Molecular characterization of ocular dirofilariasis: a case report of Dirofilaria immitis in south-eastern Iran.

BACKGROUND: Dirofilariasis is a zoonotic parasitic infection transmitted from animals to humans by culicid mosquitoes. Although the disease can be caused by Dirofilaria spp. including Dirofilaria immitis and Dirofilaria repens, human ocular dirofilariasis due to D. immitis is relatively rare in the world. This study was aimed to present a case of ocular dirofilariasis caused by D. immitis in southeastern Iran. CASE PRESENTATION: A nematode extracted from the right eye of a 69-year-old man referred with clinical symptoms including itching and redness was examined. After the morphometric analysis, Dirofilaria parasite was detected. Afterwards, a piece of worm body was cut and DNA was extracted and a 680-bp gene fragment amplification and nucleotide sequencing were performed. Phylogenetic analysis revealed a D. immitis roundworm as the causative agent of infection. The patient was treated with antibiotics and corticosteroid and followed up for 1 month. CONCLUSION: The present study provides the second report on ocular dirofilariasis caused by D. immitis isolated from a human in southeast Iran. Based on the available evidence, dirofilariasis in dogs has significantly increased in endemic areas such as Iran. Therefore, physicians should be aware of such zoonotic nematodes so as to take proper and timely action and treatment against the disease.

A CFD analysis of the pollutant dispersion from cooling towers with various configurations in the lower region of atmospheric boundary layer.

The mixing and merging of buoyant plumes originating from multiple small cooling towers into the atmosphere is numerically investigated. The effects of different arrangements of cooling towers as well as outlet geometries on the mixing of the plumes are examined. The side by side and tandem arrangements of two sources and also two types of multi-flue cooling towers are considered. The various ways by which the counter rotating vortex pair, as the dominant mechanism, affect the flow pattern in each aforementioned configuration are investigated. For tandem arrangement, far from sources, the outlet flow of the downstream cooling tower surrounds the plumes originating from the upstream cooling tower and in the region near the cooling towers, the pollutants are mostly originated from the upstream cooling tower. Maximum pollutant concentrations at distances 10 and 40 times the diameter downstream of the leading cooling tower increase by 67% and 29% with respect to those of a single cooling tower, respectively. For the side by side arrangement, the counter rotating vortices are stretched due to the large low pressure area created downstream of the cooling towers. Mixing of the plumes with the surrounding air is reduced as a result of contraction of vortices. Maximum contaminant concentrations at distances 10 and 40 times the diameter downstream of the cooling towers increase by 29% and 41% with respect to those of a single tower, respectively. Finally, the differences between flow fields formed around diamond and square configurations of multi-flue cooling towers are extensively discussed.

Synthesis of wearable and flexible NiP0.1-SnOx/PANI/CuO/cotton towards a non-enzymatic glucose sensor.

Ni-SnOx, PANI and CuO nanoparticles were synthesized on cotton fabric through chemical methods to make a new flexible high-performance non-enzymatic glucose sensor. FESEM, XRD, XPS, EDS and ATR analysis were employed to characterize the structure and the morphology of the nanomaterials. The high electrochemical performance of nickel and copper oxide and hydroxide on a conductive template leads to fabrication of a wearable and flexible cotton electrode with an excellent electrocatalytic activity to oxidize glucose. This hybrid system on the fabric as an electrode indicates a detection limit of 130 nM with wide linear range of 0.001-10 mM. The sensitivity was measured to be 1625 and 1325 µA mM-1 cm-2 for the ranges of 0.001-1 and 1-10 mM, respectively. Long-term stability, appropriate selectivity and reusability for many times make possibility for utilizing the fabricated sensor in the practical applications. The fabric is a wide linear range electrode with low detection limit to sense glucose concentration in the body fluids as well as the human blood that can be presumably suggested for designing other similar flexible types of sensor.

Synthesis of nano Cu2O on cotton: morphological, physical, biological and optical sensing characterizations.

In this paper, Cu2O nanoparticles were in situ synthesized on cotton fabric through a new simple and cost-effective chemical reduction method using copper sulfate, sodium hydroxide and ammonia. Cotton fabric participates as a reducing agent in reduction of copper sulfate and facilitates synthesis of cuprous oxide in nano-scale as a stabilizer. The produced cotton/nano Cu2O composite were characterized by X-ray diffraction, scanning electron microscopy and Energy-dispersive X-ray spectroscopy. Interaction of Cu2O with cotton fabric in addition to alteration of cotton functional groups were studied by Fourier transforms infrared spectroscopy. The intermediate solution, copper-amine complex, was analyzed by ultraviolet-visible spectroscopy. The mechanical properties of the cotton/nano Cu2O composite were studied using Instron indicated a higher tensile strain. The antibacterial activity of the fabric samples showed considerable behavior against S. aureus and E. coli. Further, the treated fabric became highly hydrophobic and sensed ammonia and hydrogen peroxide chromatically.

The prognostic value of tip-to-apex distance (TAD index) in intertrochanteric fractures fixed by dynamic hip screw.

Intertrochanteric fractures (ITFs) are the most common type of fractures requiring surgical intervention. They also have the highest surgical mortality among orthopedic operations. Among the many different techniques used for fixation of this type of fracture, use of the Dynamic Hip Screw (DHS) has gained wide acceptance. This current study was designed to assess positive predictive value of tip-to-apex distance (TAD) index in the prognosis of patients treated with DHS. The study was designed according to a descriptive-analytic protocol, made up of 100 cases of ITFs caused by falling, treated in the Shohada Orthopedic Center, Tabriz, Iran. All patients underwent lateral and antero-posterior hip X-ray to measure TAD index. The cohort was followed for three months after DHS placement. Of a total of 100 cases (53 male, 47 female) with a mean age of 76.7 years (range 29-100 years), 43% had grade 4, 29% grade 3, 21% grade 5, 5% grade 2 and 2% grade 6 osteoporosis. The screw position was postero-inferior in 57%, central in 40% and superior in 3% of patients. Minimum and maximum TAD index were 20 and 28 mm, respectively. Mean TAD was 23.5 mm. There were no post-operative complications in 84% of cases. Screw failure was the most common complication in the remaining 16% of patients. The study shows a statistically significant correlation between TAD index and cut-off rate in patients with intertrochanteric fractures of femoral bone treated by DHS. This validates the use of TAD index in determining the prognosis of patients treated by DHS.

Arthroscopically-assisted vs. open surgery in repairing anterior cruciate ligament avulsion.

The management of an Anterior Cruciate Ligament (ACL) avulsion is principally by surgery. There are two major techniques in this regard; fixation through open surgery (arthrotomy) or arthroscopically-assisted repair. These are not new in the literature; however, the debate regarding the better approach is still under debate. This study focused on comparing outcome and consequences of arthroscopically-assisted vs. open surgery in repairing ACL avulsion. In a randomized clinical trial, 44 patients with unilateral ACL avulsion were recruited in Tabriz Shohada teaching Centre during a 12 month period of time. These patients were randomized in two equal age and sex-matched groups underwent either arthroscopically-assisted or open ACL repair. The constructive technique was the same in both groups without using any graft. The minimum follow-up period was 6 months including 3 weeks, 3 months and 6 months postoperatively. Range of Motion (ROM), laxity, Anterior Drawer Test (ADT) result, duration of hospital stay, wound status, nonunion and return to previous work were compared between the two groups. Mean time of suture removal (p = 0.10), minimum and maximum ROM at months 3 (p = 0.43 and 0.22, respectively) and 6 (p = 0.73 and 0.77, respectively), ADT at months 3 and 6 (p = 0.16 for both), laxity at month 6 (p = 0.28) and wound status at week 3 (p = 0.35) were not significantly different between the two groups. There was no case of nonunion at month 6 in either group. The mean hospital stay was significantly shorter in the arthroscopy group (3.77 +/- 0.92 vs. 2.50 +/- 0.51 days; p < 0.001). The mean laxity score was significantly higher in the open surgery group at month 3 (4.82 +/- 0.59 vs. 4.45 +/- 0.60; p = 0.05). The rate of nonunion was significantly higher in the open surgery group at month 3 (40.9% vs. 9.1%; p = 0.02). Patients in the arthroscopically-assisted technique group returned sooner to previous work (17.41 +/- 1.53 vs. 14.82 +/- 0.96 weeks; p < 0.001). Based on our results, arthroscopically-assisted reconstruction of ACL avulsion is superior to open surgery.