Objective This study was conducted to evaluate the concentration of potentially toxic elements (PTEs) such as arsenic (As),cadmium (Cd),mercury (Hg),and lead (Pb) in fruit samples collected from Markazi Province,Iran.A probabilistic health risk assessment due to ingestion of PTEs through the consumption of these fruits was also conducted.Methods The concentration of PTEs in 90 samples of five types of fruits (n =3) collected from six geographic regions in Markazi Province was measured.The potential health risk was evaluated using a Monte Carlo simulation model.Results A significant difference was observed in the concentration of PTEs between fruits as well as soil and water samples collected from different regions in Markazi Province.The order of PTE concentration in the soil and water samples was as follows:Pb ＞ As ＞ Hg ＞ Cd.Furthermore,the highest level of transfer factor for Cd and Hg correlated with the grape.The estimated daily intake for adults and children was lower than the recommended tolerable daily intake.Conclusion The population in Markazi Province,Iran,is not at considerable noncarcinogenic or carcinogenic risk due to the ingestion of PTEs through the consumption of the examined fruits.

Immunotherapy is the standard of treatment for long-life relief of symptoms of allergic rhinitis. Vitamin D may affect the outcomes of treatment. This study evaluated the clinical efficacy of subcutaneous allergen immunotherapy in adult patients with allergic rhinitis based on the serum level of vitamin D. Patients with persistent allergic rhinitis and positivity for skin prick test were evaluated by Sino-nasal Outcome Test (SNOT-22) and Mini Rhinoconjunctivitis Quality of Life Questionnaire (MiniRQLQ) before subcutaneous allergen immunotherapy and during the maintenance phase to assess the relation of the serum level of vitamin D and the clinical efficacy of immunotherapy. After immunotherapy, the greatest reduction in SNOT-22 scores were reported in patients with vitamin D sufficiency (39.0 ± 9.2), followed by vitamin D suboptimal provision (35.1 ± 12.1), insufficiency (25.0 ± 7.5), and deficiency (18.3 ± 6.0) (P < 0.001). The MiniRQLQ reduction in patients with vitamin D sufficiency, suboptimal provision, insufficiency, or deficiency was 30.7 ± 8.7, 27.1 ± 8.7, 20.0 ± 8.6, or 17.4 ± 7.1, respectively (P < 0.001). Both of SNOT-22 and MiniRQLQ scores decreased significantly following immunotherapy in patients with different levels of vitamin D. However, these effects were more pronounced when the level of vitamin D was sufficient.
Adult ; Desensitization, Immunologic ; Humans ; Immunotherapy ; Quality of Life ; Rhinitis, Allergic ; Skin ; Treatment Outcome ; Vitamin D ; Vitamins