Metformin-modified polyethersulfone magnetic microbeads for effective arsenic removal from apatite soil leachate water.

Arsenic is the hazardous species and still is the global challenge in water treatment. Apatite soil is highly rich in arsenic species, and its mining presents various environmental issues. In this study, novel magnetic microbeads as adsorbent were developed for the elimination of hazardous arsenic ions from apatite soil's aqueous leachate before discharging into environment. The microbeads were fabricated with metformin polyether sulfone after being doped with zero-valent iron (Met-PES/ZVI). The microbeads were characterized using various techniques, including FTIR, XRD, SEM-EDX, VSM, and zeta potential analysis. The developed adsorbent demonstrated a significant elimination in arsenic in aqueous leachate, achieving 82.39% removal after 30 min of contact time, which further increased to 90% after 180 min of shaking. The kinetic analysis revealed that the pseudo-second-order model best represented the adsorption process. The intra-particle diffusion model indicated that the adsorption occurred in two steps. The Langmuir model (R2 = 0.991), with a maximum adsorption capacity of 188.679 mg g-1, was discovered to be the best fit for the experimental data as compared Freundlich model (R2 = 0.981). According to the thermodynamic outcome (ΔG < -20 kJ/mol), the adsorption process was spontaneous and involved physisorption. These findings demonstrate the potential of magnetic Met-PES/ZVI microbeads as an efficient adsorbent for the removal of arsenic from apatite soil aqueous leachate.

Tailoring the topology of ZIF-67 metal-organic frameworks (MOFs) adsorbents to capture humic acids.

Chlorination is a versatile technique to combat water-borne pathogens. Over the last years, there has been continued research interest to abate the formation of chlorinated disinfection by-products (DBPs). To prevent hazardous DBPs in drinking water, it is decided to diminish organic precursors, among which humic acids (HA) resulting from the decomposition and transformation of biomass. Metal-organic frameworks (MOFs) such as zeolitic imidazolate frameworks (ZIFs) have recently received tremendous attention in water purification. Herein, customized ZIF-67 MOFs possessing various physicochemical properties were prepared by changing the cobalt source. The HA removal by ZIF-67-Cl, ZIF-67-OAc, ZIF-67-NO3, and ZIF-67-SO4 were 85.6%, 68.9%, 86.1%, and 87.4%, respectively, evidently affected by the specific surface area. HA uptake by ZIF-67-SO4 indicated a removal efficiency beyond 90% in 4  90% after 60 min mixing the solution with 0.3 g L-1 ZIF-67-SO4. Notably, an acceptable removal performance (∼72.3%) was obtained even at HA concentrations up to 100 mg L-1. The equilibrium data fitted well with the isotherm models in the order of Langmuir> Hill > BET> Khan > Redlich-Peterson> Jovanovic> Freundlich > and Temkin. The maximum adsorption capacity qm for HA uptake by ZIF-67-SO4 was 175.89 mg g-1, well above the majority of adsorbents. The pseudo-first-order model described the rate of HA adsorption by time. In conclusion, ZIF-67-SO4 presented promising adsorptive properties against HA. Further studies would be needed to minimize cobalt leaching from the ZIF-67-SO4 structure and improve its reusability safely, to ensure its effectiveness and the economy of adsorption system.

Non-carcinogenic risk assessment of exposure to heavy metals in underground water resources in Saraven, Iran: Spatial distribution, monte-carlo simulation, sensitive analysis.

Groundwater aquifers are considered the second most abundant water supply for drinking water all over the world. In Iran, ground waters are commonly employed for drinking water, irrigation, and industrial purposes. Heavy metals (HMs) pose human concerns about the groundwater contamination; these pollutants are recognized to be capable of bio-accumulation, long persistence in the natural environment, and toxic effects. In the present research, the content of HMs: Chromium (Cr), Cadmium (Cd), and Lead (Pb) were detected in 89 water samples collected in 2018 by underground water supplies (active wells) of Saravan city. Hazard Quotient (HQ) and Monte Carlo Simulation approach with 10,000 repetitions were applied to discover the human non-carcinogenic impacts of HMs in four groups of ages (adults, teenagers, children, and infants) of consumers. The concentrations of Cr, Pb, and Cd were in the range of 0.49-20, 0.1 to 58.34, and 0.11-12.8 µg/L, respectively. The mean HQ calculated due to exposure to Pb (0.0018-0.0023), Cr (0.0112-0.0186), and Cd (0.0370-0.0615) were lower than one. The findings of sensitivity analysis revealed that HMs concentration had the most contribution effect on human non-carcinogenic risk analysis in four different exposed populations. This study could assist researchers to perform more comprehensive studies with more samples. Therefore, further research is required for decision-makers to plan proper measurements properly.

Nickel and iron-based metal-organic frameworks for removal of organic and inorganic model contaminants.

Metal-organic frameworks (MOFs) are a promising class of porous nanomaterials in the field of environmental remediation. Ni-MOF and Fe-MOF were chosen for their advantages such as structural robustness and ease of synthesis route. The structure of prepared MOFs was characterized using FE-SEM, XRD, FTIR, and N2 adsorption-desorption. The efficiency of MOFs to remove organic model contaminants (anionic Alizarin Red S (ARS) and cationic malachite green (MG) and inorganic fluoride was studied. Fe-MOF and Ni-MOF adsorbed 67, 88, 6% and 32, 5, and 9% of fluoride, ARS, and MG, respectively. Further study on ARS adsorption by Fe-MOF showed that the removal efficiency was high in a wide range of pH from 3 to 9. Moreover, dye removal was directly increased by adsorbent mass (0.1-0.75 g/L) and decreased by ARS concentration (25-100 mg/L). The pseudo-first-order kinetic model and Langmuir isotherm model with a qmax of 176.68 mg/g described the experimental data well. The separation factor, KL, was in the range of 0-1, which means the adsorption process was favorable. In conclusion, Fe-MOF showed remarkable adsorption of organic and inorganic model contaminants.

Association between heavy metals and colon cancer: an ecological study based on geographical information systems in North-Eastern Iran.

BACKGROUND: Colorectal cancer has increased in Middle Eastern countries and exposure to environmental pollutants such as heavy metals has been implicated. However, data linking them to this disease are generally lacking. This study aimed to explore the spatial pattern of age-standardized incidence rate (ASR) of colon cancer and its potential association with the exposure level of the amount of heavy metals existing in rice produced in north-eastern Iran. METHODS: Cancer data were drawn from the Iranian population-based cancer registry of Golestan Province, north-eastern Iran. Samples of 69 rice milling factories were analysed for the concentration levels of cadmium, nickel, cobalt, copper, selenium, lead and zinc. The inverse distance weighting (IDW) algorithm was used to interpolate the concentration of this kind of heavy metals on the surface of the study area. Exploratory regression analysis was conducted to build ordinary least squares (OLS) models including every possible combination of the candidate explanatory variables and chose the most useful ones to show the association between heavy metals and the ASR of colon cancer. RESULTS: The highest concentrations of heavy metals were found in the central part of the province and particularly counties with higher amount of cobalt were shown to be associated with higher ASR of men with colon cancer. In contrast, selenium concentrations were higher in areas with lower ASR of colon cancer in men. A significant regression equation for men with colon cancer was found (F(4,137) = 38.304, P < .000) with an adjusted R2 of 0.77. The predicted ASR of men colon cancer was - 58.36 with the coefficients for cobalt = 120.33; cadmium = 80.60; selenium = - 6.07; nickel = - 3.09; and zinc = - 0.41. The association of copper and lead with colon cancer in men was not significant. We did not find a significant outcome for colon cancer in women. CONCLUSION: Increased amounts of heavy metals in consumed rice may impact colon cancer incidence, both positively and negatively. While there were indications of an association between high cobalt concentrations and an increased risk for colon cancer, we found that high selenium concentrations might instead decrease the risk. Further investigations are needed to clarify if there are ecological or other reasons for these discrepancies. Regular monitoring of the amount of heavy metals in consumed rice is recommended.

Evaluation of epilepsy and burn patterns in a tertiary hospital in southwestern Iran.

PURPOSE: Based on the high rates of burn injuries in patients with epilepsy, it is crucial to evaluate the epidemiological factors, etiology, types of burns, and outcome of these certain individuals and to enhance knowledge about the possible risks of epilepsy-related burns by preventive actions and programs. METHOD: Our retrospective study was carried out from September 2013 to February 2017 in Amir-al Momenin Hospital, a tertiary referral burns and plastic surgery healthcare center. Because of the fact that a number of patients with burns had experienced their trauma at the time of convulsion or in postconvulsion phase, it is necessary to evaluate the outcome, burn patterns, etiology of injury, and related epidemiological factors in order to develop a greater understanding of possible risks of epilepsy-related burns by preventive actions and programs. RESULT: In our study, 2715 patients who referred to burn centers and hospitalized with a mean age of 26.838 (standard deviation (SD) = 21.186) were enrolled, in which 29 patients were involved in burn accidents due to epilepsy and seizure, resulting in a 1.1% epilepsy incidence in these individuals. In patients with seizure disorder, there was a mean rate of 5.8 (SD = 1.923) cases per year. Eighteen (62.1%) were male, and 11 (37.9%) were female. There were no cases of seizure-induced burn injury in pediatrics (<15 years) in our study. Among the patients with seizure-induced burns, 11 (out of 1101; 37.9%) were from rural areas, while 18 (out of 1570; 62.1%) were from urban locations. The occurrence of accidents due to seizure was also categorized based on the season, with the highest occurrence during winter (12 out of 683; 41.4%) and lowest during spring (3 out of 659; 10.3%). The mechanism of burn in patients with seizures was also documented, in which 12 (41.4%) were due to liquid, 12 (41.4%) due to fire, 1 (3.4%) due to explosion, and 1 (3.4%) due to other objects. Out of patients with seizure-induced burns, 21 (72.4%) were discharged, 2 released with their own will, 1 was transferred, and 5 (17.2%) died in the course of hospitalization. CONCLUSION: This study demonstrates that burn injuries by epilepsy are a public health concern in low- and middle-income countries. Therefore, we suggest the execution of a strong national epilepsy preventive actions and programs, as well as proper education for both medical practitioners and patients of the possible dangers as part of an injury control program.

Suicide by self-immolation in southern Iran: an epidemiological study.

BACKGROUND: Self-immolation, as a method of suicide, is one of the most violent and extreme ways which is usually attempted by the ignition of inflammable materials, with more than 70% fatality rate. In the literature, Iran has been reported to have a high rate of self-immolation; therefore, this study aimed to evaluate the prevalence and epidemiological features of self-immolated patients. METHODS: In this retrospective cross-sectional multicenter study, data from burn patients from 2007 till 2017 due to self-immolation and suicide were enrolled in our study. RESULTS: Based on our data, 657 out of 3530 burn patients (18.6%) with a mean age of 31.15 (SD = 0.452) were documented as suicidal attempts; the majority were female (63.2%) and married (66.3%). Most of the patients were from rural areas (58.3%) with an education level of under diploma (63.2%). Of the patients in our study, 22 (8.7%) had comorbid systemic diseases and 115 (50.5%) had psychiatric disorders. CONCLUSION: Due to the high prevalence of suicide by self-immolation among the Iranian population, further studies to evaluate the risk factors and clarify the high-risk group for more targeted approaches are recommended.

Assessment of groundwater quality around municipal solid waste landfill by using Water Quality Index for groundwater resources and multivariate statistical technique: a case study of the landfill site, Qaem Shahr City, Iran.

Groundwater is a precious natural water resource which can be considered as an available and safe source of water for domestic uses. In some cities in northern Iran, groundwater is being polluted due to various human activities. In this regard, the located municipal solid waste landfills close to these areas without the requested controls regarding the landfill leachate and gas emission are among the major sources of environmental pollution, which are deteriorating groundwater quality around landfill sites. In this context, the current study was aimed to assess the quality of collected groundwater samples around a landfill site using the modified Water Quality Index for groundwater resources (WQIG). Also, the water quality map has been prepared by using WQIG in GIS environment. Therefore, thirty-three groundwater samples were collected and analyzed around 11 water wells close to the landfill site. Variety of physicochemical parameters including nitrate (NO3), fecal coliform, sodium absorption ratio (SAR), electrical conductivity, biological oxygen demand (BOD5), phosphate (PO4), total dissolved solids, dissolved oxygen, pH were assessed in groundwater samples based on recommended standard methods by American Public Health Association (APHA). Geostatistics analysis including Kriging, semi-variogram, and variogram methods also was used to evaluate the spatial variations in the variables and to provide the necessary data for further interpolation. According to the results of WQIG, most of the groundwater wells (98.85%) are polluted due to the existing of the landfill site in the investigated area. Generally speaking, based on the WQIG the water samples were defined as not suitable for drinking applications. Also, the high concentrations of nitrate and hardness in the downstream wells (W1-W11) of the landfill were demonstrated by the results of Kriging assay which can be correlated with the penetration of leachate into these wells. Considering the SAR results, all wells in the studied area are classified as (C3S1) that means the groundwater of this area is suitable for agricultural approaches. Moreover, the reduction in the water quality from the south to the north and northeast was demonstrated by the results of spatial dispersion. Evaluation of the changes in water quality near landfill sites showed that 2149.56 m2 of total area had a relatively poor potential for the region's groundwater recharge.

Healing potential of injectable Aloe vera hydrogel loaded by adipose-derived stem cell in skin tissue-engineering in a rat burn wound model.

Adipose stem cells (ASCs) are a great promise in wound healing due to their potential in differentiating into various cell lineages and secreting growth factors. The purpose of this study is to evaluate the in vivo effects of Aloe vera hydrogel loaded by allogeneic ASCs on a rat burn wound model. The ASCs were isolated, cultured and mixed with 50% Aloe vera hydrogel and injected intradermally around the wound. Demineralized bone matrix (DBM) was used as dressing in the experiment. The burn wound-healing properties of different experimental groups were investigated by histopathological, molecular, scanning electron microscopic and biochemical analysis at the 7th, 14th and 28th days post-wounding. The Aloe vera and DBM-Aloe vera groups showed almost similar healing properties, while treatment by DBM-Aloe vera/ASCs significantly enhanced wound healing. The levels of transforming growth factor-ß1 (TGF-ß1) and interleukin-1ß markedly decreased at the 7th day post-injury, in the DBM-Aloe vera/ASC-treated group, suggesting that this treatment regime subsided the inflammatory responses. Angiogenesis, re-epithelialization and the level of TGF-ß1 in the wounds treated with DBM-Aloe vera/ASCs were also remarkably higher than those of other groups, at the 14th day post-injury. Besides, scar formation significantly decreased in the DBM-Aloe vera/ASC-treated wounds when compared with other groups. Our biochemical results were in agreement with the molecular and histopathological findings and strongly demonstrated that a DBM-Aloe vera/ASC composite can stimulate burn wound healing. These results suggest that the DBM-Aloe vera/ASC composite can be considered as a promising therapeutic strategy in the treatment of burn wounds.

Distribution of fluoride contamination in drinking water resources and health risk assessment using geographic information system, northwest Iran.

This paper considers exposure to the concentration of fluoride in drinking water resources of Showt city in West Azerbaijan Province in, Iran, and its related potential health risk assessment issues to the resident populations. For this purpose, 88 drinking water samples were analyzed in 2016 by using the spectrophotometric method. Non-carcinogenic health risks due to F exposure through consumption of drinking water were assessed using the US EPA method. In addition, the associated zoning maps of the obtained results were presented using a geographic information system (GIS). The results indicated that fluoride concentration in drinking water ranged from 0.0 to 5.5 mg L-1 of the study area. Based on this research, 36.36% of the samples had a fluoride level higher than the permissible level, 13.63% had less than the permissible limit, and 50% of the samples had a level within the optimum limit of 0.5-1.5 mg L-1. The Hazard Quotient index (HQ) for children, teenager and adults had health hazards (HQ > 1) in 54.55%, 31.82%, and 22.73% of samples, respectively. Groundwater resources having a risk of more than one were located in the villages of Khilajajam, Kolos, and Shorboulagh. So, in these study areas, there are potential risks of dental and skeletal fluorosis.

Estimate the effective dose of gamma radiation in Iran cities: lifetime cancer risk by Monte Carlo simulation model.

Background radiation can be different in both indoor and outdoor places. Background radiation is always in the environment, and all people in the community are constantly exposed to it. The most important source of exposure to gamma ray is natural radionuclides. Gamma rays can have harmful effects on the human body. The purpose of this study was to evaluate the health risk of gamma-ray exposure and to simulate using the Monte Carlo simulation. In this study, gamma-ray data were extracted from the studies carried out at intervals January 1, 2000, to December 31, 2018. Iranian and international databases were used to search for the articles. A total of 11 studies were found. To determine the health effects of gamma-ray radiation, the annual effective dose and excess lifetime cancer risk were calculated. To determine the uncertainty, a health risk assessment was conducted via Monte Carlo simulation. In outdoor, the mean, highest, and lowest absorbed dose of gamma ray were 117.82 nSv/h, 295.17 nSv/h, and 49 nSv/h, respectively. Ardabil Province and Chaharmahal and Bakhtiari Province have the highest and lowest gamma ray concentrations, respectively. In indoor, the mean, highest, and lowest absorbed dose of gamma ray were 118.22 nSv/h, 141 nSv/h, and 60.2 nSv/h, respectively. The last column, the mean, maximum, and minimum of excess lifetime cancer risk values for gamma-ray radiation were 2.45E-3, 4.17E-3, and 4.61E-4, respectively.

Association of consumption of excess hard water, body mass index and waist circumference with risk of hypertension in individuals living in hard and soft water areas.

Chronic exposure to soft drinking water increases the risk of hypertension. We conducted a cross-sectional study in 2017 in two study areas in the Poldasht County to assess the relation of hardness, body mass index and waist circumference with risk of hypertension. Total water hardness was measured by gravimetric methods. Hardness of > 180 ppm was considered to be hard drinking water. The Shiblu and Gharghologh areas had a four times higher mean total hardness level in drinking water (968.69 mg/L as CaCO3) than the Sarisoo and Agh Otlogh (180 mg/L as CaCO3) areas. According to the results of the study, the prehypertension prevalence in areas with high and low water hardness was calculated as 23.15% (18.11-29.15) and 46.84% (37.61-57.64), respectively. Moreover, the result showed the prevalence of hypertension and prehypertension was higher in regions with low hardness than those with high hardness, which was statistically significant (P < 0.001). The results of logistic regression showed that age, body mass index, waist circumference and hardness of drinking water were significantly related to hypertension. Accordingly, hypertension was low in people of regions with high hardness (OR 0.26, 0.17-0.42). This report examined whether total hardness in drinking water was protective against hypertension. This is an important finding for the ministry of human health as well as for the water and sewage company.

The Effects of Selenium Supplementation on Glucose Metabolism and Lipid Profiles Among Patients with Metabolic Diseases: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

This systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to summarize the effect of selenium administration on glucose metabolism and lipid profiles among patients with diseases related to metabolic syndrome (MetS). We searched the following databases up to May 2017: MEDLINE, EMBASE, Web of Science, and Cochrane Central Register of Controlled Trials. The relevant data were extracted and assessed for quality of the studies according to the Cochrane risk of bias tool. Data were pooled using the inverse variance method and expressed as standardized mean difference (MDs) with 95% confidence intervals (95% CI). Five studies were included in the meta-analyses. The results showed that selenium supplementation significantly reduced insulin levels (SMD -0.42; 95% CI, -0.83 to -0.01) and increased quantitative insulin sensitivity check index (QUICKI) (SMD 0.83; 95% CI, 0.58 to 1.09). Selenium supplementation had no beneficial effects on other glucose homeostasis parameters, such as fasting plasma glucose (FPG) (SMD -0.29; 95% CI, -0.73 to 0.15), homeostasis model assessment of insulin resistance (HOMA-IR) (SMD -0.80; 95% CI, -1.58 to -0.03), and lipid profiles, such as triglycerides (SMD -0.42; 95% CI, -0.83 to -0.01), VLDL- (SMD -0.42; 95% CI, -0.83 to -0.01), total- (SMD -0.42; 95% CI, -0.83 to -0.01), LDL- (SMD 0.02; 95% CI, -0.20 to 0.24), and HDL-cholesterol (SMD 0.16; 95% CI, -0.06 to -0.38). Overall, this meta-analysis showed that selenium administration may lead to an improvement in insulin and QUICKI, but did not affect FPG, HOMA-IR, and lipid profiles.

The effects of selenium supplementation on biomarkers of inflammation and oxidative stress in patients with diabetic nephropathy: a randomised, double-blind, placebo-controlled trial.

This study was carried out to assess the effects of Se supplementation on biomarkers of inflammation and oxidative stress in patients with diabetic nephropathy (DN). This randomised, double-blind, placebo-controlled clinical trial was conducted among sixty patients with DN. Patients were randomly divided into two groups to take either 200 µg/d Se supplements as Se yeast (n 30) or placebo (n 30) for 12 weeks. In unadjusted analyses, compared with the placebo, Se supplementation led to a significant reduction in high-sensitivity C-reactive protein (hs-CRP) (-1069·2 (sd 1752·2) v. -135·3 (sd 1258·9) ng/ml, P=0·02), matrix metalloproteinase-2 (MMP-2) (-612·3 (sd 679·6) v. +76·0 (sd 309·1) ng/ml, P<0·001) and plasma malondialdehyde (MDA) concentrations (-0·1 (sd 0·7) v. +0·4 (sd 0·9) µmol/l, P=0·01). In addition, a significant increase in plasma total antioxidant capacity (TAC) (+174·9 (sd 203·9) v. +15·8 (sd 382·2) mmol/l, P=0·04) was observed following supplementation with Se compared with the placebo. Subjects who received Se supplements experienced a borderline statistically significant decrease in serum protein carbonyl (PCO) levels (P=0·06) compared with the placebo. When we adjusted the analysis for baseline values of biochemical parameters, age and BMI, serum hs-CRP (P=0·14) and MDA levels (P=0·16) became non-significant, whereas plasma nitric oxide (NO) (P=0·04) and glutathione (GSH) (P<0·001) became statistically significant, and other findings did not change. Supplementation with Se had no significant effect on NO, transforming growth factor ß (TGF-ß), advanced glycation end products (AGE), PCO and GSH compared with the placebo. Overall, our study demonstrated that Se supplementation among DN patients had favourable effects on serum MMP-2, plasma NO, TAC and GSH, but did not affect hs-CRP, TGF-ß, AGE, PCO and MDA.

The effects of vitamin D, K and calcium co-supplementation on carotid intima-media thickness and metabolic status in overweight type 2 diabetic patients with CHD.

This study was conducted to examine the effects of vitamin D, K and Ca co-supplementation on carotid intima-media thickness (CIMT) and metabolic status in overweight diabetic patients with CHD. This randomised, double-blind, placebo-controlled trial was conducted among sixty-six diabetic patients with CHD. Participants were randomly allocated into two groups to take either 5µg vitamin D, 90 µg vitamin K plus 500 mg Ca supplements (n 33) or placebo (n 33) twice a day for 12 weeks. Fasting blood samples were obtained at the beginning of the study and after the 12-week intervention period to determine related markers. Vitamin D, K and Ca co-supplementation resulted in a significant reduction in maximum levels of left CIMT (-0·04 (sd 0·22) v. +0·04 (sd 0·09) mm, P=0·02). Changes in serum vitamin D (+6·5 (sd 7·8) v. +0·4 (sd 2·2) ng/ml, P<0·001), Ca (+0·6 (sd 0·3) v. +0·1 (sd 0·1) mg/dl, P<0·001) and insulin concentrations (-0·9 (sd 3·1) v. +2·6 (sd 7·2) µIU/ml, P=0·01), homoeostasis model for assessment of estimated insulin resistance (-0·4 (sd 1·2) v. +0·7 (sd 2·3), P=0·01), ß-cell function (-2·1 (sd 9·0) v. +8·9 (sd 23·7), P=0·01) and quantitative insulin sensitivity check index (+0·007 (sd 0·01) v. -0·006 (sd 0·02), P=0·01) in supplemented patients were significantly different from those in patients in the placebo group. Supplementation resulted in significant changes in HDL-cholesterol (+2·7 (sd 7·0) v. -2·5 (sd 5·7) mg/dl, P=0·002), high-sensitivity C-reactive protein (-1320·1 (sd 3758·3) v. +464·0 (sd 3053·3) ng/ml, P=0·03) and plasma malondialdehyde concentrations (-0·4 (sd 0·5) v. -1·0 (sd 1·1) µmol/l, P=0·007) compared with placebo. Overall, vitamin D, K and Ca co-supplementation for 12 weeks among diabetic patients with CHD had beneficial effects on maximum levels of left CIMT and metabolic status. The effect of vitamin D, K and Ca co-supplementation on maximum levels of left CIMT could be a chance finding.

The effects of probiotics on mental health and hypothalamic-pituitary-adrenal axis: A randomized, double-blind, placebo-controlled trial in petrochemical workers.

OBJECTIVE: The aim of this study was to determine effects of probiotic yogurt and multispecies probiotic capsule supplementation on mental health and hypothalamic-pituitary-adrenal axis in petrochemical workers. METHODS: The present randomized double-blind, placebo-controlled trial was conducted on 70 petrochemical workers. Subjects were randomly divided into three groups to receive 100 g/day probiotic yogurt + one placebo capsule (n = 25) or one probiotic capsule daily + 100 g/day conventional yogurt (n = 25) or 100 g/day conventional yogurt + one placebo capsule (n = 20) for 6 weeks. Mental health parameters including general health questionnaire (GHQ) and depression anxiety and stress scale (DASS) scores were measured. Fasting blood samples were obtained at the beginning and 6 weeks after the intervention to quantify hypothalamic-pituitary-adrenal axis. RESULTS: After 6 weeks of intervention, a significant improvement of GHQ was observed in the probiotic yogurt (18.0 ± 1.5 vs. 13.5 ± 1.9, P = 0.007) and in the probiotic capsule group (16.9 ± 1.8 vs. 9.8 ± 1.9, P = 0.001), as well as a significant improvement in DASS scores in the probiotic yogurt (23.3 ± 3.7 vs. 13.0 ± 3.7, P = 0.02) and the probiotic capsule group (18.9 ± 3.2 vs. 9.4 ± 4.0, P = 0.006). However, there was no significant improvement in the conventional yogurt group (P = 0.05 for GHQ and P = 0.08 for DASS). DISCUSSION: The consumption of probiotic yogurt or a multispecies probiotic capsule had beneficial effects on mental health parameters in petrochemical workers.

Effect of burn sites (upper and lower body parts) and gender on extensive burns' mortality.

Our recent literature survey indicated a lack of clinical assessment of the influence of gender and site of burn injury on the outcome of patients with extensive burns. This report examines the effect of burn sites and gender on extensive burns' mortality. Data was gathered from 283 patients with burns larger than 65% of the total body surface area (TBSA) above the belt line or below the belt line; and without underlying diseases and inhalation burn injury. Patients were classified according to gender, site of injury (upper and lower body parts) and hospital stay period. Mortality rates of each category were then compared with each other. The hospital stay period in the female group was significantly higher compared with the male group (P<0.001) and the mortality rate among the female patients was higher compared with the male patients (P=0.004). Although the mortality rate in lower body part of the male group was significantly higher in comparison with the upper body part burn (P=0.001), there was no difference in mortality rate of upper versus lower body part in the female group. The mortality rate was generally higher among the female patients. Additionally, higher mortality rate was observed among male patients with lower body part burn compared with injuries of male patients with upper body part burn.

Knowledge of burn wound healing: the heritage from traditional pharmacy of Persia.

The traditional pharmacy of Persia is based on numerous ancient manuscripts written by the elites of medicine and pharmacy. These references which belong to different centuries (mostly from the 9th to 19th century) represent vast information about pharmaceutical and therapeutic knowledge. Studying these works could be valuable in revealing the hidden parts of the history of science, especially pharmacy and medicine. Also, modernisation of the methods of treatment and the majority of formulations seems to be possible. It is obvious that setting ancient experiences besides recent studies makes pharmacists and physicians more powerful. This review aims to introduce traditional knowledge about different treatments for burn wounds which has been extracted from various Persian manuscripts.