Postdural puncture headache and cerebral subdural hematoma are among complications of spinal anesthesia with some common characteristics; however misdiagnosis of these two could result in a catastrophic outcome or prevent unwanted results by urgent interventions. With the purpose of increasing awareness of such complications and a speedy diagnosis, we report two cases of postspinal anesthesia headache that was timely diagnosed as cerebral subdural hematoma and prevented the likelihood of a disastrous outcome.

Background: Entomotoxicology as a subset of forensic entomology can be used by analysis of carcass feeding in­sects to detecting of drugs or toxins, as well as the cause and manner of death in cases of ante-mortem drugs intoxi­cation. Morphine is one of the deacetylate metabolites of heroin. The aim of this study was to determine the presence and quantity of morphine in insects on the carcass and compare them with decomposing carcass. Methods: Field of this study was in Chalabeh District and toxicological tests were carried out at the Department of Forensic Toxicology, Legal Medicine Center, Kermanshah, Iran in 2017. Morphine was inoculated into live rabbit as experimental model at concentrations of 12.5, 25, 50mg/ml, similar to those normally encountered in human over­doses, then quality and quantity of morphine were determined in insects such as Chrysomya albiceps (as the first wave of insect succession on human cadavers) fed on carcass. Results: Quantitative assessment at larvae showed that morphine was detected in all larvae (feeding and post feeding stage) fed on tissues from carcasses administered morphine, except for post-feeding larvae from R1 which received 12.5mg/ml dosage of morphine. Conclusions: Necrophagous insects are an indicator on the scene of crime and a potential source of information about the antemortem situation. Detection of drug in insects which is actually a reflection of the cause of death is possible.

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Objectives: This study aimed to compare the colonization of Enterococcus faecalis (E. faecalis), Escherichia coli (E. coli), Streptococcus mutans (S. mutans) and Staphylococcus aureus (S. aureus) isolated from the oral cavity on different suture materials used in oral implantology. Materials and Methods: Patients scheduled for implant surgery were included in this study. After flap approximation, the surgical site was sutured using silk, nylon, polyglactin 910 (Vicryl®) and triclosan-coated polyglactin 910 (Vicryl® Plus) sutures in a randomized order. Seven days after surgery, the sutures were removed and incubated in bile esculin agar (for E. faecalis), MacConkey agar (for E. coli), mitis salivarius agar (for S. mutans), and mannitol salt agar (for S. aureus) at 37°C for 24 h. The colonies were then counted. Data were analyzed using the Kruskal-Wallis and Mann-Whitney U tests. Results: Vicryl® sutures showed the highest accumulation of E. faecalis, followed by Vicryl® Plus, nylon, and silk. There was no significant difference between nylon and silk (P=0.5) or between Vicryl® and Vicryl® Plus (P=0.4). Vicryl® Plus sutures showed the highest accumulation of E. coli followed by Vicryl®, silk and nylon (P<0.01). Vicryl® sutures showed the highest accumulation of S. mutans, followed by Vicryl® Plus, silk, and nylon. Vicryl® Plus sutures showed the highest accumulation of S. aureus, followed by Vicryl®, nylon, and silk. Conclusion: Nylon sutures showed the least microbial accumulation. Vicryl® and triclosan-coated Vicryl® Plus sutures had no advantage over the commonly used silk sutures in decreasing the number of bacteria.

Facing the exhaustion of fossil energy and in the context of sustainable development, strong incentives are pushing for the development of renewable energies. Nuclear energy and fossil fuels like petroleum, coal, and natural gas provide most of the energy produced today. As a result, greenhouse gases are released and climate change becomes irreversible. Furthermore, radioactive waste disposal causes severe radiation pollution in nuclear power. Alternatives such as marine energy are more sustainable and predictable. It has none of the detrimental effects of fossil and nuclear energies and is significant in terms of environmental sustainability by defending the coastline from erosion. Here, we study the Palm Beach-Azur region near Algiers on the Mediterranean Sea. The study aims to use wave energy converters (WEC) to generate clean energy and reduce coastline erosion. The results of this study show that in the presence of wave energy converters, the wave height decreased by 0.3 m, and sediment deposition increased by 0.8 m. Thus, sand deposit prediction demonstrates that the presence of WEC decreases marine erosion and contributes to an accumulation of sediments on the coast. Moreover, this confirms that WECs can serve a dual role of extracting marine energy by converting it into electrical energy and as a defence against marine erosion. Therefore, WECs justify their efficiency both in energy production and economic and environmental profitability due to coastal protection.