The Efficacy of Omega-3 Supplement on Prevention of Retinopathy of Prematurity in Premature Infants: A Randomized Double-blinded Controlled trial

BACKGROUND

The present study aimed to assess the efficacy of omega-3 in treating ROP in premature infants.

METHODS

This randomized double-blinded controlled trial was performed on 160 premature infants with gestational age lower than 32 weeks and birth weight < 1500 grams who were at risk of ROP development (Tehran, Iran-2013). Children were randomly assigned to two groups. The intervention group received 300 mg omega-3 daily and the control group received sterile water as the placebo. The severity of ROP was defined according to the International Classification of ROP.

RESULTS

The frequency of ROP was 7.5% in the group received omega-3 and 20.0% in the placebo group with a significant difference (p = 0.021). Regarding the severity of ROP in the intervention group, ROP grade I was found in two patients and ROP grade II in four patients; while ROP grade I, II, and III were revealed in 6, 6, and 4 patients in placebo group indicating a significant difference between the two groups (p = 0.001). Using the multivariate logistic regression modeling with the presence of gender, gestational age, and birth weight, the use of omega-3 was associated with reduced risk for ROP (p = 0.045).

CONCLUSION

The use of omega-3 supplement can be an appropriate treatment option for the treatment of ROP in premature infants.

Risk of rupture of the cerebral aneurysm in relation to traumatic brain injury using a patient-specific fluid-structure interaction model

BACKGROUND AND OBJECTIVE

Cerebral aneurysm, which is defined as one of the weakened area in the wall of an artery in the brain, ruptures when wall tension exceeds its mechanical strength. Traumatic brain injury (TBI) by exerting a sudden impact load to the brain can lead to mechanical failure of the cerebral blood vessels followed by an alteration in not only the structure but also the function of the cerebrovascular. TBI also alters the hemodynamics of the blood flow in the cerebrovascular, while it has been shown that hemodynamics has a key asset in the progression and rupture of the cerebral aneurysms. So far, there is a lack of knowledge on the risk of rupture of the cerebral aneurysm in relation to TBI. Therefore, this study aimed to calculate the mechanical stresses and deformations in the arterial wall as well as the pressure and velocity of the blood using a fluid-structure interaction (FSI) model of the cerebral aneurysm located in the anterior circulation region of the circle of Willis.

METHOD

A patient-specific FSI model of the human skull, brain, and cerebral aneurysm, was established using human computed tomography (CT)/ magnetic resonance imaging (MRI) data and subjected to a frontal TBI.

RESULTS

The results revealed considerable increasing of ∼ 8 kPa (60 mmHg) and 0.40 m/s in the pressure and velocity of the blood in the intraluminal of the cerebral artery after TBI. The von Mises stress, shear stress, and deformation of the cerebral aneurysm wall also showed the increasing of 56.03 kPa, 15.66 Pa, and 0.072 mm after TBI, respectively.

CONCLUSIONS

Although the injury to the aneurysm wall after TBI is lower than that of the aneurysm wall mechanical strength, it still can alter the stress pattern in the wall and disrupt the hemodynamics of the blood. These results have implications in understanding the rupture risk of the cerebral aneurysm due to TBI, which may contribute in establishing preventive and/or treatment methods.

Effect of Gamma Irradiation on Microbial Decontamination, Crude Nutrient Content, and Mineral Nutrient Composition of Laboratory Animal Diets

Laboratory animal models are an important part of test design. Certain conditions such as microbial contamination in diets of these models could affect the results of experiments. One of the most important routes that predispose to contamination is generated through feeding of laboratory animals. This study aimed to show the effect of gamma irradiation in reducing bacteria concentrations, crude nutrient content, and concentrations of some minerals and trace elements in laboratory animal diets. Large-sized pellets with 10&amp;ndash;15 mm diameter (commonly used for rats and hamsters) and small-sized pellets with 3&amp;ndash;5 mm diameter (used for rabbits and guinea pigs) along with skimmed milk powder (SMP) as a food additive were exposed to gamma irradiation with different doses ranging from 3 to 30 kGy. The total microbial contamination and any possible changes in some mineral nutrient composition and the crude nutrient content were determined pre- and post-irradiation. Our data revealed that 25 kGy in pelleted diets and 18 kGy in SKM had superior effects in the reduction of bacterial contamination with little change in crude nutrient content and minerals and trace elements in nutrient requirements of laboratory animals. According to the results, gamma irradiation had minimal effects on crude nutrient content and the concentrations of some minerals and trace elements of laboratory animal diets, and it also eliminated bacterial and fungal contamination load. By using gamma irradiation, this method could yield a favorable outcome in controlling microbial contamination of animal diets.

Mechanical measurement of the human cerebellum under compressive loading

The cerebellum is responsible for controlling the posture and walking stability of the body. The cerebellum can subject to the traumatic injuries following by complicated clinical problems, i.e., the cerebellar pathologies. Application of the computational models can be helpful to figure out the injury mechanisms of the cerebellum, however, there is a lack of knowledge on the mechanical properties of the cerebellum under compressive loading. Therefore, this study aimed to perform an experimental study to measure the mechanical properties of 17 male individuals' cerebellum under the series of compressive loadings. The resulted stress-strain data of the cerebellum revealed the elastic modulus and maximum/failure stress of 13.48 ± 2.65 (Mean ± SD) and 19.65 ± 3.89 kPa, respectively. The findings of this study have implications not only for understanding the mechanical properties of the human cerebellum tissue under the compressive loading, but also for providing a raw data for the doctors and biomechanical experts as the mechanical threshold of the cerebellum as well as computational modelling of the traumatic brain injuries.

Erratum: Exploring spiral defect chaos in generalized Swift-Hohenberg models with mean flow [Phys. Rev. E 84, 046215 (2011)]

This corrects the article DOI: 10.1103/PhysRevE.84.046215.

A Novel Optimization Framework to Improve the Computational Cost of Muscle Activation Prediction for a Neuromusculoskeletal System

The high computational cost (CC) of neuromusculoskeletal modeling is usually considered a serious barrier in clinical applications. Different approaches have been developed to lessen CC and amplify the accuracy of muscle activation prediction based on forward and inverse analyses by applying different optimization algorithms. This study is aimed at proposing two novel approaches, inverse muscular dynamics with inequality constraints (IMDIC) and inverse-forward muscular dynamics with inequality constraints (IFMDIC), not only to reduce CC but also to amend the computational errors compared to the well-known approach of extended inverse dynamics (EID). To do that, the equality constraints of optimization problem, which are computationally tough to satisfy, are replaced by inequality constraints, which are easier to satisfy. To verify the practical application of the proposed approaches, the muscle activations of the lower limbs during the half of a gait cycle are quantified. The simulation results of the optimal muscle activations are then compared to the experimental ones. The results reveal that IMDIC requires less CC (87.5%) compared to EID. In addition, CC of IMDIC was about 33.3% improved by the application of IFMDIC. The findings of this study suggest that although the novel approach of IFMDIC decreases CC compared to IMDIC, the convergence of its results is very sensitive to the primary guess of the optimization variables.

The effects of calcium source and concentration on performance, bone mineralisation and serum traits in male broiler chickens from 1 to 21 days of age

In total, 840 1-day-old male broiler chickens (Ross 308) were used to evaluate the effects of seven dietary calcium (Ca) concentrations (4.0, 5.5, 7.0, 8.5, 10.0, 11.5 and 13.0 g/kg, at a fixed concentration of 4.0 g/kg of non-phytate phosphorus) and two calcium sources (oyster shell and limestone) on broiler chicken Ca requirements for optimal growth rate and bone mineralisation from 1 to 21 days of age. All chickens were randomly distributed into 14 treatment groups (seven treatments of each Ca source), each being replicated four times, with 15 birds per each replicate. Results indicated that Ca source and Ca source × Ca concentration interaction had no significant (P &gt; 0.05) effects on birds average feed intake, but increasing Ca concentration to &gt;8.5 g/kg significantly deteriorated average feed intake. Average weight gain and feed conversion ratio were significantly influenced by Ca source × Ca concentration interaction, whereby high concentrations of Ca from oyster shell resulted in a poorer performance for both criteria than did those from limestone. Serum Ca, P and total protein were not affected by Ca source. However, increasing Ca concentrations had adverse effects on serum P concentration (P &lt; 0.05). Toe ash, tibia ash and phosphorus concentrations at 21 days were not influenced by Ca source, but were depressed as dietary Ca concentration increased (P &lt; 0.05). A broken-line regression analysis indicated that the Ca requirements to optimise average weight gain and tibia ash when limestone was used as a Ca source were 5.54 and 6.58 g/kg of diet respectively, and 5.80 and 6.43 g/kg of diet respectively, when oyster shell was used. In conclusion, the results indicated that Ca concentration, more than Ca source, has a significant influence on broiler chicken performance and bone mineralisation, all of which deteriorate when the dietary Ca concentration exceeds 8.5 g/kg at the constant available-phosphorus concentration of 4.0 g/kg.

Development of a fluid-structure interaction model to simulate mitral valve malcoaptation

OBJECT

Mitral regurgitation (MR) is a condition in which the mitral valve does not prevent the reversal of blood flow from the left ventricle into the left atrium. This study aimed at numerically developing a model to mimic MR and poor leaflet coaptation and also comparing the performance of a normal mitral valve to that of the MR conditions at different gap junctions of 1, 3 and 5 mm between the anterior and posterior leaflets.

RESULTS

The results revealed no blood flow to the left ventricle when a gap between the leaflets was 0 mm. However, MR increased this blood flow, with increases in the velocity and pressure within the atrium. However, the pressure within the aorta did not vary meaningfully (ranging from 22 kPa for a 'healthy' model to 25 kPa for severe MR).

CONCLUSIONS

The findings from this study have implications not only for understanding the changes in pressure and velocity as a result of MR in the ventricle, atrium or aorta, but also for the development of a computational model suitable for clinical translation when diagnosing and determining treatment for MR.

Unloading of intercellular tension induces the directional translocation of PKCα

The migration of endothelial cells (ECs) is closely associated with a Ca²⁺ -dependent protein, protein kinase Cα (PKCα). The disruption of intercellular adhesion by single-cell wounding has been shown to induce the directional translocation of PKCα. We hypothesized that this translocation of PKCα is induced by mechanical stress, such as unloading of intercellular tension, or by intercellular communication, such as gap junction-mediated and paracrine signaling. In the current study, we found that the disruption of intercellular adhesion induced the directional translocation of PKCα even when gap junction-mediated and paracrine signaling were inhibited. Conversely, it did not occur when the mechanosensitive channel was inhibited. In addition, the strain field of substrate attributable to the disruption of intercellular adhesion tended to be larger at the areas corresponding with PKCα translocation. Recently, we found that a direct mechanical stimulus induced the accumulation of PKCα at the stimulus area, involving Ca ²⁺ influx from extracellular space. These results indicated that the unloading of intercellular tension induced directional translocation of PKCα, which required Ca ²⁺ influx from extracellular space. The results of this study indicate the involvement of PKCα in the Ca ²⁺ signaling pathway in response to mechanical stress in ECs.

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

OBJECTIVES

Given the increasing threats of communicable and non-communicable diseases, it is necessary for policy-makers and public health (PH) professionals to address ethical issues in health policies and plans. This study aimed to develop a practical framework for the ethical evaluation of PH programs.

STUDY DESIGN

A multidisciplinary team developed an ethical framework to evaluate PH plans from 2015 to 2017.

METHODS

In this study, the multi-method approach was used. First, a list of moral norms in PH policy and practice was drafted and completed in two interactive sessions. Then, the Delphi method was used for consensus about the structural components to be adopted in the framework. After developing the framework, its efficiency was assessed by evaluating Iran's Fourth Strategic Plan for HIV/AIDS Prevention and Control.

RESULTS

The framework was developed in the following three sections: (i) determination of the general moral norms in PH practice and policy; (ii) five steps of evaluation; and (iii) a procedural evaluation step to ensure fair decision-making. The ratio of the ethical points of the PH plan increased by 46% after implementation of the framework, and the frequency of ethical points increased significantly after applying the framework (P = 0.001).

CONCLUSION

The application of the framework for the ethical evaluation of various PH programs ensures a comprehensive and scientific-deliberative decision-making process, while also contributing to the development of the framework.

Combination Effects of Organic and Inorganic Chromium on Production Performance, Reproductive Response, Immune Status, and Maternal Antibody Transmission in Breeder Quails Under Heat Stress

This experiment was carried out to investigate the combination effects of organic and inorganic chromium (Cr) on egg production, egg quality, reproductive response, and immune status of breeder quails and their offspring under heat stress. A total of 140 7-week-old Japanese breeder quails (120 females and 20 males) according to a completely randomized design were used in four treatment groups (five replicate and seven birds per each) lasted for 8 weeks. Quails exposed to 35 °C for 8 h/day for induction of cyclic heat stress treatments consisted of diets supplemented with (1) 1 mg CrCl₃ per kilogram of diet as control (CNT); (2) 1 mg Cr-L-Met per kilogram of diet as organic Cr (OCr); (3) 0.5 mg CrCl₃ plus 0.5 mg Cr-L-Met per kilogram of diet (ISO); (4) 1 mg CrCl₃ plus 0.5 mg Cr-L-Met per kilogram of diet (On-top). Productive performance and egg quality parameters were determined weekly. Fertility, hatchability, and embryonic mortality were measured at the end of experiment. Humoral immunity was assessed by primary and secondary antibody titer in sheep red blood cells (SRBC) and Newcastle disease (ND) tests. Cell-mediated immunity was assessed by the cutaneous basophil hypersensitivity (CBH) test to phytohemagglutinin (PHA) at days 20 and 45 of age. White blood cell count and immunoglobulin Y (IgY) content in serum and yolk of breeders and in serum and yolk residues of offspring were also measured. Results showed that maximum egg production, egg shell thickness, and Haugh unit were observed in birds fed ISO and On-top diets (P ≤ 0.05). The highest (P ≤ 0.05) antibody levels in ND test were observed in birds fed with OCr, ISO, and On-top diets. The highest cellular response (P ≤ 0.05) was in 12 h after primary PHA injection and 12 and 24 h after secondary PHA injection in birds fed with On-top diets. The highest count of heterophil and (H/L) were gained in breeder quails fed with CNT diet, and the lowest of them were reached with On-top diet (P ≤ 0.05). Results showed that the highest IgY level in serum of breeder and their offspring and that of yolk suck and egg yolk were observed in birds fed with On-top diet (P ≤ 0.05). These results suggest that extra supplemental organic Cr in combination with CrCl₃ could lead to higher egg production, egg quality, and immune status of breeder quails and their offspring.

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

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

An Experimental Study to Measure the Mechanical Properties of the Human Liver

BACKGROUND

Since the liver is one of the most important organs of the body that can be injured during trauma, that is, during accidents like car crashes, understanding its mechanical properties is of great interest. Experimental data is needed to address the mechanical properties of the liver to be used for a variety of applications, such as the numerical simulations for medical purposes, including the virtual reality simulators, trauma research, diagnosis objectives, as well as injury biomechanics. However, the data on the mechanical properties of the liver capsule is limited to the animal models or confined to the tensile/compressive loading under single direction. Therefore, this study was aimed at experimentally measuring the axial and transversal mechanical properties of the human liver capsule under both the tensile and compressive loadings.

METHODS

To do that, 20 human cadavers were autopsied and their liver capsules were excised and histologically analyzed to extract the mean angle of a large fibers population (bundle of the fine collagen fibers). Thereafter, the samples were cut and subjected to a series of axial and transversal tensile/compressive loadings.

RESULTS

The results revealed the tensile elastic modulus of 12.16 ± 1.20 (mean ± SD) and 7.17 ± 0.85 kPa under the axial and transversal loadings respectively. Correspondingly, the compressive elastic modulus of 196.54 ± 13.15 and 112.41 ± 8.98 kPa were observed under the axial and transversal loadings respectively. The compressive axial and transversal maximum/failure stress of the capsule were 32.54 and 37.30 times higher than that of the tensile ones respectively. The capsule showed a stiffer behavior under the compressive load compared to the tensile one. In addition, the axial elastic modulus of the capsule was found to be higher than that of the transversal one.

CONCLUSIONS

The findings of the current study have implications not only for understanding the mechanical properties of the human capsule tissue under tensile/compressive loading, but also for providing unprocessed data for both the doctors and engineers to be used for diagnosis and simulation purposes.