Ear and Face Mucormycosis; A Case Report.

Mucormycosis is an invasive fungal infection belonging to order of Mucorales which causes a high rate of mortality. This infection is mostly common in the immunosuppression conditions such as diabetes mellitus, chemotherapy, organ transplantation and hematologic malignancies.

Outcomes of Cochlear Implantation in Post-lingually Deaf Patients.

INTRODUCTION: Cochlear implantation has been mentioned as the most effective therapeutic intervention in deaf patients and especially those with post-lingual deafness. We aimed to assess hearing improvement of post-lingually deaf patients after cochlear implantation. MATERIALS AND METHODS: in this cross-sectional study all the post-lingually deaf patients who had undergone cochlear implantation (CI) surgery between December 2010 and February 2016 were assessed. Patients were recalled and after explaining the study process and signing an informed consent form, an audiometry was done by a single audiologist. In addition, demographic information, cause of hearing loss, age of onset, history of hearing aid use and surgical complications were recorded in a pre-designed checklist. RESULTS: Twenty-nine male and 21 female with a mean age of 22.52±19.45 years underwent analysis. Most of patients (80%) had progressed condition since childhood. Sudden sensorineural hearing loss (SSNHL) was the most prevalent (10%) known etiology of deafness followed by meningitis (6%), Trauma (2%) and ototoxic drugs (2%) in the remaining 20% of the patients. Patients had the highest mean (37.1±12.61 dB) in 4000 Hz frequency and the lowest mean of hearing threshold level (32.6±8.37 dB) was for 1000 Hz frequency. Mean hearing threshold level was significantly lower in patients with lower ages of cochlear implantation (p=0.435). Patients with higher ages of deafness onset showed lower degree of hearing improvement (p=0.462). CONCLUSION: The results of our study suggest that cochlear implantation significantly improves hearing function of post-lingual patients and can be considered as a certain cure for these patients in Iran.

Characteristics of cold-induced dark, firm, dry broiler chicken breast meat.

1. A study was designed to characterise dark, firm, dry (DFD) breast meat resulting from cold exposure of broilers and compare its properties with normal breast meat from cold-stressed and control birds. 2. A total of 140 broilers were selected from 5- and 6-week-old birds exposed to cold temperatures ranging from -18 to -4°C, or a control temperature of +20°C for 3 h in an environmental chamber. Half of these birds were slaughtered immediately following the cold exposure and the other half were given 2 h of lairage. 3. Breast meat samples were categorised based on ultimate pH (pH(u)) and colour L* (lightness) values into normal (5·7 ≤ pH(u)≤ 6·1; 46 ≤ L* ≤ 53) breast meat from control (control-normal) or cold-stressed (cold-normal) birds, and DFD (pH(u) > 6·1; L* < 46) breast meat, which only occurred in cold-stressed birds (cold-DFD). 4. Residual glycogen was not different between cold-DFD and control-normal breast meat. Lactate concentration was lower in cold-DFD compared with control-normal breast meat. Lactate concentration almost tripled for all the samples by 30 h post-mortem, which resulted in a drop in pH of normal meat, but did not have any effect on pH of DFD breast meat. Glycolytic potential at both 5 min and 30 h post-mortem was lower in DFD breast meat compared with the normal breast meat from both cold-stressed and control birds. 5. Cold-DFD breast meat was significantly darker, with higher pH(u), lower cook loss, higher water-binding capacity and processing cook yield than cold-normal and control-normal breast meat, which were not different from each other.

Broiler chicken thigh and breast muscle responses to cold stress during simulated transport before slaughter.

The effect of acute cold exposure was assessed on broiler physiology, breast and thigh muscle metabolites, and meat quality. In total, 160 male birds at ages of 5 and 6 wk were exposed to temperatures of -9 to -15°C (cold stressed) and +20°C (control) in a simulated transport chamber for 3 h before slaughter followed by 0 or 2 h of lairage. Bird physiology parameters, including core body temperature, live shrink, blood glucose, and muscle temperature, were assessed. Core body temperature was monitored every minute using i-Button data loggers, and live shrink and blood glucose were assessed. Total glucose and lactate concentrations at 30 h postmortem, as well as ultimate pH (pH(u)), color, and water-holding attributes were evaluated on pectoralis major muscle of breast and iliotibialis muscle of thigh. Birds were grouped based on their microclimate temperature to control and cold-stressed groups (0 to -8, -8 to -11, and -11 to -14°C). Significant (P < 0.05) decreases in core body temperature and breast and thigh muscle temperatures were observed at simulated transport temperatures below 0°C. In addition, higher (P < 0.05) live shrink and lower blood glucose values were observed as a result of 3-h exposure to temperatures below 0°C, exacerbated as temperature decreased further below -8°C. Thigh muscle was almost depleted of glycogen reserve compared with a significant but small reduction in breast muscle glycogen when exposure temperature was below -8°C. Similarly, much greater effects were observed on thigh pH(u) and quality attributes compared with breast. In addition, 84% incidence of the dark, firm, dry quality defect was observed in thigh meat (pH(u) > 6.4, L* < 44) compared with 42% incidence of dark, firm, dry in breast meat (pH(u) > 6.1, L* < 46) when transportation temperature was below 0°C. Results of this study showed that thigh muscle was affected more severely than breast muscle by exposure to cold temperatures before slaughter.

Road transport of cattle, swine and poultry in North America and its impact on animal welfare, carcass and meat quality: a review.

This paper reviews the effects of road transport on the welfare, carcass and meat quality of cattle, swine and poultry in North America (NA). The main effects of loading density, trailer microclimate, transport duration, animal size and condition, management factors including bedding, ventilation, handling, facilities, and vehicle design are summarized by species. The main effects listed above all have impacts on welfare (stress, health, injury, fatigue, dehydration, core body temperature, mortality and morbidity) and carcass and meat quality (shrink, bruising, pH, color defects and water losses) to varying degrees. It is clear that the effect of road transport is a multi-factorial problem where a combination of stressors rather than a single factor is responsible for the animal's well-being and meat quality post transport. Animals least fit for transport suffer the greatest losses in terms of welfare and meat quality while market ready animals (in particular cattle and pigs) in good condition appear to have fewer issues. More research is needed to identify the factors or combination of factors with the greatest negative impacts on welfare and meat quality relative to the species, and their size, age and condition under extreme environmental conditions. Future research needs to focus on controlled scientific assessments, under NA conditions, of varying loading densities, trailer design, microclimate, and handling quality during the transport process. Achieving optimal animal well-being, carcass and meat quality will entirely depend on the quality of the animal transport process.

Effect of acute cold exposure, age, sex, and lairage on broiler breast meat quality.

The effect of acute cold exposure on bird physiology, muscle metabolites, and meat quality was assessed in 360 male and female broilers at 5 and 6 wk of age, exposed for 3 h to temperature ranges of -18 to -4°C and a control of +20°C, by using a simulated transport system followed by 0 or 2 h of lairage. Core body temperature (CBT) was recorded, and the microclimate temperature and RH surrounding individual birds were monitored. Birds were classified based on the temperature in their immediate surroundings. Exposure to temperatures below 0°C resulted in a decrease (P < 0.05) in blood glucose and an increase in live shrink. During the 3 h of exposure to -8°C or lower, CBT dropped substantially. Temperatures below -14°C caused lower glycolytic potential and lactate concentrations. Five-week-old birds showed darker and redder breast meat with higher ultimate pH (pH(u)), less cook loss, and higher processing cook yield at temperatures below -8°C compared with warmer temperatures and with 6-wk-old birds exposed to similar temperatures. No difference in meat quality was observed between the 2 ages at temperatures below -14°C. Males had a greater decrease in CBT and had breast meat with higher pH(u) compared with females. The 2-h lairage resulted in darker breast meat with higher pH(u) at exposure temperatures below -14°C and with higher water-binding capacity and processing cook yield at temperatures below -11°C. A high (>57%) incidence of dark, firm, and dry breast meat [pH >6.1 and L* (lightness) <46] was observed at temperatures below -14°C. A 2-h lairage resulted in an additional 20% increase in the incidence of dark, firm, and dry meat at temperatures below -8°C. Results of this study showed that older birds coped better with extreme cold conditions compared with younger birds. Furthermore, it would be beneficial to limit the length of lairage before processing after exposure to acute cold to improve bird welfare and reduce meat quality defects.

Effect of microclimate temperature during transportation of broiler chickens on quality of the pectoralis major muscle.

This study investigated the effect of microclimate temperature during preslaughter transportation on chicken meat quality. Ninety broilers per load of 2,900 were monitored individually during 3 to 4 h of preslaughter transport in an actively ventilated trailer. Six transport test runs were conducted at average ambient temperatures of -27, -22, -17, -5, +4, and +11 degrees C. Birds were classified into 4 groups based upon the temperatures recorded in their immediate surroundings as follows: -16 to 0, 0 to 10, 10 to 20, and 20 to 30 degrees C. Internal body temperatures of the birds were recorded using Thermocron DS1922L iButtons. Birds were slaughtered in a commercial facility and meat quality of the chilled carcasses was evaluated by determination of pH, color, drip loss, thaw loss, cook loss, shear force, water-binding capacity, and pellet cook yield of the pectoralis major muscle. The breast meat from birds exposed to temperatures below 0 degrees C showed a significantly higher (P < 0.05) ultimate pH. Breast meat from birds exposed to temperatures below 0 degrees C showed significantly higher (P < 0.05) ultimate pH, a* value, water-binding capacity, and pellet cook yield and a significantly lower L* compared with breast meat of birds exposed to temperatures above 0 degrees C. The average core body temperatures were significantly lower (P < 0.05) during transport for birds exposed to temperatures below 0 degrees C compared with those exposed to temperatures between 0 and 10 degrees C. The latter birds had significantly lower (P < 0.05) core body temperatures compared with those exposed to temperatures above 10 degrees C. Thaw loss was significantly higher (P < 0.05) for breast meat of birds exposed to temperatures above 20 degrees C during transportation. There was no significant trend for b* value, drip loss, cook loss, or shear values based on environment temperature immediately surrounding the birds. Exposure to temperatures below 0 degrees C increased the incidence of dark, firm, and dry breast meat and decreased the incidence of pale, soft, and exudative breast meat. These results demonstrate that preslaughter transport may influence breast meat quality characteristics of broiler chicken.

Detection of herpes simplex virus DNA in plasma of patients with primary but not with recurrent infection: implications for transfusion medicine?

Among the family of herpes viruses, only cytomegalovirus (CMV) and, to a lesser extent, human herpes virus 8 (HHV-8) are of relevance in transfusion medicine. Due to neutropism, herpes simplex viruses (HSV) types 1 and 2 are considered to be of minor relevance. However, several reports gave evidence that a HSV DNAemia might occur and HSV could therefore be transmissible by blood products. The aim of our study was to collect data about prevalence of HSV antibodies among blood donors and to clarify whether HSV DNAemia is possible. HSV antibody states of 653 blood donors were investigated. Blood specimens of 46 patients with primary and recurrent HSV infection were tested for HSV-1 and HSV-2 DNA using TaqMan polymerase chain reaction. In 505 of the 653 blood donors HSV antibodies were detectable, most of which were HSV-1 antibodies. HSV DNA was detected in plasma, but not in peripheral blood mononuclear cells (PBMCs) of seven rather seriously ill patients with primary herpes genitalis. No HSV viraemia was detectable in otherwise healthy patients with recurrent herpes labialis. Thus, HSV DNAemia is possible, but seems to be limited to primary infections and could not be detected in the recurrent infection. Therefore, blood donors with primary herpes infection should be deferred from donation. Blood donors with recurrent HSV infection are probably not at risk of transmitting HSV, but further studies are necessary to prove this hypothesis. Detection of HSV DNA in PBMCs as described formerly could not be confirmed by this study.

Prognostic factors in methanol poisoning.

The aim of this study was to assess the clinical and laboratory factors in methanol poisoned patients to determine the prognosis of their toxicity. This survey was done as a prospective cross-sectional study in methanol-poisoned patients in Loghman-Hakim hospital poison center during 9 months from October 1999-June 2000. During this time 25 methanol-poisoned patients were admitted. The mortality rate was 12 (48%). Amongst survivors, three (23%) of the patients developed blindness due to their poisoning and the other 10 (77%) fully recovered without any complication. The mortality rate in comatose patients was nine (90%) while in non-comatose patients it was three (20%) (P<0.001). There was a significant difference in mean pH in the first arterial blood gas of patients who subsequently died (6.82+/-0.03) and survivors (7.15+/-0.06) (P<0.001, M-W). The mean time interval between poisoning and ED presentation in deceased patients were (46+/-15.7) hours, in survived with sequelae were (16.7+/-6.7) and in survived without sequelae were (10.3+/-7.2) hours (P<0.002, K-W). We found no significant difference between the survivors versus the patients who died regarding methanol. Simultaneous presence of ethanol and opium affected the outcome of the treatment for methanol intoxication favourably and unfavourably, respectively. In our study, poor prognosis was associated with pH<7, coma on admission and >24 hours delay from intake to admission.

Immunohistochemical analysis of p53, cyclinD1, RB1, c-fos and N-ras gene expression in hepatocellular carcinoma in Iran.

AIM: To study the effect of some genes especially those involved in cell cycle regulation on hepatocellular carcinoma. METHODS: Paraffin-embedded tissue samples of 25 patients (18 males and 7 females) with hepatocellular carcinoma were collected from 22 pathology centers in Tehran during 2000-2001, and stained using immunohistochemistry method (avidin-biotin-peroxidase) for detection of p53, cyclinD1, RB1, c-fos and N-ras proteins. RESULTS: Six (24%), 5 (20%), 12 (48%) and 2 samples (8%) were positive for p53, cyclinD1, C-fos and N-ras expression, respectively. Twenty-two (88%) samples had alterations in the G1 cell-cycle checkpoint protein expression (RB1 or cyclinD1). P53 positive samples showed a higher (9 times) risk of being positive for RB1 protein than p53 negative samples. Loss of expression of RB1 in association with p53 over-expression was observed in 4 (66.7%) of 6 samples. Loss of expression of RB1 was seen in all cyclinD1 positive, 20 (90.9%) N-ras negative, and 11 (50%) C-fos positive samples, respectively. CyclinD1 positive samples showed a higher (2.85 and 4.75 times) risk of being positive for c-fos and N-ras expression than cyclinD1 negative samples. CONCLUSION: The expression of p53, RB1 and c-fos genes appears to have a key role in the pathogenesis of hepatocellular carcinoma in Iran. Simultaneous overexpression of these genes is significantly associated with their loss of expression during development of hepatocellular carcinoma.

A morphological study of atherosclerotic lesions occurring at the root of aorta.

While studying morphological changes in heart 1-3 cm of Aorta was also removed and incidence of atherosclerosis in that portion was studied. In all 110 aortas were examined. Atherosclerotic lesions were observed in 77 aortas (70.0%). The incidence increases with the age and beyond 4th decade all the aortas were affected. Fatty streaks were observed in 2nd decade involving only 7.5% of the total intimal surface and reaching to a maximum of 22.2% in the 3rd decade, followed by a gradual rise to 9.2% in 7th decade. Complicated lesions though occurred in 3rd decade involving 0.7% surface but a maximum coverage (4.5%) was seen in 7th decade. These findings have been discussed in the light of observations of other workers. There is slow progression of fibrous plaques and paucity complicated lesions in Indians as compared to white population. The study has further revealed that the encrustation of mural thrombi is probably the main basis for the progression of the atheromatous lesion.

Factors influencing the normal heart weight--a study of 140 hearts.

Weight of the heart and its various components (muscular and non muscular portions) was measured in 138 specimens. Average heart weight for Indians was comparatively less then that of western population. Difference between the average heart weights for males and females was found to be statistically significant. The heart weight was not influenced by age and body length but by the body built. A statistically significant difference was noticed in emaciated persons. Ventricular weight constituted 50 to 80 percent of the total heart weight. A close correlation between the heart weight and ventricular weight was seen. Ventricular wall thickness did not correlate well with the heart weight.

Importance of heart weight, weights of cardiac ventricles and left ventricle plus septum/right ventricle ratio in assessing cardiac hypertrophy.

The present communication deals with the observations made during the study of 140 hearts (138 from medico-legal postmortems and 2 from post-natal deaths). The formalin fixed heart was dissected to separate non-muscular portion (NMP), right ventricle (RV), and left ventricle with septum (LV + S). The weights of the different components of the adult heart were affected by sex and body built not by age or body length. In most of the hearts the total weight varied from 180 to 320 Gm, the weight of RV, from 40 to 80 Gm, and LV + S, from 100 to 180 Gm. NMP was neither affected by age nor by ventricular weight. The coefficient of correlation between the heart weight and NMP was 0.93. Heart weight in Gm could be represented as equaled to 38.89 + 4.09 NMP. LV + S/RV ratio ranged from 1.64-3.84 : 1 in males and 1.73--3.1 : 1 in females, averaged being 2.52 : 1 and 2.44 : 1 respectively. No correlation between the weights of RV and LV + S was found. An attempt has been made to lay down the criterion for normal heart and for ventricular hypertrophy. The importance of total heart weight, weights of ventricles and the ratio is assessment of cardiac hypertrophy is discussed.

Coronary atherosclerosis in Aligarh district, Uttar Pradesh. A morphological study.

The present communication deals with the observations of the type and extent of atherosclerotic lesions in coronary arteries obtained from 108 heart specimens. In 81.4% cases the lesions were present. The earliest lesion of fatty streak was noticed in 2nd decade whereas all the cases above 4th decade had atherosclerotic lesion. Fatty streaks involved 4.5% of the intimal surface in 2nd decade, reaching a maximum to 26% in 6th decade and later on receding to 12% in 7th decade. Fibrous plaques were seen in later period of 2nd decade involving 2% of the surface area. There was a slow and tardy progression of the lesion with the maximum involvement of 32% in 7th decade. Complicated lesions were seen in 3rd decade but involved only 7% of the surface in 7th decade. Left coronary artery was involved in 79.62% cases and the right in 78 (72.22%). Salient histomorphological changes as well as degenerative changes occurring in the development of the disease process have been discussed. Main differences in the natural history of the disease in Indians were the slow progression of fibrous plaque and a very low incidence of grade IV lesions (complicated lesions). Marked disparity between the lesions observed in coronary arteries and root of aorta was noticed.