RESUMO
This study aimed to investigate the clinical and molecular characteristics of Giardia duodenalis (G. duodenalis) infection and identify potential risk factors in children and teenagers with malignancies in Shiraz, southwestern Iran. A total of 200 fresh fecal samples were collected from children and adolescents suffering from 32 different cancer types at Amir, Nemazee, and Saadi hospitals affiliated with Shiraz University of Medical Sciences between October 2021 and May 2022. Direct microscopy using saline and iodine wet mount was conducted, and all fecal samples were rechecked by SSU-PCR. Subsequently, a specific fragment of the tpi gene was amplified on all samples for prevalence, sequencing, and assemblage identification. Our study found a 4% (8/200) prevalence of G. duodenalis using microscopy and PCR. The molecular findings were consistent with the microscopic results. All eight positive samples with SSU-rRNA gene were also detected as positive with tpi gene and were correctly sequenced. Among the examined cancer patients, two assemblages were identified: A [sub-assemblage AI (2/8, 25%) and sub-assemblage AII (3/8, 37.5%)] and B [sub-assemblage BIV (3/8, 37.5%)]. Notably, patients were more vulnerable to G. duodenalis infection after receiving at least 8 treatment episodes (p < 0.05) and displaying gastrointestinal symptoms (p > 0.05). The demographic characteristics of cancer patients with G. duodenalis infection and the statistical conclusions were separately detailed. The small sample size and low prevalence rate in this study hindered precise epidemiological conclusions. Nonetheless, the results suggest that G. duodenalis infection among cancer patients in Shiraz city originates from humans, without any specific animal groups (C-H) involved.
RESUMO
Suicide is a preventable act, but irreversible once committed; Hundreds of thousands of people commit suicide annually around the globe. One of the groups at high risk of suicide is medical students. Suicidal ideation (SI) is a forerunner to suicidal attempts which could be assessed. Since there are not enough data about this issue among Iranian medical students, we aimed to estimate the prevalence of SI and risk factors among Shiraz University of Medical Sciences (SUMS) undergraduate medical students. An institutional-based cross-sectional study was conducted from December 2022 to February 2023 in the medical school of SUMS. Students willing to participate were recruited by stratified random sampling technique. Data were collected using a self-administered questionnaire along with Beck Scale for Suicidal Ideation (BSSI) and Depression, Anxiety, and Stress Scale (DASS-21). Bivariate analysis and multivariate logistic regression model were carried out using BlueSky software. The study identified that 76 out of 308 attendees (24.7%, 95% CI: 19.9%-29.5%) reported experiencing suicidal ideation. Very severe depression [AOR= 26.705, 95% CI: (8.825 - 91.046)], Severe depression [AOR= 17.142, 95% CI: (5.567 - 58.121)], positive family history of psychiatric disorders [AOR= 4.181, 95% CI: (1.773 - 10.014)], comorbid mental illness [AOR= 2.502, 95% CI: (1.123 - 5.553)], were found to be statistically related to having SI. This study showed that one out of every four undergraduate medical students at SUMS has SI, which warns everyone to plan and act to prevent the loss of more lives. Depression, family history of psychiatric disorders, and comorbid mental diseases were found to be strongly associated with SI.
Assuntos
Estudantes de Medicina , Ideação Suicida , Humanos , Irã (Geográfico)/epidemiologia , Estudantes de Medicina/psicologia , Estudantes de Medicina/estatística & dados numéricos , Estudos Transversais , Masculino , Feminino , Adulto Jovem , Adulto , Fatores de Risco , Depressão/epidemiologia , Prevalência , Ansiedade/epidemiologia , Inquéritos e QuestionáriosRESUMO
The genus of Lonicera is the largest genus of Caprifoliaceae family. This study revealed the composition, antioxidant, and antibacterial actions of essential oils of Lonicera caprifolium L. in different areas of Iran; Qom, Mashhad, Shiraz. Gas chromatography-mass spectrometry examination was applied to recognise the oil conformation. The essential oils of Qom included a high number of monoterpenes, with linalool as the significant constituent. In the essential oil of Mashhad, the main elements were methyl linoleate. The essential oil of Shiraz displayed a similar profile, including a large quantity of fatty acid, with methyl palmitate as the main component. The antioxidant activity was assessed via the DPPH exam, and the antimicrobial action was verified using the broth microdilution procedure. The essential oils of Qom revealed the maximum antimicrobial and antioxidant actions between the three regions, ascribed to its high concentration of monoterpenes and phenolic composites. Moreover, principal component analysis (PCA) and heat map successfully revealed the variation and correlation between metabolites of the three oils. These conclusions highlight the potential of L. caprifolium as natural foundations of antimicrobial and antioxidant representatives, with investigation required to reveal their therapeutic requests.
RESUMO
Giardia duodenalis is one of the most common causes of waterborne disease worldwide, and is often associated with outbreaks of diarrhea in areas with poor sanitation and hygiene. This study aimed to assess the prevalence and genetic diversity of G. duodenalis assemblages in individuals attending major public hospitals in Shiraz, southwestern Iran. From August 2022 to May 2023, a total of 614 stool samples from individuals were collected and initially examined for G. duodenalis cysts using parasitological techniques, sucrose flotation, and microscopy. Microscopy-positive samples were validated by SSU-PCR amplification of the parasite DNA. A multilocus genotyping (MLG) scheme, which focused on the triose phosphate isomerase (tpi) and the glutamate dehydrogenase (gdh) genes, was employed for genotyping purposes. G. duodenalis cysts were found in 7.5% (46/614) and 8.5% (52/614) of samples through microscopy and SSU-PCR, respectively. Successful amplification and sequencing results were obtained for 77.3% (17/22) and 45.5% (10/22) of the infected samples at the tpi and gdh loci, respectively. MLG data for the two loci were available for only five samples. Out of the 22 samples genotyped at any loci, 54.5% (12/22) were identified as assemblage A, while 45.5% (10/22) were identified as assemblage B. AII was the most predominant sub-assemblage identified [54.5% (12/22)], followed by BIII [27% (6/22)], discordant BIII/BIV [13.6% (3/22)], and BIV [4.5% (1/22)]. In the present study, no assemblages suited for non-human animal hosts (e.g., C-F) were detected. This suggests that the transmission of human giardiasis in Shiraz is primarily anthroponotic. Further molecular-based analyses are necessary to confirm and expand upon these findings. These analyses will also help determine the presence and public health importance of the parasite in environmental samples, such as drinking water.
RESUMO
Grapevine trunk diseases (GTDs) impact the sustainability of vineyards worldwide and management options are currently limited. Biological control agents (BCAs) may offer a viable alternative for disease control. With an aim to develop an effective biocontrol strategy against the GTD pathogen Neofusicoccum luteum, this study investigated the following: (1) the efficacy of the strains in suppressing the BD pathogen N. luteum in detached canes and potted vines; (2) the ability of a strain of Pseudomonas poae (BCA17) to colonize and persist within grapevine tissues; and (3) the mode of action of BCA17 to antagonize N. luteum. Co-inoculations of the antagonistic bacterial strains with N. luteum revealed that one strain of P. poae (BCA17) suppressed infection by 100% and 80% in detached canes and potted vines, respectively. Stem inoculations of a laboratory-generated rifampicin-resistant strain of BCA17 in potted vines (cv. Shiraz) indicated the bacterial strain could colonize and persist in the grapevine tissues, potentially providing some protection against GTDs for up to 6 months. The bioactive diffusible compounds secreted by BCA17 significantly reduced the spore germination and fungal biomass of N. luteum and the other representative GTD pathogens. Complementary analysis via MALDI-TOF revealed the presence of an unknown cyclic lipopeptide in the bioactive diffusible compounds, which was absent in a non-antagonistic strain of P. poae (JMN13), suggesting this novel lipopeptide may be responsible for the biocontrol activity of the BCA17. Our study provided evidence that P. poae BCA17 is a potential BCA to combat N. luteum, with a potential novel mode of action.
RESUMO
Although the appendix is the most commonly resected and examined intra-abdominal organ, the pathogenesis and etiology of acute nonspecific appendicitis remain enigmatic. This retrospective study aimed to assess the prevalence of parasitic infection in surgically removed appendices and to evaluate the probable associations between the presence of parasites and the occurrence of appendicitis through parasitological and histopathological examinations of the appendectomy specimens. Materials and methods: This retrospective study was carried out from April 2016 to March 2021 among all patients referred to hospitals affiliated with Shiraz University of Medical Sciences, Fars Province, Iran, for appendectomy. Patient information, including age, sex, year of appendectomy, and type of appendicitis, was collected from the available data in the hospital information system database. In positive cases, all pathology reports were retrospectively evaluated for the presence of the parasite and its type, and analytical and descriptive statistics were carried out using SPSS software version 22. Results: A total of 7628 appendectomy materials were evaluated in the present study. Of the total participants, 4528 (59.4%, 95% CI: 58.2-60.5) were males, and 3100 (40.6%, 95% CI: 39.5-41.8) were females. The mean age of participants was 23.87±14.28 years. Overall, Enterobius vermicularis was observed in 20 appendectomy specimens. Fourteen of these patients (70%) were less than 20 years old. Conclusion: This study indicated that E. vermicularis is one of the common infectious agents that could be found in the appendix and may increase the risk of appendicitis. Therefore, in terms of appendicitis, clinicians, and pathologists must be aware of the possible presence of parasitic agents, especially E. vermicularis, to treat and manage the patients sufficiently.
RESUMO
Pasteurella multocida a Gram-negative bacterium exists as a commensal in the upper respiratory tracts of livestock, and poultry. It is causative agent of a range of diseases in mammals and birds including fowl cholera in poultry, atrophic rhinitis in pigs and bovine hemorrhagic septicemia in cattle and buffalo. This study aimed to isolate P. multocida from sheep and cattle lungs sampled and assessed by bacteriological procedures and pulse field gel electrophoresis (PFGE) characterization. In this study 52 isolated of P. multocida were obtained (2016-2017) from clinically healthy and diseased animals (sheep and cattle) evaluated by PFGE for determining the relationship between them. According to the results of this study 12 sheep isolates had similarities above 94.00% and two cattle isolates showed similarities above 94.00%. When compared between sheep and cattle, most isolates showed a similarity of less than 50.00% indicating the great differences between isolates. It is noteworthy that in the present study, performed by PFGE to determine the type of P. multocida isolates, a very high distinction was made to determine the type of isolates and the relationship between isolates based on fragments in their genome using enzymes.
RESUMO
Water kefir grains cannot grow in milk. Therefore, the aim of this study was to investigate whether water kefir grains can show activity in demineralized whey, an environment containing lactose as a carbon source. The physicochemical, microbiological and sensory properties of water kefir prepared from demineralized whey containing 2% and 5% lactose and raisins or grape juice from two grape varieties (Dimrit and Shiraz) were investigated. It was found that the protein content of the water kefir increased significantly (p < 0.05), especially when grape juice was added. The total soluble solids and viscosity of the samples with grape addition increased significantly (p < 0.05). Total phenolic content and antioxidant capacity increased significantly with grape addition (p < 0.05), with the effect of Shiraz grape being more pronounced. In general, it was found that the content of K, P, Na, Ca and Mg was higher in the samples with grape addition. The sensory properties of water kefir made from dWhey with 2% lactose and grape juice were better. It was also confirmed that viability of water kefir microbiota is better in water kefir drink made from dWhey with 2% lactose due to higher pH value in comparison to dWhey with 5% lactose.
RESUMO
This research studied the occurrence, risk assessment and metals associated with microplastic (MPs) in soil of different land-use types in the south west of Iran. One hundred samples were collected from topsoil and MPs were extracted using the floatation method. In total, 9258 MPs particles with mean of 92.85 ± 119.24 particles kg-1 were counted. The mean MPs abundance in urban soils was 2.8 and 3.2 times higher than in industrial and agricultural soils, respectively. Fragment (43%) and small MPs (100-250 µm; 41%), were the dominant shape and size, respectively. Four main polymer types including Poly Ethylene (High Density Poly Ethylene and Low Density Poly Ethylene), Nylon (PA), Poly Propylene (PP), and Poly Styrene (PS) were identified. Nylon (29%) and PE (29%) were dominant polymer types. MPs particles in soil contained different levels of metals such as Cd, Cr, Cu, Fe, Hg, Pb, Zn, and Y, except La and Yb. The mean concentrations of metals were higher in MPs than in soil. The indices of MPs-induced risk (Hstudyarea=16.8) showed a hazard level (III) in the study area. Pollution load index (PLILandusetype) showed hazard level (II) for urban soils and hazard level (I) for industrial and agriculture soils, respectively. Overall, risk index indicated high to extreme danger for MPs pollution in the study area. This is the comprehensive study on the occurrence of soil MPs and associated metals, which provides basic information for a further study concerning ecosystem health in Shiraz.
Assuntos
Metais Pesados , Poluentes do Solo , Ecossistema , Monitoramento Ambiental/métodos , Microplásticos , Plásticos , Metais Pesados/análise , Irã (Geográfico) , Nylons , Poluentes do Solo/análise , Solo , Medição de Risco , Polietileno , Etilenos , ChinaRESUMO
Today, in developing countries, women's need to be present in urban public spaces and the establishment of everyday social interactions seem to be ignored more than other groups. Therefore, the present study aims to achieve the environmental components related to women's presence in urban spaces and prioritize them. In this study, by scrutinizing the criteria obtained from the interviews, a questionnaire was prepared and randomly distributed among 256 women in the population. IBM SPSS has been used to analyze the data and explain the priorities. The results of the T-test show that security (T-value = 6.508 in T1 test), compatibility with behavioral patterns (T-value = 4.975 in T2 test), eventuality (T-value = 11.064 in T3 test), permeability (T-value = 10.220 in T4 test), attention to climate (T-value = 5.692 in T5 test), liberty (T-value = 11.184 in T6 test), collective memory (T-value = 7.367 in T7 test), variety (T-value = 1.816 in T8 test), complexity (T-value = 13.228 in T9 test), and identity (T-value of 18.905 in T10 test) are the most important criteria in motivating presence in urban public spaces, respectively. According to the results, among the individual characteristics of the respondents, the components of collective memory (r = 0.805), identity (r = 0.784), liberty (r = 0.703), and safety and security (r = 0.644) have had a positive correlation with the age of the respondents. The results of this study indicated that improving security (individual, social, and psychological) is the main environmental priority for women over 18 to be present in urban public spaces.
Assuntos
Nível de Saúde , Humanos , Feminino , População UrbanaRESUMO
Shiraz disease (SD) is an economically important virus-associated disease that can significantly reduce yield in sensitive grapevine varieties and has so far only been reported in South Africa and Australia. In this study, RT-PCR and metagenomic high-throughput sequencing was used to study the virome of symptomatic and asymptomatic grapevines within vineyards affected by SD and located in South Australia. Results showed that grapevine virus A (GVA) phylogroup II variants were strongly associated with SD symptoms in Shiraz grapevines that also had mixed infections of viruses including combinations of grapevine leafroll-associated virus 3 (GLRaV-3) and grapevine leafroll-associated virus 4 strains 5, 6 and 9 (GLRaV-4/5, GLRaV-4/6, GLRaV-4/9). GVA phylogroup III variants, on the other hand, were present in both symptomatic and asymptomatic grapevines, suggesting no or decreased virulence of these strains. Similarly, only GVA phylogroup I variants were found in heritage Shiraz grapevines affected by mild leafroll disease, along with GLRaV-1, suggesting this phylogroup may not be associated with SD.
Assuntos
Flexiviridae , Vitis , Doenças das Plantas , Flexiviridae/genética , Austrália/epidemiologia , MetagenomaRESUMO
Shiraz disease (SD) is one of the most destructive viral diseases of grapevines in Australia and is known to cause significant economic loss to local growers. Grapevine virus A (GVA) was reported to be the key pathogen associated with this disease. This study aimed to better understand the diversity of GVA variants both within and between individual SD and grapevine leafroll disease (LRD) affected grapevines located at vineyards in South Australia. Amplicon high throughput sequencing (Amplicon-HTS) combined with median-joining networks (MJNs) was used to analyze the variability in specific gene regions of GVA variants. Several GVAII variant groups contain samples from both vineyards studied, suggesting that these GVAII variants were from a common origin. Variant groups analyzed by MJNs using the overall data set denote that there may be a possible relationship between variant groups of GVA and the geographical location of the grapevines.
Assuntos
Flexiviridae , Variação Genética , Austrália , Fazendas , Austrália do SulRESUMO
This was the first study evaluating the impact of cold pre-fermentative maceration using refrigeration on the nutraceutical quality and color of red sparkling wines elaborated with the cultivar Syrah, and the evolution of these variables with different autolysis times. The sparkling wines were elaborated using the traditional method with different maceration times (NM, 24 and 72 h) and aging on lees (3 and 18 months of autolysis). In the sequence, it was conducted the characterization of the phenolic compound profile by HPLC-DAD (n = 21), the antioxidant capacity (ABTS, DPPH, and FRAP assays), and the color (CIELab and CIEL*C*h systems). The total phenolic content (TPC) and antioxidant capacity (AOX) were higher with longer maceration (M72) and autolysis (18 months) times, reaching 453.54 mg L-1 of TPC, and AOX above 2.11 mmol TEAC L-1 by the three in vitro assays conducted. Cis-resveratrol, kaempferol-3-O-glucoside, quercetin-3-ß-d-glucoside, isorhamnetin-3-O-glucoside, and petunidin-3-O-glucoside showed a good correlation (r > 0.8; P < 0.05) with the antioxidant capacity and were found in higher concentrations in the sparkling wines elaborated with maceration. In addition, maceration promoted a more intense red (a*) and saturated (C*) color. Thus, the results indicated that cold pre-fermentative maceration and autolysis positively influenced the bioactive potential and the color of the red sparkling wines. This practice should be better explored through the elaboration of this product. Supplementary Information: The online version contains supplementary material available at 10.1007/s13197-022-05531-z.
RESUMO
Intestinal parasitic infections (IPIs) are still a serious public health problem worldwide, particularly in developing countries. The COVID-19 pandemic has affected people's lifestyles and quality of life. Besides, the prevalence of IPIs is directly associated with environmental sanitation, overcrowding, and personal hygiene. Therefore, the current study aimed to determine the prevalence of IPIs among patients referred to hospitals affiliated to Shiraz University of Medical Sciences by reviewing the available data of hospital information system database in the pre- and post-COVID-19 pandemic. The total data of 13,686 patients referred to hospitals affiliated to Shiraz University of Medical Sciences, southern Iran were collected from March 2019 to March 2021. The overall prevalence of IPIs was found to be 4.4%, and Blastocystis spp. was the most common parasite. The prevalence of protozoan parasites (4.4%) was significantly higher than helminthic parasites (0.04%, P < 0.001). A significant association was observed between IPIs with age, gender, and year (P < 0.05). The prevalence of IPIs among those referred to hospitals before the COVID-19 pandemic was higher than those referred to hospitals during the COVID-19 pandemic (5.8% vs 2.8%), and the differences were statistically significant (P < 0.001). The odds of infection among people investigated during the COVID-19 pandemic was about 40% lower than those investigated before the COVID-19 pandemic (AOR: 0.60, 95% CI: 0.49-0.73, P < 0.001). Our results showed that the prevalence of IPIs has decreased during the COVID-19 pandemic. Improved sanitation, personal hygiene, and health education can be effective in reducing parasitic infections in the COVID-19 pandemic.
Assuntos
Enteropatias Parasitárias , Animais , COVID-19/epidemiologia , Estudos Transversais , Fezes/parasitologia , Hospitais , Humanos , Enteropatias Parasitárias/epidemiologia , Enteropatias Parasitárias/parasitologia , Irã (Geográfico)/epidemiologia , Pandemias , Prevalência , Qualidade de Vida , Estudos Retrospectivos , Fatores de RiscoRESUMO
Agrobacterium tumefaciens species complex contains a set of diverse bacterial strains, most of which are well known for their pathogenicity on agricultural plants causing crown gall diseases. Members of A. tumefaciens species complex are classified into several taxonomically distinct lineages called "genomospecies" (13 genomospecies until early 2021). Recently, two genomospecies, G19 (strains RnrT, Rew, and Rnw) and G20 (strains OT33T and R13) infecting Rosa sp. plants in Iran, were described based on biochemical and molecular-phylogenetic data. Whole genome sequence-based core-genome phylogeny followed by average nucleotide identity (ANI) and digital DNA-DNA hybridization (dDDH) calculations performed in this study suggested that genomospecies G19 and G20 could be described as two novel and standalone species. In the phylogenetic tree, these two new genomospecies were clustered separately from other genomospecies/species of A. tumefaciens species complex. Moreover, both ANI and dDDH indices between the G19/G20 strains and other Rhizobiaceae members are clearly below the accepted thresholds for prokaryotic species description. Hence, Agrobacterium burrii sp. nov. is proposed to encompass the G19 strains, with RnrT = CFBP 8705T = DSM 112541T as type strain. Agrobacterium shirazense sp. nov. is also proposed to include G20 strains, with OT33T = CFBP 8901T = DSM 112540T as type strain.[Formula: see text] Copyright © 2022 The Author(s). This is an open access article distributed under the CC BY 4.0 International license.
Assuntos
Tumores de Planta , Rosa , Agrobacterium/genética , Técnicas de Tipagem Bacteriana , DNA Bacteriano/genética , Ácidos Graxos , Genômica , Hibridização de Ácido Nucleico , Filogenia , Doenças das Plantas/microbiologia , Tumores de Planta/microbiologia , RNA Ribossômico 16S/genética , Análise de Sequência de DNARESUMO
Atrazine-contaminated soils can pose a carcinogenic and non-carcinogenic health risk through different routes for exposed people. This study aimed to assess the health risk of exposure to atrazine-contaminated soils through direct ingestion and dermal contact in farmlands nearby Shiraz. Atrazine concentration was measured in 22 selected sites using grid sampling. The carcinogenic and non-cancer risks associated with dermal and ingestion exposure in children and adults were estimated. The lowest and highest atrazine concentrations were in S1 (0.015 mg/kg soil) and S22 (0.55 mg/kg soil). Hazard Index (HI)1 values ranged from 0.007 to 0.25 for children, and the values ranged from 0.0008 to 0.03 for adults. The mean cancer risk for children and adults was 6.01 × 10-4 and 7.40 × 10-5, respectively. The HI value was less than 1 for all sampling sites, indicating that exposure to atrazine does not threaten children and adults. However, the cancer risk exceeds the United States Environmental Protection Agency (US.EPA)2 threshold risk limit (10-6 to 10-4) in all sampling sites. Therefore, it is recommended that children should avoid playing on atrazine-contaminated farms or soils near anywhere atrazine may have been used.
Assuntos
Atrazina , Metais Pesados , Poluentes do Solo , Adulto , Atrazina/análise , Atrazina/toxicidade , Criança , China , Monitoramento Ambiental , Fazendas , Humanos , Irã (Geográfico)/epidemiologia , Metais Pesados/análise , Medição de Risco , Solo , Poluentes do Solo/análise , Poluentes do Solo/toxicidadeRESUMO
This study examines for the first time the characteristics and human exposure of microplastics (MPs) in settled indoor dust in schools. An average of 195 MPs·g-1 of dust were detected in settled indoor composite dust samples from 28 schools in Shiraz. White-transparent microfibres with lengths 500-1000 µm were the most abundant type of MP found among the samples examined. Polyethylene terephthalate and polypropylene MPs were dominant across all types of MP found including microfibres. MPs had generally smooth morphology with sharp or regular edges which could have been released to the environment as primary MPs. Among all sampling sites, higher concentrations of MPs were found in the south and centre of the city. These were areas affected by high population density, high traffic load and high presence of industrial units and workshops. Principal Component Analysis (PCA) showed a positive strong correlation between sampling sites and MP physical characteristics. The PCA plots revealed that MP sheets and fragments were prevalent in sites in the North of Shiraz, whereas microfibres were mainly associated with sites in the South. The levels of MPs in the South of Shiraz were greater than in the rest of the country and the wind direction and topography were found to be important factors affecting the MP distribution observed. Compared to other population groups, elementary school students had relatively high exposure risk to MPs. This study reveals that microfibres are widespread in Shiraz' schools and pose a high exposure risk to MPs for young students.
Assuntos
Microplásticos , Plásticos , Poeira , Humanos , Polietilenotereftalatos , Instituições AcadêmicasRESUMO
Introduction Low-velocity penetrating brain injury is not prevalent. In some conditions such as childhood, and with the penetration of a pellet in weak spots of skull, low-velocity penetrating brain injury is expected; however, high-velocity projectiles have also been reported as the cause of severe brain injuries. One of the complications of penetrating brain injury is infection, in which different types ofmicroorganisms play a role. The Streptococcus genus is the leading cause of abscess formation in nontraumatic patients. Multiple brain abscesses are not common. Case Presentation A 10-year-old boy with penetrating brain injury caused by an air gun pellet, who developed signs and symptoms of high intracranial pressure 18 days after the trauma. After the imaging scans and the detection of multiple brain abscesses and severe brain edema, prompt surgical intervention was performed for all three lesions in a single operation. The culture of a pus specimen was positive for Streptococcus species, and, with adequate antibiotic therapy, the patient was discharged from the hospital in good condition. Conclusion Brain injurywith air gun shot is not prevalent. The penetration of a low-velocity air gun pellet in weak points of the skull (such as the orbit, the squamous portion of the temporal bone, and the cranial suture), specially in children, can cause significant brain injuries.
Assuntos
Humanos , Masculino , Criança , Infecções Estreptocócicas/tratamento farmacológico , Ferimentos por Arma de Fogo/cirurgia , Abscesso Encefálico/cirurgia , Lesões Encefálicas Traumáticas/cirurgia , Lesões Encefálicas Traumáticas/etiologia , Fraturas Cranianas/cirurgia , Fraturas Cranianas/etiologia , Fraturas Cranianas/diagnóstico por imagem , Streptococcus/patogenicidade , Abscesso Encefálico/etiologia , Abscesso Encefálico/diagnóstico por imagemRESUMO
Swimming pools are popularly used for sport and recreational purposes worldwide. These places influence swimmers' health as they are considered public places. This study attempted to introduce a process mining framework which analyzes the environmental health status in swimming pools. In this context, a new numerical index namely Swimming Pool Environmental Health Index (SPEHI) was developed through which, big data extracted from checklists of environmental health inspection of swimming pools were analyzed in fuzzy environment. The methodology comprises MCDM (Multi- Criteria Decision-Making) approach including fuzzy TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) and fuzzy OWA (Ordered Weighting Average). The performance of this index was evaluated through an applied example on 12 swimming pools in Shiraz, Iran that was run for a three-year sequence from 2015 to 2017. Among 30 evaluation criteria used in this index, the greatest (0.61) and lowest (0.35) group weights were dedicated to "Residual chlorine biological water quality" and "existence of drinking water facilities", respectively. For the study area, SPEHI showed a wide range of environmental health conditions between 37.8 (Relatively good) to 98.19 (Excellent). The extended index could shrink swimming pool's big data to concise values which are interpretable for health experts and managers of sport sector. It helps figuring out the trends of hygiene conditions in a swimming pool over the time and easy access to compare a city's swimming pools as well. The methodology is flexible in structure and thus, it could be applied for other sporting places.
RESUMO
Shiraz is a widely planted cultivar in many of the world's top wine regions where it is used for the production of top-quality single varietal or blended red wines. Cell wall changes during grape ripening and over-ripening have been investigated, particularly in the context of understanding berry deconstruction thereby facilitating the release of favorable compounds during winemaking. However, no information is available on cell wall changes during berry shrinkage in Shiraz. Glycan microarray technology was used to directly profile Shiraz berries for cell wall polysaccharide and glycoprotein epitopes. Skins and pulp tissues were profiled separately and revealed that whereas the skin was rich in pectins and xyloglucans, the pulp tissues were mainly composed of extensin glycoproteins. Overripe (26-28°B) berries, particularly those from the warmer region site, revealed degradation of their pectin and extensin epitopes.