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The effect of microwave pretreatment and moisture levels of Camelina sativa seeds on the quality of extracted oil by cold press was investigated. The seed moistures were adjusted to 2.5%, 5.0%, 7.5%, and 10.0% and pretreated with microwaves for 0, 1, 2, and 3 min. Microwave pretreatment (3 min) of the seeds with 2.5% moisture increased the oil extraction yield by ∼11% compared to the control sample. The highest amount of acidity (0.564 g FFA·g−1 oil), peroxide value (2.4 meq O2·kg−1 oil), carotenoid (5.26 mg·kg−1 oil), and browning index (0.710) were found in the oil extracted from seeds with 10% moisture and 3 min microwave pretreatment. The total phenolic compound was increased by microwave pretreatment but was mitigated by the seed moisture content, and the highest amount (208.24 mg caffeic acid·100 g−1 oil) was observed at 3 min microwave pretreatment of the seeds with 2.5% moisture. Chlorophyll content decreased by both microwave pretreatment and seed moisture content in camelina oil. Generally, the fatty acid composition of the extracted oils was not affected by the seed pretreatments. In conclusion, pretreatment of the camelina seeds before oil extraction is suggested to obtain a high oil extraction yield with a good quality oil.

Due to high antimicrobial activity against numerous microorganisms, silver nanoparticles (AgNPs) are being utilized in various areas. Microwave-accelerated AgNPs synthesis using Corylus avellana leaf extract was evaluated. Based on randomly central composite design, 13 mixture solutions containing different amounts of the prepared extract (0.10–0.90 mL) and 1 mM silver nitrate solution (15–25 mL) were prepared and exposed to microwave irradiation for 180 s. Response surface methodology was utilized to evaluate the effects of the two independent variables on particle size and concentration of the synthesized AgNPs, as manifested in the place of broad emission peak (λ max) and its absorbance unit, respectively. Fourier transform infrared spectroscopy analysis indicated that the two hydroxyl and carboxylic acid functional groups with reducing activity existed in the prepared extract. Dynamic light scattering and transmission electron microscopy analyses revealed that the formed spherical AgNPs using optimum amounts of C. avellana leaf extract (0.9 mL) and 1 mM silver nitrate solution (25 mL) had minimum particle size (103.5 nm) and polydispersity index (PDI) (0.209), and maximum concentration (140 ppm) and zeta potential (−21.8 mV). Results indicated that the formed AgNPs had high fungicidal effects against the spoiled fungi of Colletotrichum coccodes and Penicillium digitatum.

In order to alter the solubility and bioavailability of various functional lipids and plant essential oils (EOs), it is possible to prepare their oil in water (O/W) nanoemulsions. Thyme O/W nanoemulsions were prepared under subcritical water conditions (at 120°C and pressure of 1.5 atm for 2 h), using Tween 20, Tween 80, saponin, Arabic gum, xanthan gum, and sodium caseinate as emulsifiers. Results indicated that nanoemulsions with minimum mean droplet size of 11.5 and 12.6 nm were produced using Tween 20 and 80, respectively. Moreover, nanoemulsions with minimum polydispersity index (0.139) and maximum mean value of zeta potential (−24.5 mV) were provided utilizing xanthan gum and saponin, respectively. Results also revealed that the prepared nanoemulsions using saponin had maximum antioxidant activity based on percentage of scavenging ability (40.6%) and bactericidal effects against Streptococcus mutans as manifested in the formed clear zone (diameter of 21 mm). Morphological assessment of all the prepared nanoemulsions demonstrated that spherical thyme nanodroplets were formed in the colloidal solutions which revealed that all the prepared nanoemulsions had high thermodynamic stability due to the minimum surface energy level of the formed nanodroplets. This can increase applications of the prepared thyme O/W nanoemulsions in the aqueous food and pharmaceutical formulations.

Silver nanoparticles (AgNPs) were synthesized using Aloe vera leaf extract as both reducing and stabilizing agents via microwave irradiation method. The effects of the microwave exposure time and the amount of AgNO3 solution on the mean particle size and concentration of the synthesized AgNPs solution were investigated using response surface methodology. The synthesized AgNPs were characterized by transmission electron microscopy, UV-Vis spectroscopy, and dynamic light scattering. Well-dispersed and spherically fabricated AgNPs with mean particle size (46 nm) and maximum concentration (64 ppm) and zeta potential (+15.5 mV), were obtained at optimal synthesis conditions, using 9 ml of AgNO3 (1 mm) and 0.1 ml of Aloe vera extract during microwave exposure time of 360 s. The antibacterial activity of the synthesized AgNPs was tested using Escherichia coli and Staphylococcus aureus bacteria and the obtained results indicated their significant inhibitory effects against these two Gram-negative and Gram-positive bacteria.

Objective: Following tonsillectomy, postoperative pain and hemorrhage from the tonsillar bed are causes of significant morbidity. Intracapsular tonsillectomy with Coblation is suggested to minimize such morbidity while remaining efficacious in long‐term outcomes. This systematic review and meta‐analysis assessed short‐term morbidity and long‐term outcomes from intracapsular tonsillectomy with Coblation, focusing primarily on posttonsillectomy hemorrhage. Data Sources: Medline, Embase, and the Cochrane Library. Review Methods: Guided by PRISMA guidelines, studies on intracapsular tonsillectomy with Coblation published between December 2002 and July 2022 evaluating frequency of posttonsillectomy hemorrhage were screened. Studies without primary data were excluded. Meta‐analysis was conducted using the random‐effect model. The primary outcome was the proportion of patients who experienced posttonsillectomy hemorrhage. The secondary outcomes were posttonsillectomy pain, the proportion requiring revision tonsillectomy, and severity of sleep‐disordered breathing measured by polysomnography outcomes. Results: From 14 studies there were 9821 patients. The proportion of total posttonsillectomy hemorrhage was 1.0% (95% confidence interval [CI] 0.5%‐1.6%, n = 9821). The proportion experiencing primary hemorrhage, secondary hemorrhage, and those requiring further tonsil surgery were 0.1% (95% CI 0.0%‐0.1%; study n = 7), 0.8% (95% CI 0.2%‐1.4%; study n = 7), and 1.4% (95% CI 0.6%‐2.2%; study n = 6), respectively. Mean reduction in apnea‐hypopnea index was –16.0 events per hour (95% CI −8.8 to −23.3, study n = 3) and mean increase in oxygen nadir was 5.9% (95% CI 2.6%‐9.1%, study n = 3). Conclusion: Intracapsular tonsillectomy with Coblation has been demonstrated to have a low rate of posttonsillectomy hemorrhage. Data regarding long‐term tonsil regrowth and need for reoperation were encouraging of the efficacy of this technique. [ABSTRACT FROM AUTHOR]

Background: Skin grafting reflects a common dermatological procedure for closing skin defects. Patient education is important for managing expectation and optimising skin graft take. While health information is increasingly accessed on the internet, there are no existing studies assessing their quality. Methods: The first 25 results from Google, Microsoft Bing and Yahoo! search engines using the term 'skin graft' were analysed using a variety of standard instruments. Readability was assessed using the Flesch–Kincaid Grade score (FKG), Gunning Fog Index (GFI), Simple Measure of Gobbledygook (SMOG) and the New Dale‐Chall Readability Index (NDC). Reliability was assessed using the DISCERN instrument and credibility with the Journal of the American Medical Association Benchmark Criteria (JAMA). Transparency was identified by presence of the Health On the Net Foundation Code certification (HON‐code). Results: Seventy‐five websites were identified. After exclusion, forty‐three remaining websites were analysed with average FKG, GFI and SMOG scores of 7.8, 10.1 and 10.7, respectively. The average NDC was 5.9. The average reliability was fair with a DISCERN score based on the first 15 questions of the instrument of 42.6. The mean JAMA score was 2, and 9 websites displayed the HON‐code certificate. Conclusions: Readability, reliability and credibility of online health information regarding skin grafting can be improved. Health care providers should critically assess existing online patient information or develop alternative material to educate patients undergoing skin graft surgery. [ABSTRACT FROM AUTHOR]

Using hydro-alcoholic extract of Willow leaf, zinc oxide nanoparticles (ZnO NPs) were synthesized via four accelerated different heating methods namely, Bain-Marie heating (40 °C for 2 h), Conventional heating with stirrer (80 °C for 2 h), hydrothermal autoclave (1.5 atm and 121 °C for 15 min) and microwave irradiation (800 W and 160 °C for 3 min). Calcination process was finally completed on the obtained colloidal solutions in a furnace (350 °C for 2 h). The characteristics of the resulted ZnO NPs including particle size, grain size, crystallinity, specific surface area, morphology, photocatalytic, antioxidant bactericidal activities were estimated using X-ray diffractometry, scanning electron microscopy and Ultraviolet-visible spectroscopy techniques. Attained results indicated that among four different utilized synthetic methods, the fabricated ZnO NPs via Bain-Marie heating, had desired physico-chemical characteristics and bactericidal effect including small particle size (70 nm), high specific area (284 m2/gr), antioxidant activity (28.5%), photocatalytic activity (degradation of 50% of Methylene Blue), and bactericidal effects against Escherichia coli (clear zone diameter of 1.4 ± 0.1 cm) and Staphylococcus aureus (1.3 ± 0.1 cm). [ABSTRACT FROM AUTHOR]

Introduction: Low serum vitamin D has been shown to be a risk factor for Coronavirus 2019 (COVID-19). The aim of this study was to assess the effects of high dose vitamin D supplementation on hs-CRP, ESR and clinical outcomes, including duration of hospitalization, quality of life and New York Heart Association (NYHA) Functional Classification, in adults with COVID-19. Methods: This double-blind, randomized control trial will be conducted on patients with RT-PCR and/or chest CT scan diagnosis of COVID-19 admitted in Imam Reza Hospital, Mashhad, Iran. Participants will be randomized into control and intervention groups based on randomization sampling. The intervention group will receive soft gel containing 50,000 IU vitamin D on the first day followed by 10,000 IU/day through a supplement drop daily for 29 days. The control group will receive 1000 IU vitamin D daily through supplement drop and a placebo soft gel. All participants will undergo laboratory assessment including inflammatory markers, serum 25)OH)D, complete blood count (CBC), liver and renal profile, lipid profile and erythrocyte sedimentation rate (ESR) at baseline and at day 30. The mortality rate will be recorded in both groups. Results: Data will be presented using descriptive statistics. Comparison of changes in study parameters over the study period will be performed using analysis of covariance adjusting for possible confounders. Conclusions: The findings of this will provide evidence on the effects of high dose vitamin D supplementation on inflammatory markers in hospitalized COVID-19 patients. [ABSTRACT FROM AUTHOR]

Background: COVID‐19 is an evolving worldwide pandemic causing significant morbidity and mortality. COVID‐19 vaccinations have been developed to increase immunity against the virus. In New Zealand, the Pfizer BioNTech mRNA vaccine has been provisionally approved for use. Axillary lymphadenopathy is a recognized side effect of the mRNA vaccine, however cervical lymphadenopathy has also been reported. Due to a wide range of differential diagnoses, the finding of cervical lymphadenopathy requires thorough investigation which can include imaging and invasive diagnostic procedures. Methods: Five patients were identified by otorhinolaryngology (ORL) consultants at Whangarei Base Hospital and Waikato Hospital between 15/7/2021 and 21/12/2021 after being investigated through high suspicion of cancer triage pathways set by the New Zealand Ministry of Health. Inclusion criteria were adult patients with cervical lymphadenopathy following vaccination. Exclusion criteria were no history of vaccination or lymphadenopathy present before vaccination. Results: All patients were identified to have cervical lymphadenopathy on radiological imaging and a recent history of COVID‐19 vaccination with the Pfizer BioNTech vaccine. Interval vaccination to fine needle aspiration time ranged between 41 and 76 days. All patients had cytological or histological diagnosis showing reactive findings or interval imaging showing resolution of lymphadenopathy. Conclusion: With increasing levels of COVID‐19 vaccination and booster vaccinations we will continue to see cases of COVID‐19 vaccine associated cervical lymphadenopathy. We highlight the importance of taking a COVID‐19 vaccination history and including COVID‐19 associated cervical lymphadenopathy in the differential diagnosis of presentation with a neck lump. [ABSTRACT FROM AUTHOR]

Introduction: Intracranial aneurysms are common. Receiving this diagnosis can have a profound impact on patients and their families and this is compounded by the nuanced complexities around their management. An overwhelming majority of patients research health information using the internet. Patient‐centred care and informed consent requires patients to have access to information that is readable and reliable. The aim of this study was to assess the readability and reliability of online health information about intracranial aneurysms. Method: A Google search was conducted using the terms 'brain aneurysm', 'cerebral aneurysm', and 'intracranial aneurysm' and the first 75 websites were screened for assessment. The readability of each website was assessed using the Flesch reading ease score (FRE), the Flesch–Kincaid grade level (FKGL), the gunning fog index (GFI) and the simple measure of gobbledygook (SMOG) indices. Reliability was assessed using the DISCERN instrument and the Journal of the American Medical Association benchmark criteria (JAMA). Results: Following exclusion, 36 websites were analyzed. The websites collectively scored as 'difficult' readability and 'poor' reliability on average. Statistically significant differences in readability were observed between websites categorized as patient health information and commercial compared with academic and physician. Differences in readability were also observed between search results of 'brain aneurysm' compared with 'intracranial aneurysm'. Conclusion: The readability and reliability of online health information about intracranial aneurysms is suboptimal. Health professionals must ensure their patients are well informed which includes directing them to high quality resources which are readable and reliable and use layperson‐oriented language during the consultation. [ABSTRACT FROM AUTHOR]

Background: Melanoma is the most lethal skin cancer. Excision biopsy is generally recommended for clinically suspicious pigmented lesions; however, a proportion of cutaneous melanomas are diagnosed by shave biopsy. A systematic review was undertaken to investigate the impact of shave biopsy on tumor staging, treatment recommendations, and prognosis. Methodology: The MEDLINE, Embase, and Cochrane Library databases were searched for relevant articles. Data on deep margin status on shave biopsy, tumor upstaging, and additional treatments on wide local excision (WLE), disease recurrence, and survival effect were analyzed across studies. Results: Fourteen articles from 2010 to 2020 were included. In total, 3713 patients had melanoma diagnosed on shave biopsy. Meta-analysis revealed a positive deep margin in 42.9% of shave biopsies. Following WLE, change in tumor stage was reported in 7.7% of patients. Additional treatment was recommended for 2.3% of patients in the form of either further WLE and/or sentinel lymph node biopsy. There was high heterogeneity across studies in all outcomes. Four studies reported survival, while no studies found any significant difference in disease-free or overall survival between shave biopsy and other biopsy modalities. Conclusions: Just over 40% of melanomas diagnosed on shave biopsy report a positive deep margin; however, this translated into a change in tumor stage or treatment recommendations in relatively few patients (7.7% and 2.3%, respectively), with no impact on local recurrence or survival among the studies analyzed. [ABSTRACT FROM AUTHOR]

Glioblastoma Multiforme (GBM) represents one of the most common and most aggressive forms of brain tumours with a poor prognosis. There is often uncertainty around diagnosis and prognosis amongst patients diagnosed with cancer. Most patients rely on internet to access health-related information. The aim of this study was to assess the readability and reliability of online information on GBM. The terms 'Glioblastoma' and 'GBM' were used to search Google and the first 50 websites identified were screened. For each website, the quality of each website was assessed using the DISCERN instrument, the Journal of the American Medical Association (JAMA) benchmark criteria and the Health on the Net Foundation code certification (HON-code). The readability was assessed using the Flesch Reading Ease Score (FRE), the Flesch-Kincaid grade level (FKGL) and the Gunning Fog Index (GFI). The relevant patient information by 4 International patient information websites were also assessed. Following screening, 31 websites met the inclusion criteria with only four websites displaying the HON-code (12.9%). The median DISCERN score was 43 (range: 17–70) corresponding to 'fair' quality, and the median JAMA benchmark criteria score was 1. Display of the HON-code certificate or the publication date was associated with higher quality websites. The median FRE score corresponded to 'difficult' to read (34.4). The median GFI score (15.9) and FKGL score (13.3) corresponded to a 'college' level of education reading ability. The Cancer Australia online information was the most readable website while Cancer Research UK had the highest quality information. The readability and reliability of online information relating to GBM is inadequate. Health professionals need to provide or guide patients to information that is both readable and reliable. [ABSTRACT FROM AUTHOR]

The confirmed and suspected cases of the 2019 novel coronavirus disease (COVID-19) have increased in the entire world. There is still no vaccine or definitive treatment for this virus due to its unknown pathogenesis and proliferation pathways. Optimized supportive care remains the main therapy, and the clinical efficacy for the subsequent agents is still under investigation. Enormous demand for handling the COVID-19 outbreak challenged both the health-care personnel and medical supply system. As outbreaks of COVID-19 develop, prehospital workers, emergency medical services personnel, and other emergency responders are potentially asked to follow specific practice guidelines to mitigate the effects of an escalating pandemic. In this article, we have summarized the current guidance on potential COVID-19 management options. The recent experience with COVID-19 provided lessons on strategy and policymaking that the government and ministry of health should be on the alert and concentrate more on capacity to manage an outbreak like COVID-19. It is important to consider the new data that emerge daily regarding clinical characteristics, treatment options, and outcomes for COVID-19. [ABSTRACT FROM AUTHOR]

Intensified process based on subcritical water conditions (120 °C and 1.5 atm, for 2 h) was utilized to prepare thyme oil in water (O/W) nanoemulsions. In this technique, water and xanthan gum, as green solvent and natural microbial emulsifier, were utilized. Results of gas chromatography revealed that Thymol and Carvacrol were two main bioactive compounds of the extracted thyme oil. Effects of amounts of xanthan gum (0.05–0.25 g) and thyme essential oil (0.2–0.8 mL) on size of oil nanodroplets and polydispersity index (PDI) of the resulted nanoemulsions were evaluated using response surface methodology. Results demonstrated that the produced thyme O/W nanoemulsion by 0.242 mL thyme oil and 0.140 g xanthan gum had smallest average nanodroplet size (150 nm) and PDI (0.088). Furthermore, monodispersed and spherical in shape thyme oil nanodroplets were provided in the nanoemulsion using these optimal conditions with zeta potential value of −10.1 mV and antioxidant activity of 17.4%. Results also indicated that this prepared nanoemulsion had high fungicidal and bactericidal activities toward Penicillium digitatum and Escherichia coli, respectively. [ABSTRACT FROM AUTHOR]

Background: This study was performed to determine the sensitivity and specificity of ultrasound in the diagnosis of traumatic ankle injury in comparison with magnetic resonance imaging (MRI). Materials and Methods: This cross-sectional study was performed on 31 patients with soft-tissue injury or fracture, referring to the MRI imaging center of Alzahra and Kashani Hospitals in Isfahan from October 2018 to March 2019. After an MRI, an ultrasound of the affected ankle was performed for all patients. Sonography and MRI were performed by two radiologists who were blinded to the results of each other's reports. The sensitivity, specificity, positive predictive value, and negative predictive value of sonography were determined. Results: In this study, 31 patients with ankle trauma were studied. The mean age of the patients was 30.73 ± 10.15 years; 32.3% were male and 67.7% were female. The sensitivity of ultrasound relative to MRI to detect damage to the anterior talofibular ligament (ATFL), posterior talofibular ligament (PTFL), and calcaneofibular ligament (CFL) was 66.67%, 50%, and 100%, respectively, and the corresponding specificity was 92.86%, 93.10%, and 93.10%, respectively. According to Kappa test, the agreement between ultrasound and MRI methods for detecting injury to ATFL (κ = 0.51), PTFL (κ = 0.35), and CFL (κ = 0.63) was statistically significant (P < 0.05). Conclusion: Ultrasound is an appropriate modality for the diagnosis of injuries to CFL and ATFL and has shown acceptable results for PTFL. It could be used as an alternative in cases where access to MRI is not available. [ABSTRACT FROM AUTHOR]

Aloe vera leaf extract has been obtained and utilized for silver nanoparticles (AgNPs) synthesis by autoclave at 121 °C and 1.5 bar (pressure) for 15 min. The results of GC-MS analysis of A. vera life extract indicated that there were several natural reducing agents such as acetic acid, hexanol and ethyl amine in the A. vera peel. Central composition design and response surface methodology have been used to design the experiment and to evaluate the effect of independent variables on dependent variables, respectively. After extraction of A. vera leaf extract with different concentrations (0.5–5.5% w/v), 0.1 mL of the prepared extract has been added into different amounts of 1 mM AgNO3 solution (9.5–20.5 mL) and placed into the autoclave. The obtained results indicated that the minimum particle size (53.9 nm) and maximum concentration (46.25 ppm) and color (0.851 IU) values for synthesized AgNPs were obtained using 4.69% w/v of A. vera leaf extract and 11.1 mL of AgNO3 solution (1 mM). The zeta potential value of the synthesized AgNPs at obtained optimum conditions was +15.5 mV which indicated the high stability of the synthesized AgNPs. The high antifungal activity of the synthesized AgNPs was evaluated against to Aspergillus flavus and Aspergillus terreus strains. [ABSTRACT FROM AUTHOR]

Silver nanoparticles (AgNPs) were synthesized using Aloe vera leaf extract as both reducing and stabilizing agents via microwave irradiation method. The effects of the microwave exposure time and the amount of AgNO3 solution on the mean particle size and concentration of the synthesized AgNPs solution were investigated using response surface methodology. The synthesized AgNPs were characterized by transmission electron microscopy, UV-Vis spectroscopy, and dynamic light scattering. Well-dispersed and spherically fabricated AgNPs with mean particle size (46 nm) and maximum concentration (64 ppm) and zeta potential (+15.5 mV), were obtained at optimal synthesis conditions, using 9 ml of AgNO3 (1 mm) and 0.1 ml of Aloe vera extract during microwave exposure time of 360 s. The antibacterial activity of the synthesized AgNPs was tested using Escherichia coli and Staphylococcus aureus bacteria and the obtained results indicated their significant inhibitory effects against these two Gram-negative and Gram-positive bacteria. [ABSTRACT FROM AUTHOR]

Background: Renal colic is a painful medical emergency, needs urgent intervention to reduce pain. Nonsteroidal anti-inflammatory drugs, opioids, and entonox are pain-relieving agents. This study was aimed to compare fentanyl + entonox (nitrous oxide + O2) versus fentanyl + oxygen. Materials and Methods: One hundred and twenty patients with acute renal colic presenting to the emergency department were enrolled. First, 50 μg fentanyl was infused for all patients. Then, patients divided into two groups receiving masks of entonox and oxygen, respectively. Quantitative measurement of pain was performed by visual analog scale, before the intervention, after 3, 5, 10, and 30 min of that. If the pain was not relieved after 30 min, 50 μg fentanyl was infused. If the pain was still continued, ketorolac and ketamine were used. Hospitalization duration and severity of pain at specified times were compared between patients in two groups. Results: The mean (standard deviation) time of hospitalization was 211 (59) and 236 (61) min in fentanyl + entonox and fentanyl + O2 groups, respectively (P = 0.024). The decrease in pain severity after 10 and 30 min in fentanyl + entonox group were significantly greater than fentanyl + O2 group (P = 0.002 and 0.001, respectively). Mean (standard error) of needed time for renal colic pain to get better was 11.27 (1.23) and 20.47 (1.71) min in fentanyl + entonox and fentanyl + O2 groups, respectively (P < 0.001). Proportion of patients relief from pain in fentanyl + entonox in the second, third, and fourth measurements were significantly more than fentanyl + O2 group (P = 0.036, P < 0.001, and P < 0.001, respectively). Conclusion: Entonox is more effective to decrease the duration of hospitalization and reduction of pain than O2 in renal colic patients. Key words: Fentanyl, nitrous oxide, oxygen, renal colic [ABSTRACT FROM AUTHOR]

The potential of magnetic nanoparticles (MNPs) in drug delivery systems (DDSs) is mainly related to its magnetic core and surface coating. These coatings can eliminate or minimize their aggregation under physiological conditions. Also, they can provide functional groups for bioconjugation to anticancer drugs and/or targeted ligands. Chitosan, as a derivative of chitin, is an attractive natural biopolymer from renewable resources with the presence of reactive amino and hydroxyl functional groups in its structure. Chitosan nanoparticles (NPs), due to their huge surface to volume ratio as compared to the chitosan in its bulk form, have outstanding physico-chemical, antimicrobial and biological properties. These unique properties make chitosan NPs a promising biopolymer for the application of DDSs. In this review, the current state and challenges for the application magnetic chitosan NPs in drug delivery systems were investigated. The present review also revisits the limitations and commercial impediments to provide insight for future works. [ABSTRACT FROM PUBLISHER]

The Murchison domain forms the northwest part of the Youanmi Terrane, a tectonic unit within the Neoarchean Yilgarn Craton in Western Australia. In the Cue-Weld Range area the Murchison domain has experienced a complex magmatic and deformation history that resulted in a transposed array of greenstone belts that host significant iron, gold, and base metal deposits. In this study, we interpret the upper 2 s (about 6 km) of a deep crustal seismic profile 10GA–YU1, near the town of Cue, and correlate rock units and structures in outcrop with corresponding reflections. We performed 3D constant velocity ray-tracing and calculate the corresponding travel times for the reflections for time domain pre-stack and post-stack seismic data. This allows us to link shallow reflections with mafic volcanic rocks of the Glen Group and basaltic rocks of the Polelle Group in outcrop. Based on our interpretation and published geological maps and data, we propose a model in which the local stratigraphy represents a refolded thrust system. To test our hypothesis, we applied 2D acoustic finite difference forward modeling. The corresponding synthetic data were processed in the same way as the acquired data. Comparisons between the acquired and the synthetic data show that the model is consistent with observations. We propose a new model for the subsurface of the Cue-Weld Range area and argue that some of the lithologies in the area are repeated structurally at different levels. Our approach highlights the benefit of imaging and modeling of deep seismic transects to resolve local structural complexity in Archean granite-greenstone terrains. [ABSTRACT FROM AUTHOR]

Background: Restless and violent behaviors are common in Emergency Departments (EDs), which need therapeutic interventions in most of the times. The first-generation anti-psychotic drugs are one of the most applicable therapeutic agents in the management of such patients, but their use has some limitations. Some studies suggest midazolam as an alternative medicine. Therefore, this study was performed with the aim of comparison of the efficacy and safety of haloperidol and midazolam in the restless management of referring patients to EDs. Materials and Methods: The present double-blinded trial was done on patients needed sedation and referred to the ED of Alzahra Hospital, Isfahan, Iran, in 2014. The patients were categorized into two random groups of haloperidol (5 mg) and midazolam receivers (2.5 mg for those weighing <50 kg and 5 mg in >50 kg), as intramuscular administration. The time to achieve sedation, need for rescue dose, need to resedation within the first 60 min, and adverse effects of drugs were compared among the groups. Results: Forty-eight patients were entered to the study. The mean age in the haloperidol and midazolam groups was 44.8 ± 4.1 years and 45.5 ± 4.7 years, respectively ( P = 0.91). The mean time of sedation in the haloperidol and midazolam groups was 5.6 ± 0.3 min and 5.2 ± 0.1 min, respectively ( P = 0.31). The mean time of full consciousness after sedation was 36.2 ± 4.5 min and 38.2 ± 3.4 min in the haloperidol and midazolam groups, respectively ( P = 0.72). On average, time to arousal in the midazolam group was 10.33 min more than the haloperidol group, but it was not statistically significant. Conclusion: The results of the present study show that administration of midazolam and haloperidol have similar efficacy in the treatment of restless symptoms with the same recovery time from drug effects for referring patients to the ED. In addition, none of the adverse effects were observed in this study. [ABSTRACT FROM AUTHOR]

Background: We assessed the effects of low-dose IV ketamine-midazolam versus morphine on pain control in patients with closed limb fracture(s); and also compared the incidence of adverse events (cardio-pulmonary) between two groups. Materials and Methods: This prospective, single-blind, non-inferiority trial randomized consecutive emergency department (ED) patients aged 18-60 years to two groups: Receiving 300-500 mcg/kg ketamine plus 0.03 mg/kg midazolam, or 0.05-0.1 mg/kg morphine. Visual analogue score (VAS) and adverse events were verified during an interval of 30 minutes. Results: Two hundred and thirty -- six patients were selected, among whom 207 were males (87.3%). The average age was 29 ± 2, (range, 18-60 years). The VAS score at T30 (i.e., 30 minutes after initial analgesic dose) was significantly decreased compared with VAS score at T0, in both groups. No statistically significant difference, however, was observed between the two groups (-6.1 ± 1.1 versus -6.2 ± 1.0; P = 0.16). With regard to systolic blood pressure and respiratory rate, however, a meaningful difference was noted between the two groups (1.5 ± 6.4 versus -2.1 ± 6.6; P = 0.000 for SBP, and -0.2 ± 1.1 versus -1.1 ± 6.1; P = 0.048 for RR). Conclusion: "Low-dose" intravenous ketamine plus midazolam has the same analgesic effects as morphine on pain control in trauma patients with closed limb fracture(s), in addition to less respiratory adverse events. [ABSTRACT FROM AUTHOR]

We acquired a high-resolution 2D seismic profile to test the capability of the seismic method in imaging a sulfide ore body at Garpenberg, central Sweden. Delineation of the geologic structures, which surround and host the ore body, is another goal of the survey. Due to the 3D geology of the structures, a cross-dip correction performed to image out-of-the-plane reflections, resulting in a clear high amplitude anomaly at a time and location to that to be expected from near the top of the ore body. Furthermore, DMO processing and migration are applied to the data, providing images of four main reflection groups. The reflections have been interpreted as corresponding to geologic rock units in the area that partly interfere with the potential ore body signal. To further investigate the seismic response of the ore body, forward modeling by ray-tracing is applied using the ore body geometry as mapped by drilling. We use two ray-tracing approaches: standard 3D ray-tracing and an exploding reflector approach. Seven representative samples from the mine area are used to determine P-wave velocities. The measurements show a considerable contrast between the ore body and host rock. By comparing the modeled and observed data, we find that the high amplitude signal in the real seismic section most likely emanates from near the top of one concentrated ore which lies inside the larger mapped ore body that has been modeled as a resource. The base of the ore body is only observed on the synthetic data whereas a signal penetration analysis suggests that the seismic signal penetrated efficiently along the entire survey line. Presence of disseminated ore and lower fold toward the northern end of the profile could be combined reasons that make imaging the base of the ore body difficult. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to evaluate the frequency distribution and associated factors of burnout syndrome among nurses in Alzahra Hospital, Isfahan, Iran. Methods: This was a cross-sectional study conducted on 100 selected nurses in Alzahra Hospital in 2010, Iran. The subjects filled maslach burnout inventory (MBI). The data was analyzed by Student's t-test and analysis of variance (ANOVA) in SPSS18 software. Findings: The mean age of nurses was 37.35 ± 12.13 years. Our results showed significant differences in burnout scores between nurses in different departments, i.e. the scores of nurses in ICU and emergency departments were significantly higher than those in dialysis and orthopedic departments (P = 0.01). Student's t-test revealed the scores of women to be significantly higher than men (P = 0.0001). In addition, ANOVA showed a work experience lower than 10 years to be associated with lower burnout scores. Conclusion: Based on our results and previous studies, sex, work experience and site of working in the hospital are important factors affecting burnout syndrome in nurses. [ABSTRACT FROM AUTHOR]

Starch nanoparticles (SNPs) in colloidal forms were prepared using enzymatically pretreatment and four different gelatinization methods based on autoclave, microwave, ultrasonication and normal heating with stirring. Furthermore, SNPs in powder form were prepared using freeze drying technique. Results indicated that the formed SNPs using starch solution (1 % W / V) and ultrasonication technique had lowest mean particle size (151 nm) and PDI (0.173), and highest zeta potential (−8.8 mV) values. Optimization procedure using response surface methodology, based on central composite design, indicated that using 1.5 mL of α-amylase and sonication time of 15 min, SNPs with lowest particle size (49.3 nm) and highest zeta potential (−10.8 mV) were produced. Using prepared colloidal solution under optimal conditions, SNPs powder were produced by freeze dryer, adjusted at pressure and temperature of 100 Pa and − 70 °C, for 24 h. Results indicated that formed SNPs powder with squared-shape, had particle size, zeta potential, specific surface area, decomposition temperature of 197 nm, −13.9 mV, 1.9 m2g−1 and 162 °C, respectively. While, for native starch these values were 5018 nm, −6.01 mV, 0.68 m2g−1 and 170.2 °C, respectively. Results revealed that emulsification ability of SNPs powder was three times higher than that of the native starch. • α-Amylase enzyme was used in preparation of starch nanoparticles (SNPs). • Four different gelatinization methods were evaluated in SNPs production. • SNPs powder was prepared using freeze drying technique. • Starch solution of 1 % W / V and enzyme amount of 1.5 mL were selected. • Ultrasonication technique was selected as an efficient starch gelatinization technique. [ABSTRACT FROM AUTHOR]