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Correlational analysis of the dependence of the health of the population of Ukraine on smoking as a factor in the development of diseases 乌克兰居民健康与吸烟作为疾病发生因素的相关性分析
Pub Date : 2024-03-01 DOI: 10.32402/dovkil2024.01.011
O. Mykhaylenko
Numerous clinical studies have established that smoking has a harmful effect on human health including diabetes mellitus. The aim is to assess the peculiarities of health changes among citizens of Ukraine under the influence of a harmful factor, thanks to a simultaneous questionnaire and in-depth medical examination for further improvement of diagnostics and stratification of the degree of risk of developing various diseases and timely appointment of adequate therapy. Materials and methods. Among the laboratory tests, the following were determined: blood glucose level, IR marker – Нoma index, which were determined on an empty stomach, in the morning, the last meal was 12 hours before blood donation. Determination of the results of indicators was carried out using chemiluminescence analysis. Reagents: Roche Diagnostics (Switzerland). Analyzer Cobas 8000 | ProCobas 6000 |Cobas 411 (Switzerland). Statistical data processing was carried out using a software package. The relationship between quantitative indicators was carried out using Pearson’s correlation analysis (r ). Statistical probability was estimated by the parametric Student’s t-test. The difference was considered probable at p<0.05. The relationship between quantitative and rank indicators was carried out using variance analysis, the Fisher coefficient (F). Results. A register of respondents was created - adults (men and women) who were under the influence of a modified factor that is a trigger for the prevalence of such conditions as insulin resistance and hyperglycemia; prediabetes, diabetes, cardiovascular diseases (CVD), etc. Answers related to smoking were converted from rank indicators into quantitative indicators. Through prospective observations, during the research, it was established that 47.5% consumed tobacco products in one form or another (not often - 15%, moderately - 12.5%, quite often - 7.5%, extremely often - 12.5%). A reliable relationship between quantitative indicators was also confirmed using Pearson’s correlation analysis (rs) between the level of glucose and the IR Нoma index (r=0.444, p=0.004), which once again confirms that the IR Нoma index increases due to the increase in glucose, and the prerequisite for this can be serve: age-related changes in the body’s hormonal balance, a passive lifestyle, weight gain and the presence of a bad habit, namely smoking. For the first time, the relationship between quantitative and rank indicators was established using variance analysis: between the level of glucose and smoking (F=2.757; p=0.043), between the level of IR Нoma index and smoking. Conclusions. As a result of the implementation of the pilot project, it was established that 47.5% of respondents smoke, of which 7.5% very often, 12.5% extremely often. In the course of the implementation of the pilot project, a register of respondents participating in the study was created. The relationship between quantitative indicators was also confirmed, one of which is the relatio
大量临床研究证实,吸烟对人体健康(包括糖尿病)有害。本研究的目的是通过同时进行问卷调查和深入体检,评估乌克兰公民在有害因素影响下健康变化的特殊性,从而进一步改进诊断,对各种疾病的发病风险程度进行分层,并及时采取适当的治疗措施。材料和方法。在实验室检查中,测定了以下指标:血糖水平、红外标志物--Нoma 指数,这些指标在献血前 12 小时空腹测定。指标结果的测定采用化学发光分析法。试剂罗氏诊断公司(瑞士)。分析仪:Cobas 8000 | ProCobas 6000 |Cobas 411(瑞士)。使用软件包进行数据统计处理。定量指标之间的关系采用皮尔逊相关分析法(r )。统计概率通过参数化的学生 t 检验进行估计。当 P<0.05 时,差异被认为是可能的。定量指标和等级指标之间的关系采用方差分析和费舍尔系数(F)。结果对受访者进行了登记,他们都是成年人(男性和女性),受胰岛素抵抗和高血糖、糖尿病前期、糖尿病、心血管疾病(CVD)等疾病的诱发因素影响。与吸烟有关的答案由等级指标转换为量化指标。研究期间,通过前瞻性观察,确定 47.5%的人以某种形式消费烟草产品(不经常--15%,一般--12.5%,比较经常--7.5%,非常经常--12.5%)。血糖水平与 IR Нoma 指数之间的皮尔逊相关分析(rs)(r=0.444,p=0.004)也证实了定量指标之间的可靠关系,这再次证实 IR Нoma 指数会随着血糖的升高而升高,其前提条件是:与年龄有关的体内激素平衡的变化、被动的生活方式、体重增加以及存在不良习惯,即吸烟。利用方差分析首次确定了定量指标和等级指标之间的关系:葡萄糖水平与吸烟之间的关系(F=2.757;P=0.043),红外Нoma 指数水平与吸烟之间的关系。结论试点项目实施的结果表明,47.5% 的受访者吸烟,其中 7.5%的受访者非常经常吸烟,12.5%的受访者非常经常吸烟。在试点项目实施过程中,对参与研究的受访者进行了登记。定量指标之间的关系也得到了证实,其中之一是健康状况与吸烟之间的关系(rs=0.428;p=0.005)。首次使用方差分析研究了定量指标与等级指标之间的关系:血糖水平与吸烟之间的关系(F=2.757;P=0.043)。由于测量尺度的转换,首次确定了红外水平与Нoma 退火指数之间的依赖关系。
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引用次数: 0
Chronic Real-Ambient PM2.5 Exposure Exacerbates Cardiovascular Risk via Amplifying Liver Injury in Mice Fed with a High-Fat and High-Cholesterol Diet 长期暴露于真实环境中的 PM2.5 会通过加重高脂肪和高胆固醇饮食小鼠的肝损伤而加剧心血管风险
Pub Date : 2024-02-14 DOI: 10.1021/envhealth.3c00168
Yi Chen, Hiu-Lok Ngan, Yuanyuan Song, Zenghua Qi, Lifang Zhao, Chuan Dong, Ruijin Li, Yanbo Li, Zhu Yang, Zongwei Cai
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引用次数: 0
Environmental Obesogens and Their Perturbations in Lipid Metabolism 环境致胖物及其对脂质代谢的干扰
Pub Date : 2024-02-13 DOI: 10.1021/envhealth.3c00202
Xiaoyun Wang, Zhendong Sun, Qian S. Liu, Qunfang Zhou, Guibin Jiang
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引用次数: 0
Efficient V-Shaped Substrate for Surface and Volume Enhanced Raman Spectroscopic Analysis of Bioaerosol: Prevention from Potential Health Risk 用于生物气溶胶表面和体积增强拉曼光谱分析的高效 V 形基底:预防潜在的健康风险
Pub Date : 2024-02-13 DOI: 10.1021/envhealth.3c00178
Juan Liu, Yangyang Liu, Yunyun Zhang, Xuejun Ruan, Hanyun Cheng, Qiuyue Ge, Liwu Zhang
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引用次数: 0
Thallium’s Threat to Aquatic Life: Stage-Specific Toxicity in Zebrafish Embryos and Larvae 铊对水生生物的威胁:斑马鱼胚胎和幼体的特定阶段毒性
Pub Date : 2024-02-06 DOI: 10.1021/envhealth.3c00196
Jian Liu, Guizhen Yan, Zihui Huo, Yucong Mo, Yuting Wen, Weizhen Liu, Hongyu Zhou, Bing Yan, Zhang Lin
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引用次数: 0
Mediating Role of Glucose-Lipid Metabolism in the Association between the Increased Risk of Coronary Heart Disease and Exposure to Organophosphate Esters, Phthalates, and Polycyclic Aromatic Hydrocarbons 糖脂代谢在冠心病风险增加与接触有机磷酯类、邻苯二甲酸盐和多环芳烃之间的关联中的中介作用
Pub Date : 2024-02-05 DOI: 10.1021/envhealth.3c00155
Duo Zhang, Xiang Liu, J. Tu, Qinru Xiao, Linjiang Han, Jinfeng Fu, Junye Bian, Ruyue Zhang, Jimei Chen, Yijia Shao, Shaoyou Lu
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引用次数: 0
Rodenticides as the basis of deratisation: general characteristics, classification, mechanisms of action, features of application and prospects (review of literature data) 作为灭鼠基础的杀鼠剂:一般特征、分类、作用机制、应用特点和前景(文献数据综述)
Pub Date : 2023-12-01 DOI: 10.32402/dovkil2023.04.046
V. Babii, D. Hlavachek
The aim of work is to analyze the current state of the use of rodenticides to control rodents in various areas of human activity, as well as prospects for improving rodenticides. Materials and methods of research: bibliosemantic, bibliographic and analytical methods of research. The research materials were foreign research articles. Research results and discussion. Various methods are used around the world to directly control rodent populations or reduce the damage caused by them. These methods include physical (traps, barriers), chemical (toxic baits, fumigants, repellents), biological/cultural (resistant plants, crop type, sanitation, habitat manipulation). The use of chemicals for rodent control has been practiced for almost a century and is common today. Most rodenticides used today are anticoagulants, which prevent blood clotting. The biological effectiveness of rodent control is determined not only by the toxicity of the rodenticide drug, but also by many other conditions that are closely related to the biological characteristics of the development of rodents. All rodenticides are enteric drugs. The mechanism of toxic effects of drugs in this group is different and is determined by the active substances on the basis of which they are made. The article presents various approaches to the classification of rodenticides and describes the ways of their impact on target and non-target animal species. The risk and toxicity of the most commonly used rodenticides, which have different chemical compositions and can have a wide range of clinical manifestations, are also assessed. The amount of bait that constitutes a lethal dose depends on the toxicity of the poison and the severity of the person. Conclusion: among the prospects for the further use of rodenticides, the leading place is occupied by the development of an “ideal rodenticide”, highly toxic to rodents in small quantities, non-toxic to non-target species and allows to avoid fear of the bait in rodents and, accordingly, rejection of it.
工作目的是分析在人类活动的各个领域使用杀鼠剂控制啮齿动物的现状,以及改进杀鼠剂的前景。研究材料和方法:文献学、书目学和分析研究方法。研究材料为国外研究文章。研究结果与讨论。世界各地使用各种方法直接控制鼠类数量或减少鼠类造成的损害。这些方法包括物理方法(诱捕器、障碍物)、化学方法(毒饵、熏蒸剂、驱赶剂)、生物/文化方法(抗性植物、作物类型、环境卫生、栖息地控制)。使用化学药剂控制鼠类已有近一个世纪的历史,如今也很普遍。目前使用的大多数杀鼠剂都是抗凝血剂,可防止血液凝固。灭鼠的生物学效果不仅取决于灭鼠药的毒性,还取决于与啮齿动物发育的生物学特征密切相关的许多其他条件。所有杀鼠剂都是肠道药物。这类药物的毒性作用机制各不相同,并由其制造所依据的活性物质决定。文章介绍了杀鼠剂分类的各种方法,并描述了它们对目标和非目标动物物种的影响方式。文章还对最常用杀鼠剂的风险和毒性进行了评估,这些杀鼠剂的化学成分各不相同,临床表现也多种多样。构成致死剂量的毒饵量取决于毒物的毒性和人的严重程度。结论:在进一步使用杀鼠剂的前景中,"理想杀鼠剂 "的开发占据了主导地位,这种杀鼠剂对少量啮齿动物有剧毒,对非目标物种无毒,可以避免啮齿动物对毒饵产生恐惧,从而拒绝使用。
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引用次数: 0
Microbiological assessment of wastewater of industrial enterprises in Kyiv and the Kyiv region 基辅和基辅地区工业企业废水微生物评估
Pub Date : 2023-12-01 DOI: 10.32402/dovkil2023.04.055
O. V. Surmasheva, Y. Zheludenko, O.V. Molchanets, Mykhailo Rosada, О.О. Polka, S.P. Zadkova
The aim: industrial wastewater microbiological monitoring and its effect on the drainage water condition. Purpose: microbiological monitoring of industrial wastewater and its impact on the state of surface waters. Materials and methods: wastewater quality evaluation was performed according to the parameters: the lactose-positive coliforms (LPC) count, the coli index, coliphages count and the pathogenic enterobacteria presence. Results: wastewater (WW) treated with full biological treatment and disinfection, UV radiation, chlorination and the cleansing structures use was studied. Industrial WW samples met the 1-2 quality class requirements. 7 food processing wastewater samples did not meet the discharge into an open water requirements in terms of LCP count, which was in the range from 2300 CFU/dm3 to 46000 CFU/dm3, it indicates water fecal pollution. At the same time, according to the coliphages count, these samples belonged to the 2nd quality class. Surface water samples comparative analysis before and after the industrial wastewater discharge shows that the investigated wastewater discharge did not lead to surface watercourse microbiological contamination. Conclusions: according to the 41 industrial wastewater reuse samples microbiological quality monitoring results for the period January 2021-June 2023, 34 WW samples were met the 1-2 quality class requirements, which indicates their satisfactory purification and the discharge possibility into an open water body. 7 samples did not meet the LCP number requirement, which indicates poor-quality purification and their fecal contamination. It was established that the surface watercourse before and after the reuse wastewater discharge, according to the LCP count, the coli index, coliphages count belong to the 1-2 quality class. The investigated industrial wastewater discharge did not exceed the allowance allocation and did not lead to surface waters microbiological contamination.
目的:工业废水微生物监测及其对排水状况的影响。目的:工业废水微生物监测及其对地表水状况的影响。材料和方法:根据乳糖阳性大肠菌群(LPC)计数、大肠杆菌指数、大肠杆菌计数和致病性肠杆菌存在情况等参数对废水水质进行评估。结果:研究了经完全生物处理和消毒、紫外线辐射、氯化和使用清洁结构处理的废水(WW)。工业废水样本符合 1-2 级质量要求。7 份食品加工废水样本的 LCP 计数不符合排入开放水域的要求,其范围在 2300 CFU/dm3 至 46000 CFU/dm3 之间,这表明水体受到了粪便污染。同时,根据大肠杆菌计数,这些水样属于二类水质。工业废水排放前后的地表水样本对比分析表明,所调查的废水排放并未导致地表水道微生物污染。结论:根据 2021 年 1 月至 2023 年 6 月期间 41 个工业废水回用样品微生物质量监测结果,34 个 WW 样品符合 1-2 质量等级要求,表明其净化效果令人满意,可以排放到开放水体中。7 个样本未达到 LCP 编号要求,表明净化质量差,存在粪便污染。根据 LCP 数、大肠杆菌指数、大肠杆菌数,可以确定回用废水排放前后的地表水道属于 1-2 级水质。所调查的工业废水排放未超过允许分配量,也未导致地表水微生物污染。
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引用次数: 0
Analysis of the national list of occupational diseases in accordance with the recommendations of the ILO in 2022: integration into European legislation 根据国际劳工组织的建议分析 2022 年国家职业病清单:融入欧洲立法
Pub Date : 2023-12-01 DOI: 10.32402/dovkil2023.04.016
A.V. Basanets, V. Hvozdetskyi
Introduction: In connection with the reintegration processes of Ukraine's accession to the European Union, the system of recognition, registration, accounting of occupational diseases and the corresponding legislative and methodological base must be adapted to international requirements and recommendations. The level of occupational morbidity in the country does not reflect its real state due to many social and medical reasons. The purpose of the study: analysis of the new edition of the List of occupational diseases and instructions for its use by the ILO in 2022, comparison of its main provisions with a similar list in Ukraine with the aim of the upcoming adaptation of the of occupational diseases registration system in Ukraine to the requirements of the European Union in connection with the process of European integration. Materials and methods: Analytical review of scientific publications was performed using databases of scientific libraries Pub Med, Medline and text databases of scientific publishing houses Pub Med, Central, BMJ group and other VIP databases. The main legislative documents of Ukraine and the International Labor Organization regulating the process of occupational diseases recognizing are analyzed. System and content analysis methods are used. Results: A comparative analysis of materials on the occupational diseases recognition according to the ILO recommendations, as well as similar domestic documents, revealed the unity of general principles. However, at the same time, significant differences were found in the formation of the list of occupational diseases. The ILO list of occupational diseases provides more detailed information on the causative agent, data on occupational exposure to hazardous substances, features of etiopathogenesis, toxicological profile for chemicals, and biological mechanisms for physical and biological factors, main health effects and diagnostic criteria, as well as measures of occupational diseases prevention. This information is not included in the domestic list of occupational diseases and instructions for its use, which significantly limits the possibilities for diagnosing and objectifying of occupational diseases. Considering Ukraine's preparations for joining the European Union, it is obvious that it is necessary to revise domestic legislation regarding the occupational diseases recognition in accordance with international standards and ILO recommendations.
导言:在乌克兰加入欧盟的一体化进程中,职业病的确认、登记、统计制度以及相应的法律和方法基础必须适应国际要求和建议。由于许多社会和医学原因,乌克兰的职业病发病率水平并不能反映其真实情况。研究目的:分析国际劳工组织 2022 年新版职业病清单及其使用说明,将其主要条款与乌克 兰的类似清单进行比较,目的是使乌克兰的职业病登记制度适应欧盟在欧洲一体化进程中的 要求。材料和方法:利用科学图书馆数据库 Pub Med、Medline 和科学出版社的文本数据库 Pub Med、Central、BMJ 集团和其他 VIP 数据库对科学出版物进行了分析审查。分析了乌克兰和国际劳工组织关于职业病认定程序的主要立法文件。采用了系统分析和内容分析方法。结果:对根据国际劳工组织建议进行职业病认定的材料以及类似的国内文件进行的比较分析表明,总体原则是统一的。但与此同时,在职业病清单的形成方面也发现了明显的差异。国际劳工组织的职业病清单提供了更详细的信息,包括致病因素、职业接触有害物质的数据、发病机理特征、化学品毒理学概况、物理和生物因素的生物机制、主要健康影响和诊断标准,以及职业病预防措施。国内的职业病清单及其使用说明中不包括这些信息,这极大地限制了职业病诊断和客观化的可能性。考虑到乌克兰准备加入欧盟,显然有必要根据国际标准和国际劳工组织的建议修订有关职业病认定的国内立法。
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引用次数: 0
Compliance determination of domestic base of hygienic standards for carcinogenic substances in the atmospheric air of populated areas with EU requirements 确定居民区大气中致癌物质卫生标准的国内基础是否符合欧盟要求
Pub Date : 2023-12-01 DOI: 10.32402/dovkil2023.04.023
I.O. Chernychenko, O.M. Lytvychenko, V. Babii, O.Ye. Kondratenko, D. Hlavachek
The purpose of this work was to assess the safety of domestic (hygienic) standards for carcinogenic substances in the atmospheric air of populated areas and determine the concentration level corresponding to the acceptable risk indicator. Materials and methods. Bibliosemantic, bibliographic and hygienic research methods were used in this research. The results were obtained based on the collection and analysis of data on chemical carcinogenic compounds dangerous to humans, based on materials from international Directives, domestic regulatory frameworks and the IARC database. To assess the danger of individual substances and hygienic regulatory levels, risk indicators were determined according to recommended methodological documents. Indicators of reference concentrations for carcinogenic substances standardized in Ukraine were taken from data of the integrated risk information system (IRIS) US EPA. Results and discussion: the studies conducted indicate the need to revise the hygienic standards for carcinogenic substances included in the domestic regulatory framework for the atmospheric air of populated areas. The current standards for the most part exceed the level of acceptable or acceptable risk of probable cancer development among the population and those employed in production. This issue can be resolved by using an accelerated methodology, which is based on the calculation of the dose-risk scale. Accepted hygienic standards for the indicator of carcinogenic risk should be considered as annual averages for the atmospheric air of populated areas, and the current average daily concentrations according to international recommendations should be aimed at preventing acute exposure to chemical carcinogens within 24 hours and manifest themselves over a period of about 14 days. Conclusion: sanitary (hygienic) standards for carcinogenic substances in the air, included in the domestic bases, overwhelmingly exceed the level of permissible (acceptable) risk of cancer development and do not ensure safety for the population and persons involved in production and require revision in accordance with the requirements of the EU countries and the USA. It is proposed to resolve this issue using an accelerated methodology, which is based on the calculation of the dose-risk relationship (scale).
这项工作的目的是评估人口密集地区大气中致癌物质的家用(卫生)标准的安全性,并确定与可接受风险指标相对应的浓度水平。材料和方法。本研究采用了文献学、书目学和卫生学研究方法。根据国际指令、国内监管框架和国际癌症研究机构数据库中的资料,收集和分析了对人类有害的化学致癌化合物数据,并在此基础上得出了研究结果。为了评估个别物质的危险性和卫生监管水平,根据推荐的方法文件确定了风险指标。乌克兰致癌物质标准参考浓度指标取自美国环保局综合风险信息系统(IRIS)的数据。结果与讨论:研究表明,有必要修订国内居民区大气监管框架中的致癌物质卫生标准。目前的标准大多超出了居民和生产从业人员可接受或可接受的可能致癌风险水平。这个问题可以通过使用基于剂量风险等级计算的加速方法来解决。致癌风险指标的公认卫生标准应被视为人口密集地区大气中的年平均值,而根据国际建议,目前的日平均浓度应旨在防止在 24 小时内急性接触化学致癌物,并在大约 14 天内显现出来。结论:国内标准中包含的空气中致癌物质的卫生(卫生)标准,绝大多数都超过了允许 (可接受)的致癌风险水平,不能确保居民和生产人员的安全,需要根据欧盟国家和美国的 要求进行修订。建议采用基于剂量风险关系(比例)计算的加速方法来解决这一问题。
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引用次数: 0
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