Dietary exposure to cadmium and risk of breast cancer in postmenopausal women: A systematic review and meta-analysis

BackgroundWith tobacco smoking, diet is the main source of cadmium (Cd) exposure in the general population. The carcinogenic and estrogenic activities of Cd make it a contaminant of potential concern for hormone-dependent cancers including breast cancer. Postmenopausal women represent the most appropriate population to investigate the possible impact of exogenous factors with potential estrogenic activity on breast cancer as, after menopause, their estrogenic influence is predominant.ObjectivesWe systematically reviewed available studies on the association between dietary exposure to Cd and breast cancer focusing on postmenopausal women. A meta-analysis combining the risk estimators was performed and potential sources of between studies heterogeneity were traced.MethodsStudies were searched from MEDLINE through 31 January 2015 and from the reference lists of relevant publications. Six eligible studies published between 2012 and 2014 were identified and relative risk estimates were extracted. Meta-rate ratio estimates (mRR) were calculated according to fixed and random-effect models. Meta-analyses were performed on the whole set of data and separate analyses were conducted after stratification for study design, geographic location, use of hormone replacement therapy (HRT), tumor estrogen receptor status (ER + or ER −), progesterone receptor status (PGR + or PGR −), body mass index (BMI), smoker status, zinc or iron intake.ResultsNo statistically significant increased risk of breast cancer was observed when all studies were combined (mRR = 1.03; 95% confidence interval [CI]: 0.89–1.19). Several sources of heterogeneity and inconsistency were identified, including smoker status, HRT use, BMI, zinc and iron intake. Inconsistency was also strongly reduced when only considering ER −, PGR −, tumors subgroups from USA and from Japan. The risks were, however, not substantially modified after stratifications. No evidence of publication bias was found.ConclusionThe present study does not provide support for the hypothesis that dietary exposure to Cd increases the risk of breast cancer in postmenopausal women. Misclassification in dietary Cd assessment in primary studies could have biased the results towards a finding of no association.     

A literature review on the safety assessment of genetically modified plants

In recent years, there has been a notable concern on the safety of genetically modified (GM) foods/plants, an important and complex area of research, which demands rigorous standards. Diverse groups including consumers and environmental Non Governmental Organizations (NGO) have suggested that all GM foods/plants should be subjected to long-term animal feeding studies before approval for human consumption. In 2000 and 2006, we reviewed the information published in international scientific journals, noting that the number of references concerning human and animal toxicological/health risks studies on GM foods/plants was very limited. The main goal of the present review was to assess the current state-of-the-art regarding the potential adverse effects/safety assessment of GM plants for human consumption. The number of citations found in databases (PubMed and Scopus) has dramatically increased since 2006. However, new information on products such as potatoes, cucumber, peas or tomatoes, among others was not available. Corn/maize, rice, and soybeans were included in the present review. An equilibrium in the number research groups suggesting, on the basis of their studies, that a number of varieties of GM products (mainly maize and soybeans) are as safe and nutritious as the respective conventional non-GM plant, and those raising still serious concerns, was currently observed. Nevertheless, it should be noted that most of these studies have been conducted by biotechnology companies responsible of commercializing these GM plants. These findings suggest a notable advance in comparison with the lack of studies published in recent years in scientific journals by those companies. All this recent information is herein critically reviewed.     

Polychlorinated diphenyl ethers (PCDEs): environmental levels, toxicity and human exposure: a review of the published literature

This paper reviews the state of the science regarding polychlorinated diphenyl ethers (PCDEs), a group of halogenated aromatic compounds, which are structurally related to polychlorinated biphenyls (PCBs) and polychlorinated dibenzofurans (PCDFs). Special attention is paid to the environmental levels, toxicity, and human exposure. PCDEs have been detected in a number of environmental samples, and their widespread occurrence in the environment is mainly the result of their presence as impurities in chlorophenol preparations. In humans, PCDE congeners have been detected in adipose tissue. As for other persistent organic pollutants (POPs), dietary intake is very probably the main route of exposure to PCDEs for the general population. However, data concerning PCDE levels in foodstuffs are very limited. It is concluded that investigations on experimental toxicity, dietary intake, and potential human health effects of PCDEs are clearly necessary.     

Application of the Navigation Guide systematic review methodology to the evidence for developmental and reproductive toxicity of triclosan

BackgroundThere are reports of developmental and reproductive health effects associated with the widely used biocide triclosan.ObjectiveApply the Navigation Guide systematic review methodology to answer the question: Does exposure to triclosan have adverse effects on human development or reproduction?MethodsWe applied the first 3 steps of the Navigation Guide methodology: 1) Specify a study question, 2) Select the evidence, and 3) Rate quality and strength of the evidence. We developed a protocol, conducted a comprehensive search of the literature, and identified relevant studies using pre-specified criteria. We assessed the number and type of all relevant studies. We evaluated each included study for risk of bias and rated the quality and strength of the evidence for the selected outcomes. We conducted a meta-analysis on a subset of suitable data.ResultsWe found 4282 potentially relevant records, and 81 records met our inclusion criteria. Of the more than 100 endpoints identified by our search, we focused our evaluation on hormone concentration outcomes, which had the largest human and non-human mammalian data set. Three human studies and 8 studies conducted in rats reported thyroxine levels as outcomes. The rat data were amenable to meta-analysis. Because only one of the human thyroxine studies quantified exposure, we did not conduct a meta-analysis of the human data. Through meta-analysis of the data for rats, we estimated for prenatal exposure a 0.09% (95% CI: − 0.20, 0.02) reduction in thyroxine concentration per mg triclosan/kg-bw in fetal and young rats compared to control. For postnatal exposure we estimated a 0.31% (95% CI: − 0.38, − 0.23) reduction in thyroxine per mg triclosan/kg-bw, also compared to control. Overall, we found low to moderate risk of bias across the human studies and moderate to high risk of bias across the non-human studies, and assigned a “moderate/low” quality rating to the body of evidence for human thyroid hormone alterations and a “moderate” quality rating to the body of evidence for non-human thyroid hormone alterations.ConclusionBased on this application of the Navigation Guide systematic review methodology, we concluded that there was “sufficient” non-human evidence and “inadequate” human evidence of an association between triclosan exposure and thyroxine concentrations, and consequently, triclosan is “possibly toxic” to reproductive and developmental health. Thyroid hormone disruption is an upstream indicator of developmental toxicity. Additional endpoints may be identified as being of equal or greater concern as other data are developed or evaluated.     

Sea to air transport of trace gases in the coastal zone: a literature review

Exchange of trace gases between the oceans and the atmosphere affects the atmospheric content and cycling of a range of chemical species which are related to climate change, ozone layer depletion, acid deposition, eutrophication, atmospheric particle formation, photo-oxidants, trace metals and persistent organic pollutants (POPs). The effects and impacts of air–sea exchange of these gases can be local, regional and global. Until now, most of the research has concentrated on the sea–air exchange of trace gases in the open ocean. The flux rates of the trace gases from the coastal waters to the air are much higher than the rates for the open ocean and the contribution of the coastal areas to the total oceanic emissions of these trace gases can be significant on a global scale. This contribution can be as high as 50% and more for nitrous oxide and COS. Concerning the contribution of the trace gas production in the coastal areas to the total global production of these gases, it can be concluded that this contribution seems to be below 2% except for nitrous oxide. However, it should be pointed out that on the local and even regional scale the emissions in the coastal areas can be very important, contributing substantially to the total emission of these gases in a studied area. Thus, there is a need to carry out studies in the future with the aim to provide more accurate understanding of the production and sea–air exchange processes for these gases around the world. Electronic Publication     

Effects of pre and postnatal exposure to low levels of polybromodiphenyl ethers on neurodevelopment and thyroid hormone levels at 4 years of age

There are at present very few studies of the effects of polybromodiphenyl ethers (PBDEs), used as flame retardants in consumer products, on neurodevelopment or thyroid hormone levels in humans. The present study aims to examine the association between pre and postnatal PBDE concentrations and neurodevelopment and thyroid hormone levels in children at age 4years and isolate the effects of PBDEs from those of PCBs, DDT, DDE and HCB. A prospective birth cohort in Menorca (Spain) enrolled 482 pregnant mothers between 1997 and 1998. At 4years, children were assessed for motor and cognitive function (McCarthy Scales of Children's Abilities), attention-deficit, hyperactivity and impulsivity (ADHD-DSM-IV) and social competence (California Preschool Social Competence Scale). PBDE concentrations were measured in cord blood (N=88) and in serum of 4years olds (N=244). Among all congeners analyzed only PBDE 47 was quantified in a reasonable number of samples (LOQ=0.002ng/ml). Exposure to PBDE 47 was analyzed as a dichotomous variable: concentrations above the LOQ (exposed) and concentrations below (referents). Scores for cognitive and motor functions were always lower in children pre and postnatally exposed to PBDE47 than in referents, but none of these associations was statistically significant (β coefficient (95%CI) of the total cognition score: -2.7 (-7.0, 1.6) for postnatal exposure, and -1.4 (-9.2, 6.5) for prenatal exposure). Postnatal exposure to PBDE 47 was statistically significantly related to an increased risk of symptoms on the attention deficit subscale of ADHD symptoms (RR (95%CI)=1.8 (1.0, 3.2)) but not to hyperactivity symptoms. A statistically significant higher risk of poor social competence symptoms was observed as a consequence of postnatal PBDE 47 exposure (RR (95%CI)=2.6 (1.2, 5.9)). Adjustment for other organochlorine compounds did not influence the results. Levels of thyroid hormones were not associated to PBDE exposure. This study highlights the importance of assessing the effects of PBDE exposure not just prenatally but also during the early years of life. In the light of current evidence a precautionary approach towards PBDE exposure of both mothers and children seems warranted.     

Synergico: a method for systematic integration of energy efficiency into the design process of electr(on)ic equipment

This paper presents an overall design method to better consider the energy consumption of electrical and electronic equipment during the use phase. This aspect is often considered as the most important environmental aspect in active electrical and electronic equipment during its life cycle. The proposed method, called ‘Synergico’, characterises the product energy efficiency according to its modes, its functions and its sub-assemblies. It also articulates three tools: one assessment tool, one improvement tool and one environmental check tool. These tools are integrated along a typical product design process. The method therefore helps designing more energy-efficient products without compromising other performances such as ergonomics, functional performances, security, recyclability or costs. The three tools and the overall method are presented. A case study illustrates the way it works and is discussed.     

Effects on non-human species inhabiting areas with enhanced level of natural radioactivity in the north of Russia: a review

Results of long-term radioecological investigations in areas with an enhanced level of natural radioactivity in the north of Russia are summarized. Deleterious changes within animal and plant populations inhabiting areas with an enhanced level of natural radioactivity in the Komi Republic were revealed. These changes are expressed in enhanced levels of mutagenesis, destructive processes in the tissues of animals, disturbances of reproductive functions and reduced offspring viability. Compensatory processes, resulting in animal and plant survival under extremely adverse conditions of radium and uranium-radium contamination, were observed as well. However, obvious signs of adaptation failed to be detected. The findings suggest that adverse somatic and genetic effects are possible in plants and animals in the dose range observed at sites with an enhanced level of natural radioactivity. In contrast, different plant species inhabiting an area with an enhanced level of natural radioactivity in the taiga zone of the Sakha Republic (Yakutia) reveal a stimulation of growth processes, photosynthesis, endogenous low molecular weight antioxidant synthesis as well as adaptive response. It is apparent from the data presented that naturally occurring differences in terrestrial radiation level could be of genetic and ecological consequence.     

A study on mountain front recharge by using integrated techniques in the hard rock aquifers of southern India

Mountain front recharge (MFR) is the contribution of mountains to recharge the aquifers in the adjacent basins. The estimation of MFR is essential to obtain a detailed investigation of recharge of the groundwater at the mountain front. This study summarises the current understanding of recharge processes by comparing daily groundwater fluctuation to daily rainfall and identifies the recharge rates. The recharge rates vary with time due to difference in water table depth and travel time. Thus to understand the MFR along the foothills of Courtallam, a total of 14 surface water, rainwater and groundwater samples were collected and measured for stable isotopes. The isotopic data were used to investigate the recharge process and to identify the elevations to recharge. The study findings also suggest that predominantly rainfall along the foothills contributes recharge to the riparian zone (basin block region), whereas foothill regions receive recharge from rainfall over mountain block.     

Field observations of the effects of protracted low levels of ionizing radiation on natural aquatic population by using a cytogenetic tool

In the present study, an effort is attempted to record the impact of chronic radiation on natural aquatic populations exposed to protracted doses (lower if compared to intervention levels but higher if compared to typical background) and to chemical pollution. The methodology is based on the analyses of chromosome aberrations observed in cells. Therefore, some preliminary research results on the cytogenetic effects on aquatic organisms of various taxa, in coastal ecosystems are presented, considering some selective regions of elevated natural gamma radiation and conventional pollution. These areas are the geothermal spring areas in the island of Ikaria-Eastern Aegean Sea and the port of Pireus, in Greece. The data are compared to the findings recorded in some organisms collected from the North Aegean Sea the early period after the Chernobyl accident. With regard to the different species examined, a first evaluation of the results is made using the reported field findings for the wide area of Chernobyl. The environmental assessment of the studied areas in terms of radiation impact is based on the cytogenetic injuries observed, and evidence of ecosystem disturbance is also pointed out. The final environmental assessment based on the quantified effects observed in the organisms from the studied areas takes into account a published conceptual model of zones of radiation dose rates and the resulting organism responses in a step function scale.     

Regions on their way to sustainability: the role of institutions in fostering sustainable development at the regional level

Sustainable regional development as a politically requested concept challenges regions within the European Union since the Amsterdam Treaty 1997. A growing body of literature identifies cooperation between stakeholder groups as one of the limiting factors for implementing sustainable regional strategies. This leads to the question, how cooperation within a region could be organised. How can institutions support the implementation process of sustainable development on the regional level? Regional institutions are both supporters of cooperation between regional stakeholders and key players in regional development processes. Their connections strengthen the importance of networks in the sustainable regional development process.     

Putting vulnerability to climate change on the map: a review of approaches, benefits, and risks

There is growing demand among stakeholders across public and private institutions for spatially-explicit information regarding vulnerability to climate change at the local scale. However, the challenges associated with mapping the geography of climate change vulnerability are non-trivial, both conceptually and technically, suggesting the need for more critical evaluation of this practice. Here, we review climate change vulnerability mapping in the context of four key questions that are fundamental to assessment design. First, what are the goals of the assessment? A review of published assessments yields a range of objective statements that emphasize problem orientation or decision-making about adaptation actions. Second, how is the assessment of vulnerability framed? Assessments vary with respect to what values are assessed (vulnerability of what) and the underlying determinants of vulnerability that are considered (vulnerability to what). The selected frame ultimately influences perceptions of the primary driving forces of vulnerability as well as preferences regarding management alternatives. Third, what are the technical methods by which an assessment is conducted? The integration of vulnerability determinants into a common map remains an emergent and subjective practice associated with a number of methodological challenges. Fourth, who participates in the assessment and how will it be used to facilitate change? Assessments are often conducted under the auspices of benefiting stakeholders, yet many lack direct engagement with stakeholders. Each of these questions is reviewed in turn by drawing on an illustrative set of 45 vulnerability mapping studies appearing in the literature. A number of pathways for placing vulnerability mapping on a more robust footing are also identified.     

Indicatory aspect of the geographic analysis of plant communities with respect to floristic composition on mountain slopes differing in exposure (the Polar Urals)

Latitudinal geographic groups of vascular plant, moss, and lichen species included in tundra communities and lower vegetation layers of larch forest and open forest have been analyzed with respect to their distribution according to different altitudinal levels and slopes differing in exposure. Prevailing plant groups have been identified. The results were compared with corresponding data on the composition of plant communities in the neighboring flatland area (Kharp Research Station).