A New Conveyable Device for Electro-drainage of Thorax.

Chest tube is a flexible plastic tube used to discharge secretion in the cavity between the lungs and chest named pleural cavity. Normally, there is a small amount of fluid in the cavity between the lungs and chest; This fluid helps the movement of lungs during breathing without abrasion. Entrance of bit of air, blood or pus because injury in the pleural cavity can prevent the lungs from fully opening. Full or partial collapse of the lungs makes breathing difficult and can lead to respiratory arrest; putting chest tube in the pleural cavity causes the discharge of secretion and helps patients comfort. Chest Electro-Drainage mobile system is designed to drain air, blood, water and pus accumulated in the space between the visceral and parietal pleural cavity. Based on low volume and weight, this system can be used to treat Pneumothorax, Hemothorax and Hydrothorax and so forth, both in the emergency state and treatment centers. Obviously, this system will be an action to reduce deaths especially in the case of Pneumothorax.

Does Exposure to Static Magnetic Fields Generated by Magnetic Resonance Imaging Scanners Raise Safety Problems for Personnel?

MRI workers are occupationally exposed to static and time-varying gradient magnetic fields. While the 24-hour time-averaged exposure to static magnetic fields is about a few mT, the maximum static field strength can be as high as 500 mT during patient setup. Over the past several years, our laboratory has performed extensive experiments on the health effects of exposure of animal models and humans to different sources of electromagnetic fields such as cellular phones, mobile base stations, mobile phone jammers, laptop computers, radars, dentistry cavitrons and MRI. This study is to investigate the adverse health effects in MRI workers and also to assess the effect of exposure of MRI workers to static magnetic fields on their cognitive functions. In the first phase of this study a questionnaire was designed to collect information from 120 MRI personnel. The collection of data about the adverse health effects was based on self-reporting by the participants. In the second phase, 47 volunteer university students were asked to continuously move around a 1.5 T MRI scanner. Visual reaction time and working memory tests were performed on all participants before and after the experiment. Forward digit span and backward digit span were used for assessing the working memory. Furthermore, participants were asked to report the symptoms they had experienced during the movement. The first phase of our study showed increased frequencies of adverse health effects in MRI workers. In this study the rates of self-reported symptoms such as a headache, sleep problems, myalgia, palpitation, fatigue, concentration problems, attention problems, nervousness and backpain were possibly affected by static magnetic field. Furthermore we found that reaction time and working memory could be influenced by the movements of the body around a MRI scanner. It can be concluded that movement through a high magnetic field can also lead to some adverse cognitive effects in MRI staff.

A New Stethoscope Design with Unique Characteristics and Development in Medical Device.

As regards the significant role of stethoscopes in the diagnosis of congenital and adventitious heart diseases and prevention of irreparable complications of these diseases, the quality of hearing sound of these stethoscopes by a physician has a significant impact on the disease diagnosis. This device plays an important role in the early diagnosis of congenital heart and respiratory diseases and provides this feasibility since birth. Also, the importance of this device performance in the diagnosis of heart, cardiovascular and respiratory diseases at different age periods is not a secret. This new invented device, in comparison to a variety of available stethoscopes in the field of diagnosis, is capable of hearing the sound of a very high quality and cancelling the noise of sound that sometimes leads to wrong diagnosis or misdiagnosis. This new invented stethoscope is approved by cardiologists, lung and Infectious disease specialists as well as being registered under No. 78382 in Patent Islamic Republic of Iran.

Susceptibility pattern of Candida albicans isolated from Iranian patients to antifungal agents.

BACKGROUND AND PURPOSE: Candidiasis is a major fungal infection, and Candida albicans is the major cause of infections in humans. The Clinical and Laboratory Standards Institute (CLSI) developed new breakpoints for antifungal agents against C. albicans. In this multi-center study, we aimed to determine the drug susceptibility profile of C. albicans, isolated from Iranian population according to new species-specific CLSI. MATERIALS AND METHODS: Clinical samples were cultured on Sabouraud dextrose agar and were incubated at room temperature for seven days. The isolates were transferred to Professor Alborzi Clinical Microbiology Research Center, Shiraz, Iran. C. albicans were identified by using API 20C AUX system. Broth microdilution method was used to determine the minimum inhibitory concentrations (MICs) of amphotericin B, caspofungin, voriconazole, fluconazole, posaconazole, itraconazole, and ketoconazole, based on CLSI document M27-S4 and new breakpoints for some azoles and caspofungin. RESULTS: Overall, 397 C. albicans were isolated from patients admitted to ten university hospitals in Iran. The MIC90 of the isolates to amphotericin B, caspofungin, voriconazole, fluconazole, posaconazole, itraconazole, and ketoconazole were 0.125, 0.125, 0.125, 1, 0.064, 0.5, and 0.125 µg/ml, and rates of resistance were 0.5%, 0.3%, 3.8%, 2.8%, and 2.5% for amphotericin B, caspofungin, voriconazole, fluconazole, and itraconazole, respectively. CONCLUSION: According to our data, fluconazole is the drug of choice for management of patients at risk for systemic candidiasis throughout the region, since it is cost-effective with low side effects.

Chronic recurrent multifocal osteomyelitis: a case report.

Chronic recurrent multifocal osteomyelitis (CRMO) is a rare inflammatory bone disease. It is a diagnosis of exclusion based on the clinical, radiological and pathological criteria. The awareness of the corresponding feature can help avoid of unnecessary diagnostic procedures and prolonged antibiotic therapy. We present a case of 4.5 year old girl, diagnosed with CRMO who were followed for 6 months as a case of chronic bacterial osteomyelitis and received long course of antibiotic therapy.