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1.
Case Rep Cardiol ; 2023: 2890844, 2023.
Article in English | MEDLINE | ID: mdl-38045862

ABSTRACT

Aortic pseudoaneurysm, a rare condition characterized by localized transmural disruption and dilatation of the aorta, is very rare in the pediatric population. It is primarily caused by previous cardiovascular procedures such as aortic coarctation repair, aortic valve replacement, and subaortic membrane resection. We present a unique case of aortic pseudoaneurysm following surgery to repair a perimembranous ventricular septal defect in a 19-month-old boy who presented with fever as the sole symptom. The fever started on the 30th day after the surgery, and the patient exhibited abnormal laboratory results, including a white blood cell (WBC) count of 28.3 × 109/L, neutrophil percentage of 68%, platelet count of 880 × 109/L, erythrocyte sedimentation rate (ESR) of 200 mm/hour, and 3+ positive C-reactive protein. Echocardiogram revealed a large cystic mass (5 × 4.8 cm) in the ascending aorta, compressing the superior vena cava. Based on this finding, a diagnosis of aortic pseudoaneurysm was suspected. The diagnosis was confirmed through cardiac computed tomographic angiography, and the patient underwent emergent surgery for the repair of the aortic pseudoaneurysm under deep hypothermia and circulatory arrest. Unfortunately, our patient died shortly after the surgery.

2.
Environ Res ; 225: 114821, 2023 05 15.
Article in English | MEDLINE | ID: mdl-36427639

ABSTRACT

Tramadol is an analgesic drug that is mainly excreted in the urine. The entry of Tramadol into water samples causes their biological contamination. Therefore, three catalysts such as bismuth ferrite, cobalt-doped bismuth ferrite, and a magnetized Keggin type of polyoxometalate (α-Fe2O3@phosphotungstic acid), were synthesized as photocatalysts to degrade Tramadol in water samples. The morphology and properties of the prepared photocatalysts were evaluated using several techniques. Effects of several factors, including tramadol concentration, pH, hydrogen peroxide concentration, and photocatalyst amount, were studied and optimized by a design experiment procedure based on Box-Behnken design for reducing the number of experiments and cost and investigating the interactions between factors in the photocatalytic degradation process of Tramadol. These factors were optimized for each prepared photocatalyst individually. Under the optimum conditions, the percentages of tramadol degradation and kinetics of the degradation process were evaluated in the presence of each photocatalyst. The tramadol degradation percentages using bismuth ferrite, cobalt-doped bismuth ferrite, and α-Fe2O3 @phosphotungstic acid were 81.10% for 120 min, 90.63% for 80 min, and 91.32% for 80 min, respectively. The rate constants of tramadol degradation were 0.0145, 0.0329, and 0.0312 min-1 for bismuth ferrite, cobalt-doped bismuth ferrite, and α-Fe2O3 @phosphotungstic acid, respectively. The results indicated the highest percentage of tramadol degradation and rate of the degradation process were obtained using α-Fe2O3 @phosphotungstic acid and cobalt-doped bismuth ferrite, respectively.


Subject(s)
Tramadol , Phosphotungstic Acid , Bismuth/chemistry , Analgesics , Water , Cobalt , Catalysis
3.
Chemosphere ; 312(Pt 1): 137192, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36368547

ABSTRACT

Herein, to monitor the concentration of carbidopa in an aqueous solution, an analytical approach based on electrode surface modification by Pt/SWCNTs as a sensor has been proposed. Pt/SWCNTs was synthesized by polyol strategy and characterized by the TEM method. Results confirmed spherical Pt nanoparticles with a diameter of about 10 nm decorated at the surface of SWCNTs with good distribution. The carbon paste electrode modified (CPEM) with Pt/SWCNTs was fabricated by mixing 12% of nanocomposite as an optimum condition with graphite powder in the presence of paraffin oil as a binder. Carbidopa's oxidation signal was enhanced by about 2.73 times when using the CPEM/Pt/SWCNTs, and its oxidation potential was decreased by about 110 mV. Additionally, the sensor demonstrated a linear dynamic range of 1.0 nM-120 M with a detection limit of 0.5 nM at pH = 7.0 as the ideal condition for monitoring carbidopa. Therefore, carbidopa in water and dextrose saline can be detected using CPEM/Pt/SWCNTs with an acceptable recovery range.


Subject(s)
Carbidopa , Nanocomposites , Electrochemical Techniques/methods , Water , Nanocomposites/chemistry , Electrodes , Catechols , Carbon/chemistry
4.
Materials (Basel) ; 15(23)2022 Nov 22.
Article in English | MEDLINE | ID: mdl-36499797

ABSTRACT

In this study, corrosion and wear behavior of three kinds of coatings by two processes, namely, plasma electrolytic oxidation (PEO) coatings (Ti/TiO2), gas nitriding coating (Ti/TiN), and the duplex coating (Ti/TiO2-N) by combination of PEO and gas nitriding methods were systematically investigated. X-ray diffraction tests, field-emission scanning electron microscopy, and adhesion tests are employed for the coating characterization, along with the wear and electrochemical test for evaluating the corrosion and tribological properties. The morphology and structure of the coating consist of micro-cavities known as the pancake structure on the surface. The electrolytic plasma oxidation process produces a typical annealing behavior with a low friction coefficient based on the wear test. The coating consists of nitride and nitrate/oxides titanium for nitrided samples. The surface morphology of nitrided oxide titanium coating shows a slight change in the size of the crystals and the diameter of the cavities due to the influence of nitrogen in the titanium oxide coating. The tribological behavior of the coatings showed that the wear resistance of the duplex coating (Ti/TiO2-N) and Ti/TiO2 coatings is significantly higher compared to Ti/TiN coatings and uncoated Ti samples. The polarization resistance of the Ti/TiO2-N and Ti/TiO2 coatings was 632.2 and 1451.9 kΩ cm2, respectively. These values are considerably greater than that of the uncoated Ti (135.9 kΩ cm2). Likewise, impedance showed that the Ti/TiO2-N and Ti/TiO2 coatings demonstrate higher charge transfer resistance than that of other samples due to better insulating behavior and denser structure.

5.
Nanotechnology ; 33(19)2022 Feb 15.
Article in English | MEDLINE | ID: mdl-34937015

ABSTRACT

A highly sensitive and selective modified electrode was successfully developed for the monitoring of nicotinamide adenine dinucleotide (NADH) in the presence of folic acid. In this regard, a carbon paste electrode (CPE) was functionalized by the nitrogen-doped carbon quantum dots/tin oxide (N-CQDs/SnO2) nanocomposite and 1-butyl-2,3-dimethyl imidazolium hexafluorophosphate ([C4DMIM][PF6]) ionic liquid (IL). The structure and surface morphology of the nanocomposite were characterized by various methods, including field emission scanning electron microscopy, energy dispersive spectroscopy (EDS), high-resolution transmission electron microscopy (HR-TEM), and x-ray diffraction (XRD). The modified electrode displayed powerful and long-lasting electron mediating activity, with well-separated NADH and folic acid oxidation peaks. The sensing response of the developed [C4DMIM][PF6]/N-CQDs/SnO2/CPE platform was evaluated by determining NADH via the voltammetric technique under the optimized operating conditions. The current peaks of the square wave voltammograms of NADH and folic acid increased linearly with enhancing its concentrations within the ranges of 0.003-275µM NADH and 0.4-380µM folic acid. The detection limits for NADH and folic acid were obtained at 0.8 nM and 0.1µM, respectively. Interference species such as glucose, urea, tryptophan, glycine, methionine, and vitamin B12had no influence on the ability of the fabricated modified electrode to detect the target species. The low detection limit, high sensitivity, excellent selectivity, superior stability, and cost-effectiveness made it suitable for the quantification of NADH in the real biological samples with the recovery percent values in the range of 97.5%-103%.

6.
Pediatr Cardiol ; 42(7): 1459-1477, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34327543

ABSTRACT

Abnormal congenital aorto-cardiac communications (CACC) are a heterogeneous constellation of anomalies that provide an abnormal connection between the aorta and other cardiac chambers or structures, including the atria, ventricles, the main pulmonary artery, and the coronary sinus. The current terminology of CACC has significant errors and shortcomings including inconsistent and interchangeable use of terms of fistula and tunnel and lack of an inclusive classification with practical information on therapeutic management. The aims of this study were threefold: firstly, to perform a concise narrative review of congenital pathologic connections between the aortic root and cardiac chambers which include rupture of congenital sinus of Valsalva aneurysm, aorto-left ventricular and less commonly right ventricular tunnels, coronary cameral fistulas, and aorto-atrial communications; secondly, to investigate the differentiating features of the so-called aorta right atrial tunnel (ARAT), with and without coronary artery take-off from the tunnel, and coronary cameral fistula (CCF) by applying a differential diagnostic assistance toolbox to two groups of patients with ARAT and CCF; and lastly, to propose a practical and inclusive anatomic-therapeutic classification for CACCs. The two main cornerstones of the proposed classification are the type of the connector between the aorta and cardiac chamber (hole versus passage) and the nature of the connecting passage ( anatomic versus extra-anatomic). We classified CACCs into three types. Depending on the intramural versus extramural course of the extra-anatomic connecting passage, type 3 is further subdivided into type 3A and type 3B.


Subject(s)
Heart Defects, Congenital , Aorta , Chloride Channels , Heart Atria , Heart Ventricles/diagnostic imaging , Humans
7.
Micromachines (Basel) ; 12(4)2021 Apr 14.
Article in English | MEDLINE | ID: mdl-33919951

ABSTRACT

A new electrochemical platform was suggested for the sensing of the dasatinib (DA) anticancer drug based on paste electrode modification (PE) amplified with Fe3O4-SWCNTs nanocomposite and 1-hexyl-3-methylimidazolium tetrafluoroborate (mim-BF4-). The new platform showed a linear dynamic range from 0.001-220 µM with a detection limit of 0.7 nM to determine DA at optimal condition. Electrochemical investigation showed that the redox reaction of DA is relative to changing the pH of solution. Moreover, Fe3O4-SWCNTs/mim-BF4-/PE has improved the oxidation current of DA about 5.58 times which reduced its oxidation potential by about 120 mV at optimal condition. In the final step, Fe3O4-SWCNTs/mim-BF4-/PE was used as an analytical platform to determine the DA in tablets and a dextrose saline spike sample, and the results showed recovery data 99.58-103.6% which confirm the powerful ability of the sensor as an analytical tool to determine the DA in real samples.

8.
Iran J Public Health ; 50(11): 2332-2336, 2021 Nov.
Article in English | MEDLINE | ID: mdl-35223609

ABSTRACT

Hydatid disease is a parasitic infection caused by Echinococcus granulosus. Cardiac involvement is rare especially without liver and lungs tissue involvement. We describe a 12-year-old male patient referred to Mofid Children's Hospital, Tehran, Iran in Jul 2020 due to chronic pericardial effusion and suspected tuberculosis infection from Afghanistan. Echocardiography revealed a cystic lesion in the interventricular septum. Thoracic and abdominal computed tomography showed no similar cystic lesion in the lungs and liver. The patient underwent open-heart surgery for cystectomy and medical treatment with albendazole. Histological examination confirmed hydatid cyst diagnosis. The patient was discharged in good condition and oral albendazole was continued.

9.
J Pharm Biomed Anal ; 188: 113393, 2020 Sep 05.
Article in English | MEDLINE | ID: mdl-32504973

ABSTRACT

Electrochemical sensors have shown great appeal for the simultaneous analysis of pharmaceutical compounds. In this way, the presence study described first electroanalytical sensor for simultaneous determination of adrenalone and folic acid. The two-amplified voltammetric sensor was developed by modifying carbon paste electrode (CPE) with NiO/SWCNTs composite and 1-butyl-3-methylimidazolium methanesulfonate (1B3MIMS) and used for simultaneous determination of adrenalone and folic acid. The NiO/SWCNTs was synthesised by a fast and low-cost precipitation strategy and then characterised by EDS, FESEM and XRD methods. The results confirmed a particle size range of ⁓ 26.93-33.87 nm for NiO nanoparticle decorated at SWCNTs. The cyclic voltammetric investigation showed that oxidation potentials of adrenalone and folic acid depend on changing the pH value. The maximum oxidation current for the simultaneous analysis of two compounds occurred at pH = 7.0. In this condition, the sensor showed linear dynamic range 0.01-400 µM and 0.3-350 µM for determination of adrenalone and folic acid, respectively. The NiO/SWCNTs/1B3MIMS/CPE was then used as an ultrasensitive electroanalytical sensor for determination of adrenalone and folic acid in injection samples with recovery ratio between 98.2-103.66 %.


Subject(s)
Ionic Liquids , Carbon , Electrochemical Techniques , Electrodes , Epinephrine/analogs & derivatives , Folic Acid
10.
Caspian J Intern Med ; 7(3): 211-216, 2016.
Article in English | MEDLINE | ID: mdl-27757208

ABSTRACT

BACKGROUND: Cardiac involvement was the major leading cause of death in patients with Kawasaki and IVIG administration reduces cardiac complications. The objective of this study was to determine the frequency of cardiovascular complications and duration of fever with regard to the time of intravenous immunoglobulin (IVIG) administration of patients with Kawasaki disease. METHODS: This follow-up study was done on all patients with Kawasaki disease who were hospitalized at Amirkola Children's Hospital between 2006 and 2011. Diagnosis of Kawasaki was clinical and included fever more than 5 days with 4 of 5 signs containing mucosal changes, scaling and skin rash, bilateral nonexudative conjunctivitis, cervical lymph adenopathy and edema in lower extremities. After diagnosis of Kawasaki, all patients received standard treatment (intravenous immunoglobulins and aspirin) and undergoing cardiac echocardiography in 2 weeks, 2 months and 6 months. Information including age, sex, sign of diseases, laboratory findings, and cardiac complications in echocardiography were recorded. RESULTS: This study was performed on 100 patients (61 boys and 39 girls) with Kawasaki disease. The mean age of children was 2.8±2.6 years. Cardiac complication rate was 47% at the onset of the disease and had reached to 7% at the end of the sixth month (P=0.000). Distribution of cardiovascular complications in the second week, the second month and the sixth month after treatment was not significantly different according to the start of time of treatment (p>0.05). Duration of fever in patients who received treatment before 10th day (1.5±1.3) did not have significant difference (P=0.78) with patients who received after 10th day (1.6±0.9). CONCLUSION: Result shows that most of patients (99%) responded to the treatment with IVIG and ASA and cardiovascular complication ratio decreased. There was not significant relationship between duration of fever and time of IVIG treatment initiation.

11.
Caspian J Intern Med ; 6(2): 108-12, 2015.
Article in English | MEDLINE | ID: mdl-26221510

ABSTRACT

BACKGROUND: Coronary arteriovenous fistulas (CAVFs) are direct connections from one or more coronary arteries to cardiac chambers or a large vessel. They are mostly of congenital origin. The aim of this study was to describe clinical presentation and also delineate the course and management of CAVF. METHODS: Clinical data, chest x-rays, echocardiographic and angiographic evaluation of 40 patients with congenital CAVF during 1990 to 2008 were reviewed retrospectively. RESULTS: Seventeen patients were ≤ 20 years old (42.5%) were mostly asymptomatic, and twenty tree cases were older than 20 years old (57.5%), mostly symptomatic (P<0.05). Twenty one (52.5%) patients had pure CAVF and nineteen (47.5%) patients with associated intarcardiac congenital heart disease (15%) or acquired valvular and coronary arteries diseases (32.5%). CAVFs mostly originated from left anterior descending artery (LAD) (42.5%) and mostly drained into the main pulmonary artery (MPA) (35 %). Twenty-four patients underwent CAVF surgical ligation. From twenty-one patients with pure CAVF, eight (38%) patients were complicated by congestive heart failure and aneurism formation of fistula. CONCLUSION: Unlike some previous reports, in our study, the most prevalent origin site for CAVFs was the left anterior descending (LAD). Most patients with CAVFs especially those who went first diagnosed before 20 years old were asymptomatic. On the other hand, as the continuous murmur is not always detected in children or infants, consequently, cases of spontaneous closure may remain undetected. All symptomatic and asymptomatic patients with moderate to severe shunting should be operated on and minimal morbidity and good surgical results could be expected.

12.
Caspian J Intern Med ; 5(4): 235-42, 2014.
Article in English | MEDLINE | ID: mdl-25489437

ABSTRACT

BACKGROUND: The thyroid hormones influence on all metabolic pathways. After heart surgery using cardiopulmonary bypass (CPB), serum T3 decreases and remains low for at least 24 hours. Several studies on pediatric have reported reduction of thyroid hormones after heart surgery. This study aimed to investigate the status of thyroid function tests in children with CPB surgery. METHODS: This study was carried out based on the available data on 132 children aged less than 15 years suffering from CHD. The patients underwent open heart surgery in Rajaie Center in Iran from January to November 2010. The thyroid hormone levels were measured shortly after admission, and postoperatively in Intensive Care Unit (ICU) and thereafter at 12, 24 and 48-hour intervals. The patients' gender, age, weight, body mass index, heart disease details, previous cardiac surgeries, and cardiac surgery-related data such as pump time, aortic clamping time, hypothermia duration, postoperative hemodynamic status and postoperative use of inotropic drugs were recorded and analyzed Results: All patients showed a decrease in T3, T4 and TSH and an increase in T3-resin uptake after surgery. Eventually, 3 (3.2%) patients died. Preoperatively, there was a significant association between the reduction in the thyroid hormone levels and inotropic drugs as well as the type of the heart disease (p<0.05). CONCLUSION: There is an association between post-operative inotropic drugs administration and reduction thyroid hormones levels in patients undergoing congenital heart disease cardiopulmonary bypass surgery.

13.
Mater Sci Eng C Mater Biol Appl ; 43: 488-93, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25175240

ABSTRACT

Based on a selective complexation of N'-(2-oxo-1,2-di(pyridin-2-yl)ethylidene)furan-2-carbohydrazide (L) with Gd(III) ions, it was used as a selectophore in construction of a Gd(III) selective PVC membrane sensor. Different compositions for the membrane were tested. The o-nitrophenyloctyl ether (NPOE) was used as suitable plasticizer, and a mixture of sodium tetraphenyl borate (NaTPB) and oleic acid (OA) as anion excluders. The proposed sensor displayed a Nernstian behavior with the slope of 19.9 ± 0.6 mV decade(-1) in concentration range of 1.0 × 10(-6) to 1.0 × 10(-2)mol L(-1). Detection limit was 4.2 × 10(-7)molL(-1) and response time was ~10s. Applicable pH range of the electrode was 4.2-8.0. Lifetime of the sensor is at least 10 weeks. Analysis of certified reference materials confirmed the accuracy of the proposed electrode.


Subject(s)
Gadolinium/chemistry , Membranes, Artificial , Polyvinyl Chloride/chemistry , Pyridines/chemistry
14.
Mater Sci Eng C Mater Biol Appl ; 33(2): 608-12, 2013 Mar 01.
Article in English | MEDLINE | ID: mdl-25427463

ABSTRACT

A novel Dy(III) ion-selective PVC membrane sensor was made using a new synthesized organic compound, 3,4-diamino-N'-((pyridin-2-yl)methylene)benzohydrazide (L) as an excellent sensing element. The electrode showed a Nernstian slope of 19.8 ± 0.6 mV per decade in a wide concentration range of 1.0 × 10(-6)-1.0 × 10(-2) mol L(-1), a detection limit of 5.5 × 10(-7) mol L(-1), a short conditioning time, a fast response time (<10s), and high selectivity towards Dy(III) ion in contrast to other cations. The proposed sensor was successfully used as an indicator electrode in the potentiometric titration of Dy(III) ions with EDTA. The membrane sensor was also applied to the F(-) ion indirect determination of some mouth washing solutions and to the Dy(3+) determination in binary mixtures.


Subject(s)
Dysprosium/analysis , Dysprosium/chemistry , Ion-Selective Electrodes , Membranes, Artificial , Potentiometry/instrumentation , Potentiometry/methods , Edetic Acid/chemistry , Limit of Detection
15.
Mater Sci Eng C Mater Biol Appl ; 33(2): 870-4, 2013 Mar 01.
Article in English | MEDLINE | ID: mdl-25427500

ABSTRACT

A new ion-selective electrode for Sm(3+) ion is described based on the incorporation of N,N',N"-tris(4-pyridyl)trimesic amide (TPTA) in a poly(vinylchloride) (PVC) matrix. The membrane sensor comprises nitrobenzene (NB) as a plasticizer, and oleic acid (OA) as an anionic additive. The sensor with the optimized composition shows a Nernstian potential response of 19.8 ± 0.5 mV decade(-1) over a wide concentration range of 1.0 × 10(-2) and 1 × 10(-6)mol L(-1), with a lower detection limit of 4.7 × 10(-7)mol L(-1) and satisfactor applicable pH range of 3.6-9.2. Having a short response time of less than 10s and a very good selectivity towards the Sm(3+) over a wide variety of interfering cations (e.g. alkali, alkaline earth, transition and heavy metal ions) the sensor seemed to be a promising analytical tool for determination of the Sm(3+). Hence, it was used as an indicator electrode in the potentiometric titration of samarium ion with EDTA. It was also applied to the direct samarium recovery in binary mixtures.


Subject(s)
Ion-Selective Electrodes , Membranes, Artificial , Polyvinyl Chloride/chemistry , Potentiometry/instrumentation , Samarium/analysis , Calibration , Hydrogen-Ion Concentration , Limit of Detection , Samarium/chemistry
16.
Mater Sci Eng C Mater Biol Appl ; 33(2): 984-8, 2013 Mar 01.
Article in English | MEDLINE | ID: mdl-25427515

ABSTRACT

In this research, we report a new Ho(3+)-PVC membrane electrode based on N-(4,5-dimethyl-2-(picolinamido)phenyl)picolinamide (H(2)Me(2)bpb) as a suitable ion carrier. Poly vinylchloride (PVC)-based membrane composed of H(2)Me(2)bpb with oleic acid (OA) as anionic additives, and o-nitrophenyloctyl ether (NPOE) as plasticized solvent mediator. The sensor exhibits a Nernstian slope of 20.1 ± 0.2 mV decade(-1) over the concentration range of 1.0 × 10(-6) to 1.0 × 1(-2) mol L(-1), and a detection limit of 5.0 × 10(-7) mol L(-1) of Ho(3+) ions. The potentiometric response of the sensor is independent of the solution pH in the range of 3.5-9.4. It has a very short response time, in the whole concentration range (<10s), and can be used for at least eight weeks. The proposed electrode shows a good selectivity towards Ho(3+) ions over a wide variety of cations, including alkali, alkaline earth, transition and heavy metal ions. To assess its analytical applicability the proposed Ho(3+) sensor was successfully applied as an indicator electrode in the titration of Ho(3+) ion solutions in certified reference materials, alloy samples and for the determination of the fluoride ion in two mouthwash preparations.


Subject(s)
Holmium/analysis , Ion-Selective Electrodes , Membranes, Artificial , Polyvinyl Chloride/chemistry , Potentiometry/instrumentation , Holmium/chemistry , Hydrogen-Ion Concentration , Limit of Detection , Potentiometry/methods , Reproducibility of Results
17.
Case Rep Med ; 2012: 585726, 2012.
Article in English | MEDLINE | ID: mdl-22927862

ABSTRACT

Williams-Beuren syndrome is a rare familial multisystem disorder occurring in 1 per 20,000 live births. It is characterized by congenital heart defects (CHD), skeletal and renal anomalies, cognitive disorder, social personality disorder and dysmorphic facies. We present a case of Williams syndrome that presented to us with heart murmur and cognitive problem. A 5-year-old girl referred to pediatric cardiologist because of heart murmurs. She had a systolic murmur (2-3/6) in right upper sternal border with radiation to right cervical region. She also had a bulge forehead. Angiography showed mild supra valvular aortic stenosis and mild multiple peripheral pulmonary stenosis. Fluorescent in situ hybridization (FISH) was performed and the result was: 46.XX, ish del (7q11.2) (ELN X1) (7q22 X2) ELN deletion compatible with Williams syndrome. Peripheral pulmonary artery stenosis is associated with Noonan syndrome, Alagille syndrome, Cutis laxa, Ehler-Danlos syndrome, and Silver-Russel syndrome. The patient had peripheral pulmonary artery stenosis, but no other signs of these syndromes were present, and also she had a supravalvular aortic stenosis which was not seen in other syndromes except Williams syndrome. Conclusion. According to primary symptoms, paraclinical and clinical finding such as dysmorphic facies, cognitive disorder and congenital heart defect, Williams syndrome was the first diagnosis. We suggest a more attention for evaluating heart murmur in childhood period, especially when the patient has abnormal facial features or mental problem.

18.
Res Cardiovasc Med ; 1(1): 28-32, 2012 Nov.
Article in English | MEDLINE | ID: mdl-25478485

ABSTRACT

BACKGROUND: Development of fibrinous pericarditis after pericardiotomy is a well-recognized reaction. Within a few post-operative days, the inflammated surface of pericardium begins to fuse to the overlying sternum. OBJECTIVES: Our aim was to assess the prevalence, risk factors, time course and therapy response of pericardial effusion (PE) after cardiac surgeries in children. PATIENTS AND METHODS: PE occurrence was assessed prospectively in 486 children who underwent cardiac surgery for congenital heart diseases by serial echocardiography. Clinical manifestations were observed and response to different therapies was analyzed. RESULTS: The prevalence of PE was about 10% for all cardiac surgeries. Symptoms were exclusively seen in patients who had moderate to large effusions. The mean onset of pericardial effusion was 11 (± 8) days after surgery procedure, with 87 % (42 of 48) of cases being diagnosed on or before day 13 after operation. The prevalence of effusion after Fontan-type procedures and AVSD repair (29 %, 5 of 17 for both) was significantly higher than other types of cardiac surgeries. Aspirin administration was effective in 77 % and prednisone in 90 % of the cases. CONCLUSIONS: PE may be developed as late as weeks after cardiac surgeries. PE after palliative cardiac surgeries is not uncommon. Low doses of aspirin and corticosteroids are usually effective for treating this complication.

19.
Caspian J Intern Med ; 3(4): 550-3, 2012.
Article in English | MEDLINE | ID: mdl-24009933

ABSTRACT

BACKGROUND: Central venous catheters (CVCs) have been used widely in clinics. These catheters are also recommended for children and infants receiving chemotherapy and total parenteral nutrition (TPN) and etc. In this paper, we present migrated fractured control line of the heart of a girl. CASE PRESENTATION: A 2.5 year old girl with migrated of the fractured central line into the heart. In the catheterization laboratory, first we placed a long sheath (8 F) into the inferior vena cava via femoral vein and then trapped the foreign body by pigtail catheter and wire 0.035 inch and pulled it down to make its proximal free. After that, we snared the catheter by snare-catheter and pulled it into the femoral vein, and then the cardiac surgeon bridged it out by cut-down successfully. CONCLUSION: A rare complication in the use of central catheters is fraction and cardiac embolization. We offer gentle bringing out of the catheter lines under fluoroscopy guide in all of the cases, if this is technically possible and safe.

20.
Article in English | MEDLINE | ID: mdl-19412848

ABSTRACT

The photocatalytic activity of silver-doped ZnO was tested by photocatalytic degradation of C.I. Acid Red 88 (AR88) as a model contaminant from monoazo textile dyes. Silver-doped ZnO was prepared by photodeposition (PD) method. Results show that silver-doped ZnO is more efficient than undoped ZnO at photocatalytic degradation of AR88. The PD method parameters such as irradiation time, calcination temperature and silver content of doping were effective on the photoactivity of silver-doped ZnO. Silver content had an optimum value of 0.5% for achieving high photocatalytic activity. In the real wastewater from a textile-dyeing factory color removal with pure and silver-doped ZnO after 18 min of irradiation were 45 and 90%, respectively.


Subject(s)
Metal Nanoparticles , Silver/chemistry , Zinc Oxide/chemistry , Catalysis , Photochemistry , X-Ray Diffraction
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