Determination of Lead, Mercury and Cadmium in Wild and Farmed Barbus sharpeyi from Shadegan Wetland and Azadegan Aquaculture Site, South of Iran

Lead, mercury and cadmium concentrations were measured in muscle, liver and gill in wild and farmed Barbus sharpeyi from Shadegan Wetland (SW) and Azadegan Aquaculture Site (AAS). Significant variation in metal values were evaluated in Students’ tests at p > 0.05. Results showed: In B. sharpeyi high levels of cadmium, lead, and mercury were measured in gill (0.34, 0.68, and 0.06 mg kg⁻¹ dw). The concentration of metals was not significantly different (p ≥ 0.05) in the muscle between SW (Cd, 0.24; Pb, 0.49 and Hg, 0.04) and AAS (Cd, 0.23; Pb, 0.49 and Hg, 0.04). Lead concentration was higher than cadmium and mercury in different organs (p > 0.05). Cadmium, mercury and lead in different tissues of SW were higher than AAS and there was no significant difference between them (p ≥ 0.05). Metal levels in different tissues were higher than WHO standard.     

Mercury Concentrations in Commercial Fish from Freshwater and Saltwater

Research was performed to investigate the concentration of mercury in muscle and liver of fish species from freshwater (Barbus xanthopterus, Barbus grypus, Liza abu) and saltwater (Cynoglossus arel, Periophthalmus waltoni, Otolithes ruber) in Khouzestan, Iran. In freshwater fish, muscle was polluted in comparison with liver except for Barbus xanthopterus which high levels of mercury were measured in liver. In saltwater fish liver was contaminated than muscle except for Cynoglossus arel which high level of mercury was found in muscle. Significant variations in metal values were evaluated using student’s t test at P < 0.05. Mercury concentrations were well above the permissible limits suggested by WHO and FDA guidelines.     

Development and validation of a simple risk score to predict the need for permanent pacing after cardiac valve surgery

OBJECTIVES: The study objective was to develop and validate a simple risk score to predict postoperative permanent pacing (PPM) after valve surgery. BACKGROUND: Our ability to identify patients preoperatively that will require PPM is poor. A simple preoperative risk score to predict PPM after valve surgery could assist both clinical practice and research. METHODS: All valve surgery patients at our institution from 1992 to 2002 were included (n = 4,694). Two-thirds of the patients were randomly selected to form a risk score prediction group (PG), and the score was then applied to the remaining patients (validation group [VG]). RESULTS: Preoperative right bundle branch block (odds ratio [OR], 3.6; 95% confidence interval [CI], 2.3 to 5.7) and multivalve surgery that included the tricuspid valve (OR, 3.7; 95% CI, 2.3 to 6.1) were the strongest independent predictors of PPM, while multivalve surgery that did not include the tricuspid valve (OR, 2.1; 95% CI, 1.3 to 3.3), preoperative left bundle branch block (OR, 2.0; 95% CI, 1.3 to 2.9), preoperative PR interval >200 ms (OR, 1.9; 95% CI, 1.3 to 3.0), prior valve surgery (OR, 1.8, 95% CI, 1.2 to 2.7), and age >70 years (OR, 1.4; 95% CI, 1.04 to 2.0) also predicted PPM. A risk score from 0 to 6 identified patients in the VG with incidences of PPM of 1.9%, 5.2%, 8.7%, 11.5%, 21%, 36%, and 50%, respectively. CONCLUSIONS: A simple risk score incorporating preoperative conduction, age, prior valve surgery, and surgery type predicts PPM after valve surgery. This score may be useful in the perioperative management of valve surgery patients.