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A study of work-related musculoskeletal risks associated with the outpatient surgeries - 与门诊手术相关的与工作相关的肌肉骨骼风险研究
Pub Date : 2015-01-01 DOI: 10.5455/jeos.20151016125049
Sang D. Choi, K. Ahn
Objective: The purpose of this study is to examine the occupational hazards and risks of work-related musculoskeletal injuries and disorders of surgeons and physicians performing outpatient surgery. Material and Methods: A two-page survey instrument was developed to assess the occupational risk factors of general practice physicians and specialty practitioners performing ambulatory or outpatient surgeries. A total of 150 questionnaires were distributed to hospitals, free-standing surgical centers, and doctor offices located in the upper Midwestern United States. Results: Twenty-three physicians/surgeons performing outpatient surgery procedures completed the self-reporting questionnaire. About 80% of respondents reported some type of musculoskeletal symptoms or injuries in the neck, back, shoulder, wrists/hands, and legs/knees. The perceived body discomfort scores were significantly higher for the standing-only operating position than for the sitting/both operating position. Most respondents did not receive any training or instructions for ergonomic modifications in their practices. Conclusion: The outpatient physicians/surgeons are susceptible to prevalence of work-related musculoskeletal injuries and disorders. By properly using the ergonomic assessment techniques, valuable information on ergonomic practices and workplace design/selection could assist in the early interventions of musculoskeletal injury prevention in the outpatient surgery industry.
目的:本研究的目的是检查外科医生和内科医生从事门诊手术的职业危害和与工作有关的肌肉骨骼损伤和疾病的风险。材料和方法:开发了一份两页的调查工具来评估进行门诊或门诊手术的全科医生和专科医生的职业风险因素。总共150份问卷被分发给位于美国中西部的医院、独立外科中心和医生办公室。结果:23名从事门诊手术的医师/外科医生完成了自我报告问卷。大约80%的受访者报告了某种类型的肌肉骨骼症状或颈部、背部、肩部、手腕/手和腿/膝盖的损伤。仅站立操作体位的感知身体不适得分显著高于坐着/两种操作体位。大多数受访者在实践中没有接受任何人体工程学修改的培训或指导。结论:门诊医师/外科医生易患与工作相关的肌肉骨骼损伤和疾病。通过正确使用人体工程学评估技术,有关人体工程学实践和工作场所设计/选择的有价值信息可以帮助门诊手术行业预防肌肉骨骼损伤的早期干预。
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引用次数: 0
Obesity and the risk for occupational injuries: A literature review 肥胖与职业伤害风险:文献综述
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20150715120050
E. Brown, Sang D. Choi
Obesity has been associated with the increased risk of acquiring adverse health conditions and often overlooked is the direct influence that obesity has on physical limitations, fatigue and the risk for occupational injuries. The purpose of this review study was to examine the literature on the impact that obesity has as a risk factor for occupational injury to identify the associations between Body Mass Index (BMI) categories and non-fatal traumatic occupational injuries. Peer-reviewed literature was searched for studies on the risk of overweight and obesity on non-fatal traumatic occupational injuries. The initial literature search was conducted using electronic databases and the systematic search strategy yielded 308 articles. Eleven studies that investigated Body Mass Index (BMI) as a risk factor for occupational injury were further examined. Although there was diversity among the industries represented in these studies, there appears to be a strong association between obesity and risk for occupational injury such as fall-related injuries, lower extremity injuries, and sprains, strains & dislocations. The findings indicated that obese persons are significantly more likely to have had an occupational injury than their normal weight counterparts. Research also showed that the increased costs associated with occupational injuries, workers’ compensation claims and obesity. Further research is needed to elucidate the mechanisms of obesity related injuries and how obesity interacts with other occupational hazards.
肥胖与获得不良健康状况的风险增加有关,但肥胖对身体限制、疲劳和职业伤害风险的直接影响往往被忽视。本综述研究的目的是研究肥胖作为职业伤害风险因素的影响,以确定身体质量指数(BMI)类别与非致命性创伤性职业伤害之间的关系。同行评议的文献检索了超重和肥胖对非致命性创伤性职业伤害风险的研究。初步文献检索采用电子数据库,系统检索策略共获得308篇文献。11项研究调查了身体质量指数(BMI)作为职业伤害的风险因素。尽管在这些研究中所代表的行业之间存在差异,但肥胖与职业伤害风险之间似乎存在很强的关联,例如跌倒相关伤害、下肢损伤、扭伤、拉伤和脱位。研究结果表明,与体重正常的人相比,肥胖的人更有可能遭受职业伤害。研究还表明,增加的成本与职业伤害、工人索赔和肥胖有关。需要进一步的研究来阐明肥胖相关损伤的机制以及肥胖如何与其他职业危害相互作用。
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引用次数: 4
Work related musculoskeletal risks associated with the care, treatment and transportation of bariatric patients: A review 与肥胖患者的护理、治疗和运输相关的工作相关肌肉骨骼风险:综述
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20141231093214
Philip K. Porter, Sang D. Choi
The physical involvement required to care for a bariatric (severely obese) patient is a complex and dangerous order for a health care worker. Obesity rates have significantly increased in the United States, but there has been a lack of bariatric research on the effectiveness of ergonomic intervention for handling a patient of extreme weight and size, as well as on the utilization of equipment. As the number of bariatric healthcare patients rises, so does the risk for those who manually handle these patients – specifically an increased risk in work related musculoskeletal disorders (WMSDs). A literature review study was conducted to better understand what contributes to effectiveness of ergonomic intervention in the interaction between the bariatric patient and the healthcare worker regarding musculoskeletal risks associated with the care, treatment, and transportation of bariatric patients. Four hazard/risk areas were identified included: bariatric patient handling equipment, work environment, rules and procedures, and education and training. The literature supports the use of equipment to aid the healthcare worker in lifting and transferring bariatric patients. However, there are significant barriers that need to be addressed in order to reduce musculoskeletal injuries in healthcare workers handling bariatric patients.
照顾一个肥胖(严重肥胖)病人所需要的体力投入对卫生保健工作者来说是一项复杂而危险的任务。在美国,肥胖率显著增加,但缺乏对人体工程学干预的有效性的研究,以处理极端体重和体型的患者,以及对设备的使用。随着肥胖患者数量的增加,那些手动处理这些患者的风险也在增加——特别是与工作相关的肌肉骨骼疾病(WMSDs)的风险增加。一项文献综述研究是为了更好地了解人体工程学干预在肥胖患者和医护人员之间的互动中对与肥胖患者的护理、治疗和运输相关的肌肉骨骼风险的影响。确定了四个危险/风险领域:肥胖患者处理设备、工作环境、规则和程序以及教育和培训。文献支持使用设备,以帮助医护人员举起和转移肥胖患者。然而,有重大的障碍,需要解决,以减少肌肉骨骼损伤的医护人员处理肥胖患者。
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引用次数: 1
Musculoskeletal complaints among central sterile supply technicians in relation to physical and psychosocial factors at work 中心无菌供应技术人员在工作中与身体和心理因素有关的肌肉骨骼投诉
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20150321110632
M. El-Helaly, H. Balkhy
Objective: The objective was to examine the prevalence of musculoskeletal complaints (MSCs) among central sterile supply technicians (CSSTs) in relation to their physical workload and psychosocial factors at work. Material and Methods: A cross-sectional study was conducted in 2013 among 64 CSSTs working in the central sterile supply department of a tertiary care hospital in Saudi Arabia. A questionnaire was used to collect data on demographic characteristics, physical workload, and psychosocial factors at work. Furthermore, a Nordic Questionnaire was used to examine the prevalence of MSCs among the participants. Results: The study showed that the overall 1-year prevalence of MSCs at anybody site of the participants was 43.8%. The reported MSCs were mostly related to the low back (28.1%), followed by wrists/hands (23.4%) and shoulders (21.9%). Age, gender, and BMI were not associated with MSCs. Work requiring exertion of arms/hands, and working in awkward postures were the only physical work factors that were significantly (P < 0.05) higher among CSSTs who had MSCs (89.3%, 57.1%, respectively) compared to CSSTs who had not (69.4%, 30.6%, respectively). Psychosocial factors at work did not show a significant difference between CSSTs who had MSCs and those who had not. Conclusion: 43.8% of the CSSTs reported 1-year prevalence of MSCs affecting mostly low back, wrists/hands, and shoulders. Ergonomic assessment and preventive intervention should be conducted to prevent the incidence of MSCs among CSSTs through controlling both physical and psychosocial risk factors at their workplace.
目的:目的是研究中心无菌供应技术人员(CSSTs)中肌肉骨骼疾病(MSCs)的患病率与他们的体力工作量和工作中的社会心理因素的关系。材料与方法:2013年对沙特阿拉伯某三级医院中心无菌供应科64名CSSTs进行了横断面研究。使用问卷收集人口统计学特征、体力工作量和工作中的社会心理因素的数据。此外,北欧问卷被用来检查参与者中间充质干细胞的患病率。结果:该研究显示,参与者任何部位的MSCs总体1年患病率为43.8%。报告的MSCs主要与腰背部有关(28.1%),其次是手腕/手(23.4%)和肩膀(21.9%)。年龄、性别和BMI与MSCs无关。有间质干细胞的CSSTs(分别为89.3%和57.1%)与没有间质干细胞的CSSTs(分别为69.4%和30.6%)相比,仅有需要使用手臂/手的工作和以尴尬的姿势工作是体力工作因素(P < 0.05)。工作中的社会心理因素在有间充质干细胞的csst和没有间充质干细胞的csst之间没有显着差异。结论:43.8%的CSSTs报告了1年内MSCs的患病率,主要影响腰背部、手腕/手和肩膀。通过控制工作场所的生理和心理危险因素,开展人体工效学评估和预防性干预,预防CSSTs间充质干细胞的发生。
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引用次数: 1
Focused review of mathematical modeling of radiation-related abnormalities in the Techa River cohort - Techa河队列中辐射相关异常的数学模型的重点综述
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20150312010516
Sergei V. Jargin
Mathematical models describe relationships between numerical values. Adequate models can make testable extrapolations. A requirement to a mathematical model is its validity: once construed, a model and the region of validity should be tested. Here is reviewed a series of studies of the Techa river cohort, where mathematical models were claimed to reveal relationships between the dynamics of the hemato- and lymphopoiesis and the evolution of radiation dose rate over time. However, mathematical models describe rather than reveal relationships. The use of mathematical models without adequate verification may be conductive to the overestimation of biological effects of the low-dose low-rate ionizing radiation. Possible mechanisms of such overestimation are discussed.
数学模型描述数值之间的关系。适当的模型可以做出可检验的推断。对数学模型的一个要求是它的有效性:一旦被解释,模型和有效性区域就应该被测试。这里回顾了Techa河队列的一系列研究,其中的数学模型被认为揭示了血液和淋巴系统的动力学与辐射剂量率随时间的演变之间的关系。然而,数学模型只是描述而不是揭示关系。使用未经充分验证的数学模型可能会导致对低剂量低速率电离辐射的生物效应的过高估计。讨论了这种高估的可能机制。
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引用次数: 4
OCCUPATIONAL THERAPY REHABILITATION OF LOWER LIMB AMPUTEES IN THE NIGERIA ARMED FORCES MEDICAL SERVICES 尼日利亚武装部队医务部门下肢截肢者的职业治疗康复
Pub Date : 2015-01-01 DOI: 10.5455/jeos.20151109115116
A. A. Emechete, C. Mbada
Background and objective: Soldiers are known to always sacrifice to defend the integrity of their nation and in the process may lose limbs even their lives. Injuries resulting from war are a major cause of disablement in armed forces personnel. This paper presents the outcome of a study on the Occupational Therapy Rehabilitation Programme (OTRP) of the post-war lower limb amputees at the Armed Forces Convalescent and Rehabilitation Depot, Lagos, Nigeria. Methods: Eighty soldiers (30 with above knee amputation and 50 with below knee amputation) who were given furloughs from the military authority and had satisfactorily completed physiotherapy prosthetic ambulatory training were recruited into this pre-test and post-test study. A 3-part questionnaire dealing with prosthetic use and training, social and family and work assessment was used. OTRP involved three phases; the initial assessment and evaluation phase; the intermittent phase of sequentially pre-prosthetic stump exercises, gait training, simulated vocational and job training; and the final phase of work assessment and job placement. OTRP was carried out thrice weekly for eight weeks and outcomes were assessed at inclusion and 8th week respectively. Results: The percentage difference in pre-and-post OTRP in terms of participants’ impression, usability, satisfaction and confidence in the use of prostheses was 62.5, 62.5, 45.0 and 32.5% respectively. Prosthetic use affected the sexual life of 25% of the married participants but there was no reported change following OTRP. Following OTRP, 18.8% of the participants intended to return to their previous occupation before joining the army, 44% wanted to go school, 56.3% desired better jobs; 98.8, 75.0 and 62.5% of the participants believed they could play soccer, swim and drive a car respectively. Conclusion: Occupational Therapy Rehabilitation Programme for post-war lower limb amputees who were on prostheses had positive influence on their attitude towards prosthetic use, social and family life, and perception on return to work, sports and vocation.
背景和目的:众所周知,士兵总是为了捍卫国家的完整性而牺牲,在这个过程中可能会失去肢体甚至生命。战争造成的伤害是武装部队人员致残的一个主要原因。本文介绍了一项关于尼日利亚拉各斯武装部队康复和康复站战后下肢截肢者的职业治疗康复计划(OTRP)的研究结果。方法:招募80名从军事当局获得休假并完成物理治疗假肢门诊训练的士兵(膝上截肢30名,膝下截肢50名)进行测试前和测试后的研究。一份涉及假肢使用和培训、社会和家庭以及工作评估的3部分调查问卷被使用。OTRP包括三个阶段;初步评估和评价阶段;间歇阶段依次进行残肢预训练、步态训练、模拟职业和岗位训练;最后阶段是工作评估和就业安置。OTRP每周进行3次,持续8周,分别在纳入和第8周时评估结果。结果:OTRP前后受试者对假体使用的印象、可用性、满意度和信心的百分比差异分别为62.5%、62.5%、45.0%和32.5%。义肢的使用影响了25%的已婚参与者的性生活,但OTRP后没有报道的变化。在OTRP之后,18.8%的参与者打算回到参军前的职业,44%的人想去上学,56.3%的人想要更好的工作;98.8%、75.0和62.5%的参与者分别认为自己会踢足球、会游泳和会开车。结论:职业治疗康复方案对战后义肢截肢者义肢使用态度、社会和家庭生活态度以及重返工作、运动和职业的感知有积极影响。
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引用次数: 1
Effect of exposure to Benzene on oxidative stress and the functions of liver and kidney of male Albino Rat 苯暴露对雄性白化大鼠氧化应激及肝肾功能的影响
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20141223050552
A. A. El-Shakour, Ahmad S. El-Ebiarie, Y. Ibrahim, A. Moneim, Asmaa El-Mekawy
Aim: Benzene is a volatile organic compound known to be carcinogenic to humans. The present study was conducted to determine the effects of exposure to average indoor concentrations of benzene on liver and kidney of rats. Methods: Adult male albino Wistar rats were exposed to 10, 30 and 50 ppm of benzene for 14 days. The effect on lipid peroxidation (LPO), nitric oxide (NO) and glutathione (GSH) as oxidative markers, in addition, liver and kidney function levels were determined in adult male rats. Results: Benzene intoxication increased the activities of liver enzymes (alanine aminotransferase, aspartate aminotransferase and alkaline phosphatase) and the bilirubin level, in addition to the levels of uric acid, urea and creatinine were increased in the serum. Moreover, benzene inhalation at 10, 30 and 50 ppm for 14 days in adult male rats enhanced LPO and NO production in both serum and liver with a concomitant reduction in GSH content. Conclusions: On the basis of the above results, it can hypothesis that benzene inhalation caused hepatic and renal damages even at low concentration.
目的:苯是一种挥发性有机化合物,已知对人类具有致癌性。本研究旨在确定室内苯平均浓度暴露对大鼠肝脏和肾脏的影响。方法:将成年雄性白化Wistar大鼠分别暴露于10、30、50 ppm的苯中14 d。以脂质过氧化(LPO)、一氧化氮(NO)和谷胱甘肽(GSH)为氧化标志物,测定其对成年雄性大鼠肝肾功能水平的影响。结果:苯中毒大鼠肝酶(丙氨酸转氨酶、天冬氨酸转氨酶、碱性磷酸酶)活性升高,胆红素水平升高,血清尿酸、尿素、肌酐水平升高。此外,成年雄性大鼠在10、30和50 ppm浓度下吸入苯14天,血清和肝脏中LPO和NO的产生均增加,同时GSH含量降低。结论:基于以上结果,可以假设低浓度苯吸入也会引起肝、肾损害。
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引用次数: 8
Factors modifying childrens inhalational risk assessment 影响儿童吸入风险评估的因素
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20150202022401
R. Saadeh, J. Klaunig
Context: This study reviews factors in children, which alter their risk to inhalational exposures, and modify the inhalational risk assessment process. Factors identified in the literature distinguish children from adults when assessing risk of inhalational exposures. Such factors are determined based on children’s unique physiological, anatomical, and biochemical characteristics, which extend to include a unique inhalational dosimetry. Numerous methods have been developed to account for such factors in children. However, some factors are more inclusive than others are, and a comprehensive assessment of these factors is important to enhance risk analysis in children. Objective: The aim was to identify factors in children that modify the four steps of risk assessment and assess the magnitude of uncertainty associated with these factors. Methods: Authors did not follow a specific system for selecting articles from the literature. However, original and review articles were chosen based on their relevancy to the objectives of this paper. Five EPA documents and one WHO document were used to identify factors shown in Figure 1. EPA guidelines for inter and intra species differences and for inhalational dosimetry were used in calculating uncertainty associated with the identified factors. Results: Figure 1 illustrates factors identified as influential in children’s inhalational risk assessment, with the elucidation of possible correlations that exist among these factors. Table 1 ranks factors in order of their importance and determination in two selected steps of risk assessment. Figure 2 evaluates uncertainty related to factors shown in Figure 1 based on criteria described in Methodology. Figure 3 demonstrates the inclusiveness of each of the methods used to assess risk in children. Conclusion: Children’s risk assessment demands special considerations and the inclusion of factors specific to them because of their continuous developmental changes, which differentiate them from adults.
背景:本研究回顾了改变儿童吸入暴露风险的因素,并修改了吸入风险评估过程。在评估吸入性暴露风险时,文献中确定的因素将儿童与成人区分开来。这些因素是根据儿童独特的生理、解剖和生化特征确定的,这些特征延伸到包括独特的吸入剂量学。已经开发了许多方法来解释儿童的这些因素。然而,有些因素比其他因素更具包容性,对这些因素进行全面评估对于加强儿童的风险分析很重要。目的:目的是确定影响风险评估四步的儿童因素,并评估与这些因素相关的不确定性程度。方法:作者没有遵循特定的系统从文献中选择文章。然而,原始和评论文章是根据它们与本文目标的相关性来选择的。使用五份EPA文件和一份WHO文件来确定图1所示的因素。在计算与已确定因素相关的不确定度时,采用了环境保护局种间和种内差异指南以及吸入剂量测定指南。结果:图1说明了在儿童吸入风险评估中确定的影响因素,并阐明了这些因素之间可能存在的相关性。表1在风险评估的两个选定步骤中按其重要性和确定程度对因素进行排序。图2根据方法学中描述的标准评估与图1中所示因素相关的不确定性。图3展示了用于评估儿童风险的每种方法的包容性。结论:儿童的风险评估需要特殊的考虑,并纳入儿童特有的因素,因为儿童的发育是不断变化的,这是儿童与成人的区别。
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引用次数: 0
Critical analysis of day time traffic noise level at curbside open-air microenvironment of two types of road network of a big city 某大城市两类路网路边露天微环境日间交通噪声水平分析
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20151104102243
Anirban Chowdhury, A. Debsarkar, S. Chakrabarty
Aim: The aim of the research work is to critically analyze day time traffic noise level (Leq) at curbside open-air microenvironment of two types of road network of Kolkata City, India. Methods: 280 sets of data on road width, traffic volume, Leq, peak (L10) and background (L90) noise level were collected from curbsides of 23 major roads. The data was sub set according to the following road network types i.e., one-way traffic in single or double lane (RN-1) and both-way traffic in single lane (RN-2). Noise Climate (NC) and Traffic Noise Index (TNI) were computed for both types of road network. Results: After sub setting of data the number of sets of data accounted for 234 and 46 for RN-1 and RN-2 type of road network. The ratio (RN-1/RN-2) of the averages road width and traffic volume of two types of road network was 2.28 and 1.89. The ratio of the average Leq, NC and TNI of two type of road network was 0.98, 0.89 and 0.94. The ratio of the average L10 and L90 of two types of road network was 0.99, 1.01. Conclusion: RN-1 type of road network was wider and also had higher traffic volume in comparison with RN-2 type of road network. On the contrary RN-1 type of road network was quieter and less annoying in comparison with RN-2 type of road network. Lower Leq of RN-1 type of road network in spite of higher traffic volume was attributed to lower L10.
目的:本研究的目的是批判性地分析印度加尔各答市两种类型道路网的路边露天微环境的日间交通噪声水平(Leq)。方法:采集23条主干道路边280组道路宽度、车流量、Leq、峰值噪声(L10)和背景噪声(L90)数据。数据按路网类型进行分组,即单双车道单向交通(RN-1)和单车道双向交通(RN-2)。计算了两类路网的噪声气候(NC)和交通噪声指数(TNI)。结果:数据分组后,RN-1型和RN-2型路网的数据组数分别为234组和46组。两类路网的平均道路宽度与交通量之比(RN-1/RN-2)分别为2.28和1.89。两类路网的平均Leq、NC和TNI之比分别为0.98、0.89和0.94。两类路网的平均L10与L90之比分别为0.99、1.01。结论:与RN-2型路网相比,RN-1型路网更宽,交通量也更高。相反,与RN-2型路网相比,RN-1型路网更安静,更少烦人。尽管交通量较高,但RN-1型路网的Leq较低归因于L10较低。
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引用次数: 2
Association of seminal plasma cadmium levels with semen quality in non-occupationally exposed infertile Nigerian males - 非职业暴露的尼日利亚不育男性精浆镉水平与精液质量的关系
Pub Date : 2015-01-01 DOI: 10.5455/JEOS.20150105111638
Mathias Abiodun Emokpae, Christian Ajiri Adobor
Aim: Male infertility of unknown etiology may be attributed to various environmental exposures to toxic substances such as metals. Very few human studies have evaluated the relationship between male reproductive function and toxic metal concentrations in seminal plasma in Nigeria. The objective of this study was to evaluate the levels of cadmium in seminal plasma of non-occupationally exposed infertile Nigerian males and correlate their levels with semen quality. Materials and Methods: A total of 80 subjects were enrolled, which includes 60 infertile males on a routine visit to the University of Benin Teaching Hospital, Benin City and 20 fertile males (controls). The concentration of cadmium in seminal plasma was measured using atomic absorption spectrophotometer. Semen analyses were performed according to World Health Organization standard. Results: Mean seminal plasma cadmium level was significantly higher (P < 0.001) in infertile males compared with controls. The toxic metal correlated negatively (P
目的:不明原因的男性不育症可能归因于各种环境暴露于有毒物质,如金属。很少有人体研究评估了尼日利亚男性生殖功能与精浆中有毒金属浓度之间的关系。本研究的目的是评估非职业接触的尼日利亚不育男性精液中镉的水平,并将其水平与精液质量联系起来。材料与方法:共纳入80名受试者,其中60名在贝宁市贝宁大学教学医院例行就诊的不育男性和20名有生育能力的男性(对照组)。用原子吸收分光光度计测定精浆中镉的浓度。精液分析按世界卫生组织标准进行。结果:不育男性精浆镉水平显著高于对照组(P < 0.001)。有毒金属呈负相关(P
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引用次数: 8
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Journal of Environmental and Occupational Science
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