Reinke's Edema and Risk Factors, A Case-Control Study

Reinke's edema (RE) is a benign pathological non-inflammatory disorder of the vocal folds with a wide range of clinical manifestations. We aim to investigate the relationship between Reinke's edema and some common inhalant abuse. In this case-control study, subjective consisted of 23 patients with RE (the cases), and 50 patients with sinusitis (control) who underwent surgery in the Department of Otolaryngology, between 2015 and 2020. Demographic characteristics, history of some related disease, methods, and the duration of cigarette, and opium consumption were collected through the patients' files. The chi-square (χ²) test was run to analyze the differences in the categorical and, and the Independent Sample T-test was used to compare two sample means from unrelated groups. A significant level (p-value) was considered less than 0.05. The mean age was 54 ± 12 years, and 42 ± 11 years, respectively for Reinke's edema and sinusitis. More women had been recorded in the RE group, compared to men. Allergy, unprincipled use of voice and talkativeness, history of laryngeal surgery, and type of disease were correlated to RE (p < 0.05). Also, cigarette smoking was significantly correlated with Reinke's edema. The average number of cigarettes per day, the duration of smoking, and opium consumption were more frequent in RE (P < 0.05). 90% of the RE and 4% of sinusitis patients were opium consumers. There was a statistically significant difference in the methods of substance use in the two groups of cases and control (p < 0.0001). Among the different methods, the poker and stone method was the most common (69.6%), and the opium smoking pipe was the second most common method. This study also confirmed the hazardous effects of smoking and inhaling opiates in the formation of lesions of the pharynx and larynx. In particular, longer use of these substances will be associated with more serious side effects. Therefore, it seems that people who are addicted to opiates should undergo periodic visits and counseling to reduce and stop their use.

Risk of urinary tract cancers following arsenic exposure and tobacco smoking: a review

Bladder cancer, prostate cancer, and kidney cancer, due to their high morbidity and mortality rates, result in significant economic and health care costs. Arsenic exposure affects the drinking water of millions of people worldwide. Long-term exposure to arsenic, even in low concentrations, increases the risk of developing various cancers. Smoking is also one of the leading causes of bladder, prostate and kidney cancers. Accordingly, this research reviews the relationship between arsenic exposure and smoking with three kinds of urinary tract cancers (bladder cancer, prostate cancer, and kidney cancer) due to their widespread concern for their negative impact on public health globally. In this review, we have gathered the most current information from scientific databases [PubMed, Scopus, Google Scholar, ISI web of science] regarding the relationship between arsenic exposure and tobacco smoking with the risk of bladder, prostate, and kidney cancer. In several studies, a significant relationship was determined between the incidence and mortality rate of the above-mentioned cancers in humans with arsenic exposure and tobacco smoking. The decrease or cessation of smoking and consumption of arsenic-free water significantly declined the incidence of bladder, prostate, and kidney cancers.

Non-Surgical Treatment Prognosis For Laryngeal Cancer Based On American Joint Committee On Cancer Staging And T And N Integer Score

Background

The American Joint Committee on Cancer (AJCC) system is the most acceptable staging method. In this study, an attempt has been made to evaluate the survival rate of laryngeal cancer based on the AJCC and T and N integer scores (TANIS).

Methods

In this prospective cohort study, from March 2004 to March 2021, laryngeal cancer patients who were considered for non-surgical treatment were included. Radiation alone was considered for T1-T2 lesions without nodal involvement. Sequential or concomitant chemoradiation (based on physician choice) was considered for locoregionally advanced patients (T3/T4 or node positive). The 2-year, 5-year and 10-year overall survival (OS) and progression-free survival (PFS) rates were estimated using Kaplan-Meier method. Cox -Regression method was used for covariates analysis.

Results

The 2-year, 5-year and 10-year overall survival (OS) rates in all patients were estimated to be 82%, 70% and 41%, respectively. The 2-year, 5-year and 10-year progression-free survival (PFS) rates in all patients were estimated to be 78%, 59% and 41%, respectively. The 5-year OS rates for stages I, II, III, IVa, and IVb were 83, 84, 51, 12, and 19 percent, respectively. The 5-year OS rates for TANIS 1, 2, and 3 were 85, 62 and 53 percent, respectively. Based on multivariate analysis, the group stage (p=0.001), TANIS group (p=0.003) and tumour subsite. (p=0.006) were independently effective in survival rates.

Conclusion

TANIS-3 can simply predict the prognosis of non-surgically treated laryngeal cancers. The separation of different prognostic groups by TANIS is better than the AJCC system. More extensive studies are necessary to confirm this.

Rhinocerebral Mucormycosis Following COVID-19 Infection in Iran

Background & Objective

Mucormycosis (also called black fungus) is an opportunistic serious fungal infection caused by mucormycetes. It can occur in diabetes mellitus patients and other immunosuppressive conditions with recent predisposing factors such as maxillofacial surgery and corticosteroid usage.

Methods

In this study, 14 patients were referred to the otorhinolaryngology or ophthalmology ward of Shafa Hospital (Kerman, Iran) with primary symptoms of nasal fullness and facial nerve dysfunction; they were admitted to the hospital to rule out the fungal infection. An endoscopic biopsy was taken from facial sinuses or orbit, and a microscopic evaluation was performed using hematoxylin and eosin (H&E) and periodic acid-Schiff (PAS) staining methods to rule out mucormycosis.

Results

In the histopathological examination, broad-based nonseptate branching fungal hyphae were found in nasal sinuses through the endoscopic biopsy. Most of the patients had diabetes mellitus with a primary symptom of facial nerve palsy; also, most of them received corticosteroids (intravenous [IV] or intramuscular [IM] injection). All patients have recently been infected with COVID-19 (less than 1 month ago).

Conclusion

COVID-19 infection might be a predisposing factor for many opportunistic infections, such as fungal elements); thus, the physician should be aware of the dosage and duration of corticosteroid therapy to prevent the development of these infections.

Ecological risk assessment of trace elements (TEs) pollution and human health risk exposure in agricultural soils used for saffron cultivation

Contamination of farmland soils by trace elements (TEs) has become an international issue concerning food safety and human health risks. In the present research, the concentrations of TEs including cadmium (Cd), cobalt (Co), chromium (Cr), copper (Cu), manganese (Mn), nickel (Ni), lead (Pb), zinc (Zn) and iron (Fe) in soils of 16 farmlands were determined in Gonabad, Iran. In addition, the human health risks due to exposure to the TEs from the soils were assessed. Moreover, the soil contamination likelihood was evaluated based on various contamination indices including contamination factor [Formula: see text]), enrichment factor (EF), geo-accumulation index (Igeo), and pollution load index (PLI) calculations. The soil mean concentrations for Cd, Co, Cr, Cu, Mn, Ni, Pb, Zn and Fe ranges as 0.102, 6.968, 22.550, 29.263, 475.281, 34.234, 13.617, 54.482 and 19,683.6 mg/kg in farmland soils. The mean concentrations of the TEs decreased in the order of Fe > Mn > Zn > Ni > Cu > Cr > Pb > Co > As > Cd. Levels of all metals in this study were within the FAO/WHO and Iranian soil standards. The HQ values from investigated elements for adults and children in the studied farms were less than the limit of 1, indicating no health risks for the studied subpopulations. The results of the present research indicated no significant carcinogenic health hazards for both adults and children through ingestion, skin contact and inhalation exposure routes. [Formula: see text] values of Ni and Zn in 100% and 6.25% of farmlands were above 1, showing moderate contamination conditions. EF values of metals in farmlands were recorded as "no enrichment", "minimal enrichment" and "moderate enrichment" classes. Furthermore, it can be concluded that the all farms were uncontaminated except Ni (moderately contaminated) based on Igeo. This is an indication that the selected TEs in the agricultural soils have no appreciable threat to human health.

The Patients' Characteristics And Non-Surgical Treatment Results For Hypopharyngeal Cancer In Southeast Of Iran: A 13-Year Study

BACKGROUND

Various modalities have been used to treat hypopharyngeal cancer. Non- surgical modalities include radiotherapy alone, sequential chemoradiation and concomitant chemoradiation or bio radiation. This study was conducted to evaluate the primary non-surgical treatment.

METHODS

A total number of 67 patients treated from March 2009 to January 2022 were enrolled in this study. The 2-year and 5-year survival rates were estimated using the Kaplan-Meier method. Log-rank test was used to compare the survival outcomes according to various factors. To define independent prognostic factors, we used Cox regression analysis.

RESULTS

The mean age of the patients was 56.2 years, and 55.2% of them were male. These patients were treated by radiation alone (9 patients) or induction chemotherapy followed by either radiation (4 patients), chemoradiation (33 patients), or bio-radiation (21 patients). The mean follow-up time was 18.12 months. The 2-year and 5-year overall survival rates were estimated to be 43% and 18%, respectively. Multivariate analysis showed that T stage, N stage, and treatment modality had a statically significant relationship with overall survival.

CONCLUSIONS

The results of non-surgical treatment for hypopharyngeal cancer are not satisfactory. More studies are needed to investigate the role of salvage surgery.

Food Safety and Hygiene Knowledge and Attitudes among the Health-Care Staff in the Southeast Area of Iran

Background: This study aimed to determine the level of knowledge and attitude towards food safety and hygiene among the health-care staff in Rafsanjan University of Medical Sciences, Iran. Methods: This survey-descriptive was conducted on 101 staff working in primary health-care centers of Rafsanjan University of Medical Sciences who were selected taking a census. Data collection was also performed by a researcher-made questionnaire. Results: The results showed that the mean score of knowledge and attitude of the staff was 13.36 ± 2.44 and 37.19 ± 3.74, which obtained 70.31% and 74.38% of the total score, respectively. The lowest level of knowledge towards food safety and hygiene among the staff was about the reuse of foods, such as cheese (solid), jam, yogurt, tomato paste (liquid), as well as the need to store some foods refrigerated. The mean score of knowledge in the subjects with a history of food poisoning was also lower, which was statistically significant (P = 0.03). The most common wrong attitudes among the staff included rinsing vegetables in sufficient water (85.1%), putting raw and cooked foods together (82.2%), and using foods in bulging cans (75.2%). However, the staff’s attitudes regarding personal hygiene were appropriate. Conclusion: Finally, education about correct food storing and reusing, correct washing and consuming of raw foods and vegetables is recommended.

Comparison of poly ferric chloride and poly titanium tetrachloride in coagulation and flocculation process for paper and cardboard wastewater treatment

The current study investigated the efficiency of poly ferric chloride (PFC) and poly titanium tetrachloride (PTC) in coagulation-flocculation process for treatment of paper and cardboard wastewater. The effect of pH (5-11), coagulant concentrations (100-1000 mg/L), mixing rate (10-60 rpm), mixing time (5-25 min), and settling time (5-30 min) were examined. The results showed that the removal efficiency for turbidity, total suspended solids (TSS), and chemical oxygen demand (COD) by PFC and PTC coagulants increased with pH rising up to 9 for the former and 7 for the latter coagulant. Furthermore, the removal efficiency for the afore-mentioned parameters increased along with a 30 rpm increase in the mixing rate, while the mixing time reached 20 min. It was also found that the best removal efficiencies for turbidity, TSS, and COD by PFC under optimal conditions (pH 9, coagulant dose 800 mg/L, and settling time of 25 min) were 97.11%, 99.1%, and 84.91%, respectively. In addition, the removal efficiencies for PTC (optimal conditions of pH 7, coagulant dose 600 mg/L, and settling time of 15 min) were found to be 98.29%, 99.29%, and 86.42%, respectively. Water recovery and the produced sludge volume by PFC were 80% and 200 cm³, respectively, in the settling time of 25 min and for PTC were 81.5% and 185 cm³, respectively, in the settling time of 15 min. Costs of the coagulation-flocculation process for treatment 1 m³ of paper and cardboard wastewater using PTC and PFC were 0.42 $ and 0.32 $, respectively. Finally, it can be concluded that compared to PFC, PTC with higher settling rate has a greater efficiency for treatment of paper and cardboard wastewater.

The role of environmental factors to transmission of SARS-CoV-2 (COVID-19)

The current outbreak of the novel coronavirus disease 2019 (COVID-19) in more than 250 countries has become a serious threat to the health of people around the world. Human-to-human transmission of the Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) occurs most often when people are in the incubation stage of the disease or are carriers and have no symptoms. Therefore, in this study, was discussed the role of environmental factors and conditions such as temperature, humidity, wind speed as well as food, water and sewage, air, insects, inanimate surfaces, and hands in COVID-19 transmission. The results of studies on the stability of the SARS-CoV-2 on different levels showed that the resistance of this virus on smooth surfaces was higher than others. Temperature increase and sunlight can facilitate the destruction of SARS-COV-2 and the stability of it on surfaces. When the minimum ambient air temperature increases by 1 °C, the cumulative number of cases decreases by 0.86%. According to the latest evidence, the presence of coronavirus in the sewer has been confirmed, but there is no evidence that it is transmitted through sewage or contaminated drinking water. Also, SARS-COV-2 transmission through food, food packages, and food handlers has not been identified as a risk factor for the disease. According to the latest studies, the possibility of transmitting SARS-COV-2 bioaerosol through the air has been reported in the internal environment of ophthalmology. The results additionally show that infectious bio-aerosols can move up to 6 feet. There have been no reports of SARS-COV-2 transmission by blood-feeding arthropods such as mosquitoes.

The relationship of indoor radon gas concentration with multiple sclerosis: a case-control study

This case-control study aimed to investigate the relationship of indoor radon gas concentration and residential building characteristics with mental health with multiple sclerosis (MS) in Yazd City, Iran. The participants included 45 patients with MS and 100 healthy individuals. The participants' socio-economic status and residential building characteristics were investigated using a questionnaire. The radon gas concentration was also measured by CR-39 detectors over a 6-month period. Furthermore, the participants' mental health data were collected using General Health Questionnaire (GHQ-28). The mean concentrations of radon gas were 66.77 and 65.33 Bq/m³ in the homes of patients with MS and healthy individuals, respectively, but the difference was not significant (p = 0.882). However, the radon gas concentration had a significant relationship with the building's age (p = 0.038), ventilation (p = 0.053), and cooling system (p = 0.021). A significant difference was observed between the two study groups in terms of the mental health (p = 0.018), depression (p = 0.037), somatic symptoms (p ≤ 0.001), and physical activity (p = 0.030). Since the indoor radon gas concentration did not have any significant relationship with MS prevalence, more studies are required in this regard, especially in long-term exposure.

Opium Use and Head and Neck Cancers: A Matched Case-Control Study in Iran

Background:

Head and Neck (H and N) cancers include malignant tumors of the nasal cavity, pharynx, paranasal sinuses, oral cavity, larynx and salivary glands. Opium use might be related to these cancers. The aim of this study was to investigate the relation between Opium and its Derivatives (O and D) use and the incidence of H and N cancers.

Methods:

In this case-control study conducted in Kerman, 140 patients with H and N cancers and 280 healthy controls (matched for age, gender, and place of residence) were included. Information about their use of O and D, cigarette smoking, alcohol and diet were collected using a structured questionnaire. Conditional logistic regression was used to investigate the relation between variables.

Results:

The use of opioids was associated with an increased risk of HandN cancers (Adjusted OR: 8.13; CI: 4.08-16.2). A significant dose-response relation between O and D use was observed, with high use Adjusted OR=8.91; 95% CI: 4.03-19.65 and low use Adjusted OR=6.52; 95% CI: 3.18- 13.36. This dose-response association was stronger in patients with laryngeal cancer and opioids use, with high use Adjusted OR = 11.17; 95% CI=4.48-28.09 and low use Adjusted OR = 9.46; 95% CI= 3.97- 22.52.

Conclusion:

The results show that opium use can be considered as an important risk factor for H and N cancers. Also in Iran, opium seems to play a more important role than cigarette smoking.

Adsorption of Pb (II) and Zn (II) ions from aqueous solutions by Red Earth

This study was carried out to investigate Pb (II) and Zn (II) removal from aqueous solutions by Red Earth (RE) as a new local natural adsorbent in using the batch method. The chemical structure of RE adsorbent was characterized by XRF. Giles, Langmuir, and Freundlich isotherms were used to describe the adsorption data. The effect of metals concentration, initial pH, adsorbent dosage, and agitation time were studied. The results showed that RE contains of SiO₂ (58 %) and Al₂O₃ (15.2 %) as major compounds. The equilibrium time was reached following 30 min and the maximum adsorption capacities (mg/g), based on Langmuir equation were 10.31 and 8.74 for Pb (II) and Zn (II), respectively. By increasing the initial metal ions concentration, the adsorption efficiencies were decreased and adsorption capacity of RE increased with an increase in the initial pH.

Developing a system dynamics model for prediction of phosphorus in facultative stabilization ponds

System dynamics is considered as a computer-aided approach to policy analysis and design. It includes the response and reaction of a system to external shocks. In the present research, following the sampling and testing phases, a system dynamics model was developed for modeling of phosphorus in facultative stabilization ponds. First, the scheme of soluble reactive phosphorous stock, its specifications and parameters were determined and created in the VenSim PLE 7.1 software. Then, mathematical relations were determined for each process. Finally, the model was calibrated and verified based on the data from the Yazd facultative ponds, Iran. Sensitivity analysis showed that the most important factors affecting phosphorus concentration in the ponds are the phosphorus settling rate, losses caused by algal respiration and excretion, while the losses caused by herbivorous zooplanktons, hydrolysis rate of inorganic carbon, and ratio of phosphorus to chlorophyll-a had the least importance. Results showed that, algal growth rate and phosphorus settling rate were important factors in phosphorus removal. Hence, with appropriate retention time in the pond, it can be managed more properly. The ratio of phosphorus to algae had less importance in the model. The ratio of carbon to phosphorus and rate of respiration of carnivorous zooplanktons did not affect the phosphorus concentration. It is recommended that this model can be used for pond management and overall assessment of facultative ponds.

Toxicity evaluation and management of co-composting pistachio wastes combined with cattle manure and municipal sewage sludge

To manage the pistachio de-hulling waste (PW), investigated the co-composting process using a mixture of PW and cattle manure (CM) (5.5:10 dry weight) as well as PW and municipal dewatering sewage sludge (DSS) (1:10 dry weight) at the laboratory scale for 60 days. Compost toxicity was evaluated using the seed germination index (GI). The maximum temperatures in co-composting processes of PW+CM (51.9 °C) and PW+DSS (49.9 °C) were reported on the seventh day. The increase of temperature was higher in PW+CM and remained in the thermophilic phase for five days. In both reactors, the pH rates decreased, increased, and finally remained neutral. The C/N ratio decreased in both reactors, but the reduction rate was faster in the PW+DSS reactor. Sodium (Na%) and potassium (K%) contents were increased, while the concentrations of Cu, Zn, Fe, and Mn were decreased during the processes. The numbers of parasite eggs in the final composts of the reactors containing PW+CM and PW+DSS were zero and 8 Number/4gDW, respectively. The amounts of Salmonella were zero in the final products of reactors containing PW+CM and PW+DSS. The results of GI showed that the final compost of PW+CM process was not toxic for the plants, whereas the PW+DDS final compost was toxic. In conclusion, the co-compost product of the PW+CM reactor had higher quality than the PW+DSS reactor. So, it is suitable for PW management.

Development of 3D-printed PLGA/TiO2 nanocomposite scaffolds for bone tissue engineering applications

Porous scaffolds were 3D-printed using poly lactic-co-glycolic acid (PLGA)/TiO2 composite (10:1 weight ratio) for bone tissue engineering applications. Addition of TiO2 nanoparticles improved the compressive modulus of scaffolds. Differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA) revealed an increase in both glass transition temperature and thermal decomposition onset of the composite compared to pure PLGA. Furthermore, addition of TiO2 was found to enhance the wettability of the surface evidenced by reducing the contact angle from 90.5 ± 3.2 to 79.8 ± 2.4 which is in favor of cellular attachment and activity. The obtained results revealed that PLGA/TiO2 scaffolds significantly improved osteoblast proliferation compared to pure PLGA (p < 0.05). Furthermore, osteoblasts cultured on PLGA/TiO2 nanocomposite showed significantly higher ALP activity and improved calcium secretion compared to pure PLGA scaffolds (p < 0.05).

An overview report on the application of heteropoly acids on supporting materials in the photocatalytic degradation of organic pollutants from aqueous solutions

Organic pollutants contaminate water resources and the environment when discharged into water streams. Also, the presence of these materials in incompletely treated or untreated wastewater leads to serious environmental hazards. The hydroxyl radicals and holes are regarded as the most oxidant species in the degradation of organic pollutants using the studied composites. The results of this review show that heteropoly acids on supporting materials could be considered as appropriate photocatalysts in the removal of organic pollutant from aqueous solutions.

Efficient photocatalytic oxidation of arsenite from contaminated water by Fe2O3-Mn2O3 nanocomposite under UVA radiation and process optimization with experimental design

The efficiency of photocatalytic oxidation process in arsenite (As(III)) removal from contaminated water by a new Fe₂O₃-Mn₂O₃ nanocomposite under UV_A radiation was investigated. The effect of nanocomposite dosage, pH and initial As(III) concentration on the photocatalytic oxidation of As(III) were studied by experimental design. The synthesized nanocomposite had a uniform and spherical morphological structure and contained 49.83% of Fe₂O₃ and 29.36% of Mn₂O₃. Based on the experimental design model, in photocatalytic oxidation process, the effect of pH was higher than other parameters. At nanocomposite concentrations of more than 12 mg L^-1, pH 4 to 6 and oxidation time of 30 min, photocatalytic oxidation efficiency was more than 95% for initial As(III) concentration of less than 500 μg L^-1. By decreasing pH and increasing the nanocomposite concentration, the photocatalytic oxidation efficiency was increased. Furthermore, by increasing the oxidation time from 10 to 240 min, in addition to oxidation of As(III) to arsenate (As(V)), the residual As(V) was adsorbed on the Fe₂O₃-Mn₂O₃ nanocomposite and total As concentration was decreased. Therefore, Fe₂O₃-Mn₂O₃ nanocomposite as a bimetal oxide, at low doses and short time, can enhance and improve the efficiency of the photocatalytic oxidation and adsorption of As(III) from contaminated water resources. Furthermore, the energy and material costs of the UV_A/Fe₂O₃-Mn₂O₃ system for photocatalytic oxidation of 1  mg L^-1 As(III) in the 1 L laboratory scale reactor was 0.0051 €.

Kinetics of biogas production and chemical oxygen demand removal from compost leachate in an anaerobic migrating blanket reactor

In this study, laboratory anaerobic migrating blanket reactor (AMBR) with four units was used to reduce and remove COD leachate of composting process; it was also used to determine the kinetic coefficients of COD removal and biogas and methane gas production in several different OLRs. The maximum concentration of organic matter entering the reactor was 100,000 mg/L and the reactor was under operation for 319 days. The results showed that the COD removal efficiency of AMBR in all concentrations of substrate entering the reactor was above 80%. First-order model and Stover-Kincannon were used to investigate the kinetics of COD removal via AMBR biological process; in addition, the two models of Modified Stover-Kincannon and Van der Meer and Heertjes were used to check the kinetic constants of biogas and methane gas production. The results obtained from the models showed that the experimental data on COD removal were more consistent with the results obtained from Stover-Kincannon model (R² = 0.999) rather than with the First-order model (R² = 0.926). Kinetic constants calculated via Stover-Kincannon model were as follows: saturation value constant (KB) and maximum utilization rate constants (U_max), respectively, were 208,600 mg/L d and 172,400 mg/L d. We investigated the linear relationship between the experimental data and the values predicted by the models; as compared with the values predicted by the First-order model, the values predicted by Stover-Kincannon model were closer to the values measured via experiments. Based on the results of the evaluation of kinetic coefficients of Stover-Kincannon model, with the migration of the leachate flow from unit 1 to unit 4, U_max value has fallen significantly. The values of maximum specific biogas production rate (G_max) and proportionality constant (GB) obtained from the Stover-Kincannon model, respectively, were 35,714 ml/L d and 42.85 (dimensionless) and value of kinetic constant of Van der Meer and Heertjes (ksg) was 0.0473 ml CH₄/mg COD.

Biodegradation and nutrients removal from greywater by an integrated fixed-film activated sludge (IFAS) in different organic loadings rates

In this study, the efficiency of Integrated Fixed-film Activated Sludge (IFAS) system in synthetic greywater treatment and nutrients removal was studied in duration of 105 days according to different Organic Loadings Rates (OLRs). The study was operated in pilot-scale and OLRs of 0.11–1.3 gCOD/L.d. Scanning Electron Microscope (SEM) image showed that the biofilm with a proper thickness was formed on IFAS reactor’s media. The results indicated that the best removal efficiency of BOD₅, COD, and TSS were 85.24, 92.52 and 90.21%, respectively, in an organic loading of 0.44 gCOD/L.d. Then, with the OLR increased, the removal efficiencies of BOD₅, COD, and TSS increased as long as the organic loading reached 0.44 gCOD/L.d. But with the OLR increased more, the removal efficiency of these parameters decreased. The ANOVA statistical test results showed that the mean difference of removal efficiency in organic loadings for BOD₅ (p ≤ 0.001) and COD (p = 0.003) was significant, while it was insignificant for TSS (p = 0.23). The best removal efficiencies of Total Nitrogen (TN) and Total Phosphorus (TP) were 89.60 and 86.67%, respectively, which were obtained at an OLR of 0.44 gCOD/L.d. By increasing OLR up to 0.44 gCOD/L.d, removal efficiencies of TN and TP increased, while the removal efficiency decreased with the OLR increased more, and this difference was statistically significant (p = 0.021). Finally, the results showed that the IFAS system provided a proper efficiency in treatment of the synthetic greywater and it could be used in a full scale.

Health risk assessment of heavy metal intake due to fish consumption in the Sistan region, Iran

The heavy metal (Pb, Cd, Cr, and Ni) content of a fish species consumed by the Sistan population and its associated health risk factors were investigated. The mean concentrations of Pb, Cd, and Cr were slightly higher than the standard levels. The Ni content of fish was below the maximum guideline proposed by the US Food and Drug Administration (USFDA). The average estimated weekly intake was significantly below the provisional tolerable intake based on the FAO and WHO standards for all studied metals. The target hazard quotients (THQ) of all metals were below 1, showing an absence of health hazard for the population of Sistan. The combined target hazard quotient for the considered metals was 26.94 × 10^-3. The cancer risk factor for Pb (1.57 × 10^-7) was below the acceptable lifetime carcinogenic risk (10^-5). The results of this study reveal an almost safe level of Pb, Cd, Cr, and Ni contents in the fish consumed by the Sistan population. Graphical abstract ᅟ.

The relationship between environmental exposures and hormonal abnormalities in pregnant women: An epidemiological study in Yazd, Iran

PROBLEM

The process of industrialization and lifestyle changes have gradually exposed human ‎societies to a larger number of environmental risk factors, which may cause hormonal ‎abnormalities and congenital anomalies.

BACKGROUND

The current study aimed to investigate the relationship ‎between environmental factors and hormonal abnormalities among pregnant women in Yazd, ‎Iran.

METHODS

A hundred participants were randomly selected from among a group of pregnant women. According to the screening tests (AFP, free β-‎HCG, uE3, PAPP-A, and inhibin-A) performed at the genome clinic in Yazd in 2016, the risk of Down Syndrome (DS) was sufficiently high in this group of pregnant women from which the participants were selected. A ‎questionnaire was used to collect data on the degree of the participants' exposure to pesticides ‎at home, use of canned and fast foods, and consumption of greenhouse fruits. The collected data were ‎analyzed by One-way ANOVA and Kruskal-Wallis Test.

FINDINGS

The mean of Multiple of Median (MoM) for inhibin-A was significantly higher among pregnant ‎women who often or always used pesticides at home (p=0.047). The mean MoM ‎for free β-HCG was significantly higher among pregnant women who often or always used canned ‎foods (p=0.024). Finally, the mean MoM for uE3 (1.85±1.30) was significantly higher among ‎pregnant women who never consumed greenhouse fruits (p=0.003).

CONCLUSION

It can be concluded that it is possible to reduce environmental exposures affecting hormonal abnormalities among pregnant women by improving nutritional patterns, minimizing the use of pesticides at home, and reducing the intake of canned foods and greenhouse fruits.

Effect of Organic Loading Rates on biodegradation of linear alkyl benzene sulfonate, oil and grease in greywater by Integrated Fixed-film Activated Sludge (IFAS)

In this study, performance of Integrated Fixed-film Activated Sludge (IFAS) system in treatment of Linear Alkylbenzene Sulfonate (LAS), and oil & grease in synthetic greywater and effect of Organic Loading Rates (OLRs) on removal efficiency within a period of 105 days were investigated. Present study was carried out in a pilot scale under such conditions as temperature of 30 ± 1 °C, dissolved oxygen of 2.32 ± 0.91 mg/l, pH of 8.01 ± 0.95 and OLRs of 0.11-1.3gCOD/L.d. Also, Scanning Electron Microscopy (SEM) images were employed to specify rate of the biofilm formed on the media inside the reactor IFAS. The best removal efficiency for COD, LAS and oil and grease were respectively obtained as 92.52%, 94.24% and 90.07% in OLR 0.44gCOD/L.d. The assessment of loading rate indicated that with increased OLR to 0.44gCOD/L.d, removal efficiency of COD, oil and grease was increased while with increased OLR, removal efficiency was decreased. In doing so, based on the statistical test ANOVA, such a difference between removal efficiencies in diverse OLRs was significant for COD (p = 0.003), oil and grease (p = 0.01). However, in terms of LAS, with increased value of OLR to 0.44gCOD/L.d, the removal efficiency was increased and then with higher OLRs, removal efficiency was slightly decreased that is insignificant (p = 0.35) based on the statistical test ANOVA. The SEM images also showed that the biofilm formed on the media inside IFAS reactor plays a considerable role in adsorption and biodegradation of LAS, and oil & grease in greywater. The linear relation between inlet COD values and rate of removed LAS indicated that the ratio of inlet COD (mg/L) to removed LAS (mg/L) was 0.4. Therefore, use of IFAS system for biodegradation of LAS, oil and grease in greywater can be an applicable option.

Effects of enriched environment on alterations in the prefrontal cortex GFAP- and S100B-immunopositive astrocytes and behavioral deficits in MK-801-treated rats

A plethora of studies have indicated that enriched environment (EE) paradigm provokes plastic and morphological changes in astrocytes with accompanying increments of their density and positively affects the behavior of rodents. We also previously documented that EE could be employed to preclude several behavioral abnormalities, mainly cognitive deficits, attributed to postnatal N-methyl-d-aspartate (NMDA) receptor antagonist (MK-801) treatment, as a rodent model of schizophrenia (SCH) aspects. Given this, the current study quantitatively investigated the number of cells, presumed to be astrocytes, expressing two astroglia-associated proteins (S100B and glial fibrillary acidic protein (GFAP)) by immunohistochemistry in the prefrontal cortex (PFC), along with anxiety and passive avoidance (PA) learning behaviors by utilizing elevated plus maze (EPM) and shuttle-box tests, in MK-801-treated male wistar rats submitted to EE and non-EE rats. Following a treatment regime of sub-chronic MK-801 (1.0mg/kg i.p. daily for five consecutive days from postnatal day (P) 6), S-100B-positive cells and anxiety level were markedly increased, while the GFAP-positive cells and PA learning were notably attenuated. The trend of diminished GFAP-immunopositive cells and elevated S100B-immunostained cells in the PFC was reversed in the SCH-like rats by exposure of animals to EE, commencing from birth up to the time of experiments on P28-85. Additionally, EE exhibited an ameliorating effect on the behavioral abnormalities evoked by MK-801. Overall, present findings support that improper astrocyte functioning and behavioral changes, reminiscent of the many facets of SCH, occur consequential to repetitive administration of MK-801 and that raising rat pups in an EE mitigates these alterations.

Changes of stress oxidative enzymes in rat mammary tissue, blood and milk after experimental mastitis induced by E. coli lipopolysaccharide

The present study investigated the effects of E. coli lipopolysaccharide (LPS) induced mastitis model in rat on the activity of antioxidant enzyme systems. To achieve this purpose, E. coli LPS were infused into the mammary gland of 12 rats 72 hr postpartum and compared with 12 rats in control group infused intramammary placebo sterile pyrogene - free, physiological saline. The antioxidant activities of the enzymes, superoxide dismutase, glutathione peroxidase, and catalase together with ‎‏malondialdehyde (MDA) level were assayed in blood serum, milk and mammary tissue. Results obtained showed that, the antioxidant enzyme activities in milk, blood serum and mammary tissue were significantly decreased while the level of MDA, the indicator of lipid peroxidation were significantly increased following intramammary inoculation of LPS compared to the control animals. Histopathological examination also revealed the infiltration of inflammatory cells in mammary tissue and disruption of acinar structure and acinar lumina in mastitic rats. The results indicated that E. coli LPS-induced ‎mastitis could alter antioxidant enzymes and increase lipid peroxidation.

Comparing the efficiency of Cyperus alternifolius and Phragmites australis in municipal wastewater treatment by subsurface constructed wetland

Nowadays, application of natural wastewater treatment systems such as wetland not only reduces economic costs and energy consumption, but also decreases environmental pollution. This study aimed to compare efficiency of Cyperus alternifolius and Phragmites australis in Municipal wastewater treatment by Subsurface Constructed Wetland Method. This is an applied-interventionnal study in which three reactors (control pilot, Cyperus alternifolius (umbrella palm) plant pilot and Phragmites australis (reed) plant pilot were designed by subsurface constructed wetland method. Then 90 samples were taken from input and output of reactors with four-day retention time. These samples were tested and finally the data were analyzed by Paired Sample Test statistical analysis. The results showed that removal efficiency of the parameters such as COD, BOD5, TSS, NO3-N, NH3-N, PO4-P, total coliform and fecal coliform was 74, 73, 84, 40, 36, 70, 33 and 38% in Cyperus alternifolius plant wetland, 44, 34, 77, 15, 0.3, 1, 17 and 26% in control wetland and 59, 54, 73, 6, 3, 10, 93 and 50 in Phragmites australis plant wetland, respectively. This reduction rate in all parameters- except fecal coliform- was statistically significant (p = 0.05). The results of this study showed that Cyperus alternifolius plant had higher efficiency in the removal of chemical parameters, whereas Phragmites australis plant had appropriate efficiency in the removal of microbiological parameters. Therefore, it can be concluded that application of these two plants can be effective in wastewater treatment.

Vancomycin-resistant Enterococcus faecalis from a wastewater treatment plant in Tabriz, Iran

The aim of this study was to determine the resistance pattern and the type of resistance genes of vancomycin-resistant Enterococcus faecalis from Gharamalek wastewater treatment plant in Tabriz, Iran. Following filtering of sewage samples, approximately 300 colonies grew on specific media, of which 53 were randomly selected and purified using 0.45 microm membranes. The membranes were placed on culture media containing antibiotics to isolate the vancomycin-resistant Enterococcus. Biochemical tests, antibiogram and determining minimum inhibitory concentration of antibiotics with E-test including vancomycin were performed. Polymerase Chain Reaction (PCR) was carried out to determine the type of resistance genes. All tested samples were found to be E. faecalis. Antimicrobial susceptibility tests indicated multidrug resistance in the samples, with 98% of them highly resistant to vancomycin. The highest frequency was of vanA (96%), followed by vanB (4%); vanC was not seen among the tested samples. The results confirmed that the risk of exposure to antibiotic-resistant pathogens from the evaluated urban wastewater is considerable.

The demand for pancreatic transplantation in New Jersey

Simultaneous kidney and pancreas transplantation is the accepted method of treatment in a selected group of type I diabetics with end-stage renal disease. In New Jersey, approximately 60 patients per year fall into this category and the number of patients is expected to increase rapidly.

Xanthogranulomatous pyelonephritis in a renal allograft

We report a case of xanthogranulomatous pyelonephritis in a cadaver kidney allograft. The patient had diabetic glomerulosclerosis. The predisposing factors that led to this condition included hyperglycemia, a previous rejection reaction and Escherichia coli urinary infection. Persistent fever, pyuria, bacilluria and a nonfunctioning allograft resulted in allograft nephrectomy. The diagnosis was made on histological examination. Diagnostic criteria for xanthogranulomatous pyelonephritis in the allografted kidney are similar to those in the native kidney.

An ultrastructural study of the development of afferent and efferent synapses on outer hair cells of the guinea pig organ of Corti

The guinea pig organ of Corti was studied using transmission electron microscopy, the second turn of the cochlea being examined at various ages between 20 days before birth and 30 days postnatal. Outer hair cells were examined at each of these ages. At all ages studied, the efferent (presynaptic) terminals are large and are packed with synaptic vesicles, whereas the afferent (postsynaptic) terminals are generally smaller, with a relatively small number of vesicles. During development, the subsynaptic cistern changes from a fragmented, diffuse profile extending over 50-70% of the length of the efferent contact zones, to a continuous, compact structure spanning neighbouring synapses. Synaptic vesicles in the efferent terminals are predominantly rounded in early development, flattened vesicles appearing postnatally. The synaptic bodies at afferent synapses do not change noticeably during development. Quantitative analysis revealed that the area of efferent terminals and the length of their active zone increase with increasing age, the same parameters decreasing in afferent terminals. Synaptic vesicles in the efferent terminals decrease in diameter, but remain constant in afferent terminals, with increasing age. The number of hair cell membrane invaginations decreases as development proceeds.

Air embolization during the machine preservation of kidney

Air embolization during machine preservation of kidneys for transplantation occurred in seven of 218 kidneys. In three it occured during transportation on a portable machine. On arrival they had warmed up and were discarded. In four kidneys air embolization occured in the laboratory and was detected immediately. Upon re-establishment of perfusion, there was a sharply lower flow and a higher diastolic pressure. Within 30 to 120 minutes the flow reached the pre-embolization rate and the diastolic pressure stabilized at a slightly higher level than before embolization. One recipient died 2 months after transplantation due to infection, and one kidney was removed because of rejection after 32 days. Two patients receiving the mates to the above kidneys were discharged with excellent kidney function. If the exact time of air embolization cannot be determined, it is prudent to discard the kidneys. This indicates the importance of continuous supervision during the perfusion. When air embolization occurs in the laboratory and is detected immediately, the kidney should be evaluated carefully. If, after correction of the defect, the perfusion and diastolic pressure reach the neighborhood of pre-embolization levels within 30 to 120 minutes with no patchy discoloration, the kidney is suitable for transportation. Discarding kidneys with air emboli without proper evaluation is not justifiable.