Adverse reactions of prophylactic intravenous immunoglobulin; a 13-year experience with 3004 infusions in Iranian patients with primary immunodeficiency diseases.

Intravenous immunoglobulin (IVIG) replacement therapy improves health-related quality of life in patients with a primary immunodeficiency disease, although there have been reports of adverse reactions associated with its regular administration. The study population was composed of 99 patients with primary antibody deficiencies. All the patients were diagnosed with a primary immunodeficiency disease and received at least 4 infusions of IVIG at the Children's Medical Center Hospital, Tehran, Iran over a 13-year period (1995-2007). A total of 3004 infusions were recorded, and 216 (7.2%) of these were associated with adverse reactions in 66 patients. Adverse reactions were classified as mild (172 reactions), moderate (41 reactions), and severe (3 reactions). The rate of adverse reaction varied by diagnosis from 3.35% in patients with X-linked agammaglobulinemia to 17.4% in IgG subclass deficiency. There were no age-related differences in the rates of adverse reactions. Adverse reactions to IVIG infusions are occasionally encountered; therefore, physicians and nurses should be aware of these reactions in order to manage and prevent them.

Tensile stresses generated in pharmaceutical tablets by opposing compressive line loads.

The distribution of tensile stress, across the splitting plane, has been investigated for the case when circular and square tablets are subjected to opposing compressive line loads acting in the through thickness direction. This type of loading is referred to in the paper as axial compression. Analytical solutions for the two-dimensional problem of a rectangular strip have been used to investigate the variation of stress in the through thickness direction and to consider the effects of load spreading. Three-dimensional finite element analysis has been used to investigate the variation in stress across the diameter, or breadth, of the tablets. It is shown that the magnitude of the tensile stress varies significantly throughout and that load spreading has an important influence on the stress distribution in the through thickness direction. Experiments have been carried out with microcrystalline cellulose (Avicel PH102) material for circular and square tablets to determine their breaking loads when subjected to axial compression and diametral compression. The experimental results show higher breaking loads for the case of axial compression. It is concluded that the platen contact width must be known in order to evaluate the exact value of the tensile strength of the tablet material when applying this test procedure.

Evaluation of insomnia and daytime napping in Iranian Alzheimer disease patients: relationship with severity of dementia and comparison with normal adults.

OBJECTIVE: Alzheimer disease (AD) is among the most common and disabling diseases in adulthood, and it has been largely neglected in traditional societies like Iran. Exacerbation of AD symptoms creates many severe problems, especially in traditional Iranian extended families. One of these problems is insomnia, which can very significantly affect patients' family members because of disturbing insomnia-related behaviors. METHODS: The authors studied 53 patients with probable AD who had been interviewed for dementia and depression in the Neurology Clinic of Roozbeh Psychiatric Hospital (Tehran University of Medical Sciences). Excluding patients with overlapping multi-infarct dementia, 35 AD patients (22 men, 13 women) and 21 adults without dementia were studied as a comparison group (11 men, 10 women). RESULTS: There was a significant relationship between duration of informant-reported symptoms and severity of dementia with daytime napping and more daytime napping among AD patients than in the comparison group. There was also a significant relationship between cognitive decline and daytime napping in the comparison group. Our study showed a relationship between insomnia and aggression, between daytime napping and paranoid delusions; and between onset of insomnia and anxiety. The comparison group showed a significant relationship between depression and daytime napping. CONCLUSIONS: Daytime napping and insomnia are very common among Iranian AD patients, much more so than in normal adults. There is also a significant relationship among psychiatric symptoms, daytime napping, and insomnia, but it seems that daytime napping and insomnia in depressed AD patients are caused more by the progress of AD than by depression.

Characterizing output beams for lasers that use high-magnification unstable resonators.

Laser beams generated from high-magnification on-axis unstable resonators by use of hard-edged optics typically have a doughnut-shaped distribution in the near field (i.e., a flat-top profile with a hole in the middle for an axially coupled beam). We derive analytical expressions describing this distribution by using the flattened Gaussian beams concept. The superposition of two flattened Gaussian beams whose flatness and steepness of edges are controlled by defined parameters (i.e., the beam width and the order) is used to analyze the output beam intensity along the propagation axis. Finally, experimental measurements of beam propagation from a copper-vapor laser fitted with a high-magnification unstable resonator show excellent agreement with theoretical predictions.

Transverse-electric and transverse-magnetic beam modes beyond the paraxial approximation.

Transverse-electric and transverse-magnetic beam modes are considered based on a theory in which complex dipole sources and sinks are oriented along the beam axis; the theory is similar to one that was previously presented for transverse dipoles. The field in the region of the waist is explored. Modes with such polarization have been reported from a wide range of laser types.

Neuropeptide Y paradoxically increases food intake yet causes conditioned flavor aversions.

Neuropeptides have been implicated in the short-term regulation of food intake and the long-term control of body weight. Previous studies have shown that central administration of neuropeptide Y (NPY), the most abundant of these peptides in the brain, produces robust increases of food intake. We now report that NPY, at doses that stimulate food intake when administered intraventricularly, also causes the formation of robust conditioned flavor aversions when given via the same cannula and at the same dose. This apparently paradoxical effect may be indicative of different populations of central NPY receptors having dissimilar effects on ingestive behaviors. The results also suggest that the use of conditioned aversions to investigate drug-induced malaise may not be appropriate when applied to ingestive behaviors.