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    Investigation of the Effect of Hydrothermal Waters on Radionuclide Activity Concentrations in Natural Marble with Multivariate Statistical Analysis

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    The study aims to investigate the effects of Burdur (Turkey) marble on human health by interpreting their radioactivity concentration (Ra-226,Th-232, and(40)K), radiological hazard parameters, chemical concentration, physical properties, and all data related to these features by using multivariate statistical methods. Chemical and radionuclide analyses were performed on marble samples. The data were interpreted by statistical analysis. According to the regression model, an increase in the concentration of vanadium carried to the environment by hydrothermal waters causes a 4.452-fold higher concentration of(226)Ra. The R(2)value of the model was 0.64 and it was statistically significant. The maximum concentration of(226)Ra in Isparta Davraz Beige sample (M7) exceeded the values of some countries' standards. Except for M7, the analyzed sorts of marble can be used safely in dwellings and public buildings

    Colchicine intolerance in FMF patients and primary obstacles for optimal dosing

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    Background/aim: Colchicine is the mainstay of treatment in FMF. However, in daily practice it is not easy to maintain effective colchicine doses in a substantial number of patients due to its side effects. In this study, we aimed to investigate prevalence and risk factors for colchicine side effects that limit optimal drug dosing and cause permanent discontinuation. Materials and methods: All patients were recruited from ``FMF in Central Anatolia{''} (FiCA) cohort, 915 adults with a minimum follow-up time of 6 months during which they had obeyed all treatment instructions. Demographic and anthropometric data, FMF disease characteristics, disease severity, complications, and treatment features were recorded on a web-based registry. Prevalence of colchicine intolerance and characteristics of intolerant patients were analyzed. Results: Effective colchicine doses cannot be maintained in 172 (18.7\%) subjects. Main side effects that limit optimal dosing were as follows: diarrhea in 99 (10.8\%), elevation in transaminases in 54 (5.9\%), leukopenia in 10 (\%1.1), renal impairment in 14 (1.3\%), myopathy in five (0.5\%), and allergic skin reaction in two. Colchicine had to be permanently ceased in 18 (2\%) patients because of serious toxicity. Male sex and obesity were found to be associated with liver toxicity, and having a normal body weight was associated with diarrhea. Chronic inflammation and proteinuria were more common in colchicine-intolerant patients, and they had reported more frequent attacks compared to those tolerating optimal doses. Conclusion: Colchicine intolerance is an important problem in daily clinical practice, mainly due to diarrhea and liver toxicity. Suboptimal colchicine dosing is associated with complications

    Influence of aluminum salts on COVID-19 infected patients

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    Background/aim: Based on the antiviral and antibacterial properties of aluminum salts, we aimed to find out the influence of aluminum salts on COVID-19 infected patients. Materials and methods: We performed an observational retrospective cohort study which includes the patients diagnosed as COVID-19 and received aluminum salts in addition to actual treatments during hospitalization as the treatment group (Alum Group). Patients who received standard COVID-19 treatment protocols in the Infectious Diseases Clinics were included as the Control Group. Clinical findings, laboratory parameters, length of stay, survival, radiological follow-up, intensive care and mechanical ventilation needs, the presence of comorbidity, polymerase chain reaction (PCR) tests, symptoms, symptom recovery times, hospital stay times, treatment protocols, and clinical presence of pneumonia were examined in all patients. Advanced chemical composition analyzes of existing aluminum salts were also performed. Results: A total of 109 patients, 54 in the alum group and 55 in the control group, were included in the study. None of the patients in the aluminum group developed side effects due to the intake of aluminum salt. Survival status was significantly different between the two groups as there were 5 loss in the Control Group and none in the Alum Group (P = 0.023). The symptom recovery time was significantly shorter in the Alum Group; 2 (1-3) vs. 1 (1-2) days, P= 0.003. According to the paired samples analyses of the comparison between hospitalization and discharge, CRP levels significantly drops in the Alum Group (from 54.09 to 27, P = 0.001) but not in the Control Group. The drop was significantly same for the lactate dehydrogenase (LDH) and procalcitonin levels with P = 0.001. Conclusion: It has been observed that aluminum salts have beneficial effects in COVID-19 infected cases. Considering the low systemic toxicity of intermittent oral intake of aluminum salts as food supplements and the fact that pandemic control is still not achieved, the use of aluminum salts is promising

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