Reviews on Environmental Health最新文献

Lead is an environmental hazard; even small elevations in blood lead level can cause serious negative health effects in children, including irreversible impacts such as learning difficulties, attention disorders, and behavioral issues. Previous research has shown that some groups are at higher risk for lead poisoning including racial/ethnic minorities, those with low economic status, and immigrants, especially refugees. This systematic review explores recent literature studying disparities in lead poisoning in refugee children. Search terms were chosen with the assistance of a medical librarian, and two independent reviewers assessed articles using a PICOS criteria (Population, Intervention, Comparison, Outcome, Study Design) following the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRIMSA-P) guidelines, a set of evidence-based minimum standards for reporting in systematic reviews. 321 article titles were reviewed, 61 abstracts screened, and 17 methods sections reviewed, ultimately including 13 studies. The studies found a high prevalence of elevated blood lead level among refugee populations when compared to reference populations. Both pre-migration and post-migration factors were identified as contributors to the disparity, and associations were identified between elevated blood lead levels and factors such as country of origin, age, and other health variables. Health providers and resettlement workers should be aware of these disparities and related factors. Testing, care, education and consistent follow-up should be provided.

Amoxicillin (AMX) is one of the antibiotics in the penicillin category that is used in various fields. Considering the harmful effects of its remains, it is necessary to survey the ways to remove this compound. Advanced oxidation process (AOPs), specially photo-Fenton has been used for the removal of AMX. This study has been conducted based on PubMed, Google Scholar, DOAJ, Web of Science, and Scopus databases during the years 2008-2019. Some factors such as the aquatic solution, light source characteristics, iron, and H₂O₂ concentration, AMX degradation percentage, removal of total organic carbon percentage, and AMX concentration have been surveyed to optimize the process. Studies showed that the photo-Fenton process is highly dependent on pH, and in most studies, the highest efficiency has been observed in acidic pH values. Using a more energy light source can be effective in reducing the use of catalysts and oxidizers. The combined methods of AOPs such as photo-Fenton, electro-Fenton, and photo-electro-Fenton have higher efficiency in increasing mineralization than the photon process. The use of synthetic wastewater has a higher efficiency in the degradation of AMX than in real wastewater in the photo-Fenton process, which can be due to the absence of the interfering agents in synthetic environments.

Medical waste status is a severe public health problem worldwide. Proper medical waste management is of paramount importance. However, there is insufficient information about medical waste management and lack of management in different countries. The aim of this research was to investigate and evaluate the present status of medical waste management in different countries. We systematically searched Embase, PubMed/MEDLINE, Scopus, PubMed Central, Google Scholar databases, as well as medRxiv using the following keywords: medical waste, waste management, disposal, healthcare per-capita generation, gross domestic product (GDP), and hospital. A total of 38 eligible articles were identified. Correlations were calculated between the amount of medical waste generated (kg bed.day^-1) vs. GDP per capita ($) and ranking of healthcare system performance. A negative correlation was found between medical waste generation rate and ranking of healthcare system performance. According to the findings of this study, the medical waste generation rate in different countries ranged from 0.14 to 6.10 kg bed.day^-1. About 25% of countries segregated medical waste, and about 17% used standard storage for all medical waste. Shortcomings were also found in waste collection, storage, transportation and transfer, and disposal of medical waste management activities in different countries. Only about 25% of countries simultaneously used three techniques, such as autoclaving, incineration, and landfill for disposal and treatment of medical waste, and 91% used incineration method. This study highlights an essential need for particular medical waste management guidelines and regulations, technologies, knowledge and financing to upgrade medical waste management worldwide. This study can be considered to be a good guide for further research on medical waste management in developing and developed countries.

Over the past few decades, phthalate esters (PAEs) used as additives to improve the persistence and flexibility of polymeric materials. They are also used in cosmetics, insect repellents, and propellants, and their continuous input into drinking waters has constituted a serious risk to human health and the environment. DBPs are compounds classified as hazardous substances and have teratogenic properties. Due to the high bioaccumulation of DBP, they have toxic properties in different organisms, making it very important to remove PAEs before discharging them into environments. In this study a systematic review was designed to evaluate Advanced oxidation processes (AOPs) studies which have successfully treated contaminated water with PAEs. Among AOPs, particularly photocatalytic, UV/H₂O₂ photolysis, sonolysis, and ozone-based processes were more tried to degrade PAEs in aqueous solutions. Additionally, a more detail of each AOPs was explained. Findings showed that all advanced oxidation processes, especially combined AOPs have good results in the degradation of PAEs in water.

Research suggests that exposure to natural environments can be beneficial for health, such as reducing physical illness and improving mood and cognitive ability. The potential benefits of nature have come into focus at a time when mental health issues are growing globally. Here, we have selected 24 studies from four databases for meta-analysis to explore the effects of exposure to the natural environment on the anxiety of the human body and summarize the influencing factors on the anxiety relief effect. A random-effect meta-analysis of anxiety state changes before and after exposure to natural environment shows that natural exposure effectively alleviated human anxiety (SMD -1.28, 95% CI: -1.65 to -0.92). The overall quality of the included papers, assessed using the PEDro scale, is considered to vary considerably, but most of the papers are rated between 4 and 7 which is considered fair or good. In addition, we have also investigated the potential moderators of anxiety-relieving effects of the nature. Our results shows that the age and exposure time of the subjects are related to the effect of anxiety relief. The results of the subgroup analysis of moderators prove that compared with the middle-aged people (SMD -0.63, 95% CI: -1.13 to -0.12), young people (SMD -1.50, 95% CI: -1.90 to -1.10) get better anxiety alleviation effect in the natural environment. In terms of exposure time, compared with 0.5-2 h (SMD -0.18, 95% CI: -0.59 to -0.23) and >2 h (SMD -0.84, 95% CI: -1.40 to -0.27) exposure periods, subjects get the maximum anxiety relief benefit when they spent <0.5 h (SMD -1.60, 95% CI: -1.93 to -1.27) in the natural environment. However, the quality of the included studies varies greatly and there is a significant heterogeneity in the meta-analysis. Study location, natural environment type and other moderator factors have no obvious correlation with anxiety-alleviation effect of the nature. A higher quality and more comprehensive study needs to be carried out to find out more moderators about the effects of the natural environment on anxiety alleviation. Further experimental studies should also be conducted to determine the mechanism by which natural exposure reduces anxiety so as to provide strong support for the construction and improvement of healthy natural environment.

Object: Arsenic as a chemical is found in rock, soil, air and used in various industries and their products, such as colors, hairs, and fertilizers. Humans may be exposed to arsenic mainly through food and drinking water. Due to its adverse health effects, its presence in drinking water has become a public health concern.

Methods: In this systematic review, we investigated the relationship between arsenic concentration in drinking water and the risk of kidney cancer in humans. For this reason, various electronic databases were searched from 1992 February to November 2021. In this review, three ecological studies, two case-control studies, and four cohort studies were investigated.

Results: High levels of arsenic (100 μg/L) have been reported in many countries such as southwest Taiwan, Niigata, Argentine, and northern Chile. A significant relationship was observed between kidney cancer incidence and its mortality rate with high arsenic levels in drinking water.

Conclusions: Despite the limitations in some previous studies, reviewing and comparing the data of different regions indicates a scientific relationship between kidney cancer incidence and high concentrations of arsenic in drinking water.

While Dieudonné has praised thoroughness of Leszczynski's review of EHS studies, he was critical of the final conclusions. Leszczynski strongly disagrees with argumentation of Dieudonné that EHS issue is settled and that biomarker research is unnecessary because it is expensive and might produce false positives. Leszczynski's opinion is that his review has demonstrated how very poor scientifically and inadequate statistically is the to-date executed research on EHS. Dieudonné's approach of using such poor science to justify claim that EHS issue is settled and there is no causality link between EHS and EMF exposures, is completely unjustified and simply false.

This study addresses a systematic review of the scientific literature to evaluate the most common advanced oxidation processes (AOP) for the removal of phthalate esters (PE) in aqueous matrices. Six AOP were reviewed for PE degradation such as processes based on photolysis, Fenton, ozonation and sulfate radicals ( ${\text{SO}}_4^{•-}$ ), combined AOP and other processes. The PE degradation efficiencies by AOP processes ranged from 40.3 to 100%. In the reviewed literature, an initial PE concentration within 0.04-250 mg/L was applied. The H₂O₂ concentrations used in the UV/H₂O₂ process and O₃ concentrations in ozonation-based processes ranged between 0.85-1,360.6 mg/L and 2-4,971 mg/L, respectively. Based on the reported results, the PE oxidation data fit well to the pseudo-first order kinetic model. A review of the studies revealed that many oxidant species are produced in the AOP, including hydroxyl radicals (^•OH), ${\text{SO}}_4^{•-}$ , superoxide radical anions ( ${\text{O}}_2^{-•}$ ), hydroperoxyl radicals (HO₂ ^•), hydrogen peroxide (H₂O₂), and singlet oxygen (O₂). Among these oxidants, ^•OH play a key role in the degradation of PE. However, ${\text{SO}}_4^{•-}$ are more effective and efficient than ^•OH since ${\text{SO}}_4^{•-}$ has a higher oxidation power (E = 2.5-3.1 V) compared to ^•OH radicals (E = 1.8-2.7 V). In different AOP processes, the aromatic rings of PE are destroyed by ^•OH and produce intermediates such as phthalic acid (C₆H₄(CO₂H)₂), benzoic acid ethyl ester (C₉H₁₀O₂), 2, 5-dihydroxybenzoic acid (C₇H₆O₄), formic acid (CH₂O₂), acetic acid (CH₃COOH), and oxalic acid (C₂H₂O₄), among some others. Until now, limited data have been reported on PE toxicity assessment. The reviewed literature has shown that AOP can be used effectively to degrade PE from aqueous matrices. However, this systematic study suggests focusing more on the evaluation of the toxicity of the effluent resulting from AOP for the decomposition of PE in future studies.