Declining incidence of esophageal cancer in the Turkmen Plain, eastern part of the Caspian Littoral of Iran: A retrospective cancer surveillance

Background: Previous studies have shown that upper gastrointestinal cancers are the most common cancers in Caspian Littoral, and rate of esophageal cancer (EC) in Iranian Turkmens residing in the Eastern part of littoral are among the highest in the world. Our aim was to reassess the rate 30 years later and following socioeconomic changes in the region. Methods: A comprehensive retrospective search was undertaken to find all new cancer cases during the 1996-2000 period. Diagnosis of cancer was based on histopathological reports in 68.2, clinical and/or radiological evidence in 29.7 and death certificate only (DCO) in 2.1 of the cases. Results: A total of 5143 new cancer cases were registered of whom 3063 (59.6) were males. The median (IQR) age was 60 (44-69) years. Age-standardized rates (ASR) for all cancers in males and females were 134.7 and 104.5 per 100,000, respectively. Based on ASR, the top five common cancers in males (excluding skin cancer) were cancers of esophagus (43.4), stomach (27.8), colorectal (10.7), bladder (7.8) and oral cavity (6.3), while in females cancer of esophagus (36.3) was followed by cancers of breast (15.7), stomach (8.3) colorectal (6.6) and cervix (3.6). Conclusion: We conclude that EC incidence rate has decreased to less than half the rate reported 30 years ago, while the incidence rates of colorectal and breast cancers have increased significantly. © 2006 International Society for Preventive Oncology. Published by Elsevier Ltd. All rights reserved

Biochemical responses of Alfalfa (Medicago sativa L.) cultivars subjected to NaCl salinity stress

This investigation was conducted to determine NaCl salinity effects on antioxidant enzyme s activities, reducing sugar contents and lipid peroxidation in two alfalfa cultivars. Plants grown in solution cultures were subjected to 0, 100, 150 and 200 mM solutions of sodium chloride. Yazdi and Diabolourde alfalfa were used as tolerant and sensitive cultivars, respectively, in a germination experiment under similar conditions. Results show that the amount of reducing sugars and the activities of peroxidase (POD), catalase (CAT), ascorbate peroxidase (APX) and superoxide dismutase (SOD) enzymes increased with the increase in salt concentration. However, SOD activities decreased at high salt concentrations. The increase in the activities of antioxidant enzymes in response to salt treatments was higher in the tolerant cultivar. The results also show that salt treatment provoked an oxidative stress in both cultivars, as shown by the increase in lipid peroxidation. However, the level of lipid peroxidation was higher in the sensitive cultivar. The increase in antioxidant activities could also be a response to the cellular damage induced by NaCl. It seems that the tolerant cultivar has a better mechanism to cope with the deleterious effects ROS produced under salt stress.Key words: Alfalfa, antioxidant enzymes, malondialdehyde, salt stress

Does L-carnitine improve endothelial function in hemodialysis patients?

Background: Atherosclerosis is the leading cause of death in hemodialysis patients. These patients are also very prone to Lcarnitine deficiency due to kidney disease. In this clinical trial, we investigated the effect of oral L-carnitine on endothelial function of these patients. Materials ans Methods: We studied 31 adult chronic hemodialysis patients in our center and divided them into two groups. The first group (n = 20) received 1500 mg/dialysis interval (every other day) oral L-carnitine. The control group (n = 11) received placebo for one month. Ultrasonographic measurements of flow mediated dilation and carotid intima-media thickness were performed before and after one month of L-carnitine and placebo therapy. Results: This study showed that after one month of Lcarnitine or placebo therapy there was no significant improvement in flow mediated dilation (p = 0.80 and p = 0.59, respectively) or decrease in carotid intima-media thickness (p = 0.12 and p = 0.50, respectively). Conclusions: Our study revealed that one month of oral L-carnitine therapy did not improve endothelial function in hemodialysis patients. Long-term studies with large sample size using intravenous form and higher doses of the drug are required to clarify the questionable role of L-carnitine in hemodialysis patients

Evaluating environmental effects in construction and demolition waste recycling plant with the Iranian Leopold Matrix method

BACKGROUND AND OBJECTIVES: Recycling and reusing construction and demolition debris is a productive step toward solving this problem. Still, the recycling process also leaves industrial effluents, which is evident in producing recycled sand. The present research has investigated the environmental effects of recycling construction debris at sand recycling plants. Considering the negative impacts of sand washing mud produced at the plant in the Aab'Ali Landfill of Tehran in Iran, the material's physicochemical characteristics and environmental impact have also been investigated to regulate practices.                        METHODS: The Environmental Impact Assessment has been carried out in physicochemical, biological, socio-cultural, and economic-technical areas. Due to the large dispersion of the studied soil and the composition diversity in each sampling, 30 samples of the sand washing mud and the material mixed with the surrounding soil have been collected. The exploitation phase during the factory construction plan's implementation stage was considered the current research's main phase. Hence, 13 micro activities and 23 environmental parameters were identified, and the results were analyzed in the Environmental Impact Assessment Plus Software using the Iranian Leopold Matrix method and discussed based on the results of the experiments.FINDINGS: According to the results of the matrix calculation, the three micro-activities included washing the sand through a sand-washing machine, fine sand washing through the EvoWash machine with a score of -3.6, converting concrete pieces and large boulders into smaller pieces by jackhammers, transferring to the jaw crusher machine with a score of -2.8, and transferring the remaining sand washing mud produced by the EvoWash machine to the storage pond with a score of -2.7 had the most negative effects. The three micro-activities of waste processing for green space irrigation (+2.2), selling products (+0.9), and hiring employees with a score of +0.5 have the most positive effects on the environment. As ranking smaller than -31 forming 50% of the total average of rows and columns, the activity of the plant and the sand extraction process in this landfill is approved by providing modification alternatives.CONCLUSION: Considering the positive impact on the economy, increasing green spaces in the region, job creation, and also reducing the amount of increasing debris accumulated in the landfill is evaluated positively and can be done considering the reforms; including the prevention of releasing remnant sand washing mud freely and recycling it instead. Reusing the sand washing mud requires improving the water purification systems used in the EvoWash machine

Reproductive factors and risk of esophageal squamous cell carcinoma in northern Iran: A case-control study in a high-risk area and literature review

Several epidemiologic studies have suggested an inverse association between female reproductive factors and the risk of esophageal squamous cell carcinoma (ESCC), but the evidence is not conclusive. We examined the association of the number of pregnancies, live births, and miscarriages/stillbirths in women and the association of the number of children in both sexes with the risk of ESCC in Golestan Province, a high-risk area in Iran. Data from 297 histopathologically confirmed ESCC cases (149 women) and 568 controls (290 women) individually matched to cases for age, sex, and neighborhood of residence were included in this analysis. Conditional logistic regression was used to calculate odds ratios (ORs) and the corresponding 95% confidence intervals (CIs). The average numbers of live births and miscarriages/stillbirths among the controls were 8.2 and 0.8, respectively. Women with six or more live births were at ∼1/3 the risk of ESCC as those with 0-3 live births; the OR (95% CI) for having 6-7 live births was 0.33 (0.12-0.92). In contrast, the number of miscarriages/stillbirths was associated with an increase in the risk of ESCC. The OR (95% CI) for at least three versus no miscarriages/stillbirths was 4.43 (2.11-9.33). The number of children in women was suggestive of an inverse association with ESCC, but this association was not statistically significant; in men, no association was observed. The findings of this study support a protective influence of female hormonal factors on the risk of ESCC. However, further epidemiological and mechanistic studies are required to prove a protective association. © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins