects of acute serotonin challenge on executive planning in patients with obsessive-compulsive disorder (OCD), their first-degree relatives, and healthy controls

© 2020 Springer-Verlag. The final publication is available at Springer via https://doi.org/10.1007/s00213-020-05597-7.Rationale: OCD is characterized by executive function impairment and by clinical responsivity to selective serotonin reuptake inhibitors (SSRIs). Executive planning deficits constitute a candidate endophenotype for OCD. It is not known whether this endophenotype is responsive to acute serotonin manipulation. Objective: To investigate the effects of acute SSRI administration on executive function in patients with OCD, first-degree relatives of patients with OCD and healthy controls. Methods: A randomized double-blind crossover study assessed the effects of single dose escitalopram (20mg) and placebo on executive planning in 24 patients with OCD, 13 clinically unaffected first-degree relatives of patients with OCD and 28 healthy controls. Performance on a Tower of London task measuring executive planning was assessed 4 hours after oral administration of the pharmacological challenge / placebo, and compared across and within groups using a mixed model ANOVA. Results: On the outcome measure of interest, i.e. the mean number of choices to obtain the correct solution, there was a marginally significant effect of group (F(2, 59)=3.1; p=0.052), with patients (Least square [LS] mean: 1.43; Standard Error [SE]: 0.06; 95% confidence interval [CI], 1.31-1.55) and their relatives (LS mean: 1.46; SE: 0.08; 95% CI, 1.30-1.62) performing worse than matched healthy controls (LS mean: 1.26; SE: 0.05; 95% CI, 1.15-1.37) on placebo. There was a trend towards a significant group x treatment interaction (F(2, 58)=2.8, p=0.069), with post hoc tests showing (i) patients (p=0.009; LS mean difference: 0.23; SE: 0.08) and relatives (p=0.03; LS mean difference: 0.22; SE: 0.10) were more impaired compared to controls and (ii) escitalopram was associated with improved executive planning in patients with OCD (p=0.013; LS mean difference: 0.1; SE: 0.04), but not other groups (both p>0.1; controls: LS mean difference: -0.03; SE: 0.04; relatives: LS mean difference: 0.02; SE: 0.05). Conclusion: Our findings are consistent with a view that there is impaired executive planning in OCD, and that this constitutes a behavioral endophenotype. In patients with OCD, but not in relatives, acute SSRI administration ameliorated this deficit. Further investigation is needed to understand common and differential involvement of neurochemical systems in patients with OCD and their relatives.Peer reviewe

Medical Therapies for Uterine Fibroids - A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials

BACKGROUND: Uterine fibroids are common, often symptomatic and a third of women need repeated time off work. Consequently 25% to 50% of women with fibroids receive surgical treatment, namely myomectomy or hysterectomy. Hysterectomy is the definitive treatment as fibroids are hormone dependent and frequently recurrent. Medical treatment aims to control symptoms in order to replace or delay surgery. This may improve the outcome of surgery and prevent recurrence. PURPOSE: To determine whether any medical treatment can be recommended in the treatment of women with fibroids about to undergo surgery and in those for whom surgery is not planned based on currently available evidence. STUDY SELECTION: Two authors independently identified randomised controlled trials (RCT) of all pharmacological treatments aimed at the treatment of fibroids from a list of references obtained by formal search of MEDLINE, EMBASE, Cochrane library, Science Citation Index, and ClinicalTrials.gov until December 2013. DATA EXTRACTION: Two authors independently extracted data from identified studies. DATA SYNTHESIS: A Bayesian network meta-analysis was performed following the National Institute for Health and Care Excellence-Decision Support Unit guidelines. Odds ratios, rate ratios, or mean differences with 95% credible intervals (CrI) were calculated. RESULTS AND LIMITATIONS: A total of 75 RCT met the inclusion criteria, 47 of which were included in the network meta-analysis. The overall quality of evidence was very low. The network meta-analysis showed differing results for different outcomes. CONCLUSIONS: There is currently insufficient evidence to recommend any medical treatment in the management of fibroids. Certain treatments have future promise however further, well designed RCTs are needed

Toll-like receptor 4 and high-mobility group box-1 are involved in ictogenesis and can be targeted to reduce seizures

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