Spatial Variation in Lung Cancer Mortality and Related Men-Women Disparities in Iran from 2011 to 2014.

PURPOSE: Lung cancer is considered as a common cause of cancer mortality. The disease represents the second and third causes of deaths from cancer among Iranian women and men, respectively. The present study aimed to evaluate the spatial variations in relative risk of lung cancer mortality in Iran and its relation to common risk factors between men and women and specific risk factors among women. METHODS: In this ecological study, the lung cancer mortality data were analyzed in Iran during 2011-2014. Besag, York, and Mollie's (BYM) model and shared component model (SCM) were used to compare the spatial variations of the relative risk of lung cancer mortality by applying OpenBUGS version 3.2.3 and R version 3.6.1. RESULTS: The median age for death due to lung cancer in Iran is 74 years. During 2011-2014, the age-standardized lung cancer mortality rates among men and women were 12 and 5 per 100,000 individuals, respectively. In addition, almost similar spatial patterns were observed for both men and women. Further, risk factors, which are shared between men and women, were considered as the main cause of variation of lung cancer mortality relative risk in the regions under study for both men and women. The highest impact of the women-specific risk factors was estimated in northeastern and southwestern of the country while the lowest was related to Gilan province in northern part of Iran. CONCLUSION: Based on the spatial pattern, lung cancer risk factors are at relatively high levels in most parts of Iran, especially in the northwest of the country. Regarding the women, the high-risk regions were considerably extended. Further, the highest concentration of the specific risk factors among women was observed in the eastern, central, and southwestern parts. The smoking effect, and the second-smoking effect and environmental pollutions could play more significant roles for men and women, respectively.

CuO nanorods as a laccase mimicking enzyme for highly sensitive colorimetric and electrochemical dual biosensor: Application in living cell epinephrine analysis.

A sensitive colorimetric and electrochemical sensor for measuring of epinephrine (EP) was developed based on CuO nanorods (NRs), and applicability of the sensor for detection of release epinephrine (EP) from living cells was evaluated. The CuO NRs was prepared using a facile and efficient method in low temperature and characterized by Scanning electron microscopy (SEM), Transmission electron microscopy (TEM), X-ray powder diffraction (XRD), X-ray photoelectron spectroscopy (XPS), Fourier transform infrared spectroscopy (FTIR) and Energy-dispersive X-ray spectroscopy (EDX). The CuO NRs exhibited laccase-like activity and could oxidize epinephrine (EP) to a colored product. No interference from the common interfering agents such as dopamine, ascorbic acid and uric acid was observed. Colorimetric sensor demonstrated a linear range of 0.6-18 µM with detection limit of 0.31 µM. Furthermore, the electrochemical study showed CuO NRs exhibited excellent electrocatalytic activity towards epinephrine oxidation. Differential pulse voltammetry signals increase with increasing of EP concentration in the range 0.04-14 µM, with a detection limit of 20 nM. Finally, the proposed sensor applied to perform real-time monitoring of epinephrine released by PC12 cells, indicating that CuO NRs provide a new platform for developing high-performance sensors in biological applications.

Is Helicobacter pylori infection a risk factor for idiopathic thrombocytopenic purpura in children?

BACKGROUND: Idiopathic thrombocytopenic purpura (ITP) is an autoimmune bleeding disorder, which occurs as a result of autoantibodies attachment to the platelets surface and subsequent destruction. Several organisms can mimic features of human antigens (Ags) and induce autoantibody production. One of these organisms is Helicobacter pylori (HP). We assessed the prevalence and relationship of HP infection with ITP in a population of children. MATERIALS AND METHODS: One hundred and six children younger than 18 years old were enrolled in this case-control study in which 42 children with ITP were in the case group and 64 healthy children were in the control group. Stool exam for detection of HP-Ag were performed and the variables were compared between the two groups. RESULTS: Mean ± standard deviation age of case and control group was 6.4 ± 3.4 and 8.6 ± 4.4 years old, respectively. HP stool Ag differ significantly between the case and the control groups (P < 0.05). CONCLUSION: Our results support the role of HP in ITP of children, and urea breath test or Ag detection of HP in stool of these patients is recommended.

Evaluation of acute flaccid paralysis in hamadan, iran from 2002 to 2009.

OBJECTIVES: To achieve a polio-free certification in Iran, a nationwide active surveillance program for acute flaccid paralysis (AFP) was set up following World Health Organization guidelines. This article describes the results of an eight-year surveillance of AFP in Hamadan, in the west of Iran. METHODS: A standard set of minimum core variables were collected. All cases of non-polio AFP in children aged <15 years old were reported. Two stool specimens were collected within 14 days of the onset of paralysis. RESULTS: During the eight-year survey, 88 AFP cases aged <15 years old were reported. About 40% (35/88) of cases were aged ≤5 years, 56% (49/88) were boys, 19 (21.6%) had fever at the onset of paralysis, 74 (84.0%) had complete paralysis within four days of onset, and 22 (24.7%) had asymmetric paralysis. More than one AFP case was detected per 100,000 children aged <15 years old in all years. The risk of AFP in patients aged <5 years old was almost double that of older patients. Guillain-Barré Syndrome was the major leading cause of AFP (66/88). Adequate stool specimens were collected from 85% of AFP patients. All stool specimens were tested virologically, but no wild polioviruses were detected. CONCLUSION: The active surveillance of non-polio AFP was efficient over the last eight years and exceeded 1.0 case per 100,000 children aged <15 years old. Nonetheless, there was a decreasing trend in the detection of AFP cases during the last two years and should be the focus of the policymakers' special attention, although AFP cases were still above the target level.