Magnets and children: a dangerous combination.

BACKGROUND: Accidental ingestion of foreign bodies is a common problem in children. Fortunately, the gastrointestinal tract is quite resilient to foreign bodies. On the other hand, the ingestion of magnets can result in enormous morbidity. Because of their natural tendency to firmly adhere they can cause intestinal obstruction, pressure necrosis, fistula formation or perforation. With this case report, we aim to raise awareness of the risks that these magnets pose to children. METHODS: We describe a case of intestinal perforation caused by the separate ingestion of multiple magnets from a children's toy (buckyballs, Neodymium spheres) by a two-year-old boy. A search in the Pubmed database showed some publications and varied management guidelines. RESULTS: The boy was treated with an exploratory laparoscopy converted to a mini-laparotomy. We removed the four magnets through separate enterotomies. Postoperative recovery was uneventful. The boy was discharged on a postoperative day five and had no complications at three months follow-ups. CONCLUSION: Accidental ingestion of multiple magnets is rare but can create a life-threatening situation in children. If the magnets are still in the stomach, endoscopic retrieval is needed. If they are beyond the stomach, in asymptomatic cases close clinical and radiographic vigilance is mandatory. When symptomatic we advise urgent removal. If treated on time, the surgical outcome is good and fast recovery is expected.

A sensitive signal-on electrochemiluminescence sensor based on a nanocomposite of polypyrrole-Gd2O3 for the determination of L-cysteine in biological fluids.

A sensitive solid-state electrochemiluminescence (ECL) electrode for L-cysteine was developed based on depositing layers of a hybrid nanocomposite of polypyrrole-dodecyl benzene sulfate-sodium perchlorate-sodium carbonate-gadolinium (PPy-Gd2O3) on a platinum substrate. The presence of the Gd2O3 nanoparticle layer improved the ECL signal, and under optimum conditions, a linear relationship was observed between the signal and the logarithm of L-cysteine concentration from 1.0 × 10-13 to 1.0 × 10-6 M (R2 = 0.9937). At the emission wavelength around 425 nm , at which the analytical signal was measured, the electrode showed an RSD of less than 4% and a low detection limit of 4.2 × 10-14 M. The results proved to be reproducible and stable, and the electrode was applicable in the determination of L-cysteine in biological fluids with recoveries from 94.0-107%. Graphical abstract The results of this research indicated that the weak ECL of luminol is greatly improved by traces of L-cysteine on a solid-state platinum electrode coated with polypyrrole and gadolinium oxide nanoparticles (NPs) and have hence been effectively used in the analysis of L-cysteine in plasma and saliva.

High frequency of BRAF V600E mutation in Iranian population ameloblastomas.

BACKGROUND: Ameloblastoma is a common locally invasive but slow-growing neoplasm of the jaws with an odontogenic origin. Association between BRAF V600E mutation and clinicopathologic features and behavior of ameloblastoma remains controversial. This study aimed to evaluate BRAF V600E gene mutation and expression of its related proteins with clinicopathologic parameters in conventional ameloblastoma. MATERIAL AND METHODS: 50 Formalin-fixed paraffin-embedded blocks were included in this study. Immunohistochemistry was done using rabbit monoclonal BRAF V600E mutation-specific antibody VE1. Quantitative real-time polymerase chain reaction assay was used for evaluating of BRAF V600E mutation. RESULTS: Expression of BRAF V600E antibody was Positive in 42 out of 50 cases (84%). 46 (92%) out of 50 specimens showed BRAF V600E mutation. There were 13 cases of recurrence (26%). 3 out of 4 cases with negative mutations did not show recurrence. CONCLUSIONS: We report the highest frequency (92%) of BRAF V600E mutation in ameloblastomas in the Iranian population. Although there was not a significant association between BRAF V600E­positive immunoexpression and recurrence and clinicopathologic parameters, its high frequency could emphasize its role as a therapeutic marker in the future.

Mathematical modeling of dynamic behavior of fluid bilayer membranes under the effect of density asymmetry.

Shape transformations in biological membranes are crucial in a variety of cellular processes such as transport in the Golgi apparatus and endoplasmic reticulum, shaping the cell organelles and signaling in neuronal synapses. Dynamic analysis of lipid bilayer membranes is popular among researchers as valuable information about cell functions can be retrieved. There are several limitations in experimental tests and simulations such as computational and implementation cost while in theoretical studies, different phenomena can be modeled and the effect of each parameter can be investigated. In this paper, a continuum model including elastic energies and dissipation functions is utilized with energy approach to obtain the governing equations of an enclosed lipid bilayer membrane. The governing equations are solved numerically for vesicles initially disturbed and the relaxation dynamics is studied. The stationary shape of the vesicles for different values of reduced volume and reduced area difference is obtained to explore the phase diagram and verify the governing equations. Then, the density asymmetry in bilayers caused by the change in the density or the equilibrium density of the outer monolayer is studied. This leads to the formation of buds, tubules, and pearls. This can be observed in the recruitment of proteins to the outer monolayer or pH gradients of the environment of a vesicle. The effect of density difference and curvature on creation and growth of tubules are investigated. An interesting metastable state in the adsorption of the final bud due to the increase in the density of the outer monolayer is observed in which the shape of the vesicle is almost unchanged. A prolate vesicle relaxes toward an oblate or a stomatocyte vesicle when the equilibrium density of the outer monolayer increases.

An ethical framework for evaluation of public health plans: a systematic process for legitimate and fair decision-making.

OBJECTIVES: Given the increasing threats of communicable and non-communicable diseases, it is necessary for policy-makers and public health (PH) professionals to address ethical issues in health policies and plans. This study aimed to develop a practical framework for the ethical evaluation of PH programs. STUDY DESIGN: A multidisciplinary team developed an ethical framework to evaluate PH plans from 2015 to 2017. METHODS: In this study, the multi-method approach was used. First, a list of moral norms in PH policy and practice was drafted and completed in two interactive sessions. Then, the Delphi method was used for consensus about the structural components to be adopted in the framework. After developing the framework, its efficiency was assessed by evaluating Iran's Fourth Strategic Plan for HIV/AIDS Prevention and Control. RESULTS: The framework was developed in the following three sections: (i) determination of the general moral norms in PH practice and policy; (ii) five steps of evaluation; and (iii) a procedural evaluation step to ensure fair decision-making. The ratio of the ethical points of the PH plan increased by 46% after implementation of the framework, and the frequency of ethical points increased significantly after applying the framework (P = 0.001). CONCLUSION: The application of the framework for the ethical evaluation of various PH programs ensures a comprehensive and scientific-deliberative decision-making process, while also contributing to the development of the framework.

Overview of ribosomal and non-ribosomal antimicrobial peptides produced by Gram positive bacteria.

The increasing incidence of antimicrobial resistance bacterial infection and decreasing effectiveness of conventional antibiotics to treatment have caused serious problems worldwide. The demand for new generationantibiotics to combat microbial pathogens is imperative. Cationic antimicrobial peptides (AMPs) with different sources from prokaryotic to complex eukaryotic organisms, with variable length, amino acid composition and secondary structure, have been consideredduring the past decades.  The advantages of large number of AMPs are related to broad spectrum and morphogenetic activities, low resistance rate among microorganismswithout side effect on human cells, rapid killing of bacteria via membrane damage and intracellular targets,and their critical roles in anti-inflammatory. Ribosomal synthesized peptides of Gram positive bacteria with various post translational modificationsrepresent extended types of antimicrobial peptide with different structural and functional diversity. These types of peptides have been considered as new therapeutic agents for pharmaceutical development .In addition, non- ribosomal synthesized peptides are a wide range of peptides , an extremely extensive range of biological activities and pharmacological properties that are not synthesized by ribosomes,  show interesting biological properties ranging from antibiotic to bio surfactants. This review focused on genetics, mechanism of action and modifications, resistance mode of Gram positive bacteria to AMPs and the biotechnological application of ribosomally and non-ribosomally synthesized peptides derived from Gram positive bacteria.

Identification of bacteria using volatile organic compounds.

The rapid diagnosis of respiratory infections has always been an important goal for medical professionals, because rapid and accurate diagnosis leads to proper and timely treatment, and consequently, reduces the costs of incorrect and long-term treatments, and antibiotic resistance. The present study was conducted with the aim of detecting volatile organic compounds (VOCs) in three bacteria: Pseudomonas aeruginosa, Acinetobacter baumannii, Klebsiella pneumoniae. Headspace of the studied bacteria, after separately culturing in two types of liquid medium in three different time-periods, was extracted by solid phase microextraction and analysed by gas chromatography mass spectrometry The analysis results of the VOCs produced by the studied bacteria indicate that some VOCs are common and some are unique in each bacterium. 1-penten-3-ol, levomenthol, and 2-octyl-1-ol for P. aeruginosa, cyclohexene, 4-ethenyl, and cis-Dihydro-α-terpinyl acetate for A. baumannii and 1,3-butadiene, butyraldehyde, longifolene, octyl acetate, tridecanol, dodecenal, (E)-2-hexyl ester, butanoic acid, and 5,5-dodecadinyl-1 12-diol for K. pneumoniae were identified as unique VOCs for each bacterium. Finally, it can be said that an accurate and rapid bacterial detection method can be achieved by using a tool that can detect bacterial VOCs. However, more studies are needed to design a tool for which all aspects have been assessed, so that it can give us a more complete pattern for the use of these compounds as biomarkers.

Interleukin-6 secreted by oral cancer- associated fibroblast accelerated VEGF expression in tumor and stroma cells.

Oral cancer represents the sixth most common cancer type worldwide. Patients with oral cancer express high levels of IL-6 which is associated with very poor prognosis. Previous studies illustrated that IL-6 cytokine induces angiogenesis. It has also been reported that the presence of Cancer- Associated Fibroblasts (CAFs) is essential for angiogenesis. In this study, we examined the correlation between IL-6 and CAF and the role of this correlation on VEGF production. In this study, quantitative expression level of IL-6 and VEGF in CAF and Oral Cancer Cells (OCCs) examined through Real Time PCR and ELISA and western blot analysis. In addition, maintenance and retention of IL-6 and VEGF checked out in co-culture experiment of CAF and OCC cells. These experiments demonstrated that in oral cancer, CAF cell line secretes significantly more IL-6 than OCC. Also IL-6 is a factor that causes VEGF secretion in CAF cell line. CAF is the basic and the most essential source for producing IL-6 in patients with oral cancer. Secreted IL-6 is able to induce VEGF production in both CAF and OCCs. Correlation between CAF, IL-6 and VEGF could be considered as an approach for cancer therapy.

Human colon cancer HT-29 cell death responses to doxorubicin and Morus Alba leaves flavonoid extract.

The mechanistic basis for the biological properties of Morus alba flavonoid extract (MFE) and chemotherapy drug of doxorubicin on human colon cancer HT-29 cell line death are unknown. The effect of doxorubicin and flavonoid extract on colon cancer HT-29 cell line death and identification of APC gene expression and PARP concentration of HT-29 cell line were investigated. The results showed that flavonoid extract and doxorubicin induce a dose dependent cell death in HT-29 cell line. MFE and doxorubicin exert a cytotoxic effect on human colon cancer HT-29 cell line by probably promoting or induction of apoptosis.

Measurement of the uniaxial mechanical properties of rat skin using different stress-strain definitions.

BACKGROUND/PURPOSE: The mechanical properties of skin tissue may vary according to the anatomical locations of a body. There are different stress-strain definitions to measure the mechanical properties of skin tissue. However, there is no agreement as to which stress-strain definition should be implemented to measure the mechanical properties of skin at different anatomical locations. Three stress definitions (second Piola-Kichhoff stress, engineering stress, and true stress) and four strain definitions (Almansi-Hamel strain, Green-St. Venant strain, engineering strain, and true strain) are employed to determine the mechanical properties of skin tissue at back and abdomen locations of a rat body. METHODS: The back and abdomen skins of eight rats are excised and subjected to a series of tensile tests. The elastic modulus, maximum stress, and strain of skin tissues are measured using three stress definitions and four strain definitions. RESULTS: The results show that the effect of varying the stress definition on the maximum stress measurements of the back skin is significant but not when calculating the elastic modulus and maximum strain. No significant effects are observed on the elastic modulus, maximum stress, and strain measurements of abdomen skin by varying the stress definition. In the true stress-strain diagram, the maximum stress (20%), and elastic modulus (35%) of back skin are significantly higher than that of abdomen skin. CONCLUSION: The true stress-strain definition is favored to measure the mechanical properties of skin tissue since it gives more accurate measurements of the skin's response using the instantaneous values.

Effect of solid boundaries on swimming dynamics of microorganisms in a viscoelastic fluid.

We numerically study the effect of solid boundaries on the swimming behavior of a motile microorganism in viscoelastic media. Understanding the swimmer-wall hydrodynamic interactions is crucial to elucidate the adhesion of bacterial cells to nearby substrates which is precursor to the formation of the microbial biofilms. The microorganism is simulated using a squirmer model that captures the major swimming mechanisms of potential, extensile, and contractile types of swimmers, while neglecting the biological complexities. A Giesekus constitutive equation is utilized to describe both viscoelasticity and shear-thinning behavior of the background fluid. We found that the viscoelasticity strongly affects the near-wall motion of a squirmer by generating an opposing polymeric torque which impedes the rotation of the swimmer away from the wall. In particular, the time a neutral squirmer spends at the close proximity of the wall is shown to increase with polymer relaxation time and reaches a maximum at Weissenberg number of unity. The shear-thinning effect is found to weaken the solvent stress and therefore, increases the swimmer-wall contact time. For a puller swimmer, the polymer stretching mainly occurs around its lateral sides, leading to reduced elastic resistance against its locomotion. The neutral and puller swimmers eventually escape the wall attraction effect due to a releasing force generated by the Newtonian viscous stress. In contrast, the pusher is found to be perpetually trapped near the wall as a result of the formation of a highly stretched region behind its body. It is shown that the shear-thinning property of the fluid weakens the wall-trapping effect for the pusher squirmer.

A comparative study on plaque vulnerability using constitutive equations.

Atherosclerosis is the most serious and common form of cardiovascular disease in which plaque builds up inside the arteries. Peak plaque stress is considered as the main reason for plaque rupture, which results in heart attack and stroke. In the current research, the finite element method is used to anticipate plaque vulnerability, using human samples. A total of 23 healthy and atherosclerotic human coronary arteries (14 healthy and 9 atherosclerotic) were removed within 5 h postmortem. The samples were mounted on a uniaxial tensile test machine and the obtained mechanical properties were used in finite element models. The peak plaque stresses for the Ogden hyperelastic model were compared to the Mooney-Rivlin and Neo-Hookean outcomes. The results indicated that hypocellular plaque in all three models has the highest stress values compared to the cellular and calcified ones and, as a result, is quite prone to rupture. The calcified plaque type, in contrast, has the lowest stress values and remains stable. The results can be used in plaque vulnerability prediction and have clinical implications for interventions and surgeries such as balloon-angioplasty, cardiopulmonary bypass and stenting.

Fabrication and mechanical characterization of a polyvinyl alcohol sponge for tissue engineering applications.

Polyvinyl alcohol (PVA) sponges are widely used for clinical applications, including ophthalmic surgical treatments, wound healing and tissue engineering. There is, however, a lack of sufficient data on the mechanical properties of PVA sponges. In this study, a biomechanical method is used to characterize the elastic modulus, maximum stress and strain as well as the swelling ratio of a fabricated PVA sponge (P-sponge) and it is compared with two commercially available PVA sponges (CENEFOM and EYETEC). The results indicate that the elastic modulus of the P-sponge is 5.32% and 13.45% lower than that of the CENEFOM and EYETEC sponges, while it bears 4.11% more and 10.37% less stress compared to the CENEFOM and EYETEC sponges, respectively. The P-sponge shows a maximum strain of 32% more than the EYETEC sponge as well as a 26.78% higher swelling ratio, which is a significantly higher absorbency compared to the CENEFOM. It is believed that the results of this study would help for a better understanding of the extension, rupture and swelling mechanism of PVA sponges, which could lead to crucial improvement in the design and application of PVA-based materials in ophthalmic and plastic surgeries as well as wound healing and tissue engineering.

Modeling of cerebral aneurysm using equivalent electrical circuit (Lumped Model).

The circle of Willis (CoW) is a key asset in brain performance as it supports adequate blood supply to the brain. The lumped method (electrical equivalent circuits) is a useful model to simulate the process of the human cardiovascular system. In this study, the whole cardiovascular system is modeled, using an equivalent electrical circuit to investigate an aneurysm in an artery. The cerebrovascular system consists of 29 compartments, which includes the CoW. Each vessel is modeled by a resistor, a capacitor and an inductor. Using MATLAB Simulink, the left and right ventricles are modeled by controlled voltage sources and diodes. The effects of the left internal carotid artery aneurysm (Fusiform) on the pressure of the efferent arteries in the circle of Willis are studied. The modeling results are entirely in agreement with the available clinical observations. The results of the present study may have clinical implications for modeling different cardiovascular diseases, such as arterial stiffness and atherosclerosis.

Experimental and numerical study on the mechanical behavior of rat brain tissue.

Brain tissue is a very soft tissue in which the mechanical properties depend on the loading direction. While few studies have characterized these biomechanical properties, it is worth knowing that accurate characterization of the mechanical properties of brain tissue at different loading directions is a key asset for neuronavigation and surgery simulation through haptic devices. In this study, the hyperelastic mechanical properties of rat brain tissue were measured experimentally and computationally. Prepared cylindrical samples were excised from the parietal lobes of rats' brains and experimentally tested by a tensile testing machine. The effects of loading direction on the mechanical properties of brain tissue were measured by applying load on both longitudinal and circumferential directions. The general prediction ability of the proposed hyperelastic model was verified using finite element (FE) simulations of brain tissue tension experiments. The uniaxial experimental results compared well with those predicted by the FE models. The results revealed the influence of loading direction on the mechanical properties of brain tissue. The Ogden hyperelastic material model was suitably represented by the non-linear behavior of the brain tissue, which can be used in future biomechanical simulations. The hyperelastic properties of brain tissue provided here have interest to the medical research community as there are several applications where accurate characterization of these properties are crucial for an accurate outcome, such as neurosurgery, robotic surgery, haptic device design or car manufacturing to evaluate possible trauma due to an impact.

Effect of different concentrations of ginger root powder and its essential oil on growth performance, serum metabolites and antioxidant status in broiler chicks under heat stress.

1. This study was carried out to evaluate the impact of ginger (Zingiber officinale) feed supplementation on growth performance, antioxidant status, carcass characteristics and blood parameters in broiler chicks under conditions of heat stress (32 ± 2ºC for 8 h per d). 2. A total of 336 d-old male broiler chicks (Cobb-500) were randomly assigned to one of 6 dietary groups representing: basal diet with no supplement as control, basal diet containing 100 mg/kg vitamin E as positive control, basal diets containing either 7.5 or 15 g/kg of ginger root powder, and diets containing 75 or 150 mg/kg of ginger essential oil. 3. The results indicated that at 22 d of age, the group receiving 7.5 g/kg of ginger root powder experienced significantly increased body weight (BW) and body weight gain (BWG) compared to the control group. There were no significant difference among the diet groups regarding BW, BWG, feed intake (FI) or feed conversion ratio (FCR) at 42 and 49 d of age. 4. The inclusion of powder and essential oil of ginger in broiler diets did not affect carcass characteristics and blood parameters of the chickens. However, in the group receiving 150 mg/kg ginger essential oil, the total superoxide dismutase (TSOD) activity in liver increased compared to the control group. Malondialdehyde (MDA) concentrations in liver also decreased in the groups receiving ginger powder and essential oil compared to that in the control group. There were no significant difference between experimental groups regarding glutathione peroxidise (Gpx), TSOD and catalase (CAT) enzymes in red blood cells. All dietary groups increased total antioxidant capacity (TAC) and decreased MDA concentration in serum compared to the control group. 5. The results of this study suggest that ginger powder and essential oils may be a suitable replacement for synthetic antioxidants in broiler diets. Results also suggest that ginger powder might be better than extracted essential oil for improving antioxidant status in broilers.

Assessment of potential enhancing effects of a carbohydrase mixture on phytase efficacy in male broiler chicks fed phosphorus-deficient diets from 1 to 18 days of age.

A total of 540 one-day-old male broiler chicks were used to evaluate the potential enhancing effects of a mixture of 2 commercial carbohydrase preparations on phytase efficacy. A nonphytate phosphorus (nPP) deficient diet (0.15%) was supplemented with different levels of phytase (0X, 1X, 2X, and 3X of recommended level of 500 phytase units per kg of feed), individually or in combination with different levels of a mixture of 2 commercial carbohydrase enzymes [0X, 1X, and 2X of recommended level (X = 0.2 g per kg of feed; a mix with predominantly xylanase and ß-glucanase activity)] to determine their effects on performance and bone development. A standard response curve was developed using graded levels of nPP (0.15 to 0.45%) from dicalcium phosphate in a diet with no phytase supplementation to estimate the phosphorus equivalency of the different enzyme combinations. Each diet was fed to 6 replicate pens of 5 male chicks from 1 to 18 d of age. Phytase at normal usage levels of 500 phytase units per kg of feed was effective (P < 0.05) in improving BW, increasing feed intake, reducing mortality rate, and increasing toe and tibia ash without significantly influencing feed conversion. Addition of extra levels of phytase (2X and 3X) significantly (P < 0.05) improved toe and tibia ash without further affecting performance traits. The carbohydrase mixture failed to improve performance or enhance phytase efficacy. The phosphorus equivalency of phytase was dose dependent, with estimates of 0.100, 0.123, and 0.213% for 1X, 2X, and 3X supplementation levels of phytase, respectively, based on tibia ash. In conclusion, results indicate that increasing the level of phytase resulted in significant improvements in utilization of dietary nPP, whereas the carbohydrase preparation had no significant effects on performance or had limited effects in enhancing phytase ability in young broiler chicks.

Interactions between phytase and xylanase enzymes in male broiler chicks fed phosphorus-deficient diets from 1 to 18 days of age.

A total of 735 one-day-old male broiler chicks were used to evaluate the interactions between different levels of phytase and xylanase enzymes on performance and bone mineralization. Basal nonphytate P (nPP)-deficient diets (0.15%) were supplemented with different levels of phytase [0X, 1X, 2X, 3X, and 4X of recommended level (X = 500 phytase units per kg of feed)] alone or in combination with 3 levels of a xylanase preparation [0X, 1X, and 2X of recommended level (X = 0.1 g per kg of feed; a mixture with predominantly xylanase activity)]. A standard curve was developed using different levels of nPP (0.15 to 0.45%) to estimate the P equivalency of each enzyme combination. Treatments were replicated with 7 pens of 5 chicks each. The findings indicated that reducing dietary nPP level had a severely negative influence on bird performance and bone ash content. Results also showed that increasing levels of phytase significantly (P < 0.05) improved BW, feed intake, feed conversion ratio, mortality, and toe and tibia bone ash contents in a dose-dependent fashion. The P equivalency of phytase was also dose dependent, with estimates of 0.08, 0.11, 0.15, and 0.19 for 1X, 2X, 3X, and 4X supplementation levels of phytase, respectively. Xylanase preparation at 1X level failed to influence measured criterion; however, increasing the level of xylanase (2X) resulted in deteriorating BW and feed conversion ratio. The P equivalency of xylanase preparation at 1X and 2X was estimated as 0.010 and 0.014%. There were no interactions between phytase and xylanase preparation (P > 0.05). In conclusion, phytase was effective in improving bird performance and bone mineralization; however, xylanase supplementation failed to enhance phytase efficacy.

Size-dependent molecular interaction of nontraditional 2D antibiotics withStaphylococcus aureus.

The application of nanomaterials for their antibacterial properties is the subject of many studies due to antibiotic resistance of pathogen bacteria and the necessity of omitting them from food and water resources. Graphene oxide (GO) is one of the most popular candidates for antibacterial application. However, the optimum condition for such an effect is not yet clear for practical purposes. To shed light on how GO and bacteria interaction depends on size, a wide range of GO flake sizes from hundreds of µm2going down to nano-scale as low as 10 N m2was produced. In anin-vitrosystematic study to inhibitStaphylococcus aureusgrowth, the correlation between GO flake size, thickness, functional group density, and antibacterial activity was investigated. The GO suspension with the average size of 0.05 µm2, in the order of the size of the bacteria itself, had the best bacteriostatic effect onS. aureuswith the minimum inhibitory concentration value of 8 µg ml-1, well within the acceptable range for practical use. The bacteriostatic effect was measured to be a 76.2% reduction of the colony count over 2 h of incubation and the mechanism of action was the wrapping and isolation of cells from the growth environment. Furthermore,in-vivoanimal studies revealed that 16 µg ml-1of the optimum GO has efficient antibacterial performance against the methicillin-resistant strains of the bacteria with an enhanced wound healing rate and tensiometrial parameters which is important for realized targets.