Management of Noncatastrophic Internal Carotid Artery Injury in Endoscopic Skull Base Surgery.

Arterial injuries are the most feared complication of endoscopic skull base surgery. During resection of the middle fossa component of a large ventral skull base chondrosarcoma, arterial bleeding was encountered near the right internal carotid artery (ICA). Durable hemostasis could not be achieved with packing and the patient was taken for an emergent angiogram that revealed a pseudoaneurysm of the proximal intradural ICA. Given the presence of good collateral flow through the anterior and posterior communicating arteries, the right ICA was sacrificed by coil embolization. The patient was taken back to the operating room for closure then transferred to the intensive care unit and maintained on vasopressors for five days to ensure adequate perfusion. The right ICA was coil embolized and the patient was taken back to the operating room for closure. The patient recovered without complication. Arterial injuries, although serious, are not always catastrophic. Critical steps are immediate recognition of bleeding, vascular imaging, and vessel sacrifice if necessary

Investigating the role of commercialization on purchase intention

This paper presents a study to determine the role of commercialization on purchase intention in auto industry. The study designs a questionnaire in Likert scale and distributes it among some randomly selected people who lived in city of Tehran, Iran. The study investigates the effects of four factors including competitive condition, product development strategy, competitive advantage and economic growth on customers’ intention to purchase. Using structural equation modeling the study has determined a positive and meaningful relationship between each four components and purchase intention. In our study, the highest impact belongs to competitive condition followed by product development strategy

Impact of Human Immunodeficiency Virus in the Pathogenesis and Outcome of Patients with Glioblastoma Multiforme.

BackgroundImprovement in antiviral therapies have been accompanied by an increased frequency of non-Acquired Immune Deficiency Syndrome (AIDS) defining malignancies, such as glioblastoma multiforme. Here, we investigated all reported cases of human immunodeficiency virus (HIV)-positive patients with glioblastoma and evaluated their clinical outcomes. A comprehensive review of the molecular pathogenetic mechanisms underlying glioblastoma development in the setting of HIV/AIDS is provided.MethodsWe performed a PubMed search using keywords "HIV glioma" AND "glioblastoma," and "AIDS glioma" AND "glioblastoma." Case reports and series describing HIV-positive patients with glioblastoma (histologically-proven World Health Organization grade IV astrocytoma) and reporting on HAART treatment status, clinical follow-up, and overall survival (OS), were included for the purposes of quantitative synthesis. Patients without clinical follow-up data or OS were excluded. Remaining articles were assessed for data extraction eligibility.ResultsA total of 17 patients met our inclusion criteria. Of these patients, 14 (82.4%) were male and 3 (17.6%) were female, with a mean age of 39.5±9.2 years (range 19-60 years). Average CD4 count at diagnosis of glioblastoma was 358.9±193.4 cells/mm3. Tumor progression rather than AIDS-associated complications dictated patient survival. There was a trend towards increased median survival with HAART treatment (12.0 vs 7.5 months, p=0.10).ConclusionOur data suggests that HAART is associated with improved survival in patients with HIV-associated glioblastoma, although the precise mechanisms underlying this improvement remain unclear

Superhydrophobic properties of silver-coated films on copper surface by galvanic exchange reaction

Hydrophobic properties of thin nanostructured silver films produced by galvanic exchange reaction on a copper surface were studied after passivation with stearic acid. The morphology of the silver films was controlled by varying the concentration of silver nitrate in the solution. Water contact angle as high as 156° and contact angle hystérésis as low as 5° were achieved for samples obtained with initial silver ion concentration of 24.75 mM in the solution. However, a strong dependence of contact angle and contact angle hysteresis on the fractal-like morphology of the silver films was observed with the variation of silver ion concentration

The role of epidermal growth factor-like module containing mucin-like hormone receptor 2 in human cancers.

G-protein coupled receptors (GPCRs) are among the most diverse and ubiquitous proteins in all of biology. The epidermal growth factor-seven span transmembrane (EGF-TM7) subfamily of adhesion GPCRs is a small subset whose members are mainly expressed on the surface of leukocytes. The EGF domains on the N-terminus add significant size to these receptors and they are considered to be among the largest members of the TM7 family. Although not all of their ligands or downstream targets have been identified, there is evidence implicating the EGF-TM7 family diverse processes such as cell adhesion, migration, inflammation, and autoimmune disease. Recent studies have identified expression of EGF-TM7 family members on human neoplasms including those of the thyroid, stomach, colon, and brain. Their presence on these tissues is not surprising given the ubiquity of GPCRs, but because their functional significance and pathways are not completely understood, they are of tremendous clinical and scientific interest. Current evidence suggests that expression of certain EGF-TM7 receptors is correlated with tumor grade, confers a more invasive phenotype, and increases the likelihood of metastatic disease. In this review, we will discuss the structure, function, and regulation of these receptors. We also describe the expression of these receptors in human cancers and explore their potential mechanistic significance

Immunocompetent murine models for the study of glioblastoma immunotherapy.

Glioblastoma remains a lethal diagnosis with a 5-year survival rate of less than 10%. (NEJM 352:987-96, 2005) Although immunotherapy-based approaches are capable of inducing detectable immune responses against tumor-specific antigens, improvements in clinical outcomes are modest, in no small part due to tumor-induced immunosuppressive mechanisms that promote immune escape and immuno-resistance. Immunotherapeutic strategies aimed at bolstering the immune response while neutralizing immunosuppression will play a critical role in improving treatment outcomes for glioblastoma patients. In vivo murine models of glioma provide an invaluable resource to achieving that end, and their use is an essential part of the preclinical workup for novel therapeutics that need to be tested in animal models prior to testing experimental therapies in patients. In this article, we review five contemporary immunocompetent mouse models, GL261 (C57BL/6), GL26 (C57BL/6) CT-2A (C57BL/6), SMA-560 (VM/Dk), and 4C8 (B6D2F1), each of which offer a suitable platform for testing novel immunotherapeutic approaches

Design, construction, sequence analysis and bioinformatics study of RTB-ipaD gene cassette: A new way in generation of Shigellosis vaccine

زمینه و هدف: شیگلا شایع ترین عامل اسهال می‌باشد. آنتی‌ژن پلاسمیدی IpaD برای تهاجم باکتری به درون سلول میزبان ضروری می‌باشد. یکی از چالش‌ها در باره واکسن مخاطی علیه شیگلا بر پایه پروتئین IpaD قدرت پایین آن می‌باشد. به نظر می‌رسد که با متصل کردن IpaD به یک ناقل و ادجوانت مناسب همچون زیر واحد B سم ریسین، می‌توان پروتئین IpaD را بسیار ایمنوژنیک نمود. این مطالعه به منظور تولید وکتور بیانی نوترکیب دارای کاست ژنی RTB-ipaD، آنالیز تعیین توالی و بررسی بیوانفورماتیکی آن انجام گرفته است. روش بررسی: در این مطالعه ژن های RTB و (163-483) ipaD در وکتور pGEM-T همسانه‌سازی شدند. ژن ipaD به روش برش آنزیمی با ژن RTB به همراه لینکر کد کننده GPGP در وکتور pGEM متصل شد. سپس قطعه کایمریک RTB-ipaD در وکتور بیانی pET28a(+) زیر همسانه‌سازی گردید. در پایان آنالیز تعیین توالی و بررسی بیوانفورماتیکی کاست ژنی انجام گرفت. یافته‌ها: صحت ساخت کاست ژنی RTB-ipaD در وکتور بیانی pET28a(+) با واکنش PCR و هضم آنزیمی مورد تایید قرار گرفت. نتایج حاصل از تعیین توالی کاست ژنی مطابق با توالی ذخیره شده در بانک ژنی بود. مطالعات بیوانفورماتیکی بر مبنای شاخص سازگاری کدون نشان داد این کاست قابلیت بیان در گیاه ترانس ژن و برخی سویه های باکتری اشرشیاکلی را دارد. نتیجه‌گیری: اتصال RTB به عنوان ناقل و ادجوانت به آنتی‌ژن IpaD رویکردی نوین و مطلوب در جهت تولید واکسن مخاطی شیگلوزیس می‌باش

Assessment of correlation between chronological age and modified Demirjian estimated dental age

BACKGROUND AND AIM: This study was designed to assess the correlation between chronological age and modified Demirjian estimated dental age. METHODS: Panoramic radiographs of 183 Patients between 13.5 and 20.5 years old were assessed for the developmental stage of lower right third molars. Student’s t-test was used to measure the same hypothesis of the chronological age and estimated modified Demirjian dental age described above and Pearson's correlation coefficient was used to measure the linear correlation between them. RESULTS: The result of the test at a significance level of 95% led to the hypothesis. There was no significant difference between chronological age and estimated dental age measured by modified Demirjian method (P = 0.81). Pearson correlation coefficient between dental age in modified Demirjian's method and chronological age was calculated 40%. CONCLUSION: The mean dental age in both male and female, was calculated 0.33 years less than chronological age. KEYWORDS: Chronological Age; Demirjian's Method; Dental Age; Mandibular Third Mola