The change in biocomfort zones in the area of Mugla province in near future due to the global climate change scenarios.

It is inevitable that the global climate change, which has important effects on the climate throughout the world, would have significant effects on the biocomfort zones. Hence, how global climate change will change the biocomfort zones should be determined and the data to be obtained should be used in urban planning projects. In the current study, SSPs 245 and SSPs 585 scenarios were taken as a basis, and the potential effects of global climate change on the biocomfort zones in Mugla province, Türkiye were investigated. Within the scope of the present study, the current status of biocomfort zones in Mugla and their possible conditions in years 2040, 2060, 2080, and 2100 were compared using DI and ETv methods. At the end of the study, it was estimated that, according DI method, 14.13% of Mugla province are in cold zone, 31.96% in cool zone, and 53.71% in comfortable zone. According to the SSPs 585 scenario, together with the increase in temperature, the cold and cool zones will totally disappear in year 2100, comfortable zones will decrease to 31.22%, and approx. 68.78% of the province will be in hot zone. According to the calculations made using ETv method, Mugla province currently consists of moderately cold zones by 2%, quite cold zones by 13.16%, slightly cold zones by 57.06%, and mild zones by 27.79%. Based on the SSPs 585 scenario for the year 2100, it is projected that Mugla will consist of slightly cool zones by 1.41%, mild zones by 14.42%, and comfortable zones by 68.06%, besides warm zones by 16.11% which are not present at this moment. This finding suggests that especially the cooling costs will increase and the air-conditioning systems to be used will negatively affect the global climate change through the energy consumption and the gases used.

A geographic information systems and remote sensing-based approach to assess urban micro-climate change and its impact on human health in Bartin, Turkey.

Increasing land surface temperature (LST) is one of the major urban climatology problems arising in urban development. In this paper, the impact of vegetation and built-up areas on the LST and impact of LST on human health are assessed using the Landsat thermal data in Bartin, Turkey. The results show that there is a constant change in the share of vegetation and built-up areas due to rapid urbanization in Bartin. Strong positive correlation has been found between NDBI and LST while strong negative correlation has been found between NDVI and LST, suggesting their strong impacts on land surface temperatures. Similarly, a strong positive correlation has been observed between LST, sleep deprivation, and heat stress. This study provides precise information on effects of urbanization and man-made activities, which cause major changes in micro-climate and human health in the city. This study can assist decision-makers or planners to plan future developments sustainably.

Prostate-specific antigen nadir within 1 year of radiotherapy combined with hormone therapy predicts cancer-specific mortality and biochemical recurrence-free survival in prostate cancer patients.

BACKGROUND: In this study, we investigated the ability of prostate-specific antigen (PSA) 12 months after (nPSA12) external beam radiotherapy (EBRT) combined with androgen deprivation therapy (ADT) to predict biochemical recurrence-free survival (BRFS), overall survival (OS), and prostate cancer-specific mortality (PCSM) in intermediate- and high-risk prostate cancer patients. METHODS: We retrospectively reviewed the clinical data of 338 intermediate- and high-risk prostate cancer patients treated with EBRT with ADT at our institution between 2000 and 2018. The median radiation dose was 76 Gy, the median initial PSA level was 17 ng/mL (range, 1-228 ng/mL), and the median duration of ADT was 24 months (range, 6-167 months). The median PSA level 1 months after EBRT was 0.06 ng/mL (range, 0-25.6 ng/mL). Univariate and multivariate analyses were performed. Patient survival was assessed using the Kaplan-Meier method and Cox proportional hazards regression analyses. RESULTS: The median follow-up time was 5 years (range, 1-20 years). Multivariate analysis revealed that nPSA was an independent and significant factor associated with OS, PCSM, and BRFS (P = 0.008, P = 0.001, P = 0.04). Furthermore, the time to nPSA12 was an independent predictor of PCSM and BRFS (P = 0.042, P = 0.021). Pelvic irradiation was also significantly associated with worse OS and PCSM (P = 0.004, P = 0.01). Additionally, age (≤ 70 or > 70 years) and hormone therapy duration (6 months, 1-3 years, or > 3 years) were significantly associated with OS and PCSM, respectively (P = 0.004, P = 0.02). For high risk, nPSA and nPSA12 were an independent predictor for BRFS. (P = 0.021, P = 0.029) CONCLUSION: The nPSA12 level of > 0.06 ng/mL may independently predict worse PCSM and BRFS in intermediate- and high-risk prostate cancer patients undergoing EBRT and ADT. Additionally, for high risk, nPSA > 0.06 ng/mL and nPSA12 > 0.06 ng/mL may independently predict worse BRFS.

Role of vaginal brachytherapy boost following adjuvant external beam radiotherapy in cervical cancer: Turkish Society for Radiation Oncology Gynecologic Group Study (TROD 04-002).

OBJECTIVE: There are a limited number of studies supporting vaginal brachytherapy boost to external beam radiotherapy in the adjuvant treatment of cervical cancer. The aim of this study was to assess the impact of the addition of vaginal brachytherapy boost to adjuvant external beam radiotherapy on oncological outcomes and toxicity in patients with cervical cancer. METHODS: Patients treated with post-operative external beam radiotherapy ± chemotherapy ± vaginal brachytherapy between January 2001 and January 2019 were retrospectively evaluated. The treatment outcomes and prognostic factors were analyzed in patients treated with external beam radiotherapy with or without vaginal brachytherapy. RESULTS: A total of 480 patients were included in the analysis. The median age was 51 years (range 42-60). At least two intermediate risk factors were observed in 51% of patients, while 49% had at least one high-risk factor. The patients in the external beam radiotherapy + vaginal brachytherapy group had worse prognostic factors than the external beam radiotherapy alone group. With a median follow-up time of 56 months (range 33-90), the 5-year overall survival rate was 82%. There was no difference in 5-year overall survival (87% vs 79%, p=0.11), recurrence-free survival (74% vs 71%, p=0.49), local recurrence-free survival (78% vs 76%, p=0.16), and distant metastasis-free survival (85% vs 76%, p=0.09) rates between treatment groups. There was no benefit of addition of vaginal brachytherapy to external beam radiotherapy in patients with positive surgical margins. In multivariate analysis, stage (overall survival and local recurrence-free survival), tumor histology (recurrence-free survival, local recurrence-free survival and distant metastasis-free survival), parametrial invasion (recurrence-free survival and distant metastasis-free survival), lymphovascular space invasion (recurrence-free survival), and lymph node metastasis (distant metastasis-free survival) were found as negative prognostic factors. CONCLUSION: Adding vaginal brachytherapy boost to external beam radiotherapy did not provide any benefit in local control or survival in patients with cervical cancer.

The effects of increased exposure time to UV-B radiation on germination and seedling development of Anatolian black pine seeds.

Exhaustion of stratospheric ozone found at a height of 10-30 km around the world causes the solar UV-B (280-320 nm) radiation to penetrate through the atmosphere more, and thus to reach the Earth's surface quicker. The protective ozone layer gets damaged by human activities constantly, and the increasing levels of UV radiation present threats to all life forms, plants, animals, and even microorganisms. However, the studies conducted on the effects of UV radiation on plants, and especially forest trees, are rather limited. In this study, it was aimed to identify the effects of UV-B radiation on some germination and seedling characteristics of Anatolian black pine seeds. Within the scope of the study, seeds were exposed to UV-B radiation for 5, 10, 20, 30, 40, 50, and 60 min for germination experiments; and the germination speed (GS) was calculated as the ratio of the germinated seeds to the solid seeds at the end of the 7th day, whereas the germination percentage (GP) was calculated as the ratio of the germinated seeds to the solid seeds at the end of the 35th day. The seeds reserved for the seedling experiment were exposed to UV-B radiation for 1, 3, 5, and 7 h. With the measurements made at the end of the day, the seedling length (SL), the terminal bud length (TBL), the branch number (BN), the root collar diameter (RCD), the stem fresh weight (SFW), the root fresh weight (RFW), the stem dry weight (SDW) and the root dry weight (RDW), and the rooting percentage (RP) were determined. Variance analysis and Duncan test were applied to the obtained data with the help of SPSS package program. The study results revealed that the exposure time to increased UV-B radiation significantly affected all characters; the least affected character was RP, and that the most affected characters were RDW, SDW, and RCD. As a result of the study, it was found that even the applications with the lowest intensity took effect in most of the characters, that the seedling development decreased by more than 80% in terms of some characters at the end of 7-h application, and that even the decrease in the RP character, which was the least affected by the 7-h UV-B application, was above 50%.

Impact of the Charlson Comorbidity Index on dose-limiting toxicity and survival in locally advanced and metastatic renal cell carcinoma patients treated with first-line sunitinib or pazopanib.

BACKGROUND: Anti-angiogenic tyrosine kinase inhibitors, sunitinib and pazopanib, have proven efficacy in advanced renal cell carcinoma, with specific adverse events occurring during treatment process. Comorbidities can reflect functional status and have prognostic value in oncology patients. We aimed to assess the association of the Charlson Comorbidity Index with severe toxicities and mortality in renal cell carcinoma cases treated with front-line sunitinib or pazopanib. METHODS: Files of locally advanced and metastatic renal cell carcinoma patients who received first-line sunitinib or pazopanib were retrospectively examined. Charlson Comorbidity Index of each patient was calculated. Patients were also stratified into Memorial Sloan-Kettering Cancer Center risk groups. Predictors of dose-limiting toxicity were evaluated with binomial logistic regression analysis. Univariate and multivariate Cox regression models were utilized to determine prognostic factors for survival. RESULTS: The study included 102 patients, 64 were treated with first-line sunitinib and 38 with pazopanib. In 42 patients (41.9%), Charlson Comorbidity Index was 9 or more. Dose-limiting toxicities were significantly more frequent in Charlson Comorbidity Index ≥9 group (69% vs. 40%, p = 0.004), and Charlson Comorbidity Index independently predicted dose-limiting toxicity (Hazard ratio (HR) = 4.30, p = 0.002). After adjusting for other variables, a Charlson Comorbidity Index of ≥9 is also a significant prognostic factor for progression-free (HR = 1.76, p = 0.02) and overall survival (HR = 1.75, p = 0.03). CONCLUSIONS: Charlson Comorbidity Index may be a valuable method to estimate prognosis and optimize therapy in patients with advanced renal cell carcinoma receiving first-line sunitinib or pazopanib.

Investigation of the relationship between bioclimatic comfort and land use by using GIS and RS techniques in Trabzon.

The aim of this study is to investigate the relationship between bioclimatic comfort and land use in Trabzon by using geographical information systems and remote sensing technologies. We aimed to evaluate the relationship between the bioclimatic conditions of the years 1985, 1994, 2005, and 2018 with the use of land in the same years in the province of Trabzon in seasonal and annual periods. Physiological equivalent temperature (PET) index, which takes into consideration the physiological characteristics of humans, was used when determining bioclimatic comfort zones. The meteorological parameters used in the calculation of this index are as follows: daily average temperature values reduced to sea level, daily average relative humidity, and wind speed. The inverse distance weighting (IDW) method was preferred in the calculation of the spatial distribution of the obtained values at sea level. Using DEM data, height-dependent PET values were obtained and bioclimatic comfort maps were generated. According to the years of the bioclimatic comfort maps produced, land use maps were created by using CORINE land cover data. Then, the relationship between bioclimatic comfort zones and land use was examined.

Changes in heavy metal accumulation in some edible landscape plants depending on traffic density.

Food scarcity is one of global issues that our world faces today. A significant portion of the world's population has no access to adequate food, and it is stated that approximately 830 million people suffer from chronic famine. This predicament is estimated to grow even further. Many attempts have been made to solve the food problem. Some examples are using new resources which have not been used for dietary purposes up to this point, planting new areas to produce food products, and increasing the potential harvest per an area unit. One of the solution proposals, which has come up recently within this scope, is the term of "edible landscaping", which means the use of edible plants in the landscaping works, and thus maximizing the potential for food security. However, edible landscaping poses a considerable risk. Heavy metal accumulation in plants grown in urban centers can reach to high levels, and consuming these plants will allow these heavy metals a direct access into the human body and wreak havoc to the public health. But since this subject has not been sufficiently studied yet, the extent of such a risk is not accurately determined yet. This study aims to determine the changes of Ni, Co and Mn concentrations depending on traffic density in the leaves, branches, barks and fruits of cherry, plum, mulberry and apple trees growing in areas with dense traffic, low-density traffic and no-traffic zones in Kastamonu province. The results showed that the concentrations of Ni and Co elements increased in many organelles depending on traffic density, and that the heavy metal concentrations in fruits could be very high. This situation indicates that fruit and vegetables grown in industrial zones and urban centers, where heavy metal pollution may be high, can be harmful to the public health if consumed as crops.

Treatment outcomes of prostate cancer patients with Gleason score 8-10 treated with definitive radiotherapy : TROD 09-001 multi-institutional study.

PURPOSE: To validate the clinical outcomes and prognostic factors in prostate cancer (PCa) patients with Gleason score (GS) 8-10 disease treated with external beam radiotherapy (EBRT) + androgen deprivation therapy (ADT) in the modern era. METHODS: Institutional databases of biopsy proven 641 patients with GS 8-10 PCa treated between 2000 and 2015 were collected from 11 institutions. In this multi-institutional Turkish Radiation Oncology Group study, a standard database sheet was sent to each institution for patient enrollment. The inclusion criteria were, T1-T3N0M0 disease according to AJCC (American Joint Committee on Cancer) 2010 Staging System, no prior diagnosis of malignancy, at least 70 Gy total irradiation dose to prostate ± seminal vesicles delivered with either three-dimensional conformal RT or intensity-modulated RT and patients receiving ADT. RESULTS: The median follow-up time was 5.9 years (range 0.4-18.2 years); 5­year overall survival (OS), biochemical relapse-free survival (BRFS) and distant metastases-free survival (DMFS) rates were 88%, 78%, and 79%, respectively. Higher RT doses (≥78 Gy) and longer ADT duration (≥2 years) were significant predictors for improved DMFS, whereas advanced stage was a negative prognosticator for DMFS in patients with GS 9-10. CONCLUSIONS: Our results validated the fact that oncologic outcomes after radical EBRT significantly differ in men with GS 8 versus those with GS 9-10 prostate cancer. We found that EBRT dose was important predictive factor regardless of ADT period. Patients receiving 'non-optimal treatment' (RT doses <78 Gy and ADT period <2 years) had the worst treatment outcomes.

Analyzing of usability of tree-rings as biomonitors for monitoring heavy metal accumulation in the atmosphere in urban area: a case study of cedar tree (Cedrus sp.).

It is important to monitor the heavy metal pollution in order to identify risk zones and to determine the change in the heavy metal concentration of the atmosphere within the process. For this, it is necessary to carry out measurements for many years; however, this is not possible. Especially from past to present, one of the most effective methods to determine the changes of heavy metal concentrations in the atmosphere is to use the annual tree rings as biomonitors. Perennial plants growing in our country create annual rings, and it is possible to gain information regarding the changes of heavy metal concentrations in that region by determining the heavy metal concentrations in these rings. In this study, it was aimed to determine the annual changes of Pb, Co, and Fe elements' concentrations in these sections by determining the annual rings on the logs taken from the main stem of the cedar tree (Cedrus sp.), which was cut by the end of 2016, in December, 2016, in Kastamonu province. Within the scope of the study, the element concentrations were also determined in the inner and outer bark. As a result of the study, it was found that the heavy metal values in the organelles taken from the road-facing part, especially the heavy metal concentrations in the outer bark were higher than the metal concentrations in the inward-facing part, and that the concentrations changed significantly on organelle and year basis.

Metastasis to paranasal sinuses and orbita of breast cancer with a rare metachronous tumor of the uterine cervix.

Breast cancer metastases are rarely seen in paranasal sinuses or orbit with a poor prognosis, and these cases were published as case reports. Moreover, metachronous tumors following breast cancer diagnosis are somewhat common, but uterine cervix is infrequent in them. In the present case, we report a 61-year-old female patient who had a biopsy-proven metastatic breast cancer to paranasal sinuses and orbita. She also had a cervical uterine cancer which is also unusually diagnosed following breast cancer. Palliative radiotherapy to paranasal sinuses (30 Gy) achieved a good response. However, she died due to leptomeningeal progression.

Dosimetric analysis of patients receiving radiotherapy with VMAT technique in localized prostate cancer and its correlation with side effects.

Aim: The aim was to study the relationship between dosimetric data of localized prostate cancer patients who have been treated with curative radiotherapy (RT) and gastrointestinal (GIS), genitourinary (GUS), anal and sexual side effects, and whether there was a difference between dosimetric data and clinical findings between risk groups. Methods: Eighty-seven patients who received curative radiotherapy for localized prostate cancer between 2014 and 2019 were included in the study. Dosimetrically; whether there was a relationship between V30, V40, V50, V60, V65, V70, V75 for rectum and bladder; D90 for the penile bulb, V72, V74, V76 for the bulbomembranous urethra, V30, V45, V53, Dmax for the anus, and V45 (cc) for the intestine data and the side effects were analyzed. It was evaluated whether there was a relationship between testosterone values and sexual side effects. The Kolmogorov-Smirnov test, one-way analysis of variance (ANOVA) (F-test), and paired-sample t-test were used as statistical methods. For statistical significance, P < 0.05 was accepted. Results: : The mean age of the patients was 69 (50-86), the mean Prostat specific antigen (PSA) (ng/dL) before RT was 25.1 (0.9-339), the median RT dose was 76 Gy (74-78 Gy), and the mean follow-up period was 38.2 months. PTVmax, PTVmean, PTVmin, bladder V40, bladder V50, rectum V30, rectum V40, rectum V50, and intestinal V45 (cc) were determined as dosimetric data showing differences between risk groups. A statistically significant relationship was found between rectum V30 (P = 0.017), V60 (P = 0.019), V65 (P = 0.008), V70 (P = 0.007), and V75 (P = 0.034) and chronic GIS side effects. G2 GIS side effects were observed in four patients (4.6%) in the entire patient group during the acute period. A statistically significant relationship was found between the patients receiving hormonotherapy (P = 0.021) and testosterone values at the last control (P ≤ 0.001) and chronic sexual side effects. Conclusion: Attention should be paid to the rectum V30, V60, V65, V70, and V75 values to minimize the long-term GIS side effects in patients who have undergone RT. Testosterone level and ADT status affect chronic sexual toxicity.

The effects of climate on land use/cover: a case study in Turkey by using remote sensing data.

Economic and industrial development results in worldwide population concentration in cities, leading to increases in impervious surfaces. Thus, the surface temperatures increase and cities are exposed to the urban heat island effect. This study analyzed the changes in the urban heat island effect in the 30 years (from 1990 to 2021) in the central district of Bartin. In this sense, there were two primary goals. Firstly, land use/land cover change, land surface temperature (LST), normalized difference built-up index (NDBI), and normalized difference vegetation index (NDVI) were analyzed by using remote sensing methods between 1990 and 2021. Secondly, a linear regression analysis was conducted to determine the factors associated with LST, NDVI, and NDBI. The study results revealed increases in urban surfaces and the average land surface temperature values in the past 30 years and showed a decline in the vegetation. Regression analysis results indicated a strong negative relationship between LST and NDVI and a strong positive relationship between LST and NDBI. It was also found a robust negative relationship between NDBI and NDVI. In light of the findings, it was stated that the amount of open and green areas should be increased in order to prevent the negative effects of the urban heat island in the central district of Bartin. For this purpose, it has been proposed to encourage green roof systems throughout the city, to create city parks and to create a green belt system. In addition, as a result of the study, the importance of preventing forest destruction caused by over settlement in the Mountains, which is one of the rare habitats of the world with different plant species, was emphasized. In this sense, legal sanctions should be employed to protect those areas and prevent construction.

Oncological outcomes for encapsulated papillary carcinoma of the breast: Multicentric study of Turkish Society for Radiation Oncology breast cancer study group (TROD 06-014 study).

BACKGROUND: Encapsulated papillary carcinoma (EPC) is a rare malignant papillary breast cancer accounting for approximately .5%-2% of all breast tumors. The aim of this multicenter study was to evaluate clinicopathologic features of EPC in addition to oncological outcomes and radiotherapy (RT) details. METHODS: From 10 different academic hospitals in Turkey, we obtained pathology reports of 80 patients with histologically confirmed EPC between 2005 and 2022. Demographic, diagnostic, and treatment data were collected from medical records, retrospectively. Local failure, distant progression, toxicity-adverse effects, overall survival (OS), and disease-free survival were evaluated, and survival analyzes were performed using the Kaplan-Meier method. RESULTS: Eighty patients with the diagnosis of misspelled sorry (ECP) were retrospectively evaluated. The median age of the patients was 63 (range, 35-85). After a median follow-up of 48 (range; 6-206) months, local recurrence was observed in three patients (4%). Local recurrence was less common in the patients who received whole breast RT with a tumour bed boost (p = .025). There were not any distant metastasis or disease-related death. RT was applied to 61% of the cases, and no treatment-related grade 3 or higher toxicity was reported in any of the patients. Five year OS, cancer-specific survival (CSS), and  were observed as 85%, 100%, and 96%, respectively. CONCLUSIONS: ECP is a rare, slow-progressing breast carcinoma associated with good prognosis, it is a disease of elderly patient, and usually occurs in postmenopausal women. It responds extremely well to optimal local treatments and appropriate adjuvant treatments on a patient basis, and has excellent OS and CSS ratios.

Role of baseline 68Ga-PSMA PET/CT-derived whole-body volumetric parameters in predicting survival outcomes of metastatic castration-resistant prostate cancer patients receiving first-line treatment.

OBJECTIVE: We aimed to evaluate whether baseline 68Ga-PSMA PET/CT-derived whole-body volumetric parameters could be used as predictive biomarkers for survival in metastatic castration-resistant prostate cancer (mCRPC) patients receiving first-line treatment. MATERIALS AND METHODS: This retrospective study included 54 mCRPC patients, who underwent baseline 68Ga-PSMA PET/CT imaging within 1 month before starting first-line treatment. Pre-treatment prostate-specific antigen (PSA) levels and treatments were recorded. SUVmax, SUVmean, whole-body PSMA-derived tumor volume (wbPSMA-TV), and whole-body total lesion PSMA (wbTL-PSMA) were calculated for all patients. PSA response was defined as a decline of ≥ 50% from pre-treatment value at 12 weeks. Overall survival (OS) was measured from the start of the first-line treatment for mCRPC. RESULTS: Docetaxel and abiraterone/enzalutamide were administered to 32 and 22 patients in the first-line setting, respectively. wbPSMA-TV (rho = 0.582, p = 0.004) and wbTL-PSMA (rho = 0.564, p = 0.007) showed moderate positive correlations with PSA levels. Older age (p = 0.02), higher wbPSMA-TV (p = 0.007), higher PSA (p = 0.01), higher number of bone metastases (p = 0.02), and lack of PSA response (p = 0.03) were significantly associated with an increased risk of mortality. Multivariate analysis determined wbPSMA-TV (HR: 1.003, 95% CI 1.001-1.004, p = 0.001) and PSA response (HR: 2.241, 95% CI 1.189-4.222, p = 0.01) as independent predictors of OS. CONCLUSION: The wbPSMA-TV may be a useful tool to reflect tumor burden and predict survival outcomes in patients with mCRPC.

68Ga-PSMA PET/CT to Distinguish Brain Metastasis of Renal Cell Carcinoma From Radiation Necrosis After Stereotactic Radiosurgery.

ABSTRACT: Renal cell carcinoma (RCC) is the most common primary malignancy of the kidney. Approximately 35% of patients of RCC presents with distant metastasis at initial evaluation. CT and MRI are the mainstay imaging modalities. Distinguishing radiation necrosis from tumor progression after stereotactic radiosurgery is challenging. Herein, we present a case of a 43-year-old man with RCC who was treated with stereotactic radiosurgery for brain metastases. We want to emphasize the potential value of 68Ga-PSMA PET/CT imaging in the differential diagnosis and follow-up of tumor progression from radiation necrosis in RCC patients.

The usability of Cupressus arizonica annual rings in monitoring the changes in heavy metal concentration in air.

Air pollution, which has been increasing in recent years, has reached significant dimensions and has become one of the most important agenda topics of present day. Among air pollution components, heavy metals are of particular importance, since they are not easily decomposed, they tend to bioaccumulate, and some of them have toxic or carcinogenic effects even at low concentrations. Therefore, it is an extremely important subject to monitor the changes in heavy metal concentrations found in air. The most preferred method in determining the changes in heavy metal concentrations in the atmosphere is the use of biomonitors. From past to present, trees have been good biomonitors in determining the increase in heavy metal concentrations in the atmosphere. Particularly, with the help of the annual growth rings of trees, vital information can be obtained on the changes in heavy metal concentrations in air. In this study, after the annual rings were determined on the log taken from the main body of the cypress (Cupressus arizonica) tree cut from the Kisla park located in Kastamonu province, the concentrations of Bi, Cd, and Ni in the outer bark, inner bark, and wood were compared in the inward-facing and road-facing parts of these sections. Also, the changes in heavy metal concentrations in the annual rings were evaluated on a yearly basis. As a result of the study, it was found that the element concentrations in the outer bark of the road-facing part were generally at a higher level, and that the changes in the elements on a yearly basis generally followed a fluctuating course, but there had been a general increase in the Cd and Ni concentrations in recent years.

Lymph node ratio as an independent prognostic factor for breast cancer-related mortality in patients with node-positive breast cancer.

AIM: This study assessed whether prognostic information could be obtained in patients with lymph node (LN)-positive breast cancer based on their LN ratios (LNRs) and explored the relationships between other potential prognostic factors and survival. SETTING AND DESIGN: This was a retrospective clinical study. MATERIALS AND METHODS: This study included 608 women with node-positive nonmetastatic breast cancer. Clinical and pathologic data were retrospectively evaluated. The median age was 51 years (range: 23-84 years). All patients received adjuvant radiotherapy after radical surgery. A total dose of 50 Gy was administered to the chest wall or breast and LN regions with 2 Gy daily fractions. A 10-Gy boost was administered to the breast tumor bed. The cutoff value of LNR was defined as low risk (<0.21) in 278 patients, intermediate risk (0.21-0.65) in 217 patients, and high risk (>0.65) in 113 patients. Prognostic variables included patient characteristics, disease characteristics, and interventional factors. The primary endpoint was overall survival and the secondary endpoint was breast cancer-related mortality. STATISTICAL ANALYSIS USED: Statistical analyses were performed using the Kaplan-Meier method, log-rank test, and Cox regression analysis. P value was required to be <0.05. RESULTS: Within a median follow-up period of 95.4 months (range: 5-232.4 months), overall survival rates for 10 and 15 years were 66% and 53%, respectively. Multivariate analysis revealed that LNR (P = 0.026), estrogen receptor status (ERS) (P = 0.021), age (P = 0.04), and smoking (P = 0.024) were independent significant prognostic factors for overall survival. Breast cancer-related mortality rates at 10 and 15 years were 70.7% and 60%, respectively. LNR (P = 0.03) and ERS (P = 0.002) were independent significant prognostic factors for breast cancer-related mortality. CONCLUSIONS: LNR and ERS were significant prognostic factors for survival at all endpoints.

Determination of Pb and Mg accumulation in some of the landscape plants in shrub forms.

Heavy metals have a separate precaution in the air pollution components as they are not easily deteriorated in nature, they tend to bioaccumulate, they are carcinogenic or poisonous, and they can be toxic even at low concentrations. Therefore, monitoring of heavy metal pollution is of great importance. Plants are frequently used as biomonitors to monitor the heavy metal pollution. However, the heavy metal accumulation capacities of plants can vary considerably depending on the plant species, as well as on the organelle basis and the amount of particulate matter in the environment. It is also very important to determine how much of the heavy metal concentrations found in plants are derived from the plant species and how much from the particulate matter on the organ. In this study, it was aimed to determine the change of heavy metal accumulation in some landscape plants grown in the city center of Kastamonu depending on plant type, plant organism, washing status, and traffic density. For this purpose, leaf and branch samples were collected from individuals of Ligustrum vulgare L., Euonymus japonica Thunb., Biota orientalis L., Juniperus sabina L., Berberis thunbergii DC, Mahonia aquifolium (Pursh) Nutt., and Buxus sempervirens L., which are frequently used in urban landscape designs growing in areas with heavy, low dense, and no traffic. Some of the collected samples were washed, and heavy metal analyses were conducted to determine the amount of Pb and Mg concentrations. It was remarkable that Pb concentration was higher in branches than in the leaves for all the species. And the alteration depending on traffic density on the base of the factors studied was in different proportion depending on the metals.

Dosimetric comparison of anterior posterior-posterior anterior 2-field three-dimensional conformal radiotherapy, 4-field three-dimensional conformal radiotherapy and "forward" plan intensity modulated radiotherapy techniques in female lymphoma patients irradiated to neck and mediastinum.

AIM: Dosimetric comparison of three different techniques in female lymphoma patients who had radiotherapy (RT) to the neck and mediastinum. SETTING AND DESIGN: Retrospective clinical study. MATERIALS AND METHODS: Computerized tomography-simulator images of eight patients were obtained retrospectively. Using 6 MV-X photon energy, RT plans were formed with three different techniques (anterior posterior-posterior anterior 2-field three-dimensional conformal RT [AP-PA 2-field 3D-CRT], 4-field 3D-CRT and "forward" plan intensity modulated RT [FPIMRT]). Comparisons were in terms of homogeneity index (HI), conformity index (CI), and inhomogeneity coefficient for planning target volume (PTV); mean lung dose, V5Gy, V10Gy, V20Gy, V30Gy for lung; Dmean, V7.5Gy, V15Gy, V25Gy for heart; Dmean, V3.5Gy, V10Gy, V20Gy for breast; Dmax for spine; Dmean, V10Gy, V18Gy, V25Gy, V30Gy for thyroid. STATISTICAL ANALYSIS USED: Since nonparametric tests had to be used due to the study population being < 30, Friedman and Wilcoxon signed-rank tests were implemented in trilateral and bilateral comparison of techniques, respectively. For statistical significance, P value was required to be <0.05. RESULTS: When FPIMRT was compared with AP-PA and 4-field techniques with respect to, HI (AP-PA/FPIMRT P: 0.017; 4-field/FPIMRT P: 0.03) and CI (AP-PA/FPIMRT P: 0.018; 4-field/FPIMRT P: 0.042), FPIMRT was more advantageous. In addition, FPIMRT was found more useful in terms of Dmax (AP-PA/FPIMRT P: 0.012; 4-Field/FPIMRT P: 0.012) for spinal cord and Dmean (AP-PA/FPIMRT P: 0.012; 4-field/FPIMRT P: 0.012) for thyroid. CONCLUSION: FPIMRT was superior in terms of PTV homogeneity and conformity. However, it was observed that for normal tissues, FPIMRT was advantageous only for spinal cord and thyroid; but it was not the most advantageous technique for some of the dose-volume parameters of the breast, lung, and heart.