Two-dimensional and volumetric airway changes after bimaxillary surgery for class III malocclusion

OBJECTIVES: Any change in maxilla and mandible position can alter the upper airway, and any decrease in the upper airway can cause sleep disorders. Thus, it is necessary to assess airway changes after repositioning of the maxilla and mandible during orthognathic surgery. The purpose of this study was to evaluate linear and volumetric changes in the upper airway after bimaxillary surgery to correct class III malocclusion via cone-beam computed tomography (CBCT) and to identify correlations between linear and volumetric changes. MATERIALS AND METHODS: This was a prospective cohort study. CBCTs from 10 class III patients were evaluated before surgery and three months after. The Wilcoxon one-sample test was used to evaluate the differences in measurements before and after surgery. Spearman's rank correlation coefficient was used to test the correlation between linear and volumetric changes. RESULTS: The results show that the nasopharyngeal space increased significantly, and that this increase correlated with degree of maxillary advancement. No significant changes were found in volumes before and after surgery. A correlation was found between linear and volumetric oropharyngeal changes. CONCLUSION: Bimaxillary surgical correction of class III malocclusion did not cause statistically significant changes in the posterior airway space.

Does sildenafil enhance the effect of tamsulosin in relieving acute urinary retention?

Objective To compare the safety and efficacy of combined therapy using sildenafil and tamsulosin for management of acute urinary retention (AUR) with tamsulosin alone in patients with benign prostate hyperplasia (BPH). Materials and Methods 101 patients were enrolled in a randomized placebo-controlled study from June 2009 to April 2012. Patients presenting with an initial episode of spontaneous AUR underwent urethral catheterization and then prospectively randomized to receive tamsulosin 0.4mg plus sildenafil 50mg in group A and tamsulosin 0.4mg plus placebo in group B for three days. Urethral catheter was removed three days after medical treatment and patient’s ability to void assessed at the day after catheter removal and seven days later. Patients who voided successfully were followed at least for three months. Results Mean age of patients was 59.64 ± 3.84 years in group A and 60.56 ± 4.12 years in group B (p value = 0.92). Mean prostate volume and mean residual urine were comparable between both groups (p value = 0.74 and 0.42, respectively). Fifteen patients in group A (success rate: 70%) and nineteen patients in group B (success rate: 62.7%) had failed trial without catheter (TWOC) at 7th day following AUR (p value = 0.3). No significant difference was noted between both groups regarding the rate of repeated AUR at one month and three month follow-up period (p = 0.07 and p = 0.45, respectively). Conclusion It seems that combination therapy by using 5-phosphodiesterase inhibitor and tamsulosin has no significant advantages to improve urinary retention versus tamsulosin alone. .

Gastrointestinal helminthes of green-winged teal (Anas crecca) from North Iran

<p><b>OBJECTIVE</b>To determine the helminth parasites of Anas crecca (A. crecca) in one of proper refuges of Iran, Fereydunkenar.</p><p><b>METHODS</b>A total number of one hundred thirty-six gastrointestinal tracts of green-winged teal (A. crecca) were collected from Fereydunkenar, Mazandaran province during September and October 2011. The gastrointestinal tracts were examined for helminth infection.</p><p><b>RESULTS</b>The total infection rate was 70.50% (96) that 68.96% (40) of males and 71.79% (56) of females shown helminthes infection. The examined A. crecca harbored one species of Nematoda, Cestoda and two species of Digenea which were as following: Contracaecum larvae (from stomach wall), Diorchis stefanskii (D. stefanskii) (from small intestine), Hypoderaeum conoideum (from small intestine) and Notocotylus attenuatus (N. attenuatus) (from caecum), respectively. There was no significant difference in the prevalence of infection between examined males and females ducks in Hypoderaeum conoideum, D. stefanskii and N. attenuatus (P>0.05) whereas a significant relationship was observed between males and females in Contracaecum larvae (P<0.05).</p><p><b>CONCLUSIONS</b>Based on the results of the present study, we conclude that A. crecca plays a prominent role in transmission of mentioned parasites. In addition, this is the first report of Contracaecum larvae, D. stefanskii and N. attenuatus from A. crecca in Iran.</p>

Cattle fascioliasis in Gilan Province, Iran

Fasciolais a well-known parasite with a worldwide distribution and huge implications for the economic performance of domesticated herbivorous animals. It also caused deleterious effects on human health. It is prevalent in most parts of Iran, but especially in Gilan province. During 2005, 445 fecal samples taken directly from the rectum of local cattle in three different regions of Gilan and were subjected to coprological examination using saturated zinc and sodium chloride solution. The sex, age and locality of cattle were recorded. Our findings revealed an overall infection rate of 32% with the highest rate [55.2%] occurring in Talesh. No significant relationship was found between sex or age [P=0.65] and infection. Despite this, in contrast to the longheld assumption that adult cattle develops resistance to infection, our findings showed no difference between the rates of infection and the mean number of Egg Per Gram [EPG] in young and old cattle. The rate of infection in 5,820 slaughtered cattle showed that the fascioliasis is more prevalent among the animals examined in Talesh Region [P<0.01]. Meanwhile, there was a direct relationship between the amount of rainfall and the rate of infection [r=0.98, P<0.01]. The determination of Fasciola species in the liver of 70 native cattle revealed that 50 [71.4%] harbored F. gigantic, 14 [20%] had F. hepatica, and six [8.5%] had F. hepatica and F. gigantica. Therefore, F. gigantica was the dominant species in the studied areas