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Onychomycosis is usually diagnosed symptomatically due to the very clear signs caused by the fungus on the nail surface and structure, although the growth of the infecting agent must also be verified by culture in an enriched medium. This procedure is normally lengthy (four weeks), and samples can be contaminated, delaying the prescription of appropriate and effective treatment. Only one previous study has addressed the possibility of using thermography as a diagnostic method for onychomycosis in older people (31–70 years). The present study confirms this use but in individuals aged 18–31 years with incipient mycosis and no pathological signs. Using an FLIR E60 BX camera in a study with 214 samples, we found that men had more onychomycosis than women. We observed a relation between the presence of infection and nail temperature, with a higher temperature in yeast infections (+1 °C) and a lower temperature in dermatophyte infections (−2 °C). A higher temperature by almost 1 °C was also observed in older participants. Thermography can be viewed as a new diagnostic method in asymptomatic or incipient onychomycosis, providing the thermographic camera is sufficiently sensitive and the appropriate procedure is followed, although fungal culture is always necessary to confirm recovery after treatment.

Trace elements such as cadmium, arsenic, zinc or selenium increase or decrease risk of a wide range of human diseases. Their levels in toenails may provide a measure of mid-term intake of trace elements for studies in humans. However, in biologically and clinically aggressive diseases as pancreatic cancer, the progression of the disease could modify such concentrations and produce reverse causation bias. The aim was to analyze the influence of specific time intervals between several clinical events and the collection of toenails upon concentrations of trace elements in patients with pancreatic cancer. Subjects were 118 incident cases of pancreatic adenocarcinoma prospectively recruited in eastern Spain. Toenails were collected at cancer diagnosis, and soon thereafter interviews were conducted. Information on cancer signs and symptoms was obtained from medical records and patient interviews. Levels of 12 trace elements were determined in toenail samples by inductively coupled plasma mass spectrometry. General linear models adjusting for potential confounders were applied to analyze relations between log concentrations of trace elements and the time intervals, including the interval from first symptom of cancer to toenail collection (iST). Toenail concentrations of the 12 trace elements were weakly or not influenced by the progression of the disease or the diagnostic procedures. Concentrations of aluminum were slightly higher in subjects with a longer iST (age, sex and stage adjusted geometric means: 11.44 vs. 7.75 µg/g for iST > 120 days vs. ≤ 40 days). There was a weak inverse relation of iST with concentrations of zinc and selenium (maximum differences of about 20 and 0.08 µg/g, respectively). Conclusions: concentrations of the trace elements were weakly or not influenced by the development of the disease before toenail collection. Only concentrations of aluminum increased slightly with increasing iST, whereas levels of zinc and selenium decreased weakly. Even in an aggressive disease as pancreatic cancer, toenail concentrations of trace elements may provide a valid measure of mid-term intake of trace elements, unaffected by clinical events and disease progression. Supplementary Information The online version contains supplementary material available at 10.1007/s12403-021-00436-2.

Dans le contexte libanais, les infrastructures de traitement et d’approvisionnement en eau potable ne sont pas optimales et il existe un manque de connaissances sur l’association entre la consommation d’eau et les niveaux d’exposition aux métaux et éléments traces. La présente étude est une première tentative faisant état de l'exposition aux métaux et aux éléments traces dans des sous-groupes de la population libanaise en utilisant une approche de biosurveillance multi-matrices. Les concentrations en 11 métaux et éléments traces (aluminium (Al), arsenic (As), cadmium (Cd), chrome (Cr), cuivre (Cu), fer (Fe), plomb (Pb), manganèse (Mn), sélénium (Se), uranium (U), zinc (Zn)) ont été mesurées dans des échantillons d'urine, de cheveux et d'ongles d’orteils d'un groupe de la population et les niveaux ont été comparés en fonction de l'âge, du sexe, du tabagisme, du statut économique, de la zone géographique et de la source d'eau potable. Alors que la plupart des concentrations urinaires et d'ongles n'étaient pas statistiquement différentes entre les hommes et les femmes, les concentrations mesurées d'éléments dans les cheveux étaient statistiquement plus élevées chez les femmes que chez les hommes. Les concentrations urinaires d'Al, Cu, Se et Zn étaient statistiquement plus élevées chez les enfants comparativement aux adolescents et aux adultes. Les concentrations de plusieurs éléments dans les cheveux et les ongles (As, Cd, Pb, Mn, Se dans les cheveux et les ongles plus Al, Fe dans les ongles d’orteils) étaient significativement plus élevées chez les enfants que chez les adolescents et/ou adultes (MG chez les enfants vs. les adolescents vs. les adultes dans les cheveux: 0,009 vs 0,009 vs. 0.005 µg As/g (p, In the Lebanese context, drinking water treatment and supply infrastructures are not optimal and it exists a lack of knowledge on the association between water consumption and levels of exposure to metals and trace elements. The present study is a first attempt reporting exposure to metals and trace elements in subgroups of the Lebanese population using a multi-matrix biomonitoring approach. Concentrations of 11 metals and trace elements (aluminum (Al), arsenic (As), cadmium (Cd), chromium (Cr), copper (Cu), iron (Fe), lead (Pb), manganese (Mn), selenium (Se), uranium (U), zinc (Zn)) were measured in urine, hair and toenail samples from a population group and the levels were compared according to the age, gender, smoking status, economic status, geographic area, and source of drinking water. While most urinary and nail concentrations were not statistically different between men and women, measured element concentrations in hair were statistically higher in women than in men. Urinary concentrations of Al, Cu, Se and Zn were statistically higher in children compared to adolescents and adults. Concentrations of several elements in hair and nails (As, Cd, Pb, Mn, Se in hair and toenails plus Al, Fe in toenails) were significantly higher in children than in adolescents and/or adults (MG in children vs. adolescents vs. adults in hair: 0.009 vs. 0.009 vs. 0.005 µg As/g (p

Long-term exposure to environmental arsenic has been associated with many chronic diseases, including several cancers, and diabetes. Urinary studies have implicated arsenic speciation as an important risk factor, however, such associations have not been replicated using toenail samples: a relatively new biosample for estimating long-term internal dose-exposure to arsenic. Despite having several advantages over conventional biosamples such as ease of collection and storage, standard methods for arsenic speciation analysis in toenails have not yet been established. The primary objectives of this study were to 1) establish an analytical method for arsenic speciation analysis in toenails, 2) describe preliminary arsenic speciation profiles of toenail samples from individuals with skin, lung, bladder, and kidney cancer, type II diabetes, and no known disease, and 3) determine if these speciation patterns differ between disease groups to inform the feasibility of subsequent research. A small cross-sectional feasibility study was carried out using 60 toenail samples and baseline questionnaire data from the Atlantic Partnership for Tomorrow's Health (Atlantic PATH) study. Arsenic speciation profiles were determined using high performance liquid chromatography (HPLC) paired with inductively coupled plasma-mass spectrometry (ICP-MS). While no differences in total arsenic were found, arsenic speciation profiles were significantly different between certain cancer groups and the reference group with no known disease. Specifically, the percentage of monomethylarsonic acid (%MMA) was found to be significantly higher in the toenails of individuals with lung cancer and kidney cancer, compared to healthy individuals with similar total arsenic exposure. To the best of our knowledge, this is the first study to describe arsenic speciation patterns in individuals with several arsenic-related diseases using toenails: a convenient, non-invasive, biobankable sample capable of longer-term exposure estimation than conventional biosamples. These preliminary data provide evidence that toenail arsenic speciation patterns differ between groups with arsenic-related disease, and those with no known disease. Toenail arsenic speciation analysis is feasible and could potentially have important implications for research on arsenic-related diseases. Further investigation is warranted and would benefit from including detailed arsenic exposure data to explore the observed heterogeneity in arsenic speciation profiles.

The impact of waste incinerators is usually examined by measuring environmental pollutants. Biomonitoring has been limited, until now, to few metals and to adults. We explored accumulation of a comprehensive panel of metals in children free-living in an urban area hosting two waste incinerators. Children were divided by georeferentiation in exposed and control groups, and toenail concentrations of 23 metals were thereafter assessed. The percentage of children having toenail metal concentrations above the limit of detection was higher in exposed children than in controls for Al, Ba, Mn, Cu, and V. Exposed children had higher absolute concentrations of Ba, Mn, Cu, and V, as compared with those living in the reference area. The Tobit regression identified living in the exposed area as a significant predictor of Ba, Ni, Cu, Mn, and V concentrations, after adjusting for covariates. The concentrations of Ba, Mn, Ni, and Cu correlated with each other, suggesting a possible common source of emission. Exposure to emissions derived from waste incinerators in an urban setting can lead to body accumulation of specific metals in children. Toenail metal concentration should be considered a noninvasive and adequate biomonitoring tool and an early warning indicator which should integrate the environmental monitoring of pollutants.

Purpose: Elevated hearing thresholds from high frequencies are known to be one of the hallmarks of age-related hearing loss. Our recent study showed accumulation of manganese (Mn) in inner ears resulting in acceleration of age-related hearing loss in mice orally exposed to Mn. However, there is no evidence showing an association between Mn in non-invasive biological samples and hearing loss in humans evaluated by pure tone audiometry (PTA). In this study, we evaluated Mn in non-invasive biological samples as a possible biomarker for hearing loss in humans. Materials and methods: We determined hearing levels by PTA and Mn levels in toenails, hair and urine with an inductively coupled plasma mass spectrometer (ICP-MS) in 145 healthy subjects in Bangladesh. Results: Multivariable analyses showed that Mn levels in toenails, but not in hair and urine samples, were significantly associated with hearing loss at 8 kHz and 12 kHz. Moreover, our experimental study showed a significant correlation between Mn levels in inner ears and nails, but not hair, in mice orally exposed to Mn. Conclusions: The results provide novel evidence that Mn in toenails is a possible biomarker for hearing loss at high frequencies in humans., ファイル公開：2019/04/10

Rice accumulates 10-fold higher inorganic arsenic (i-As), an established human carcinogen, than other grains. This review summarizes epidemiologic studies that examined the association between rice consumption and biomarkers of arsenic exposure. After reviewing the literature we identified 20 studies, among them included 18 observational and 2 human experimental studies that reported on associations between rice consumption and an arsenic biomarker. Among individuals not exposed to contaminated water, rice is a source of i-As exposure — rice consumption has been consistently related to arsenic biomarkers, and the relationship has been clearly demonstrated in experimental studies. Early-life i-As exposure is of particular concern due to its association with lifelong adverse health outcomes. Maternal rice consumption during pregnancy also has been associated with infant toenail total arsenic concentrations indicating that dietary exposure during pregnancy results in fetal exposure. Thus, the collective evidence indicates that rice is an independent source of arsenic exposure in populations around the world and highlights the importance of investigating its affect on health., Graphical abstract

WOS: 000485683800011, Objective: Onychomycosis (OM) is a common disease that covers both tinea unguium and those remaining cases caused by yeasts, mainly of the Candida and various non-dermatophyte molds. Diagnosis is usually confirmed with direct microscopy and fungal culture. Nail dermoscopy is a non-invasive tool to diagnose various nail disorders and also to avoid time-consuming investigations. The aim of the present study was to determine the dermoscoping findings in OM and to correlate this with clinical type, gender, and culture results. Materials and Methods: This was a cross-sectional study of 100 patients diagnosed with OM according to clinical findings and direct microscopic examination. Nail dermoscopy was performed using a FotoFinder Digital Dermoscope, and images were recorded. A part of the samples was cultured in all patients. Results: The most frequent clinical type was distal lateral subungual onychomycosis (80.0%). The culture was negative in 72.0% of the samples. In the positive group, 48% of Trichophyton rubrum was cultured. The most common dermoscopic findings were longitudinal stria, ruin appearance, and longitudinal leukonychia. In culture-negative samples, irregular termination was most commonly seen. Ruin appearance, brown discoloration, hematoma, and transverse leukonychia, such as brushing, were compatible with total dystrophic OM. Conclusion: Determinative dermoscopic findings for OM, clinical types, and fungus forms were identified. These signs can avoid unnecessary mycology in selected cases.

Manganese (Mn) is an essential nutrient; however, overexposure can be neurotoxic. Recent evidence suggests that exposure to Mn from drinking water could be neurotoxic; however, research is hampered by the lack of consensus on a reliable biomarker of Mn exposure. Naturally high concentrations of Mn can occur in groundwater, particularly for private, unregulated water systems. This study aimed to investigate the association between exposure to Mn from drinking water with a relatively low Mn content (median of 2.9 μg/L; range, undetectable-8,340 μg/L) and Mn in toenails from women collected at two time points: during and after pregnancy. Mn concentrations in the paired toenail samples gathered during the second to third trimester of pregnancy and 2 weeks postpartum were correlated (r = 0.47, p 0.001, n = 596). Among women consuming drinking water Mn in the highest tertile (i.e., 9.8 μg/L) significant positive correlations were found between water Mn and toenails Mn (r = 0.31 and r = 0.38, for toenail samples collected during pregnancy and postpartum, respectively), whereas little to no correlation was observed at lower water concentrations. Overall, our data suggest that maternal toenail samples are a reliable environmental Mn exposure biomarker and reflect exposure from drinking water.

Use of dietary supplements in the U.S. has increased steadily over the last 25 years. While misformulation is uncommon, the consequences can be serious. A March 2008 voluntary market recall removed supplement products responsible for the most serious selenium toxicity outbreak that has occurred in the U.S. We quantified selenium concentrations in the misformulated supplement products, measured the temporal response in the nail biologic monitor, and associated exposure to self-reported selenosis symptoms. Subjects recruited through state health departments and referrals provided samples of the misformulated supplement products, exposure information, monthly toenail and or fingernail clippings or onycholysitic nail fragments, and listed their newly onset adverse health effects attributed to selenium toxicity. Ninety-seven subjects enrolled and submitted at least one test sample. Peak selenium concentrations (up to 18.3 and 44.1 μg/g for toenails and fingernails, respectively) were measured. Multiple samples (52 total) of all six recalled supplement lots were analyzed ranging from 22,300 to 32,200 μg selenium per daily dose. Average consumption was 30.9 ± 13.9 doses; 73 subjects provided follow-up data on selenosis symptoms at 2.50 ± 0.14 years. Nail samples accurately reflect exposure in this selenium toxicity outbreak, which resulted in long-term/permanent adverse health effects.

Background Because some adverse health effects associated with chronic arsenic exposure may be mediated by methylated arsenicals, interindividual variation in capacity to convert inorganic arsenic into mono- and di-methylated metabolites may be an important determinant of risk associated with exposure to this metalloid. Hence, identifying biological and behavioral factors that modify an individual’s capacity to methylate inorganic arsenic could provide insights into critical dose-response relations underlying adverse health effects. Methods A total of 904 older adults (≥45 years old) in Churchill County, Nevada, who chronically used home tap water supplies containing up to 1850 μg of arsenic per liter provided urine and toenail samples for determination of total and speciated arsenic levels. Effects of biological factors (gender, age, body mass index) and behavioral factors (smoking, recent fish or shellfish consumption) on patterns of arsenicals in urine were evaluated with bivariate analyses and multivariate regression models. Results Relative contributions of inorganic, mono-, and di-methylated arsenic to total speciated arsenic in urine were unchanged over the range of concentrations of arsenic in home tap water supplies used by study participants. Gender predicted both absolute and relative amounts of arsenicals in urine. Age predicted levels of inorganic arsenic in urine and body mass index predicted relative levels of mono- and di-methylated arsenic in urine. Smoking predicted both absolute and relative levels of arsenicals in urine. Multivariate regression models were developed for both absolute and relative levels of arsenicals in urine. Concentration of arsenic in home tap water and estimated water consumption were strongly predictive of levels of arsenicals in urine as were smoking, body mass index, and gender. Relative contributions of arsenicals to urinary arsenic were not consistently predicted by concentrations of arsenic in drinking water supplies but were more consistently predicted by gender, body mass index, age, and smoking. Conclusions These findings suggest that analyses of dose-response relations in arsenic-exposed populations should account for biological and behavioral factors that modify levels of inorganic and methylated arsenicals in urine. Evidence of significant effects of these factors on arsenic metabolism may also support mode of action studies in appropriate experimental models. Electronic supplementary material The online version of this article (doi:10.1186/s12940-016-0144-x) contains supplementary material, which is available to authorized users.

total of 275 dromedary camels (16 males and 259 females) of local “Arabiyat” breed suffering from different types and degrees of severity of toenail tumors were surgically treated. Histopathological examination of the tissue samples removed from 50 tumor-like growths (2 males and 48 females) revealed three types of tumors; squamous cell carcinoma (70%), spiny keratoderma (22%) and fibroma (8%). An increased incidence of tumors was recorded in the medial when compared to the lateral toenails in both sexes. In females, the incidence in the medial toenails was 90/259 (34.75%) and 71/259 (27.41%) in the right and left forelimbs respectively when compared to the lateral toenails which was 25/259 (9.65%) and 5/259 (1.93%) for the respective right and left forelimbs. In the hind limbs, this ratio was 29/259 (11.20%) and 20/259 (7.72%) for right and left medial toenails respectively, whereas it was 17/259 (6.56%) and 2/259 (0.77%) for the right and left lateral toenails respectively. Similar to the observations in female camels, male camels also showed a higher incidence of these tumors in the medial when compared to the lateral toenails in both fore and hind limbs. Based on these findings, we conclude that in the dromedary camels, the medial toenails of the fore limbs are most commonly affected with tumors; with the most common tumor being the squamous cell carcinoma.Keywords: Camels, Squamous cell carcinoma, Toenails, Tumor

Migratory connectivity can be defined as the flux of individuals or populations among areas between stages of an animal's life cycle. Many shorebird species perform long-distance migrations and while moving between breeding and wintering grounds, they depend on a network of intermediate wetlands (stopover sites) where populations of different origins extensively overlap. The difficulty to discriminate such populations represents a serious obstacle to the identification of the links between breeding or wintering areas and stopover sites, and also precludes the estimation of demographic parameters for each population. In this study, we test if linear discriminant models based on stable carbon and nitrogen isotope ratios in toenails can he used to identify populations of several shorebird species of different wintering origins overlapping at two stopover sites of the East Atlantic Flyway. In addition, we evaluate the ability of this approach to infer migratory phenological patterns of shorebirds. Linear discriminant analyses performed overall well in distinguishing the isotopic signals of birds from wintering areas (in France, Portugal, Morocco, Mauritania and Guinea-Bissau) most species, correctly classifying over 80% (n = 542) of all wintering individuals sampled at these areas. Assignment rates of shorebirds captured during spring migration were also high (96%, n=323) at the Tejo estuary, Portugal, but lower (40%, 0 = 185) at Marennes-Oleron Bay in France, and also differed among species. A large proportion of spring migrants captured in Portugal and France were assigned to Banc d' Arguin in Mauritania, the most important wintering area in the flyway. Phenological patterns derived for dunlins (Calidris alpina), common ringed plovers (Charadrius hiaticula) and grey plovers (Pluvialis squatarola) suggest that the first northward migrants started arriving at the Tejo estuary during the second half of March, with peaking numbers occurring during April or May.

1. Food webs and trophic dynamics of coastal systems have been the focus of intense research throughout the world, as they prove to be critical in understanding ecosystem processes and functions. However, very few studies have undertaken a quantitative comparison of entire food webs from a key consumer perspective across a broad geographical area, limiting relevant comparisons among systems with distinct biotic and abiotic components.2. We investigate the structure and functioning of food webs in four tidal ecosystems of international importance for migratory shorebirds along the East Atlantic Flyway: Tejo estuary in Portugal, Sidi Moussa in Morocco, Banc d'Arguin in Mauritania and Bijagós archipelago in Guinea-Bissau. Basal food sources, shorebirds and their prey (benthic invertebrates) were sampled in all areas, and Bayesian stable isotope mixing models and community-wide metrics were used in a comparative analysis among areas.3. Significant differences among study areas were found in the structure of food webs, as well as in the relative importance of basal resource pools supporting each food web. Overall, the food web of Banc d'Arguin was characterized by lower trophic diversity and higher functional redundancy than the other sites. This result might be explained by the low number of trophic pathways of organic matter transfer in this seagrass-dominated system which, as a fossil estuary, lacks inputs from both freshwater and nutrient-rich offshore oceanic waters.4. Structure of shorebird communities was consistent with the main organizational patterns found for each food web, highlighting the less diverse character of the community of Banc d'Arguin. At Banc d'Arguin and Bijagós archipelago, which displayed the smallest and largest isotopic niche widths in bird assemblage, respectively, mean niche overlap among species was low, suggesting high interspecific partitioning in resource use. Tropical systems typically offer comparatively lower harvestable prey biomass for shorebirds and might thus strengthen interspecific competition, leading to low niche overlap among species.5. Our study reveals relevant differences in the structure of food webs and shorebird communities in coastal areas along an avian flyway. While differences in trophic redundancy of food webs point to distinct levels of ecosystem resilience, contrasts in the organization of shorebird communities highlight the plasticity in the foraging behaviour of species inhabiting areas with distinct environmental conditions.

This paper describes the determination of the levels of lead (Pb), cadmium (Cd), zinc (Zn), calcium (Ca) and iron (Fe) in the toenails and fingernails of children under the age of six years in urban and rural areas in Kenya by atomic absorption spectrophotometer. Lead levels in urban areas ranged from 8.0-49.0 µg/g in fingernails and 7.0-62.0 µg/g in toenails as compared to those in rural areas (5.0-36.5 µg/g and 5.5-31.5 µg/g, respectively). A similar trend was observed for Cd where significantly high levels were found in children in urban areas than those in rural areas. The Fe and Zn levels were significantly higher in children in rural areas than those in the urban areas. The levels of all the metals studied were higher in the toenails except for Fe and Ca where the levels were higher in fingernails; however, the difference in the levels was not significant. These results indicate that either the toenails or fingernails can be used as a reference for levels of metals environmental exposure.

Since the early 20th century, onychomycosis originated with the onset of war, the use of occlusive footwear, and the mass migration of people by transportation in the United States. Even though onychomycosis has a high prevalence in the US, other parts of the world including Canada, West Africa, Southeast Asia, Northern Australia, and Europe have been well documented with cases of fungal toenail infection in their environments. Trichophyton rubrum (T. rubrum) is the major dermatophyte responsible for toenail fungal infection and is typically diagnosed in conjunction with tinea pedis, especially in individuals older than 60 years. Gender roles, age, cultural habits, shoe gear, sports activities, and genetic predisposition all contribute to the different presentation of onychomycosis in these areas where organisms like dermatophytes, candida, and molds were isolated in a variety of cases. Despite the differences in isolated pathogens, treatment outcomes remained consistent. This literature review discusses the influence of tinea pedis, genetics, shoe gear, sports, and age on the development of onychomycosis.

Since the early 20th century, onychomycosis originated with the onset of war, the use of occlusive footwear, and the mass migration of people by transportation in the United States. Even though onychomycosis has a high prevalence in the US, other parts of the world including Canada, West Africa, Southeast Asia, Northern Australia, and Europe have been well documented with cases of fungal toenail infection in their environments. Trichophyton rubrum (T. rubrum) is the major dermatophyte responsible for toenail fungal infection and is typically diagnosed in conjunction with tinea pedis, especially in individuals older than 60 years. Gender roles, age, cultural habits, shoe gear, sports activities, and genetic predisposition all contribute to the different presentation of onychomycosis in these areas where organisms like dermatophytes, candida, and molds were isolated in a variety of cases. Despite the differences in isolated pathogens, treatment outcomes remained consistent. This literature review discusses the influence of tinea pedis, genetics, shoe gear, sports, and age on the development of onychomycosis.

Epidemiologic studies, particularly randomized controlled trials, have shown a direct relation between dietary and environmental exposure to the metalloid selenium and risk of type 2 diabetes. We investigated the association between baseline toenail selenium levels and diabetes occurrence in a case–control study nested in ORDET, a population-based female cohort in Northern Italy. After a median follow-up of 16 years, we identified 226 cases of type 2 diabetes cases and 395 age-matched control women with available toenail samples at baseline. The multivariate odds ratios of diabetes in increasing a priori defined categories of toenail selenium exposure were 1.09 (95% confidence interval 0.61, 1.96), 0.71 (0.38, 1.34) and 1.14 (0.46, 2.80) compared with the lowest category. The results were not substantially altered when quartile distribution of toenail selenium in controls was used to define exposure categories. Spline regression analysis did not show homogeneous risk trends. Overall, we did not find an association between toenail selenium and subsequent development of diabetes. Since the diabetogenic activity of selenium is strongly supported by experimental studies and some observational investigations, our null results might be explained by the limitations of overall selenium toenail content to assess environmental exposure to selenium species of etiologic relevance in the study population.

Svrha ovog ispitivanja bila je odrediti koncentraciju arsena u noktima populacije izložene visokim razinama arsena putem vode za piće (10 puta višim od dozvoljenih). Ispitivanje je uključivalo 39 osoba s područja Andrijaševaca i Rokovaca, koje su izložene ovom elementu duži vremenski period. Kontrolna skupina se sastojala od 15 osoba koje su izložene niskim razinama arsena. Uzorci su razoreni na mikrovalnom uređaju te analizirani atomskim apsorpcijskim spektrofotometrom. Utvrđene su srednje koncentracije arsena u noktima izložene skupine 10,55 ± 4,34 ppm, a kod neizložene skupine 0,35 ± 0,27 ppm. Nije ustanovljena razlika između spolova u koncentraciji arsena u noktima. Utvrđeno je da starije osobe pokazuju tendenciju slabije pohrane arsena u noktima nego mlađa populacija. Indeks tjelesne mase i razina selenija u urinu također pokazuju negativnu korelaciju s razinom arsena u noktima, što bi moglo biti vezano uz prehrambeni status izložene populacije i opskrbu tvarima koje moduliraju metabolizam arsena u organizmu. The aim of this work was to determine toenail arsenic concentration in a population highly exposed (ten times higher than maximum allowed level) to arsenic from drinking water. Thirty-nine chronically exposed subjects from Andrijaševci and Rokovci took part in the study. Control group consisted of 15 individuals exposed to low levels of arsenic from potable water. The samples were digested in a microwave-heated system and analyzed by atomic absorption spectrometer. Determined mean arsenic levels in toenails in the exposed and control groups were 10.55 ± 4.34 ppm and 0.35 ± 0.27 ppm, respectively. Correlation analysis pointed to a tendency of impaired storage of arsenic in toenails in older individuals, as opposed to younger subjects. Body mass index and urinary selenium were also inversely correlated with toenail arsenic levels, possibly indicating the importance of nutritional status in exposed subjects and provision of nutrients which modulate arsenic metabolism in the body.

Made available in DSpace on 2019-09-12T16:53:53Z (GMT). No. of bitstreams: 0 Previous issue date: 2010 [Di Chiacchio, Nilton; Kezam Gabriel, Felipe Veiga] Hosp Servidor Publ Municipal Sao Paulo, Dermatol Clin, Sao Paulo, Brazil [Belda, Walter, Jr.] Univ Sao Paulo, Dept Dermatol, Sao Paulo, Brazil [Di Chiacchio, Nilton Gioia] Universidade de Taubaté (Unitau), Dermatol Clin, Sao Paulo, Brazil [de Farias, Debora Cadore] Santa Casa Sao Paulo Hosp, Dermatol Clin, Sao Paulo, Brazil

Nail clippings might provide a way to monitor exposure to selenium in the recent past of an individual, since a clipping collected from a toe would reflect exposures months before actual clipping date. The relation between levels of exogenous selenium exposure and selenium levels in nail keratin was studied in a cohort of healthy women. Selenium in nail, may originate from dietary sources as well as from external contamination, particularly from high concentrations in certain anti-dandruff shampoos, although these shampoos may also contribute to transdermal uptake. Therefore both exogenous sources of selenium were addressed. A total of 12.646 questionnaires and toenail clippings were collected in a cohort of women aged 40-50, who participated in a breast cancer screening program, the DOM project. From this cohort results for two subgroups are presented: A group of 404 healthy women, a-select as to selenium intake, represent the selenium distribution of the whole cohort. Selenium concentrations in nail samples ranged from 0.085 ppm to 2.75 ppm with a mean value of 0.78 ppm. In four subgroups from the cohort of in total 253 women, representing extreme categories of selenium exposure scores (the usage of selenium containing anti-dandruff shampoo as well as diet) an overriding effect was observed from the use of selenium containing shampoo on toe-nail selenium levels. No significant difference was seen (p less-than-or-equal-to 0.13) between the group with the 'low' dietary exposure score (0.728 ppm) versus the 'high' diet score women (0.759 ppm), both not using selenium containing shampoo. An overriding effect on nails selenium was observed for women who indicated the use of such selenium containing anti-dandruff shampoos on nail selenium levels. Selenium in nails was measured by Instrumental Neutron Activation Analysis.

Nail clippings might provide a way to monitor exposure to selenium in the recent past of an individual, since a clipping collected from a toe would reflect exposures months before actual clipping date. The relation between levels of exogenous selenium exposure and selenium levels in nail keratin was studied in a cohort of healthy women. Selenium in nail, may originate from dietary sources as well as from external contamination, particularly from high concentrations in certain anti-dandruff shampoos, although these shampoos may also contribute to transdermal uptake. Therefore both exogenous sources of selenium were addressed. A total of 12.646 questionnaires and toenail clippings were collected in a cohort of women aged 40-50, who participated in a breast cancer screening program, the DOM project. From this cohort results for two subgroups are presented: A group of 404 healthy women, a-select as to selenium intake, represent the selenium distribution of the whole cohort. Selenium concentrations in nail samples ranged from 0.085 ppm to 2.75 ppm with a mean value of 0.78 ppm. In four subgroups from the cohort of in total 253 women, representing extreme categories of selenium exposure scores (the usage of selenium containing anti-dandruff shampoo as well as diet) an overriding effect was observed from the use of selenium containing shampoo on toe-nail selenium levels. No significant difference was seen (p less-than-or-equal-to 0.13) between the group with the 'low' dietary exposure score (0.728 ppm) versus the 'high' diet score women (0.759 ppm), both not using selenium containing shampoo. An overriding effect on nails selenium was observed for women who indicated the use of such selenium containing anti-dandruff shampoos on nail selenium levels. Selenium in nails was measured by Instrumental Neutron Activation Analysis.

Nail clippings might provide a way to monitor exposure to selenium in the recent past of an individual, since a clipping collected from a toe would reflect exposures months before actual clipping date. The relation between levels of exogenous selenium exposure and selenium levels in nail keratin was studied in a cohort of healthy women. Selenium in nail, may originate from dietary sources as well as from external contamination, particularly from high concentrations in certain anti-dandruff shampoos, although these shampoos may also contribute to transdermal uptake. Therefore both exogenous sources of selenium were addressed. A total of 12.646 questionnaires and toenail clippings were collected in a cohort of women aged 40-50, who participated in a breast cancer screening program, the DOM project. From this cohort results for two subgroups are presented: A group of 404 healthy women, a-select as to selenium intake, represent the selenium distribution of the whole cohort. Selenium concentrations in nail samples ranged from 0.085 ppm to 2.75 ppm with a mean value of 0.78 ppm. In four subgroups from the cohort of in total 253 women, representing extreme categories of selenium exposure scores (the usage of selenium containing anti-dandruff shampoo as well as diet) an overriding effect was observed from the use of selenium containing shampoo on toe-nail selenium levels. No significant difference was seen (p less-than-or-equal-to 0.13) between the group with the 'low' dietary exposure score (0.728 ppm) versus the 'high' diet score women (0.759 ppm), both not using selenium containing shampoo. An overriding effect on nails selenium was observed for women who indicated the use of such selenium containing anti-dandruff shampoos on nail selenium levels. Selenium in nails was measured by Instrumental Neutron Activation Analysis.

To provide further insight into the possible role of selenium in cardiovascular disease, we examined the relationship between cardiovascular risk factors, some nutritional parameters, and short- and long-term selenium status. A total of 82 healthy Dutch volunteers, 59 men and 23 women, aged 40-75 years, were studied. Means and standard deviations of selenium parameters were: plasma selenium 106.4 +/- 23.7 micrograms/L, erythrocyte selenium 0.59 +/- 0.19 microgram/g Hb, toenail selenium 0.78 +/- 0.17 ppm, and erythrocyte glutathione peroxidase activity 28.0 +/- 8.1 U/g Hb. No association was found between selenium status and gender, age, serum total-, LDL-, and HDL-cholesterol, systolic and diastolic blood pressure, alcohol intake, and body mass index. A significantly lower plasma selenium level was observed among smokers compared to nonsmokers (101.0 micrograms/L, SE = 3.9 vs 112.0 micrograms/L, SE = 3.6, p = 0.04). A significant negative association was found between erythrocyte selenium and serum levels of vitamin A and ferritin. No relevant relationship was observed between selenium status and serum fatty acid composition, vitamin E, vitamin B6, and iron. Apart from an association between smoking and short-term selenium status, we found no indications that a possible effect of selenium on cardiovascular disease may operate through the known risk factors.