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Cross-shift Reduction in Fractional Exhaled Nitric Oxide among CementWorkers 水泥工人呼出一氧化氮的交叉班次减少
Pub Date : 2016-10-26 DOI: 10.4172/2329-6879.1000249
A. Tungu, M. Bråtveit, S. Mamuya, B. Moen
Objective: Assessment of changes in fractional exhaled nitric oxide (FENO) across the shift was performed among cement production workers and controls. FENO was used as a possible marker of eosinophilic inflammation in the airways. In addition, the relations between personal total dust exposure and FENO changes across the work shift were examined. Methods: Pre-and post-shift FENO levels were determined among 55 non-smoking dust exposed cement production workers and among 31 non-smoking mineral water factory workers as controls. The FENO levels were examined for three consecutive days among the exposed and two consecutive days among controls. Personal total dust levels were collected in the breathing zone of each participant using cellulose acetate filters on the first day of FENO examination. A three-piece Millipore cassette was used to place the filters and the cassette was connected to a Side Kick Cassela pump at a flow rate of 2 l/minute. Results: There was a statistically significant reduction in FENO levels among exposed workers, but not among controls. The reduction in FENO levels among the exposed was observed on each day of FENO examination. The cross-shift reduction in FENO levels among the exposed did not show possible associations with personal total dust exposure levels (r=-0.175, 95% CI: -0.36, 0.04). The geometrical mean for total dust exposure were 8.3 mg/m3 and 0.28 mg/m3, among exposed workers and controls, respectively. Conclusion: The results show a cross-shift reduction of FENO among cement workers and indicate that dust exposure is not associated with this finding. The reason for the reduction in FENO across the shift is unknown. Researchers in this field should be aware of potential unknown confounders when performing future studies.
目的:评估水泥生产工人和对照者在轮班过程中呼出一氧化氮分数(FENO)的变化。FENO被用作气道嗜酸性粒细胞炎症的可能标记物。此外,还研究了个人总粉尘暴露与整个工作班次的FENO变化之间的关系。方法:测定55名非吸烟粉尘水泥生产工人和31名非吸烟矿泉厂工人轮班前后的FENO水平。暴露组连续3天检测FENO水平,对照组连续2天检测FENO水平。在FENO检查的第一天,使用醋酸纤维素过滤器收集每个参与者呼吸区的个人总粉尘水平。使用一个三片式Millipore盒式装置放置过滤器,盒式装置连接到侧踢式Cassela泵上,流速为2l /分钟。结果:暴露工人的FENO水平有统计学上的显著降低,而对照组没有。在每天的FENO检查中观察到暴露者中FENO水平的降低。暴露者中FENO水平的交叉位移减少与个人总粉尘暴露水平没有可能的关联(r=-0.175, 95% CI: -0.36, 0.04)。暴露工人和对照组的总粉尘暴露几何平均值分别为8.3 mg/m3和0.28 mg/m3。结论:结果显示水泥工人的FENO交叉移位减少,并且表明粉尘暴露与这一发现无关。在整个转换过程中FENO减少的原因尚不清楚。该领域的研究人员在进行未来研究时应注意潜在的未知混杂因素。
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引用次数: 1
Occupational and Environmental Health Hazards in the Brick ManufacturingIndustry in Kathmandu Valley, Nepal 尼泊尔加德满都谷地制砖行业的职业和环境健康危害
Pub Date : 2016-10-13 DOI: 10.4172/2329-6879.1000248
S. Thygerson, S. Sanjel, S. Johnson
The ever expanding traditional brick industry in Nepal is a labour intensive, low technology activity found in the Kathmandu Valley and Terai regions of Nepal. Various studies have characterized the environmental pollutants associated with brick making, few studies have focused on the effects of these pollutants on the workers themselves. This review attempts to summarize recent evidences characterizing the occupational hazards associated with the brick industry and provide evidences for control of these hazards.
尼泊尔不断扩大的传统砖工业是尼泊尔加德满都谷地和德莱地区的劳动密集型、低技术活动。各种研究都描述了与制砖有关的环境污染物,很少有研究关注这些污染物对工人本身的影响。本文试图总结与砖工业有关的职业危害的最新证据,并为这些危害的控制提供证据。
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引用次数: 14
A Case Control Study to Identify the Risk Factors of Periodontitis in PregnantWomen in District Faisalabad 费萨拉巴德地区孕妇牙周炎危险因素的病例对照研究
Pub Date : 2016-10-07 DOI: 10.4172/2329-6879.1000247
S. Yousaf, Mansur-ud-din Ahmed, M. Asif, Shumila Yousaf, S. Munir
Good oral health is the indicator of good general health of an individual. Poor oral hygiene is the most important factor to cause dental diseases. Advanced stage of gum disease is called periodontitis. Periodontal disease affects the gum and jaw bone. Gingival health is compromised during pregnancy due to hormonal changes. This is called pregnancy gingivitis which is initial stage of periodontitis. Method: A matched case control study was conducted to identify the risk factors of periodontitis during pregnancy. Study duration was three months and it was conducted in tertiary care hospitals of Faisalabad (Madina teaching hospital, D.H.Q, Allied hospital). Cases were matched on the bases of month of pregnancy and number of pregnancy with control. Study sample was 282 (141 cases and 141 controls). Data were collected through questionnaire which comprises of two sections one is demographic data and one is questions related risk factors. Findings: Data were entered on SPSS software value was less than 0.05 and confidence interval was 95%. Multi logistic regression test was apply to identify the potential risk factors of periodontitis. Results have shown the different risk factors which can cause periodontitis. The most significant risk factors e.g. family history, systemic illness in which diabetes and hypertension were most common, poor eating habits due to lack of knowledge about oral health were common. Results will share with the health authorities of concerned hospitals.
良好的口腔健康是个人整体健康状况良好的标志。口腔卫生不良是引起口腔疾病的最重要因素。牙龈疾病的晚期被称为牙周炎。牙周病影响牙龈和颌骨。在怀孕期间,由于荷尔蒙的变化,牙龈健康受到损害。这被称为妊娠牙龈炎,是牙周炎的初始阶段。方法:通过配对病例对照研究,确定妊娠期牙周炎的危险因素。研究时间为三个月,在费萨拉巴德的三级保健医院(Madina教学医院、D.H.Q、联合医院)进行。对照按妊娠月数和妊娠次数进行配对。研究样本282例(病例141例,对照组141例)。数据收集通过问卷调查,其中包括两个部分,一个是人口统计数据,一个是问题相关的风险因素。结果:用SPSS软件录入数据,数据值小于0.05,置信区间为95%。采用多元logistic回归检验确定牙周炎的潜在危险因素。结果显示了引起牙周炎的不同危险因素。最常见的危险因素包括家族史、全身性疾病(以糖尿病和高血压最为常见)、因缺乏口腔健康知识而导致的不良饮食习惯。结果将与有关医院的卫生主管部门分享。
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引用次数: 2
The Disconnected Values Model Helps Overcome Unhealthy Habits 断开的价值观模型帮助克服不健康的习惯
Pub Date : 2016-10-05 DOI: 10.4172/2329-6879.1000246
M. Anshel
Researchers and practitioners have been only partially successful in developing and applying interventions that prevent or eliminate our unhealthy, self-destructive behaviors. New, more effective interventions and treatments are needed to help individuals create and maintain long-term adherence to routines that improve health and quality of life. My research over the past 15 years has consisted of helping individuals recognize the consequences of their unhealthy behavior patterns by detecting the inconsistency, or “disconnect,” between their values and their behaviors. The series of thoughts and actions that influences a person’s decision to change their actions is called the Disconnected Values Model (DVM).
研究人员和从业人员在开发和应用预防或消除我们不健康、自我毁灭行为的干预措施方面只取得了部分成功。需要新的、更有效的干预措施和治疗方法来帮助个人建立和保持长期坚持日常生活,以改善健康和生活质量。在过去的15年里,我的研究包括通过发现他们的价值观和行为之间的不一致或“脱节”,帮助个人认识到他们不健康行为模式的后果。影响一个人决定改变其行为的一系列思想和行为被称为断开连接的价值观模型(DVM)。
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引用次数: 0
EDTA: Ethylene Diamine Tetra Acetic Acid – A Review 乙二胺四乙酸综述
Pub Date : 2016-09-14 DOI: 10.4172/2329-6879.1000245
E. Blaurock-Busch
Chelation therapists around the world incorporate chelation therapies into their daily medical practice, frequently using EDTA (ethylene diamine tetra acetic acid) compounds, unaware of the chemical difference of the various EDTA chelating agents. With this information, we aim to clarify the different mode of action of the EDTAs, including their appropriate medical use. In the USA, medical practitioners promote EDTA chelation, often as an alternative to conventional treatments for a variety of chronic diseases, including vascular problems. German nonmedical professionals use the ‘CaEDTA push’ as promoted by US web pages, although this is against standard protocol. CaEDTA has been FDA- approved for lead intoxication only, and Na2EDTA has not been approved for the treatment of cardiovascular disease. These facts are often overlooked. Misunderstandings increase the risk of iatrogenic accidents. This information aims to prevent this.
世界各地的螯合治疗师将螯合疗法纳入他们的日常医疗实践,经常使用EDTA(乙二胺四乙酸)化合物,不知道各种EDTA螯合剂的化学差异。有了这些信息,我们的目的是澄清edta的不同作用模式,包括其适当的医疗用途。在美国,医生提倡EDTA螯合,通常作为一种替代传统治疗多种慢性疾病,包括血管问题。德国的非医疗专业人员使用美国网页推广的“CaEDTA推送”,尽管这违反了标准协议。CaEDTA已被FDA批准仅用于治疗铅中毒,而Na2EDTA尚未被批准用于治疗心血管疾病。这些事实往往被忽视。误解增加了医源性事故的风险。本信息旨在防止这种情况发生。
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引用次数: 8
Relevant Patient Data for Health Information Exchange: A Delphi Method Study among Occupational Health Professionals 健康资讯交换之病患相关资料:职业卫生专业人员之德尔菲法研究
Pub Date : 2016-08-22 DOI: 10.4172/2329-6879.1000244
S. Nissinen, T. Leino, T. Oksanen, K. Saranto
Objective: To examine which data on patients’ primary care visits are considered relevant for documentation in the electronic records of occupational health services, to enable health information exchange between occupational health care professionals, the employee, employer, other health care professionals, and social insurance system actors. Methods: We used the Delphi method to evaluate which electronic health data are considered relevant for patient health information exchange by 37 occupational health team members (physicians, nurses, physiotherapists, and psychologists). The surveys were conducted in three rounds. The response rates to the consecutive electronic questionnaires were 76%, 73% and 73%. We used content analysis to analyze the data. Results: The most relevant electronic patient data for health information exchange were individual action plans and their follow-ups, work-related primary care visits, professional assessment of employee's work capacity and the ability to cope at work, and work-related diseases and reported symptoms. Conclusion: The results show that occupational health professionals considered structurally documented electronic health records relevant for patient health information exchange between occupational health services and the employee, employer, other health care professionals and social insurance system actors. The National Patient Data Repository (Kanta) was considered one means with which to implement electronic health records in occupational health services. These results can be used in the further development of data structures and information exchange in occupational health services.
目的:研究哪些患者的初级保健访问数据被认为与职业卫生服务电子记录的编制相关,以实现职业卫生保健专业人员、雇员、雇主、其他卫生保健专业人员和社会保险系统参与者之间的健康信息交换。方法:我们使用德尔菲法评估37名职业健康团队成员(医生、护士、物理治疗师和心理学家)认为哪些电子健康数据与患者健康信息交换相关。调查分三轮进行。连续电子问卷的回复率分别为76%、73%和73%。我们使用内容分析来分析数据。结果:与健康信息交换最相关的患者电子数据是个人行动计划及其随访、与工作相关的初级保健就诊、员工工作能力和工作应对能力的专业评估、与工作相关的疾病和报告的症状。结论:结果表明,职业卫生专业人员认为结构化的电子健康档案与职业卫生服务机构与雇员、雇主、其他卫生保健专业人员和社会保险制度主体之间的患者健康信息交换有关。国家病人数据储存库被认为是在职业卫生服务中实施电子健康记录的一种手段。这些结果可用于进一步发展职业保健服务的数据结构和信息交换。
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引用次数: 4
Relationship between the Asbestos Cumulative Exposure Index (ACEI) and the Latency Period of Asbestos Related Diseases (ARD) within an Italian Study Group of Ex-Asbestos Workers 意大利前石棉工人研究组石棉累积暴露指数(ACEI)与石棉相关疾病潜伏期(ARD)的关系
Pub Date : 2016-08-05 DOI: 10.4172/2329-6879.1000243
G. M. Ferri, C. Guastadisegno, G. Intranuovo, V. Luisi, D. Cavone, B. Licchelli, Elena Viola Buononato, L. Macinagrossa, R. Molinini
Objectives: The association between asbestos exposure, measured by mean of Asbestos Cumulative Exposure Index (ACEI) and the latency period of non-malignant asbestos-related diseases (ARD) diagnosed according to the American Thoracic Society (ATS) criteria was studied. Methods: 306 exposed asbestos workers in Bari, Italy, were included in a health surveillance program. By means of a standardized questionnaire we assessed asbestos exposure through ACEI. Latency period of Asbestos Related Diseases (ARD) was also assessed. Results: We found a significant inverse correlation between latency and ACEI increasing with ARD severity. ACEI and 30-35 years of age at time of first exposure were inversely associated with the latency period. The risk of ARD increased from baseline to the 2nd follow-up and among subjects exposed for the first time before 1960. Conclusions: The most important factors that caused a reduction in the latency period were the year of first exposure and the ACEI score while smoking habits did not show to play a significant role.
目的:研究石棉累积暴露指数(ACEI)与美国胸科学会(ATS)诊断的非恶性石棉相关疾病(ARD)潜伏期之间的关系。方法:对意大利巴里市306名石棉暴露工人进行健康监测。通过标准化问卷,我们通过ACEI评估了石棉暴露。评估石棉相关疾病潜伏期(ARD)。结果:我们发现潜伏期和ACEI随ARD严重程度的增加呈显著的负相关。ACEI和首次接触时30-35岁与潜伏期呈负相关。从基线到第二次随访以及在1960年之前首次接触的受试者中,ARD的风险增加。结论:导致潜伏期减少的最重要因素是首次暴露年份和ACEI评分,而吸烟习惯没有显示出显著作用。
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引用次数: 0
Effects of Ageing in Physical Fitness 衰老对体质的影响
Pub Date : 2016-08-01 DOI: 10.4172/2329-6879.1000241
P. Ruiz-Montero, Ó. Chiva-Bartoll, R. Martín-Moya
Ageing is a natural and inevitable process with degenerative changes in most of the physical, physiological and psychological functions. Furthermore, the ageing process has an impact on the physical of elderly people. Thus, the aim of this study is to provide to readers of information about effects of ageing and changes in physical fitness as one of the major causes of chronic diseases of ageing people. In addition, the association between physical fitness and physical activity in elderly shows health benefits in this population. In conclusion, the evolution of aging is essentially understood as a gradual accumulation of damage which produces the functional declination of any organism.
衰老是一种自然的、不可避免的过程,大多数身体、生理和心理功能发生退行性变化。此外,老龄化过程对老年人的身体也有影响。因此,本研究的目的是向读者提供有关衰老的影响和身体素质变化作为老年人慢性疾病的主要原因之一的信息。此外,老年人身体健康和体育活动之间的联系表明,这一人群的健康有益。总之,衰老的进化基本上可以理解为损害的逐渐积累,从而导致任何生物体的功能衰退。
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引用次数: 3
Use of Smokeless Tobacco in Medical Students and Hypertension 医学生使用无烟烟草与高血压
Pub Date : 2016-07-26 DOI: 10.4172/2329-6879.1000240
S. Ali
Tobacco is being used in various forms including cigarette, shisha, cigar and bidi smoking and smokeless tobacco. Smokeless tobacco constitutes various forms of tobacco i-e paan/ betel quid, tobacco with lime, naswar, gutka, qiwam, tobacco tooth powder, minpuri, areca nut (supari) [1,2]. Qiwam consists of thick paste of boiled tobacco mixed with powdered spices such as saffron, cardamom, aniseed and aroma, while paan/ betel quid is a mixture of the leaf of the Piper betle vine, aqueous calcium hydroxide paste [slaked lime] [1,2]. Smokeless tobacco is commonly used in South Asia, where it has become part of South Asian culture. Furthermore, South Asia is a major producer and exporter of tobacco and over one-third of tobacco consumed in South Asia is smokeless [2]. Traditional forms like, tobacco with lime; betel quid and tobacco tooth powder are commonly used among South Asian population [2]. With the passage of time, tobacco usage is increasing not only among men but also among women of reproductive age, children, teenagers, medical and dental students [2].
烟草的使用形式多种多样,包括香烟、水烟、雪茄、比迪烟和无烟烟草。无烟烟草由各种形式的烟草组成-e - paan/槟榔液,烟草用石灰,纳斯瓦尔,gutka, qiwam,烟草牙粉,minpuri,槟榔(supari)[1,2]。Qiwam是由煮熟的烟草混合了藏红花、豆蔻、大茴香等粉末香料制成的浆糊,而paan/槟榔是由花椒叶和氢氧化钙水糊[熟石灰][1,2]混合而成。无烟烟草在南亚普遍使用,在那里它已经成为南亚文化的一部分。此外,南亚是烟草的主要生产国和出口国,南亚消费的烟草中有三分之一以上是无烟烟草[2]。传统的形式是,烟草加石灰;南亚人群常用槟榔液和烟草牙粉[2]。随着时间的推移,吸烟人数不仅在男性中增加,而且在育龄妇女、儿童、青少年、医学和牙科学生中也在增加[2]。
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引用次数: 5
A Framework for Mitigating Respiratory Diseases in Underground Coal Miningby Emphasizing on Precautionary Measures 以预防措施为主的煤矿井下呼吸系统疾病防治框架
Pub Date : 2016-06-20 DOI: 10.4172/2329-6879.1000239
S. Mahdevari, K. Shahriar
Background: By increasing the depth and extent of the underground mines, coal miners are at risk of developing lung diseases especially pneumoconiosis because of their regular exposure to airborne dusts and toxic gases. Mechanization results in accelerative production of higher dust levels and worst working conditions. Aim of the study: Annual statistics show that most of the underground coal miners in Iran, with experience more than five years, are suffering from lung diseases. Due to that, this research was conducted in order to investigate the risk of exposure to coal dust at Kerman coalfield, Iran. Participants and methods: A cross sectional study was carried out over 556 coal miners from three coal mines. Among them 460 persons directly worked at the coalface for at least five years. Spirometry tests were also done in order to determine the parameters of FEV1, FEV1/FVC and . Z-test with overall error set at 0.01 was used for comparison of the results. Results: Differences between the results of the spirometry measurements for face and non-face miners were meaningful indicating the more vulnerability of the face miners to the disease. In addition, the results showed a nonlinear decline in FEV1 over the first five years of employment, with a sharp decrease in the first two years. According to the results, the face miners are more prone to respiratory diseases, however all miners are at risk. Conclusion: Direct measurements showed that the dust levels in the coalfaces are high and exceed the recommended exposure limit of 1mg/m . Remedial and precautionary measures were found to be the most appropriate solution to mitigate the development of such tormented diseases. Therefore, a framework composed of the three major levels: precautionary measures, medical surveillance and remedial management was proposed by focus on the precautionary measures as the best solutions.
背景:随着地下矿井的深度和范围的增加,煤矿工人由于经常接触空气中的粉尘和有毒气体,有患肺部疾病特别是尘肺病的风险。机械化导致更高的粉尘水平和最恶劣的工作条件加速生产。研究目的:年度统计数据显示,伊朗大多数有5年以上工作经验的地下煤矿工人患有肺病。因此,本研究旨在调查伊朗克尔曼煤田煤尘暴露的风险。参与者和方法:对来自三个煤矿的556名矿工进行了横断面研究。其中直接在工作面工作至少5年的460人。肺活量测定法测定FEV1、FEV1/FVC、FEV1/FVC等参数。采用总误差为0.01的z检验对结果进行比较。结果:面部矿工和非面部矿工的肺活量测量结果之间的差异有意义,表明面部矿工更容易受到疾病的影响。此外,结果显示,FEV1在就业的前五年呈非线性下降,在前两年急剧下降。结果显示,露天矿工更容易患呼吸道疾病,但所有矿工都有风险。结论:直接测量表明,煤面粉尘含量很高,超过了建议的1mg/m的暴露限值。补救和预防措施被认为是减轻这类折磨人的疾病发展的最适当的解决办法。因此,提出了一个由三个主要层面组成的框架:预防措施、医疗监测和补救管理,重点是预防措施是最佳解决办法。
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引用次数: 8
期刊
Occupational medicine and health affairs
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