EFFECTIVE DOSES ESTIMATED FROM THE RESULTS OF DIRECT RADON AND THORON PROGENY SENSORS (DRPS/DTPS), EXPOSED IN SELECTED REGIONS OF BALKANS.

The main contribution to population exposure is due to radon and thoron progenies and not radon itself. The aim of this study was therefore to estimate annual effective dose using the results of Direct Radon and Thoron Progeny Sensors were exposed in 69 selected schools and 319 dwellings in several regions of Balkans: in Serbia: regions of Sokobanja and Kosovo and Metohija, Republic of Macedonia, Republic of Srpska and Slovenia. Obtained average total effective doses are in the range from 0.22 mSv a-1 (schools in Republic of Srpska) to 2.5 mSv a-1 (dwellings in Kosovo) and are below the reference level of 10 mSv a-1 recommended by International Commission on Radiological Protection.

Is high indoor radon concentration correlated with specific activity of radium in nearby soil? A study in Kosovo and Metohija.

This paper presents indoor radon concentrations and specific activities of natural radionuclides measured in soils of Kosovo and Metohija. The measurements of radon concentration were performed during two consecutive 6-month periods in two rooms of 63 houses using CR-39 detectors. The annual radon concentration ranged from 30 to 810 Bq m-3 with the average value of 128 Bq m-3. Almost 15% of the houses had radon concentration higher than 200 Bq m-3. The difference between radon concentrations measured in the two 6-month periods was analyzed, showing, as expected, a slightly higher radon concentration in the "winter period" than in the "summer period". The variation between different rooms of the same houses was also analyzed, showing that 20% of the dwellings had a significantly higher radon concentration (>100 Bq m-3) in one room compared to the other (the coefficient of variation ranged up to 96%). The specific activities of natural radionuclides in the nearby soil were determined by gamma spectrometry. The estimated average value (and standard deviation) of 226Ra, 232Th, and 40K specific activities were 32 (13), 35 (16), and 582 (159) Bq kg-1, respectively. The correlation between indoor 222Rn and 226Ra content in soil was investigated. Only a weak correlation was found (Spearman's rho = 0.220) indicating that other factors might affect diffusion and accumulation of radon indoors, as confirmed also by the high variability between the rooms of the same houses.

Persistent organic pollutants, heavy metals and radioactivity in the urban soil of Pristina City, Kosovo and Metohija.

Polycyclic aromatic hydrocarbons (PAHs), organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), heavy metals content and radioactivity levels were measured in 27 soil samples collected from Pristina, the capital of Kosovo and Metohija. The sixteen PAHs, twelve OCPs and six PCBs congeners were determined by gas chromatography system with mass spectrometry detection. Although the use of PCBs and OCPs was prohibited decades ago residues of those compounds still existed in measurable concentrations in soils of Pristina. PAHs were also present in analyzed samples but their mean concentration was significantly lower than mean concentrations of PAHs previously reported in urban areas in the world. The concentrations of heavy metals (As, Cd, Co, Cr, Cu, Mn, Ni, Pb and Zn) were determined by the EDTA extraction protocols, along with their extractable concentrations. The activity concentrations of natural radionuclides (226Ra, 232Th and 40K) were determined by gamma spectrometry method. The Shapiro-Wilk normality test found that activity concentrations of natural radionuclides were normally distributed. Radiological risk was estimated through the annual effective dose, gonadal dose equivalent, excess lifetime cancer risk, radium equivalent activity, external and internal hazard indexes. Spearman correlation coefficient was used for analysis of correlations between physicochemical properties, heavy metal contents and radionuclide activity concentrations. Strong positive correlation between 226Ra and 232Th was found, as well as among pairs of As-Cd and Co-Mn. Very strong positive correlation (0.838) at the 0.01 significance level was noted for Pb-Zn pair. Strong correlations indicate common occurrence of these elements in the nature, as well as geogenic association.

Indoor radon and thoron concentrations in some towns of central and South Serbia.

This study presents the results of indoor radon and thoron activity concentrations of some municipalities in central and south part of Serbia: Krusevac, Brus, Blace and Kursumlija. Measurements were carried out in 60 dwellings during the winter season. Passive discriminative radon-thoron detectors known as UFO detectors were used. The mean values of indoor radon and thoron concentrations were 82 Bq m-3 and 42 Bq m-3, respectively. Population-weighted mean values were 76 Bq m-3 and 40 Bq m-3, respectively. 26.7% of dwellings had radon concentration higher than 100 Bq m-3 (one location had even more than 300 Bq m-3). There are no statistically significant correlations of indoor radon and thoron concentrations neither with the period of house construction, nor with the existence of a basement. The results of this study represent the first step of investigating radon and thoron levels in these parts of Serbia and therefore could be the basis for creating a radon map.

First step of indoor thoron mapping of Kosovo and Metohija.

The survey of natural radioactivity in Kosovo and Metohija involves 180 indoor (220)Rn measurements. They were performed either in living rooms or in bedrooms of 127 individual, rural type houses, using a passive method with application of CR-39 solid-state nuclear track detectors. Detectors were deployed at a distance of >10 cm from the walls. Values of all 180 measurements for 127 houses give an arithmetic mean (AM) of 132 Bq m(-3). The data for indoor thoron mapping arranged within 10 km × 10 km grid cells give an AM of 118 Bq m(-3) over AM grid cells. The distribution over individual data and the grid cells can be described as normal. About 19 % of the area of Kosovo and Metohija was covered by mapping. This study includes statistical analysis and discussion of factors, such as geogenic and seasonal, which possibly affect thoron concentration, as well as comparison with simultaneous radon measurements.

Prothrombogenic factors and reduced antioxidative defense in children and adolescents with pre-metabolic and metabolic syndrome.

BACKGROUND: The aim of this study was to examine prothrombogenic factors and antioxidative defense in obese children and adolescents with pre-metabolic and metabolic syndrome, and to analyze insulin secretion and resistance, early glycoregulation disorders and lipid status. METHODS: Insulin sensitivity was determined using the homeostasis model assessment for insulin resistance (HOMA-IR), while insulin secretion was determined using the homeostasis model assessment beta (HOMA-beta). Prothrombogenic factors analyzed were plasma plasminogen activator inhibitor-1 (PAI-1) and fibrinogen. Superoxide dismutase and glutathione peroxidase were measured as markers of antioxidative defense. RESULTS: Patients with metabolic syndrome were characterized with increased body mass index (BMI), waist circumference, and HOMA-IR and HOMA-beta levels, and all had increased blood pressure and triglyceride levels, low high-density lipoprotein cholesterol levels, increased PAI-1 levels and reduced antioxidative defense levels. Patients with pre-metabolic syndrome had higher levels of basal and mean insulinemia during an oral glucose tolerance test, higher levels of HOMA-beta and lower levels of antioxidative defense compared to patients with metabolic syndrome. CONCLUSIONS: Negative correlations between antioxidative defense parameters and BMI, abdominal obesity, insulin secretion, systolic blood pressure and atherogenic lipid factors, as well as correlations between PAI-1 and insulin resistance and basal glycemia in the metabolic syndrome group contribute to accelerated atherosclerosis. Positive correlations between PAI-1 and waist circumference and BMI, and negative correlations between BMI and antioxidative defense in the pre-metabolic syndrome patients show that this early stage preceding the metabolic syndrome is also characterized by atherosclerotic complication risks and evident hyperinsulinism and insulin resistance.

Effect of tadalafil on erectile dysfunction in male patients with diabetes mellitus.

BACKGROUND/AIM: [corrected] During the first 10 years over 50% of diabetes patients develop erectile dysfunction (ED). It is more severe and resistant to therapy than in male patients with normal glucoregulation. The purpose of this pilot study was to estimate the tadalafil (Cialis) efficacy and safety in male patients with diabetes mellitus (DM), together with moderate to severe ED. METHODS: The study included 30 male patients with diagnozed type 1 or type 2 DM together with ED. ED was estimated through the International Index of Erectile Function (IIEF-6), Sexual Encounter Profile (SEP) questionnaire and prostaglandin test, at the beginning of the research and three months after the 20 mg tadalafil therapy initiation, once a week (on Fridays). Glycosylated haemoglobin in blood (HbAlc) values were also monitored. According to the ED severity (IIEF values at the beginning of the therapy) the patients were divided into 2 groups. The previous experience with sildenafil citrate (Viagra) and prostaglandin E1 intracavernous therapy was recorded. RESULTS: Tadalafil significantly improved ED (p < 0.001) for 7.40 points of the IIEF score, i.e. for 58% and 60% towards SEP2 and SEP3 questionnaire, respectively. Compared to the previous ED therapy subjectively better tadalafil experience was recorded. Each group experienced a significant improvement in IIEF score (p < 0.001), more significantly in the group 2 (8.26+/-1.49 points) compared with the medium improvement in the group 1 (6.27+/-1.35 points). After three months HbA1c values decreased for 2.26+/-1.62 (p < 0.001). CONCLUSION: Tadalafil is an effective tool for treating ED in diabetes patients. In some situations tadalafil application could replace prostaglandin test. The sexual sphere motivation leads to the improvement of glucoregulation in DM patients.