Extensive chaos in the Lorenz-96 model

We explore the high-dimensional chaotic dynamics of the Lorenz-96 model by computing the variation of the fractal dimension with system parameters. The Lorenz-96 model is a continuous in time and discrete in space model first proposed by Lorenz to study fundamental issues regarding the forecasting of spatially extended chaotic systems such as the atmosphere. First, we explore the spatiotemporal chaos limit by increasing the system size while holding the magnitude of the external forcing constant. Second, we explore the strong driving limit by increasing the external forcing while holding the system size fixed. As the system size is increased for small values of the forcing we find dynamical states that alternate between periodic and chaotic dynamics. The windows of chaos are extensive, on average, with relative deviations from extensivity on the order of 20%. For intermediate values of the forcing we find chaotic dynamics for all system sizes past a critical value. The fractal dimension exhibits a maximum deviation from extensivity on the order of 5% for small changes in system size and the deviation from extensivity decreases nonmonotonically with increasing system size. The length scale describing the deviations from extensivity is consistent with the natural chaotic length scale in support of the suggestion that deviations from extensivity are due to the addition of chaotic degrees of freedom as the system size is increased. We find that each wavelength of the deviation from extensive chaos contains on the order of two chaotic degrees of freedom. As the forcing is increased, at constant system size, the dimension density grows monotonically and saturates at a value less than unity. We use this to quantify the decreasing size of chaotic degrees of freedom with increased forcing which we compare with spatial features of the patterns.

Effects of supplementation with digestible undegradable protein in late pregnancy on ewe colostrums production and lamb output to weaning

The aim of this study was to investigate the effects of supplementation with digestible undegradable protein (DUP) in diet during late pregnancy on colostrum production, lamb survival and growth. For 3 weeks prior to lambing, 41 Afshari ewes were assigned at random to three dietary treatments, namely a control (CDUP), moderate (MDUP) and high (HDUP) DUP group. The ewes (n = 14) in CDUP group were fed a protein maintenance level for pregnant ewes [83 g metabolizable protein (MP)/kg dry matter (DM)], while ewes in the MDUP (n = 13) and HDUP (n = 14) groups were fed diets provided 14% (94.7 g MP/kg DM) and 24% (104.3 g MP/kg DM) MP in excess of these requirements respectively, which this increment was coming from DUP (DUP/MP ratio 43.8; 51.0% and 57.6% respectively). All diets were isoenergetic (12 MJ ME/kg DM). All ewes received the same lactation diet after lambing. Ewes in HDUP tend to produce more colostrums (p < 0.1) and had higher protein, fat, and solids non-fat content (p < 0.05) in colostrums during the first 24 h after lambing. MDUP group had higher colostrum yield compared to CDUP (p < 0.1). The changes in body weight and body condition score of ewes were similar for all diets but placenta weight was higher in MDUP group (p < 0.05) than for HDUP and CDUP ewes. Lamb body weight at weaning was higher for males compared to females (p < 0.05), but was not different between treatments. HDUP ewes had higher blood glucose concentration in the pre-lambing period than other treatments (p < 0.05). In this period, increasing the level of DUP in diet increased the content of blood urea nitrogen (p < 0.05). It was concluded that increasing the DUP content of diet for 3 weeks prior to lambing above the standard requirements resulted in an increase in colostrums production but had no effect on lamb outcome to weaning.

Mixed infections of Vibrio cholerae O1 Ogawa EL Tor with Shigella dysenteriae

Mixed infections caused by enteric pathogens such as bacteria, virus, protozoa and helminthes were reported in different literatures. This report also describes the co-infections caused by Vibrio cholerae O1 Ogawa EL Tor with Shigella dysenteriae in a patient. A 36-year-old man was admitted in Fatemeh Zahra Hospital of Bushehr Iran with fever, vomiting and dysentery. His stool sample was cultured, for identification purposes TCBS, XLD and other media were used. V. cholerae and S. dysenteriae were identified. Both species were resistant to ampicillin and sensitive to nalidixic acid and trimethoprim-sulfamethoxazol. Shigella was resistant to tetracycline. The results of the study showed that places where diarrheal diseases especially cholera are endemic, it is better to examine for those patients with dysentery for the presence of the V. cholerae O1. That will prevent the spread of pathogenic organism in the community.

Triple-cavity left ventricle with an abnormal mitral valve apparatus

The patient is a 17-year-old boy who was referred to our center with complaints of easy fatigability and exertional dyspnea. In echocardiography, the left ventricle was identified to be composed of a small functional cavity, and 2 sequestrated apical cavities that communicated with the functional cavity only through few stenotic orifices. The mitral valve apparatus was also abnormal: there was no definite papillary muscle, and chordae tendineae arose from the aberrant fibromuscular ridge that partitioned the left ventricular cavity. Imaging findings and management of this patient with a triple-cavity left ventricle are discussed.

Reliability and validity of the Persian version of Foot and Ankle Ability Measure (FAAM) to measure functional limitations in patients with foot and ankle disorders

OBJECTIVE

To translate the Foot and Ankle Ability Measure (FAAM) into Persian and to evaluate the psychometric properties of the Persian version of FAAM.

METHODS

93 patients with a range of foot and ankle disorders, completed the Persian version of the FAAM and Short-Form 36 Health Survey (SF-36) in the test session. With an interval of 2-6 days, 60 patients filled out the FAAM in the retest session. The FAAM is composed of two subscales including activities of daily living (ADL) and SPORTS. Internal consistency was assessed using Cronbach's alpha, test-retest reliability using intraclass correlation coefficient (ICC) and standard error of measurement (s.e.m.), item internal consistency and discriminant validity using Spearman's correlation coefficient and construct validity using Spearman's correlation coefficient and Independent t-test.

RESULTS

Cronbach's alpha coefficient of 0.97 and 0.94 was obtained for ADL and SPORTS subscales, respectively. The ICC and s.e.m. were 0.98 and 3.13 for ADL and 0.98 and 3.53 for SPORTS subscale. Items were stronger measures of their hypothesized subscale than of other subscale. The ADL and SPORTS subscales had stronger correlation with SF-36 physical function (r=0.60, 0.53) and physical health summary measure (r=0.61, 0.48) than with SF-36 mental health (r=0.21, 0.10) and mental health summary measure (r=0.36, 0.27). A high correlation was found between FAAM scores and global scale of functional status for SPORTS (r=0.73) but not for ADL (r=0.42). FAAM scores were greater in individuals who rated their function as normal or nearly normal compared with those who rated as abnormal or severely abnormal for SPORTS (P=0.04) but not for ADL (P=0.15).

CONCLUSION

The Persian version of FAAM is a reliable and valid measure to quantify physical functioning in patients with foot and ankle disorders.

Absent pulmonary valve, intact interventricular septum, rudimentary aortic non-coronary cusp and ascending aortic aneurysm in a single patient

Absent pulmonary valve (APV) is a relatively rare congenital heart disease, and is mostly associated with tetralogy of Fallot phenotype or ventricular septal defect. APV with intact interventricular septum (IVS) is even less common with case reports or very small series in the literature. Congenital aortic regurgitation with a rudimentary non-coronary cusp is also by itself a rare congenital anomaly and to our knowledge this is the first report of the combination of APV, intact IVS, abnormal aortic valve and ascending aortic aneurysm. The clinical course, possible etiologies and management are discussed.

Involvement of ligninolytic enzymes of Phanerochaete chrysosporium in treating the textile effluent containing Astrazon Red FBL in a packed-bed bioreactor

The effect of Tween80, Mn(II) and veratryl alcohol (VA) on the production of ligninolytic enzymes of Phanerochaete chrysosporium in a packed-bed bioreactor using small pieces of Kissiris as carrier, was investigated. The results of the enzyme activities were noticeable in terms of decolorization and COD removal of the textile effluent containing an azo dye (Astrazon Red FBL). No dilution was made on the tested textile effluent and it was not sterilized, also. Maximum decolorization of the dye (87%) and COD removal (42%), both occurred when only Tween80 (0.05%, w/v) was added to the effluent. The maximum activities of lignin peroxidase (LiP) and manganese peroxidase (MnP) were (U/l): 17 and 52, respectively. The role of MnP was pronounced in the dye decolorization process, while the influence of LiP was noticeable on COD removal. The reusability of the original biomass was examined by replacing undiluted textile effluent (i.e., five times). The cellular performance of the original biomass in repeated-batch operations was promising.

Outpatient stem cell transplantation for multiple myeloma

e19553

Background: The aim of this study was to explore the feasibility and safety of performing aoutologous stem cell transplantation (ASCT) on an outpatient basis. Methods: 142 patients with multiple myeloma (MM) in complete remission (CR) or partial remission (PR) received ASCT on an outpatient or inpatient basis. In the inpatient group 77 patients and in outpatient group 65 patients received 200 or 140 mg/m2 melphalan as conditioning regimen respectively. In outpatient group all the patients were programmed to go home the day after ASCT and to be re-hospitalized in the case of febrile neutropenia or other sever toxicities. We used caregiver, general physician, staff nurse as an outpatient and visit team and also unequipped routine house of the patients during neutropenia. Results: Median age was 50.2 years (ranged 27–68) with 70% male. Median hospital stay were 25 days in inpatient and. 4.8 days in outpatient respectively (p<0.01). There were not significant differences between these groups in aphresis days, granulocyte colony stimulating factor requirement for mobilization and mononuclear cell, There were also significant reduction (p<0.001) in parenteral antibiotic, blood product requirement and need for total parenteral nutrition. The most frequent causes of re-admission (outpatient group) were febrile neutropenia and sever mucositis need TPN. 2 years overall survival rate was 98.2% (SE=2%) in inpatient groups and 86.6% (SE=5.7) in outpatient groups.We did not have any death in first month after transplantatio in outpatient group. Conclusions: We describe an outpatient program based on management of the patient in his/her house during aplastic phase. Our results clearly indicate that such a procedure is feasible and safe in a patient population with a caregiver.

No significant financial relationships to disclose.

Outpatient versus inpatient autologous stem cell transplantation for malignant hematologic disorders

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Background: High-dose chemotherapy with autologous stem cell support is utilized for the treatment of a variety of malignancies including Hodgkin/non-Hodgkins lymphoma and acute leukemias. The aim of this study was to compare the time of engraftment and mortality rate and cost of neutropenic treatment in outpatient versus inpatient autologous stem cell transplantation (SCT). Methods: 9 outpatients (5 HL, 2 NHL, and 2 AML) were compared with 32 inpatients (15 HL, 8 NHL, and 9 AML; for whom the outpatient facilities were not ready) from May 2008 to December 2008. All patients were below 45 yrs; median age for outpatients and inpatients were 26 and 30 years respectively. Also all the patients were in complete remission and without significant organ failure. They received conditioning regimen (CEAM for NHL and HL, busulfan and etoposide for AML) and stem cell infusion in hospital. The day after SCT, outpatient group were discharged and followed by outpatient SCT team, and to be re-hospitalized in case of febrile neutropenia, after sepsis workup and performing chest x-ray, they were received the first dose of antibiotic in hospital and treatment continued in home. Results: For outpatients and inpatients, median time to WBC engraftment was 11 and 12 days (p = 0.03), time to PLT engraftment was 15 and 25 days (p = 0.20), number of transfused single donor PLT was 3 and 4.5 units (p = 0.21), duration of neutropenic fever was 6 and 9 days (p = 0.001), duration of hospitalization (after SCT) 0 and 16 (p < 0.001), respectively. All outpatients are alive and 3 patients from other group died between days +35 and +100 after SCT due to transplantation complications. For inpatient group the cost of drugs, just for neutropenic fever antibiotic therapy was six times than outpatient group. Conclusions: Results show that out-patient autologous SCT in malignant hematologic disorders is feasible and comparable with inpatient protocol. We are waiting for more patients and longer follow-up for future conclusions.

No significant financial relationships to disclose.

Prevalence of oropharyngeal colonization by Haemophilus influenzae type b in Iranian children

Healthy carriers of Haemophilus influenzae type b (Hib) play an important role in the spread of invasive disease. The aim of this study was to assess the need for Hib vaccination in Iranian children by estimating the prevalence of Hib oropharyngeal colonization among children in Tehran. Cultures were prepared from oropharyngeal swabs of 1000 children in 25 day-care centres in Tehran from October 2005 to March 2006. The prevalence of Hib carriers was 7.6%, similar to other developing countries prior to inoculation with the conjugate Hib vaccine. We recommend Hib vaccination be included in the Iranian national programme of immunization.

Effects of body mass index on early outcome of coronary artery bypass surgery

AIM

Obesity is commonly thought to be a risk factor for morbidity and mortality after cardiac surgery. The aim of the present study is to evaluate the effects of variations in body mass index on in-hospital outcome of coronary artery bypass grafting (CABG).

METHODS

The authors conducted a retrospective review of 10191 consecutive patients who had undergone isolated CABG at the center from February 2002 to November 2006. Patients were divided into four groups according to Body Mass Index (BMI). Underweight patients (BMI<18.5 kg/m(2)) were assigned to group 1 and obese patients (BMI 30 kg/m(2)) were put into group 4. Patients with normal BMI and those who were overweight were placed in group 2 and 3 respectively.

RESULTS

Analysis of the BMI groups showed: of 10191 patients 0.7% was underweight; 31.2% of cases had normal BMI, 47.1%; overweight and 21.0% were obese. Compared with other groups, the members of the obese group were younger, included more women and were more likely to have all the risk factors for coronary artery disease except for cigarette smoking (P<0.0001). The underweight patients had an excess of left main coronary artery disease, previous history of myocardial infarction. In-hospital mortality did not show any difference between groups (P=0.46). There was a significant increase in postoperative gastrointestinal complications among the underweight group in comparison with other groups (P=0.027).

CONCLUSIONS

According to this study, obese patients undergoing CABG are not at a greater risk of perioperative death and other adverse outcomes compared to normal weight. After CABG, underweight patients are at higher risk of developing gastrointestinal complications compared to normal patients.

Seroprevalence of HBV, HCV and HIV infection among intravenous drug users in Shahr-e-Kord, Islamic Republic of Iran

This study was conducted in 2004 to evaluate the prevalence of hepatitis B (HBV), hepatitis C (HBC) and human immunodeficiency (HIV) virus infection in 133 injecting drug users (IDUs) attending a voluntary rehabilitation centre in Shahr-e-Kord, and to identify risk factors for these infections in this group. Serum samples were screened for HBV, HCV and HIV infection. Only 1 participant (0.8%) was HIV positive, 15 (11.2%) were HCV positive and 8 (6.0%) were positive for HBV surface antigen. There was significant correlation between using shared syringes and infection with HIV, HCV and HBV.

Frequency conversion to the second harmonic in different-layer nonlinear media

The process of frequency conversion in a multilayer structure of different media with quadratic nonlinearity is investigated by using the constant-intensity approximation. The values of complex amplitudes of the fundamental radiation and the second harmonic at the outlet of each layer are the entrance values of the corresponding complex amplitudes of the next layer. Analytical expressions for second-harmonic conversion efficiency for the case of n layers are proposed. The factors restricting the efficiency of the process of frequency conversion are analyzed. In layered media, upon frequency conversion, from one layer to the next the optimum values of the phase mismatch between layers changes. The character of the process of frequency conversion of the fundamental radiation to the second harmonic depends not only on the value of the nonlinear coefficients of waves, the phase mismatch, but also on the signs of these parameters.

Concomitant carotid endarterectomy and coronary artery bypass grafting versus staged carotid stenting followed by coronary artery bypass grafting

AIM

Significant carotid stenosis (>or=70%) in patients undergoing coronary artery bypass grafting (CABG) can increase the risk of perioperative cerebral vascular accident (CVA). In this study, we compared the results of two common operative strategies: concomitant carotid endarterectomy and CABG versus carotid stenting and CABG.

METHODS

This cohort study was conducted from January 2001 to September 2006. Significant carotid artery stenosis was detected in patients who were candidates for CABG at the Tehran Heart Center. The stenosis was detected by carotid Doppler screening and was confirmed by magnetic resonance angiography. Reluctant patients or those with previous major CVA, significant bilateral carotid stenosis and intracranial lesions were excluded. Patients were divided into 2 groups. Group A underwent concomitant carotid endarterectomy and CABG (n=19), while carotid stenting and CABG were done in group B (n=28).

RESULTS

The mean age in group A was 67.37+/-7.09 years and 65.57+/-8.13 years in group B. The mean hospital stay (days) was 18.68+/-7.95 in group A and 26.35+/-77.04 in group B (P=0.01). The median charge was dollars 252.79 in group A and dollars 2206.66 in group B (P <0.0001). There was a significant difference in frequency of hypotension and bradycardia between the 2 groups (P <0.05). There were 2 cases of in-hospital mortality in each group (10.5% and 7.1%, respectively). Two postoperative strokes occurred in group A and 3 in group B (10.5% and 10.7%, respectively).

CONCLUSION

Concomitant carotid endarterectomy and CABG is as safe as carotid stenting and CABG, with fewer neurologic events and less hypotension, bradycardia, cost and shorter hospital stay.

Early mortality predictors in coronary artery bypass grafting patients required intra-aortic balloon pump in perioperative and postoperative periods

AIM

The intra-aortic balloon pump (IABP) is commonly used for decreasing myocardial oxygen demand by systolic unloading in perioperative heart failure. The aim of this study was to determine perioperative prognostic factors for in-hospital mortality in coronary artery bypass grafting patients who received the intraaortic balloon pump.

METHODS

A total of 271 patients who underwent coronary artery bypass grafting and received intra-aortic balloon pump perioperatively between January 2002 and September 2006 were studied. The preoperative, operative and postoperative risk factors for early death were evaluated.

RESULTS

Early mortality rate in the study population was 17.3%. From variables entered into multivariate logistic regression the following parameters were identified as prognostic factors for early death: left main disease, diabetes, postoperative renal failure and cardiac arrest (P<0.05). The minor and major intra-aortic balloon pump related complications were not significant in univariate and multivariate analysis and its rate was 3.6%.

CONCLUSION

According to our study the mortality of IABP group is low compared to other studies, as well as IABP-associated complications. Also it revealed that there is no correlation between IABP-associated complications and early mortality.

The effect of administration of different levels of GnRH on the day 0, 5 and 12 post-insemination on progesterone concentration in dairy heifers

This study was carried out to evaluate the effects of different levels of GnRH in different days of reproductive cycle on progesterone concentration in dairy heifers. Two hundred heifers were divided into ten experimental treatment: control group with no injection (1) administration of 2.5 mL Gonadorelin (a GnRH analogue) in day of insemination (2) administration of 5 mL GnRH in day of insemination (3) administration of 10 mL GnRH in day of AI insemination (4) administration of 2.5 mL GnRH in day 5 post-insemination (5) administration of 5 mL GnRH in day5 post-insemination (6) administration of 10 mL GnRH in day5 post-insemination (7) administration of 2.5 mL GnRH in day 12 post-insemination (8) administration of 5 mL GnRH in day 12 post-insemination (9) administration of 10 mL GnRH in day 12 post-insemination. Blood samples were collected in days 0, 5, 12 and 19 post insemination (AI = Day 0) for analysis of serum P4 concentration. There was no significant difference among experimental groups on day of insemination. Evaluation of P4 concentration on day 19 illustrated differences in progesterone concentration between groups on day 19 post-insemination. P4 concentration of serum in the day 19 post-insemination significantly increased in groups either by 5 or 10 mL injection of GnRH whether in day 5 or 12 post-insemination versus control group (9.24 +/- 2.2, 8.6 +/- 1.96, 9.43 +/- 2.15 and 9.42 +/- 2.14 versus 5.5 +/- 0.8, respectively; p < 0.05). GnRH administration in the day 5 and 12 post-AI significantly increased progesterone concentration that may decline early embryonic death and improve pregnancy rate.

Comparison between different protocols of synchronization and their efficiency on pregnancy rate of dairy cattle

In order to determine different protocols of synchronization and their efficiency on pregnancy rate after fixed-timed AI (TAI), 120 dairy Holstein cows (n=120) were assigned randomly to six groups: (1) two injections of Prostaglandin F(2alpha) (PG(f2alpha)) with 12 days apart as a control group, (2) two injections of Gonadotropin Releasing hormone (GnRH) with 9 days apart and an injection of PG(f2alpha) at day 7, (3) injection of GnRH and PG(f2alpha) with 7 days apart, then single injection of Estradiol Benzoate (EB) after 48 h, 4) injection of progesterone (P4) in conjugation with EB then after 7 days PG(f2alpha) injection and after 48 h an injection of GnRH were done, 5) as group 4 but EB was used instead of GnRH, 6)injections of PG(f2alpha) and EB conjugated with Human Chronic Gonadotrophin (hCG) with 12 h apart. Animals in group 1 (control), groups 2-5 and group 6 were inseminated after 72, 20 and 36 h, respectively. Serum P4 concentration of group 4 (4.43 +/- 1.50 ng mL(-1)) was higher than control group (2.34 +/- 1.36 ng mL(-1)) at day 5 after insemination (p < 0.05); P4 concentrations of groups 3 and 4 have significant differences with control group (2.69 +/- 2.64 and 2.56 +/- 1.40 versus 0.81 +/- 0.41 ng mL(-1), respectively, p < 0.05) at a day after second injection and groups 4 and 5 were in higher level of P4 concentration than control group at insemination time (3.14 +/- 1.9 and 2.89 +/- 1.8 versus 0.45 +/- 0.19 ng mL(-1) respectively, p < 0.05). Pregnancy rate were 0, 50, 45, 10, 30 and 45% for group 1 (control) through 6, respectively.

ENT manifestations in Iranian patients with primary antibody deficiencies

OBJECTIVE

One hundred and nine patients with primary antibody deficiencies were selected in order to determine the frequency of ENT complications.

METHOD

Demographic information and ENT medical histories were collected for each patient. Duration of study for each patient was divided into two periods of before diagnosis and after diagnosis and the initiation of treatment.

RESULTS

Eighty-two of 109 patients (75.2 per cent) experienced ENT infections during the course of the disease (63: otitis media, 75: sinusitis and nine: mastoiditis). At the time of diagnosis, 52 (47.7 per cent) out of 109 patients presented with an ENT symptom. The frequencies of episodes were 27 for sinusitis and 25 for otitis media (one complicated with mastoiditis). After immunoglobulin replacement therapy the incidence of otitis media was reduced from 1.75 before treatment to 0.39 after treatment per patient per year (p = 0.008). The incidence of sinusitis also significantly decreased from 2.38 to 0.78 (p value = 0.011).

CONCLUSION

ENT infections are common medical problems in primary antibody deficiency patients. Persistent and recurrent ENT infections should be suspected as originating from a possible underlying immunodeficiency.

Acute optic nerve infarction demonstrated by diffusion-weighted imaging in a case of rhinocerebral mucormycosis

SUMMARY

A 60-year-old woman developed right-eye vision loss secondary to rhinocerebral mucormycosis. Routine MR imaging sequences including enhanced MR imaging showed normal optic nerves, but a diffusion-weighted sequence and apparent diffusion coefficient maps revealed markedly restricted diffusion in the right optic nerve. This MR imaging abnormality of optic nerve infarction due to mucormycosis has not been reported previously.

Prevalence of measles antibody in children of different ages in Shiraz, Islamic Republic of Iran

An outbreak of measles due to secondary vaccine failure prompted this investigation into the prevalence of measles antibody in children. We studied 608 children in 7 different age groups:6, 9, 14 and 18 months and 6, 10 and 15 years. Children in the 2 youngest groups received no vaccination; the rest were vaccinated at 9 months and 15 months. The 15-year-old age group received an additional vaccination. Transplacental measles antibody [Ab] decreased from 10.0% at 6 months to 0% at 9 months. Measles Ab was positive in 52.9% [14 months], 89.4% [18 months], 60.8% 96 years], 45.0% [10 years] and 96.8% [15 years]. To increase Ab levels, a booster vaccination is recommended, administered either with the second DPT booster or at pre-high school age

Prevalence of measles antibody in children of different ages in Shiraz, Islamic Republic of Iran

An outbreak of measles due to secondary vaccine failure prompted this investigation into the prevalence of measles antibody in children. We studied 608 children in 7 different age groups: 6, 9, 14 and 18 months and 6, 10 and 15 years. Children in the 2 youngest groups received no vaccination; the rest were vaccinated at 9 months and 15 months. The 15-year-old age group received an additional vaccination. Transplacental measles antibody (Ab) decreased from 10.0% at 6 months to 0% at 9 months. Measles Ab was positive in 52.9% (14 months), 89.4% (18 months), 60.8% 96 years), 45.0% (10 years) and 96.8% (15 years). To increase Ab levels, a booster vaccination is recommended, administered either with the second DPT booster or at pre-high school age.

Dnase1l3 deficiency in lupus-prone MRL and NZB/W F1 mice

Loss of deoxyribonuclease I (Dnase1) function is associated with systemic lupus erythematosus (SLE) in humans and mice; however, no coding mutations in Dnase1 are found in polygenic murine models. Instead, both MRL-lpr strains and NZB/W F1 hybrids are homozygous for T89I missense in the macrophage-DNASE, desoxyribonuclease I-like 3 (Dnase1l3). By in vitro expression studies, this substitution decreases this enzyme's nuclease activity against free DNA by only approximately twofold; however, the mutation has a greater effect on the capacity of media conditioned with Dnase1l3 to confer a barrier to liposomal gene transfection to HeLa cells. The 89I substitution decreases the Dnase1l3 barrier function in vitro by eightfold (P < 0.01). In splenocytes and BM-derived macrophages of SLE mice, while cellular Dnase1l3 levels are induced relative to C57BL/6 (control) mice, levels of FD-nuclease activity are similar. Finally, media conditioned by MRL and NZB/W F1 macrophages, relative to control, contains a weak interferon-gamma (IFN-gamma) inducible Dnase1l3-associated barrier to transfection. This barrier function is hypothesized to reflect the inability of SLE mice to degrade membrane-enveloped DNA-associated antigens, such as apoptotic bodies, which are predicted to stimulate the characteristic autoimmunity of SLE. Our results for these two generally independent models strongly suggest that Dnase1l3 deficiency increases the susceptibility of these mice to polygenic SLE.

Prevalence of Ureaplasma urealyticum and Mycoplasma genitalium in men with non-gonococcal urethritis

This study in Teheran, Islamic Republic of Iran, investigated the prevalence of Ureaplasma urealyticum and Mycoplasma species in men with non-gonococcal urethritis. Urethral swab samples were collected from 125 cases and 125 healthy men as a control group. The samples were then investigated by culture methods. The rates of detected bacteria in case and control groups were 19.2% and 7.2% for U. urealyticum, 7.2% and 0.8% for M. genitalium, and 2.4% and 1.6% for M. hominis respectively. Statistical analysis showed a significant difference between case and control groups in the prevalence of U. urealyticum and M. genitalium but not M. hominis. It is concluded that in men, U. urealyticum and M. genitalium may have an etiologic role in non-gonococcal urethritis.

Prevalence of antibody to Brucella species in butchers, slaughterers and others

Brucellosis is being reported with increasing frequency in the Islamic Republic of Iran. Serum antibodies in high-risk and general populations help to define cut-off levels and can be used as a simple and rapid diagnostic tests in infected areas. We performed the rose Bengal test [RBT], serum agglutination test [SAT] and 2-mercaptoethanol [2ME] titre determination on 415 healthy individuals including butchers, slaughterers and others. Positive results were found by RBT, SAT titre [1: 80] and 2ME titre >/= 1: 20 in slaughterers [10%, 20% and 6% respectively], butchers [6%, 4% and 1% respectively] and the general population [1%, 2% and < 1% respectively]. A single SAT titre >/= 1: 80 in the presence of 2ME titre >/= 1: 20 can be diagnostic in this region

Prevalence of antibody to Brucella species in butchers, slaughterers and others

Brucellosis is being reported with increasing frequency in the Islamic Republic of Iran. Serum antibodies in high-risk and general populations help to define cut-off levels and can be used as a simple and rapid diagnostic tests in infected areas. We performed the rose Bengal test (RBT), serum agglutination test (SAT) and 2-mercaptoethanol (2ME) titre determination on 415 healthy individuals including butchers, slaughterers and others. Positive results were found by RBT, SAT titre (1:80) and 2ME titre > or = 1:20 in slaughterers (10%, 20% and 6% respectively), butchers (6%, 4% and 1% respectively) and the general population (1%, 2% and < 1% respectively). A single SAT titre > or = 1:80 in the presence of 2ME titre > or = 1:20 can be diagnostic in this region.

Measurements of enzyme response with hulless barley-based diets full-fed to Leghorn and broiler chicks or restricted-fed broiler chicks

Broiler chicks fed diets high in soluble non-starch polysaccharides (NSP; e.g., wheat- and/or barley-based diets) have a higher capacity to ingest, digest and absorb nutrients when diets are supplemented with appropriate NSP enzymes. However, this same enzyme response is typically reduced or non-significant in older birds, Leghorn chicks and turkey poults. We hypothesise that the enzyme response in the latter classes of poultry is reduced because feed intake is lower in comparison to feed intake by broilers. In the present study, the hypothesis that restricted feeding of broilers would reduce the enzyme response typically observed in full-fed broilers was tested.

Two experiments were conducted to determine the feeding value of hulless barley supplemented or not supplemented with enzyme (Avizyme 1100, Finnfeeds Int, UK). In Study 1, eight sources of hulless barley were included at 80% in each diet and fed to four groups of six male broilers or Leghorn chicks from 4 to 17 d of age. The response to enzyme in hulless barley-based diets by broilers was approximately twofold that of Leghorns for growth and feed intake. The Leghorns had higher digesta viscosity than broilers, although the relative drop in digesta viscosity with enzyme supplementation was equal.

In a second study (Study 2) broiler chicks were fed one of four diets (two hulless barley cultivars with or without enzyme) at three feed allotment levels (ad libitum, R1 and R2) from 4 to 21 d of age. The R1 and R2 feed allotments were pre-determined fixed daily feed amounts. Actual feed restriction in the R1 group was only achieved for diets with, but not without, an enzyme. At the lowest feed allotment (R2) actual feed intake of diets with or without enzyme were lower than that recorded for ad libitum fed birds. Study 2 demonstrated that restricted-fed broilers had a lower growth response to enzyme supplementation compared to birds allowed ad libitum intake, in part due to improved retention of energy, either directly in response to feed restriction or because digesta viscosity in diets without enzyme was lowered. Although digesta viscosity of restricted-fed birds was lower, it is still high enough to be considered problematic. In determining feeding value of cereal grains or supplements such as enzymes, especially those directed for use with broilers, it is imperative that a broiler chick bioassay be used and that they have ad libitum access to the diets. Key words: Enzyme, hulless barley, viscosity, feed intake

In vitro effects of mycophenolic acid on the nucleotide pool and on the expression of adhesion molecules of human umbilical vein endothelial cells

The immunosuppressive drug mycophenolate mofetil (MMF) and its active metabolite mycophenolic acid (MPA) selectively inhibit inosine 5'-monophosphate dehydrogenase (IMPDH), and therefore interfere with cellular guanine nucleotide biosynthesis. IMPDH is additionally involved in the synthesis of membrane glycoproteins, some of which are adhesion receptors known to play an active part in the regulation of cell-cell contacts, which are crucial in the process of recruitment and transendothelial infiltration of activated leucocytes in the transplanted organ. As a consequence, MPA leads to a reduction of cellular infiltrates in the course of transplant rejection. In the present study, the effects of MPA on human umbilical vein endothelial cells (HUVEC) are investigated at both molecular and cellular levels. In our experiments, HUVECs are treated with tumor necrosis factor-alpha (TNF-alpha; 10 ng/ml) in order to mimic activation occurring at a rejection crisis. The dose-dependent influence of concomitant incubation with MPA (5-20 micromol/l; 48 h, 37 degrees C, 5% CO2) on their intracellular nucleotide profile is observed by determining the concentrations of purine and pyrimidine nucleotides, using a HPLC method based on solvent generated ion-exchange. The possibility of synergistic effects is investigated by incubating endothelial cells with mixtures of three different immunosuppressants (mycophenolic acid; cyclosporin A, 100 ng/ml; prednisolone, 1 micromol/l)--a combination commonly used after transplantation--varying the amount of MPA (5-20 micromol/l). Stimulation with TNFalpha does not significantly modulate the intracellular levels of nucleotides quantitated. In the presence of MPA concentrations of at least 5 micromol/l, GTP levels (68+/-12%) are significantly decreased compared to controls (100%). At a concentration of 20 micromol/l MPA, the GTP amount is reduced to 58+/-7%. In contrast to these observations, the levels of UDP and UTP are increasing significantly under coincubation with MPA concentrations greater than 5 micromol/l. At 20 micromol/l MPA, UDP and UTP are increased to 147+/-19% and 114+/-11%, respectively. All other nucleotides (CTP, ADP, ATP) reveal no significant alterations in their intracellular concentrations under the conditions applied. Incubation of TNFalpha-treated HUVEC monolayers, with a mixture of three immunosuppressive drugs varying the amount of MPA, show no significant differences compared with the data observed after incubation with MPA alone. In addition, the influence of MPA (10 micromol/l) on a cellular level is observed by measuring the cell surface expression of adhesion molecules on cytokine-stimulated HUVECs, using TNFalpha (10 ng/ml), interferon-gamma (100 ng/ml), interleukin-1beta (10 ng/ml) and interleukin-8 (20 ng/ml). Expression of the intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), endothelial leucocyte adhesion molecule-1 (ELAM-1) and platelet endothelial cell adhesion molecule-1 (PECAM-1) was assessed by flow cytometry. Activation of endothelial cell monolayers with TNFalpha significantly increases the mean fluorescence intensity of VCAM-1 (361+/-14%) and ICAM-1 (429+/-47%) surface expression, compared to controls, and additionally induces E-selectin expression (2919+/-134%). The same tendencies, but in a lesser degree, are observed under stimulation of cells with either IFNgamma or IL-1beta. Incubation with a combination of TNFalpha and MPA leads to a significant reduction in VCAM-1 (329+/-13%) and E-selectin (2613+/-167%) expression, compared to the values obtained for HUVEC incubated with the cytokine alone. Treatment of the cells with IL-1beta/MPA also reduces the expression of VCAM-1 to a level significantly lower than the level observed after stimulation with IL-1beta. Incubation with MPA alone reveals no significant modulation in the expression of all surface molecules tested compared to the values of unstimulated HUVECs. The experiments show that the immunosuppressive action of MPA not only inhibits lymphocyte proliferation but also decreases the expression of adhesion molecules on endothelial cells, which are the first target of the cellular rejection process.

Comparison of intradermal and intramuscular administration of hepatitis B vaccine in neonates

BACKGROUND

Hepatitis B virus (HBV) infection and its complications are among the most common diseases in Iran. National mass vaccination of neonates against hepatitis B was started in 1991, but was considered a costly venture.

AIM

To compare the efficacy of low-dose intradermal HBV recombinant vaccine with standard intramuscular dose in neonates.

METHOD

165 apparently healthy neonates born in Shiraz were randomized to receive either 10 microg [corrected] of recombinant vaccine intramuscularly (IM; n=82) or 2 microg [corrected] vaccine intradermally (ID; n=83) at months 0, 1, 6. Anti-HBs titers were measured at 6 and 18 months after the first dose.

RESULTS

53 and 51 neonates in the IM and ID groups, respectively, completed the study. Protective anti-HBs titers (>10 IU/L) at 18 months after the first dose were achieved in 98.1% and 96.2% of neonates in IM and ID groups, respectively (p=ns). The only side effect in the ID group was local hyperpigmentation, which was seen in 55%; no significant side effect was reported in the IM group.

CONCLUSION

Intradermal vaccination with 20% of standard dose is as effective as IM vaccination when evaluated at 18 months after the first dose.