Identifying and Determining Dispersion Boundary Bio-aerosols of Bacterial and Fungal Pathogens from Municipal Waste Collection Containers

Background & Aims of the Study: Identifying and determining the dispersion boundary bio-aerosols of bacterial and fungal pathogens for locating containers of municipal waste in accurate management to prevent from health damage and enhance society health is essential. The aim of this research is to identify and assess the radius of bacterial and fungal bio-aerosol emissions from municipal waste collection containers. Materials and methods: This was a cross- sectional study in Gonabad city in which air sample prepared from around the containers from July to October 2015. Sampling was carried out by active Zefon A6 Impactor samplers at a distance of 1.5 m from surface of earth and in several horizontal distances up to 2 m from containers. Totally, 360 samples were gathered and the bacteria and fungi were identified by microbiology tests. Also, temperature, humidity and wind speed was measured. Results: Aspergillus, yeast and Alternaria were the most dominant species of fungi in around of containers. Among bacteria, gram-positive bacilli and Staphylococcus epidermidis were dominant. Most of bio-aerosols in a distance of 25 cm from the containers (228.00±167.12  CFU/m3) and the lowest were observed at a distance of 2 m of the containers (223.86±204.72 CFU/m3). Conclusion: The findings indicated that municipal waste collection containers released the hazardous biological agents as Aspergillus and Staphylococcus aureus that are very pathogenic for human in environment. So the position of the garbage containers for decline the environment health effect, it should not be less than 2 m from human exposure

Effect of Renal Artery Stenting on Blood Pressure, Glomerular Filtration Rate and Left Ventricular Mass in Hypertensive Patients with Severe Atherosclerotic Renal Artery Stenosis

Background Many small trials showed a significant improvement in blood pressure following renal artery stenting in patients with severe atherosclerotic renal artery stenosis, but data on renal function improvement is more conflicting. Recently, few trials have been conducted to evaluate the effect of this procedure on Left Ventricular Mass (LVM) and Left Ventricular Mass Index (LVMI). Objectives The aim of this study is to determine the effect of renal artery stenting on Blood Pressure, estimated Glomerular Filtration Rate (eGFR), Left Ventricular Mass (LVM), and Left Ventricular Mass Index (LVMI) in patients with severe atherosclerotic renal artery stenosis. Methods This is a prospective interventional study performed on forty patients with ischemic heart disease and medication resistant hypertension, who had severe (≥ 70%) atherosclerotic renal artery stenosis and underwent renal artery stenting. Blood pressure, LVM, LVMI and eFGR before renal artery stenting and after six months were assessed in these patients. Results There were significant reduction in systolic blood pressure (from 175.50 ± 17.28 mmHg to 137.30 ± 13.21 mmHg) (P < 0.001), and diastolic blood pressure (from 103.45 ± 8.91 mmHg to 84.30 ± 7.33 mmHg) (P < 0.001). Also, there were significant decrease in LVM (from 307.73 ± 108.13 g to 259.34 ± 92.17 g) (P = 0.004) and LVMI (from 174.70 ± 58.26 to 148.01 ± 49.77) (P = 0.004). LVM reduction was independent of SBP and DBP reduction (P = 0.376 and P = 0.196, respectively). Conclusions Renal artery stenting reduces Blood pressure and leads to regression of LVM independent of blood pressure reduction. Regardless of baseline eGFR, our study failed to find a significant increase in glomerular filtration rate