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Air Pollution and Hospital Emergency Room Admissions for Chronic Obstructive Pulmonary Disease in Valencia, Spain 西班牙瓦伦西亚的空气污染和慢性阻塞性肺疾病的医院急诊室入院情况
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602915
J. Tenías, F. Ballester, S. Pérez-Hoyos, M. L. Rivera
Abstract The short-term relationship between levels of air pollution and emergency room admissions for chronic obstructive pulmonary disease was assessed in Valencia, Spain. The design was an ecological time-series study in which daily variation in air pollution was related to emergency chronic obstructive pulmonary disease visits to one of the city's hospitals. The pollutants under investigation were Black Smoke, sulfur dioxide, nitrogen dioxide, carbon monoxide, and ozone. The degree of association was analyzed with Poisson autoregressive regression, for which trend, seasonal patterns, temperature, humidity, days of the week, and incidence of influenza were controlled. Increases of 10 μg/m3 in ozone levels (lag 5) and of 1 mg/m3 in carbon monoxide (lag 1) were associated with increases of 6.1 % (95% confidence interval [CI] = 2.2%, 10.1%) and of 3.9% (95% CI = 1.4%, 6.6%), respectively, in the expected chronic obstructive pulmonary disease cases. There was no significant association for the remainder of the pollutants. The described effects persisted even when the authors used models of differing specifications and when generalized additive models were used. The authors concluded that the results of this investigation, together with results of earlier research, demonstrate the significant effect of pollution on various health indicators within Valencia.
在西班牙瓦伦西亚对空气污染水平与慢性阻塞性肺疾病急诊入院率之间的短期关系进行了评估。该设计是一项生态时间序列研究,其中空气污染的每日变化与该市一家医院的慢性阻塞性肺病急诊就诊有关。被调查的污染物是黑烟、二氧化硫、二氧化氮、一氧化碳和臭氧。用泊松自回归分析关联程度,控制趋势、季节模式、温度、湿度、星期数和流感发病率。在预期的慢性阻塞性肺病病例中,臭氧水平每增加10 μg/m3(滞后5)和一氧化碳水平每增加1 mg/m3(滞后1)分别增加6.1%(95%置信区间[CI] = 2.2%, 10.1%)和3.9% (95% CI = 1.4%, 6.6%)。其余的污染物没有显著的相关性。即使作者使用不同规格的模型和使用广义加性模型,所描述的效果仍然存在。作者的结论是,这项调查的结果,连同早先的研究结果,证明了污染对瓦伦西亚各种健康指标的重大影响。
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引用次数: 41
Infant Death and Childhood Cancer Reductions after Nuclear Plant Closings in the United States 美国关闭核电站后婴儿死亡率和儿童癌症减少
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602913
J. Mangano, J. Gould, E. Sternglass, J. Sherman, Jerry Brown, William McDonnell
Abstract Subsequent to 1987, 8 U.S. nuclear plants located at least 113 km from other reactors ceased operations. Strontium-90 levels in local milk declined sharply after closings, as did deaths among infants who had lived downwind and within 64 km of each plant. These reductions occurred during the first 2 yr that followed closing of the plants, were sustained for at least 6 yr, and were especially pronounced for birth defects. Trends in infant deaths in proximate areas not downwind, and more than 64 km from the closed plants, were not different from the national patterns. In proximate areas for which data were available, cancer incidence in children younger than 5 yr of age fell significantly after the shutdowns. Changes in health following nuclear reactor closings may help elucidate the relationship between low-dose radiation exposure and disease.
1987年以后,美国有8座距离其他反应堆至少113公里的核电站停止运行。关闭核电站后,当地牛奶中的锶-90含量急剧下降,居住在每个核电站顺风处和64公里范围内的婴儿死亡率也大幅下降。这些减少发生在工厂关闭后的头两年,持续了至少6年,出生缺陷尤其明显。在离关闭工厂64公里以外的邻近地区,婴儿死亡趋势与全国模式没有什么不同。在可获得数据的邻近地区,5岁以下儿童的癌症发病率在关闭后显著下降。核反应堆关闭后健康状况的变化可能有助于阐明低剂量辐射照射与疾病之间的关系。
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引用次数: 26
Suspended Onion Particles and Potential Corneal Injury in Onion Harvesters 洋葱收获机中悬浮洋葱颗粒和潜在的角膜损伤
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602920
Y. Hwang, E. Chou, Ching-Wen Chang, Chih-Chieh Chen, Chi-Kung Ho, Chih-Liang Chou, Zhih-Young Lee, Chi-Ting Tseng
Abstract The authors suspected that suspended onion particles contributed to corneal ulcers in onion harvesters in southern Taiwan. In the present study, the authors used manikins to study suspended onion particles in fields in an effort to simulate typical conditions experienced by onion harvesters. An animal eye-exposure simulation study was also performed by the authors, who impacted suspended soil grains or onion particles onto the corneas of guinea pigs via aerosol generated from the Palas® dispersion nozzle. The average size of 25.9 μm for suspended particles collected during the digging of onions was the largest one of those for various harvesting activities. Some onion skin flakes were found in samples obtained from gathering and packing activities; the typical flake size was approximately 3.5 × 2.5 mm2. The results of the animal study indicated that the size of soil grains has a demonstrable effect on the severity of corneal injury (p = .009). With respect to onion skin flakes, wind velocity was also associated significantly with the occurrence of corneal injury (p = .0004). A wind velocity threshold of 7 m/sec is recommended for the maintenance of safety, and if the wind speed exceeds this threshold level, workers should not engage in harvesting activities. Furthermore, use of appropriately designed goggles is necessary for the protection of onion harvesters who work in high-wind conditions.
作者怀疑悬浮的洋葱颗粒导致台湾南部洋葱采收者的角膜溃疡。在本研究中,作者使用人体模型来研究田间悬浮的洋葱颗粒,以模拟洋葱收获者所经历的典型条件。作者还进行了动物眼睛暴露模拟研究,他们通过Palas®分散喷嘴产生的气溶胶将悬浮的土壤颗粒或洋葱颗粒撞击到豚鼠的角膜上。挖掘洋葱时收集的悬浮物的平均粒径为25.9 μm,是各种收获活动中最大的。在收集和包装过程中发现了一些洋葱皮薄片;典型的薄片尺寸约为3.5 × 2.5 mm2。动物实验结果表明,土壤颗粒大小对角膜损伤的严重程度有显著影响(p = 0.009)。对于洋葱皮薄片,风速也与角膜损伤的发生显著相关(p = .0004)。为了维护安全,建议风速阈值为7米/秒,如果风速超过该阈值,工人不应从事收获活动。此外,使用适当设计的护目镜是必要的,以保护在大风条件下工作的洋葱收割机。
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引用次数: 12
Concentration of Metals and Other Elements in the Hair of Easter Islanders 复活节岛居民头发中金属和其他元素的浓度
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602921
H. Nakadaira, I. Serra, Masaharu Yamamoto, Ruth Rogers, D. Gutierrez
HIROTO NAKADAIRA Division of Social and Environmental Medicine Department of Community Preventive Medicine Niigata University Graduate School of Medical and Dental Sciences Niigata, Japan IVAN SERRA School of Public Health University of Chile Santiago, Chile MASAHARU YAMAMOTO Division of Social and Environmental Medicine Department of Community Preventive Medicine Niigata University Graduate School of Medical and Dental Sciences Niigata, Japan RUTH ROGERS DAVID GUTIERREZ Hospital Hanga Roa lsla de Pascua (Easter Island) San Antonio, Chile
HIROTO NAKADAIRA社会与环境医学系社区预防医学系日本新泻大学医学与口腔科学研究生院新泻IVAN SERRA公共卫生学院智利圣地亚哥新泻大学社会与环境医学系新泻大学医学与口腔科学研究生院新泻日本露丝·罗杰斯大卫·古铁雷斯医院,圣安东尼奥,智利
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引用次数: 3
Cadmium Levels in the Lung, Liver, Kidney Cortex, and Urine Samples from Australians without Occupational Exposure to Metals 未职业性接触金属的澳大利亚人肺、肝、肾皮层和尿液样本中的镉水平
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602919
S. Satarug, J. R. Baker, P. Reilly, M. Moore, David J. Williams
Abstract The authors undertook this study to assess levels of cadmium exposure in the general population. Samples of lung, liver, and kidney were obtained from 61 cadavers (43 males, 18 females; 2–89 yr of age, mean age = 38.5 yr) who died from accidental causes and who were subject to postmortem examinations at the John Tonge Centre for Forensic Sciences, Queensland Health Scientific Services, Brisbane, Australia, in 1997 and 1998. Samples of bladder urine were also obtained from 22 cadavers. Tissue and urine samples were analyzed for cadmium, zinc, and copper with inductively coupled plasm (ICP) mass spectrometry. The overall mean values for cadmium in the lung, liver, and kidney cortex samples were 0.13, 0.95, and 15.45 μg/gm wet tissue weight. The average renal cadmium level in subjects with high lung-cadmium levels (n = 13) was 6 μg/gm wet tissue weight higher than that of similarly aged subjects who had medium lung-cadmium levels (n = 30). In females, the average level of cadmium in the liver was 74% greater than in males, and the average liver cadmium in females with high lung-cadmium levels was 100% higher than in males in the same age range who had the same high lung-cadmium levels. Renal cadmium accumulation tended to be greater in females than in males who were in the same age range and who had similar lung-cadmium levels, a result that suggested that there was a higher absorption rate of cadmium in females. The mean value for a urinary cadmium excretion of 2.30 μg/gm creatinine was found in a subset of samples that had a mean age of 39 yr and a renal cortex cadmium concentration of 18.6 μg/gm wet tissue weight. Urinary cadmium excretion rates were correlated more strongly with lung and kidney cadmium content than with age or liver cadmium levels. The results suggest that urinary cadmium excretion may be increased in smokers and could provide some estimate of body cadmium burdens in future Australian epidemiological studies.
作者进行这项研究是为了评估普通人群的镉暴露水平。从61具尸体获得肺、肝和肾样本(男性43例,女性18例;2-89岁,平均年龄= 38.5岁),因意外原因死亡,并于1997年和1998年在澳大利亚布里斯班昆士兰卫生科学服务处John Tonge法医科学中心进行了尸检。还从22具尸体中获得了膀胱尿液样本。用电感耦合质谱法分析组织和尿液样品中的镉、锌和铜。肺、肝和肾皮质样品中镉的总体平均值分别为0.13、0.95和15.45 μg/gm湿组织重。高肺镉水平受试者(n = 13)的平均肾镉水平比同样年龄的中等肺镉水平受试者(n = 30)的湿组织重量高6 μg/gm。在女性中,肝脏中镉的平均含量比男性高74%,而肺镉含量高的女性的平均肝脏镉含量比相同年龄范围内肺镉含量高的男性高100%。在相同的年龄范围内,女性的肾镉积累往往比肺部镉水平相似的男性更大,这一结果表明,女性对镉的吸收率更高。在平均年龄为39岁、肾皮质镉浓度为18.6 μg/gm湿组织重量的样本亚组中,尿镉排泄量的平均值为2.30 μg/gm肌酐。尿镉排泄率与肺和肾镉含量的相关性比与年龄或肝镉水平的相关性更强。结果表明,吸烟者尿中镉的排泄量可能会增加,并可能在未来的澳大利亚流行病学研究中提供一些关于人体镉负荷的估计。
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引用次数: 165
Diesel Particles Are Taken Up by Alveolar Type II Tumor Cells and Alter Cytokines Secretion 柴油颗粒被肺泡II型肿瘤细胞吸收并改变细胞因子分泌
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602917
P. Juvin, T. Fournier, S. Boland, P. Soler, F. Marano, J. Desmonts, M. Aubier
Abstract Diesel exhaust particles can reach the alveolar space and interact with alveolar type II cells. The authors investigated whether diesel exhaust particles lead to an internalization process and alter the production of proinflammatory cytokines, such as interleukin-8 and granulocyte macrophage-colony-stimulating factor by human alveolar type II cells. Cells from the human lung epithelial cell line A-549 were incubated with diesel exhaust particles or with inert particles for different periods of time. Phagocytosis was studied with electron microscopic analysis and flow cytometry. Cytokines were quantified in super-natants with enzyme-linked immunosorbent assay. Both diesel exhaust particles and inert particles were similarly engulfed by alveolar type II cells. Diesel exhaust particles induced a dose- and a time-dependent increase in granulocyte macrophage-colony-stimulating factor release and a transient inhibition of interleukin-8 release, but inert particles did not. Diesel exhaust particles were taken up by alveolar type II cells, and they altered cytokine production. Alveolar type II cells, therefore, may represent a target site for the deleterious effects of diesel exhaust particles.
柴油机尾气颗粒可到达肺泡空间,与肺泡II型细胞相互作用。作者研究了柴油废气颗粒是否导致内化过程并改变促炎细胞因子的产生,如白细胞介素-8和粒细胞巨噬细胞集落刺激因子。将人肺上皮细胞系A-549细胞与柴油废气颗粒或惰性颗粒孵育不同时间。用电镜和流式细胞术研究吞噬作用。用酶联免疫吸附法定量上清液中的细胞因子。柴油废气颗粒和惰性颗粒均被肺泡II型细胞吞噬。柴油废气颗粒诱导粒细胞巨噬细胞集落刺激因子释放的剂量和时间依赖性增加和白细胞介素-8释放的短暂抑制,但惰性颗粒没有。柴油废气颗粒被肺泡II型细胞吸收,并改变细胞因子的产生。因此,肺泡II型细胞可能代表了柴油废气颗粒有害影响的靶点。
{"title":"Diesel Particles Are Taken Up by Alveolar Type II Tumor Cells and Alter Cytokines Secretion","authors":"P. Juvin, T. Fournier, S. Boland, P. Soler, F. Marano, J. Desmonts, M. Aubier","doi":"10.1080/00039890209602917","DOIUrl":"https://doi.org/10.1080/00039890209602917","url":null,"abstract":"Abstract Diesel exhaust particles can reach the alveolar space and interact with alveolar type II cells. The authors investigated whether diesel exhaust particles lead to an internalization process and alter the production of proinflammatory cytokines, such as interleukin-8 and granulocyte macrophage-colony-stimulating factor by human alveolar type II cells. Cells from the human lung epithelial cell line A-549 were incubated with diesel exhaust particles or with inert particles for different periods of time. Phagocytosis was studied with electron microscopic analysis and flow cytometry. Cytokines were quantified in super-natants with enzyme-linked immunosorbent assay. Both diesel exhaust particles and inert particles were similarly engulfed by alveolar type II cells. Diesel exhaust particles induced a dose- and a time-dependent increase in granulocyte macrophage-colony-stimulating factor release and a transient inhibition of interleukin-8 release, but inert particles did not. Diesel exhaust particles were taken up by alveolar type II cells, and they altered cytokine production. Alveolar type II cells, therefore, may represent a target site for the deleterious effects of diesel exhaust particles.","PeriodicalId":8276,"journal":{"name":"Archives of Environmental Health: An International Journal","volume":"21 1","pages":"53 - 60"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84503309","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: 25
Thyrotoxicosis among Hanford, Washington, Downwinders: A Community-Based Health Survey 汉福德,华盛顿,顺风者甲状腺毒症:基于社区的健康调查
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602911
C. Grossman, R. H. Nussbaum, Fred D. Nussbaum
Abstract Sixty cases of thyrotoxicosis (including hyperthyroidism, Graves' disease, and toxic goiter), an unexpectedly large number compared with general population data, were reported in a voluntary health survey that included a period of approximately 50 yr, with 801 self-defined “Downwinders” who had lived near the Hanford, Washington, nuclear facility. In another self-selected group of medical patients (n = 423) who were examined over the same time period, only 2 cases of thyrotoxicosis were identified. Evidence is presented that suggests that the effects of bias from self-selection likely did not account for the magnitude of the apparent excess of thyrotoxicosis cases in the present study population. The findings are consistent with those of other studies, as well as with the hypothesis of an association of thyrotoxicosis with exposures to radioiodine.
摘要在一项为期约50年的自愿健康调查中报告了60例甲状腺毒症(包括甲状腺功能亢进、格雷夫斯病和中毒性甲状腺肿),与一般人群数据相比,这一数字出乎意料地大,其中801例自定义为“下风者”,他们住在华盛顿汉福德核设施附近。在另一组自我选择的医疗患者(n = 423)中,在同一时间段进行检查,仅发现2例甲状腺毒症。有证据表明,自我选择的偏倚效应可能不能解释当前研究人群中甲状腺毒症病例明显过剩的程度。这些发现与其他研究的结果一致,也与甲状腺毒症与暴露于放射性碘有关的假设一致。
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引用次数: 21
Janus Revisited, Molds Again Janus重访,再次发霉
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602910
K. Kilburn
WHAT components of indoor air cause irritation, headache, and fatigue, diminish concentration, and impair recall memory? Subsequent to the energy crisis of 1973, buildings are ”tighter,” they leak less heat and cold than older buildings, and more people are bothered and become ill from indoor exposures. For more than 30 yr the indoor air syndrome has been studied. This air contains materials outgassed from construction and decorations, as well as from smoking and other activities in a building.’ Burge et a1.2 sorted components in air into various categories of total volatile organic chemicals: solvents, formaldehyde, insecticides, degreasers, waxes and wax strippers, nonorganic cleaning agents (e.g., ammonia, chlorine), and many others. During the past decade, an association has surfaced between occupants’ symptoms and molds that grow on surfaces and within walls and feed on the cellulose from the paper that encloses the gypsum of d r y ~ a l l . ~ Water damage and high humidity in walls encourage the growth of molds. Air-conditioning ducts condense water from the air and collect nutrients in dust that contain mold spores that grow and become widely distributed indoors. Such observations are consistent with a diminishment or avoidance of individuals’ symptoms in response to more exchanges of building air with outdoor air. Subsequent to 1950, changes in materials used for the construction of building interiors have set the stage for the growth of molds indoors. Wood or metal framing of walls and ceilings is covered with sheets of drywall and gypsum board-a virtual ”sandwich” of calcium sulfate between layers of paper. Drywall replaced cedar lath-sometimes wrapped with chicken wireand it was covered with cement plaster and had a finish coat of calcium oxide-termed “quicklime.” Older era wall layers were strongly alkaline, and, therefore, growth of molds was not favored. In fact, Joseph Lister, the father of aseptic and antiseptic surgery, used quicklime to wash instruments and hands, and he used it to dress wounds (e.g., compound fractures4). It i s almost impossible for molds and bacteria that harm people to grow on lime plaster or on concrete. In contrast, mold growth is encouraged on damp paper-and with the same ease as occurs on bread. Mold spores survive (1) desiccation, (2) temperatures of 500 OF, and (3) efforts to kill them with strong chemicals. The Bible, in Leviticus, warned of the harmful effects of molds. Mold toxins have altered history. Such molds include ergot from claviceps species, aflatoxins from Aspergillus, and trichothecenes from Fusarium and Stachybotrys. Conversely, products of the genus Penicillium revolutionized medical treatment of bacterial infections. Coumadin from sweet clover spoiled by pastinaca species make furanocou mad i ns that prevent blood clotting in individuals who have diseased blood vessels. Furthermore, xanthotoxin from the pink celery rot fungus causes photosensitivity of human skin accompanied by erythem
室内空气中哪些成分会引起刺激、头痛和疲劳、降低注意力和损害回忆记忆?1973年的能源危机之后,建筑变得“更紧凑”,它们比老建筑泄漏的冷热更少,更多的人因为室内暴露而感到困扰和生病。30多年来,人们一直在研究室内空气综合症。这些空气中含有建筑和装饰、吸烟和建筑物内其他活动排出的物质。Burge等人将空气中的成分按总挥发性有机化学物质分为不同类别:溶剂、甲醛、杀虫剂、脱脂剂、蜡和脱蜡剂、非有机清洗剂(如氨、氯)等。在过去的十年里,居住者的症状与生长在表面和墙壁上的霉菌之间的联系浮出水面,这些霉菌以包裹着石膏的纸张中的纤维素为食。水的破坏和墙壁的高湿度会促进霉菌的生长。空调管道凝结空气中的水分,并在含有霉菌孢子的灰尘中收集营养物质,霉菌孢子会在室内生长并广泛分布。这些观察结果与更多地将室内空气与室外空气交换后个体症状减轻或避免相一致。1950年以后,用于建筑内部建造的材料的变化为室内模具的生长奠定了基础。墙壁和天花板的木制或金属框架被石膏板和石膏板覆盖——在纸层之间的硫酸钙实际上是一个“三明治”。干墙取代了雪松板条——有时用铁丝网包裹,上面覆盖着水泥灰泥,并有一层称为“生石灰”的氧化钙。较老的岩壁层呈强碱性,因此不利于霉菌的生长。事实上,无菌和防腐外科之父约瑟夫·李斯特(Joseph Lister)就用生石灰清洗器械和手,并用它来包扎伤口(如复合性骨折)。对人体有害的霉菌和细菌几乎不可能在石灰灰泥或混凝土上生长。相反,霉菌在潮湿的纸上生长,就像在面包上一样容易。霉菌孢子能在以下条件下存活:(1)干燥,(2)华氏500度的高温,(3)用强效化学品杀死它们的努力。《圣经》在《利未记》中警告过霉菌的有害影响。霉菌毒素已经改变了历史。这些霉菌包括来自锁骨菌属的麦角菌,来自曲霉属的黄曲霉毒素,以及来自镰刀菌属和Stachybotrys的毛霉。相反,青霉属的产物彻底改变了细菌感染的医学治疗。从甜三叶草中提取的香豆素被意大利面食变质,制成呋喃呋喃酮,可以防止血管病变的人凝血。此外,来自粉色芹菜腐菌的黄毒素会引起人体皮肤的光敏性,并伴有红斑、坏死和鳞屑。在中世纪,谷物,特别是黑麦谷物上的麦角菌引起了自然流产和干性缺血性坏疽(被称为“圣安东尼之火”)的流行。也许最深刻的影响是在人的思想上:产生梦,出现恍惚,由此产生的异常行为导致消费者被魔鬼附身的指控——所有这些都会被处以死刑。回想一下,在马萨诸塞州的塞勒姆,女巫被处死。在第一次世界大战期间和之后东欧的饥饿和贫困期间,人们吃发霉的饲料谷物,特别是在田地里过冬的小米。潮湿和风化破坏了这些颗粒,镰刀菌(孢子霉属)产生了毛霉烯。这些有毒的化学物质也由Stachybotrys和锁骨肌产生,这两种细胞都消耗纤维素。严重的呼吸系统疾病、皮肤和肠道的点状出血、贫血和白细胞减少症证明了“消化道毒性啤酒”的名字是正确的。在撒哈拉以南非洲地区,曲霉和曲霉黄曲霉毒素是导致肝细胞癌的重要原因。其他真菌,包括从奶牛饲料中分离出来的青霉菌,会引起动物震颤。发霉的玉米含有玉米赤霉烯酮(即一种内分泌干扰物),它是由生长在玉米和大麦中的玫瑰镰刀菌产生的。当喂给猪时,它会产生雌性激素过多,阴道肿胀和外翻。其中一个问题是,一些猪的死亡是否是由于发霉玉米中存在毛霉菌。实验性给药玉米赤霉烯酮在雌性大鼠中产生垂体瘤和肝细胞癌(1)。怒气,个人沟通)。最近,关于霉菌影响的古老恐怖故事重新浮出水面,对霉菌如何影响动物和人类生理的理解已经趋同
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引用次数: 1
Correlation between Asthma and Climate in the European Community Respiratory Health Survey 欧洲共同体呼吸健康调查中哮喘与气候的相关性
Pub Date : 2002-01-01 DOI: 10.1080/00039890209602916
G. Verlato, R. Calabrese, R. Marco
Abstract The European Community Respiratory Health Survey, performed during 1991–1993, found a remarkable geographical variability in the prevalence of asthma and asthma-like symptoms in individuals aged 20–44 yr. The highest values occurred in the English-speaking centers. In the present investigation, the ecological relationship between climate and symptom prevalence was evaluated in the 48 centers of the European Community Respiratory Health Survey. Meteorological variables were derived from the Global Historical Climatology Network and were averaged over an 11-yr period (i.e., 1980–1990). Respiratory symptom prevalence was directly related to temperature in the coldest month and was related inversely to the temperature in the hottest month. Warm winters and cool summers are features of oceanic climate found in most English-speaking centers of the European Community Respiratory Health Survey (i.e., England, New Zealand, and Oregon). In conclusion, climate can account for significant geographic variability in respiratory symptom prevalence.
1991-1993年进行的欧洲共同体呼吸健康调查发现,20-44岁人群中哮喘和哮喘样症状的患病率存在显著的地理差异,其中英语中心的患病率最高。本研究在欧洲共同体呼吸健康调查的48个中心评估气候与症状患病率之间的生态关系。气象变量来自全球历史气候学网络,并在11年期间(即1980-1990年)平均。呼吸道症状患病率与最冷月份气温呈正相关,与最热月份气温呈负相关。暖冬凉夏是海洋性气候的特征,在欧洲共同体呼吸健康调查的大多数英语中心(即英格兰、新西兰和俄勒冈州)发现。总之,气候可以解释呼吸症状患病率的显著地理差异。
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引用次数: 33
Recent Trends in Childhood Blood Lead Levels 儿童血铅水平的最新趋势
Pub Date : 2001-11-01 DOI: 10.1080/00039890109602903
Rosemary L. Mattuck, B. D. Beck, T. Bowers, J. Cohen
Abstract Blood lead levels in children in the United States have declined through 1994, the date of the most recent National Health and Nutrition Examination Survey. In this investigation, the authors analyzed whether blood lead levels have changed since 1994 and quantified the magnitude of any change. The authors evaluated blood lead levels from 12 longitudinal data sets from 11 states and 1 city. Geometric mean blood lead levels declined between 4%/year and 14%/year in 8 of the data sets. No differences in decline rates were observed between data sets from states that had universal screening as a goal or that included repeat measures for an individual child and those data sets that did not. The authors' best estimate for these populations was a decline rate of 4–7%/year, which was comparable to the decline rate prior to 1994.
美国儿童血铅水平在1994年(最近一次全国健康和营养检查调查的日期)以来一直在下降。在这项调查中,作者分析了自1994年以来血铅水平是否发生了变化,并量化了任何变化的幅度。作者评估了来自11个州和1个城市的12个纵向数据集的血铅水平。在8组数据中,几何平均血铅水平下降了4%至14%/年。将普遍筛查作为目标或包括针对个别儿童的重复措施的各州的数据集与未将这些数据集作为目标的各州的数据集之间,没有观察到下降率的差异。作者对这些种群的最佳估计是4-7% /年的递减率,这与1994年之前的递减率相当。
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引用次数: 10
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Archives of Environmental Health: An International Journal
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