Breastfeeding and Helicobacter pylori Infection in Early Childhood: a Continuing Dilemma

Objective:

Helicobacter pylori (H. pylori) is the most common chronic bacterial infection in humans. Chronic colonization increases the risk of duodenal ulcer and gastric cancer. The risk factors for acquiring the infection have been extensively studied. However, there are conflicting results on the role of breastfeeding in the prevention of H. pylori infection. We conducted a study to evaluate the effects of breastfeeding on the H. Pylori infection in Kurdish children in Sanandaj, IR Iran.

Methods:

A historical cohort study was carried out from January 2011 through December 2012. Totally 221 children who were going to attain 2 years old during the study period were randomly enrolled. They were divided into two groups, i.e. breastfed and non-breastfed. We used H. pylori stool antigen test to detect infection in the selected group of children after age of 2 years and cessation of breastfeeding. Each group was subdivided into two subgroups, infected and non-infected. The associations of breastfeeding with H. pylori infection was assessed using statistical software.

Findings:

We found no difference in the odds of infection between breastfed and non-breastfed groups (OR=0.809, 95% CI [0.453–1.444]). An association between age and the prevalence of infection was found (P=0.008). There was an increase in the odds of infection as the family size grew (OR=1.93, 95% CI [1.04–3.6]) as well as increasing housing density (OR=2.12, 95% CI [1.10–4.10]).

Conclusion:

The data suggests that breastfeeding in infancy does not protect against H. pylori infection for long duration among studied children in Iran. The protective effects of breastfeeding, if any, are at most transient.     

Evaluation of the frequency of food allergens based on skin prick test in children in Kurdistan Province – Iran

Introduction

Food allergy refers to abnormal reactions of the body caused by an immune system response to food. This study was conducted aiming to investigate allergy to food allergens in children with food allergies.

The speciation of inorganic arsenic in soil and vegetables irrigated with treated municipal wastewater

In this research, an environmental friendly, green and efficient sample preparation method using vortex-assisted microextraction based on a deep eutectic solvent (VAME-DES) followed by graphite furnace atomic absorption spectrometry (GFAAS) was developed for the preconcentration and determination of As(iii)/As(v) and total inorganic arsenic in soil and vegetables irrigated with treated municipal wastewater from Tehran and Kermanshah, Iran. In the proposed method, a novel DES, characterized by its low density, was prepared by mixing choline chloride and citric acid monohydrate at a molar ratio of 1 : 1. Under optimal conditions, the proposed method enabled the achievement of a good enrichment factor of 175. The calibration graph was linear in the range of 0.3–100 μg kg⁻¹ and the limit of detection (LOD) was 0.10 μg kg⁻¹. The repeatability and reproducibility of the method based on seven replicate measurements of 50 μg kg⁻¹ As(iii) in analysed samples were 4.2% and 6.5, respectively. The relative recoveries from soil and vegetables that were spiked with different levels of As(iii) and As(v) were 94.2–104.3 and 91.0–107.0%, respectively. The main advantage of the proposed method is the use of a non-toxic and non-volatile DES instead of volatile organic solvents. The accuracy of the proposed procedure was also assessed by the speciation of arsenic in two standard reference materials ({"type":"entrez-protein","attrs":{"text":"GBW10014","term_id":"1450827424","term_text":"GBW10014"}}GBW10014 cabbage and {"type":"entrez-protein","attrs":{"text":"GBW10015","term_id":"1450827425","term_text":"GBW10015"}}GBW10015 spinach). The extraction methodology is simple, rapid, cheap and green, since only small amounts of non-toxic solvents are necessary.

An efficient method using vortex-assisted microextraction based on a deep eutectic solvent followed by graphite furnace atomic absorption spectrometry was developed for the determination of arsenic species in soil and vegetables irrigated with treated wastewater.     

The Callender modification of the Macintosh laryngoscope blade reduces the risk of tooth-blade contact in children

Background: Dental injury is well recognized as a potential complication of laryngoscopy and tracheal intubation. The flange of the Macintosh blade may contact teeth during laryngoscopy causing damage. The Callander modification of the Macintosh blade (Callander blade) with a shortened heel at the proximal end has been shown to increase the blade–tooth distance and reduce contact rates in adults. Aim: This study was designed to evaluate the effectiveness of the Callander blade on reducing dental contact in children. Methods: One hundred children, aged 4–14 years, scheduled for general anesthesia requiring endotracheal intubation were studied prospectively. The children were preoperatively evaluated for Mallampati score and dental defects, looseness, and avulsions. Following induction of anesthesia, laryngoscopy was performed twice on each child in succession, once with a standard Macintosh blade and once with a Callander blade of the same size in a random order. The blade–tooth distance and contact rate were compared between the two blades. Results: With the Callander blade, the blade–tooth distance was greater than with the Macintosh (1.78 ± 1.77 vs 0.28 ± 0.76 mm, P = 0.001). The frequency of direct contact was less with the Callander blade than it was with the Macintosh blade (33% vs 86%, respectively, P = 0.008). However, difficult laryngoscopy rate did not differ between the blades. Tracheal intubation was successful in all children and there was no dental injury. Conclusion: Our findings suggest that the Callander blade decreases the risk for dental injury and provides tracheal intubating conditions in children with normal airways similar to those obtained with a traditional Macintosh blade.     

Prevalence of hepatitis B and hepatitis D coinfection in asymptomatic blood donors in Iran

Hepatitis delta virus (HDV) is a satellite virus that needs hepatitis B virus (HBV) surface antigen for amplification and transition. HDV appears in HBsAg carriers as acute coinfection and superinfection in patients with chronic hepatitis B. This coinfection leads to chronic hepatitis, cirrhosis, and liver carcinoma. The aim of this study was to detect the prevalence of coinfection and superinfection of HBVs and HDVs in blood donor individuals in Iran. Sera from 854 asymptomatic blood donors from the Bank of positive samples storage at the National Blood Transfusion Organization of Iran that were positive for hepatitis B surface antigen were analysed. The presence of antibody against HDV in blood donors was detected using ELISA followed by conventional PCR, seminested PCR and real‐time PCR to determine coinfection and/or superinfection. Restriction fragment length polymorphism was used for HDV genotyping. All 854 samples were HBsAg and anti‐HBc positive whereas only 18 (2%) of them were positive for anti‐HDV. Of the 854 samples, 154 (18%) were HBV‐DNA positive. HDV‐RNA was detected in 0.6% of the total samples by seminested PCR and real‐time PCR and the two PCR methods produced similar results. Moreover, 16.6% and 83.4% of anti‐HDV‐positive samples exhibited coinfection and superinfection with HBV, respectively. Genotype I of HDV was determined in positive samples.     

Relationship between arterial blood pressure and body mass index of school age children of southern region of Iran

Despite an increasing prevalence of obesity and hypertension in young age, there is limited information on the contribution of body mass index (BMI) to blood pressure (BP) in these populations, especially in developing countries. This study examines the association between BMI and BP in four populations of school age children across southern region of Islamic republic of Iran.     

Usefulness of procalcitonin rapid test for the diagnosis of acute pyelonephritis in children in the emergency department

Background: Urinary tract infection (UTI) is a common problem in children. The aim of this study was to determine the usefulness of the procalcitonin (PCT) rapid test in the diagnosis of renal involvement in children with urinary tract infection. Methods: Through a case series study, PCT and C‐reactive protein rapid tests were measured in children with proven UTI at the Tehran Children's Medical Center, Iran. One‐hundred patients aged 1 month–14 years old (19 boys and 81 girls) with documented UTI were enrolled in the study. Results: Of 100 children, 62 patients (62%) had renal involvement on the basis of abnormal Tc‐dimercaptosuccinic acid scintigraphy and 38 patients (38%) had infection restricted to the lower urinary tract. There were no differences related to age or gender among the groups. The sensitivity and specificity of PCT were 77% and 89%, respectively, in prediction of renal involvement, whereas C‐reactive protein had a sensitivity of 80% and a specificity of 65%. Conclusion: We concluded that a rapid determination of PCT concentration could be useful for the management of children with febrile UTI in the emergency room.     

Inverse correlation of soluble programmed cell death-1 ligand-1 (sPD-L1) with eosinophil count and clinical severity in allergic rhinitis patients

Background

T-cell response outcome is determined by co-stimulatory/inhibitory signals. Programmed cell death-1 ligand-1 (PD-L1) is a member of these co-signaling molecules with known soluble form in human serum. Soluble PD-L1 (sPD-L1) is also recognized in patients with some types of malignancy or autoimmune disorders, though there are few studies on sPD-L1 roles in allergic diseases. The purpose of this survey was to evaluate the association between sPD-L1 levels with eosinophil count as well as disease severity in allergic rhinitis (AR) patients.