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Publication Date: 2025
Food and Chemical Toxicology (18736351) 200
This research aimed to assess the potential health risks for infants and measure the concentrations of heavy metal substances in the breast milk of mothers residing in Ardabil, Iran. The study was descriptive and cross-sectional in nature. Ten health centers in Ardabil City were selected for the research. The ages of participating mothers ranged from 19 to 39 years, and breast milk samples were collected from those who were 1–12 months postpartum. A 25-item questionnaire was used to evaluate the participants' exposure to heavy metals in their environment and diet. Data analysis was performed using the non-parametric Mann-Whitney U test, resulting in a p-value greater than 0.05. The average body mass index (BMI) of breastfeeding mothers was 26.26 ± 3.73. Spike recovery values ranged from 92 % to 106 %, indicating reliable performance within the ICP-MS range. The limit of detection (LOD) during routine sample analysis was 0.001 μg/L. The daily intake (DI) of lead (Pb), arsenic (As), and chromium (Cr) for infants was calculated. According to the findings, copper (Cu) had the highest average concentration in breast milk at 803.94 μg/L, while cadmium (Cd) had the lowest at 1.87 μg/L. Additionally, potassium (K) exhibited the highest average concentration at 490.49 mg/L, whereas molybdenum (Mo) had the lowest at 0.8 μg/L. The average daily intake of Pb, As, and Cr through breastfeeding was measured at 3.39, 0.799, and 3.47 μg/kg-bw/day, respectively. The results confirmed the presence of mercury (Hg), As, and Pb in every milk sample collected from lactating mothers in Ardabil, indicating potential exposure of infants to elevated levels of toxic heavy metals. © 2025 Elsevier Ltd
Publication Date: 2025
SAGE Open Medical Case Reports (2050313X) 13
Low back pain is common during pregnancy, but symptomatic lumbar disc herniation in this period is particularly rare. We report a case of lumbar disc herniation in a 35-year-old woman at 32 weeks of pregnancy, who experienced persistent symptoms despite 6 weeks of rest and medication. Muscle strength in the right L5 nerve root declined to grade 4, and intravenous analgesia was ineffective. After thorough discussions with the patient and her family, a discectomy was performed under spinal anesthesia. Following surgery, the patient’s pain decreased, the Lasegue test became negative, and muscular strength returned to normal 2 weeks post-operation. At 39 weeks of gestation, a cesarean section was performed due to functional dystocia. © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Publication Date: 2023
International Journal of Environmental Analytical Chemistry (10290397) 103(3)pp. 575-590
A complex mixture of organic pollutants (EOPs) enters the environment, which has potential impacts on aquatic life and human health.This cross-sectional study investigated dermal and inhalation exposure to the pesticides imidacloprid and dichlorvos and evaluated the health risk in cucumber greenhouses applicators in the Amzajerdagriculturalarea, Hamadan Province, western Iran. A patch method and a personal air sampler with XAD-2 absorbent were used to measure potential exposure. In mixing and loading, dermal exposure on the hands was 1.15 mg for imidacloprid and 2.27 mg for dichlorvos. During the application of imidacloprid and dichlorvos, total dermal exposure was 8.49 and 16.21 mg, respectively. The calculated absorbable quantities of exposure (AQE) during mixing/loading were 0.0017 mg/day for imidacloprid and 0.0054 mg/day for dichlorvos, whereas AQE during application were 0.159 and 0.437 mg/day, respectively. The arms were the most contaminated anatomical regions of the applicators. The potential inhalation exposure contributed to <7% of the total exposure for both pesticides. For risk assessment, the margin of safety (MOS) was calculated. The MOS for imidacloprid was higher than 1, indicating that the possible risk associated with imidacloprid was low, whereas the MOS for dichlorvos was <1, which indicates a potential risk to the human body that merits concern from policy makers in pest management. © 2021 Informa UK Limited, trading as Taylor & Francis Group.
Publication Date: 2023
Environmental Health Engineering And Management Journal (24233765) 10(4)pp. 469-481
Background: The exposure to toxic metals is a major global health concern due to their stability, bioaccumulation, and high toxicity. These metals can be transmitted to the fetus through the placenta and exposure can last throughout life. This systematic review focused on the potential risks of arsenic (As) in breast milk to newborns and infants. Methods: Multiple keywords, such as “human milk” and “breast milk”, associated with “toxic metal”, “heavy metal” or “arsenic” were used to search related databases. Of the 151 articles found, 45 studies were eligible for qualitative review, and 34 were included in the meta-analysis. Results: The lowest and highest levels of arsenic were found to be 0.04 ± 0.70 and 27.75 ± 28.30 μg/L, respectively. The overall pooled average concentration (95% CI) of arsenic in breast milk was 0.11 (95% CI: 0.11, 0.12). The results indicated that infants who consume breast milk are within a safe limit for cancer risk. Conclusion: The exposure to significant metals is associated with disease development. Therefore, ongoing knowledge creation through mental acts and continuous observation is necessary to better understand the effects of heavy metals in future studies. © 2023 The Author(s).
Publication Date: 2022
Environmental Science and Pollution Research (09441344) 29(25)pp. 38450-38463
The cultivation of greenhouse crops is the most severe form of crop production in Iran, and vast quantities of unreasonable pesticides are being utilized to control the pests. The residual level of blood pesticides and their correlation with multibiomarkers were determined to evaluate the adverse health consequences on greenhouse workers in the Hamadan, west of Iran. Participants were 180 adult males, including 90 greenhouse workers exposed to pesticides and 90 control individuals. Blood samples were taken from all subjects for pesticide residues analysis, and hematological and biochemical parameters. The blood pesticide residues were analyzed using gas chromatography (GC) with a flame ionization detector. Hematological and biochemical parameters were determined using hematology cell counter and auto analyze, respectively. Statistical analyses were done with STATA version 14.2 software. The multivariate regression was used for relationship between various pesticide concentrations in blood and changes in biomarkers in pesticide exposed group. The analyses revealed that 64 out of the 90 workers had residues of dichlorvos, diazinon, and chlorpyrifos in their blood serum, and 56.25% out of these workers were exposed for >15-year period. The residues of all three pesticides were higher than the no observable adverse effect level (NOAEL) in all the exposure duration categories. Comparisons of hematological parameters showed that mean monocyte (0.76±0.41, P < 0.001), lymphocyte (3.52±1.20, P < 0.001) and platelet counts (278.18±66.05, P=0.001), mean platelet volume (10.18±0.59, P=0.002), and plateletcrit (PCT) (0.275±0.05, P<0.001) were significantly higher in workers than the controls, whereas hemoglobin (HB) (14.61±1.28, P=0.028), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentrations (MCHC) (32.44±0.90, P<0.001) were lower in workers than controls. These results indicate that the exposed individuals have experienced significant hemotoxic effects during the pesticide exposure. The study also predicts the risk to exposed individuals in developing countries like Iran and demands realization of safety measures to prevent such dangerous effects of pesticide exposures. © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Publication Date: 2020
Toxicon (18793150) 187pp. 209-213
This research investigated the occurrence of aflatoxin M1 (AFM1), ochratoxin A (OTA), and zearalenone (ZEN) in human milk samples in the Hamadan city, Iran. The study was carried out using the milk of nursing mothers from ten governmental health care centers. Mycotoxin content of ninety milk samples measured using enzyme-linked immunosorbent assay (ELISA). All samples that tested positive for AFM1 with the ELISA test were subsequently analyzed by high-performance liquid chromatography (HPLC). The mean ± SD concentrations of AFM1, determined by ELISA and HPLC were 5.98 ± 1.47 and 4.36 ± 1.23 ng/L, respectively. OTA and ZEN levels were below the detection limit (<5 ng/L) in all samples. None of the contaminated samples exceeded the regulation limit set by the European Commission (25 ng/L) for AFM1 in infant formula. We found a significant correlation between the AFM1 concentration in breast milk and infant age and milk consumption by the nursing mother (p < 0.05). These findings revealed that infants are susceptible to AFM1 exposure from their mother's milk. The authors recommend that additional research be conducted on the analysis of foodstuff and biological fluids for various mycotoxins. © 2020 Elsevier Ltd
Publication Date: 2019
Food Control (0956-7135) 106
Heavy metal toxicity is related with a number of diseases, but the problem increases many-fold when toxic metals are found in breast milk, the basic food item in a vulnerable age group. Twenty milk samples from lactating women were collected from rural areas of arsenic-affected districts of Kaboodrahang city, Iran. Arsenic levels in drinking water were also analyzed. As controls, 20 breast milk samples and 8 drinking water samples were also collected from two villages southwest of Kaboodrahang city, where no groundwater arsenic contamination has been reported. Mean (±SD) arsenic concentration was 10.75 (±7.62) μg/L in study samples and 7.73 (±4.01) μg/L in control samples. Unacceptable non-carcinogenic health risk levels or hazard quotients for arsenic were found in 55% of breastfed infants in the contaminated areas and 41% of breastfed infants in the non-contaminated area. The results showed that the levels of arsenic in both contaminated and non-contaminated areas were high. This suggest that arsenic probably enters the mother's milk from other sources such as food crops in the study area. Our results indicate a potential risk of arsenic toxicity in infants in rural areas in Kaboodrahang city via the consumption of mothers' breast milk. © 2019 Elsevier Ltd
Publication Date: 2019
Science of the Total Environment (0048-9697) 650pp. 3075-3083
Toxic heavy metals released into the environment through various anthropogenic activities, raising concerns over their potential adverse effects on human health and the environment. Biological monitoring studies are of great value in toxicological research for estimation of such health effects. The aim of this study was to evaluate the concentrations of lead (Pb), arsenic (As), and chromium (Cr) in the breast milk of urban mothers in Hamadan city, Iran and the accompanying health risk to infants. A total of 100 lactating mothers were recruited from public health care centers in Hamadan city and breast milk samples were collected at 2, 6, 8, and 12 months postpartum. Inductively coupled plasma mass spectroscopy (ICP-MS) has been used to measure target heavy metal concentrations. The median breast milk concentrations of Pb, As, and Cr were 41.90, 0.50, and 3.95 μg/L, respectively. The highest levels of Pb were observed after two months of delivery (with the mean of 96.69 μg/L and median of 45.70 μg/L). Up to 94% of the breast milk samples exceeded the WHO limit suggested for lead contamination of breast milk (<5 μg/L). The breast milk As and Cr contents were above the limit of detection (LOD) in 19% and 76% of samples, respectively. Unacceptable non-cancer health risk levels or hazard quotient (HQ) were found for Pb and As in 61% and 10% of the samples, respectively. Nevertheless, HQ from Cr was <1.0 for 100% of breastfeeding infants. Finally, our results indicated that there may be a potential risk of toxic metals, especially lead, for infants in Hamadan via the consumption of mothers’ breast milk. © 2018 Elsevier B.V.
Publication Date: 2019
Biological Trace Element Research (15590720) 187(1)pp. 32-40
Breast milk is considered the best source of nutrition for all infants. However, exposure of newborns to toxic metals is of special interest due to their potential harmful effects. Thus, the primary aims of this study were to determine the concentration of toxic heavy metals including lead, mercury, cadmium, and barium in breast milk samples from Hamadan, Iran, in relation to some sociodemographic variables. A total of 100 breast milk samples were collected and their heavy metal contents were measured by inductively coupled plasma mass spectroscopy (ICP-MS). The median breast milk concentrations of Pb, Hg, and Ba were 41.9, 2.8, and 1.95 μg/L, respectively. Cd levels were < 1 μg/L in all samples. The Pb level in 94% of the samples was higher than the recommended Pb limit of < 5 μg/L in breast milk suggested by World Health Organization (WHO). Hg levels in 54% of the breast milk samples were higher than the normal mean concentration (1.7 μg/L) suggested by WHO. We found no correlation between Hg levels in breast milk and sociodemographic factors. Ba levels in all the breast milk samples were lower than the WHO’s proposed health-based drinking water guideline (0.7 mg/L). Considering the results of the present study and the vulnerability of infants, along with the well-known toxicity of these metals, further studies are warranted to identify the main sources of exposure that contribute their concentration in breast milk, establish harmless intake values of toxic metals in breast milk, and develop preventive measures. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
Publication Date: 2018
Journal of Trace Elements in Medicine and Biology (0946672X) 50pp. 8-15
The present cross-sectional study is aimed at analyzing the breast milk of lactating mothers in Hamadan, Iran for aluminum and several minerals and trace elements. Ten governmental health care centers were utilized to facilitate collection of breast milk samples. The breast milk samples were collected at 1, 2, 6, 7, and 12 months postpartum from one hundred healthy lactating women, who delivered full-term newborns. Detection of sodium (Na), zinc (Zn), calcium (Ca), iron (Fe), copper (Cu), magnesium (Mg) and aluminum (Al) levels was conducted with the use of Inductively Coupled Plasma Mass Spectrometry (ICP-MS). This method has shown high accuracy, precision, sensitivity, and linearity for the wide range of concentrations. The accumulated data were not normally distributed; thus, the non-parametric Mann-Whitney U test was used in the statistical analysis of the results. Mean concentrations of Fe, Zn, Cu, Ca, Mg, and Na were 0.75, 1.38, 0.35, 255, 34.58, and 155.72 μg/mL, respectively. The mean level of Al, a well-known neurotoxic metal, was determined to be an alarming 0.191 μg/mL. Moreover, 95% of participants contained very harmful concentrations of Al in their milk. This study also revealed Zn deficiency in about 50% of milk samples. Further investigation is needed to elucidate sources of exposure and factors that may influence maternal and fetal exposure to aluminum. © 2018 Elsevier GmbH
Publication Date: 2017
Applied Water Science (21905495) 7(1)pp. 393-400
The efficiency of granular activated carbon (GAC) was investigated in this study as a catalyst for the elimination of pentachlorophenol (PCP) from contaminated streams in a laboratory-scale semi-batch reactor. The influence of important parameters including solution pH (2–10), radical scavenger (tert-butanol, 0.04 mol/L), catalyst dosage (0.416–8.33 g/L), initial PCP concentration (100–1000 mg/L) and ozone flow rate (2.3–12 mg/min) was examined on the efficiency of the catalytic ozonation process (COP) in degradation and mineralization of PCP in aqueous solution. The experimental results showed that catalytic ozonation with GAC was most effective at pH of 8 with ozone flow rate of 12 mg/min and a GAC dosage of 2 g. Compared to the sole ozonation process (SOP), the removal levels of PCP and COP were, 98, and 79 %, respectively. The degradation rate of kinetics was also investigated. The results showed that using a GAC catalyst in the ozonation of PCP produced an 8.33-fold increase in rate kinetic compared to the SOP under optimum conditions. Tert-butanol alcohol (TBA) was used as a radical scavenger. The results demonstrated that COP was affected less by TBA than by SOP. These findings suggested that GAC acts as a suitable catalyst in COP to remove refractory pollutants from aqueous solution. © 2014, The Author(s).
Publication Date: 2009
Environmental Technology (United Kingdom) (1479487X) 30(10)pp. 1023-1029
Chromium (VI) is known to be potentially carcinogenic and mutagenic in humans. A low-cost industrial solid bioadsorbent, bagasse-based activated charcoal (BAC), has been investigated for removal of chromium from aqueous solution. All the experiments were carried out in batch process with laboratory-prepared samples to study the effects of adsorbent dose, contact time, pH and initial concentration of Cr(VI). The removal of chromium ion was found to be highly dependent on the pH of the solution, adsorbent dose and contact time. Also the equilibrium adsorption was analyzed by the Freundlich and Langmuir isotherm models. It was found that the Freundlich isotherm model best described the sorption of chromium by sugar beet bagasse-based activated charcoal (r2 0.9927). Experimental data of kinetic studies were fitted to pseudo-first-order, pseudo-second-order and modified pseudo-first-order models. The results showed pseudo-second order kinetics was best fitted to the collected data (r2 0.9893). Optimum conditions for adsorption were determined at pH 2 and a contact time of 180 minutes (92.7% removal). These retention capacities suggest that BAC can provide a simple, effective, and cheap method for removing Cr(VI) ions from effluents and water resources.
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