Mass size distribution and source identification of particulate matter metal components at four urban sites and a background site of Istanbul

In this study, the size distribution characteristics and metal contents of particulate matter (PM) have been determined. In this scope, PM sampling has been done at five stations in Istanbul. PM filter samples were collected for eight different sizes using the Anderson cascade impactor. PM filters were decomposed and analyzed for 20 metals. The highest median concentration for Fe, Ca, K, and Mg, known as soil metals, were observed as follows: Fe and Ca were observed at Goztepe station (1.20 and 8.28 mu g/m(3)), K was observed at Kilyos station (0.33 mu g/m(3)), and Mg was observed at Avcilar station (0.37 mu g/m(3)). The highest median concentrations for Zn, Cu, Pb, Ni, Cr, V, As, Se, Co, and Cd, known as anthropogenic metals, were observed at Avcilar, Goztepe, and Besiktas stations. Although the lowest metal concentrations was determined at Kilyos stations that was selected as the urban background. The enrichment factors (EFs) of most metals in the fine PM is higher than those in the coarse mode. According to the factor analyses, the most important emission source was observed to be industrial facilities at Avcilar; traffic at Besiktas; traffic and domestic heating at Goztepe; and domestic heating, sea salt aerosols, and ship traffic (in the Bosphorus Channel of Istanbul) at Rasathane

Picturing asthma in Turkey: results from the Turkish adult asthma registry

Introduction: National data on asthma characteristics and the factors associated with uncontrolled asthma seem to be necessary for every country. For this purpose, we developed the Turkish Adult Asthma Registry for patients with asthma aiming to take a snapshot of our patients, thereby assigning the unmet needs and niche areas of intervention. Methods: Case entries were performed between March 2018 and March 2022. A web-based application was used to record data. Study outcomes were demographic features, disease characteristics, asthma control levels, and phenotypes. Results: The registry included 2053 patients from 36 study centers in Turkey. Female subjects dominated the group (n = 1535, 74.8%). The majority of the patients had allergic (n = 1158, 65.3%) and eosinophilic (n = 1174, 57.2%) asthma. Six hundred nineteen (32.2%) of the patients had obese asthma. Severe asthma existed in 670 (32.6%) patients. Majority of cases were on step 3–5 treatment (n: 1525; 88.1%). Uncontrolled asthma was associated with low educational level, severe asthma attacks in the last year, low FEV1, existence of chronic rhinosinusitis and living in particular regions. Conclusion: The picture of this registry showed a dominancy of middle-aged obese women with moderate-to-severe asthma. We also determined particular strategic targets such as low educational level, severe asthma attacks, low FEV1, and chronic rhinosinusitis to decrease uncontrolled asthma in our country. Moreover, some regional strategies may also be needed as uncontrolled asthma is higher in certain regions. We believe that these data will guide authorities to reestablish national asthma programs to improve asthma service delivery