Genotyping of G. duodenalis in the People Referred to Health Centers of Semnan City

Giardia duodenalis (G. duodenalis), is one of the major causes of gastrointestinal disorders worldwide, infecting the small intestine of humans and animals. Based on the genetic characteristics of the parasite, eight genotypes (A to H) have been identified in clinical samples. The main purpose of the present study was to find the genetic diversity of Giardia in people referred to health centers in Semnan, Iran, using PCR. Totally, 300 stool samples were collected from people referred to health centers in Semnan. The stool samples were first examined using the microscopic method (direct method and Lugol staining), and the samples were checked with trichrome staining. After DNA extraction, the GDH gene of positive samples was amplified by the semi-nested PCR method. The genotype of positive samples was determined by the sequencing method. Out of 300 samples, only 20 (6.66%) samples were found to be positive in the microscopic examination of the stool. In the PCR test, only 13 (4.33%) of the samples were positive. According to the multiple alignment results, it was found that the isolates belonged to AII, BIII, and BIV genotypes. Most of which are related to people without clinical symptoms of diarrhea. Identification of AII, BIV, and BIII genotypes indicates the anthroponotic and anthropozoonotic transmission cycle of Giardia infection in Semnan.

Cor triatriatum dexter: antemortem diagnosis in an adult by cross sectional echocardiography

Cor triatriatum dexter is a rare cardiac abnormality in which the right atrium is subdivided into two distinct chambers. This anomaly is generally attributed to the persistence of the right sinus venosus valve and it is frequently associated with severe malformations of other right heart structures. The antemortem diagnosis of the membrane may be difficult and its presence is often only established at necropsy. In a woman of 56 with Ebstein's anomaly the echocardiographic features of cor triatriatum dexter were examined before and during cardiac catheterisation. These investigations showed the position of the membrane, that there was no gradient between the two atrial chambers, and that there were perforations in the centre of the membrane.

Acute coronary artery occlusion during percutaneous transluminal coronary angioplasty treated by redilation of the occluded segment

Acute occlusion of a coronary artery during percutaneous coronary angioplasty usually results in unremitting ischemia requiring emergency surgical intervention. Seven patients are described, in whom complete occlusion occurred during coronary angioplasty as a result of coronary artery dissection. Despite this, it was possible to reintroduce the balloon catheter immediately and redilate the vessel with abrupt reversal of clinical and electrocardiographic manifestations of ischemia. Six patients had no subsequent evidence of myocardial infarction. The seventh had a slight elevation of serum creatine kinase and transient electrocardiographic changes. All patients were discharged from the hospital without further intervention. Four patients had elective coronary artery bypass surgery (greater than 4 weeks after angioplasty) and three have remained asymptomatic or in improved condition since the coronary angioplasty. It is concluded that sudden occlusion of a coronary artery during coronary angioplasty can be safely treated by redilation in the acute stage.