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1.
Environ Monit Assess ; 196(8): 692, 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38960989

RESUMO

Groundwater monitoring data can be prone to errors and biases due to various factors like borehole and equipment malfunctions, or human mistakes. These inaccuracies can jeopardize the groundwater system, leading to reduced efficiency and potentially causing partial or complete failures in the monitoring system. Traditional anomaly detection methods, which rely on statistical and time-variant techniques, struggle to handle the complex and dynamic nature of anomalies. With advancements in artificial intelligence and the growing need for effective anomaly detection and prevention across different sectors, artificial neural network methods are emerging as capable of identifying more intricate anomalies by considering both temporal and contextual aspects. Nonetheless, there is still a shortage of comprehensive studies on groundwater anomaly detection. The intricate patterns of sequential data from groundwater present numerous challenges, necessitating sophisticated modeling techniques that combine mathematics, statistics, and machine learning for viable solutions. This paper introduces a model designed for high accuracy and efficient computation in detecting anomalies in groundwater monitoring data through a probabilistic approach. We employed the Monte Carlo method and SEAWAT numerical simulation to ascertain the uncertainty in groundwater salinity. Subsequently, a Long Short-Term Memory (LSTM)-Autoencoder model was trained and evaluated, forming the basis of an anomaly detection framework. Each piece of training data was assessed by the LSTM-Autoencoder using the Negative Log Likelihood (NLL) score and a predefined threshold to determine the data's abnormality percentage. The accuracy evaluation of the proposed LSTM-Autoencoder algorithm revealed that this approach achieved commendable performance, with an accuracy of 98.47% in anomaly detection.


Assuntos
Monitoramento Ambiental , Água Subterrânea , Redes Neurais de Computação , Água Subterrânea/química , Monitoramento Ambiental/métodos , Método de Monte Carlo , Salinidade
2.
Int Ophthalmol ; 44(1): 236, 2024 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-38902584

RESUMO

PURPOSE: Histiocytosis is one of the most challenging diseases in medical practice. Because of the broad spectrum of clinical manifestations, systemic involvements, unknown etiology, and complex management, different types of histiocytosis are still a big question mark for us. Orbital histiocytosis is characterized by the abnormal proliferation of histiocytes in orbital tissues. It could affect the orbit, eyelid, conjunctiva, and uveal tract. Orbital histiocytosis can cause limited eye movement, proptosis, decreased visual acuity, and epiphora. In this study, we review the novel findings regarding the pathophysiology, diagnosis, and treatment of different types of histiocytosis, focusing on their orbital manifestations. METHOD: This review was performed based on a search of the PubMed, Scopus, and Embase databases or relevant published papers regarding orbital histiocytosis on October 9th, 2023. No time restriction was proposed, and articles were excluded if they were not referenced in English. RESULTS: 391 articles were screened, most of them being case reports. The pathophysiology of histiocytosis is still unclear. However, different mutations are found to be prevalent in most of the patients. The diagnostic path can be different based on various factors such as age, lesion site, type of histiocytosis, and the stage of the disease. Some modalities, such as corticosteroids and surgery, are used widely for treatment. On the other hand, based on some specific etiological factors for each type, alternative treatments have been proposed. CONCLUSION: Significant progress has been made in the detection of somatic molecular changes. Many case studies describe various disease patterns influencing the biological perspectives on different types of histiocytosis. It is necessary to continue investigating and clustering data from a broad range of patients with histiocytosis in children and adults to define the best ways to diagnose and treat these patients.


Assuntos
Histiocitose , Doenças Orbitárias , Humanos , Histiocitose/diagnóstico , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/etiologia , Histiócitos/patologia
3.
Sci Rep ; 14(1): 14572, 2024 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-38914689

RESUMO

Thyroid eye disease (TED) is a common ophthalmologic manifestation of thyroid dysfunction. Despite various imaging techniques available, there hasn't been a widely adopted method for assessing the anterior segment vasculature in TED patients. Our study aimed to evaluate alterations in ocular surface circulation following orbital decompression surgery in TED patients and investigate factors influencing these changes. Using anterior segment optical coherence tomography-angiography (AS-OCTA), we measured ocular surface vascularity features, including vessel density (VD), vessel diameter index (VDI), and vessel length density (VLD), both before and after decompression surgery, alongside standard ophthalmic examinations. Our AS-OCTA analysis revealed a significant decrease in most of the temporal vasculature measurements six weeks post-surgery (p < 0.05). However, differences in the nasal region were not statistically significant. These findings indicate notable changes in ocular surface circulation following orbital decompression in TED patients, which may have implications for intraocular pressure (IOP) control and ocular surface symptoms management. AS-OCTA holds promise as a tool for evaluating the effectiveness of decompression surgery and assessing the need for further interventions.


Assuntos
Descompressão Cirúrgica , Oftalmopatia de Graves , Tomografia de Coerência Óptica , Humanos , Oftalmopatia de Graves/cirurgia , Oftalmopatia de Graves/diagnóstico por imagem , Tomografia de Coerência Óptica/métodos , Masculino , Feminino , Descompressão Cirúrgica/métodos , Pessoa de Meia-Idade , Adulto , Órbita/irrigação sanguínea , Órbita/diagnóstico por imagem , Órbita/cirurgia , Idoso , Angiografia/métodos
4.
BMC Ophthalmol ; 24(1): 257, 2024 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-38877497

RESUMO

BACKGROUND: Echinococcosis, commonly known as hydatid disease, is a zoonotic infection resulting from the tapeworm Echinococcus granulosus. The occurrence of hydatid cysts in the orbital region is uncommon, representing less than 1% of all reported hydatid cases. This report details a unique case of an intramuscular hydatid cyst in the orbital region that led to compressive optic neuropathy. CASE PRESENTATION: A 22-year-old male from Kabul, Afghanistan presented with a five-month history of progressive proptosis in his left eye, associated with a gradual decrease in vision over the past three weeks. The left eye exhibited upward globe dystopia, ocular motility limitation, mild conjunctival injection, and chemosis. Diagnosis was achieved through imaging and histopathological examination. Treatment involves surgical removal of the cyst and prolonged albendazole therapy. The postoperative course showed significant improvement in the patient's condition and restoration of his vision. CONCLUSIONS: Despite its rarity, this case underscores the importance of awareness and knowledge of hydatid disease among physicians, especially those working in endemic areas. It emphasizes the importance of including hydatid disease in the differential diagnosis of orbital masses, particularly in endemic regions.


Assuntos
Equinococose , Infecções Oculares Parasitárias , Doenças do Nervo Óptico , Doenças Orbitárias , Humanos , Masculino , Equinococose/diagnóstico , Equinococose/complicações , Adulto Jovem , Doenças do Nervo Óptico/diagnóstico , Doenças do Nervo Óptico/parasitologia , Doenças do Nervo Óptico/cirurgia , Infecções Oculares Parasitárias/diagnóstico , Infecções Oculares Parasitárias/parasitologia , Infecções Oculares Parasitárias/cirurgia , Doenças Orbitárias/parasitologia , Doenças Orbitárias/diagnóstico , Imageamento por Ressonância Magnética , Albendazol/uso terapêutico , Tomografia Computadorizada por Raios X
5.
Artigo em Inglês | MEDLINE | ID: mdl-38926312

RESUMO

This study aimed to predict the impact of changing hydro-climatic variables and land use changes on the future health status of the Safaroud Watershed, northern Iran. It also sought to explore the significance of hydro-climatic and land use variables in prioritizing sub-watersheds based on the watershed health index. The study involved extracting key characteristics related to anthropogenetic, climatic, and hydrological factors for pressure, state, and response indicators. The current watershed health index was calculated, followed by predictions of watershed health based on dynamic hydro-climatic and land-use variables for the next 10 and 20 years. The Safaroud Watershed health assessment and zoning showed that the average value and standard deviation of the current pressure index were equal to 0.573 and 0.185, respectively. The lowest value of this index was around 0.290 and related to sub-watershed 5, and the highest value was around 0.840 and related to sub-watershed 11. The initial evaluation of the classification indicated the prevalence of moderate and high-pressure conditions with a range of about 79%. Finally, the physical factors of sub-watersheds (time of concentration with 15.72%) had the lowest role. In general, among the criteria used to calculate the pressure index in the current period, anthropogenetic and climatic factors showed the highest percentage of participation in determining the pressure index. The quantification of the current watershed health status and the 10- and 20-year-forecast periods showed that the values of the watershed health index were similar. However, the changes in the health index in the sub-watersheds at the beginning of the study period ranged from relatively unhealthy favorable conditions to moderately positive and moderately negative conditions.

6.
Aesthet Surg J ; 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38868860

RESUMO

BACKGROUND: Asymmetry of the lower eyelids and a lower position of the lower eyelid on the ptotic side are common issues in patients with upper lid ptosis. Understanding the relationship between upper lid ptosis correction and lower eyelid position will facilitate better treatment strategies for ptosis. OBJECTIVES: To assess the lower eyelid position before and after Müller's muscle-conjunctival resection (MMCR) in unilateral myogenic ptosis (MP) and aponeurotic ptosis (AP). METHODS: This prospective interventional before-and-after study, included adults with blepharoptosis. Measurements were taken before and 6 months after the surgery. RESULTS: A total of 47 patients included, with 29 having MP and 18 having AP. The mean ages were 31.55 ± 5.30 years and 50.11 ± 6.45 years, respectively. In MP group, there was a significant association between baseline MRD2 and the severity of ptosis (MRD1) (ß= -0.739, p=0.004, multivariate regression analysis). After MMCR, significant decreases were observed in MRD2 for both MP (-0.38 ± 0.48 mm, p<0.001) and AP (-0.39 ± 0.47 mm, p=0.003). The symmetry of MRD2 remained stable at 41.4% in the MP, while it decreased from 44.4% to 16.7% in the AP. The baseline MRD2 was the only factor associated with postoperative MRD2 in the MP. CONCLUSIONS: Patients with myogenic and aponeurotic ptosis often exhibit a lower position of the lower eyelid, which typically elevates after posterior upper lid ptosis surgery. In myogenic cases, the severity of preoperative lower eyelid position correlates with the severity of upper lid ptosis and predicts postoperative elevation of the lower lid.

7.
Front Med (Lausanne) ; 11: 1259320, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38799151

RESUMO

Background and aim: Malnutrition among intensive care unit (ICU) patients is associated with a higher risk of mortality and prolonged hospitalization. However, the influence of malnutrition on severe outcomes of ICU patients with coronavirus disease 2019 (COVID-19) is unclear. By evaluating the effect of malnutrition on the outcomes of COVID-19 in the ICU in older adult patients, this study will contribute to new knowledge of assessing the nutritional status and recovery of these patients. Methods: In the current single center prospective study, 310 critically ill COVID-19 patients with an age range of ≥65 years were recruited. Data on demographic characteristics, laboratory parameters, comorbidities, medications, and types of mechanical ventilation were collected in the first 24 h of ICU admission. Malnutrition was defined based on the two-step approach of the Global Leadership Initiative on Malnutrition (GLIM) scale at baseline. During the 45 days after the baseline, we collected data on delirium incidence, mortality, invasive mechanical ventilation (IMV) requirement, length of ICU and hospital admission, and re-hospitalization. Results: In this study, the prevalence of malnutrition was 63.4% among critically ill COVID-19 patients. During the 45-day follow-up, 190 (61.3%) COVID-19 deaths were recorded among the baseline 310 patients. After controlling for potential confounders, malnutrition was associated with an increased risk of delirium so malnourished COVID-19 patients had a significantly 35% higher risk of delirium than those without malnutrition (HR: 1.35, 95% CI: 1.01-1.83). Such a significant association was not for COVID-19 mortality and IMV requirement. In addition, malnutrition was associated with a significantly 84% greater odds of prolonged ICU admission (OR: 1.84, 95% CI: 1.09-3.10). No significant association was seen between malnutrition and re-hospitalization and also prolonged hospital admission. Conclusion: Malnutrition was associated with an increased risk of delirium and prolonged ICU admission among critically ill older adult COVID-19 patients. Prevention, diagnosis, and treatment of malnutrition could be a key component in improving outcomes in these patients.

8.
Int Ophthalmol ; 44(1): 219, 2024 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-38713333

RESUMO

PURPOSE: To determine risk factors for substantial closed-globe injuries in orbital fractures (SCGI) and to develop the best multivariate model for the prediction of SCGI. METHODS: A retrospective study was performed on patients diagnosed with orbital fractures at Farabi Hospital between 2016 and 2022. Patients with a comprehensive ophthalmologic examination and orbital CT scan were included. Predictive signs or imaging findings for SCGI were identified by logistic regression (LR) analysis. Support vector machine (SVM), random forest regression (RFR), and extreme gradient boosting (XGBoost) were also trained using a fivefold cross-validation method. RESULTS: A total of 415 eyes from 403 patients were included. Factors associated with an increased risk of SCGI were reduced uncorrected visual acuity (UCVA), increased difference between UCVA of the traumatic eye from the contralateral eye, older age, male sex, grade of periorbital soft tissue trauma, trauma in the occupational setting, conjunctival hemorrhage, extraocular movement restriction, number of fractured walls, presence of medial wall fracture, size of fracture, intraorbital emphysema and retrobulbar hemorrhage. The area under the curve of the receiver operating characteristic for LR, SVM, RFR, and XGBoost for the prediction of SCGI was 57.2%, 68.8%, 63.7%, and 73.1%, respectively. CONCLUSIONS: Clinical and radiographic findings could be utilized to efficiently predict SCGI. XGBoost outperforms the logistic regression model in the prediction of SCGI and could be incorporated into clinical practice.


Assuntos
Fraturas Orbitárias , Tomografia Computadorizada por Raios X , Humanos , Masculino , Feminino , Estudos Retrospectivos , Fraturas Orbitárias/diagnóstico , Fraturas Orbitárias/epidemiologia , Fraturas Orbitárias/complicações , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Adolescente , Ferimentos não Penetrantes/diagnóstico , Ferimentos não Penetrantes/complicações , Fatores de Risco , Acuidade Visual , Idoso , Curva ROC , Traumatismos Oculares/diagnóstico , Traumatismos Oculares/epidemiologia , Criança
10.
Graefes Arch Clin Exp Ophthalmol ; 262(2): 623-630, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37851132

RESUMO

PURPOSE: To evaluate demographics, characteristics, and management of pediatric patients with subperiosteal abscesses (SPA) secondary to orbital cellulitis and discuss the etiology of a dramatic rise in SPA. METHODS: Data were gathered by retrospective chart review of patients admitted to a tertiary referral eye hospital (Farabi Eye Hospital) diagnosed with orbital cellulitis with subperiosteal abscess from October 2022 to March 2023 (six months). Data on demographic information, clinical examination, radiographic evidence of sinusitis, orbital cellulitis, SPA, surgical and non-surgical management taken, isolated bacteria, and duration of hospital stay were gathered. RESULTS: 24 patients were admitted during these six months, with a diagnosis of orbital SPA secondary to paranasal sinusitis, confirmed by an orbital Computed Tomography (CT) scan. The age range was 11 months to 16 years. 75% of patients were male. All patients had a history of flu-like illness before developing orbital cellulitis. All patients had concurrent sinusitis, and 18 underwent initial surgical abscess drainage. The ethmoid sinus was the most involved, and most patients had a medially located SPA. Abscess volume ranged from 0.78 to 7.81 cm3 (mean: 3.52 cm3). One patient had concurrent central retinal artery occlusion due to orbital cellulitis. CONCLUSIONS: In this study, we report a dramatic increase in the incidence of SPA referred to our hospital. Larger abscess volumes and an increased number of cases that needed initial surgical drainage are also of note. An influenza outbreak in the autumn and winter, undiagnosed Corona Virus Disease 2019 (COVID-19) infection, increased antimicrobial resistance due to excessive off-label use of antibiotics during the COVID-19 pandemic, and more virulent bacterial infections are the most probable hypotheses to justify this observation.


Assuntos
Celulite Orbitária , Doenças Orbitárias , Sinusite , Criança , Humanos , Masculino , Lactente , Feminino , Celulite Orbitária/diagnóstico , Celulite Orbitária/epidemiologia , Celulite Orbitária/terapia , Estudos Retrospectivos , Abscesso/diagnóstico , Abscesso/epidemiologia , Abscesso/terapia , Irã (Geográfico)/epidemiologia , Pandemias , Periósteo/microbiologia , Sinusite/complicações , Sinusite/diagnóstico , Sinusite/epidemiologia , Surtos de Doenças , Antibacterianos/uso terapêutico , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/epidemiologia , Doenças Orbitárias/terapia
11.
Appl Nurs Res ; 74: 151744, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-38007245

RESUMO

BACKGROUND: "Partnership Care Model (PCM)", which is the first partnership conceptual framework founded on the Iranian culture to control chronic diseases, has been recently used in different fields of nursing research with no levels of valid evidence to support its application. Therefore, this systematic review and meta-analysis sought to clarify the impacts of interventions developed based on PCM on quality of life (QoL), sleep quality, anxiety, and depression among adults and children with chronic diseases. METHODS: International data sources (e.g., PubMed, Web of Science, Scopus) and national databases (e.g., SID, MagIran, IranDoc, IRCT) were searched from 2001 to September 23, 2023, to find Randomized Controlled Trials (RCTs) on PCM-driven interventions for the experimental groups versus no intervention or standard care groups. The studies' methodological quality and evidence quality were rated utilizing the Cochrane risk of bias instruction and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Data were pooled by a random-effects approach employing STATA (vers. 11.2). RESULT: Eighteen RCTs, reported in 22 publications, were qualified. The PCM compared to the standard care significantly improved the QoL among both adults (10 effect sizes [ESs], mean difference [MD]: 3.17, P < 0.001) and children (4 ESs, MD: 4.45, P < 0.001). Likewise, the intervention enhanced adults' sleep quality (3 ESs, MD: 7.15, P < 0.001). The anxiety of adults and children was also significantly lower in the PCM group (4 ESs, MD: -4.52, P = 0.001; 2 ESs, MD: -4.04, P < 0.001, respectively). However, regarding depression, a significant effect of PCM was found only among children (3 ESs, MD: -7.99, P = 0.011). The methodological quality of the studies and the evidence quality were undesirable. CONCLUSION: The PCM had a promising influence on the caring of adults and children suffering from chronic diseases. However, additional high-quality RCTs are needed to generate a higher quality of evidence concerning the clinical benefits of the PCM. PROSPERO NO: CRD42021253790.


Assuntos
Ansiedade , Depressão , Humanos , Adulto , Criança , Ensaios Clínicos Controlados Aleatórios como Assunto , Doença Crônica , Irã (Geográfico) , Qualidade de Vida
12.
Biol Trace Elem Res ; 2023 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-37989929

RESUMO

The purpose of the present clinical trial was to determine the impact of zinc supplementation on serum liver enzymes, steatosis severity, lipid profile, and inflammatory status in overweight or obese children with nonalcoholic steatohepatitis (NASH). This randomized controlled trial was conducted by enrolling 60 children with NASH, aged 10-18 years old. The participants were randomly assigned to two groups that received either 30 mg/day of elemental zinc or placebo for 16 weeks. The severity of liver steatosis was evaluated using liver ultrasonography. Fasting blood samples were collected from each patient at the beginning and after 16 weeks of intervention to measure biochemical parameters. Following a 16-week intervention, zinc supplementation compared with placebo significantly decreased serum alanine aminotransferase (ALT) concentrations and high-sensitivity C-reactive protein and considerably enhanced HDL-cholesterol values. However, zinc intake had no considerable impact on aspartate aminotransferase, the severity of liver steatosis, anthropometric parameters, and other lipid indices versus the placebo group. Overall, zinc supplementation showed a promising impact on serum ALT, HDL-cholesterol, and inflammatory status in overweight or obese children suffering from NASH. Zinc supplementation may be a new strategy for the amelioration of NASH in overweight or obese children. This trial has been registered on the Iranian website for registration of clinical trials with the special ID of IRCT20200531047614N1 ( https://www.irct.ir/trial/48543 ).

13.
Health Sci Rep ; 6(10): e1631, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37867790

RESUMO

Background and Aims: Congenital myogenic ptosis (CMP), chronic progressive external ophthalmoplegia (CPEO), and facial nerve palsy (FNP) are among the disorders which can seriously affect the blink dynamics of patients. Smartphone videography is a simple, convenient, and inexpensive way to capture eyelid movement. This study has measured and compared a variety of blink dynamics in these patients compared to healthy controls using 2-dimensional smartphone videography to enhance the utility of this method in both clinical and research settings. Methods: A total of 30 adult participants with a complaint of impaired eyelid movements including 10 with CMP, 10 with CPEO, and 10 with unilateral FNP, as well as 10 healthy controls were recruited. Using a smartphone camera with a resolution of 240 frames per second in 720 p, various blink dynamics were measured. Results: All case groups had significantly lower values of peak and average closing velocities, average opening velocity, and palpebral aperture and significantly higher values of eyelid closing duration, compared to controls. FNP participants also had significantly lower values in the full blink rate and peak opening velocity (POV) measures, and CPEO patients showed significantly lower values in the POV. Other measures were not statistically significantly different compared to healthy controls. Conclusion: Our results indicated that all patients with CMP, FNP, and CPEO had different blinking dynamics compared to healthy controls, which is consistent with previous studies. Smartphone videography has achieved sufficient resolution and frame-rate to provide valuable information and anatomic details for clinical and research purposes. Further studies could utilize smartphone videography for further investigation and confirmation of the methodology in various conditions.

14.
Int Ophthalmol ; 43(12): 4997-5009, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37840073

RESUMO

PURPOSE: To describe the clinicopathological features of a large cohort of patients with orbital histiocytoses and fibrohistiocytosis, such as Langerhans cell histiocytosis (LCH) and non-LCH disorders, and correlate patients' clinical characteristics with their pathological diagnosis. METHODS: In this retrospective study, medical records of patients presenting to Farabi Eye Hospital, a tertiary eye care center in Tehran, Iran, from 2010 until 2022, were reviewed. Patients' demographics, chief complaint, location and laterality of the tumor, best-corrected visual acuity, presence of bone erosion on imaging, and their pathological diagnosis were retrieved. Excisional biopsy was performed and evaluated through light microscopy and immunohistochemistry study for their respective markers, including CD1a, CD68, CD207, and S100. RESULTS: A total of 117 patients with 11 pathological subtypes of histiocytoses and fibrohistiocyosis were identified, with 56.4% male and 43.6% female patients. The mean age at presentation was 23.4 years (range 1.5 months-73 years). Swelling and palpable mass were the most common chief complaints. LCH was the most common pathology (32.5%), followed by juvenile xanthogranuloma (26.5%) and adult xanthogranuloma (21.4%). Age, lesion location, and bone erosion had a statistically significant difference among the various diagnosed subtypes. CONCLUSIONS: Histiocytoses and fibrohistiocytosis are diverse and rare disorders potentially involving multiple organ systems. Ophthalmic manifestations of these diseases are even more uncommon. We reviewed their orbital presentation along with their respective histopathological findings. Our results also suggested that an orbital CT scan can be of diagnostic value to discriminate LCH from other histiocytic pathologies.


Assuntos
Histiocitose de Células de Langerhans , Adulto , Humanos , Masculino , Feminino , Lactente , Estudos Retrospectivos , Irã (Geográfico) , Histiocitose de Células de Langerhans/diagnóstico , Histiocitose de Células de Langerhans/patologia , Imuno-Histoquímica , Biópsia
15.
Heliyon ; 9(9): e19791, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37809515

RESUMO

In the present study, the tensile strength, fracture surface, hardness, and amount of residual stress in Inconel 625 super alloy cladded with direct metal deposition (DLD) process in the states before and after stress relief was studied. Residual stresses on the cladding layer surface were determined via XRD method. According to results, the yield strength of Am sample increased by 10% compared to thecast sample (reference sample). Although the yield strength experiebced an increase, the ductility followed an opposite trend falling from 42.5% to 26%. According to residual stress test outcomes, tensile residual stress of 361 MPa in the additive-manufactured sample. After stress relaxation heat treatment and almost complete removal of residual stress, the ductility reached 52.5%, the ultimate strength was also improved by 17% from cast sample. Also, after stress relaxation, the hardness of the sample and its fluctuations are reduced.

16.
Orbit ; : 1-7, 2023 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-37698843

RESUMO

Mucormycosis is a serious fungal infection caused by fungi in the order of Mucorales. Orbital mucormycosis occurs more frequently in rhino-orbital, sino-orbital, and rhino-orbito-cerebral forms of the disease, while isolated orbital mucormycosis is much less common. Herein, we present four cases of immunocompetent children who developed primary cutaneous mucormycosis, which subsequently invaded and progressed to orbital mucormycosis following direct traumatic injury caused by pecking from Acridotheres tristis (Common Myna). Given the low prevalence of orbital mucormycosis in healthy children, an unknown source of infection and delayed diagnosis followed by late therapeutic interventions could result in life-threatening conditions and serious sequelae.

17.
Artigo em Inglês | MEDLINE | ID: mdl-37721309

RESUMO

PURPOSE: To review the existing literature on patients with anaplastic large cell lymphoma (ALCL) affecting the globe and/or ocular adnexa, and to present a report documenting the clinical course of a patient with ALCL that involved their globe and ocular adnexa. METHODS: PubMed, Scopus, and Google scholar were systematically searched for all cases of ALCL involving intraocular or adnexal ocular structures from inception to May 2023. Moreover, a new reported case added to the cases found in searches. RESULTS: The review identified 1680 studies, with 8 meeting inclusion criteria. A total of 9 patients were included with a mean age of 29.7 years (median: 30.0, range: 1.3-48). Primary ALCL was present in 5/9 (55.6%) patients. The most common ophthalmic manifestations included periorbital swelling (5/8), chemosis (5.8), and decreased vision (5/7). Misdiagnoses were initially made in 3 patients, and the lag time to correct diagnosis from 3 weeks to 3 months. CD30 expression was positive in all cases, and 6/9 patients were positive for anaplastic lymphoma kinase, resulting in 6/9 patients being diagnosed with anaplastic lymphoma kinase-positive ALCL. In terms of management modalities, chemotherapy was administered in 8/9 patients, while radiation therapy was utilized in 4/9 patients, and 2 underwent autologous stem cell transplantation. Five (55.6%) patients succumbed to ALCL while 4 (44.4%) were alive and disease-free at the last follow-up. The median times from the initial presentation of ALCL to death, ophthalmic presentation to death, and diagnosis to death were 4.12 months (range: 1.1-168.0), 2.62 months (range: 1.1-144), and 4.00 months (range: 0.10-168), respectively. The median follow-up duration was 21.0 months (range: 1.1-168.0). CONCLUSIONS: ALCL involving the globe and ocular adnexa is a rare and highly malignant tumor that can mimic benign clinical conditions. Early biopsy and aggressive treatment with chemotherapy regimens such as CHOP and radiation therapy may be useful.

18.
J Occup Med Toxicol ; 18(1): 15, 2023 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-37525184

RESUMO

BACKGROUND: Silver nanoparticles (AgNPs) are widely used in medicine owing to their antiseptic activity and inducing cell death. Despite AgNPs' importance in nano-engineering and medical benefits, animal studies have shown silver toxicity can damage multiple organs such as the lungs, liver, kidneys, intestines, and brain. Several investigations revealed the correlation between Ag administration by different methods with impaired cognitive and behavioral abilities. Therefore, this systematic review aimed to conclude on the existing evidence of impairments in learning and memory that were changed in rodents exposed to AgNPs. METHODS: Main searches were retrieved in Google Scholar, Scopus, Web of Science, and PubMed databases from 1979 to 2022. Eligibility Criteria were applied to select and extract 15 articles among 892. RESULTS: Learning and memory abilities of rats and mice in screened studies were evaluated with MWM, NORT, PAL, T-maze, Y-maze, contextual fear conditioning, Radial Arm Maze and Carousel Maze test. Data have shown various sizes from 10 to 100 nm could affect the results of tests among animals exposed to AgNPs compared with control animals. However, in some treatments, results achieved from tests have not demonstrated significant differences between control and treated groups. CONCLUSION: Studies have revealed that treatment with Ag-NPs of different sizes can impair learning and memory skills in rats and mice.

19.
BMC Ophthalmol ; 23(1): 253, 2023 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-37280563

RESUMO

Upper eyelid surgeries, such as blepharoplasty and ptosis correction, are commonly performed procedures worldwide. This review examines the effects of these surgeries on ocular properties and visual function. A search of the PubMed and Google Scholar databases was conducted to identify relevant articles published after 2000. The results demonstrate that the ocular and adnexal organs function as a unified visual system, with changes in one component affecting the functions of others. Eyelid surgery can alter ocular properties and functions by modifying retinal lighting and ocular optics. These alterations can affect intraocular pressure estimation, corneal curvature, corneal epithelial thickness, refractive power of the cornea, and intraocular lens calculation. Additionally, eyelid surgery can exacerbate dry eye symptoms and impact contrast sensitivity, which is a significant factor in visual quality. Therefore, understanding these interactions is crucial before performing eyelid surgery and during follow-up. This review summarizes recent literature on the effects of upper eyelid surgery on corneal properties and visual function, emphasizing the importance of considering these factors when planning or undergoing such procedures.


Assuntos
Astigmatismo , Blefaroplastia , Blefaroptose , Humanos , Blefaroplastia/métodos , Córnea/cirurgia , Blefaroptose/cirurgia , Pálpebras/cirurgia
20.
Water Res ; 238: 120012, 2023 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-37150062

RESUMO

This paper explores the use of 'conditional convolutional generative adversarial networks' (CDCGAN) for image-based leak detection and localization (LD&L) in water distribution networks (WDNs). The method employs pressure measurements and is based on four pillars: (1) hydraulic model-based generation of leak-free training data by taking into account the demand uncertainty, (2) conversion of hydraulic model input demand-output pressure pairs into images using kriging interpolation, (3) training of a CDCGAN model for image-to-image translation, and (4) using the structural similarity (SSIM) index for LD&L. SSIM, computed over the entire pressure distribution image is used for leak detection, and a local estimate of SSIM is employed for leak localization. The CDCGAN model employed in this paper is based on the pix2pix architecture. The effectiveness of the proposed methodology is demonstrated on leakage datasets under various scenarios. Results show that the method has an accuracy of approximately 70% for real-time leak detection. The proposed method is well-suited for real-time applications due to the low computational cost of CDCGAN predictions compared to WDN hydraulic models, is robust in presence of uncertainty due to the nature of generative adversarial networks, and scales well to large and variable-sized monitoring data due to the use of an image-based approach.


Assuntos
Processamento de Imagem Assistida por Computador , Redes Neurais de Computação , Processamento de Imagem Assistida por Computador/métodos , Abastecimento de Água
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