Hair and urinary 2-hydroxynaphthalene levels in the people living in a region with frequent oil pipeline incidents in Iran: Health risk assessment.

Oil spills from pipeline accidents can have long-lasting health effects on residents of polluted regions. Assessing the potential health risk of these accidents is crucial for effective environmental health management. This study analyzed the concentration of 2-OHNAP in urine and hair as biomarkers of PAHs exposure among the people living in a region with frequent oil pipeline incident in Iran. Fifty pairs of hair and urine samples were collected from residents along with demographic information and dietary habits via a questionnaire. The concentration of 2-OHNAP was analyzed using high performance liquid chromatography coupled with fluorescence detector (HPLC-FLD). 2-OHNAP was detected in 100% of urine and 88% of hair samples. The mean concentration of 2-OHNAP in urine was 16.65 ± 21.98 µg/g creatinine and in hair was 8.16±7.62 ng/g dry weight (dw). However, there was no significant correlations between the levels of 2-OHNAP in urine and hair. The mean values of HQ and CR were below 1 and 10-6, respectively. Moreover, some simulated health risk indices were near the threshold levels, and the carcinogenic risk above 70% of the simulated CRs was above 10-6 as well. Therefore, the health risk attributed to the exposure to the parent compound of 2-OHNAP in the study area is currently acceptable, but it is not negligible and may be worsened in the future. This study provides a valuable scientific information for regional decision makers and stakeholders about human health programs and identification of environmental health priorities.

Co-occurrence of polycyclic aromatic hydrocarbons and heavy metals in various environmental matrices of a chronic petroleum polluted region in Iran; Pollution characterization, and assessment of ecological and human health risks.

Oil spills from pipeline accidents can result in long-lasting health effect in the people living in a polluted region . In this study, the level of the 16 US EPA priority polycyclic aromatic hydrocarbons (PAHs ) and heavy metals (HMs) have been analyzed in environmental matrices of a region with frequent oil pipeline accidents in Iran . The results showed that the mean concentration of ΣPAHs and ΣHMs decreased from the upstream to the downstream and also the levels were higher in the wet season than those in the dry season. The average concentration of HMs in sediments was higher than that in other environments. The 3-ring and 4-ring PAHs were dominant in all of the studied matrices with the average values of 32.61 % and 45.85 %, respectively. The ecological risks of PAHs and HMs were medium and high in all matrices, respectively. In wet season, the total cancer risk (TCR) related to PAHs in agricultural soil was greater than 10-4, whereas it's very close to the threshold for HMs in water. This study offers a reference for assessing the long-term impact of oil spills in contaminated environmental matrices. The results are crucial for developing effective strategies to mitigate oil pollution impacts and protect environmental and public health.

Human health risk assessment of toxic heavy metals in summer crops and vegetables: a study in Ilam Province, Iran.

Purpose: The presence of toxic heavy metals (HMs) in agricultural crops can be considered as a noteworthy threat for consumers. The aim of this study was to assess the content of HMs (Pb, As, Cr, Cd, Co, Hg, and Ag) and their potential health risk in summer crops and vegetables (watermelon, cantaloupe, cucumber, melon, tomato, onion, potato, raw and stewed vegetables) in Ilam province, Iran. Methods: Totally, 31 crop samples were collected from local farms during the 2019 harvest season and the elements content were evaluated using inductively coupled plasma-mass spectrometry (ICP-MS). The non-carcinogenic health risk of HMs to the adults and children was estimated by Monte Carlo simulation method and target hazard quotients (THQs). Results: In general, the results showed that the concentration of Cr in the studied agricultural crops was higher than other HMs. As well as, the carcinogenic risk (CR) obtained for adults and children were more than the acceptable range for As. Also, CR for As in raw vegetable was the most ( 8.19E-1) and violated the threshold risk limit. The total carcinogenic risk of HMs in children was higher than that in adults. Conclusion: These results suggest that the agricultural crops were not safe for human consumption with potential risks associated. Due to the possible health effects of such products consumption, proper action should be taken to avoid chronic exposure, prevention of further pollution and consequent adverse health implications.

Cerebellar granule cell migration and folia development require Mllt11/Af1q/Tcf7c.

The organization of neurons into distinct layers, known as lamination, is a common feature of the nervous system. This process, which arises from the direct coupling of neurogenesis and neuronal migration, plays a crucial role in the development of the cerebellum, a structure exhibiting a distinct folding cytoarchitecture with cells arranged in discrete layers. Disruptions to neuronal migration can lead to various neurodevelopmental disorders, highlighting the significance of understanding the molecular regulation of lamination. We report a role Mllt11/Af1q/Tcf7c (myeloid/lymphoid or mixed-lineage leukemia; translocated to chromosome 11/All1 fused gene from chromosome 1q, also known as Mllt11 transcriptional cofactor 7; henceforth referred to Mllt11) in the migration of cerebellar granule cells (GCs). We now show that Mllt11 plays a role in both the tangential and radial migration of GCs. Loss of Mllt11 led to an accumulation of GC precursors in the rhombic lip region and a reduction in the number of GCs successfully populating developing folia. Consequently, this results in smaller folia and an overall reduction in cerebellar size. Furthermore, analysis of the anchoring centers reveals disruptions in the perinatal folia cytoarchitecture, including alterations in the Bergmann glia fiber orientation and reduced infolding of the Purkinje cell plate. Lastly, we demonstrate that Mllt11 interacts with non-muscle myosin IIB (NMIIB) and Mllt11 loss-reduced NMIIB expression. We propose that the dysregulation of NMIIB underlies altered GC migratory behavior. Taken together, the findings reported herein demonstrate a role for Mllt11 in regulating neuronal migration within the developing cerebellum, which is necessary for its proper neuroanatomical organization.

A Rare Case of Humerus Synovial Sarcoma Originated from Bone Tissue: Case Report.

Synovial sarcoma (SS) is a malignant mesenchymal neoplasm that is relatively common in the distal extremities. Primary SS of bone is an extremely rare finding. Here in this report, we present a 44-year-old male patient referred with bone and later bone fracture that was finally diagnosed with primary SS of thumerus. So far, 13 documented cases of primary SS of the bone have been reported. The current case is the second known case of primary SS of humerus. Our case was treated with both neoadjuvant and adjuvant chemotherapies associated with surgical tumor removal and prosthesis implantation. Follow-up of the case demonstrated significant remission but with late metastasis and subsequent advanced chemotherapy regimens.

Level of air BTEX in urban, rural and industrial regions of Bandar Abbas, Iran; indoor-outdoor relationships and probabilistic health risk assessment.

This study focused on the measurement of BTEX (benzene, toluene, ethylbenzene and xylene) concentrations in the air of various regions and indoor-outdoor environments in Bandar Abbas, Iran. Air samples were taken actively and analyzed by gas chromatography-mass spectrometry (GC-MS) during two one-month periods i.e., Feb 2020 (period I) and Sep/Oct 2020 (period II). The mean air temperature and the levels of all BTEX compounds were higher in period II. The highest total BTEX (t-BTEX) levels (median [min-max]) were found in the urban region (18.00 [5.21-67.24] µg m-3), followed by industrial region (7.00 [2.05-14.76] µg m-3) and rural region (2.81 [ND-7.38] µg m-3). The significant positive correlations between all BTEX compounds and T/B ratio >1 indicated the vehicular traffic as the main source of emission. At 95th percentile probability, the non-cancer risk of t-BTEX in urban region was only less than one order of magnitude below the threshold level of unity (1.91E-01) and the cancer risk of benzene exceeded the recommended level of 1.0E-06 by U.S. EPA in urban (7.69E-06) and industrial (2.97E-06) regions. It was found that the indoor/outdoor ratio of BTEX concentration in beauty salon and hospital was greater than 1. Overall, the current levels of BTEX in the ambient air of study area, especially near urban roadside and in some indoor environments, should not be overlooked and appropriate mitigation actions should be undertaken.

Metformin pretreatment rescues olfactory memory associated with subependymal zone neurogenesis in a juvenile model of cranial irradiation.

Cranial irradiation (IR) is an effective adjuvant therapy in the treatment of childhood brain tumors but results in long-lasting cognitive deficits associated with impaired neurogenesis, as evidenced in rodent models. Metformin has been shown to expand the endogenous neural stem cell (NSC) pool and promote neurogenesis under physiological conditions and in response to neonatal brain injury, suggesting a potential role in neurorepair. Here, we assess whether metformin pretreatment, a clinically feasible treatment for children receiving cranial IR, promotes neurorepair in a mouse cranial IR model. Using immunofluorescence and the in vitro neurosphere assay, we show that NSCs are depleted by cranial IR but spontaneously recover, although deficits to proliferative neuroblasts persist. Metformin pretreatment enhances the recovery of neurogenesis, attenuates the microglial response, and promotes recovery of long-term olfactory memory. These findings indicate that metformin is a promising candidate for further preclinical and clinical investigations of neurorepair in childhood brain injuries.

Heavy metal pollution of road dust in a city and its highly polluted suburb; quantitative source apportionment and source-specific ecological and health risk assessment.

Sources of heavy metals (As, Cd, Co, Cr, Cu, Mn, Ni, Pb and Zn) in the road dust of Bandar Abbas city, Iran, and its west suburb were apportioned and the related source-specific ecological and health risks were assessed. The level of heavy metal pollution and the related ecological risk for suburban road dust (suburban RD) were far higher than those of urban RD. Accordingly, probabilistic health risk assessment showed no significant health risk in urban region but significant health risk in the suburb, especially for As with cancer risk above 10-4. Source apportionment using positive matrix factorization (PMF) identified lithogenic source (45.9%) and traffic emission (47.6%) as the main sources of heavy metals in urban and suburban regions, respectively. However, the industrial/construction activities showed the main contribution in ecological risk in both regions. On the other hand, the health risks in urban and suburban regions were mainly attributed to lithogenic source (49.7% for non-cancer risk and 36.8% of cancer risk) and traffic emission (69.4% of non-cancer risk and 46.6% of cancer risk), respectively. The sensitivity analysis showed that the Pb and As originated from traffic emission had the most impact on the non-cancer and cancer risks, respectively, in the suburb. Therefore, this study highlighted the concern about traffic emission as a critical heavy metal source in the road dust of Bandar Abbas suburb.

Favorable outcome of extended curettage for the treatment of unifocal chronic sclerosing osteomyelitis of clavicle: a case series.

BACKGROUND: Chronic sclerosing osteomyelitis (CSO) of the clavicle, especially its unifocal subset, is scarcely reported, and little is known about its characteristic features and treatment. We aim to describe the characteristic features and outcome of treatment in a series of patients with unifocal CSO of the clavicle. MATERIALS AND METHODS: In a retrospective study, we identified 6 patients with a diagnosis of unifocal CSO of the clavicle. All patients underwent a core needle biopsy, and histologic examination confirmed the diagnosis. Laboratory investigations included the white blood cell count, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) level, and bacteriologic culture. We used plain radiographs, computed tomography scanning, and magnetic resonance imaging for the radiologic evaluation. RESULTS: The median age of the patients was 16.5 years (range, 10-29 years). The ESR and CRP level were elevated in 5 cases. The bacterial culture results were negative in all cases. Sclerosis was the main radiologic symptom. Other radiologic features such as bone expansion, cystic change, periosteal reaction, cortex destruction, and soft-tissue edema could accompany sclerosis. Anti-inflammatory medications temporarily and slightly reduced the symptoms. Four patients underwent extended curettage, in whom the clinical, radiologic, and laboratory symptoms considerably subsided. In the 2 patients who did not agree to undergo surgical intervention, the clinical and radiologic symptoms fluctuated at the follow-up visits. CONCLUSION: Unifocal CSO of the clavicle is associated with negative bacterial culture results, but the ESR and CRP level are frequently elevated. The symptoms fluctuate if not adequately treated. Extended curettage could be regarded as the treatment of choice.

No difference between wound closure in extension or flexion for range of motion following total knee arthroplasty: a randomized clinical trial.

PURPOSE: Total knee arthroplasty (TKA) is one of the most common surgeries performed in orthopedics. The null hypothesis of the present study was that wound closure in extension or flexion does not have any impact on range of motion (ROM) and clinical outcome after TKA. MATERIALS AND METHODS: This study was a double-blind prospective randomized clinical trial performed at Kashani Hospital. From 2011 to 2012, eligible patients were consecutively enrolled in the study and randomly assigned in two groups. Soft tissue was repaired in 90° flexion in the first group and in full extension position in the second group. The primary outcome of this study was the flexion ROM after 12 months. Secondary outcome was the knee flexion ROM that was evaluated in the first, second, and fourth week and also 6 months after TKA. The other secondary outcome was the knee society score (KSS) that was evaluated before the surgery and after 12 months. RESULTS: Of the 85 eligible patients who completed the study, 44 were assigned to extension group and 41 to flexion group. There was no significant difference between demographic variables in the study (n.s). There were no significant differences in ROM between the study groups (n.s). There was no significant difference in KSS between study groups before and after the study period (n.s). CONCLUSION: It is concluded that wound closure in flexion or extension position after TKA does not affect postoperative flexion ROM and KSS. LEVEL OF EVIDENCE: I.