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The combined effects of noise and vibration stress on sex hormone levels, fertility capacity, and the protective role of cinnamon extract in rats: an experimental study. 噪声和振动应激对大鼠性激素水平、生育能力和肉桂提取物保护作用的综合影响:一项实验研究。
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2022-01-05 DOI: 10.1080/19338244.2021.2011085
Hamideh Pirami, Ali Khavanin, Farshad Nadri, Ali Tajpoor, Younes Mehrifar, Zohreh Mazaheri Tirani

Due to the high prevalence of noise and vibration exposure in most industries, this study aimed to investigate the effects of simultaneous exposure to noise and vibration on sex hormone levels and fertility capacity in rats, as well as the protective effects of the hydroalcoholic extract of cinnamon. In this experimental study, 64 adult male rats were randomly divided into 8 groups, control, noise (N), cinnamon (C), noise + cinnamon (NC), vibration (V), vibration + cinnamon (VC), noise + vibration (NV) and groups Noise + Vibration + Cinnamon (NVC). Groups C, NC, VC and NVC received a 75 mg/kg dose of cinnamon extract by gavage. The rats of groups N and NC, V and VC and NV and NVC were each exposed to noise at 100 dB (700-5700 Hz), vibration acceleration of 1 m/s2 rms (frequency range of 4-8 Hz), and simultaneously exposed to vibration and noise for 8 hours continuously every night (23:00-7:00) for 50 consecutive nights. Next, a blood sample was taken from the lateral tail vein and the levels of LH, FSH and testosterone were measured with ELISA kits. Each male rat was caged with 3 female rats for one week. The pregnant rats were kept until all of the rat pups were born. Then the fertility capacity, the total number of births, the live births and the birth weight of the rat pups were analyzed with the software SPSS. In the N and NV groups, compared to the control group, a significant decrease in LH and testosterone levels, the number of births and the birth weight was observed (p < 0.05). A significant decrease in testosterone levels, number of births and birth weight was observed in Group V compared to the control group (p < 0.05). In addition, significant increases in LH, FSH and testosterone levels and in birth weight were observed in group C compared to the control group (p < 0.05). Significant increases in FSH and testosterone levels, birth weight, and the number of births were noted in the NVC group compared to the NV group (p < 0.05). Based on the results of this study, cinnamon extract could alleviate the destructive effects of noise and vibration (both individually and in combination) on levels of sex hormones (LH, FSH, and testosterone), the number of births, and birth weight.

由于噪音和振动暴露在大多数工业中普遍存在,本研究旨在探讨噪音和振动同时暴露对大鼠性激素水平和生育能力的影响,以及肉桂水酒精提取物的保护作用。实验选用成年雄性大鼠64只,随机分为8组:对照组、噪声(N)、肉桂(C)、噪声+肉桂(NC)、振动(V)、振动+肉桂(VC)、噪声+振动(NV)和噪声+振动+肉桂(NVC)组。C组、NC组、VC组和NVC组灌胃肉桂提取物75 mg/kg。N和NC组、V和VC组、NV和NVC组大鼠分别暴露于100 dB (700 ~ 5700 Hz)、振动加速度1 m/s2 rms(频率范围4 ~ 8 Hz)的噪声环境中,每晚(23:00 ~ 7:00)连续8小时同时暴露于振动和噪声环境中,连续50夜。然后,从尾侧静脉取血,用ELISA试剂盒检测黄体生成素、卵泡刺激素和睾酮水平。每只雄性大鼠与3只雌性大鼠笼养1周。怀孕的大鼠一直饲养到所有的幼鼠出生。然后用SPSS软件对大鼠的生育能力、产仔总数、活产数和出生重进行分析。在N和NV组中,与对照组相比,观察到LH和睾酮水平,分娩次数和出生体重显著降低(p p p p p)
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引用次数: 1
Hypersensitivity pneumonia associated with metallic straw of mate (chimarrão): A case report. 金属麦麸相关的超敏性肺炎1例。
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2022-01-18 DOI: 10.1080/19338244.2021.2017252
Liana Ferreira Corrêa, Alice Martins Machado, Leandro Genehr Fritscher, Thiago Krieger Bento da Silva, Sabrina Rocha Machado

This case report describes a 61-year-old male who sought treatment for sudden symptoms of dry cough, chest pain and severe dyspnea. On admission, the patient had hypoxemia and predominantly medullary infiltrate that we could observe on his imaging exams. After hospital discharge, he presented two similar episodes, with clinical and radiological improvement with oxygen therapy alone. He denied exposure to birds, mold or chemical agents. However, the patient noticed the onset of symptoms soon after drinking chimarrão. Given the compatible clinical, radiological and laboratory history, the diagnosis of hypersensitivity pneumonitis was performed. The patient was instructed by the medical team not to consume the drink anymore, remaining asymptomatic for more than two years.

本病例报告描述了一名61岁男性,因突然出现干咳、胸痛和严重呼吸困难的症状而寻求治疗。入院时,患者有低氧血症和主要髓质浸润,我们可以在他的影像学检查中观察到。出院后,他出现了两次类似的发作,单独吸氧治疗后临床和放射学均有改善。他否认接触过鸟类、霉菌或化学制剂。然而,患者在饮用chimarar后不久就注意到症状的出现。考虑到符合的临床、放射学和实验室病史,诊断为过敏性肺炎。在医疗小组的指导下,患者不再饮用该饮料,两年多来一直无症状。
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引用次数: 0
Noise exposure assessment of occupational health and safety (OHS) consultants: A preliminary study. 职业健康与安全顾问的噪音暴露评估:初步研究。
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2020-12-08 DOI: 10.1080/19338244.2020.1854164
Chun-Yip Hon, Jaskaren Randhawa, Craig Fairclough

No published noise exposure assessment of occupational health and safety (OHS) consultants exists. An assessment was performed to quantify the noise level of OHS consultants while they were on site at a client's facility. OHS consultants wore a dosimeter set to A-weighting, slow response, 60 s log interval and a criterion level of 85dBA with a 3 dB exchange rate. Both the projected time-weighted average (TWA) and projected dose were recorded. Of the 32 noise assessments collected, three had projected TWAs that exceeded the occupational exposure limit of 85 dBA. Nearly 75% of the projected TWA measurements were equal or greater than the Action Level of 80 dBA. According to best practices, occupational noise levels greater than 80 dBA present a risk for noise-induced hearing loss and, therefore, a hearing loss prevention program should be implemented.

没有出版的职业健康与安全顾问的噪音暴露评估。评估是为了量化职业健康安全顾问在客户设施现场时的噪音水平。OHS顾问使用的剂量计设置为a加权,反应缓慢,60秒的对数间隔,标准水平为85dBA,汇率为3db。预计时间加权平均(TWA)和预计剂量均被记录。在收集到的32份噪音评估中,有3份预测twa超过了85 dBA的职业暴露限值。近75%的预测TWA测量值等于或大于80dba的作用水平。根据最佳实践,超过80 dBA的职业噪声水平存在噪声性听力损失的风险,因此,应该实施听力损失预防计划。
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引用次数: 0
Social inequality, noise pollution, and quality of life of slum dwellers in Pokhara, Nepal. 尼泊尔博卡拉贫民窟居民的社会不平等、噪音污染和生活质量。
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2020-12-23 DOI: 10.1080/19338244.2020.1860880
Eunhwa Choi, Tulsi Ram Bhandari, Niranjan Shrestha

This work is a cross-sectional comparative study conducted on 528 residents in the slum and non-slum areas of Pokhara, Nepal. Of the total number of respondents, 90.2% in the slums and 63.3% in the non-slums indicated the existence of a main source of noise, and 80.7% in the slums and 66.0% in the non-slums replied that they had been highly annoyed by noise. The indoor noise levels measured for 24 h were higher in slums than in non-slums, ranging from 59 to 78 dBA and from 51 to 69 dBA, respectively. The Mann-Whitney U test showed a significantly poorer status of slum dwellers in four health domains. Logistic regression analysis identified that living in a slum was a significant predictor (OR, 2.35; 95% CI, 1.35-4.09) of a low level of health. Meanwhile, a high level of noise annoyance was a good determinant (OR, 6.71; 95% CI, 3.13-14.36) of low quality of life among slum dwellers revealing a distinguishing negative effect of the high level of noise annoyance in the slum areas.

这项工作是对尼泊尔博卡拉贫民窟和非贫民窟地区的528名居民进行的横断面比较研究。在所有受访者中,90.2%的贫民窟居民和63.3%的非贫民窟居民表示存在主要噪声源,80.7%的贫民窟居民和66.0%的非贫民窟居民回答说他们对噪音非常恼火。在24小时内,贫民窟的室内噪声水平高于非贫民窟,分别为59 ~ 78 dBA和51 ~ 69 dBA。曼-惠特尼U测试显示,贫民窟居民在四个健康领域的状况明显较差。Logistic回归分析发现,居住在贫民窟是显著的预测因子(OR, 2.35;95%可信区间(1.35-4.09)表明健康水平较低。同时,高水平的噪音烦恼是一个很好的决定因素(OR, 6.71;95% CI, 3.13-14.36)表明贫民窟居民的生活质量较低,这表明贫民窟地区高水平的噪音烦恼具有明显的负面影响。
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引用次数: 6
Combustion characteristics of biomass fuel briquettes from onion peels and tamarind shells. 洋葱皮和罗望子壳生物质燃料型煤的燃烧特性。
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2021-06-14 DOI: 10.1080/19338244.2021.1936437
Sampathkumar Velusamy, Anandakumar Subbaiyan, Senthilkumar Kandasamy, Manoj Shanmugamoorthi, Pradeep Thirumoorthy

Rising worldwide demand and consumption of fossil fuels have elevated wealth creation, improved undesirable impacts on climatic change from emission of greenhouse gases, and endangered communal health. In developing nations, biomass wastes, which include but are not limited to agricultural residues, are generated in huge quantities yearly. During the disposal of biomass, incomplete combustion causes people to get exposed to elevated indoor concentrations on health-damaging pollutants including particulate matter and carbon monoxide. Inefficient usage or disposed biomass wastes may cause toxic impacts on higher levels of pollution, the consequent degeneration of public health and ecological contamination. It is possible to convert these wastes into energy-efficient briquettes through densification. In this research work, the combustion characteristics were identified from biomass briquettes which were produced from Onion Peels (OP), Tamarind Shells (TS) and Cassava Starch. OP-TS were mixed sequentially and conversely with different proportions. From the total weight of biomass, 10% of cassava starch was added and briquettes were produced under 200 kN pressure from the compressed hydraulic system within the dwell time of 60 seconds. The proximate characteristics such as the presence of water content, amount of fixed carbon, ash and volatile matter were determined by using the standard procedures of the American Society for Testing and Materials (ASTM). The ultimate parameter, which is inclusive of Carbon (C), Hydrogen (H) and Oxygen (O) were diagnosed in all produced biomass briquettes and calorific values were identified for all the produced biomass briquettes as well. OP-TS have better fuel properties in comparison with pine, cotton stalk (CS), wood sawdust (WS), municipal solid waste (MSW) and cotton straw biomass briquettes (CSB). Therefore, the produced biomass briquettes could bring substantial environmental and socio-economic benefits to rural communities and are potentially worthy fuels derived from agricultural wastes.

全球对化石燃料的需求和消费不断增加,增加了财富创造,改善了温室气体排放对气候变化的不良影响,并危及公共健康。在发展中国家,生物废料,包括但不限于农业残留物,每年产生大量。在处置生物质过程中,不完全燃烧使人们暴露于室内有害健康的污染物浓度升高,包括颗粒物和一氧化碳。低效使用或处置的生物质废物可能对更高程度的污染造成毒性影响,从而导致公共健康恶化和生态污染。通过致密化将这些废物转化为节能型煤是可能的。研究了以洋葱皮(OP)、罗望子壳(TS)和木薯淀粉为原料制备的生物质型煤的燃烧特性。OP-TS按不同比例依次混合和相反混合。从生物质总重出发,加入10%的木薯淀粉,在压缩液压系统200 kN压力下,停留时间60秒,生产成型煤。近似特性如含水量、固定碳、灰分和挥发物的含量,采用美国材料试验协会(ASTM)的标准程序测定。最终参数,包括碳(C),氢(H)和氧(O)在所有生产的生物质型煤中被诊断出来,并确定了所有生产的生物质型煤的热值。与松木、棉秆(CS)、木屑(WS)、城市固体废物(MSW)和棉花秸秆生物质压块(CSB)相比,ops - ts具有更好的燃料性能。因此,所生产的生物质压块可为农村社区带来巨大的环境和社会经济效益,是从农业废物中提取的潜在有价值的燃料。
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引用次数: 11
The effect of type D personality on anxiety, depression and fear of COVID-19 disease in healthcare workers. D型人格对医护人员新冠肺炎焦虑、抑郁和恐惧的影响
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2021-07-15 DOI: 10.1080/19338244.2021.1952152
Taha Can Tuman

During the pandemic, healthcare workers are at the top of the risky groups regarding mental stress. This study aimed to evaluate the relationship of type D personality traits with anxiety, depression, and fear of the SARS-CoV-2 related illness and SARS-CoV-2 virus in healthcare workers during the pandemic period. One hundred ninety-four healthcare workers (53 physicians, 19 dentists, 76 nurses, and 46 auxiliary health personnel) were included in the present study. Sociodemographic Data Form, Type D Personality Scale, Fear of Illness and Virus Evaluation Scale, Beck Depression Inventory, and Beck Anxiety Inventory were applied to the participants. The anxiety, depression, and fear of illness and virus scores were higher in healthcare workers with Type D personality than those without type D personality (respectively; p = 0.001, p = 0.001, and p = 0.001). The Fears about Contamination and Illness, Fears about Social Distancing, Behaviors Related to Virus and Illness Fears, and Impact of Illness and Virus Fears subscale scores and FIVE total scale scores were significantly higher in female healthcare workers than male ones (p = 0.001, for all). Our study results show that Type D personality traits in healthcare workers are associated with higher anxiety, depression, and fear of disease and virus.

在大流行期间,卫生保健工作者在精神压力风险群体中名列前茅。本研究旨在评估大流行期间医护人员D型人格特征与焦虑、抑郁、对SARS-CoV-2相关疾病和SARS-CoV-2病毒的恐惧的关系。本研究共纳入194名医护人员(医生53名、牙医19名、护士76名、辅助医护人员46名)。采用社会人口学数据表、D型人格量表、疾病与病毒恐惧量表、贝克抑郁量表和贝克焦虑量表。D型人格的医护人员焦虑、抑郁、对疾病和病毒的恐惧得分高于无D型人格的医护人员(分别为;P = 0.001, P = 0.001, P = 0.001)。女性医护人员对污染和疾病的恐惧、对社交距离的恐惧、对病毒和疾病恐惧的相关行为、对疾病和病毒恐惧的影响的子量表得分和5个总量表得分均显著高于男性(p = 0.001)。我们的研究结果表明,医护人员的D型人格特征与较高的焦虑、抑郁和对疾病和病毒的恐惧有关。
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引用次数: 9
The relationship between coronavirus 19 fear and occupational fatigue, burnout and recovery levels in healthcare professionals in Turkey. 土耳其医疗保健专业人员对冠状病毒的恐惧与职业疲劳、倦怠和恢复水平之间的关系
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2021-12-10 DOI: 10.1080/19338244.2021.2002796
Enes Çalışkan, Maral Kargın

Studies conducted after the SARS outbreak (2003) reported that healthcare professionals experienced high levels of psychological distress. These psychological problems need to be addressed during and after the epidemic. This study was planned to be carried out in healthcare professionals to determine the relationship between the fear of COVID-19 and burnout. Data were collected online from 538 healthcare professionals working in different cities and units using the Personal Information Form consisting of questions about demographic characteristics, the COVID-19 Phobia Scale and the Occupational Fatigue Exhaustion Recovery Scale. It was determined that the fear of COVID-19 high and burnout levels of the participants were above the scale. There was a significant difference between the burnout level of individuals, the level of fear of COVID-19, the individual's profession and the unit they work in. It is important to implement psychosocial interventions in order to take the necessary precautions to ensure that healthcare workers are less affected by the negative effects of fear and burnout during the epidemic process. The role of professional teams, including psychiatric nurses, is of great importance in determining and resolving the negative effects of the pandemic on healthcare professionals.

在SARS爆发(2003年)后进行的研究报告称,医疗保健专业人员经历了高度的心理困扰。这些心理问题需要在疫情期间和之后得到解决。本研究计划在医疗保健专业人员中进行,以确定对COVID-19的恐惧与倦怠之间的关系。使用《个人信息表》(包括人口统计学特征、新冠病毒恐惧症量表和职业疲劳疲劳恢复量表)在线收集不同城市和单位的538名医疗保健专业人员的数据。确定参与者对COVID-19的高恐惧和倦怠水平高于量表。个体的倦怠程度、对新冠病毒的恐惧程度、职业和所在单位之间存在显著差异。重要的是实施社会心理干预措施,以便采取必要的预防措施,确保卫生保健工作者在流行过程中较少受到恐惧和倦怠的负面影响。包括精神科护士在内的专业团队在确定和解决大流行病对保健专业人员的负面影响方面的作用非常重要。
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引用次数: 8
Prioritizing health, safety and environmental hazards by integrating risk assessment and analytic hierarchy process techniques in solid waste management facilities. 通过在固体废物管理设施中集成风险评估和层次分析法技术,优先考虑健康、安全和环境危害。
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2021-09-15 DOI: 10.1080/19338244.2021.1977907
Abdulrahim Moloudi, Shokoh Sadat Khaloo, Reza Gholamnia, Reza Saeedi

The aim of this research was to assess and prioritize risk levels of health, safety, and environmental (HSE) hazards in solid waste management facilities of Tehran, Iran. The risk of HSE hazards was assessed using Fine-Kinney and environmental failure mode and effects analysis (EFMEA) methods and then the high-risk hazards were prioritized for implementing corrective actions by analytic hierarchy process (AHP) considering six criteria of (1) probability of occurrence, (2) severity of consequences, (3) simultaneous HSE effects, and (4-6) feasibility, effectiveness, and cost of corrective actions. A total number of 485 HSE hazards were identified, of which 78% were health and safety hazards and 22% were environmental hazards. The proportions of the transfer and transport, material recovery and composting facilities and landfill sites in the identified hazards were 21%, 38%, and 41%, respectively. Based on the AHP method, the leading hazards in the transfer and transport, material recovery and composting facilities, and landfill sites were exposure to bioaerosol in carwash facilities, exposure to bioaerosols and odor/volatile organic compounds (VOCs) in manual waste separation, and leachate spills in the former landfill site, respectively. This study showed that the hybrid method was an appropriate and reliable tool to prioritize HSE hazards.

本研究的目的是评估和优先考虑伊朗德黑兰固体废物管理设施中健康、安全和环境(HSE)危害的风险水平。采用Fine-Kinney法和环境失效模式与影响分析法(EFMEA)对HSE危害风险进行评估,然后根据(1)发生概率、(2)后果严重程度、(3)同时产生的HSE影响、(4-6)纠正措施的可行性、有效性和成本六个标准,采用层次分析法(AHP)对高危危害进行优先实施纠正措施。共识别出485个HSE危害,其中78%为健康安全危害,22%为环境危害。在已识别的危害中,转运运输、物料回收和堆肥设施和垃圾填埋场所占比例分别为21%、38%和41%。基于AHP方法,在转移运输、材料回收和堆肥设施和垃圾填埋场中,主要危害分别是洗车设施中的生物气溶胶暴露、人工垃圾分类中的生物气溶胶和气味/挥发性有机化合物(VOCs)暴露和原垃圾填埋场的渗滤液泄漏。该研究表明,混合方法是一种适合且可靠的HSE危害排序工具。
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引用次数: 1
Exposure to fire smoke in fire training structures: A prospective observational study. 在消防训练结构中暴露于火灾烟雾:一项前瞻性观察研究。
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2021-09-21 DOI: 10.1080/19338244.2021.1976094
Alexandre Allonneau, Samuel Mercier, Fanny Rieunier, Anne Menguy-Fleuriot, Catherine Louyot, Marc Duvollet, Guillaume Burlaton, Anne Nicolas, Romain Jouffroy, Bertrand Prunet

The aim of this study was to assess the level of exposure to and contamination by smoke within a population of firefighter instructors. We performed a prospective observational study from September 17 to September 26, 2018, using environmental samples and urinary biomarker analysis. Occupational exposure limits (OELs) were never exceeded, except for carbon monoxide for the fire attack training chamber and formaldehyde and carbon monoxide for the fire box. As regards to urinary biomarkers, we observed that 1OHP and 1-naphtol did accumulate. The pre-post analysis showed an acute exposure exceeding the BRVs of benzene, 1-hydroxypyrene and naphtol, except for 3-benzo[a]pyrene which was undetectable in half of the cases. Even if values were reassuring, an effort could be made to improve the working conditions and reduce contamination by rethinking the respiratory protection and improving PPE quality.

本研究的目的是评估消防员教官人群的烟雾暴露和污染水平。我们于2018年9月17日至9月26日进行了一项前瞻性观察研究,使用环境样本和尿液生物标志物分析。从来没有超过职业暴露限值(OELs),除了火灾攻击训练室的一氧化碳和火灾箱的甲醛和一氧化碳。至于尿液生物标志物,我们观察到10hp和1-萘酚确实积累。事后分析显示,急性暴露超过了苯、1-羟基芘和萘酚的BRVs,但3-苯并[a]芘在半数病例中检测不到。即使价值是令人放心的,也可以通过重新思考呼吸防护和提高个人防护用品质量来努力改善工作条件和减少污染。
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引用次数: 0
Association of maternal intake of nitrate and risk of birth defects and preterm birth: a systematic review and dose-response meta-analysis. 母亲摄入硝酸盐与出生缺陷和早产风险的关系:一项系统评价和剂量反应荟萃分析。
IF 1.8 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-01 Epub Date: 2021-08-09 DOI: 10.1080/19338244.2021.1953955
Nader Rahimi Kakavandi, Motahareh Hashemi Moosavi, Tayebeh Asadi, Morteza Abyadeh, Habib Yarizadeh, Ahmad Habibian Sezavar, Mohammad Abdollahi

In this study, the high versus low analysis method was applied to evaluate the association of maternal nitrate intake and risk of heart defect, limb deficiency, cleft lip, and preterm birth. Also, linear and non-linear dose-response associations between maternal intake of nitrate and risk of heart defects were investigated. In high versus low intake, the risk of heart defects in infants is directly associated with the level of nitrate exposure, but no significant relationship was found between the cleft lip, limb deficiency, and preterm birth. The linear dose-response meta-analysis was associated with risk of heart defects (RR: 1.03; 95% CI: 1.00 to 1.05, P = 0.400, I2= 0%, P heterogeneity= 0.602, n = 3) and nonlinear dose-response meta-analysis showed that maternal intake of nitrate higher than ∼4 mg/day is positively associated with heart defects risk (P non-linearity= 0.012).

本研究采用高对低分析的方法来评估母亲硝酸盐摄入量与心脏缺陷、肢体缺陷、唇裂和早产风险的关系。此外,还研究了母体硝酸盐摄入量与心脏缺陷风险之间的线性和非线性剂量反应关系。在高摄入量和低摄入量中,婴儿心脏缺陷的风险与硝酸盐暴露水平直接相关,但在唇裂、肢体缺陷和早产之间没有发现显著的关系。线性剂量-反应荟萃分析与心脏缺陷风险相关(RR: 1.03;95% CI: 1.00 ~ 1.05, P = 0.400, I2= 0%, P异质性= 0.602,n = 3),非线性剂量-反应荟萃分析显示,母体硝酸盐摄入量高于~ 4 mg/天与心脏缺陷风险呈正相关(P非线性= 0.012)。
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引用次数: 8
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