No abstract

Environmental pollution is significant and oftentimes hazardous in the areas, where mining, foundries and smelters and other metallurgical operations are located. Systematic research on the chronic effects of metals started during the past century; nevertheless, it is evident that even today, there are large gaps in knowledge regarding the assessment of the health effects caused by environmental and occupational exposures to these metals. Heavy metals induce the production of reactive oxygen species (ROS) causing oxidative stress, make several repair-inhibiting cellular changes and alter the DNA repair processes. They favour the ‘false’ repairing of double-strand breaks (DSBs), propagate DNA mutations and induce carcinogenesis. A detailed literature search was performed using the MedLine/PubMed database. Depending on the mechanism of action, arsenicals can act as genotoxins, non-genotoxic agents and carcinogens. Cadmium can bind to proteins, reduce DNA repair, activate protein degradation, up-regulate cytokines and proto-oncogenes (c-fos, c-jun and c-myc), induce the expression of metallothionein, haeme-oxygenases, glutathione transferases, heat-shock proteins, acute-phase reactants and DNA polymerase β at lower concentrations. Inorganic mercury damages oxidative phosphorylation and electron transport pathways at the ubiquinone–cytochrome b5 locus and thus induces ROS production. Abandoned mining areas generate environmentally persistent waste. These specific sites urgently require maximally efficient and cheap remediation. This bears the need for methodologies employing green and sustainable remediation. Phytoremediation is important in that it is a prevalent in situ remediation technique. Its advantages include the use of solar energy, cost-effectiveness, easy operation, reduction in secondary contaminants, the use of biomass for biofuel production and low-cost adsorbents.

A considerable number of drugs were withdrawn from the world market in the last decades due to safety reasons. A retrospective review of withdrawals is important in determining the adequacy of regulations regarding the safety and efficacy of drugs. The scope of the present study was to focus on cardiovascular adverse reactions of 61 withdrawn medicinal products, as well as 40 additional drugs withdrawn due to non-cardiovascular toxicity, while being cardiovascular agents themselves. A detailed web-based data search was held to draw a list of withdrawn pharmaceutical products from the pharmaceutical market by regulatory authorities between 1950 and 2017 due to safety reasons. A total of 464 medicinal products were withdrawn from the pharmaceutical markets between 1950 and 2017 due to safety reasons. Hepatotoxicity was the most commonly reported adverse drug reaction (ADR) that led to withdrawal, followed by immune-related reactions, neurotoxicity, and cardiovascular toxicity. The underlying mechanisms leading to cardiovascular toxicity should be investigated in depth to avoid the use of risky drugs for long periods, especially in consideration of the fact that some cardiovascular drugs persisted in the market for many decades. Furthermore, improved reporting of suspected adverse reactions and stricter regulations will lead to quicker detection of ADRs, thus emphasizing the importance of this public health problem and highlighting the need for improved “early warning systems” to manage the risks of high-risk drugs.

The presence of heavy metals/metalloids in the ecosystem has been an increasing ecological and global public health concern due to their potential to cause adverse health effects. For this reason, the accumulation of some heavy metals such as Cr, Mn, Ni, Cu, As, Cd, Pb was assessed by way of ICP-MS in water, sediment and fish (Cyprinus carpio) sampled from Gonyeli Lake, North Cyprus. The results showed that these metals/metalloids are found widespread throughout the study area. In water, most concentrated element was manganese with 92.1 ppb and least concentrated was lead with 0.914 ppb. In sediment, copper had the highest concentration with 613 ppm, and cadmium the lowest with 1.57 ppm. In fish tissues (muscle and gills), the most concentrated element was manganese with 12.5 ppm and the least concentrated cadmium with 0.017 ppm. These results indicate that future remediation efforts are indispensable for the rehabilitation of the lake.

All healthcare professionals, other healthcare workers, patient caregivers, patients and even their families are all important to the healthcare system and pharmacists in every country are an important part of this system, and have a major duty to maintain and monitor the safety and efficacy of drugs as an integral part of their professional practice. Since pharmacovigilance is an indispensable part of the clinical discipline for detecting, assessing, understanding and prevention of adverse effects or any other possible drug-related problems, the knowledge of pharmacists about spontaneous reporting of adverse drug reactions is the cornerstone of pharmacovigilance for patient care and safety. On the other hand, the worldwide reporting of adverse drug reactions (ADRs) by healthcare professionals, in particular those in developing countries are with poor contribution. Therefore, the knowledge and perception of pharmacovigilance and ADR reporting of 67 community pharmacists and Near East University (NEU) Faculty of Pharmacy students on their 1 st (n=83) and 4 th (n=79) years were investigated in the Turkish Republic of Northern Cyprus (TRNC). The observed results point out that the standards of training and education need to be improved for pharmacists and undergraduates alike giving rise to the design and implementation of more effective training for drug safety.