A novel decontaminant and wound healant formulation of N,N'-dichloro-bis[2,4,6-trichlorophenyl]urea against sulfur mustard-induced skin injury

Delayed Complications and Long-Term Management of Sulfur Mustard Poisoning: A Narrative Review of Recent Advances by Iranian Researchers Part ІІ: Clinical Management and Therapy

The present study aimed to review and discuss the recommended and recently suggested protocols by Iranian researchers for a long-term treatment of delayed complications of sulfur mustard (DCSM) in veterans. As indicated clinically, patients who suffer from delayed ocular complications of sulfur mustard (DOCS) benefit from treatments for dry eyes, therapeutic contact lenses, amniotic membrane transplantation; blepharorrhaphy, tarsorrhaphy, limbal stem cell transplantation; corneal transplantation, topical steroids, and immunosuppressive. In spite of penetrating keratoplasty, lamellar keratoplasty and keratolimbal allograft had a good long-term survival. Delayed respiratory complications (DRCS) are the most common effects and life-threatening in Iranian veterans. The recommended treatment protocols include regular clinical evaluations, respiratory physiotherapy and rehabilitation, N-acetyl cysteine; warm humidified air, long-acting b2-agonists, and inhaled corticosteroids. Azithromycin has also been effective in improving clinical conditions, pulmonary function tests, inflammatory indexes, and life quality of the veterans. Interferon gamma (IFN-γ) and helium: oxygen combination were also used in severe DRCS with good results. Some of the delayed cutaneous complications (DCCS) such as itching affects the quality of life of victims. Regular but not frequent showering and bathing, applying sunscreen compounds, topical corticosteroids, and systemic antihistamines reduce the problems of DCCS patients. Several compounds such as capsaicin cream, pimecrolimus, IFN-γ, phenol-menthol; Aloe vera/olive oil cream, cetirizine, doxepine, and hydroxyzine were evaluated in DCCS patients with some benefits. The physicians in charge of veterans emphasize the importance of a healthy lifestyle, appropriate financial/social/cultural supports, and a degree of reassurance and supportive care on the clinical improvement of patients.

Feature selection and classification of leukocytes using random forest

In automatic segmentation of leukocytes from the complex morphological background of tissue section images, a vast number of artifacts/noise are also extracted causing large amount of multivariate data generation. This multivariate data degrades the performance of a classifier to discriminate between leukocytes and artifacts/noise. However, the selection of prominent features plays an important role in reducing the computational complexity and increasing the performance of the classifier as compared to a high-dimensional features space. Therefore, this paper introduces a novel Gini importance-based binary random forest feature selection method. Moreover, the random forest classifier is used to classify the extracted objects into artifacts, mononuclear cells, and polymorphonuclear cells. The experimental results establish that the proposed method effectively eliminates the irrelevant features, maintaining the high classification accuracy as compared to other feature reduction methods.

Automated microscopic image analysis for leukocytes identification: a survey

Automatic quantification and classification of leukocytes in microscopic images are of paramount importance in the perspective of disease identification, its progress and drugs development. Extracting numerical values of leukocytes from microscopic images of blood or tissue sections represents a tricky challenge. Research efforts in quantification of these cells include normalization of images, segmentation of its nuclei and cytoplasm followed by their classification. However, there are several related problems viz., coarse background, overlapped nuclei, conversion of 3-D nuclei into 2-D nuclei etc. In this review, we have categorized, evaluated, and discussed recently developed methods for leukocyte identification. After reviewing these methods and finding their constraints, a future research perspective has been presented. Further, the challenges faced by the pathologists with respect to these problems are also discussed.