A noncontact modular infectious disease screening clinic aiming to achieve zero cross-contaminations.

Screening clinics play a major role in preventing the transmission of infectious diseases. The main problem that should be addressed is the exposure to cross-infection between healthcare workers and individuals intended to be tested. In this study, a noncontact modular screening clinic (NCMSC) was developed that addresses the problems of existing screening clinics and the risks of cross-contamination during the infectious disease sampling process. The space and ventilation system of the NCMSC were designed to effectively remove viral aerosols to avoid cross-contamination. The spatial configurations that enabled noncontact specimen sampling and pressure differential control was achieved. Regarding the measurement method with the use of tracer gas, an experimental field test framework and procedure that can evaluate the cross-contamination between rooms were presented. It is the observation of pollutants (tracer gas) in two different modes (normal breathing and AGP from a patient) in a screening clinic with ventilation, compared to the room next door, where the HCW is located. Additionally, based on onsite experiments using SF6 tracer gas that mimics the viral aerosol at an actual scale, it was verified that no cross-contamination occurred in the NCMSC; accordingly, it was possible to protect sufficiently the healthcare workers. It will be possible to use the outcomes of this study as basic data for the development of standards for the installation and operation of screening clinics for infectious diseases.

Mechanical extraction of a massive intracoronary thrombus from the super-dominant right coronary artery in thrombogenic lung cancer patient.

The congenital absence of the left circumflex artery and a compensatory super-dominant right coronary artery (RCA) is a very rare benign coronary anomaly in the clinic. The presence of a massive thrombus in the super-dominant RCA can lead to fatal results in cases of acute myocardial infarction, unless the thrombus is mechanically removed. Aspiration of the thrombus using a 6 Fr right Judkins guide catheter is useful to extract a massive thrombus and is both safe and effective. We report a case of complete revascularization of the super-dominant RCA after thrombus aspiration using a 6 Fr Judkins right catheter in a patient with acute inferior and inferolateral wall myocardial infarction.

Incidental diagnosis of the unicuspid aortic valve with ascending aortic aneurysm in an asymptomatic adult.

The unicuspid aortic valve is an extremely rare congenital anomaly. It usually presents with aortic stenosis and/or aortic regurgitation. Other cardiovascular complications, such as aortic dilatation and left ventricular hypertrophy can accompany it. Herein, we present a case report of a 50-year-old asymptomatic male patient with unicuspid aortic valve, complicated by ascending aortic aneurysm.

Cell death and intracellular distribution of hematoporphyrin in a KB cell line.

OBJECTIVE: The objective of this study is to investigate the effect of intracellular photosensitizer distribution on tumor cell death after photodynamic therapy (PDT). BACKGROUND DATA: The photosensitizer accumulates in tumor tissue during PDT, and generates intracellular reactive oxygen species (ROS), resulting in tumor cell death. MATERIALS AND METHODS: This study was carried out to elucidate the effects of PDT in a KB oral cancer cell line using hematoporphyrin with irradiation at 635 nm and 5 mW/cm(2). After irradiation, the MTT reduction method, agarose gel electrophoresis, flow cytometry, and Diff-Quick staining were performed. The intracellular ROS level was measured by DCF-DA. Intracellular hematoporphyrin was monitored with a confocal microscope, and Western blot and caspase activity assays were performed. RESULTS: In our study, cell survival was reduced by about 50% after 3 h of hematoporphyrin incubation time. In DNA fragmentation, flow cytometry, and Diff-Quick assay, necrosis was identified within 12 h and apoptosis soon thereafter. Confocal microscopy revealed that hematoporphyrin was localized in the cell membrane, cytoplasm, and nucleus as time passed. The quantities of intracellular ROS correlated with the time of hematoporphyrin accumulation. Additionally, Western blot analysis of Bcl-2/Bax, the release of cytochrome C, and activity of caspase-3 and caspase-9 showed that apoptosis followed the mitochondria-dependent pathway. CONCLUSION: PDT with hematoporphyrin in the KB cell line showed morphological changes of cell necrosis and apoptosis, which were associated with the time of distribution and localization of hematoporphyrin. Also, the apoptosis evoked followed the mitochondria-dependent pathway.