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Cadmium exposure and thyroid hormone disruption: a systematic review and meta-analysis 镉暴露与甲状腺激素紊乱:系统回顾与荟萃分析
IF 3.9 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-25 DOI: 10.1515/reveh-2023-0122
Seung Min Chung, Min Cheol Chang
Abstract Introduction This meta-analysis aimed to analyze the effect of cadmium (Cd) exposure on thyroid hormone disruption. Content Databases including PubMed, Embase, Cochrane Library, and Scopus were searched for studies published up to December 14, 2022. Studies evaluating the association between Cd exposure (blood Cd [BCd] or urine Cd [UCd]) and thyroid function (thyroid-stimulating hormone [TSH], free thyroxine [FT4], total triiodothyronine [TT3]) or thyroid autoimmunity (thyroglobulin antibody [TgAb] or thyroperoxidase Ab [TPOAb]) were included. Summary and Outlook This systematic review included 12 cross-sectional studies. Cd exposure showed a neutral association with TSH (pooled correlation=0.016, 95 % confidence interval [CI]=−0.013 to 0.045, p=0.277), FT4 (pooled correlation=0.028, 95 % CI=−0.005 to 0.061, p=0.098), and thyroid autoimmunity (pooled odds ratio=1.143, 95 % CI=0.820–1.591, p=0.430). However, Cd exposure showed a positive association with TT3 (pooled correlation=0.065, 95 % CI=0.050–0.080, p<0.001), which was consistent with the BCd and UCd subgroup analyses (pooled correlation=0.053 and 0.081, respectively, both p<0.001). Cd exposure was not associated with TSH, FT4, or thyroid autoimmunity but tended to increase with TT3.
摘要 引言 本荟萃分析旨在分析镉(Cd)暴露对甲状腺激素紊乱的影响。内容 在PubMed、Embase、Cochrane Library和Scopus等数据库中检索了截至2022年12月14日发表的研究。纳入了评估镉暴露(血镉[BCd]或尿镉[UCd])与甲状腺功能(促甲状腺激素[TSH]、游离甲状腺素[FT4]、总三碘甲状腺原氨酸[TT3])或甲状腺自身免疫(甲状腺球蛋白抗体[TgAb]或甲状腺过氧化物酶抗体[TPOAb])之间关系的研究。总结与展望 本系统综述纳入了 12 项横断面研究。镉暴露与促甲状腺激素(总相关性=0.016,95% 置信区间[CI]=-0.013 至 0.045,p=0.277)、FT4(总相关性=0.028,95% 置信区间=-0.005 至 0.061,p=0.098)和甲状腺自身免疫(总几率比=1.143,95% 置信区间=0.820 至 1.591,p=0.430)呈中性相关。然而,镉暴露与TT3呈正相关(集合相关性=0.065,95% CI=0.050-0.080,p<0.001),这与BCd和UCd亚组分析一致(集合相关性分别为0.053和0.081,均p<0.001)。镉暴露与促甲状腺激素、FT4或甲状腺自身免疫无关,但往往与TT3有关。
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引用次数: 0
Prevalence of chronic obstructive pulmonary disease in Indian nonsmokers: a systematic review & meta-analysis. 印度非吸烟者慢性阻塞性肺疾病患病率:一项系统综述和荟萃分析
IF 3.9 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-11-29 DOI: 10.1515/reveh-2023-0135
Tejas M Suri, Tamoghna Ghosh, Saurabh Mittal, Vijay Hadda, Karan Madan, Anant Mohan

Introduction: Nonsmokers with chronic obstructive pulmonary disease (COPD) are neglected despite constituting half of all cases in studies from the developed world. Herein, we systematically reviewed the prevalence of COPD among nonsmokers in India.

Content: We searched Embase, Scopus, and PubMed databases for studies examining the prevalence of COPD among nonsmokers in India. We used the Joanna Briggs Institute (JBI) checklist to assess included studies' quality. Meta-analysis was performed using random-effects model.

Summary: Seven studies comprising 6,903 subjects were included. The quality of the studies ranged from 5/9 to 8/9. The prevalence of COPD varied between 1.6 and 26.6 %. Studies differed considerably in demographics and biomass exposure profiles of subjects. Among the four studies that enrolled both middle-aged and elderly Indian nonsmokers not screened based on biomass fuel exposure, the pooled prevalence of COPD was 3 % (95 % CI, 2-3 %; I2=50.52 %, p=0.11). The pooled prevalence of COPD among biomass fuel-exposed individuals was 10 % (95 % CI, 2-18 %; I2=98.8 %, p<0.001).

Outlook: Limited evidence suggests a sizable burden of COPD among nonsmokers and biomass fuel-exposed individuals in India. More epidemiological studies of COPD in nonsmokers are needed from low and middle-income countries.

非吸烟者慢性阻塞性肺疾病(COPD)被忽视,尽管在发达国家的研究中占所有病例的一半。在此,我们系统地回顾了印度非吸烟者中COPD的患病率。内容:我们检索了Embase、Scopus和PubMed数据库,查找印度非吸烟者COPD患病率的研究。我们使用乔安娜布里格斯研究所(JBI)的检查表来评估纳入研究的质量。采用随机效应模型进行meta分析。摘要:纳入了7项研究,6903名受试者。研究质量从5/9到8/9不等。COPD患病率在1.6 - 26.6% %之间变化。研究在受试者的人口统计学和生物量暴露概况方面差异很大。在四项研究中,纳入了未基于生物质燃料暴露进行筛查的中老年印度非吸烟者,COPD的总患病率为3 %(95% % CI, 2-3 %; % I2 = 50.52, p = 0.11)。生物质燃料暴露个体中COPD的总患病率为10 %(95 % CI, 2-18 %;I2=98.8 %,p展望:有限的证据表明,在印度,非吸烟者和接触生物质燃料的个体存在相当大的慢性阻塞性肺病负担。低收入和中等收入国家需要对非吸烟者进行更多的COPD流行病学研究。
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引用次数: 0
Underground power lines as a confounding factor in observational studies concerning magnetic fields and childhood leukemia. 在磁场和儿童白血病的观察性研究中,地下电力线是一个混淆因素。
IF 3.9 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-10-23 DOI: 10.1515/reveh-2023-0131
Jose A Martínez, Manuel Pancorbo
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引用次数: 0
Frontmatter 头版头条
4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-09-01 DOI: 10.1515/reveh-2023-frontmatter3
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引用次数: 0
Ancient medicine and famous iranian physicians. 古代医学和著名的伊朗医生。
IF 3.9 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-08-03 DOI: 10.1515/reveh-2023-0077
Mehdi Shafiei Bafti, Farzane Safa
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引用次数: 0
Polychlorinated biphenyls and thyroid function: a scoping review. 多氯联苯与甲状腺功能:范围综述。
IF 3 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-07-12 Print Date: 2024-12-17 DOI: 10.1515/reveh-2022-0156
Pouria Mohammadparast-Tabas, Morteza Arab-Zozani, Kobra Naseri, Majid Darroudi, Hamed Aramjoo, Hanie Ahmadian, Mostafa Ashrafipour, Tahereh Farkhondeh, Saeed Samarghandian

Objective: Numerous evidence indicates the association between polychlorinated biphenyls (PCBs), an endocrine disrupter, with thyroid hormone disruption, contradictory findings also exist. Herein, we tried to address this question by performing a scoping review.

Content: The search was performed on PubMed, Scopus, Web of Science, and Google Scholar databases from 2010 onwards. Animal studies on PCBs' effect on thyroid function were searched. The SYRCLE's RoB scale assessed the risk of bias. I2 and Q tests are used for investigating heterogeneity. A random-effects model with the pooled standard means difference (SMD) and 95 % confidence interval (CI) was performed for the TSH, TT4, TT3, and FT4 outcomes using Comprehensive Meta-Analyses (CMA) Software version 3. Also, we conducted subgroup analyses based on the different types of PCB. The initial search identified 1,279 publications from the main databases 26 of them fulfilled our eligibility criteria for the study, and then five studies among selected studies had sufficient data for analysis. Meta-analysis of data revealed that Aroclor 1260 (SDM: -0.47, 95 % CI: -0.92, -0.01, p=0.044) and PCB 126 (SDM: 0.17, 95 % CI: -0.40, 0.75, p=0.559) significantly increased TSH concentration in the exposed groups vs. the control groups. Related to the effects of PCBs on the TT4, our findings indicated a significant reduction the TT4 concentration of animals exposed to Aroclor 1260 (SDM: -5.62, 95 % CI: -8.30, -2.94, p=0.0001), PCB 118 (SDM: -6.24, 95 % CI: -7.76, -4.72, p=0.0001), PCB 126 (SDM: -1.81, 95 % CI: -2.90, -0.71, p=0.001), and PCB 153 (SDM: -1.32, 95 % CI: -2.29, -0.35, p=0.007) vs. the controls. Our meta-analysis indicated a significant increase in TT3 concentration following exposure to PCB 118 and PCB 153 (SDM: -0.89, 95 % CI: -1.36, -0.42, p=0.0001, and SDM: -1.45, 95 % CI: -2.15, -0.75, p=0.0001, respectively). Aroclor 1254 and PCB 126 significantly decreased TT3 concentration (SDM: 1.25, 95 % CI: 0.29, 2.21, p=0.01 and SDM: 3.33, 95 % CI: 2.49, 4.18, p=0.0001, respectively). PCB 126 significantly decreased FT4 in the exposed groups vs. the control groups (SDM: -7.80, 95 % CI: -11.51, -5.35, p=0.0001).

Summary: Our findings showed an association between PCBs exposure and hypothyroidism in rodents, fish, and chicken embryos.

Outlook: Regarding to the most evidence of hypothyroidism effects of PCBs in animal species, it is necessary to consider large cohort studies to address the association between PCBs exposure and thyroid function impairment in humans.

目的:大量证据表明,内分泌干扰物多氯联苯(PCBs)与甲状腺激素紊乱之间存在关联,但也存在相互矛盾的研究结果。在此,我们试图通过范围综述来解决这一问题:内容:从 2010 年起,我们在 PubMed、Scopus、Web of Science 和 Google Scholar 数据库中进行了检索。搜索了有关多氯联苯对甲状腺功能影响的动物研究。采用 SYRCLE 的 RoB 量表评估偏倚风险。I2 和 Q 检验用于调查异质性。使用综合荟萃分析(CMA)软件版本 3,对 TSH、TT4、TT3 和 FT4 结果进行了随机效应模型,并得出了汇总标准均值差(SMD)和 95 % 置信区间(CI)。此外,我们还根据不同类型的多氯联苯进行了亚组分析。最初的搜索从主要数据库中找到了 1,279 篇文献,其中 26 篇符合我们的研究资格标准,然后在选定的研究中,有 5 篇研究的数据足以进行分析。数据的元分析显示,Aroclor 1260(SDM:-0.47,95 % CI:-0.92,-0.01,p=0.044)和 PCB 126(SDM:0.17,95 % CI:-0.40,0.75,p=0.559)会显著增加暴露组与对照组的 TSH 浓度。关于多氯联苯对 TT4 的影响,我们的研究结果表明,暴露于 Aroclor 1260(SDM:-5.62,95 % CI:-8.30,-2.94,p=0.0001)、多氯联苯 118(SDM:-6.24,95 % CI:-7.76,-4.72,p=0.0001)、多氯联苯 126(SDM:-1.81,95 % CI:-2.90,-0.71,p=0.001)和多氯联苯 153(SDM:-1.32,95 % CI:-2.29,-0.35,p=0.007)与对照组相比。我们的荟萃分析表明,暴露于多氯联苯 118 和多氯联苯 153 后,TT3 浓度显著增加(SDM:-0.89,95 % CI:-1.36,-0.42,p=0.0001;SDM:-1.45,95 % CI:-2.15,-0.75,p=0.0001)。Aroclor 1254 和 PCB 126 能显著降低 TT3 浓度(SDM:1.25,95 % CI:0.29,2.21,p=0.01;SDM:3.33,95 % CI:2.49,4.18,p=0.0001)。总结:我们的研究结果表明,在啮齿动物、鱼类和鸡胚胎中,多氯联苯暴露与甲状腺功能减退之间存在关联:展望:鉴于大多数证据表明多氯联苯在动物物种中会导致甲状腺功能减退,因此有必要考虑开展大型队列研究,以探讨多氯联苯暴露与人类甲状腺功能损伤之间的关联。
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引用次数: 0
Industrial emissions effect into atmospheric air quality: mathematical modeling. 工业排放对大气空气质量的影响:数学建模。
IF 3.9 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-27 DOI: 10.1515/reveh-2022-0005
Artem Lukyanets, Dmitry Gura, Olga Savinova, Larisa Kondratenko, Richard Lushkov

This paper presents the results of modeling the distribution process of industrial emission components at specified distances from the emission source along the normal. The model uses a system of differential diffusion equations to compute the concentration profiles of aerosols, industrial gases, and fine particles in the atmosphere. In order to investigate the regularity of the emitter propagation into the atmosphere, a theory of impurity dispersion was developed. The model is constrained by the effect of particle interactions. The partial derivative equations are presented to calculate the concentrations of aerosols and fine particles under the turbulent airflow in the atmosphere, dispersion of inert impurities, and distribution of chemically active compounds. The adequacy of the mathematical model for a series of theoretical calculations was checked by contrasting the data of the atmospheric air monitoring for the cities of Almaty, Ust-Kamenogorsk, Pavlodar, Atyrau, Krasnodar, Chelyabinsk, Beijing, and Shanghai. Air monitoring data included PM10, SO2, and NO2 levels. The mathematical model solutions for the relative values of the emitter concentration in the direction along the normal of the pollution source at the surface were obtained. Graphical interpretation of the calculation results over the 0…200 m distance for time intervals ranging from 3 to 600 min was provided. According to the multiple factor cluster analysis, the critical values of SO2 concentrations in Atyrau exceeded MPC in 26.2% of cases. The level of NO2 for Shanghai was 15.6%, and those for PM10 concentrations in Almaty and Atyrau amounted to 16.4%. A comparison of theoretical values and results obtained from official sources showed arithmetic mean of 49.4 mg/m3 and maximum value of 823.0 mg/m3. Standard deviation comprised 48.9 mg/m3. Results were considered statistically significant at p≤0.005. The mathematical model developed in this study can be used to predict the status of atmospheric air.

本文介绍了沿正态线在离排放源一定距离处工业排放成分分布过程的建模结果。该模型使用微分扩散方程系统来计算大气中气溶胶、工业气体和细颗粒的浓度分布。为了研究发射体在大气中的传播规律,提出了杂质色散理论。该模型受粒子相互作用的约束。用偏导数方程计算了大气中湍流气流作用下气溶胶和细颗粒物的浓度、惰性杂质的分散和化学活性化合物的分布。通过对比阿拉木图、乌斯特-卡梅诺戈尔斯克、巴甫洛达尔、阿特劳、克拉斯诺达尔、车里雅宾斯克、北京和上海等城市的大气监测数据,验证了数学模型对一系列理论计算的充分性。空气监测数据包括PM10、SO2和NO2水平。得到了地表沿污染源法线方向上辐射源浓度相对值的数学模型解。给出了在0 ~ 200米距离上3 ~ 600分钟时间间隔内计算结果的图解解释。多因素聚类分析表明,阿特劳SO2浓度临界值超过MPC的病例占26.2%。上海市NO2浓度为15.6%,阿拉木图和阿特劳的PM10浓度为16.4%。理论值与官方来源的结果比较表明,算术平均值为49.4 mg/m3,最大值为823.0 mg/m3。标准偏差为48.9 mg/m3。p≤0.005认为结果具有统计学意义。本研究建立的数学模型可用于预测大气状态。
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引用次数: 1
The future of psychiatry should be One Health. 精神病学的未来应该是同一个健康。
IF 3.9 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-27 DOI: 10.1515/reveh-2022-0019
Unax Lertxundi, Saioa Domingo-Echaburu, Tomas Brodin, Juan Medrano, Gorka Orive
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引用次数: 3
A priority list of environmental health issues for Malaysia. 马来西亚环境卫生问题优先清单。
IF 3.9 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-27 DOI: 10.1515/reveh-2022-0030
Jamal Hisham Hashim, Zailina Hashim, Rozita Hod, Juliana Jalaludin, Norlen Mohamed, Subramaniam Karuppannan, Ahmad Riadz Mazeli, Suhaily Sahrani, Zairul Ain Zulkaflli

Objectives: Environmental risk factors contribute to 24% of the global burden of disease from all causes in disability-adjusted life years (DALYs), and to 23% of all global deaths. Malaysia being an advanced developing country, there is a need to prioritise environmental health issues to enable environmental health practitioners to focus on the most significant and urgent environmental health concerns.

Content: This project was undertaken by a Thematic Working Group on Environmental Health Experts (TWG 10) under the Malaysian National Environmental Health Action Plan. Sixteen pre-selected environmental health issues were presented to a two focus group discussions among 20 environmental health and related professionals who then scored each issue on its magnitude and severity scale.

Summary: The total of these scores generated a list of priority environmental health issues for Malaysia. Children environmental health came out as the environmental health issue of the highest priority.

Outlook: We hope that this list of priority environmental health issues will be used for prioritising academic and professional manpower training, research funding allocation and planning for intervention programmes by various stakeholders.

目标:在残疾调整生命年(DALYs)中,环境风险因素占全球所有原因造成的疾病负担的24%,占全球所有死亡人数的23%。马来西亚是一个先进的发展中国家,有必要优先考虑环境卫生问题,使环境卫生从业人员能够集中注意最重要和最紧迫的环境卫生问题。内容:该项目由环境卫生专家专题工作组(twg10)根据马来西亚国家环境卫生行动计划开展。将16个预先选定的环境卫生问题提交给20名环境卫生和相关专业人员参加的两个焦点小组讨论,然后他们根据每个问题的程度和严重程度对其进行评分。摘要:这些分数的总和产生了马来西亚的优先环境卫生问题清单。儿童环境卫生成为环境卫生问题的重中之重。展望:我们希望这份优先环境卫生问题清单将用于各持份者的学术和专业人力培训、研究经费分配和规划干预方案的优先次序。
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引用次数: 0
Exposure to magnetic fields and childhood leukemia: a systematic review and meta-analysis of case-control and cohort studies. 暴露于磁场和儿童白血病:病例对照和队列研究的系统回顾和荟萃分析。
IF 3.9 4区 医学 Q2 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-27 DOI: 10.1515/reveh-2021-0112
Christian Brabant, Anton Geerinck, Charlotte Beaudart, Ezio Tirelli, Christophe Geuzaine, Olivier Bruyère
<p><p>The association between childhood leukemia and extremely low frequency magnetic fields (ELF-MF) generated by power lines and various electric appliances has been studied extensively during the past 40 years. However, the conditions under which ELF-MF represent a risk factor for leukemia are still unclear. Therefore, we have performed a systematic review and meta-analysis to clarify the relation between ELF-MF from several sources and childhood leukemia. We have systematically searched Medline, Scopus, Cochrane Database of Systematic Review and DARE to identify each article that has examined the relationship between ELF-MF and childhood leukemia. We have performed a global meta-analysis that takes into account the different measures used to assess magnetic field exposure: magnetic flux density measurements (<0.2 µT vs. >0.2 µT), distances between the child's home and power lines (>200 m vs. <200 m) and wire codings (low current configuration vs. high current configuration). Moreover, meta-analyses either based on magnetic flux densities, on proximity to power lines or on wire codings have been performed. The association between electric appliances and childhood leukemia has also been examined. Of the 863 references identified, 38 studies have been included in our systematic review. Our global meta-analysis indicated an association between childhood leukemia and ELF-MF (21 studies, pooled OR=1.26; 95% CI 1.06-1.49), an association mainly explained by the studies conducted before 2000 (earlier studies: pooled OR=1.51; 95% CI 1.26-1.80 vs. later studies: pooled OR=1.04; 95% CI 0.84-1.29). Our meta-analyses based only on magnetic field measurements indicated that the magnetic flux density threshold associated with childhood leukemia is higher than 0.4 µT (12 studies, >0.4 µT: pooled OR=1.37; 95% CI 1.05-1.80; acute lymphoblastic leukemia alone: seven studies, >0.4 µT: pooled OR=1.88; 95% CI 1.31-2.70). Lower magnetic fields were not associated with leukemia (12 studies, 0.1-0.2 µT: pooled OR=1.04; 95% CI 0.88-1.24; 0.2-0.4 µT: pooled OR=1.07; 95% CI 0.87-1.30). Our meta-analyses based only on distances (five studies) showed that the pooled ORs for living within 50 m and 200 m of power lines were 1.11 (95% CI 0.81-1.52) and 0.98 (95% CI 0.85-1.12), respectively. The pooled OR for living within 50 m of power lines and acute lymphoblastic leukemia analyzed separately was 1.44 (95% CI 0.72-2.88). Our meta-analyses based only on wire codings (five studies) indicated that the pooled OR for the very high current configuration (VHCC) was 1.23 (95% CI 0.72-2.10). Finally, the risk of childhood leukemia was increased after exposure to electric blankets (four studies, pooled OR=2.75; 95% CI 1.71-4.42) and, to a lesser extent, electric clocks (four studies, pooled OR=1.27; 95% CI 1.01-1.60). Our results suggest that ELF-MF higher than 0.4 µT can increase the risk of developing leukemia in children, probably acute lymphoblastic leukemia. Prolonged exposure t
儿童白血病与电力线和各种电器产生的极低频磁场(ELF-MF)之间的关系在过去的40年里得到了广泛的研究。然而,ELF-MF代表白血病危险因素的条件仍不清楚。因此,我们进行了一项系统综述和荟萃分析,以阐明几种来源的ELF-MF与儿童白血病之间的关系。我们系统地检索了Medline、Scopus、Cochrane系统评价数据库和DARE,以确定每一篇研究ELF-MF与儿童白血病关系的文章。我们进行了一项全球荟萃分析,考虑了用于评估磁场暴露的不同测量方法:磁通量密度测量(0.2µT)、儿童家与电力线之间的距离(>200 m vs. 0.4µT):汇总OR=1.37;95% ci 1.05-1.80;单纯急性淋巴细胞白血病:7项研究,>0.4µT:合并OR=1.88;95% ci 1.31-2.70)。低磁场与白血病无关(12项研究,0.1-0.2µT:合并OR=1.04;95% ci 0.88-1.24;0.2-0.4µT: pooled OR=1.07;95% ci 0.87-1.30)。我们的荟萃分析仅基于距离(五项研究)显示,居住在距离输电线50米和200米范围内的综合or分别为1.11 (95% CI 0.81-1.52)和0.98 (95% CI 0.85-1.12)。居住在输电线50米范围内和急性淋巴细胞白血病的合并OR分别分析为1.44 (95% CI 0.72-2.88)。我们的荟萃分析仅基于电线编码(五项研究)表明,甚高电流配置(VHCC)的合并OR为1.23 (95% CI 0.72-2.10)。最后,接触电热毯后儿童白血病的风险增加(4项研究,合并OR=2.75;95% CI 1.71-4.42),以及较小程度的电子钟(4项研究,合并OR=1.27;95% ci 1.01-1.60)。我们的研究结果表明,高于0.4µT的ELF-MF会增加儿童发生白血病的风险,可能是急性淋巴细胞白血病。长时间接触产生高于0.4µT磁场的电器,如电热毯,会增加儿童患白血病的风险。
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引用次数: 8
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Reviews on Environmental Health
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