Riparian Soil Pollution Caused by Sediment Metal Transport: Seasonal Changes and Ecological Risk Assessment.

The accumulation of pollutants in the sediment along surface water may negatively affect riparian zones and increase ecological risk. This article investigates the effects of metal sediments on riparian soil via field monitoring and ICP-OES analysis. To this end, pollution levels, seasonal changes, and potential sources of the pollutants were determined for the Melen River watershed, Turkey. The ecological statuses (contamination factor, enrichment factor, index of geo-accumulation, pollution index, modified pollution index, and potential and modified ecological risk indexes) of the watershed were also analyzed. Although no significant seasonal differences in the metal sediments were observed, their spatial distribution in the sediments and riparian soils varied markedly. Cr (11.4 to 136), Co (7.7 to 21.52), Cu (11.4 to 76.6), and Ni (14.06 to 128.2) recorded as mg/kg significantly increased from the upstream to the downstream. The metals possessing the highest risk in the sediment and riparian soil regarding the river health were Cu, Co, and Ni. The risk values were found to be heavily polluted (PI > 3 and MPI > 10), and the risk indexes were above the "desired environment without the risk". The risk index was found to be more than 50, and the modified risk indexes exceeded 200 at many points. The transportation of pollutants in surface water became evident in the sediment, resulting in adverse effects on the riparian zone and the ecological system.

Human health risk assessment of dissolved metals in groundwater and surface waters in the Melen watershed, Turkey.

Determination of metal risk levels in potable water and their effects on human health are vital in assessment of water resources. Risk assessment of metals to human health in a watershed, which has not been studied before, is the main objective of the present study. Surface and groundwater sampling was carried out between September 2010 and August 2011 in the Melen Watershed, Turkey, an important drinking water resource for millions of people. Metals were analyzed in the laboratory using inductively coupled plasma. Of the 26 different metals monitored, Al, B, Ba, Cr, Cu, Fe, Mn, Mo and V were found in surface water and As, B, Ba, Cr, Cu, Mn, Mo, V and Zn in groundwater. In groundwater, unitless hazard quotient (HQ) values were 6 for As, 2.7 for Mn and 1 for Zn, while in surface water all metals were below the risk level (HQ < 1). The ingestion risk was found to be higher than the dermal uptake risk. Arsenic mean concentration was observed to be 0.044 mg/L in groundwater. The As carcinogenic risk (CR) value was higher than the internationally accepted risk level (10(-4)) and with maximum ingestion of groundwater the carcinogenic risk was found to be higher in adults than children. These results show that even unpolluted watersheds can pose a risk to human health and that potential carcinogenic impacts should receive more attention.

Cardi-O-Fix duct occluder versus Amplatzer duct occluder for closure of patent ductus arteriosus.

BACKGROUND: We sought to investigate the safety, efficacy, and follow-up results of percutaneous patent ductus arteriosus (PDA) closure using the novel Cardi-O-Fix duct occluder (CDO), a device similar to but less expensive than the Amplatzer duct occluder (ADO). We also aimed to compare these two devices in terms of results. METHODS: Between March 2005 and May 2012, 167 patients diagnosed with moderate-to-large PDA underwent transcatheter closure. ADO was used in 56 (33.5%) patients with a mean age of 8.1 ± 11.9 years (3.6 months-56 years), whereas CDO was used in 111 (66.5%) patients with a mean age of 12.6 ± 14.6 years (4.8 months-63 years). RESULTS: The narrowest PDA diameter, the used device diameter, procedure time, fluoroscopy time, and residual shunt rates were similar between the two groups. Procedural success rate was 100% in both groups. Although the residual shunt rate was higher in the CDO group immediately after the procedure, the difference was not statistically significant (12.6 vs. 8.9%; P = 0.3). There was no statistically significant difference between groups at discharge and during follow-up. No deaths occurred in any of the groups, and there were no differences in complication rates during the short- and mid-term follow-up periods (CDO 7/111 vs. ADO 5/56; P = 0.5 π). CONCLUSION: The CDO can be used for PDA closure because of its safety, effectiveness, and simplicity in use. It is available in bigger sizes and can be used in patients with large defects. According to our short- and mid-term findings, the results it yields are similar to those of the ADO; thus, it may be the preferred choice owing to its low cost and large size variability.

Assessment of the prevalence of pulp stones in a sample of Turkish Central Anatolian population.

OBJECTIVE: The aim of this study was to determine the prevalence of pulp stones (PS) in a Turkish dental patient population with respect to sexes and dental localization in relation between sex and this anomaly. MATERIALS METHODS: A retrospective study was performed using bitewing radiographs of 814 patients ranging in age from 15 to 65. All data (age, sex, and location) was obtained from the files. These patients were analyzed for pulp stones. Descriptive characteristics of sexes, jaws, and dental localization were recorded. The Pearson chi-squared test was used. RESULTS: Of the patients, 462 (56.8%) were female and 352 (43.2%) were male. Sixty (12%) had one or more teeth that contained pulp stones. Pulp stones were identified in 518 (63.6%) of the subjects and in 2391 (27.8%) of the teeth examined. Pulp stone occurrence was significantly more common in the females than in males. With the increasing of age, the prevalence of pulp stones increased. Molars had statistically more pulp stones than premolars. Pulp stones were significantly more common in the maxilla compared with mandible. CONCLUSION: Prevalence of pulp stones in Turkish population was 27.8% but further larger-scale studies are required to assess its prevalence in the general population to compare it with other ethnic groups.

Tissue Doppler echocardiographic assessment of cardiac function in children with bronchial asthma.

BACKGROUND: The aim of the present study was to evaluate the role of tissue Doppler echocardiography in assessment of ventricular function in pediatric patients with bronchial asthma (BA). PATIENTS AND METHODS: Fifty-one pediatric patients with BA and 30 age- and sex-matched healthy subjects were studied. BA patients were divided into two groups: mild BA (n = 33) and moderate to severe BA (n = 18). All subjects were examined on conventional and tissue Doppler echocardiography, and 44 patients had pulmonary function tests on spirometry within 1 week of echocardiographic examination. RESULTS: Conventional echocardiographic parameters were all similar in mild asthmatic patients and control subjects. Tricuspid E velocity, E/A ratio and isovolumetric relaxation time (IVRT) in moderate and severe cases differed significantly from mild cases and control subjects. E', A', E'/A' ratio and IVRT of the lateral tricuspid annulus, and IVRT of the medial and lateral mitral annuli were different between mild cases and control subjects. E' velocity and IVRT of the lateral tricuspid annulus and IVRT of the medial and lateral mitral annuli were also different between mild cases and moderate to severe cases. Pulmonary function tests correlated well with E', E'/A' and IVRT of lateral tricuspid annulus. CONCLUSION: Patients with BA have subclinical right ventricular diastolic dysfunction even in the early stages. The severity of the functional impairment is parallel with the severity of the disease. Tissue Doppler echocardiography has a greater predictive value than conventional imaging, and is useful for evaluating ventricular function in patients with BA.