Mechanical properties and durability of cobalt free steel alloy as a developed radioactive waste capsule.

In this work, Cobalt-free alloys are prepared as a capsule in which radioactive waste is placed for disposal, and this is a preventive measure to rid the environment of radioactive waste and bury it deep in the earth in a capsule. So, the buildup factor was measured for 1-5-10-40 MFP. The mechanical properties (hardness and toughness) of the processed samples were studied. The hardness was calculated by the Vickers hardness test additionally; the tolerance process was carried out using concentrated chloride acid for 30 days and NaCl 3.5% for 30 days for the studied samples. In this work the resulted developed alloys are resistant to stainless steel 316 L and therefore the alloys are a suitable material in the nuclear field as a container for burying and disposing of waste.

Prophylactic antibiotics in acute pancreatitis: endless debate.

INTRODUCTION The development of pancreatic infection is associated with the development of a deteriorating disease with subsequent high morbidity and mortality. There is agreement that in mild pancreatitis there is no need to use antibiotics; in severe pancreatitis it would appear to be a logical choice to use antibiotics to prevent secondary pancreatic infection and decrease associated mortality. MATERIALS AND METHODS A non-systematic review of current evidence, meta-analyses and randomized controlled trials was conducted to assess the role of prophylactic antibiotics in acute pancreatitis and whether it might improve morbidity and mortality in pancreatitis. RESULTS Mixed evidence was found to support and refute the role of prophylactic antibiotics in acute pancreatitis. Most studies have failed to demonstrate much benefit from its routine use. Data from our unit suggested little benefit of their routine use, and showed that the mortality of those treated with antibiotics was significantly higher compared with those not treated with antibiotics (9% vs 0%, respectively, P = 0.043). In addition, the antibiotic group had significantly higher morbidity (36% vs 5%, respectively, P = 0.002). CONCLUSIONS Antibiotics should be used in patients who develop sepsis, infected necrosis-related systemic inflammatory response syndrome, multiple organ dysfunction syndrome or pancreatic and extra-pancreatic infection. Despite the many other factors that should be considered, prompt antibiotic therapy is recommended once inflammatory markers are raised, to prevent secondary pancreatic infection. Unfortunately, there remain many unanswered questions regarding the indications for antibiotic administration and the patients who benefit from antibiotic treatment in acute pancreatitis.

Functional finishes of stretch cotton fabrics.

Functionalized cotton cellulose/spandex woven fabrics with different structures namely plain (1/1), twill (2/2) and satin were produced. Factors affecting the imparted functional properties such as weave structure and constituents of the finishing formulations including ether or ester cross-linker and catalyst type, silicone-micro-emulsion, water/oil repellent, Ag-NP(,)s and TiO2-NP(,)s were studied. The treated fabrics were found to have easy care property together with one or more of the imparted functional properties such as soft-handle, water/oil repellence, antibacterial, UV-protection and self cleaning. The effectiveness of the imparted properties is not seriously affected even after 10 washing cycles. Surface modifications as well as the composition of certain samples were confirmed by SEM images and EDX spectra. Mode of interactions was also suggested.

Multiple eccrine hidrocystomas of the face.

BACKGROUND: Multiple eccrine hidrocystomas of the face are a rare facial dermatosis for which no recent large series of cases has been reported. OBJECTIVE: To describe the clinicopathologic features of five cases of multiple eccrine hidrocystoma and to emphasize their similar characteristics. METHODS: The clinical and histologic features of five women with multiple eccrine hidrocystomas of the face are described. RESULTS: All cases were middle-aged women with numerous, asymptomatic, skin-colored to bluish, papulonodular skin lesions, ranging from 2 to 5 mm in diameter, and mainly centrifacial in distribution. Histopathologically, all cases showed unilocular cysts in the dermis lined by two layers of cuboidal cells. Staining for S-100 protein was negative in the cyst wall in all cases. One case was treated with topical 1% atropine for 3 weeks with no significant improvement. No systemic side-effects were observed during this treatment. CONCLUSIONS: Multiple eccrine hidrocystomas are a rare condition which might be confused clinically and histopathologically with apocrine hidrocystomas. To date, no effective treatment has been reported.

Darier-White disease in a Saudi patient associated with systemic involvement.

A 22 year-old Saudi patient is reported who had Darier-White disease (Keratosis follicularis), presenting with the classical cutaneous manifestation of this disease in addition to systemic symptoms, including chronic renal failure, mental retardation, epilepsy, cataract and corneal opacities.

Value of touch preparations (imprints) for diagnosis of cutaneous leishmaniasis.

BACKGROUND: The clinical diagnosis of cutaneous leishmaniasis is confirmed by demonstrating the organism on a superficial smear or on a biopsy of the lesion. Misdiagnosis in a biopsy specimen may be due to scanty Leishmania organisms that may not be identified in histologic sections. METHODS: Punch biopsies of skin lesions, suspected clinically to be cutaneous leishmaniasis, from 29 patients were taken. Touch smears on slides were air-dried, fixed with methyl alcohol, and stained with Giemsa stain. Results of routine histologic examination were then compared with those of touch preparation. RESULTS: Twenty-one cases were positive for leishmaniasis. In 18 cases, the organisms were seen both in the biopsy and in the touch preparation. In three cases, the organisms were only identified on touch preparation. CONCLUSIONS: A touch preparation improves the sensitivity of the diagnosis of cutaneous leishmaniasis without incurring additional cost to the laboratory.

Cutaneous leishmaniasis: schedules for intralesional treatment with sodium stibogluconate.

BACKGROUND: Various therapeutic modalities have been used for treating cutaneous leishmaniasis. Intralesional pentavalent antimonial injection is one of the effective therapeutic modalities. In this study, the efficacy of three different intralesional schedules with sodium stibogluconate have been investigated. METHODS: Ninety-six patients with 129 lesions were entered into the study, all with confirmed diagnosis of cutaneous leishmaniasis. The lesions were treated with three different schedules, including daily, alternate day, and weekly interlesional injections of sodium stibogluconate. The clinical response was then compared to arrive at the most effective schedule. RESULTS: The clinical responses (complete and partial cure) were 67%, 97%, and 91% for the daily, alternate-day, and weekly schedules, respectively. Lesions with either partial cure or failure of treatment were injected weekly with the same medication until complete cure had been achieved. The final overall success rate of complete cure was 99.2%. CONCLUSIONS: Alternate day or weekly intralesional treatment of cutaneous leishmaniasis with sodium stibogluconate are more effective than daily treatments.

An immunoradiometric assay for von Willebrand factor antigen to assess angiogenesis.

A method of determining the degree of vascularization of tissues would be of great value in dermatological research such as the investigation of neoangiogenesis in wounds and in the study of the vascular abnormality in psoriasis. We describe an adaptation of an immunoradiometric assay (IRMA) for von Willebrand factor antigen for this purpose. The results show that in endothelial cells in culture there was a good relationship between the number of cells and von Willebrand factor antigen measured by the IRMA. The relationships between the numbers of endothelial cells in biopsies of normal and healing wound skin as estimated by the histometric technique and the IRMA are less good (r = 0.45 and 0.32, respectively) but suggest that there is a positive and proportionate variation. There is a much stronger relationship (r = 0.79) between the biochemical and histometric methods in psoriatic skin.

Assessment of disease severity and outcome in the gravitational syndrome using pulsed A-scan ultrasound to measure skin thickness.

In order to investigate the prognostic significance of skin thickening in the gravitational syndrome, 54 patients and 10 normal control subjects were studied. Patients were investigated using a standard questionnaire, as well as recording the results of clinical history and a physical examination. To quantify the severity of the syndrome, an index of disease severity was devised on the basis of the clinical findings. Skin thickness was measured using pulsed A-scan ultrasound on standardized sites on the lower leg in patients and controls. The results indicated that skin thickness determined non-invasively by pulsed A-scan ultrasound can be used to provide prognostic information in the gravitational syndrome.

Changes in endothelial cell mass, luminal volume and capillary number in the gravitational syndrome.

The histopathological changes in the skin of 31 patients with the gravitational syndrome and 10 normal control subjects were studied. To quantify the clinical severity of the syndrome, a new index of severity was used. Histometric evaluation of the cutaneous vasculature was performed on biopsies taken from the edge of the ulcers in the 31 patients and from the medical aspect of the lower legs in control subjects. Endothelial cell mass did not correlate with the clinical index of disease severity, suggesting that angiogenesis did not necessarily signal healing. The mean luminal volume appeared to be of greater prognostic value as there was a significant negative correlation of this parameter with the index of clinical severity. The degree of epidermal hyperplasia was found to be related to both the amount of inflammatory cell infiltrate present and the endothelial cell mass per unit tissue volume. The results also showed that the clinical index of disease severity was positively correlated to the mean epidermal thickness. The quantitative evaluation of biopsy material can be used to provide prognostic information in the gravitational syndrome.