Effect of Lamotrigine on Prophylaxis of Pediatric Classic Migraine

ObjectiveThis study was conducted to evaluate the preventive effect of lamotringine on migraine aura and migraine attacks in children, afflicted with classic migraine.Material & MethodsConducted between October 2005 and April 2008 in the neurology clinic of Kashani hospital,  Shahrekord, this study was a clinical trial, aimed at evaluating the prophylactic effects of Lamotringine administered to 21 children suffering from migraine with aura.ResultsOf the subjects, 52.4% of patients were female. The most common type of aura was visual (42.9%). Following use of Lamotrigine, significant reductions were seen in the frequency (from 5 ± 0.83 to 3.04 ± 1.65) and in intensity (from 6. 33 ± 1.08 to 3.66 ± 1.1) of migraine aura (P= 0.002). After 6 months of drug usage 66.6% of patients were improved.ConclusionLamotringine is effective in reducing the migraine aura and intensity of attacks in patients suffering from migraine with aura, and is hence beneficial for prophylactic therapy in children with classic migraine.

Multi-criteria dispatch optimization of a community energy network with desalination: Insights for trading off cost and security of supply.

The idea of community energy network is being advocated to enhance the elasticity of diverse energy systems required for efficiently integrating a substantial volume of distributed energy resources. On the other hand, the interest in renewables-based desalination systems has received significant interest recently to consider freshwater as an additional end-use product in the community energy network system. Within this context, this paper introduces a multifaceted method for community energy networks with a focus on desalination-capable systems. The central goals involve diminishing the cumulative long-term expenses of the configuration, all while concurrently augmenting the system's capacity to store electrothermal energy on a daily basis that varies - all aimed at enhancing the reliability and security of resource provisioning. Importantly, the model co-optimizes the community energy network expenditure and reserve capacities, whilst integrating electrical, thermal, and natural gas vectors, as well as providing a platform for supplying freshwater needs. The overall freshwater provisioning infrastructure incorporates a water storage system, a desalination unit, a water well component, and a water pumping system. Furthermore, for the purpose of enhancing the adaptability, the community energy network concept put forth here utilizes coordinated electrothermal responsive load initiatives. These are coupled with meticulously planned electrothermal reservoir setups to curtail the wastage of surplus renewable production amidst diverse origins of unpredictability. The normalized weighted sum method is employed to convert the proposed formulation to a single-objective problem that is amenable to commercially available solvers in GAMS software. Then, the modelling framework is adapted to a system populated for a hypothetical site. The results verify the validity of the model in yielding globally optimum results for complex community energy networks with intertwined vectors of energy and end-use products. They also indicate that relatively small raises in the size of the electric and thermal reservoirs - and insubstantial raises in the expenditure of the system - can have potentially significant impacts on the ability of the system in serving loads during contingency conditions. In particular, by implementing demand response programs a cost reduction of 2.07% is shown, which is significant in the day-ahead operational planning phase

Investigating miR-16-5p: The Tumor Suppressor That Influences Cell Cycle Genes in Colorectal Cancer

Background: Colorectal Cancer (CRC) remains a major health challenge, with perturbation in the cell cycle playing a crucial role in its progression. Hsa-miR-16-5p (miR-16-5p) is a crucial tumor suppressor, but its precise role in modulating cell cycle genes, particularly in the presence of ionizing radiation, is not fully understood.Objective: This study investigated the role of miR-16-5p in modulating the expression of cell cycle genes in colorectal cancer cells exposed to ionizing radiation.Material and Methods: In this experimental study, HT-29 cells were transfected with miR-16-5p using the polyfectamine transfection reagent. Expression levels of miR-16-5p, Cyclin-Dependent Kinase 4 (CDK4), Cyclin E1 (CCNE1), and Cyclin D1 (CCND1) were quantified by real-time Polymerase Chain Reaction (PCR). To assess the changes after irradiation, cells were exposed to 4 Gy.Results: Ionizing radiation significantly downregulated miR-16-5p compared to controls, while transfection of miR-16-5p significantly increased its expression level. However, irradiation of 4 Gy did not significantly alter CCND1 or CCNE1, but decreased CDK4 expression. The miR-16-5p transfection significantly suppressed CCND1, CCNE1 and CDK4 compared to controls. The expression of CCND1, CCNE1, and CDK4 significantly decreased when miR-16-5p transfection was performed before 4 Gy irradiation compared to both 4 Gy irradiation alone and the control group. Conclusion: Our results highlight the role of miR-16-5p in modulating key cell cycle genes in CRC. Increasing miR-16-5p expression could improve radiosensitivity and represent a therapeutic strategy for the treatment of CRC

Design and preliminary evaluation of a new ankle foot orthosis on kinetics and kinematics parameters for multiple sclerosis patients

Background: The damage of the central nervous system due to Multiple Sclerosis (MS) leads to many walking disorders in this population. However, current ankle-foot orthoses prescribed for improving walking disorders for these patients are not clinically cost-efficient. Objective: This study aimed to design and fabricate a dynamic ankle foot orthosis and a new spring-damper joint mechanism that could adapt the walking problems of MS patients and evaluate the immediate effect of the new orthosis on the speed, range of motion, moment, total work and ground reaction force during walking. Material and Methods: In this case-series study, after the design and fabrication of a new orthosis, the kinetics and kinematics of walking of four patients with MS were assessed in a case series study. Results: Walking speed improved with the new orthosis in two participants. The sagittal range of motion (ROM) increased for most of the participants. The sagittal moments increased for hip, knee and ankle joints in most of the measurements. The total joint work showed noticeable difference in the ankle joint. The increased values of vertical component of the ground reaction force (VGRF) were negligible and the increase in the impulse of VGRF was noticeable for only one participant. Conclusion: The new orthosis had positive effects kinetic and kinematic parameters of walking such as the increased velocity by two subjects and also a more normal sagittal ROM, moment and work, suggesting the potential usefulness of the new orthotic device for MS population. © 2020, Shriaz University of Medical Sciences. All rights reserved

Incidence, mortality, and burden of hepatitis B and C and geographical distribution in Iran during 2008-2015

Background: This study aimed at estimating the incidence, mortality, and burden of Hepatitis B (HBV) and Hepatitis C (HCV) viruses and their trends from 2008 to 2015. Methods: The Disability Adjusted Life Year (DALYs) index was applied to calculate the burden of the diseases by age, sex, time, and locations. The incidence and demographic data were obtained from HBV and HCV surveillance system, and the data on natural history was extracted from the cohort studies; moreover, the data on the standard life expectancy was obtained from the Iranian life table 2016. The two values of 0.03 and 21.5 yr were set as the discount rate and mean standard duration of the disease for both types of hepatitis. Results: The burden of HBV decreased from 13735 to 78277.6 yr, but there was an increase in the burden of HCV from 5174 to 14395 yr over the studied period. The burden of both types of hepatitis was higher among males than females. The incidence of HBV increased from 46611 to 22996 cases, and the incidence of HCV increased from 1210 to 3939 cases. The HBV decreased from 1925 to 1394 cases; however, the number of deaths caused by HCV increased from 197 to 583 cases over the studied period. The share of YLLs raised from 5 to 10 for HBV whereas it changed from 23 to 62 for HCV over the studied years. Tehran, Khorasan Razavi, and Golestan had the highest and Chaharmahal and Bakhtiari, Kurdistan, and Kermanshah had the lowest adjusted burden of HBV per 1000 population. Conclusion: Although the incidence, mortality, and burden of HBV declined over the eight studied years, these values increased dramatically for HCV. © 2019, Iranian Journal of Public Health. All rights reserved

Olfactory function following open rhinoplasty: A 6-month follow-up study

<p>Abstract</p> <p>Background</p> <p>Patients undergoing any type of nasal surgery may experience degrees of postoperative olfactory dysfunction. We sought to investigate "when" the olfactory function recovers to its preoperative levels.</p> <p>Methods</p> <p>In this cohort design, 40 of 65 esthetic open rhinoplasty candidates with equal gender distribution, who met the inclusion criteria, were assessed for their olfactory function using the Smell Identification Test (SIT) with 40 familiar odors in sniffing bottles. All the patients were evaluated for the SIT scores preoperatively and postoperatively (at week 1, week 6, and month 6).</p> <p>Results</p> <p>At postoperative week one, 87.5% of the patients had anosmia, and the rest exhibited at least moderate levels of hyposmia. The anosmia, which was the dominant pattern at postoperative week 1, resolved and converted to various levels of hyposmia, so that no one at postoperative week 6 showed any such complain. At postoperative week six, 85% of the subjects experienced degrees of hyposmia, almost all being mild to moderate. At postoperative six month, the olfactory function had already reverted to the preoperative levels: no anosmia or moderate to severe hyposmia. A repeated ANOVA was indicative of significant differences in the olfactory function at the different time points. According to our post hoc Benfronney, the preoperative scores had a significant difference with those at postoperative week 1, week 6, but not with the ones at month 6.</p> <p>Conclusion</p> <p>Esthetic open rhinoplasty may be accompanied by some degrees of postoperative olfactory dysfunction. Patients need a time interval of 6 weeks to 6 months to fully recover their baseline olfactory function.</p

Adhesive bonding of resin composite to various titanium surfaces using different metal conditioners and a surface modification system

OBJECTIVE: This study evaluated the effect of three metal conditioners on the shear bond strength (SBS) of a prosthetic composite material to cpTi grade I having three surface treatments. MATERIAL AND METHODS: One hundred sixty eight rivet-shaped specimens (8.0x2.0 mm) were cast and subjected to polishing (P) or sandblasting with either 50 mm (50SB) or 250 mm (250SB) Al(2)O(3). The metal conditioners Metal Photo Primer (MPP), Cesead II Opaque Primer (OP), Targis Link (TL), and one surface modification system Siloc (S), were applied to the specimen surfaces, which were covered with four 1-mm thick layers of resin composite. The resin layers were exposed to curing light for 90 s separately. Seven specimens from each experimental group were stored in water at 37ºC for 24 h while the other 7 specimens were subjected to 5,000 thermal cycles consisting of water baths at 4ºC and 60ºC (n=7). All specimens were subjected to SBS test (0.5 mm/min) until failure occurred, and further 28 specimens were analyzed using scanning electron microscope (SEM) and X-ray energy-dispersive spectroscopy (EDS). Data were analyzed by 3-way ANOVA followed by post-hoc Tukey's test (α=0.05). RESULTS: On 50SB surfaces, OP groups showed higher SBS means than MPP (P<0.05), while no significant difference was found among OP, S, and TL groups. On 250SB surfaces, OP and TL groups exhibited higher SBS than MPP and S (P<0.05). No significant difference in SBS was found between OP and TL groups nor between MPP and S groups. The use of conditioners on 250SB surfaces resulted in higher SBS means than the use of the same products on 50SB surfaces (P<0.05). CONCLUSION: Sandblasting associated with the use of metal conditioners improves SBS of resin composites to cpTi

Frequency and clinical patterns of stroke in Iran - Systematic and critical review

<p>Abstract</p> <p>Background</p> <p>Cerebrovascular disease is the second commonest cause of death, and over a third of stroke deaths occur in developing countries. To fulfil the current gap on data, this systematic review is focused on the frequency of stroke, risk factors, stroke types and mortality in Iran.</p> <p>Methods</p> <p>Thirteen relevant articles were identified by keyword searching of PubMed, Iranmedex, Iranian University index Libraries and the official national data on burden of diseases.</p> <p>Results</p> <p>The publication dates ranged from 1990 to 2008. The annual stroke incidence of various ages ranged from 23 to 103 per 100,000 population. This is comparable to the figures from Arab Countries, higher than sub-Saharan Africa, but lower than developed countries, India, the Caribbean, Latin America, and China. Similarly to other countries, ischaemic stroke was the commonest subtype. Likewise, the most common related risk factor is hypertension in adults, but cardiac causes in young stroke. The 28-day case fatality rate is reported at 19-31%.</p> <p>Conclusions</p> <p>Data on the epidemiology of stroke, its pattern and risk factors from Iran is scarce, but the available data highlights relatively low incidence of stroke. This may reflect a similarity towards the neighbouring nations, and a contrast with the West.</p