Early and mid-term outcomes of carotid angioplasty and stent placement in 579 patients.

BACKGROUND AND PURPOSE: Carotid angioplasty and stenting (CAS) could be considered for preventing stroke in patients with carotid artery stenosis. This study aimed to determine the incidence and the risk factors of the early and mid-term complications associated with CAS. METHODS: This is a retrospective cohort study conducted at Shiraz University of Medical Sciences from March 2011 to March 2019. Patients at high risk and standard risk for carotid endarterectomy were included. The primary composite outcome was defined as stroke, myocardial infarction (MI), and death in the first 30 days after CAS. All-cause mortality, vascular mortality, and stroke were investigated during mid-term follow-up. RESULTS: A total of 579 patients (618 CAS) were recruited (mean age: 71.52 years). Overall, 394 (68.40%), 211 (36.63%), 179 (31.07%), and 96 (16.72%) patients had hypertension, dyslipidemia, diabetes mellitus, or were cigarette smokers, respectively. Primary composite outcomes were observed in 2.59% of patients (1.55% stroke, 0.69% MI, and 1.72% death). Atrial fibrillation was a predictor of primary composite outcome in multivariate logistic regression (p = .048). The presence of total occlusion in the contralateral carotid artery was significantly associated with the risk of stroke in univariate logistic regression (p = .041). The patients were followed for a period ranging from 1 to 83 months. The overall survival rate for all-cause mortality was 93.48% at 1 year, 77.24% at 5 years, and 52.92% at 8 years. All-cause mortality was significantly higher among patients with symptomatic carotid stenosis (p = .014). CONCLUSION: CAS provides acceptable short-term and mid-term outcomes in a unique population of high- and standard-surgical-risk, symptomatic and asymptomatic, octogenarian, and nonoctogenarian patients.

Medicinal Plants in the Prevention and Treatment of Colon Cancer.

The standard treatment for cancer is generally based on using cytotoxic drugs, radiotherapy, chemotherapy, and surgery. However, the use of traditional treatments has received attention in recent years. The aim of the present work was to provide an overview of medicinal plants effective on colon cancer with special emphasis on bioactive components and underlying mechanisms of action. Various literature databases, including Web of Science, PubMed, and Scopus, were used and English language articles were considered. Based on literature search, 172 experimental studies and 71 clinical cases on 190 plants were included. The results indicate that grape, soybean, green tea, garlic, olive, and pomegranate are the most effective plants against colon cancer. In these studies, fruits, seeds, leaves, and plant roots were used for in vitro and in vivo models. Various anticolon cancer mechanisms of these medicinal plants include induction of superoxide dismutase, reduction of DNA oxidation, induction of apoptosis by inducing a cell cycle arrest in S phase, reducing the expression of PI3K, P-Akt protein, and MMP as well; reduction of antiapoptotic Bcl-2 and Bcl-xL proteins, and decrease of proliferating cell nuclear antigen (PCNA), cyclin A, cyclin D1, cyclin B1 and cyclin E. Plant compounds also increase both the expression of the cell cycle inhibitors p53, p21, and p27, and the BAD, Bax, caspase 3, caspase 7, caspase 8, and caspase 9 proteins levels. In fact, purification of herbal compounds and demonstration of their efficacy in appropriate in vivo models, as well as clinical studies, may lead to alternative and effective ways of controlling and treating colon cancer.

A survey of ectoparasite infestation in dogs in Tehran, Iran.

This survey was conducted to identify and estimate the frequencies of ectoparasites of dogs in Tehran, Iran. A total of 143 dogs attended at the Small Animal Hospital of the Veterinary School, the University of Tehran, were examined for the presence of ectoparasites and dermatological lesions. Ectoparasite specimens and blood samples were sent to parasitology and hematology laboratories, respectively. Ticks were the most frequent ectoparasite (36.4%, 52/143), followed by fleas (29.4%, 42/143), mites (25.9%, 37/143), and lice (8.4%, 12/143). Mixed infestations with two or more ectoparasites were detected in eight dogs. Rhipicephalus bursa was the most frequent ectoparasite in spring and summer. Ectoparasitic infestations were recorded mainly in large breeds and juvenile animals. Eosinophilia was more observed in dogs infested with Sarcoptes scabiei. The most common clinical sign, skin pruritus, was associated with mite and lice infestations. These results indicate that the tick R. bursa was the most prominent species of ectoparasite found in the evaluated group, followed by Ctenocephalides canis and S. scabiei var canis.

A survey of ectoparasite infestation in dogs in Tehran, Iran / Um levantamento da infestação de ectoparasitos em cães em Teerã, Irã

This survey was conducted to identify and estimate the frequencies of ectoparasites of dogs in Tehran, Iran. A total of 143 dogs attended at the Small Animal Hospital of the Veterinary School, the University of Tehran, were examined for the presence of ectoparasites and dermatological lesions. Ectoparasite specimens and blood samples were sent to parasitology and hematology laboratories, respectively. Ticks were the most frequent ectoparasite (36.4%, 52/143), followed by fleas (29.4%, 42/143), mites (25.9%, 37/143), and lice (8.4%, 12/143). Mixed infestations with two or more ectoparasites were detected in eight dogs. Rhipicephalus bursa was the most frequent ectoparasite in spring and summer. Ectoparasitic infestations were recorded mainly in large breeds and juvenile animals. Eosinophilia was more observed in dogs infested with Sarcoptes scabiei. The most common clinical sign, skin pruritus, was associated with mite and lice infestations. These results indicate that the tick R. bursa was the most prominent species of ectoparasite found in the evaluated group, followed by Ctenocephalides canis and S. scabiei var canis.

Esta pesquisa foi realizada para identificar e estimar a frequência de ectoparasitas de cães em Teerã, Irã. Um total de 143 cães, atendidos no Hospital de Pequenos Animais da Faculdade de Veterinária da Universidade de Teerã, foi examinado para a pesquisa de ectoparasitas e lesões cutâneas. Espécimes de ectoparasitos e amostras de sangue coletadas foram enviadas para exame em laboratório de parasitologia e hematologia, respectivamente. Os carrapatos foram os ectoparasitos mais frequentemente encontrados (36,4%, 52/143), seguidos por pulgas (29,4%, 42/143), sarnas (25,9%, 37/143) e piolhos (8,4%, 12/143). Infestações mistas com dois ou mais ectoparasitos foram observadas em oito cães. Rhipicephalus bursa foi o ectoparasito mais frequente na primavera e verão. Infestações de ectoparasitos foram registradas principalmente em raças maiores e animais jovens. Eosinofilia foi mais observado em cães infestados com Sarcoptes scabiei. O sinal clínico mais comum, prurido na pele, esteve associado às infestações por ácaros e piolhos. Estes resultados indicam o carrapato R. bursa como ectoparasito mais comum no grupo avaliado, seguido por Ctenocephalides canis e S. scabiei var canis.