Endoscopic Findings and Histopathological Patterns of Gastric Mucosal Biopsies in Functional Dyspepsia: A Clinicopathological Study

Background: Endoscopic examination of the gastrointestinal tract through macroscopic and histopathological evaluation provides a tool to differentiate the major causes of functional dyspepsia. The distinction is not always clear. This study aimed to assess the frequency and type of the macroscopic and histopathological changes in gastrointestinal tract endoscopy in patients with symptoms of functional dyspepsia. Methods: A cross-sectional study was performed on 97 patients aged 10–85 years who underwent gastroscopy due to functional dyspepsia symptoms. The patients had no history of weight loss, major comorbidities like diabetes or cirrhosis, non-steroidal anti- inflammatory drug (NSAID) consumption, peptic ulcer, or any other confounding causes. Biopsy specimens were taken from the stomach and duodenum for histopathological examination. The presence of Helicobacter pylori infection was established based on histopathological examination and a positive rapid urease test. Results: Gastric biopsies of 97 patients with functional dyspepsia were studied. In histological examination of gastric mucosal biopsies, chronic inflammation was present in 94 (96.9%), activity was seen in 47 (48.5%), glandular atrophy was seen in 3 (3.1%), and intestinal metaplasia was seen in 9 (9.2%) patients. H. pylori was identified on gastric mucosal biopsies in 46 (47.4%) patients based on sections stained with H&E and Giemsa. Conclusion: According to the obtained results, it is concluded that patients with functional dyspepsia have a higher frequency of gastric mucosal inflammation and H. pylori infection

Performance evaluation of household water treatment systems used in Kerman for removal of cations and anions from drinking water

Abstract Increased awareness in society of the consequences of contaminants in drinking water has created a demand for household water treatment systems, which provide higher quality water, to spread. The aim of this study was to evaluate the performance of household water treatment systems used in Kerman for the removal of cations and anions. Various brands of home water treatment devices commonly used in Kerman were selected, with one device chosen from each brand for study. In cases in which the devices were used extensively, samples were selected with filters that had been changed in proper time, based on the device’s operational instructions. The samples were selected from homes in the center and four geographical directions of Kerman. Then, sampling was conducted in three stages of input and output water of each device. For each of the samples, parameters were measured, such as chloride, sulfate, bicarbonate, calcium, magnesium, hardness, sodium, nitrate and nitrite (mg/L), temperature (°C), and pH. The average removal efficiency of different parameters by 14 brands in Kerman, which include chloride ions, sulfate, bicarbonate, calcium, magnesium, sodium, nitrites, nitrates, and total hardness, was obtained at 68.48, 85, 67, 61.21, 78.97, 80.24, 32.59, 66.83, and 69.38%, respectively. The amount of sulfate, bicarbonate, chloride, calcium, magnesium, hardness, sodium, and nitrate in the output water of household water treatment systems was less than the input water of these devices, but nitrite concentration in the output of some devices was more than the input water and showed a significant difference (p > 0.05)

Serum Selenium Level in Patients with Gastric Non-Cardia Cancer and Functional Dyspepsia

Background: Gastric cancer (GC) is the most common gastrointestinal cancer in Iran. Helicobacter pylori (H. pylori) accounts as one of the main risk factors for gastric non-cardia cancer (GNCC). It is suggested that high serum selenium level may have a protective role in GNCC. In this cross-sectional study, we determined the serum Se level and the status of H. pylori infection in two populations with GC and functional dyspepsia (FD). Methods: The enrolled patients were 85 (27 women, 58 men) with recent pathologically proven GNCC (adenocarcinoma) and 85 (34 women, 51 men) FD patients. Serum Se was measured by atomic absorption spectrophotometry. H. pylori IgG antibody was detected by quantitative enzyme immunoassay. Results: The mean age in the GNCC and FD patients were 62.85±14.6 and 58.9±14.7 years, respectively (P=0.08). The serum selenium levels were 111.6±27.7 and 129.9±32.1 μg/L (mean±SD) in GNCC and FD patients, respectively (P<0.001). The frequency of H. pylori infection was 49.4% (n=42) and 68.2% (n=58) in GNCC and FD patients (P=0.013). The crude and adjusted odds ratio (OR) between GNCC and the linear effect of serum selenium level were 0.98 and 0.982, respectively (P=0.002). This means that each unit increase in serum selenium level decreases the odds of cancer by 2%. Conclusion: Serum selenium level was significantly lower in GNCC cases. It suggests that lower serum selenium might have some association with the risk of GNCC. H. pylori infection does not play a significant impact on this association