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[A case of acute respiratory distress syndrome caused by occupational acute methyl mercaptan poisoning]. 职业性急性甲硫醇中毒致急性呼吸窘迫综合征1例。
Q3 Medicine Pub Date : 2026-02-20 DOI: 10.3760/cma.j.cn121094-20241231-00595
Y Y Yu, C X Wang, J Meng, H X Liu, X J Sun, S J Gao

Methyl mercaptan is a colorless gas with strong foul odor. Inhalation poisoning often causes serious damage to the nervous system and respiratory system. This article retrospectively analyzed a case of acute respiratory distress syndrome (ARDS) caused by methyl mercaptan inhalation poisoning treated at Weifang People's Hospital, and elaborated its clinical manifestations, examination results and diagnosis and treatment process. After early application of sufficient glucocorticoids, extracorporeal membrance oxygenation (ECMO) replacement therapy, bronchoscopic lung lavage and active comprehensive treatment measures, the patient was successfully treated, recovered and discharged.

甲基硫醇是一种无色气体,有强烈的恶臭。吸入性中毒通常会对神经系统和呼吸系统造成严重损害。本文回顾性分析潍坊市人民医院收治的1例甲硫醇吸入性中毒致急性呼吸窘迫综合征(ARDS),阐述其临床表现、检查结果及诊疗过程。患者早期应用足量糖皮质激素、体外膜氧合(ECMO)替代治疗、支气管镜下肺灌洗及积极的综合治疗措施后,治疗成功,恢复出院。
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引用次数: 0
[A case of pulmonary cryptococcosis in dust-exposed worker]. [接触粉尘工人肺隐球菌病1例]。
Q3 Medicine Pub Date : 2026-02-20 DOI: 10.3760/cma.j.cn121094-20240629-00288
T Luan, Y Liang, J J Zhang, L M Luo, L Qin, H Zhang

Cryptococcus is an opportunistic pathogen, which belongs to yeast-type fungi. It mainly exists in bird droppings, rotten wood and soil. Respiratory tract is the main portal of invasion. It can occur in immunocompromised and immunocompetent hosts. The clinical manifestations, symptoms, signs and imaging of pulmonary cryptococcosis caused by it have no obvious specificity, which may lead to misdiagnosis and mistreatment. This article reported a case of a patient with atelectasis complicated by cryptococcal pneumonia, diagnosed and treated at Qingdao Central Hospital of Health and Rehabilitation Sciences University in January 2024. The patient had a history of close dust exposure, wet underground work, the possibility of inhaling cryptococcal dust, and occupational environmental risk factors. The next-generation sequencing report (NGS) of alveolar lavage fluid detected Cryptococcus neoformans and diagnosed as Cryptococcus neoformans pneumonia.

隐球菌是一种条件致病菌,属于酵母型真菌。主要存在于鸟粪、腐木和土壤中。呼吸道是主要的侵入门户。它可以发生在免疫功能低下和免疫能力强的宿主。其引起的肺隐球菌病的临床表现、症状、体征及影像学无明显特异性,易导致误诊和误治。本文报告一例肺不张合并隐球菌肺炎,于2024年1月在青岛卫生与康复科学大学中心医院诊治。患者有近距离粉尘暴露史、潮湿的地下作业、吸入隐球菌粉尘的可能性及职业环境危险因素。肺泡灌洗液下一代测序报告(NGS)检测到新型隐球菌,诊断为新型隐球菌肺炎。
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引用次数: 0
[MRI comparison of brain region volumes between welding fumes exposed and non-exposed workers]. [接触焊接烟雾和未接触焊接烟雾工人脑区体积的MRI比较]。
Q3 Medicine Pub Date : 2026-02-20 DOI: 10.3760/cma.j.cn121094-20241008-00456
L Qiu, H Q Wang, J J Bi, X J Wang, C F Yan, Z Liu, C X Wang
<p><p><b>Objective:</b> To compare the differences in brain region volumes between workers exposed to welding fume and those not exposed in magnetic resonance imaging (MRI), and to explore the characteristics of brain region volume changes in workers exposed to welding fume, in order to provide imaging-based diagnostic evidence for the neurological damage caused by welding fume. <b>Methods:</b> In July 2024, all workers exposed to welding fume in a certain machinery factory who underwent occupational health examinations at Zibo Occupational Disease Prevention Hospital were selected as the observation group (50 people), and 50 non-dust-exposed workers from the same region were selected using simple random sampling as the control group. Chest computed tomography (CT) examination and high-resolution cranial MRI scans were conducted on the workers, and the volumes of each brain region in MRI were automatically measured using the artificial intelligence-based brain structure analysis workstation. The independent sample <i>t</i>-test was used to compare the volume of the brain region and the percentage of the total intracranial volume between the two groups of workers, and Pearson correlation analysis was used to test the correlation between the volume of brain regions and the percentage of total intracranial volume with the dust exposure years and age. The critical values for abnormality of each indicator were determined based on the receiver operating characteristic (ROC) curve to obtain the binary variable, and the correlation with chest CT abnormalities was analyzed using the Phi coefficient. <b>Results:</b> The volume of the putamen in the observation group was (5.82±0.90) cm(3), and the percentage of the total intracranial volume was (0.39±0.05) %, which were both smaller than those of the control group [ (6.75±0.84) cm(3), (0.45±0.05) %] (<i>t</i>=-5.28, -5.81, <i>P</i><0.01). The volume of the globus pallidus [ (2.82±0.29) cm(3)] and the percentage[ (0.19±0.01) %] were both smaller than those of the control group[ (3.08±0.32) cm(3), (0.20±0.02) %] (<i>t</i>=-4.21, -4.98, <i>P</i><0.01). The percentage of the insula in the observation group [ (0.92±0.06) %] was greater than that of the control group[ (0.88±0.06) %] (<i>t</i>=3.26, <i>P</i><0.01). The volume of the thalamus in the observation group was (15.41±1.46) cm(3), and the percentage was (1.03±0.07) %, which were both greater than those of the control group [ (14.35±1.09) cm(3), (0.95±0.05) %] (<i>t</i>=4.10, 6.18, <i>P</i><0.01). The volumes or percentages of multiple brain regions such as the cingulate gyrus and globus pallidus in the observation group were negatively correlated with the duration of exposure to welding fume and age (<i>r</i>=-0.46 to -0.29, <i>P</i><0.05), and the volume or percentage of the ventricles were positively correlated with the duration of exposure to welding fume and age (<i>r</i>=0.45 to 0.54, <i>P</i><0.01). The percentage of cerebral white matter in the bra
目的:比较焊接烟尘暴露工人与未暴露工人脑区体积的磁共振成像(MRI)差异,探讨焊接烟尘暴露工人脑区体积变化特征,为焊接烟尘引起的神经损伤提供影像学诊断依据。方法:选取2024年7月在淄博市职业病防治医院进行职业健康检查的某机械厂焊接烟尘暴露工人50人作为观察组,采用简单随机抽样的方法选取同一地区无粉尘暴露工人50人作为对照组。对工人进行胸部计算机断层扫描(CT)和高分辨率颅脑MRI扫描,并利用基于人工智能的脑结构分析工作站自动测量MRI各脑区体积。采用独立样本t检验比较两组工人的脑区体积和占总颅内容的百分比,采用Pearson相关分析检验脑区体积和占总颅内容的百分比与粉尘暴露年岁的相关性。根据受试者工作特征(ROC)曲线确定各指标异常的临界值,得到二值变量,并利用Phi系数分析其与胸部CT异常的相关性。结果:观察组壳核体积为(5.82±0.90)cm(3),占颅内总体积的百分比为(0.39±0.05)%,均小于对照组[(6.75±0.84)cm(3),(0.45±0.05)%](t=-5.28, -5.81, Pt=-4.21, -4.98, Pt=3.26, Pt=4.10, 6.18, Pr=-0.46 ~ -0.29, Pr=0.45 ~ 0.54, Pr=-0.39, Pr=0.33, 0.49, ppp)。职业接触焊接烟尘可能导致工人壳核和苍白球体积减少,丘脑体积增加,脑岛百分比增加。然而,脑容量的变化与焊烟引起的胸部损伤没有显著的相关性。
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引用次数: 0
[The relationship between occupational stress and metabolic scores and cardiovascular disease risk among oil workers]. 石油工人职业压力与代谢评分及心血管疾病风险的关系
Q3 Medicine Pub Date : 2026-02-20 DOI: 10.3760/cma.j.cn121094-20240717-00317
Muheyati Guliman, J Q Wang, M Y Ding, N Tao
<p><p><b>Objective:</b> To explore the relationship between occupational stress and metabolic scores for insulin resistance (METS-IR) and metabolic score for visceral fat (METS-VF) and the risk of cardiovascular disease (CVD) in oil workers, and to provide theoretical basis for their health management. <b>Methods:</b> In April 2024 A cluster random sampling method was used to select 1910 workers aged 20 to 60 who had undergone physical examination in Karamay Central Hospital from September to November 2017 and whose length of service was ≥1 year as the research objects, collect the general data of the research objects, and use the Occupational Task Questionnaire (ORQ) subscale in the Revised Occupational Stress Scale (OSI-R) to assess their occupational stress level. According to the occupational stress score, workers wre divided into four groups: Q1 group (<155 points), Q2 group (155-<165 points), Q3 group (165-178 points), and Q4 group (>178 points) .Secondly, calculate the Framingham Risk Score (FRS) to quantify individual CVD risk. Individuals with a Framingham risk score of less than 10 are defined as the low-risk CVD group, while those with a Framingham risk score of ≥10 are defined as the medium to high risk CVD group. Using logistic regression combined with restricted cubic spline (RCS) model, analyze the relationship between occupational stress, METS-IR, METS-VF and CVD risk. Evaluate the predictive power of the above factors on the risk of CVD by plotting receiver operating characteristic (ROC) curves adjusted for covariates. <b>Results:</b> The age of the research subjects is (41.33±7.92) years old. There were 192 individuals in the high-risk group for CVD (10.1%), including 191 males (99.5%), 181 individuals with smoking (94.3%), 155 individuals with alcohol consumption (80.7%), and 107 individuals with shift work (55.7%) ; There were statistically significant differences in blood lipids, fasting blood glucose (FPG), body mass index (BMI), waist circumference (WC), blood pressure, uric acid, creatinine, ORQ, and metabolic score between the low-risk group and the medium high risk group (<i>P</i><0.05). After adjusting for confounding factors through logistic regression analysis, the results showed that compared with the Q4 group, the risk of CVD in Homo sapiens significantly increased in the Q1, Q2, and Q3 groups (<i>P</i><0.05) ; compared with the Q1 group, METS-IR in Homo sapiens was higher in the Q2, Q3, and Q4 groups (<i>P</i><0.05) ; compared with the Q1 group, the risk of METS-VF in Homo sapiens significantly increased in the Q3 and Q4 groups (<i>P</i><0.05) ; all exhibited a dose-response relationship (<i>P</i>(trend)<0.01). The AUC values for ORQ, METS-IR, and METS-VF were 0.937, 0.882, and 0.924, respectively. <b>Conclusion:</b> Occupational stress, METS-IR, and METS-VF exhibit complex interactions with CVD risk in petroleum industry Homo sapiens, increasing disease risk and demonstrating strong predictive capability for incid
目的:探讨石油工人职业压力与胰岛素抵抗代谢评分(METS-IR)和内脏脂肪代谢评分(METS-VF)与心血管疾病(CVD)风险的关系,为其健康管理提供理论依据。方法:采用整群随机抽样的方法,于2024年4月选取2017年9月至11月在克拉玛依中心医院体检且工龄≥1年的20 ~ 60岁劳动者1910人作为研究对象,收集研究对象一般资料,采用《职业压力量表》(osii - r)中的职业任务问卷(ORQ)子量表评估其职业压力水平。根据职业压力得分,将员工分为四组:Q1组(178分)。其次,计算Framingham风险评分(FRS),量化个体心血管疾病风险。Framingham风险评分小于10分定义为低危CVD组,Framingham风险评分≥10分定义为中高危CVD组。采用logistic回归结合限制三次样条(RCS)模型,分析职业应激、METS-IR、METS-VF与心血管疾病风险的关系。通过绘制经协变量调整后的受试者工作特征(ROC)曲线,评估上述因素对CVD风险的预测能力。结果:研究对象年龄为(41.33±7.92)岁。心血管疾病高危组192例(10.1%),其中男性191例(99.5%),吸烟181例(94.3%),饮酒155例(80.7%),轮班工作107例(55.7%);低危组与中危组血脂、空腹血糖(FPG)、体重指数(BMI)、腰围(WC)、血压、尿酸、肌酐、ORQ、代谢评分(PPPPP(trend))差异均有统计学意义。职业压力、METS-IR和METS-VF与石油工业智人心血管疾病风险表现出复杂的相互作用,增加疾病风险,并对事件风险表现出较强的预测能力。
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引用次数: 0
[The role of malic enzyme 1 regulating ferroptosis on nerve impairment of hypertensive mice following lead exposure]. [苹果酸酶1调节铁下垂对铅暴露后高血压小鼠神经损伤的作用]。
Q3 Medicine Pub Date : 2026-02-20 DOI: 10.3760/cma.j.cn121094-20241029-00494
J N Li, Z Y Zhang, Y J Wang, Y T Zhang, W X Wang, Y S Zhang
<p><p><b>Objective:</b> To explore the role of hippocampal ferroptosis on nerve impairment of hypertensive mice following lead exposure, and to further explore the role of malic enzyme 1 (ME1) on hippocampal ferroptosis of hypertensive mice following lead exposure. <b>Methods:</b> In January 2024, 62 SPF-grode male C57 mice were selected, among which 32 mice were intraperitoneally injected with angiotensin Ⅱ (AngⅡ, 0.5 mg/kg) for 7 consecutive days to establish the hypertensive mice model. Then, hypertensive mice were randomly divided into hypertension group and Pb+hypertension group, and non-hypertensive mice were randomly divided into control group and Pb group, with 15 mice in each group. Mice in the hypertension group and the Pb+hypertension group were intraperitoneally injected with AngⅡ (0.5 mg/kg) once every two days, and the other two groups were intraperitoneally injected with equal amount of normal saline. Mice in the Pb group and the Pb+hypertension group were given 250 mg/L lead acetate solution, and the other two groups were given the drinking water for 8 weeks. Morris water maze test was applied to detect the cognitive function of mice. Western blotting was used to detect the expression of soulte corrier family 7 member A11 (SLC7A11), glutathione peroxidase 4 (GPX4) and ME1 protein. The contents of Fe(2+), malodialdehyde (MDA) and glutathione (GSH) were measured by corresponding assay kits. The HT22 survival rate was detected by CCK-8 assay. Plasmid transfection technique was used to overexpress ME1 gene in HT22 cells. To construct the ME1-overexpressing HT22 cell model, plasmid transfection was performed. Following verification of transfection efficiency with qPCR, ferroptosis was evaluated in all cell groups after toxicant exposure. Analysis of variance was used for comparisons among group, and the LSD-<i>t</i> test was used for pairwise comparisons. <b>Results:</b> Compared with the control group, the mice in Pb group and hypertension group showed significantly lower escape latency and fewer platform crossings (<i>P</i><0.05). Moreover, the Pb+hypertension group exhibited further significant reductions in these measures compared to either the mice in Pb group or hypertension groupalone (<i>P</i><0.05). The contents of Fe(2+) and MDA in hippocampus of Pb+hypertension group were significantly higher than that of hypertension group and Pb group (<i>P</i><0.05). Meanwhile, the content of GSH and the expression levels of SLC7A11 and GPX4 protein were significantly decreased compared with that of hypertension group and Pb group (<i>P</i><0.05). The exposure of lead and AngⅡ can aggravate the ferroptosis of HT22 cells. At the same time, the treatment of Fer-1 can increased cell survival rate caused by the exposure of lead and AngⅡ (<i>P</i><0.05). ME1 protein expression decreased in the hippocampal tissue of mice in Pb+hypertension group and HT22 cells. Overexpression of the ME1 gene rescues ferroptosis in HT22 cells exposed to lead and
目的:探讨铅暴露后高血压小鼠海马铁下垂在神经损伤中的作用,并进一步探讨苹果酸酶1 (ME1)在铅暴露后高血压小鼠海马铁下垂中的作用。方法:于2024年1月选取spf级雄性C57小鼠62只,其中32只连续7 d腹腔注射血管紧张素Ⅱ(AngⅡ,0.5 mg/kg),建立高血压小鼠模型。然后将高血压小鼠随机分为高血压组和Pb+高血压组,非高血压小鼠随机分为对照组和Pb组,每组15只。高血压组和Pb+高血压组小鼠每2天腹腔注射AngⅡ(0.5 mg/kg) 1次,其余两组小鼠腹腔注射等量生理盐水。Pb组和Pb+高血压组小鼠灌胃250 mg/L醋酸铅溶液,另外两组小鼠灌胃饮水,连续8周。采用Morris水迷宫实验检测小鼠认知功能。Western blotting检测溶酶载体家族7成员A11 (SLC7A11)、谷胱甘肽过氧化物酶4 (GPX4)、ME1蛋白的表达。采用相应的检测试剂盒检测铁(2+)、丙二醛(MDA)和谷胱甘肽(GSH)的含量。CCK-8法检测HT22细胞存活率。采用质粒转染技术在HT22细胞中过表达ME1基因。转染质粒构建过表达me1的HT22细胞模型。在用qPCR验证转染效率后,所有细胞组在毒物暴露后都进行了铁下垂评估。组间比较采用方差分析,两两比较采用LSD-t检验。结果:与对照组相比,Pb组和高血压组小鼠的逃避潜伏期明显降低,平台穿越次数明显减少(ppppppp)。结论:高血压可通过ME1调节NADPH加重铅暴露小鼠海马铁吊,进一步加重神经损伤。
{"title":"[The role of malic enzyme 1 regulating ferroptosis on nerve impairment of hypertensive mice following lead exposure].","authors":"J N Li, Z Y Zhang, Y J Wang, Y T Zhang, W X Wang, Y S Zhang","doi":"10.3760/cma.j.cn121094-20241029-00494","DOIUrl":"https://doi.org/10.3760/cma.j.cn121094-20241029-00494","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To explore the role of hippocampal ferroptosis on nerve impairment of hypertensive mice following lead exposure, and to further explore the role of malic enzyme 1 (ME1) on hippocampal ferroptosis of hypertensive mice following lead exposure. &lt;b&gt;Methods:&lt;/b&gt; In January 2024, 62 SPF-grode male C57 mice were selected, among which 32 mice were intraperitoneally injected with angiotensin Ⅱ (AngⅡ, 0.5 mg/kg) for 7 consecutive days to establish the hypertensive mice model. Then, hypertensive mice were randomly divided into hypertension group and Pb+hypertension group, and non-hypertensive mice were randomly divided into control group and Pb group, with 15 mice in each group. Mice in the hypertension group and the Pb+hypertension group were intraperitoneally injected with AngⅡ (0.5 mg/kg) once every two days, and the other two groups were intraperitoneally injected with equal amount of normal saline. Mice in the Pb group and the Pb+hypertension group were given 250 mg/L lead acetate solution, and the other two groups were given the drinking water for 8 weeks. Morris water maze test was applied to detect the cognitive function of mice. Western blotting was used to detect the expression of soulte corrier family 7 member A11 (SLC7A11), glutathione peroxidase 4 (GPX4) and ME1 protein. The contents of Fe(2+), malodialdehyde (MDA) and glutathione (GSH) were measured by corresponding assay kits. The HT22 survival rate was detected by CCK-8 assay. Plasmid transfection technique was used to overexpress ME1 gene in HT22 cells. To construct the ME1-overexpressing HT22 cell model, plasmid transfection was performed. Following verification of transfection efficiency with qPCR, ferroptosis was evaluated in all cell groups after toxicant exposure. Analysis of variance was used for comparisons among group, and the LSD-&lt;i&gt;t&lt;/i&gt; test was used for pairwise comparisons. &lt;b&gt;Results:&lt;/b&gt; Compared with the control group, the mice in Pb group and hypertension group showed significantly lower escape latency and fewer platform crossings (&lt;i&gt;P&lt;/i&gt;&lt;0.05). Moreover, the Pb+hypertension group exhibited further significant reductions in these measures compared to either the mice in Pb group or hypertension groupalone (&lt;i&gt;P&lt;/i&gt;&lt;0.05). The contents of Fe(2+) and MDA in hippocampus of Pb+hypertension group were significantly higher than that of hypertension group and Pb group (&lt;i&gt;P&lt;/i&gt;&lt;0.05). Meanwhile, the content of GSH and the expression levels of SLC7A11 and GPX4 protein were significantly decreased compared with that of hypertension group and Pb group (&lt;i&gt;P&lt;/i&gt;&lt;0.05). The exposure of lead and AngⅡ can aggravate the ferroptosis of HT22 cells. At the same time, the treatment of Fer-1 can increased cell survival rate caused by the exposure of lead and AngⅡ (&lt;i&gt;P&lt;/i&gt;&lt;0.05). ME1 protein expression decreased in the hippocampal tissue of mice in Pb+hypertension group and HT22 cells. Overexpression of the ME1 gene rescues ferroptosis in HT22 cells exposed to lead and","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"44 2","pages":"81-89"},"PeriodicalIF":0.0,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Research progress of automated ergonomic assessment methods based on RULA and REBA]. [基于RULA和REBA的自动化人机工程学评估方法研究进展]。
Q3 Medicine Pub Date : 2026-01-20 DOI: 10.3760/cma.j.cn121094-20250728-00296
S W Mo, H Zhao, N Jia

This paper summarizes the research progress in automated ergonomic contact risk assessment technology based on the rapid upper limb assessment (RULA) and rapid entire body assessment (REBA) , with a focus on analyzing current status and challenges in data acquisition, transmission and processing, application scenarios, and accuracy validation, as well as providing an outlook on future research directions. The analysis indicates that currently, inertial measurement unit (IMU) , conventional/depth cameras, and infrared motion capture systems are the primary hardware devices, with data processing predominantly relying on computer vision and deep learning algorithms. There are significant variations in the accuracy of system assessments, with Cohen's kappa (κ) ranging from 0.21 to 0.95 and the proportion agreement index (Po) ranging from 0.37 to 0.97. Limited by the constraints of data collection and transmission and the reliability of the system, current research primarily employs semi-automated methods in simulated scenarios. Future studies should aim to develop more reliable hardware solutions, establish unified validation standards, and promote the continuous and holistic assessment application of systems in real-world work scenarios.

本文综述了基于快速上肢评估(RULA)和快速全身评估(REBA)的人体工程学接触风险自动化评估技术的研究进展,重点分析了数据采集、传输与处理、应用场景、准确性验证等方面的现状和挑战,并对未来的研究方向进行了展望。分析表明,目前,惯性测量单元(IMU)、传统/深度相机和红外运动捕捉系统是主要的硬件设备,数据处理主要依赖于计算机视觉和深度学习算法。系统评估的准确性存在显著差异,Cohen’s kappa (κ)的范围为0.21 ~ 0.95,比例一致指数(Po)的范围为0.37 ~ 0.97。受数据采集和传输的限制以及系统可靠性的限制,目前的研究主要采用半自动化的方法来模拟场景。未来的研究应致力于开发更可靠的硬件解决方案,建立统一的验证标准,促进系统在实际工作场景中的持续和整体评估应用。
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引用次数: 0
[Derivation of occupational exposure limits for propylene glycol monomethyl ether based on mathematical models and uncertainty factors]. [基于数学模型和不确定因素的丙二醇单甲醚职业暴露限值的推导]。
Q3 Medicine Pub Date : 2026-01-20 DOI: 10.3760/cma.j.cn121094-20240807-00368
J Y Pan, M M Liu, Q Zeng

Objective: To calculate the occupational exposure limits (OELs) of propylene glycol monomethyl ether (PGME) , and to provide a reference for formulating the OELs of PGME in China. Methods: From June to August 2024, data on the physicochemical properties, toxicological test results (acute, subchronic, chronic toxicity and reproductive and developmental toxicity) , and foreign occupational exposure limits (OELs) of PGME were collected by searching databases such as China National Knowledge Infrastructure (CNKI) and PubMed, as well as the official websites of institutions such as the National Institute for Occupational Safety and Health (NIOSH) and the American Conference of Governmental Industrial Hygienists (ACGIH) . The no observed adverse effect level (NOAEL) from chronic toxicity experiments was used as the point of departure for extrapolation (PoD) , and the OELs of PGME were calculated using the OELs mathematical model, taking into account uncertainty factors such as interspecies differences and individual differences within the population. Results: PGME was a colorless and transparent liquid (relative molecular weight 90.121) , mainly absorbed through the respiratory tract and skin, and had eye and nasal irritation, hepatorenal toxicity, and reproductive and developmental toxicity. Through model calculation, the permissible concentration-time weighted average (PC-TWA) of PGME was 185.5 mg/m(3) (50 ppm) . Conclusion: The PGME PC-TWA calculated based on multi-source data, combined with mathematical models and uncertainty coefficients is scientific and reliable, and can provide a scientific basis for the formulation of PGME OELs in China.

目的:计算丙二醇单甲醚(PGME)的职业暴露限值(OELs),为国内制定PGME的职业暴露限值提供参考。方法:从2024年6月至8月,通过检索中国知网(CNKI)和PubMed等数据库,收集了PGME的理化性质、毒理学试验结果(急性、亚慢性、慢性毒性和生殖与发育毒性)和国外职业暴露限值(OELs)等数据。以及国家职业安全与健康研究所(NIOSH)和美国政府工业卫生学家会议(ACGIH)等机构的官方网站。采用慢性毒性实验中未观察到的不良反应水平(NOAEL)作为外推(PoD)的出发点,并利用OELs数学模型计算PGME的OELs,同时考虑到种间差异和种群内个体差异等不确定性因素。结果:PGME为无色透明液体(相对分子量90.121),主要通过呼吸道和皮肤吸收,具有眼鼻刺激、肝肾毒性、生殖发育毒性。通过模型计算,PGME的允许浓度-时间加权平均值(PC-TWA)为185.5 mg/m(3) (50 ppm)。结论:基于多源数据,结合数学模型和不确定系数计算的PGME PC-TWA科学可靠,可为国内PGME OELs的制定提供科学依据。
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引用次数: 0
["Artificial intelligence+" occupational health: current applications and future pathways under the healthy China strategy]. 【“人工智能+”职业健康:健康中国战略下的当前应用与未来路径】。
Q3 Medicine Pub Date : 2026-01-20 DOI: 10.3760/cma.j.cn121094-20250905-00352
G Jia, X Y Yu
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引用次数: 0
[Study on the relationship between fit of dust respirator and head-face dimensions of dust-exposed workers in a construction site]. [建筑工地粉尘暴露工人防尘口罩适配度与头-面尺寸关系的研究]。
Q3 Medicine Pub Date : 2026-01-20 DOI: 10.3760/cma.j.cn121094-20240613-00265
X Chen, X X Liu, X Q Li, Y Zhang, Z H Zhao, X Y Zhang

Objective: To investigate the relationship between the fit of dust respirator and the head-face dimensions of dust-exposed workers, thereby facilitating the selection of suitable protective respirator for such personnel. Methods: In July 2023, a total of 300 dust-exposed workers at a construction site were selected as research subjects by cluster sampling. The Artec EVA handheld 3D scanner and its software were used to measure 21 head-face dimensions indices. Each subject underwent fit test with one foldable and one cup-shaped respirator. The relationship between head-face dimensions and respirator fit was analyzed using chi-square tests and multivariate logistic regression. Results: A total of 600 fit tests were conducted among the 300 dust-exposed workers, with an overall pass rate of 23.50% (141/600) . Pass rates differed significantly between respirator types: cup-shaped respirator (36.00%, 108/300) higher than foldable respirator (11.00%, 33/300) , and the difference was statistically significant (χ(2)=52.15, P<0.001) . The overall coverage rate of head-face dimension classification was 75.00% (225/300) . There was a statistically significant difference in the pass rate of fit test for cup-shaped respirator among different classification groups (χ(2)=18.92, P<0.05) . Multivariate logistic regression revealed that body mass index (BMI, OR=1.08, P<0.05) , morphological face length (OR=1.58, P<0.05) , nasal width (OR=2.57, P<0.05) , and respirator shape (OR=5.27, P<0.05) were primary factors influencing respirator fit. Conclusion: The key factors influencing respirator fit include BMI, morphological face length, nasal width, and respirator shape. Occupational groups are advised to undergo fit test before initial use of dust respirator.

目的:探讨粉尘防护口罩的佩戴与粉尘暴露作业人员头面尺寸的关系,为粉尘暴露作业人员选择合适的防护口罩提供依据。方法:采用整群抽样的方法,于2023年7月选取某建筑工地粉尘暴露工人300人作为研究对象。使用Artec EVA手持式三维扫描仪及其软件测量21项头-面尺寸指标。每位受试者分别使用折叠式和杯状呼吸器进行适合性测试。采用卡方检验和多元logistic回归分析头面维度与呼吸器配合度的关系。结果:300名粉尘暴露工人共进行了600次体能测试,总体合格率为23.50%(141/600)。不同类型呼吸器的合格率差异有统计学意义,杯型呼吸器合格率(36.00%,108/300)高于折叠式呼吸器(11.00%,33/300),差异有统计学意义(χ(2)=52.15, Pχ(2)=18.92, POR=1.08, POR=1.58, POR=2.57, POR=5.27, p)。结论:影响呼吸器贴合的关键因素包括BMI、形态面长、鼻宽和呼吸器形状。建议职业人群在初次使用防尘口罩前进行适合度测试。
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引用次数: 0
[Clinical effect analysis of sintilimab combined with chemotherapy in the treatment of malignant pleural mesothelioma]. 【辛替单抗联合化疗治疗恶性胸膜间皮瘤临床疗效分析】。
Q3 Medicine Pub Date : 2026-01-20 DOI: 10.3760/cma.j.cn121094-20240613-00268
J H Zhou, X J Zhao, S J Yang

Objective: To investigate the clinical efficacy of sintilimab combined with chemotherapy in the treatment of malignant pleural mesothelioma. Methods: A prospective case series study was conducted, selecting 66 patients with malignant pleural mesothelioma from Dayao County admitted to the People's Hospital of Chuxiong Yi Autonomous Prefecture from January 2014 to November 2023. The patients were divided into three groups: chemotherapy group, chemotherapy+sintilimab group, and chemotherapy+bevacizumab group, with 22 cases in each group. After 4 cycles of treatment, the clinical efficacy (objective response rate) , tumor markers (carbohydrate antigen 125) , pleural thickness, and adverse drug reactions were evaluated. Follow-up was continued until February 29, 2024. The progression free survival was recorded. Categorical data were compared between groups using chi-square test, and continuous data were analyzed using analysis of variance. Results: The objective response rates in the chemotherapy+sintilimab group (59.09%, 13/22) and chemotherapy+bevacizumab group (63.64%, 14/22) were significantly higher than those in the chemotherapy group (27.27%, 6/22) (P<0.05) . The progressions free survival in the chemotherapy+sintilimab group and chemotherapy+bevacizumab group [ (232.27±82.52) d, (240.68±70.02) d] was significantly longer than that in the chemotherapy group[ (149.59±67.59) d] (P<0.05) . The differences in carbohydrate antigen 125 levels before and after treatment were higher in the chemotherapy+sintilimab group and chemotherapy+bevacizumab group compared to the chemotherapy group (P<0.05) . After 4 cycles of treatment, the maximum pleural thickness and the sum of the maximum pleural thickness in the three areas of the chest cavity were significantly smaller in the chemotherapy+bevacizumab group compared to the chemotherapy group (P<0.05) . There were no statistically significant differences in the incidence of adverse reactions among the three groups (P>0.05) . Conclusion: Chemotherapy+sintilimab and chemotherapy+bevacizumab are more effective than chemotherapy alone in treating malignant pleural mesothelioma, and can prolong the progression free survival of patients.

目的:探讨辛替单抗联合化疗治疗恶性胸膜间皮瘤的临床疗效。方法:选取2014年1月至2023年11月楚雄彝族自治州人民医院收治的大姚县恶性胸膜间皮瘤患者66例,采用前瞻性病例系列研究。将患者分为化疗组、化疗+辛替单抗组、化疗+贝伐单抗组,每组22例。治疗4个周期后,评估临床疗效(客观有效率)、肿瘤标志物(碳水化合物抗原125)、胸膜厚度、药物不良反应。随访一直持续到2024年2月29日。记录无进展生存期。组间分类资料比较采用卡方检验,连续资料分析采用方差分析。结果:化疗+辛替单抗组(59.09%,13/22)和化疗+贝伐单抗组(63.64%,14/22)的客观有效率显著高于化疗组(27.27%,6/22)(PPPPP>0.05)。结论:化疗+辛替单抗、化疗+贝伐单抗治疗恶性胸膜间皮瘤比单独化疗更有效,可延长患者无进展生存期。
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中华劳动卫生职业病杂志
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