Pub Date : 2022-03-15Print Date: 2023-06-27DOI: 10.1515/reveh-2021-0168
Nematollah Jaafarzadeh, Ali Poormohammadi, Halime Almasi, Zeinab Ghaedrahmat, Fakher Rahim, Amir Zahedi
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.
{"title":"Arsenic in drinking water and kidney cancer: a systematic review.","authors":"Nematollah Jaafarzadeh, Ali Poormohammadi, Halime Almasi, Zeinab Ghaedrahmat, Fakher Rahim, Amir Zahedi","doi":"10.1515/reveh-2021-0168","DOIUrl":"10.1515/reveh-2021-0168","url":null,"abstract":"<p><strong>Object: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"255-263"},"PeriodicalIF":3.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9572974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-09Print Date: 2023-09-26DOI: 10.1515/reveh-2022-0034
Dariusz Leszczynski
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.
{"title":"Dariusz Leszczynski responds to comments of Maël Dieudonné on Leszczynski's review of the scientific evidence on the individual sensitivity to electromagnetic fields (EHS).","authors":"Dariusz Leszczynski","doi":"10.1515/reveh-2022-0034","DOIUrl":"10.1515/reveh-2022-0034","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 3","pages":"589-590"},"PeriodicalIF":3.9,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10120434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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 ( ), 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), , superoxide radical anions ( ), hydroperoxyl radicals (HO2•), hydrogen peroxide (H2O2), and singlet oxygen (O2). Among these oxidants, •OH play a key role in the degradation of PE. However, are more effective and efficient than •OH since 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.
{"title":"Advanced oxidation processes for phthalate esters removal in aqueous solution: a systematic review.","authors":"Hoda Amiri, Susana Silva Martinez, Marziyeh Ansari Shiri, Mohammad Mahdi Soori","doi":"10.1515/reveh-2021-0147","DOIUrl":"10.1515/reveh-2021-0147","url":null,"abstract":"<p><p>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 ( <math> <mrow><msubsup><mtext>SO</mtext> <mn>4</mn> <mrow><mo>•</mo> <mo>-</mo></mrow> </msubsup> </mrow> </math> ), 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 H<sub>2</sub>O<sub>2</sub> concentrations used in the UV/H<sub>2</sub>O<sub>2</sub> process and O<sub>3</sub> 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 (<sup>•</sup>OH), <math> <mrow><msubsup><mtext>SO</mtext> <mn>4</mn> <mrow><mo>•</mo> <mo>-</mo></mrow> </msubsup> </mrow> </math> , superoxide radical anions ( <math> <mrow><msubsup><mtext>O</mtext> <mn>2</mn> <mrow><mo>-</mo> <mo>•</mo></mrow> </msubsup> </mrow> </math> ), hydroperoxyl radicals (HO<sub>2</sub> <sup>•</sup>), hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), and singlet oxygen (O<sub>2</sub>). Among these oxidants, <sup>•</sup>OH play a key role in the degradation of PE. However, <math> <mrow><msubsup><mtext>SO</mtext> <mn>4</mn> <mrow><mo>•</mo> <mo>-</mo></mrow> </msubsup> </mrow> </math> are more effective and efficient than <sup>•</sup>OH since <math> <mrow><msubsup><mtext>SO</mtext> <mn>4</mn> <mrow><mo>•</mo> <mo>-</mo></mrow> </msubsup> </mrow> </math> has a higher oxidation power (E = 2.5-3.1 V) compared to <sup>•</sup>OH radicals (E = 1.8-2.7 V). In different AOP processes, the aromatic rings of PE are destroyed by <sup>•</sup>OH and produce intermediates such as phthalic acid (C<sub>6</sub>H<sub>4</sub>(CO<sub>2</sub>H)<sub>2</sub>), benzoic acid ethyl ester (C<sub>9</sub>H<sub>10</sub>O<sub>2</sub>), 2, 5-dihydroxybenzoic acid (C<sub>7</sub>H<sub>6</sub>O<sub>4</sub>), formic acid (CH<sub>2</sub>O<sub>2</sub>), acetic acid (CH<sub>3</sub>COOH), and oxalic acid (C<sub>2</sub>H<sub>2</sub>O<sub>4</sub>), 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.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"197-218"},"PeriodicalIF":3.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Food additives contain synthetic and natural chemical compounds and are one of the causes of food allergies. In this regard, it is necessary to recognize the food additives that are of special interest for children. In this survey, the relation between food additives and allergic reactions and attention-deficit hyperactivity disorders in children was studied. The research studies with keywords "allergic reactions", "hypersensitivity", "food additives" and "children" were searched in PubMed, Scopus, Science Direct, Web of Science, and SID databases, from 1984 to 2020. Three hundred twenty-seven studies were obtained and only seven articles were finally selected according to exclusion and inclusion criteria. In the final review, seven articles were selected to investigate the relationship between food additives and hypersensitivity reactions. Some clinical factors such as urticaria, eczema, rhinitis and gastrointestinal symptoms and the prevalence of laboratory evidence in atopic children are due to increased exposure to food additives including artificial colors and sweeteners, preservatives, and monosodium glutamate. Clinical signs and laboratory evidence prove a significant association between some food additives and allergenic adverse reactions. It was also found that food additives such as artificial colors and sweeteners, preservatives, and monosodium glutamate are responsible for most cases of hypersensitivity in children, and the prevalence of hypersensitivity to food additives was estimated to be about 1.2% based on data extracted from studies.
食品添加剂含有合成和天然化合物,是引起食物过敏的原因之一。在这方面,有必要认识到儿童特别感兴趣的食品添加剂。本研究旨在探讨食品添加剂与儿童过敏反应及注意缺陷多动障碍的关系。在PubMed、Scopus、Science Direct、Web of Science、SID等数据库中检索1984 - 2020年以“allergic reactions”、“hypersensitivity”、“food additives”、“children”为关键词的研究。共获得327篇研究,最终根据排除和纳入标准筛选出7篇。在最后的回顾中,我们选择了7篇文章来研究食品添加剂与过敏反应的关系。一些临床因素,如荨麻疹、湿疹、鼻炎和胃肠道症状以及实验室证据在特应性儿童中的流行,是由于增加了对食品添加剂的接触,包括人工色素和甜味剂、防腐剂和味精。临床体征和实验室证据证明,某些食品添加剂与过敏性不良反应之间存在显著关联。研究还发现,人工色素和甜味剂、防腐剂和味精等食品添加剂是导致儿童过敏的主要原因,根据研究数据估计,对食品添加剂过敏的发生率约为1.2%。
{"title":"Association between food additives and prevalence of allergic reactions in children: a systematic review.","authors":"Parisa Sadighara, Mehdi Safta, Intissar Limam, Kiandokht Ghanati, Zahra Nazari, Marzieh Karami, Amirhossein Abedini","doi":"10.1515/reveh-2021-0158","DOIUrl":"10.1515/reveh-2021-0158","url":null,"abstract":"<p><p>Food additives contain synthetic and natural chemical compounds and are one of the causes of food allergies. In this regard, it is necessary to recognize the food additives that are of special interest for children. In this survey, the relation between food additives and allergic reactions and attention-deficit hyperactivity disorders in children was studied. The research studies with keywords \"allergic reactions\", \"hypersensitivity\", \"food additives\" and \"children\" were searched in PubMed, Scopus, Science Direct, Web of Science, and SID databases, from 1984 to 2020. Three hundred twenty-seven studies were obtained and only seven articles were finally selected according to exclusion and inclusion criteria. In the final review, seven articles were selected to investigate the relationship between food additives and hypersensitivity reactions. Some clinical factors such as urticaria, eczema, rhinitis and gastrointestinal symptoms and the prevalence of laboratory evidence in atopic children are due to increased exposure to food additives including artificial colors and sweeteners, preservatives, and monosodium glutamate. Clinical signs and laboratory evidence prove a significant association between some food additives and allergenic adverse reactions. It was also found that food additives such as artificial colors and sweeteners, preservatives, and monosodium glutamate are responsible for most cases of hypersensitivity in children, and the prevalence of hypersensitivity to food additives was estimated to be about 1.2% based on data extracted from studies.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 1","pages":"181-186"},"PeriodicalIF":3.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9414931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Foods are contaminated with natural and man-made radionuclides. The aim of this systematic review was to determine the amount and type of radionuclides in eggs, as well as the biomarker capability of eggs. The research studies with keywords radionuclide, radioisotopes, contamination and egg were searched in PubMed, Scopus, and Science Direct databases, regardless of publication time. A number of 70 studies were obtained and only 13 articles were finally selected according to exclusion, inclusion criteria and quality assessment results. Studies which detected radionuclide in the hen eggs were selected. The highest frequency of radionuclides belonged to Ra-226 and Cs-137. The index of natural radionuclides is Ra-226 and the index of synthetic radionuclides is Cs-137. The local eggs, in addition to determining food contamination, can also be a good biomarker for identifying environmental contamination.
{"title":"The radionuclides contamination in eggs as an environmental marker: a systematic review.","authors":"Parisa Sadighara, Afsaneh Mohajer, Ehsan Shamloo, Nader Akbari, Naiema Vakili Saatloo","doi":"10.1515/reveh-2021-0167","DOIUrl":"10.1515/reveh-2021-0167","url":null,"abstract":"<p><p>Foods are contaminated with natural and man-made radionuclides. The aim of this systematic review was to determine the amount and type of radionuclides in eggs, as well as the biomarker capability of eggs. The research studies with keywords radionuclide, radioisotopes, contamination and egg were searched in PubMed, Scopus, and Science Direct databases, regardless of publication time. A number of 70 studies were obtained and only 13 articles were finally selected according to exclusion, inclusion criteria and quality assessment results. Studies which detected radionuclide in the hen eggs were selected. The highest frequency of radionuclides belonged to Ra-226 and Cs-137. The index of natural radionuclides is Ra-226 and the index of synthetic radionuclides is Cs-137. The local eggs, in addition to determining food contamination, can also be a good biomarker for identifying environmental contamination.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 1","pages":"187-192"},"PeriodicalIF":3.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10857284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30Print Date: 2022-06-27DOI: 10.1515/reveh-2021-0118
Sharly Coombs, Darrah K Sleeth, Rachael M Jones
A scoping review was performed to answer: what environmental health concerns have been associated with adverse health outcomes in the Navajo Nation? The review focused on occupational and ambient environmental exposures associated with human industrial activities. The search strategy was implemented in PubMed, and two investigators screened the retrieved literature. Thirteen studies were included for review. Data were extracted using the matrix method. Six studies described associations between work in uranium mining and cancer. Six studies focused on environmental exposures to uranium mine waste and other metals, with outcomes that included biological markers, kidney disease, diabetes and hypertension, and adverse birth outcomes. One study explored occupational exposure to Sin Nombre Virus and infection. Most research has focused on the health effects of uranium, where occupational exposures occurred among miners and environmental exposures are a legacy of uranium mining and milling. Gaps exist with respect to health outcomes associated with current occupations and the psychosocial impact of environmental hazards. Other environmental exposures and hazards are known to exist on the Navajo Nation, which may warrant epidemiologic research.
{"title":"Environmental and occupational health on the Navajo Nation: a scoping review.","authors":"Sharly Coombs, Darrah K Sleeth, Rachael M Jones","doi":"10.1515/reveh-2021-0118","DOIUrl":"10.1515/reveh-2021-0118","url":null,"abstract":"<p><p>A scoping review was performed to answer: what environmental health concerns have been associated with adverse health outcomes in the Navajo Nation? The review focused on occupational and ambient environmental exposures associated with human industrial activities. The search strategy was implemented in PubMed, and two investigators screened the retrieved literature. Thirteen studies were included for review. Data were extracted using the matrix method. Six studies described associations between work in uranium mining and cancer. Six studies focused on environmental exposures to uranium mine waste and other metals, with outcomes that included biological markers, kidney disease, diabetes and hypertension, and adverse birth outcomes. One study explored occupational exposure to Sin Nombre Virus and infection. Most research has focused on the health effects of uranium, where occupational exposures occurred among miners and environmental exposures are a legacy of uranium mining and milling. Gaps exist with respect to health outcomes associated with current occupations and the psychosocial impact of environmental hazards. Other environmental exposures and hazards are known to exist on the Navajo Nation, which may warrant epidemiologic research.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"37 2","pages":"181-187"},"PeriodicalIF":3.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9150895/pdf/reveh-37-2-reveh-2021-0118.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39772789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Exposure to hazardous air pollutants is identified as most obvious premature mortality factors in the world. Numerous epidemiological studies have estimated exposure to air pollutants may cause pulmonary toxicity and the incidence of respiratory diseases including chronic obstructive pulmonary disease (COPD), chronic bronchitis and asthma. The currently research was performed to evaluation the association between gaseous pollutants and lung function in healthy adults. Articles related to this study were selected from researches of Scopus, PubMed, and Web of Science databases. A total of 2,644 articles were retrieved and 39 records were reviewed after removing duplicates and excluding irrelevant studies. The result of this systematic review indicated that there is some evidence on decreasing lung function with exposure to gaseous air pollutants (NO2, SO2, and O3) which can have negative effects on human health. Although according to the evidence changes in lung function are mostly linked to the exposure to environmental pollutants including CO, O3, NO2 and SO2, the results should be interpreted with caution considering some following issues discussed in this review. Therefore, further studies are required considering well-designed studies in large scales to strengthen the evidence.
接触有害空气污染物被确定为世界上最明显的过早死亡因素。许多流行病学研究估计,接触空气污染物可能导致肺毒性和呼吸系统疾病的发病率,包括慢性阻塞性肺病、慢性支气管炎和哮喘。目前的研究是为了评估气态污染物与健康成人肺功能之间的关系。与本研究相关的文章选自Scopus、PubMed和Web of Science数据库的研究。共检索2644篇文献,剔除重复和不相关研究后,对39篇文献进行了回顾。本系统综述的结果表明,有一些证据表明,暴露于气态空气污染物(NO2、SO2和O3)会降低肺功能,对人体健康产生负面影响。虽然根据证据,肺功能的变化主要与暴露于环境污染物(包括CO, O3, NO2和SO2)有关,但考虑到本文讨论的一些问题,应谨慎解释这些结果。因此,需要进一步的研究,考虑设计良好的大尺度研究,以加强证据。
{"title":"Exposure to ambient gaseous air pollutants and adult lung function: a systematic review.","authors":"Kazhal Masroor, Mansour Shamsipour, Ramin Mehrdad, Farzad Fanaei, Mina Aghaei, Masud Yunesian","doi":"10.1515/reveh-2021-0135","DOIUrl":"10.1515/reveh-2021-0135","url":null,"abstract":"<p><p>Exposure to hazardous air pollutants is identified as most obvious premature mortality factors in the world. Numerous epidemiological studies have estimated exposure to air pollutants may cause pulmonary toxicity and the incidence of respiratory diseases including chronic obstructive pulmonary disease (COPD), chronic bronchitis and asthma. The currently research was performed to evaluation the association between gaseous pollutants and lung function in healthy adults. Articles related to this study were selected from researches of Scopus, PubMed, and Web of Science databases. A total of 2,644 articles were retrieved and 39 records were reviewed after removing duplicates and excluding irrelevant studies. The result of this systematic review indicated that there is some evidence on decreasing lung function with exposure to gaseous air pollutants (NO<sub>2</sub>, SO<sub>2</sub>, and O<sub>3</sub>) which can have negative effects on human health. Although according to the evidence changes in lung function are mostly linked to the exposure to environmental pollutants including CO, O<sub>3</sub>, NO<sub>2</sub> and SO<sub>2</sub>, the results should be interpreted with caution considering some following issues discussed in this review. Therefore, further studies are required considering well-designed studies in large scales to strengthen the evidence.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 1","pages":"137-150"},"PeriodicalIF":3.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10848030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: Health care workers (HCWs) are exposed to needle needles daily. Despite individual studies, there is no statistics on the prevalence of unreported needle stick injuries (NSIs) have been reported. This study was performed to determine the prevalence and causes of unreported NSIs among HCWs.
Content: In present systematic review and meta-analysis study, three international databases (Web of Science, Scopus, PubMed) were searched from January 1, 2000 to December 31, 2018. The random model was used to determine the prevalence of unreported needle stick among HCWs.
Summary and outlook: Forty-one studies performed on 19,635 health care workers entered the final stage. Based-on random effect model, pooled prevalence of unreported needle stick injuries was 59.9% (95% CI: 52.0, 67.7; I2=98.9%). The most common cause of unreported NSIs was: They were not worried about NSIs (n=12). The high prevalence of unreported needle sticks injuries indicates the urgency and necessity of paying attention to strategies to improve reporting among health workers.
目的:卫生保健工作者(HCWs)每天都暴露于针头。尽管有单独的研究,但没有关于未报告的针头刺伤(nsi)发生率的统计数据。本研究旨在确定卫生保健工作者中未报告的nsi的患病率和原因。内容:本系统综述和荟萃分析研究检索了Web of Science、Scopus、PubMed三个国际数据库,检索时间为2000年1月1日至2018年12月31日。采用随机模型确定卫生保健工作者中未报告的扎针率。总结与展望:对19635名卫生保健工作者进行的41项研究进入最后阶段。基于随机效应模型,未报告的针刺伤总发生率为59.9% (95% CI: 52.0, 67.7;I2 = 98.9%)。未报告的nsi最常见的原因是:他们不担心nsi (n=12)。未报告的针扎伤发生率很高,这表明迫切需要关注改善卫生工作者报告情况的战略。
{"title":"Prevalence and causes of unreported needle stick injuries among health care workers: a systematic review and meta-analysis.","authors":"Razieh Behzadmehr, Abbas Balouchi, Mehran Hesaraki, Farshid Alazmani Noodeh, Hosein Rafiemanesh, Abdulqadir J Nashwan, Fateme Behmaneshpour, Maliheh Rahdar, Majid Dastres, Shahaboddin Atharyan, Maryam Jahantigh, Frood Malekshahi","doi":"10.1515/reveh-2021-0148","DOIUrl":"10.1515/reveh-2021-0148","url":null,"abstract":"<p><strong>Objectives: </strong>Health care workers (HCWs) are exposed to needle needles daily. Despite individual studies, there is no statistics on the prevalence of unreported needle stick injuries (NSIs) have been reported. This study was performed to determine the prevalence and causes of unreported NSIs among HCWs.</p><p><strong>Content: </strong>In present systematic review and meta-analysis study, three international databases (Web of Science, Scopus, PubMed) were searched from January 1, 2000 to December 31, 2018. The random model was used to determine the prevalence of unreported needle stick among HCWs.</p><p><strong>Summary and outlook: </strong>Forty-one studies performed on 19,635 health care workers entered the final stage. Based-on random effect model, pooled prevalence of unreported needle stick injuries was 59.9% (95% CI: 52.0, 67.7; I2=98.9%). The most common cause of unreported NSIs was: They were not worried about NSIs (n=12). The high prevalence of unreported needle sticks injuries indicates the urgency and necessity of paying attention to strategies to improve reporting among health workers.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 1","pages":"111-123"},"PeriodicalIF":3.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9102729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-24Print Date: 2022-12-16DOI: 10.1515/reveh-2021-0125
Martin L Pall
Drs. Foster and Balzano published ref. [1] claiming that my paper on coherent millimeter (MM)-waves producing penetrating effects [2] was flawed. My response follows. Ref. [1] claims that “The magnetic permeability of tissue is very low... and many orders of magnitude lower than that of high permeable materials such as iron,” citing Schenck [3] as their sole support. Ref. [3] is a study of Nuclear Magnetic Resonance Imaging (MRI) and is focused on findings that magnetic susceptibility of materials, including iron, can lead to position errors of up to several millimeters inMR-guided surgery. It says nothing about the magnetic permeability of biological materials except, as will be shown immediately below, that the ability to do MRIs tells us that biologicalmaterials are highly permeable to magnetic fields. TheWikipedia article onMRI [4] is discussed here. MRI studies properties of atomic nuclei that have odd numbers of protons and have, therefore, nuclei with opposite spins which have, in the absence of an external magnetic field identical energy levels. In the presence of an external magnetic field, the difference in energy levels of the two spins increase in proportion to the strength of external magnetic field. At a specific magnetic field strength, electromagnetic fields (EMFs) at a specific frequency absorb photons having the same energy as the difference of energy of the spin states. Ref. [4] states: “MRI requires a magnetic field that is both strong and uniform to a few parts per million across the scan volume.” This is because an EMF frequency that resonates with type of nucleus at a specific magneticfieldwill no longer resonatewith a slightly higher or lower magnetic field. Therefore magnetic field penetration must be extremely high to avoid destroying any ability to doMRI imaging in different depths of tissues. Our ability to dowhole body or whole brainMRIsmake this conclusion especially clear. It can be seen from this that the Foster/Balzano claim that “tissue magnetic permeability is very low” is complete nonsense. I stated in ref. [2] that “Electronically generated EMFs are coherent, producing much higher electrical and magnetic forces than do natural incoherent EMFs.” Foster/ Balzano respond that “coherence properties of ‘electronically generated’ microwave and MM-wave fields vary widely. The coherence of awave is defined as correlation in phase at different points in time or space as the wave propagates through a medium [5], and is not an all or none property.” There are two problems with their description of ref. [5]. The first is that Pinton et al. [5] studied effects of ultrasound (not EMFs) in tissues. Therefore, this should have been disclosed in ref. [1] as possibly limiting relevance to EMFs. Most importantly [5], study of ultrasound with reverberation clutter, with the main focus on reverberations. Reverberation greatly lowers the coherence of the ultrasound (and also of EMFs) so the variation of coherence seen in ref. [5] a
{"title":"Coherent MM-wave EMFs produce penetrating effects via time-varying magnetic fields: response to Foster & Balzano.","authors":"Martin L Pall","doi":"10.1515/reveh-2021-0125","DOIUrl":"https://doi.org/10.1515/reveh-2021-0125","url":null,"abstract":"Drs. Foster and Balzano published ref. [1] claiming that my paper on coherent millimeter (MM)-waves producing penetrating effects [2] was flawed. My response follows. Ref. [1] claims that “The magnetic permeability of tissue is very low... and many orders of magnitude lower than that of high permeable materials such as iron,” citing Schenck [3] as their sole support. Ref. [3] is a study of Nuclear Magnetic Resonance Imaging (MRI) and is focused on findings that magnetic susceptibility of materials, including iron, can lead to position errors of up to several millimeters inMR-guided surgery. It says nothing about the magnetic permeability of biological materials except, as will be shown immediately below, that the ability to do MRIs tells us that biologicalmaterials are highly permeable to magnetic fields. TheWikipedia article onMRI [4] is discussed here. MRI studies properties of atomic nuclei that have odd numbers of protons and have, therefore, nuclei with opposite spins which have, in the absence of an external magnetic field identical energy levels. In the presence of an external magnetic field, the difference in energy levels of the two spins increase in proportion to the strength of external magnetic field. At a specific magnetic field strength, electromagnetic fields (EMFs) at a specific frequency absorb photons having the same energy as the difference of energy of the spin states. Ref. [4] states: “MRI requires a magnetic field that is both strong and uniform to a few parts per million across the scan volume.” This is because an EMF frequency that resonates with type of nucleus at a specific magneticfieldwill no longer resonatewith a slightly higher or lower magnetic field. Therefore magnetic field penetration must be extremely high to avoid destroying any ability to doMRI imaging in different depths of tissues. Our ability to dowhole body or whole brainMRIsmake this conclusion especially clear. It can be seen from this that the Foster/Balzano claim that “tissue magnetic permeability is very low” is complete nonsense. I stated in ref. [2] that “Electronically generated EMFs are coherent, producing much higher electrical and magnetic forces than do natural incoherent EMFs.” Foster/ Balzano respond that “coherence properties of ‘electronically generated’ microwave and MM-wave fields vary widely. The coherence of awave is defined as correlation in phase at different points in time or space as the wave propagates through a medium [5], and is not an all or none property.” There are two problems with their description of ref. [5]. The first is that Pinton et al. [5] studied effects of ultrasound (not EMFs) in tissues. Therefore, this should have been disclosed in ref. [1] as possibly limiting relevance to EMFs. Most importantly [5], study of ultrasound with reverberation clutter, with the main focus on reverberations. Reverberation greatly lowers the coherence of the ultrasound (and also of EMFs) so the variation of coherence seen in ref. [5] a","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"37 4","pages":"613-615"},"PeriodicalIF":3.9,"publicationDate":"2021-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39656698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}