Chemical assessment and fractionation of some heavy metals and arsenic in agricultural soils of the mining affected Drama plain, Macedonia, northern Greece.

The concentration and chemical fractionation of some heavy metals (Mn, Pb, Zn, Cu, Cd) and As in agricultural soils of the western Drama plain (northern Greece) were determined using inductively coupled plasma-mass spectrometry (ICP-MS) technique. Drama plain constitutes the recipient of the effluents from Xiropotamos stream, which passes through the abandoned "25 km Mn-mine" place. Results showed that soils were found to have elevated concentrations of potentially harmful elements which are mainly associated with Mn mineralization. Peak total concentrations (in mg kg(-1)) of 130,013 for Mn, 1996 for Pb, 2140 for Zn, 147 for Cu, 28 for Cd, and 1077 for As were found in sampling points close and along both sides of the Xiropotamos stream, as a result of downstream transfer and dispersion of Mn mine wastes via flooding episodes. Contaminated sites are important sources of pollution and may pose significant environmental hazards for terrestrial and aquatic ecosystems. The geochemical influence of the mine wastes as a source of soil pollution is substantially reduced in sites 200 m remote of the Xiropotamos stream course. The chemical partitioning patterns indicated that the potential for Mn, Pb, Zn, Cu, Cd, and As remobilization and bioavailability is low, as most of these elements were present in the residual and/or the more stable Mn- and Fe-hydroxide fractions. The partitioning in significant percent (14-25 %) of Cd with the weakly bound exchangeable/carbonate fraction indicated that this metal could be highly mobile as well as bioavailable in the studied contaminated soils and this could be concern to human health.

Pleural plaques in dentists from occupational asbestos exposure: a report of three cases.

BACKGROUND: White asbestos (chrysotile) has been used in dentistry since 1930 when it was introduced as a lining material for casting rings. METHODS: All three patients presented with pleural plaques on chest X-rays as well as on CT-scans. They were working as dentists for 35-45 years. Under the instructions of the first dentist we represented precisely the whole process of manipulating a kind of paper that contained asbestos. In order to measure asbestos fibers concentration we used the membrane filter method and phase contrast optical microscopy. Dry asbestos sheets were scanned with x-ray diffraction and electron microscope. RESULTS: Analysis of the filter demonstrated 0.008 fibers/cm(3) during the sampling period. X-ray diffraction analysis revealed that the material consisted of chrysotile exclusively. Electron microscope pictures confirmed the presence of chrysotile. CONCLUSION: Everyday occupational exposure for many years even to low asbestos levels, under poor ventilation conditions in a closed space, could cause pleural lesions.

Add-on topiramate in the treatment of refractory partial-onset epilepsy: clinical experience of outpatient epilepsy clinics from 11 general hospitals.

An open, prospective, observational study was performed to assess efficacy and adverse-event profile of topiramate as add-on therapy in epilepsy. Outpatient neurology clinics from 11 general hospitals in Greece participated in the study. In total, 211 patients with treatment resistant partial-onset seizures who met the inclusion criteria, were studied. After baseline evaluation, topiramate was given at a target dose of 200mg/day over a 1-month titration period. In the subsequent maintenance period, the topiramate dose could be varied according to the clinical results. Patients were followed for in total 6 months, with monthly visits and regular physical, neurological and laboratory examinations. Seizure frequencies decreased to 35--40% of baseline values following 3 months of treatment and remained relatively constant thereafter. The average monthly seizure frequency over the 6-month study period was 4.61, compared to 9.21 at baseline. The number of responders (patients with at least 50% reduction in seizure frequency) followed a similar pattern, i.e., increase during the first 3 months levelling off at a final 80--85% response rate. Of those completing the study, 30% had been seizure-free for at least 3 months and 12% for 5 months. Topiramate was well tolerated, no deviations in laboratory values were found. Adverse events appeared to occur less frequently, and antiepileptic effects were more pronounced in this prospective open-label study than in earlier reports from randomised controlled trials. The nature of the patient population and the application of individualised dose optimisation are proposed as contributing factors to explain the favourable results of this study.

The effect of environmental pollution on the respiratory system of lignite miners: a diachronic study.

BACKGROUND: It is not known whether working in surface lignite mines can cause x-ray lesions or disorders of respiratory function. OBJECTIVES: The aim of the study was to investigate the diachronic impact of environmental pollution on the respiratory system of lignite miners at mines in Eordea, Greece. METHODS: Cases of 199 workers (Group A) residing permanently in the Eordea valley and 151 (Group B) living outside the Eordea valley were studied during Phase I and then re-examined after three years (Phase II). These cases were compared to those of 71 office workers living in Eordea valley (Group C) and to 96 living in Grevena, a region without pollution (Group D). The study included the completion of the MRC questionnaire for the detection of respiratory diseases, pulmonary function tests, measurement of diffusion capacity, otorhinolaryngologic examination, rhinomanonetry as well as chest and paranasal cavity X-rays. RESULTS: Chronic bronchitis was reported by 26.8%, 24.8%, 17.9% and 10.6% respectively of the subjects of groups A, B, C and D according to the answers of the questionnaire (p<0.001). The spirometry and diffusion capacity findings presented no considerable differences either in the 4 groups or between phases I and II of the study. The main problems were detected in the upper airways. A very high prevalence of severe nasal obstruction (73%, 71.2%, 55.7% and 19.3% in Groups A, B, C and D respectively) was detected. Furthermore, a high percentage of atrophic rhinitis (14%) was detected both among workers (Groups A and B) and subjects living in the Eordea valley who participated as controls (Group C). From the X-rays, hypertrophy of nasal turbinates-cartilage and polyposis was observed as follows: Group A: 53.9%, Group B: 48.1%, Group C: 46.5% and Group D: 20.3% (p<0.001). The findings related to the upper respiratory system may be due to excessive pollution by airborne particles (fly ash) pollution in the region and particularly to chromium, nickel, cobalt and lead found at high concentration levels in airborne dust. A marked association between the total air-flow in the nose and the mid-expiratory flow (p<0.01) was detected. CONCLUSIONS: We conclude that subjects working in lignite mines under conditions of excessive pollution by airborne contaminants have a high prevalence of atrophic rhinitis and, in addition to other standard examinations, should undergo rhinomanometry testing and X-ray imaging of the paranasal cavities.