Two distinct aetiologies of cardia cancer, evidence from premorbid serological markers of gastric atrophy and Helicobacter pylori status

Background: Non-cardia gastric adenocarcinoma is positively associated with Helicobacter pylori infection and atrophic gastritis. The role of H pylori infection and atrophic gastritis in cardia cancer is unclear. Aim: To compare cardia versus non-cardia cancer with respect to the premorbid state of the stomach. Methods: Nested case–control study. To each of 129 non-cardia and 44 cardia cancers, three controls were matched. Serum collected a median of 11.9 years before the diagnosis of cancer was tested for anti-H pylori antibodies, pepsinogen I:II and gastrin. Results: Non-cardia cancer was positively associated with H pylori (OR 4.75, 95% CI 2.56 to 8.81) and gastric atrophy (pepsinogen I:II ,2.5; OR 4.47, 95% CI 2.71 to 7.37). The diffuse and intestinal histological subtypes of non-cardia cancer were of similar proportions and both showed a positive association with H pylori and atrophy. Cardia cancer was negatively associated with H pylori (OR 0.27, 95% CI 0.12 to 0.59), but H pylori-positive cardia cancer showed an association with gastric atrophy (OR 3.33, 95% CI 1.06 to 10.5). The predominant histological subtype of cardia cancer was intestinal and was not associated with gastric atrophy compared with the diffuse subtype ((OR 0.72, 95% CI 0.19 to 2.79) vs (OR 3.46, 95% CI 0.32 to 37.5)). Cardia cancer in patients with atrophy had an intestinal: diffuse ratio (1:1) similar to non-cardia cancer (1.9:1), whereas cardia cancers in patients without atrophy were predominantly intestinal (7:1). Conclusion: These findings indicate two aetiologies of cardia cancer, one associated with H pylori atrophic gastritis, resembling non-cardia cancer, and the other associated with non-atrophic gastric mucosa, resembling oesophageal adenocarcinoma. Serological markers of gastric atrophy may provide the key to determining gastric versus oesophageal origin of cardia cancer

Serum hyaluronate as a non-invasive marker of hepatic fibrosis and inflammation in HBeAg-negative chronic hepatitis B

Background: HBV infection is a serious global heath problem. It is crucial to monitor this disease more closely with a non-invasive marker in clinical trials. We aimed to evaluate the predictive value of serum hyaluronate for the presence of extensive liver fibrosis and inflammation. Methods: 28 healthy volunteers and 65 patients with HBeAg negative chronic hepatitis B were enrolled. Liver biopsies scored according to Ishak system. Association of serum hyaloronate with liver fibrosis and inflammation were assessed, and cut off points for serum hyaluronate levels were identified by receiver operating characteristics (ROC) curves and their values for prediction of fibrosis and inflammation were assessed. Results: In patients with CHB serum hyaluronate had the most significant correlation and predictive values for the liver fibrosis and inflammation comparing to the other variables. At the cut off point of 126.4 ngm/ml it could discriminate extensive fibrosis from milder ones with sensitivity of 90.9% and specificity of 98.1%. With the same value it could discriminate extensive inflammation from their milder counterparts with sensitivity of 63.6% and specificity of 92.6%. Conclusion: Serum hyaluronate was the best predictor of extensive liver fibrosis and inflammation and it could discriminate subgroups of patients with chronic hepatitis B. It could be used as a non-invasive test to monitor these patients more closely with developing anti viral agents in clinical trials

Desmoplastic fibroma of the jaws: A case series and review of literature

Desmoplastic fibroma (DF) is a benign, locally aggressive neoplasm that rarely occurs in the facial skeleton. It usually presents during the first three decades of life. Due to its aggressiveness and high recurrence rate, early diagnosis is imperative, and complete surgical removal of the lesion is the treatment of choice. Herein, we present three cases of DF namely a 2 year-old girl with a mandibular DF, a 9 year-old boy with a maxillary lesion and a 1.5-year old boy with a mandibular DF. Complete clinicopathological information, treatment plan and long-term follow-up of patients are discussed. Histopathologic features of 3 cases revealed non-capsulated spindle cell tumor with fascicular or swirling patterns in incisional biopsy. Immunohistochemical staining was performed to make a definitive diagnosis. Strongly positive nuclear immunoreactivity for β-catenin confirmed the diagnosis of desmoplastic fibroma in 3 cases. Segmental mandibulectomy, partial maxillectomy and hemimandibulectomy were done for the cases. There was no recurrence in our reported cases after 8 and 11 months and 3 years follow up, respectively. It is noteworthy that despite the aggressive nature of DF, young patients often respond well to wide resection treatment. © 2020, Iranian Society of Pathology. All rights reserved

Investigating the effects of heavy metals in the waste leachate on the groundwater quality near the landfill (case study: Landfill of Saravan, Rasht)

The main and fundamental scientific reason of scientific community attention to the issue of leachate pollution and its treatment is the possible danger of contamination of water, soil and to some extent air. The reason is that the leachate of landfill in fact is acomplex waste withhigh pollution. Today, in our country, especially in northern areas due to high groundwater levels, the problem of waste disposal and the effects of their leachate entering alluvial groundwater and aquifer contamination downstream based on hydrodynamic thickness in the movement of water is highly regarded andentering a considerable amount of pollution (nitrates, heavy metals, etc.) to underground water sources used for drinking and agriculture, in the long term become a social problem. Saravan landfill is located on 15 km road Rasht of to Tehran is like a black spot in the in the green Hyrcanian forest and receives more than 500 tons of waste daily from provinces cities,particularly Rasht which with no environmental assessment for selected waste disposal, waste disposal is inadequate in Saravan and because of evaporation, fermentation and decomposition of the waste and leachate percolation into the soil and water resources it is associated with high pollution and unleashed leachate river in the heart of nature and based on the ranking of Index criteria it is unacceptable. In this study, sampling was conducted in 2 upstream wells, 3 downstream wells of Saravan landfill then the samples were analyzed by atomic absorption.  The results indicate the presence of heavy metals (chromium - lead – zinc -iron - manganese) in water of downstream wells of the landfill compared to upstream wells and the control wells or in other words, it was significantly more than the control and upstream wells and the average concentrations of Pb, Cr, MN, Fe higher than drinking water standards and the mean concentration of MN and Cr in the research water wells was more than standard water for irrigation and agricultural. It shows the leachate percolation into soil and ground water that has been polluted the nearby water of the landfill.Keywords: Groundwater, Landfill, Leachate, Heavy Metals, Sarava

Relationship between type III secretion toxins, biofilm formation, and antibiotic resistance in clinical <i>Pseudomonas aeruginosa</i> isolates

Background and aim. Pseudomonas aeruginosa is considered as a notorious pathogen due to its multidrug resistance and life threatening infections. We investigated the relationship between type III secretion toxins, biofilm formation, and antibiotic resistance among clinical P. aeruginosa isolates. Methods. A total of 70 genetically distinct clinical P. aeruginosa isolates were characterized for antibiotic resistance by disk diffusion assay. Biofilm formation was evaluated by microtiter plate method and presence of four exo genes (exoS, exoU, exoT and exoY) was investigated by PCR. A p-value &lt; 0.05 was regarded statistically significant. Results. The most effective antibiotics were Meropenem and Piperacillin. Multidrug resistance was more prevalent in the ciprofloxacin-resistant isolates than in the susceptible isolates. The most frequently identified exo was exoS (37.1%). Genotype exoS/exoT was found in 4 isolates, while genotype exoU/exoT was not found. Prevalence of exoS was generally higher in the susceptible isolates than in the resistant isolates. A significant association was found between the formation of strong biofilm and resistance to antibiotics (p &lt; 0.05). Prevalence of exoY and exoU was higher in the non-strong biofilm producers compared to the strong biofilm producers. Conclusion. Our study revealed formation of strong biofilm along with antibiotic resistance and the presence of exo genes in P. aeruginosa isolates. Knowledge of virulence gene profiles and biofilm formation may be useful in deciding appropriate treatment

Perceived cognitive functioning and its influence on emotional vulnerability in breast cancer

We investigated the relationship between perceived cognitive function and emotional vulnerability of breast cancer survivors while examining the moderating effect of various risk factors. Results confirmed that perceived cognitive function predicted emotional vulnerability with grade of breast cancer moderating this relationship. Age at diagnosis exhibited a trend towards significance for emotional vulnerability, and time since diagnosis as well as grade significantly predicted quality of life. Our findings imply that (younger) women with a higher breast cancer grade are at a greater risk for emotional and cognitive vulnerability and can benefit from interventions designed to reduce emotional vulnerability through training cognitive efficiency

A suggested prototype for assessing bone health

Background- Osteoporosis is becoming a health concern worldwide. Considering the fact that prevention plays an important role in reducing the burden of this silent disease and in view of the limited resources available, many countries have adopted certain programs to fight osteoporosis through shifting their attention towards at-risk individuals. The Iranian Multicenter Osteoporosis Study (IMOS) is one of these programs. The program aims to assess bone health and the prevalence of vitamin D deficiency in different parts of Iran with various altitudes, latitudes and lifestyle habits in a way that the results could be generalized to the country. Method- The present article presents the protocol used in the third phase of the study. It was designed based on the experiences gathered in the previous phases to overcome the shortcomings particularly subject loss. The questionnaire applied in this study was developed based on a thorough literature review of the risk factors and secondary causes of osteoporosis and was approved by an expert panel. It should be added that while the majority of the existing studies aim to study a certain aspect of osteoporosis, the present protocol provides the information needed for policy makers and researchers to study different osteoporosis-related issues. Conclusion- The authors believe the protocol, to be implemented with small modifications, can help policymakers in different parts of the world, particularly developing countries, gather accurate information on different aspects of bone health at the national level. © 2015, Academy of Medical Sciences of I.R. Iran. All rights reserved

Teachers’ Emotion Regulation: Implications for Classroom Conflict Management

It has been postulated that emotions play essential roles in conflict situations and that excessive expression of emotions or inappropriate display can reduce the capacity to manage conflict. However, there is a lack of research that relates teachers’ emotion-regulation ability to managing conflict. To bridge this gap, this pilot study aimed to examine the relationships between teachers’ emotion-regulation ability and conflict management strategies used in the classroom. The sample consisted of 878 teachers (61% women) working in Portuguese schools, which completed an application of Mayer and Salovey’s emotional intelligence model and Rahim’s model of conflict management. Using the structural equation modeling, findings revealed that the teachers who tend to show a greater ability to regulate emotions use mainly integrating and compromising strategies to manage classroom conflicts more frequently than other strategies. In conclusion, it is necessary to create a curriculum in the pre-service teachers’ education programs that includes emotional education, so that they can acquire emotional regulation skills, due to their importance in classroom conflict management

Assessment of Service Quality at Central Library of Management and Planning Organization (MPO), Iran

This study examines the quality of services at Iran’s Central Library of Management and Planning Organization (MPO) from the viewpoint of itsusers. The research was conducted in two phases: First, the library and its services were compared to the Standards for Special Libraries published bythe National Library of Iran (NLI). The library was found to meet most of the standards. Second, the quality of service provided by the library atexpected and observed levels was examined from the viewpoint of organizational and non-organizational members using a modified version ofthe SERVQUAL questionnaire. Findings showed a significant was difference between two (expected and observed) levels, meaning that users’expectations have not been met. The most significant difference related to “appropriate collection of information resources”. The results also showedthere was no significant difference between organizational and non-organizational users’ opinions about the quality of services. Findingsalso showed that “relevant information services” was the priority of user groups-users emphasized the need for timely and accurate information.There was a correlation between the rate at which the library conformed to the national standards and users’ expectations of quality

Performance Improvement and Two-Phase Flow Study of a Piezoelectric Micropump with Tesla Nozzle-Diffuser Microvalves

The Present article aims to design a piezoelectric micropump using a combinational form of microvalves with sufficient diodicity in low-pressure gradients. The goal is to enhance the capability of piezoelectric micropumps with Tesla-type valves in order to deliver insulin. Tesla-type valves are in the category of passive valves which have sufficient diodicity in case of high-pressure gradients. However, low mass flow rates are often required in drug delivery devices. In this paper, the performance of MT135 Tesla-type valve in low pressure-gradient flows has been investigated and a range of reunion angles, which have not been studied before has been examined by numerical solutions. Inspired by nozzle-diffuser valve types, some changes in the bypass path of the microvalve have been exerted to boost the diodicity of the valve in low-pressure conditions that resulted in 9.97% increase of diodicity. At last but not least, the velocity gradients in single-phase flow of water has been attained and performance of micropump toward other kinds of flows has been investigated by a volume of fluid (VOF) model including water as the primary phase and air as the secondary one. To complete the analysis, a VOF model consisting of an arbitrary kind of Casson fluid with the primary phase of water was reached and discussed