Characteristics of the Bibliometric Indexes of Chinese Core Journals on Environmental and Occupational Medicine

This paper investigated the current characteristics and changing trends of major journals on Chinese environmental and occupational medicine in order to promote the development of these journals. This study focused on the seven core journals in the area of environmental and occupational medicine listed on the Chinese Scientifi c and Technical Journal Citation Reports (2008 version). These journals were China Occupational Medicine, Chinese Journal of Industrial Hygiene and Occupational Diseases, Chinese Journal of Industrial Medicine, Industrial Health and Occupational Diseases, Journal of Environment and Health, Journal of Environmental and Occupational Medicine, Occupation and Health. Various observations were based on data from www.cnki.net and Chinese Scientif ic and Technical Journal Citation Reports (2008 version), including cover of the journal, issue period, exposure to the internet, level of open source, impact factor, cited half-life, web immediacy index and rate of downloads per year. The outcomes showed that in appearance, the overall characteristics were continuous improvement of the covers, issue period, and moving toward the internet. In terms of contents, all factors had been improving. Nevertheless the level of influence was not very stable. The use of internet and the level of resource openness still have a long way to go to meet the international standard. There is still a huge gap for improvement. The contents and the appearance both need to be improved to serve the ever developing environmental and occupational medicine career.

Correlation between Combined Urinary Metal Exposure and Grip Strength under Three Statistical Models:A Cross-sectional Study in Rural Guangxi

Objective This study aimed to investigate the potential relationship between urinary metals copper(Cu),arsenic(As),strontium(Sr),barium(Ba),iron(Fe),lead(Pb)and manganese(Mn)and grip strength.Methods We used linear regression models,quantile g-computation and Bayesian kernel machine regression(BKMR)to assess the relationship between metals and grip strength.Results In the multimetal linear regression,Cu(β=−2.119),As(β=−1.318),Sr(β=−2.480),Ba(β=0.781),Fe(β=1.130)and Mn(β=−0.404)were significantly correlated with grip strength(P<0.05).The results of the quantile g-computation showed that the risk of occurrence of grip strength reduction was−1.007(95%confidence interval:−1.362,−0.652;P<0.001)when each quartile of the mixture of the seven metals was increased.Bayesian kernel function regression model analysis showed that mixtures of the seven metals had a negative overall effect on grip strength,with Cu,As and Sr being negatively associated with grip strength levels.In the total population,potential interactions were observed between As and Mn and between Cu and Mn(P_(interactions) of 0.003 and 0.018,respectively).Conclusion In summary,this study suggests that combined exposure to metal mixtures is negatively associated with grip strength.Cu,Sr and As were negatively correlated with grip strength levels,and there were potential interactions between As and Mn and between Cu and Mn.

Genotoxicity among Hairdressers and the Level of Commitment to Occupational Safety Measures at Beauty Salons, in Zagazig City, Egypt

Hairdressers are chronically exposed to several occupational hazards during their work including potentially genotoxic chemicals. Hair dying, hair smoothening and straightening products are hazardous chemicals that affect human health and are frequently used in beauty salons. So, this study aimed to evaluate the genotoxic risk among the studied hairdressers, to estimate the level of p-phenylenediamine (p-PDA) in urine and to assess the degree of adherence of the studied hair- dressers to occupational safety measures at work. A comparative cross sectional study was carried out on 40 hairdressers working in beauty salons in Zagazig city, Egypt and 40 administrative staff at faculty of medicine as a control group. The results of the study revealed a significant increase in mean concentration of urinary p-PDA as well as significant increase in DNA damage assessed by Comet assay in lymphocytes among studied hairdressers than among their controls. Also, there was a statistically significant decrease in adherence to most of the occupational safety precaution measures that should be followed by the studied hairdressers. The significant risk factors of high Comet total mean score among the studied hairdressers were occupational use of hair straightening ≥8 times/week, use of hair dyes at work ≥15 times/week, length of service ≥13 years, negligence of wearing gloves during work, use of bleaching agents ≥12/week and negligence of hand wash after handling chemicals. So, it was concluded that the hairdressers are occupationally exposed to the risk of genotoxic hazards from chemicals frequently used in their work. The lack of commitment to occupational safety measures at beauty salons like wearing gloves during work and hand washing increases the risk of genotoxicity.

Determining Environmental Impacts for Sensitive Species: Using Iconic Species as Bioindicators for Management and Policy

Environmental assessment of impacts, management, and policy are important aspects of protection of human health and the environment. Assessing the impacts of human activities requires selection of bioindicator species that can be used to assess, manage, and develop public policies that ensure ecosystem integrity, and therefore sustainability of social, cultural, and economic systems. With the use of Chinook Salmon (Oncorhynchus tshawytscha), Pacific Cod (Gadusmacrocephalus), Mallard (Anas platyrhynchos), and Red Knot (Calidris canutus rufa), we explore assessment and measurement endpoints, and their relationship to management and development of public policy. This combination of fish and birds provides a diversity of life histories, ecosystem roles, human values, and resource use to explore their use as bioindicators and endpoints. It also allows examination of 1) conservation and protection of species and biodiversity, 2) protection of ecosystems, 3) provision of goods and services, and 4) societal well-being.

Sonographic fatty liver, overweight and ischemic heart disease

AIM: To demonstrate the prevalence of sonographic fatty liver, overweight and ischemic heart disease (IHD) among the male workers in Taiwan, and to investigate the possible association of these three factors.METHODS: From July to September 2003, a total of 2 088 male aircraft-maintenance workers aged from 22to 65 years (mean 40.5) underwent an annual health examination, including anthropometrical evaluation, blood pressure measurement, personal medical history assessment,biochemical blood analysis, abdominal ultrasonographic examination and digital electrocardiography (ECG). The Student's t-test, x2 test and multivariate logistic regression analysis were utilized to evaluate the relationship between IHD and salient risk factors.RESULTS: The all-over prevalence of overweight was 41.4%, and that of fatty liver was 29.5% (mild, moderate and severe fatty liver being 14.5%, 11.3%, and 3.7%,respectively); while the prevalence of ischemic changes on ECG was 17.1% in this study. The abnormal rates for conventional IHD risk factors including hypertension,dyslipidemia, hyperglycemia and overweight increased in accordance with the severity of fatty liver. Overweight and severity of fatty liver were independently associated with increased risks for developing IHD. Overweight subjects had a 1.32-fold (95%CI: 1.01-1.73) increased IHD risk. Participants with mild, moderate, and severe fatty liver had a 1.88-fold (95%CI: 1.37-2.6), 2.37-fold (95%CI: 1.66-3.37) and 2.76-fold (95%CI: 1.62-4.72)increased risk for developing IHD. The prevalence of ischemic ECG for the fatty liver-affected subjects with or without overweight was 30.1% and 19.1%, while that of overweight subjects free from fatty liver was 14.4%.Compared to the subjects without fatty liver nor overweight,IHD risk for the three subgroups above was as follows:OR: 2.95 (95%CI:2.31-4.09), OR: 1.60 (95%CI: 1.07-2.39)and OR: 1.11 (95%CI: 0.78-1.56), respectively.CONCLUSION: The presence of fatty liver and its severity should be carefully considered as independent risk factors for IHD. Results of the study suggest the synergistic effect between fatty liver and overweight for developing IHD.Abdominal sonographic examination may provide valuable information for IHD risk assessment in addition to limited report about liver status, especially for overweight males.

Sonographic fatty liver and hepatitis B virus carrier status: Synergistic effect on liver damage in Taiwan Residents adults

AIM: To examine the epidemiology of hepatitis B virus carrier status (HBVC) and sonographic fatty liver (SFL) in Taiwan Residents adults, and to evaluate their possible interaction in inducing liver damage (LD). From an epidemiological viewpoint, we analyzed previous studies which indicated that fatty liver sensitizes host immune response to HBV infection and enhances liver damage.METHODS: A cross-sectional retrospective analysis of health records including medical history, physical examination, abdominal sonogram, blood biochemistry and hepatic virological tests. We utilized the Student's t-test, chi-square, multivariate logistic regression and synergy index to assess risks for LD.RESULTS: Among a total of 5406 Taiwan Residents adults (mean age 46.2 years, 51.5% males), the prevalence of LD, HBVC and SFL were 12.3%, 15.1% and 33.4%, respectively; 5.1% of participants had SFL plus HBVC. Multivariate logistic regression analysis demonstrated that male gender (odds ratio (OR) = 2.8, 95% confidence interval (CI): 2.3-3.5), overweight state (OR = 1.6, 95% CI: 1.3-2.0), HBVC (OR = 2.5, 95% CI: 2.0-3.1) and SFL (OR = 4.2, 95% CI: 2.2-5.3) were independently associated with LD. Synergism analysis showed that the adjusted OR for LD in adults with HBVC-alone was 3.3 (95% CI: 2.4-4.6), SFL-alone, 4.7 (95% CI: 3.7-6.1) and combined HBVC and SFL, 9.5 (95% CI: 6.8-13.3); the synergy index was 1.4 (95% CI: 1.001-2.0).CONCLUSION: In Taiwan Residents adults, SFL plus HBVC have a significant synergistic association with LD.

Determination of HCH and DDT in soils following Wenchuan 5.12 Violent Earthquake in China

A large number of disinfectants and insecticides were used on a large scale after the Wenchuan 5.12 Violent Earthquake. The disinfectants and insecticides, including HCH (hexachlorocyclohexane) and DDT (dichlorodiphenyltrichoroethane) as representative OCPs, could lead to serious environmental problems. In order to disclose the residues of HCH and DDT in soils following the Wenchuan 5.12 Violent Earthquake, surface soils in Dujiangyan City and Beichuan County were sampled in 2009. The samples were analyzed by GC/MS after pre- treatment by ultrasonic solvent extraction. It has been found that the concentra-tions of γ-HCH, β-HCH and 4,4'-DDT in soils of Beichuan County were 94–102.4, 14.1–36.1 and 2.9–4.3 times high their concentrations in those of the Wolong Nature Reserve, and the concentrations in soils of Dujiangyan City were 52.4–61.6, 8.8 –45.3 and 5.4–6.2 times high their concentrations in soils of the Wolong Nature Reserve, respectively. According to the isomers of HCHs and metabolites of DDTs, it could be concluded that these areas may have additional inputs of lindane and 4,4'-DDT.

Statin use and the risk of colorectal cancer: A population-based case-control study

AIM: To investigate whether the use of statins is associated with colorectal cancer risk. METHODS: We conducted a population-based case-control study in Taiwan. Data were retrospectively collected from the Taiwan National Health Insurance Research Database. Cases consisted of all patients who were aged 50 years and older and had a first-time diagnosis of colorectal cancer between the period 2005 and 2008. The controls were matched to cases by age, sex, and index date. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using multiple logistic regression. RESULTS: We examined 1156 colorectal cancer cases and 4624 controls. The unadjusted ORs for any statin prescription was 1.10 (95% CI = 0.94-1.30) and the adjusted OR was 1.09 (95% CI = 0.91-1.30). When statin use was categorized by cumulative dose, the adjusted ORs were 0.99 (95% CI = 0.78-1.27) for the group with cumulative statin use below 105 defined daily doses (DDDs); 1.07 (95% CI = 0.78-1.49) for the group with cumulative statin use between 106 and 298.66 DDDs; and 1.30 (95% CI = 0.96-1.75) for the group with cumulative statin use of 298.66 DDDs or more compared with nonusers. CONCLUSION: This study does not provide support for a protective effect of statins against colorectal cancer.

Assessment of circulating levels of microRNA-326,microRNA-424,and microRNA-511 as biomarkers for hepatocellular carcinoma in Egyptians

BACKGROUND Hepatocellular carcinoma(HCC)is the fifth most common cancer.Differential expression of microRNAs(miRNAs)-326,miRNA-424,and miRNA-511 has been associated with the diagnosis and prognosis of HCC in different populations.However,limited information is available regarding their expression in Egyptian HCC patients.AIM To assess the role of circulating miRNAs-326,miRNA-424,and miRNA-511 in Egyptian HCC patients.METHODS This prospective observational study included 70 HCC patients and 25 healthy controls.The circulating levels of these three miRNAs were evaluated by real-time PCR.Receiver operating characteristic curve analysis was used to test the diagnostic accuracy of micro RNA expression levels.RESULTS All miRNAs were differentially expressed in HCC patients;miRNAs326 and miRNA-424 were upregulated,while miRNA-511 was downregulated.Both miRNA-326 and miRNA-424 showed sensitivity and specificity of 97%,71.4%,and 52%,60%,respectively,to differentiate HCC from controls.Moreover,miRNA-326 was associated with survival and could differentiate between Child grades(A vs B);miRNA-424 significantly differentiated early vs intermediate stages of HCC;while miRNA-511 was significantly correlated with response to modified Response Evaluation Criteria in Solid Tumors(m RECIST).CONCLUSION We conclude that miRNA-326,miRNA-424,and miRNA-511 have diagnostic and prognostic roles in Egyptian patients with hepatitis C virus-related HCC and should be considered for better disease management.

A Conceptual Framework Evaluating Ecological Footprints and Monitoring Renewable Energy: Wind, Solar, Hydro, and Geothermal

With worldwide increases in energy consumption, and the need to increase reliance on renewable energy, we must examine ecological footprints of each energy source, as well as its carbon emissions. Renewable energy sources (wind, solar, hydro, geothermal) are given as the best examples of “green” energy sources with low carbon emissions. We provide a conceptual model for examining the ecological footprint of energy sources, and suggest that each resource needs continued monitoring to protect the environment, and ultimately human health. The effects and consequences of ecological footprint need to be considered in terms of four-compartments: underground (here defined as geoshed), surface, airshed, and atmosphere. We propose a set of measurement endpoints (metrics may vary), in addition to CO2 footprint, that are essential to evaluate the ecological and human health consequences of different energy types. These include traditional media monitoring (air, water, soil), as well as ecological footprints. Monitoring human perceptions of energy sources is also important for energy policy, which evolves with changes in population density, technologies, and economic consequences. While some assessment endpoints are specific to some energy sectors, others can provide crosscutting information allowing the public, communities and governments to make decisions about energy policy and sustainability.

Habitat protection for sensitive species: Balancing species requirements and human constraints using bioindicators as examples

Vertebrates have particular habitat needs as a function of life cycle and reproductive stage. This paper uses four species as examples to illustrate a paradigm of environmental assessment that includes physical, biological, toxicological and human dimensions. Species used include Chinook salmon (Oncorhynchus tshawytscha), northern leopard frog (Rana pipiens), northern pine snake (Pituophis m. melanoleucus), and red knot (Calidris canutus rufa, a sandpiper). The life cycles of these species include reliance on habitats that are aquatic, terrestrial, aerial, or combinations of these. Two species (frog, snake) are sedentary and two (salmon, sandpiper) are long-distance migrants. While some measurement endpoints are similar for all species (reproductive success, longevity, contaminant loads), others vary depending upon life cycle and habitat. Salmon have a restricted breeding habitat requiring coarse sand, moderate current, and high oxygen levels for adequate egg incubation. Leopard frogs require still water of appropriate temperature for development of eggs. Pine snakes require sand compaction sufficient to sustain a nest burrow without collapsing, and full sun penetration to the sand to allow their eggs in underground nests to incubate and hatch. Red knots migrate to high Arctic tundra, but incubate their own eggs, so temperature is less of a constraint, but feedinging habitat is. These habitat differences suggest the measurement endpoints that are essential to assess habitat suitability and to manage habitats to achieve stable and sustainable populations. Habitat use and population stability have implications for human activities for some, but not all species. Salmon are important economically, recreationally, and as part of Native American culture and diet. Red knots are of interest to people mainly because of their long, intercontinental migrations and declining populations. Other measurement endpoints for these four species illustrate the differences and similarities in metrics necessary to assess habitat needs. The implications of these differences are discussed.

Reversing the negative effects of co-inhaled manganese and iron on dopamine levels and prolactin production in the rat hypothalamus-pituitary axis

BACKGROUND： Manganese （Mn） and iron （Fe） are the primary elements of welding rods. Mn has been shown to increase prolactin （PRL） production by decreasing dopamine （DA） levels in the hypothalamus. However, Fe increases DA levels and decreases PRL levels. The toxic mechanism of Mn and Fe co-inhalation-induced regulation of the hypothalamic-hypophyseal-pituitary axis remains unclear. OBJECTIVE： To evaluate the effects of co-inhaled Mn and Fe on hypothalamic DA levels and pituitary PRL production, to investigate whether these changes are reversible, and to determine the role of co-inhaled Mn and Fe. DESIGN, TIME AND SETTING： A randomized, controlled, animal experiment based on inhalation toxicity via whole-body exposure was performed. Hypothalamic DA levels, serum PRL, and PRL and PiN mRNA levels were analyzed at the Institute of Environmental and Occupational Medicine, Inje University, Busan, Korea, from August 2007 to May 2009. MATERIALS： MnSO4 and FeSO4 were purchased from Sigma-Aldrich, St. Louis, MO, USA. High-performance liquid chromatography （HPLC） using an electrochemical detector （ECD） was purchased from Waters Corporation, Milford, MA, USA. mRNA Capture Kit and reverse transcription-polymerase chain reaction （RT-PCR） kit were obtained from Roche Molecular Biochemicals, Mannheim, Germany and Perkin-Elmer, Wellesley, MA, USA, respectively. Rat PRL enzyme-linked immunosorbent assay kit was purchased from Biocode Hycel, Liege, Belgium. METHODS： Eighty 15-week-old, male, Fischer 344 rats were assigned to two groups： one group treated with Mn and Fe and a control group. Each group was sub-divided into four groups on the basis of treatment period （0- and 13-week treated groups with both chemicals） and recovery periods （4- and 13-week recovery groups following 13-week exposure to both chemicals）. The treatment condition was 6 hours per day, 5 days per week, for the entire body. Mn and Fe co-inhalation concentrations were 1.5 mg/m3 and 3.0 mg/m3, respectively. MAIN OUTCOME MEASURES： Hypothalamic DA levels were measured using HPLC-ECD analysis mRNA levels of PRL and Pit-1 were analyzed by Northern blot hybridization and RT-PCR, respectively. Serum PRL levels were measured by enzyme-linked immunosorbent assay. RESULTS： HPLC-ECD analysis revealed that following 13-week co-inhalation of Mn and Fe, hypothalamic DA levels significantly deceased, whereas pituitary PRL mRNA, Pit-1 mRNA, and serum PRL levels significantly increased. At 4 weeks of recovery, DA level in the hypothalamic tissue was significantly increased, and PRL and Pit-1 mRNA levels in the pituitary were significantly decreased. After 13 weeks of recovery, DA and PRL levels recovered to normal. The changing pattern of serum PRL levels was in accordance with pituitary PRL mRNA levels. CONCLUSION： Subchronic co-inhalation of Mn and Fe significantly decreased hypothalamic DA levels, but induced pituitary PRL production, both of which were mediated by Pit-1. These results suggested that Mn dominates over Fe in terms of hypothalamic DA levels and pituitary PRL production, and these effects are reversible in a subchronic inhalation condition. Therefore, changes in hypothalamic DA levels and serum PRL production could be used as biomarkers for welders, who are exposed to Mn and Fe.

Clinical significance of skin rash in dengue fever:A focus on discomfort,complications,and disease outcome

Objective:To assess whether the cutaneous features in patients with dengue fever are associated with abnormal blood biochemistry,complications,and poor disease outcome.Methods:Forty five patients with dengue fever were identified at a medical center in Kaohsiung,Taiwan,from September to November 2014.All cases were exclusively caused by type 1 dengue virus.Patients were classified into two groups,based on the presence or absence of skin rash,and their rash was subclassified into maculopapular,morbilliform,and petechial types.Clinical symptoms,laboratory data,disease outcome,and complications were compared between the two groups.Results:Thirty two patients with dengue fever developed skin rash(SP group,n=32) while the rest of 13 did not(SN group,n=13).The patient numbers in the maculopapular,morbilliform,and petechial group were 4,21,and 7,respectively.The SP group was younger(P=0.001),experienced more pruritus(P=0.008) and more swollen palms/soles(P=0.015) than the SN group.However,the SN group had greater genital mucosa involvement(P=0.008),higher platelet transfusion rate(P=0.003),and lower hemoglobin and hematocrit levels(P=0.030) than the SP group.Patients with morbilliform lesions had a higher incidence of palm/sole swelling,less genital mucosal involvement,and a lower platelet transfusion rate than did patients with maculopapular or petechial lesions.Conclusions:Cutaneous manifestations provide an important clue to dengue fever.In patients with dengue fever,those with skin rash tend to have itching and swelling of the palms/soles,however,those without skin rash tend to have more complications and poor disease outcomes.

Teleaudiology practice in COVID-19 pandemic in Egypt and Saudi Arabia

Objective:To evaluate the audiologists’attitudes and practice towards teleaudiology,as well as to assess the audiological services provided in Egypt and Saudi Arabia during the COVID-19 pandemic.Methods:A cross sectional study was conducted among 112 audiologists who were recruited through convenience sampling.Multinomial logistic regression was used to test the association between practice of tele audiology as a dependent variable and some independent variables.Results:25.4%of the studied sample were practicing tele audiology.Participants’age and attitude toward telemedicine were the independent predictors of tele audiology practice at p value≤0.05.Conclusion:The tele audiology practice is essential.Therefore,raising the knowledge of audiologist about the great value of practicing tele audiology is very important,infrastructure,equipment,and technology especially telecommunication should be improved and facilitated for both audiologist and patients.

Abnormal liver function and central obesity associate with work-related fatigue among the Taiwan Residents workers

AIM: To examine the associations between objective health indicators and high need for recovery (NFR) after work, one of the subjective presentations of work related-fatigue, among apparently healthy workers in modern workplaces. METHODS: From October to December, 2007, an annual health examination was performed for the workers from an electronics manufacturing factory in Taiwan. Health records of 1216 workers with a relatively homogeneous socioeconomic status were used for analysis. The health checkups included personal and NFR scale questionnaires, physical examinations, blood tests for biochemistry and hematology. The workers within the top tertile NFR score were defi ned as high-NFR workers. RESULTS: After adjusted for potential confounders, the workers with elevated alanine aminotransferase (ALT) and central obesity had a significantly higher NFR after work, with increased risks of 1.4-fold [95% confi dence interval (CI) = 1.01-2.0] and 1.8-fold (95% CI = 1.2-2.7), respectively. Shiftworkers had a 2.0-fold (95% CI = 1.5-2.6) increased risk for high-NFR. The associations between high-NFR and lipid profi les, blood sugar, hematology indexes or blood pressure were insignifi cant after controlling for confounders.CONCLUSION: For apparently healthy workers, high NFR after work is not simply a subjective experience. Objective health measures, such as elevated ALT and increased waist circumference, should be carefully evaluated for the apparently healthy workers having a higher NFR after work.

Knowledge and Perceptions of Energy Alternatives, Carbon and Spatial Footprints, and Future Energy Preferences within a University Community in Northeastern US

Our overall research aim was to examine whether people distinguished between the spatial footprint and carbon footprint of different energy sources, and whether their overall “worry” about energy types was related to future developed of these types. We surveyed 451 people within a university community regarding knowledge about different energy sources with regard to renewability and spatial and carbon footprints and attitudes about which energy type(s) should be developed further. Findings were: 1) Gas, oil and coal were rated as the least renewable, and wind, solar and hydro as the most renewable;2) Oil and coal were rated as having the largest carbon footprint, while wind, solar and tidal were rated the lowest;3) There were smaller differences in ratings for spatial footprints, probably reflecting unfamiliarity with the concept, although oil and gas were rated the highest;4) Energy sources viewed as renewable were favored for future development compared with non-renewable energy sources, and coal and oil were rated the lowest;5) Worry-free sources such as solar were favored;and 6) There were some age-related differences, but they were small, and there were no gender-related differences. Overall, subjects knew more about carbon footprints than spatial footprints, generally correctly identified renewable and non-renewable sources, and wanted future energy development for energy sources which were less worried about (e.g. solar, wind). These perceptions require in-depth examination in a large sample from different areas of the country.

Clinical and Experimental Study of the Toxic Neuropsychiatric Effects of Formaldehyde Exposure: Has Garlic a Protective Role?

Background: The central nervous system is one of the most important systems affected by formaldehyde (FA). Aim of Work: This study was designed to assess its toxic neuropsychiatric effects both clinically and experimentally and the protective effects of garlic. Methods: Clinically: 20 workers in the gross anatomy laboratory and 20 libertarians underwent a standardized clinical assessment including medical, neurological and psychiatric examination. Experimental: 40 male rats were divided randomly into four groups. Group I is control group. Group II received 10 mg/kg of FA intraperitoneally once daily for 14 days. Group III was treated with fresh garlic juice (1 ml/100g body weight) once daily by oral gavage for 14 days. Groups VI received fresh garlic juice plus formaldehyde daily for 14 days. At the end of the experiment, the rats’ brains were obtained for histological examination and biochemical analysis. Results: Clinical and psychiatric profile of FA exposed persons’ revealed cognitive impaired, anxious and depressed persons. There were hostile persons with more hostility toward outside. Experimentally, hippocampal and frontal superoxide dismutase and reduced glutathione showed highly significant decrease while malondialdehyde and nitric oxide level showed highly significant increase in formaldehyde treated group when compared with control group. Also histopathological changes in the hippocampal and frontal cortices by light microscope revealed many distorted cells with deeply stained shrunked nuclei and cytoplasm was surrounded by vacuolated pale areas in FA exposed group. Minimization of biochemical and histopathological changes were observed in combined formaldehyde and garlic treated group. Conclusion: The profiles of personality arouse dangerous affairs about the toxic impact of FA on persons, family, and society. Formaldehyde-induced neuronal damage, oxidative stress and lipid peroxidation in brain were minimized by addition of garlic.

4,4’-Methylenebis(2-chloroaniline) (MBOCA) May Be Highly Toxic and a Carcinogen Based on an Experimental Study with Mice

4,4’-Methylenebis(2-chloroaniline) (MBOCA) is a probable human carcinogen. Few studies have been performed regarding the genotoxicity of MBCOA, and the MBOCA metabolic pathway is not fully understood. We treated four-week-old ICR male mice weighing 25 - 30 g with MBOCA and observed the effects of MBOCA on the internal organs. It can be concluded that MBOCA is a carcinogen and also affects gene regulation. Oral or topical administration of 50 mg/kg, 100 mg/kg or 200 mg/kg MBOCA resulted in 56% - 81% of mice showing unusual inflammation, degeneration, and dysplasia in kidney, liver, stomach, intestine and urinary bladder based on histology. Furthermore, we investigated the association between oxidative DNA damage and MBOCA exposure by measuring plasma level of 8-hydroxydeoxyguanosine (8-OHdG). The results showed that the MBOCA-treated mice had significantly higher 8-OHdG levels than the control mice. This study confirms that MBOCA is potentially carcinogenic and highly toxic to both animals and humans.

Perceptions of Climate Change, Sea Level Rise, and Possible Consequences Relate Mainly to Self-Valuation of Science Knowledge

This study examines perceptions of climate change and sea level rise in New Jersey residents in 2012 and 2014. Different surveys have shown declines in interest and concern about climate change and sea level rise. Climate change and increasing temperatures have an anthropogenic cause, which relates to energy use, making it important to examine whether people believe that it is occurring. In late 2012 New Jersey experienced Super storm Sandy, one of the worst hurricanes in its history, followed by public discussion and media coverage of stronger more frequent storms due to climate change. Using structured interviews, we tested the null hypotheses that there were no differences in perceptions of 1260 interviewees as a function of year of the survey, age, gender, years of education, and self-evaluation of science knowledge (on a scale of 1 to 5). In 2012 460 of 639 (72%) rated “global warming occurring” as “certain” (#4) or “very certain” (#5) compared with 453 of 621 (73%) in 2014. For “due to human activities” the numbers of “certain” or “very certain” were 71% in 2012, and 67% in 2014 and for sea level rise the numbers were 64% and 70%. There were some inconsistent between-year differences with higher ratings in 2012 for 3 outcomes and higher ratings in 2014 for 5 outcomes. However, for 25 questions relative to climate change, sea level rise, and the personal and ecological effects of sea level rise, self-evaluation of science knowledge, independent of years of education, was the factor that entered 23 of the models, accounting for the most variability in ratings. People who believed they had a “high knowledge” (#4) or “very high knowledge” (#5) of science rated all issues as more important than did those people who rated their own scientific knowledge as average or below average.

Lower Segment Caesarean Section Audit Is a Promising Tool to Improve the Quality of a Standard Care at a Tertiary Hospital in Kuwait “Cross-Section Study”

Aim: Clinical audit is a tool to improve quality of care and to reduce maternal and perinatal morbidity and mortality. Auditing the CS according to a standard parameter will lead to strategies to avoid unnecessary intervention and to advice uniform practice. The aim was to evaluate the current practice and audit against international standards for various parameters relating to elective lower segment caesarean section and to assess compliance of physicians to audit standards. Subject and methods: This is a cross-sectional study which was in a tertiary hospital in Kuwait from 1st October 2019 until 1st October 2020. The hospital medical, electronic records and case notes of three hundred and twenty-six (326) cases of elective caesarean sections were reviewed for study participants. Those women were booked under the care of internal and external physicians. Demographic data and primary outcomes were collected. Results: Outcome was measuring the compliance to the recognized Caesarean Section international standards: consent form, grade of LSCS, antacid and anti-emetics, type of anesthesia, uses of antibiotics, umbilical cord blood PH, and thromboprophylaxis. The compliance for a signed consent form and cord blood PH was (100%), the use of preoperative antacid and antiemetic was (99.4%), combined regional anesthesia was given in (53.4%) of cases, preoperative antibiotics prophylaxis of second generation cephalosporin was to (61.3%) of cases, post-operative thromboprophylaxis was given in (78.5%) of cases of which (33.6%) completed a 10 days duration. There was a statistically significant difference between internal and external physicians’ compliance regarding, type of anesthesia 2.3 (95% CI, 1.3 - 4.1, p = 0.004), type and timing of antibiotics 0.42 (95% CI 0.22 - 0.79, p = 0.007) and 0.33 (95% CI 0.172 - 0.63, p = 0.0006) and thromboprophylaxis 8.1 (95% CI 2.80 - 23.23, p = 0.000). Conclusion: The results are encouraging, but suboptimal compliance is noticed mainly among external physicians.