Neglected foreign body aspiration mimicking bronchial carcinoma

Foreign body aspiration can occur in any age group, but it is more commonly seen in children. In adults, there is usually a predisposing condition that poses a risk of aspiration. If aspiration occurs, prompt diagnosis and extraction of the foreign body is needed to prevent early and late complications. We report a rare case of neglected foreign body aspiration in a 45-year-old schizophrenic opium addicted patient, which resulted in an occlusive lesion in the bronchus, mimicking bronchial carcinoma. © The Author(s) 2015

Massive malignant pleural effusion due to lung adenocarcinoma in 13-year-old boy

A 13-year-old boy with no risk factors for lung cancer presented with a massive left-sided pleural effusion and a mediastinal shift on chest radiography and computed tomography. A chest tube drained bloody pleural fluid with an exudative pattern. A pleural biopsy and wedge biopsy of the left lower lobe revealed mucinous adenocarcinoma in the left lower lobe wedge biopsy and metastatic adenocarcinoma in the pleural biopsy. The patient is currently undergoing chemotherapy. Radiotherapy is planned after shrinkage of the tumor. Adenocarcinoma of the lung is very rarely seen in teenagers or children, especially in the absence of risk factors. © SAGE Publications

ISTRAŽIVANJE OPERACIJA MINIRANJA KORISTEĆI METODU ODLUČIVANJA

Blasting is one of the most important operations in the mining projects. Inappropriate blasting pattern may lead to unwanted events such as poor fragmentation, back break, fly rock etc. and affect the whole operation physically and economically. In fact selecting of the most suitable pattern among previously performed patterns can be considered as a Multi Attribute Decision MakingMiniranje je jedna od najvažnijih operacija pri projektiranju u rudarstvu. Nedovoljno dobar uzorak može pridonijeti nastanku neželjenih događaja kao što su fragmentizacija, pucanje, \u27fly rock\u27 itd. te utjecati na razvoj cijele operacije fizički i ekonomski. U principu, odabir najboljeg uzorka može se smatrati važnom odlukom

The effects of prolonged vegetative reproduction of the two Iranian olive cv. tree cultivars (Dezful Baghmalek and Dezful Safiabad) on morphological traits

Somaclonal variation of the two Iranian olive cultivars named Dezful Baghmalek (DB) and Dezful Safiabad (DS) during the long-term propagation among 7 subcultures were evaluated. Morphological traits such as leaf length, leaf width, number of leaves on shoot, the length of shoots, internode distance and rooting percentage were measured. The study results showed that DB affected somaclonal variations more than the DS cultivar, especially rooting percentage, but the DS cultivar had a steady behavior, especially rooting percentage, during several subcultures. Although in all the traits that were fluctuating, irregular and unpredictable changes such as the length of shoots were observed, the most significant trait that was studied with almost a similar vibration in the two cultivars were leaf length and width changes measures. Totally, we could not select any specific subculture period for the creation of the maximum satisfied morphological changes, because it was suitable for increasing the internode distance (DB) and leaf length which were in the second and seventh subcultures that were optimized. Consequently, it was suitable for DS in the seventh subculture. For the purpose of accomplishing the proper morphological changes in the length of shoots, number of leaves and enhancement of rooting percentage in DB cultivar and also, internode distance and leaf width increase in DS cultivar, somaclonal variation during several subcultures will be appropriate.Key words: Olea europaea L., somaclonal variation, Dezful cultivars

Efecto del hongo entomopatógeno Beauveria bassiana en el control de garrapatosis en ganado bovino

This study was carried out to determine the effect of the entomopathogenic fungus Beauveria bassiana on the control of ticks in cattle. In total, 20 Fleckvieh female cattle were distributed in five treatments: T1 = control group, T2 = excipients (water + 0.6 ml of surfactant), T3 = 1.2x107 conidia (80 g of fungus + 0.2 ml surfactant), T4 = 2.4 x107 conidia (160 g of fungus + 0.4 ml of surfactant), T5 = 3.6x107 conidia (240 g of fungus + 0.6 ml of surfactant). The fungus was washed with water and surfactant to detach them from the substrate and then applied to the cattle by thick-drop spraying. The tick count was performed in six areas (neck table, groin, armpit) on days 0 (before treatment), 1, 2, 3, 5, 7, 9, 11 and 14. The significant decrease in the number of ticks were observed from day 7 on T3, T4, T5. The decrease in ticks on day 14 was 99% in T5, while in T3 and T4 it was 91 and 82%, respectively.La investigación fue realizada para determinar el efecto del hongo entomopatógeno Beauveria bassiana en el control de garrapatas en ganado bovino. Se trabajó con 20 bovinos hembra de raza Fleckvieh distribuidos en cinco tratamientos: T1= grupo control, T2= excipientes (agua + 0.6 ml de surfactante), T3= 1.2x107 conidias (80 g de hongo + 0.2 ml surfactante), T4= 2.4x107 conidias (160 g de hongo + 0.4 ml de surfactante), T5 = 3.6x107 conidias (240 g de hongo + 0.6 ml de surfactante). El hongo fue lavado con agua y surfactante, con el fin de desprenderlas del sustrato para luego ser aplicado a los bovinos por medio de aspersión por gota gruesa. El conteo de garrapatas se realizó en seis zonas (tabla del cuello, entrepierna, axila) los días 0 (antes del tratamiento), 1, 2, 3, 5, 7, 9, 11 y 14. La disminución significativa en el número de garrapatas se observó a partir del día 7 en T3, T4, T5. La disminución de garrapatas en el día 14 fue de 99% en T5, mientras que en T3 y T4 fue de 91 y 82%, respectivamente

The effect of aminoguanidine on sperm motility and mitochondrial membrane potential in varicocelized rats

Objective(s): Increased levels of nitric oxide (NO) in the testicular veins of people suffering from varicocele have already been reported. However, the role of NO-synthase (NOS) isozymes and their inhibitors have not been extensively studied. We aimed to evaluate the inhibitory effects of aminoguanidine (AG), on sperm motility, vitality, and mitochondrial membrane potential (MMP) in varicocelized rats. Materials and Methods: Twenty fore male Wister rats were divided into control, sham, varicocele, and treatment groups. Varicocele and treatment groups underwent partial ligation of left renal vein. Rats in the sham group underwent the same procedures as the varicocele group with the exception of vein ligation. 10 weeks after varicocele induction, sperm parameters were evaluated in all groups. The treatment group received 50 mg/kg AG injection daily for 10 weeks after which they were sacrificed prior to assessment of the parameters. Sperm viability and MMP were assessed by flow cytometry using propidium iodide (PI) and rhodamine 123 (Rh123), respectively. Results: The results of this study show a decrease in sperm viability, motility and MMP in the varicocele group compared with the other groups. After AG injection, we observed that all the parameters were significantly enhanced in the treatment group compared with the other groups. Rh123 staining revealed a positive relation between MMP and sperm motility, whereas PI staining showed a positive relation between sperm motility and viability. Conclusion: The findings of our study show that AG improves sperm motility and MMP, and thus, might be useful in the management of varicocele-related infertility. © 2016, Mashhad University of Medical Sciences. All rights reserved

Reversible Pulmonary Hypertension and Isolated Right-sided Heart Failure Associated with Hyperthyroidism

Hyperthyroidism may present with signs and symptoms related to dysfunction of a variety of organs. Cardiovascular pathology in hyperthyroidism is common. A few case reports describe isolated right heart failure, tricuspid regurgitation, and pulmonary hypertension as the prominent cardiovascular manifestations of hyperthyroidism. Although most textbooks do not mention hyperthyroidism as a cause of pulmonary hypertension and isolated right heart failure, the literature suggests that some hyperthyroid patients may develop reversible pulmonary hypertension and isolated right heart failure. We report a case of hyperthyroidism presenting with signs and symptoms of isolated right heart failure, tricuspid regurgitation, and pulmonary hypertension, which resolved with treatment of hyperthyroidism

Aplastic anemia associated with interferon alpha 2a in a patient with chronic hepatitis C virus infection: a case report

<p>Abstract</p> <p>Introduction</p> <p>Hepatitis-associated aplastic anemia is a common syndrome in patients with bone marrow failure. However, hepatitis-associated aplastic anemia is an immune-mediated disease that does not appear to be caused by any of the known hepatitis viruses including hepatitis C virus. In addition, to the best of our knowledge there are no reported cases of patients with chronic hepatitis C virus infection developing aplastic anemia associated with pegylated interferon alpha 2a treatment.</p> <p>Case presentation</p> <p>We report the case of a 46-year-old Greek man who developed severe aplastic anemia during treatment with pegylated interferon alpha 2a for chronic hepatitis C virus infection. He presented with generalized purpura and bruising, as well as pallor of the skin and mucous membranes. His blood tests showed pancytopenia. He underwent allogeneic bone marrow transplantation after completing two courses of immunosuppressive therapy with antithymocyte globulin and cyclosporin A.</p> <p>Conclusions</p> <p>The combination of a specific environmental precipitant represented by the hepatitis C virus infection, an altered metabolic detoxification pathway due to treatment with pegylated interferon alpha 2a and a facilitating genetic background such as polymorphism in metabolic detoxification pathways and specific human leukocyte antigen genes possibly conspired synergistically in the development of aplastic anemia in this patient. Our case clearly shows that the causative role of pegylated interferon alpha 2a in the development of aplastic anemia must not be ignored.</p

A randomized clinical trial comparing hydrocolloid, phenytoin and simple dressings for the treatment of pressure ulcers [ISRCTN33429693]

BACKGROUND: Pressure sores are important and common complications of spinal cord injury. Many preventive and therapeutic approaches have been tried and new trials are evolving. One relatively recent method is application of a hydrocolloid dressing (HD). In this study we compared the therapeutic effects of HD on pressure ulcer healing with two other topical applications, phenytoin cream (PC) and simple dressing (SD). METHODS: Ninety-one stage I and stage II pressure ulcers of 83 paraplegic male victims of the Iran-Iraq war were randomly allocated to three treatment groups. Mean age and weight of the participants were 36.64 ± 6.04 years and 61.12 ± 5.08 kg, respectively. All the patients were managed in long term care units or in their homes for 8 weeks by a team of general practitioners and nurses, and the ulcer status was recorded as "Complete healing", "Partial healing", "Without improvement" and "Worsening". RESULTS: Complete healing of ulcers, regardless of location and stage, was better in the HD group than the PC [23/31(74.19%) vs 12/30(40%); difference: 34.19%, 95% CI = 10.85–57.52, (P < 0.01)] or the SD [23/31(74.19%) vs 8/30(26.66%); difference: 47.53%, 95% CI = 25.45–69.61, (P < 0.005)] groups. Complete healing of stage I ulcers in the HD group [11/13(85%)] was better than in the SD [5/11(45%); difference: 40%, 95% CI = 4.7–75.22, (P < 0.05)] or PC [2/9 (22%); difference: 63%, 95% CI = 29.69–96.3, (P < 0.005)] groups. Complete healing of stage II ulcer in the HD group [12/18 (67%)] was better than in the SD group [3/19(16%); difference: 51%, 95% CI = 23.73–78.26, (P < 0.005)], but not significantly different from the PC group [10/21 (48%); difference: 19%, 95% CI = -11.47–49.47, (P > 0.05)]. We performed a second analysis considering only one ulcer per patient (i.e. 83 ulcers in 83 patients). This "per patient" analysis showed that complete ulcer healing in the HD group was better than in the PC [20/28(71.4%) vs 11/28 (39.3%); difference: 32.1%, 95% CI = 7.4–56.7, (P < 0.01)] or SD [20/28(71.4%) vs 8/27 (29.6%); difference: 41.8%, 95% CI = 17.7–65.8, (P < 0.005)] groups. CONCLUSION: We deduced that HD is the most effective method investigated for treating stage I and II pressure ulcers in young paraplegic men

Entrepreneurial intentions and entrepreneurship education to University students in Portugal

[EN] This article analyzes entrepreneurial intentions and motivations that encourage university students of Tourism to create their own company. Methodology is based on an empirical study, using a questionnaire adapted from a model of Veciana and Urbano (Actitudes de los estudiantes universitarios hacia la creación de empresas: un estudio empírico comparativo entre Catalunya y Puerto Rico. El emprendedor innovador y la creación de empresas de I + D + I, University of Valencia, pp 35 58, 2004), including the desirability and viability concepts. One hundred and sixty students answered the questionnaire from a total study population of 243 official Tourism degree students of the Superior Institute of Accounting and Management of Porto. This research finds out that the university students have a very positive perception about the desire to create their own company; a 90 % of students express their desire to do it, and 83.5 % express their intention. 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