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.
{"title":"Advanced oxidation processes for the removal of phthalate esters (PAEs) in aqueous matrices: a review.","authors":"Meghdad Pirsaheb, Monireh Nouri, Hooshyar Hossini","doi":"10.1515/reveh-2022-0001","DOIUrl":"https://doi.org/10.1515/reveh-2022-0001","url":null,"abstract":"<p><p>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/H<sub>2</sub>O<sub>2</sub> 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.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"265-279"},"PeriodicalIF":3.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9941658","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}
Xiaofeng Zhang, Yiping Zhang, Jiayue Yun, Wenfei Yao
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.
{"title":"A systematic review of the anxiety-alleviation benefits of exposure to the natural environment.","authors":"Xiaofeng Zhang, Yiping Zhang, Jiayue Yun, Wenfei Yao","doi":"10.1515/reveh-2021-0157","DOIUrl":"https://doi.org/10.1515/reveh-2021-0157","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"281-293"},"PeriodicalIF":3.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9575528","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}
{"title":"Comments on the Review of the scientific evidence on the individual sensitivity to electromagnetic fields (EHS) by Dariusz Leszczynski.","authors":"Maël Dieudonné","doi":"10.1515/reveh-2022-0002","DOIUrl":"https://doi.org/10.1515/reveh-2022-0002","url":null,"abstract":"","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"395-397"},"PeriodicalIF":3.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9625750","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}
Gustavo R Zubieta-Calleja, Natalia Zubieta-DeUrioste
Traveling to high altitudes for entertainment or work is sometimes associated with acute high altitude pathologies. In the past, scientific literature from the lowlander point of view was primarily based on mountain climbing. Sea level scientists developed all guidelines, but they need modifications for medical care in high altitude cities. Acute Mountain Sickness, High Altitude Pulmonary Edema, and High Altitude Cerebral Edema are medical conditions that some travelers can face. We present how to diagnose and treat acute high altitude pathologies, based on 51 years of high altitude physiology research and medical practice in hypobaric hypoxic diseases in La Paz, Bolivia (3,600 m; 11,811 ft), at the High Altitude Pulmonary and Pathology Institute (HAPPI - IPPA). These can occasionally present after flights to high altitude cities, both in lowlanders or high-altitude residents during re-entry. Acute high altitude ascent diseases can be adequately diagnosed and treated in high altitude cities following the presented guidelines. Treating these high-altitude illnesses, we had no loss of life. Traveling to a high altitude with sound medical advice should not be feared as it has many benefits. Nowadays, altitude descent and evacuation are not mandatory in populated highland cities, with adequate medical resources.
{"title":"High Altitude Pulmonary Edema, High Altitude Cerebral Edema, and Acute Mountain Sickness: an enhanced opinion from the High Andes - La Paz, Bolivia 3,500 m.","authors":"Gustavo R Zubieta-Calleja, Natalia Zubieta-DeUrioste","doi":"10.1515/reveh-2021-0172","DOIUrl":"https://doi.org/10.1515/reveh-2021-0172","url":null,"abstract":"<p><p>Traveling to high altitudes for entertainment or work is sometimes associated with acute high altitude pathologies. In the past, scientific literature from the lowlander point of view was primarily based on mountain climbing. Sea level scientists developed all guidelines, but they need modifications for medical care in high altitude cities. Acute Mountain Sickness, High Altitude Pulmonary Edema, and High Altitude Cerebral Edema are medical conditions that some travelers can face. We present how to diagnose and treat acute high altitude pathologies, based on 51 years of high altitude physiology research and medical practice in hypobaric hypoxic diseases in La Paz, Bolivia (3,600 m; 11,811 ft), at the High Altitude Pulmonary and Pathology Institute (HAPPI - IPPA). These can occasionally present after flights to high altitude cities, both in lowlanders or high-altitude residents during re-entry. Acute high altitude ascent diseases can be adequately diagnosed and treated in high altitude cities following the presented guidelines. Treating these high-altitude illnesses, we had no loss of life. Traveling to a high altitude with sound medical advice should not be feared as it has many benefits. Nowadays, altitude descent and evacuation are not mandatory in populated highland cities, with adequate medical resources.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"327-338"},"PeriodicalIF":3.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9570376","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}
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.
阿莫西林(AMX)是青霉素类抗生素中的一种,广泛应用于各个领域。考虑到其残留的有害影响,有必要研究去除该化合物的方法。高级氧化法(AOPs),特别是光fenton法已被用于AMX的去除。本研究基于2008-2019年间的PubMed、Google Scholar、DOAJ、Web of Science和Scopus数据库进行。考察了水溶液、光源特性、铁、H2O2浓度、AMX降解率、总有机碳去除率、AMX浓度等因素,对工艺进行了优化。研究表明,光- fenton工艺高度依赖于pH值,在大多数研究中,在酸性pH值下观察到最高的效率。使用能量更高的光源可以有效地减少催化剂和氧化剂的使用。光- fenton、电- fenton、光电- fenton等AOPs组合方法在增加矿化方面比光子方法效率更高。在光- fenton工艺中,使用合成废水对AMX的降解效率高于使用真实废水,这可能是由于合成环境中没有干扰剂。
{"title":"A systematic review on photo-Fenton process as an efficient advanced oxidation for degradation of amoxicillin in aqueous environments.","authors":"Meghdad Pirsaheb, Hiwa Hossaini, Nazanin Kiani Raad, Sara Kianpour, Hooshyar Hossini","doi":"10.1515/reveh-2021-0155","DOIUrl":"https://doi.org/10.1515/reveh-2021-0155","url":null,"abstract":"<p><p>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 H<sub>2</sub>O<sub>2</sub> 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.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"313-326"},"PeriodicalIF":3.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9924750","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}
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 ($) and ranking of healthcare system performance. A negative correlation was found between medical waste generation rate and ranking of healthcare system performance. According to the findings of this study, the medical waste generation rate in different countries ranged from 0.14 to 6.10 kg bed.day-1. About 25% of countries segregated medical waste, and about 17% used standard storage for all medical waste. Shortcomings were also found in waste collection, storage, transportation and transfer, and disposal of medical waste management activities in different countries. Only about 25% of countries simultaneously used three techniques, such as autoclaving, incineration, and landfill for disposal and treatment of medical waste, and 91% used incineration method. This study highlights an essential need for particular medical waste management guidelines and regulations, technologies, knowledge and financing to upgrade medical waste management worldwide. This study can be considered to be a good guide for further research on medical waste management in developing and developed countries.
医疗废物状况是世界范围内一个严重的公共卫生问题。适当的医疗废物管理至关重要。然而,关于医疗废物管理的信息不足,而且不同国家缺乏管理。本研究的目的是调查和评估不同国家医疗废物管理的现状。我们系统地检索了Embase、PubMed/MEDLINE、Scopus、PubMed Central、Google Scholar数据库以及medRxiv数据库,使用以下关键词:医疗废物、废物管理、处置、人均医疗产出、国内生产总值(GDP)和医院。总共确定了38个符合条件的条目。计算了医疗废物产生量(kg beds .day-1)与人均GDP($)和医疗保健系统绩效排名之间的相关性。医疗废弃物产生率与医疗系统绩效排名呈负相关。根据本研究结果,不同国家的医疗废物产生率在0.14 - 6.10 kg / d -1之间。约25%的国家对医疗废物进行分类,约17%的国家对所有医疗废物采用标准储存。不同国家在废物收集、储存、运输和转移以及处置医疗废物管理活动方面也存在不足。只有约25%的国家同时使用高压灭菌、焚烧和填埋等三种技术处置和处理医疗废物,91%的国家使用焚烧法。这项研究强调,迫切需要制定特定的医疗废物管理准则和法规、技术、知识和资金,以提升全球医疗废物管理水平。本研究可为发展中国家和发达国家医疗废物管理的进一步研究提供良好的指导。
{"title":"Comparison of medical waste management methods in different countries: a systematic review.","authors":"Abdolmajid Fadaei","doi":"10.1515/reveh-2021-0170","DOIUrl":"https://doi.org/10.1515/reveh-2021-0170","url":null,"abstract":"<p><p>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<sup>-1</sup>) 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<sup>-1</sup>. 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.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"339-348"},"PeriodicalIF":3.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9924747","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}
A previously healthy worker developed symptoms assigned to electromagnetic hypersensitivity (EHS) after moving to an office with exposure to high levels of anthropogenic electromagnetic fields (EMFs). These symptoms consisted of e.g. headache, arthralgia, tinnitus, dizziness, memory loss, fatique, insomnia, transitory cardiovascular abnormalities, and skin lesions. Most of the symptoms were alleviated after 2 weeks sick leave. The highest radiofrequency (RF) field level at the working place was 1.72 V/m (7,852 μW/m2). Maximum value for extremely low frequency electromagnetic field (ELF-EMF) from electric power at 50 Hz was measured to 285 nT (mean 241 nT). For electric train ELF-EMF at 16.7 Hz was measured to 383 nT (mean 76 nT). Exposure to EMFs at the working place could be the cause for developing EHS related symptoms. The association was strengthened by the symptom reduction outside the working place.
{"title":"Electromagnetic hypersensitivity close to mobile phone base stations - a case study in Stockholm, Sweden.","authors":"Lennart Hardell, Tarmo Koppel","doi":"10.1515/reveh-2021-0169","DOIUrl":"https://doi.org/10.1515/reveh-2021-0169","url":null,"abstract":"<p><p>A previously healthy worker developed symptoms assigned to electromagnetic hypersensitivity (EHS) after moving to an office with exposure to high levels of anthropogenic electromagnetic fields (EMFs). These symptoms consisted of e.g. headache, arthralgia, tinnitus, dizziness, memory loss, fatique, insomnia, transitory cardiovascular abnormalities, and skin lesions. Most of the symptoms were alleviated after 2 weeks sick leave. The highest radiofrequency (RF) field level at the working place was 1.72 V/m (7,852 μW/m<sup>2</sup>). Maximum value for extremely low frequency electromagnetic field (ELF-EMF) from electric power at 50 Hz was measured to 285 nT (mean 241 nT). For electric train ELF-EMF at 16.7 Hz was measured to 383 nT (mean 76 nT). Exposure to EMFs at the working place could be the cause for developing EHS related symptoms. The association was strengthened by the symptom reduction outside the working place.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"219-228"},"PeriodicalIF":3.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569950","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}
Joanna S Balza, Jean C Bikomeye, Kirsten M M Beyer, Caitlin Rublee, Kathryn E Flynn
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.
{"title":"Elevated blood lead levels of refugee children in the United States: a systematic review of recent literature (2011-2021).","authors":"Joanna S Balza, Jean C Bikomeye, Kirsten M M Beyer, Caitlin Rublee, Kathryn E Flynn","doi":"10.1515/reveh-2022-0015","DOIUrl":"https://doi.org/10.1515/reveh-2022-0015","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"38 2","pages":"361-383"},"PeriodicalIF":3.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9572910","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":"https://doi.org/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":3.9,"publicationDate":"2023-03-28","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}