Seroprevalence of hepatitis B virus and its co-infection with hepatitis D virus and hepatitis C virus in Iranian adult population

Context: Hepatitis B virus (HBV) infection is one of the most prevalent public health problems worldwide (especially in developing countries). Aims: This study was carried out to determine the seroprevalence of HBV and its co-infection with hepatitis D (HDV) and C (HCV) viruses in the northeastern part of Iran. Setting and Design: A population-based cross-sectional study in Iran. Materials and Methods: As many as 1,850 subjects were explored for HBsAg. Anti-HDV and anti-HCV antibodies were assessed in HBsAg-positive cases. Statistical Analysis Used: Proportions were compared by Chi-square and Fisher's exact tests. Results: The mean age of subjects was 43.86 ± 11.2 years. The age- and sex-standardized prevalence for HBsAg positivity was 9.7%. It was higher in males than in females (OR: 1.28; 95% CI: 0.9-1.7). The risk of infection in singles was significantly higher than in married cases (OR: 2.13). Eight (5.8%) of HBsAg-positive cases were infected with HDV, and 17 (12.3%) were positive for anti-HCV antibody. Conclusion: This study demonstrates that the prevalence of HBsAg seropositivity in Golestan province of Iran is higher than the levels reported by WHO and previous studies from Iran. It is very important, especially for health providers and policy makers, to recognize the risk factors of HBV infection and its co-infection with HDV and HCV in this area and design effective preventive programs

Optimization of supercritical extraction of nimbin from neem seeds in presence of methanol as co-solvent

Mathematical modeling and optimization of the extraction of nimbin from neemseeds using supercritical carbon dioxide with methanol as co-solvent is the subject of this study. At first a correlation for Sherwood number (Sh) as a function of Reynolds number (Re) and Schmidt number (Sc) was proposed using a Genetic Algorithm (GA) technique. This correlation was compared to previous correlations and was found to give the most accurate results. Moreover, optimum conditions (temperature, pressure, solvent flow rate and particle diameter) which maximizes the extraction yield have been determined using GA. At the next step, methanol was used as a co-solvent and the dynamic equilibrium constant of solute between the solid phase and the solvent was estimated. By applying the new determined equilibrium constant, good agreement between the model and experimental data was observed

Sime Darby goes to Liberia.

This case study discusses the issues arising from Sime Darby Corporation being given a concession agreement to develop 220,000 hectares of land with palm and rubber plantations in Liberia for a period of 63 years. Sime Darby Bhd is a Malaysian multinational company with diverse interests. Its main focus is plantations with its major crops being oil palm and rubber. It has large plantations in Malaysia and Indonesia. With land becoming scarce in Southeast Asia, Sime Darby looked for opportunities in Africa. They found a partner in Liberia which needed foreign investment to revive its economy after two civil wars. While the opportunities looked great on papers, questions arose over the risks involved

Isolation and Molecular Characterization of a Novel Cytopathogenic Paramyxovirus from Tree Shrews

AbstractA cytopathic infectious agent was isolated from the kidneys of an apparently healthy tree shrew (Tupaia belangeri) that had been captured in the area around Bangkok. The infectivity was propagated in Tupaia fibroblast and kidney cell cultures. Paramyxovirus-like pleomorphic enveloped particles and helical nucleocapsids were observed by electron microscopy and accordingly the infectious agent was termed Tupaia paramyxovirus (TPMV). However, no serological cross-reactions were detected between TPMV and known paramyxoviruses. For the molecular characterization of TPMV an experimental strategy that allows the random-primed synthesis of relatively large cDNA molecules from viral genomic RNA was applied. Nucleotide sequence analysis of a TPMV-specific cDNA fragment (1544 bp) revealed two nonoverlapping partial open reading frames corresponding to paramyxoviral N and P transcription units. Using modified rapid amplification of cDNA ends techniques, a substantial contiguous portion of the viral genome (4065 nt) was elucidated including the complete N and P/V/C genes. The coding strategy of TPMV as well as significant amino acid sequence homologies clearly indicates an evolutionary relationship between TPMV and members of the genus Morbillivirus. Highest homologies were detected between TPMV and Hendra virus (equine morbillivirus), which recently emerged in Australia, causing outbreaks of fatal respiratory and neurological disease in horses and humans

Referral for specialist follow-up and its association with post-discharge mortality among patients with systolic heart failure (from the National Heart Failure Audit for England and Wales)

For patients admitted with worsening heart failure, early follow-up after discharge is recommended. Whether outcomes can be improved when follow-up is done by cardiologists is uncertain. We aimed to determine the association between cardiology follow-up and risk of death for patients with heart failure discharged from hospital. Using data from the National Heart Failure Audit (England & Wales), we investigated the effect of referral to cardiology follow-up on 30-day and one-year mortality in 68 772 patients with heart failure and a reduced left ventricular ejection fraction (HFREF) discharged from 185 hospitals between 2007 to 2013. The primary analyses used instrumental variable analysis complemented by hierarchical logistic and propensity matched models. At the hospital level, rates of referral to cardiologists varied from 6% to 96%. The median odds ratio (OR) for referral to cardiologist was 2.3 (95% confidence interval [CI] 2.1, 2.5), suggesting that, on average, the odds of a patient being referred for cardiologist follow-up after discharge differed approximately 2.3 times from one randomly selected hospital to another one. Based on the proportion of patients (per region) referred for cardiology follow-up, referral for cardiology follow-up was associated with lower 30-day (OR 0.70; CI 0.55, 0.89) and one-year mortality (OR 0.81; CI 0.68, 0.95) compared with no plans for cardiology follow-up (i.e., standard follow-up done by family doctors). Results from hierarchical logistic models and propensity matched models were consistent (30-day mortality OR 0.66; CI 0.61, 0.72 and 0.66; CI 0.58, 0.76 for hierarchical and propensity matched models, respectively). For patients with HFREF admitted to hospital with worsening symptoms, referral to cardiology services for follow-up after discharge is strongly associated with reduced mortality, both early and late

Transport Properties in Ferromagnetic Josephson Junction between Triplet Superconductors

Charge and spin Josephson currents in a ballistic superconductor-ferromagnet-superconductor junction with spin-triplet pairing symmetry are studied using the quasiclassical Eilenberger equation. The gap vector of superconductors has an arbitrary relative angle with respect to magnetization of the ferromagnetic layer. We clarify the effects of the thickness of ferromagnetic layer and magnitude of the magnetization on the Josephson charge and spin currents. We find that 0-\pi transition can occur except for the case that the exchange field and d-vector are in nearly perpendicular configuration. We also show how spin current flows due to misorientation between the exchange field and d-vector.Comment: 6 pages, 8 figure

Low-Energy Ions from Laser-Cooled Atoms

We report the features of an ion source based on two-color photoionization of a laser-cooled cesium beam outsourced from a pyramidal magneto-optical trap. The ion source operates in continuous or pulsed mode. At acceleration voltages below 300 V, it delivers some ten ions per bunch with a relative energy spread ΔUrms/U≃0.032, as measured through the retarding field-energy-analyzer approach. Space-charge effects are negligible thanks to the low ion density attained in the interaction volume. The performances of the ion beam in a configuration using focused laser beams are extrapolated on the basis of the experimental results. Calculations demonstrate that our low-energy and low-current ion beam can be attractive for the development of emerging technologies requiring the delivery of a small amount of charge, down to the single-ion level and its eventual focusing in the 10-nm range

Spine deviations and orthodontic treatment of asymmetric malocclusions in children

Background: The aim of this randomized clinical trial was to assess the effect of early orthodontic treatment for unilateral posterior cross bite in the late deciduous and early mixed dentition using orthopedic parameters. Methods: Early orthodontic treatment was performed by initial maxillary expansion and subsequent activator therapy (Münster treatment concept). The patient sample was initially comprised of 80 patients with unilateral posterior cross bite (mean age 7.3 years, SD 2.1 years). After randomization, 77 children attended the initial examination appointment (therapy = 37, control = 40); 31 children in the therapy group and 35 children in the control group were monitored at the follow-up examination (T2). The mean interval between T1 and T2 was 1.1 years (SD 0.2 years). Rasterstereography was used for back shape analysis at T1 and T2. Using the profile, the kyphotic and lordotic angle, the surface rotation, the lateral deviation, pelvic tilt and pelvic torsion, statistical differences at T1 and T2 between the therapy and control groups were calculated (t-test). Our working hypothesis was, that early orthodontic treatment can induce negative therapeutic changes in body posture through thoracic and lumbar position changes in preadolescents with uniltaral cross bite. Results: No clinically relevant differences between the control and the therapy groups at T1 and T2 were found for the parameters of kyphotic and lordotic angle, the surface rotation, lateral deviation, pelvic tilt, and pelvic torsion. Conclusions: Our working hypothesis was tested to be not correct (within the limitations of this study). This randomized clinical trial demonstrates that in a juvenile population with unilateral posterior cross bite the selected early orthodontic treatment protocol does not affect negatively the postural parameters

Effect of point-contact transparency on coherent mixing of Josephson and transport supercurrents

The influence of electron reflection on dc Josephson effect in a ballistic point contact with transport current in the banks is considered theoretically. The effect of finite transparency on the vortex-like currents near the contact and at the phase difference $\phi =\pi ,$ which has been predicted recently \cite{KOSh}, is investigated. We show that at low temperatures even a small reflection on the contact destroys the mentioned vortex-like current states, which can be restored by increasing of the temperature.Comment: 6 pages, 8 Figures, Latex Fil