Different features in Wegener's granulomatosis: Report of five cases

Wegener's granulomatosis (WG) is an autoimmune inflammatory condition. It is often a rapidly progressive and potentially fatal disease. The clinical presentation of WG can be so diverse that the list of its differential diagnosis is vast, ranging from infectious diseases to other vasculitis (e.g. Behcet's disease), as well as malignancies. The exact aetiology of WG remains unclear. The upper airway diseases including sinusitis, oral lesions and otitis media are the most common presenting features of WG. In this paper, we have described 5 WG cases. They had different presentations and chief complaints. Some of them presented with upper airways diseases, while the others mainly suffered from the manifestations of pulmonary involvement. Although all of them were finally diagnosed as WG cases, the processes of the work up for the diagnosis as well as the outcome of the disease were not the same. So, the diversities in the presentation should be mentioned in the management of the WG suspected patients

Dynamic recrystallization mechanisms and twining evolution during hot deformation of Inconel 718

The hot deformation behavior of an IN718 superalloy was studied by isothermal compression tests under the deformation temperature range of 950–1100 °C and strain rate range of 0.001–1 s-1 up to true strains of 0.05, 0.2, 0.4 and 0.7. Electron backscattered diffraction (EBSD) technique was employed to investigate systematically the effects of strain, strain rate and deformation temperature on the subgrain structures, local and cumulative misorientations and twinning phenomena. The results showed that the occurrence of dynamic recrystallization (DRX) is promoted by increasing strain and deformation temperature and decreasing strain rate. The microstructural changes showed that discontinuous dynamic recrystallization (DDRX), characterized by grain boundary bulging, is the dominant nucleation mechanism in the early stages of deformation in which DRX nucleation occurs by twining behind the bulged areas. Twin boundaries of nuclei lost their ¿3 character with further deformation. However, many simple and multiple twins can be also regenerated during the growth of grains. The results showed that continuous dynamic recrystallization (CDRX) is promoted at higher strains and large strain rates, and lower temperatures, indicating that under certain conditions both DDRX and CDRX can occur simultaneously during the hot deformation of IN718.Peer ReviewedPostprint (author's final draft

Prevalence of smoking among the students resided at dormitories in Golestan university of medical sciences, Iran

Introduction: Cigarette smoking leads to harmful physical and emotional problems and also is a predisposed factor for the addiction. The aim of this study was an attempt to determine the rate of prevalence and causes of smoking among the students of Golestan University of Medical Sciences who resided in the dormitories. Material & Methods: A cross-sectional analytical study conducted among the resident students of dormitories in 2010. The sample size consisted of all the university dormitory students. The data gathered using a validated and reliable questionnaire. The data analyzed using SPSS software and statistical tests including Chi-square, Logistic regression and Independent t-test. Results: Of 669 students, 538 (80%) of them filled out the questionnaires completely. 67.3% (362 subjects) were female. 6.1% (33 students) were smoker and 83.5% of them had experiences of cigarette smoking. The most important reasons for the smoking tendency were “having a smoker friend in 33%, a personal interest 27% and as hobby in 24% of the cases”. There were significant relation between “age, sex, region and year of education” with smoking (P0.05). Conclusion: The results indicated low prevalence of cigarette smoking among the students. However, preventive measures should be taken to conduit youth toward healthier behaviors. It seems parental control and monitoring children’s friend finding are crucial issue. © 2014, Bangladesh Journal of Medical Science. All rights reserved

Synthetic dye decolorization by three sources of fungal laccase

Decolorization of six synthetic dyes using three sources of fungal laccase with the origin of Aspergillus oryzae, Trametes versicolor, and Paraconiothyrium variabile was investigated. Among them, the enzyme from P. variabile was the most efficient which decolorized bromophenol blue (100%), commassie brilliant blue (91%), panseu-S (56%), Rimazol brilliant blue R (RBBR; 47%), Congo red (18.5%), and methylene blue (21.3%) after 3 h incubation in presence of hydroxybenzotriazole (HBT; 5 mM) as the laccase mediator. It was also observed that decolorization efficiency of all dyes was enhanced by increasing of HBT concentration from 0.1 mM to 5 mM. Laccase from A. oryzae was able to remove 53% of methylene blue and 26% of RBBR after 30 min incubation in absence of HBT, but the enzyme could not efficiently decolorize other dyes even in presence of 5 mM of HBT. In the case of laccase from T. versicolor, only RBBR was decolorized (93%) in absence of HBT after 3 h incubation. © 2012 Forootanfar et al.; licensee BioMed Central Ltd

Diagnostic Accuracy of Portable Ultrasonography in Confirmation of Adequate Reduction of Distal Radius Fracture

Background: Distal radius fracture (DRF) is one of the most common injury presented to the emergency ward and compromise about one sixth of fractures managed by emergency physiciansMethods: This study was performed in ED of two regional hospitals in eastern part of Iran, with combined census of 150,000 patients per year, serving a largely low-income population.Results: Thirty patients were enrolled during the study period. Five patients required repeated M&R, one refuses to continue and 4 patients were reduced for the second time. Conclusion: In the present study we show that US-guided DRF reduction has high sensitivity and specificity to diagnosed reduction adequacy in comparison with standard radiography

Association between CTLA-4 gene polymorphism and the risk of systemic lupus erythematosus: Brief report

Background: Cytotoxic lymphocyte antigen-4 (CTLA-4) plays an important role in regulating T cell activation. CTLA-4 gene polymorphisms are related with genetic susceptibility to various autoimmune diseases, including systemic lupus erythematosus (SLE). We analyzed the role of CTLA-4 polymorphisms at positions -318CT in patients who suffer from SLE. Methods: This study was performed on 180 SLE patients referred to 5th Azar University Hospital in Gorgan, Iran. Three hundred and four ethnically-and age-matched healthy controls with no history of autoimmune diseases entered the study between 5th May 2008 and 23rd October 2009. DNA was extracted from blood samples according to the standard procedure. Polymerase chain reaction- restriction fragments length polymorphism (PCR-RFLP) was used to analyze the genotype and allele frequencies of this polymorphism. PCR was carried out using the following primers: forward 5′- AAATGAATTGGACTGGATGGT-3′ and reverse 5′-TTACGAGAAAGGAAGCCGT G-3′. The frequency of alleles and genotypes were assessed using direct counting. Chisquare test and Fisher’s exact test were used to compare the association between the alleles and genotype frequencies and SLE. P<0.05 were considered statistically significant. Results: The CC genotype was observed in 94.5% of the SLE patients and 82.4% of the controls; the difference was statistically significant (P=0.0001, OR=3.51, CI95%=1.77- 7.53). The CT genotype, on the other hand, was more frequently observed in the control group (17.1% vs. 5.5%, P=0.0001, OR=0.28). T allele was significantly more common in the controls compared to SLE patients (P=0.0001, OR=0.26, CI95%=0.13-0.53). Conclusion: Our results suggest that the -318C/T polymorphism of CTLA-4 gene might play a significant role in the genetic susceptibility to SLE. Therefore, further studies on populations, especially from other Middle East countries, are needed to confirm our results. © 2015, Tehran University of Medical Sciences. All Rights Reserved

Risk measurement in the global supply chain using monte-carlo simulation

Abstract Nowadays, logistics and supply chain management (SCM) is critical to compete in the current turbulent markets. In addition, in the global context, there are many uncertainties which affect on the market. One of the most important risks is supplier disruption. The first step to cope with these uncertainties is quantifying them. In this regard many researches have focused on the problem but measurement of the risk in the global SCM is yet a challenge. In the uncertain conditions, simulation is a good tool to study the system. This paper aims to study a global supply chain with related risks and measurement of the risks using simulation. Global aspects considered in the paper are: 1-currency exchange rate, 2-extended leadtime for abroad supplies, 3-regional and local uncertainties. In this regard, two popular risk measurement approaches (VaR and CVaR) are used in the simulation of uncertainties in the global supply chain. Results showed that adopting risk averse behavior to cope with the uncertainties leads to the lower stockouts and also higher costs

No evidence of association between CTLA-4 polymorphisms and systemic lupus erythematosus in Iranian patients

Aim: Cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) is an important negative regulator of T-cell responses. CTLA-4 polymorphisms have been confirmed to be associated with several autoimmune diseases such as systemic lupus erythematosus (SLE). We analyzed the role of CTLA-4 polymorphism at positions -1661 and -1722 in Iranian patients suffering from SLE. Methods: One hundred and eighty SLE patients and 304 ethnically and age-matched healthy controls were studied. Polymerase chain reaction restriction fragments length polymorphism (PCR-RFLP) was used to analyze the genotype and allele frequencies of these polymorphisms. Results: There was no significant association between the studied genotypic and allelic frequencies between SLE patients and the controls. Although the TC genotype in 1722TC polymorphism was more common among the control group, the correlation was not statistically significant. Conclusion: Our results suggest that the -1661AG and -1722TC polymorphisms in the promoter region of the CTLA-4 gene does not play any role in genetic susceptibility to SLE. However, further studies on larger sample sizes are needed to approve our results. © 2013 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd

Insights on biodiesel blends with alkanol solvents

Thermophysical properties of mixtures of fatty acid esters with alkanols were measured in the whole composition range as a function of temperature for understanding features of biodiesel blends. Excess and mixing properties calculated from experimental measurements allowed to quantify and analyze the intermolecular forces in the considered systems. Likewise, molecular modelling studies using quantum chemistry and classical molecular dynamics simulations led to a detailed characterization of these systems at the nanoscopic level. The nature of hydrogen bonding in these liquid mixtures was particularly analyzed from macroscopic properties and theoretical modelling results. The reported experimental and computational study allowed to infer the relationships between the intermolecular forces and additional microscopic features and the mixtures macroscopic properties, which are relevant for the development and characterization of biodiesels. The non-ideality behavior of the studied systems shows relevant changes in hydrogen bonding structuring upon mixing, with the fatty acid esters largely disrupting the alcohols self-association, although ester – alcohol hydrogen bonding is developed, this type of interactions is remarkably weaker than those for alcohols. Therefore, the studied biodiesel blends macroscopic properties may be tuned and controlled through the amount of alcohols in the mixtures and rooted on its effect on hydrogen bonding.Shiraz University of Technology (Iran), Junta de Castilla y León (Spain, project BU094G18) and Ministerio de Ciencia, Innovación y Universidades (Spain, project RTI2018-101987-B-I00) for supporting this project. We also acknowledge SCAYLE (Supercomputación Castilla y León, Spain) for providing supercomputing facilities

Density Functional Theory Study of B 6 C 4 Si Cluster as a Novel Drug Carrier

ABSTRACT The aim of the present study was to prepare new cluster (B 6 C 4 Si) as an antibiotic carrier. Density functional theory (DFT) method at the B3LYP level of theory in conjugate with the 6-311G** basis set was used to evaluate the interaction between B 6 C 4 Si cluster and Penicillin. From NMR shielding calculations, it can be seen that the penicillin connects stronger to B 6 C 4 Si cluster in positive charges than negative charge. Thus by creating positive field, penicillin can be connected to the B 6 C 4 Si cluster and delivered easily by using a negative filed