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1.
Ecotoxicol Environ Saf ; 282: 116687, 2024 Jul 08.
Artículo en Inglés | MEDLINE | ID: mdl-38981395

RESUMEN

The changing climate poses a growing challenge to the population health. The objective of this study was to assess the association between ambient temperature and cause-specific mortality in Suzhou. Based on the non-accidental mortality data collected during 2008-2022 in Suzhou, China, this study utilized an individual-level case-crossover design to evaluate the associations of temperature with cause-specific mortality. We applied a distributed lag nonlinear model with a maximum lag of 14 days to account for lag effects. Mortality risk due to extreme cold (<2.5th percentile) and extreme heat (>97.5th percentile) was analyzed. A total of 634,530 non-accidental deaths were analyzed in this study. An inverse J-shaped exposure-response relationship was observed between ambient temperature and non-accidental mortality, with the minimum mortality temperature (MMT) at 29.1℃. The relative risk (RR) of mortality associated with extreme cold (2.5th percentile) was 1.37 [95 % confidence interval (CI): 1.30, 1.44], higher than estimate of 1.09 (95 %CI: 1.07, 1.11) for extreme heat (97.5th percentile) relative to the MMT. Heat effect lasted for 2-3 days, while cold effect could persist for almost 14 days. Higher mortality risk estimates were observed for cardiorespiratory deaths compared to total deaths, with statistically significant between-group differences. Consequently, this study provides first-hand evidence on the associations between ambient temperatures and mortality risks from various causes, which could help local government and policy-makers in designing targeted strategies and public health measures against the menace of climate change.

2.
Environ Pollut ; 351: 124036, 2024 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-38677459

RESUMEN

Mitigating ground-level ozone (GLO) remains challenging due to its highly nonlinear formation process. Thus, understanding GLO pollution trends is crucial for developing effective control strategies, especially Kaohsiung industrial city, Taiwan. Based on the long-term monitoring data set of 2011-2022, temporal analysis reveals that monthly mean GLO peaks in autumn (40.66 ± 5.10 ppb), carbon monoxide (CO) and major precursors such as nitrogen oxides (NOx), nonmethane hydrocarbons (NMHC) reach their highest levels in winter. The distinct seasonal variation of air pollutants in Kaohsiung is primarily influenced by the unique blocking effect of the mountainous area under the northeasterly wind, as the city is situated downwind, causing high GLO levels during autumn due to the accumulation of stagnant air hindering the dispersion of pollutants. Over the 12 years (2011-2022), the deseasonalized trend analysis was conducted with p < 0.001, revealing a stabilization trend of GLO (+0.04 ppb/yr) from a previous sharp increase. The observed improvement is credited to a drastic decrease in total oxidants (Ox) at -0.63 ppb/yr due to significantly reducing their precursors. Furthermore, the effectiveness of precursor reduction is also supported by GLO daily maximum profile changes. While high GLO events (>120 ppb) decrease, days within midrange (60-80 ppb) rise from 24.4% to 33.3%. A notable difference emerges when comparing daytime and nighttime GLO. While daytime GLO decreased at -0.22 ppb/yr, nighttime GLO increased at +0.34 ppb/yr. Weakened nocturnal titration effects accounted for the nighttime increase. The distinct spatial variations in GLO trends on a citywide scale underscore that areas with complicated industrial activities may not benefit from a continuing reduction of precursors compared to less-polluted areas. The findings of this study hold significant implications for improving GLO control strategies in heavily industrialized city and provide valuable information to the general public about the current state of GLO pollution.


Asunto(s)
Contaminantes Atmosféricos , Contaminación del Aire , Ciudades , Monitoreo del Ambiente , Ozono , Estaciones del Año , Taiwán , Ozono/análisis , Contaminantes Atmosféricos/análisis , Contaminación del Aire/estadística & datos numéricos , Óxidos de Nitrógeno/análisis , Monóxido de Carbono/análisis
3.
Toxics ; 11(12)2023 Nov 29.
Artículo en Inglés | MEDLINE | ID: mdl-38133369

RESUMEN

POP data are limited in the marine environment; thus, this study aimed to investigate background persistent organic pollutant (POP) levels in oceanic deep-water-deposited particulates in the South China Sea (SCS). Six POPs, including polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs), dioxin-like polychlorinated biphenyls (DL-PCBs), polybrominated diphenyl ethers (PBDEs), polybrominated dibenzo-p-dioxins/dibenzofurans (PBDD/Fs), polychlorinated diphenyl ethers (PCDEs), and polybrominated biphenyls (PBBs), were investigated in eight pooled samples from the SCS from 20 September 2013 to 23 March 2014 and 15 April 2014 to 24 October 2014 at depths of 2000 m and 3500 m. PBDEs were the most predominant compounds, with the highest mean Σ14PBDE of 125 ± 114 ng/g dry weight (d.w.), followed by Σ17PCDD/F, Σ12PBDD/F, and Σ12DL-PCB (275 ± 1930, 253 ± 216, and 116 ± 166 pg/g d.w., respectively). Most PBDD/F, PBB, and PCDE congeners were below the detection limits. PCDDs had the highest toxic equivalency (TEQ), followed by PBDDs and DL-PCBs. Among the six POPs, PBDEs were the major components of the marine-deposited particles, regarding both concentrations and mass fluxes. Compared to 3500 m, PBDE levels were higher at a depth of 2000 m. PBDE mass fluxes were 20.9 and 14.2 ng/m2/day or 68.2 and 75.9 ng/m2/year at deep-water 2000 and 3500 m, respectively. This study first investigated POP levels in oceanic deep-water-deposited particles from existing global data.

4.
Curr Neurovasc Res ; 20(3): 390-398, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37526184

RESUMEN

BACKGROUND: The association between baseline red blood cell distribution width (RDW) and hemoglobin levels and outcomes after acute intracerebral hemorrhage (ICH) is not well studied. We aimed to investigate the association between baseline RDW and hemoglobin levels with early hematoma expansion (HE) and mortality at 3 months and 1 year in acute ICH patients. METHODS: A total of 393 ICH patients from January 2014 to February 2019 were included. Patients were divided into four groups based on quartiles of RDW and hemoglobin levels at admission, respectively. Logistic regression models were used to estimate the effect of the levels of RDW and hemoglobin on early HE (absolute hematoma growth >6 mL from baseline to follow-up) and allcaused mortality at 3 months and 1 year. RESULTS: There were no significant associations between baseline RDW and hemoglobin levels and early HE. The 3-month mortality (adjusted odds ratio [OR] 2.88; 95% confidence intervals [CI] 0.96-8.64) and 1-year mortality (adjusted OR 3.16, 95% CI 1.08-9.21) was significantly higher in patients with the highest RDW level (Q4) compared to those with the lowest RDW level (Q1). Moreover, patients with the lowest hemoglobin level were significantly associated with increased odds of all-cause mortality at 3-month (adjusted OR 3.95, 95% CI 1.26-12.4) and 1-year (adjusted OR 4.42, 95% CI 1.56-12.5) compared to those with highest hemoglobin level. CONCLUSION: In patients with acute ICH, a higher level of RDW at admission significantly increased the risk of all-cause mortality at 1 year. Moreover, a decreased hemoglobin level at admission was also associated with a higher risk of all-cause mortality at 3 months and 1 year.


Asunto(s)
Hemorragia Cerebral , Hemoglobinas , Humanos , Pronóstico , Hemorragia Cerebral/diagnóstico , Hemorragia Cerebral/complicaciones , Eritrocitos , Hematoma , Estudios Retrospectivos
6.
Environ Technol ; 44(8): 1190-1200, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34694956

RESUMEN

The concentrations level and distribution of 16 US EPA polycyclic aromatic hydrocarbon (PAHs) from the water treatment plant (WTP), sewage treatment plant (STP), and industrial water treatment plant (ITP) sludge in Taiwan were determined and then assessed the sources, and potential toxicity (carcinogenic polycyclic aromatic hydrocarbons [CPAHs] and toxic BaP equivalent [TEQ]). Results indicated that the total concentrations of PAHs ranged between 58 and 16,436 µg/kg dw. Among the 17 samples, the 2-4 ring of total PAHs were the predominant compound in three kinds of treatment plant (> 60%). Especially, ITP1 owns 95.8% of 2-4 ring of total PAHs and ITP3 owns 54% of five- and six-ring of total PAHs. The molecular indices and principal component analysis (PCA) were used to determine the source contributions, with the results showing that the contributions of combustion/grass, coal or wood combustion and combustion/ liquid (oil) fossil fuel combustion. A PAH toxicity indicated by TEQ was 2.5-506 µg TEQ/g dw. Although, the results indicated that these were not recommended for land applications, but analyses are beneficial to develop effective management strategies for controlling PAH discharge in treatment plants and establishing strategies for its reuse in managing pollutants.


Asunto(s)
Hidrocarburos Policíclicos Aromáticos , Hidrocarburos Policíclicos Aromáticos/análisis , Aguas del Alcantarillado/análisis , Taiwán , Madera/química , Carbón Mineral/análisis , Monitoreo del Ambiente , China , Medición de Riesgo
7.
Environ Sci Pollut Res Int ; 30(5): 13359-13371, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36129655

RESUMEN

The motorcycles are unignorable near-ground pollutant emission sources that increase the human exposure in the dense area. However, the information of the polycyclic aromatic hydrocarbons (PAHs) emissions under different scenarios of engine and emission control for motorcycle is limited. This study focused on the PAH emissions from two fuel-injection types of motorcycles, including the premixed fuel-injection (PFi) with carburetor and electronic fuel-injection (EFi). Specifically, the effects of throttle opening (TO), secondary air system (SAS), oxygen sensor (OS), oxidation catalytic converter (OCC), and three-way catalytic converter (TWC) on PAH emissions are investigated. Results show that the PAH emission concentrations increase 227-727%, 351-492%, and 155-408% by the increasing TO ratio, unworking SAS, and OS units in both motorcycles. For the PFi engine, the OCC unit is found to be more effective in PAH control (31-89%) than the SAS system (72-80%), especially under low TO operation. For the EFi engine which dominates the motorcycle market recently, the oxygen sensor for more accurate combustion control shows a better PAH reduction (36-76%) than TWC system (21-66%). The ultra-fine particulate phase PAHs, which is hardly removed by catalyst, needs to be further considered. Moreover, the total PAH emission level of the EFi engine is still about ten times higher than that of the PFi. By the annual emission calculation for three densely populated countries, the recent evolution significantly reduces the annual hydrocarbon (HC), carbon monoxide (CO), and nitrogen oxide (NOx) emissions but have unignorable PAH emissions. These emissions continuously affect the human health in the near-ground urban air and need to be considered in the next generation of motorcycle design.


Asunto(s)
Contaminantes Atmosféricos , Humanos , Contaminantes Atmosféricos/análisis , Motocicletas , Emisiones de Vehículos/análisis , Monóxido de Carbono/análisis , Oxígeno , Gasolina
8.
Sci Rep ; 12(1): 790, 2022 01 17.
Artículo en Inglés | MEDLINE | ID: mdl-35039543

RESUMEN

This study aims to assess the metal fume exposure of welders and to determine exposure rates for similar exposure groups in a shipyard through the use of Near-field/Far-field (NF/FF) mathematical model and Bayesian decision analysis (BDA) technique. Emission rates of various metal fumes (i.e., total chromium (Cr), iron (Fe), lead (Pb), manganese (Mn), and nickel (Ni)) were experimentally determined for the gas metal arc welding and flux cored arc welding processes, which are commonly used in shipyards. Then the NF/FF field model which used the emission rates were further validated by welding simulation experiment, and together with long-term operation condition data obtained from the investigated shipyard, the predicted long-term exposure concentrations of workers was established and used as the prior distribution in the BDA. Along with the field monitoring metal fume concentrations which served as the likelihood distribution, the posterior decision distributions in the BDA were determined and used to assess workers' long-term metal exposures. Results show that the predicted exposure concentrations (Cp) and the field worker's exposure concentrations (Cm) were statistically correlated, and the high R2 (= 0.81-0.94) indicates that the proposed surrogate predicting method by the NF and FF model was adequate for predicting metal fume concentrations. The consistency in both prior and likelihood distributions suggests the resultant posterior would be more feasible to assess workers' long-term exposures. Welders' Fe, Mn and Pb exposures were found to exceed their corresponding action levels with a high probability (= 54%), indicating preventive measures should be taken immediately. The proposed approach provides a universal solution for conducting exposure assessment with usual limited number of personal exposure data.


Asunto(s)
Contaminantes Ocupacionales del Aire/efectos adversos , Contaminantes Ocupacionales del Aire/análisis , Gases/efectos adversos , Gases/análisis , Metalurgia , Metales/efectos adversos , Metales/análisis , Modelos Teóricos , Exposición Profesional/efectos adversos , Exposición Profesional/análisis , Salud Laboral , Navíos , Soldadura , Teorema de Bayes , Humanos , Factores de Tiempo
9.
Sci Total Environ ; 821: 153459, 2022 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-35093351

RESUMEN

This study experimentally examines the effects of four diesel-gas co-fuels, two engine loads and an aftertreatment on regulated and unregulated emissions from a 6-cylinder natural-aspirated direct-injection heavy-duty diesel engine (HDDE) with an engine dynamometer. Fuel energy of ultra-low-sulfur diesel was substituted with 10% and 20% of gas fuels, including pure H2, CH4, and two CH4-CO2 blends. The particle number size distributions of volatile and nonvolatile nanoparticles were measured under ambient temperature and after 300 °C heating, respectively. The results show that the gas fuels caused increases of hydrocarbon emission, slight changes of NOx emission, and decreases of opacity. All four gas fuels resulted in elevated emissions of both volatile and nonvolatile nanoparticles at 25% and 75% load, in the range of 29% to 390%. The increased emissions of volatile nanoparticles were variable and without obvious trends. Special attentions should be given to the addition of H2 under high load, during which significant increases of volatile nanoparticles could be formed not only post-combustion (up to 1376%), but also post-diesel oxidation catalyst plus diesel particulate filter (DOC + DPF). The nonvolatile nanoparticles, on the other hand, could be effectively removed by the retrofitted DOC + DPF, with efficiency >98.2%. A noteworthy fraction of solid particles of sizes <23 nm were found in the exhaust, not being accounted for by current regulatory emission standard.


Asunto(s)
Contaminantes Atmosféricos , Nanopartículas , Carrera , Contaminantes Atmosféricos/análisis , Gasolina/análisis , Material Particulado/análisis , Emisiones de Vehículos/análisis
10.
J Hazard Mater ; 420: 126658, 2021 10 15.
Artículo en Inglés | MEDLINE | ID: mdl-34329087

RESUMEN

Microplastic (MP) pellets were sampled from six sandy beaches around Taiwan in order to investigate the concentrations and compositions of POPs, including: PCDD/Fs, PBDD/Fs, PBDEs, PCBs, PBBs, and their congeners. The concentrations of PCDD/Fs on the surface (Cs) of MP pellets from the six sampling sites were from 1.9 to 14.6 pg∙g-1, while the overall concentrations within MPs (Ct) were from 95.0 to 1110.6 pg∙g-1. As PCDD/Fs were adsorbed into the inner part of MPs, a ratio of the total concentrations to surficial concentration of MPs (Ct/Cs) was as high as 355.2 times. The Ct/Cs of other POPs were also significant, such as PBDEs being found up to 8068 times, which could be attributed to artificial addition during manufacturing processes as flame-retardant substances. Primary compositions of PCDD/Fs, PBDD/Fs, and PBDEs on the MPs in our POP congener analysis were all found containing species with higher number of chlorine or bromine, which were adsorbed on the MP surface more easily due to their relative higher KOW.


Asunto(s)
Bifenilos Policlorados , Dibenzodioxinas Policloradas , Dibenzofuranos , Dibenzofuranos Policlorados/análisis , Monitoreo del Ambiente , Éteres Difenilos Halogenados/análisis , Microplásticos , Contaminantes Orgánicos Persistentes , Plásticos , Bifenilos Policlorados/análisis , Dibenzodioxinas Policloradas/análisis
11.
Expert Rev Respir Med ; 15(8): 1083-1088, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-33787428

RESUMEN

OBJECTIVE: This study explored the change in mortality rates of respiratory disease during the corona virus disease 2019 (COVID-19) pandemic. METHODS: Death data of registered residents of Suzhou from 2014 to 2020 were collected and the weekly mortality rates due to respiratory disease and all deaths were analyzed. The differences in mortality rates during the pandemic and the same period in previous years were compared. RESULTS: Before the pandemic, the crude mortality rate (CMR) and standardized mortality rate (SMR) of Suzhou residents including respiratory disease, were not much different from those in previous years. During the emergency period, the CMR of Suzhou residents was 180.2/100,000 and the SMR was 85.5/100,000, decreasing by 9.1% and 14.6%, respectively; the CMR of respiratory disease was 16.4/100,000 and the SMR was 6.8/100,000, down 41.4% and 44.9%, respectively. Regardless of the mortality rates of all deaths or respiratory disease, the rates were higher in males than in females, although males had aslightly greater decrease in all deaths during the emergency period compared with females, and the opposite was true for respiratory disease. CONCLUSION: During the pandemic, the death rate of residents decreased, especially that due to respiratory disease.


Asunto(s)
COVID-19 , Trastornos Respiratorios , Femenino , Humanos , Masculino , Pandemias , SARS-CoV-2
12.
Environ Pollut ; 267: 115469, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32866860

RESUMEN

A typical two-day start-up of municipal solid waste incinerators (MSWIs) can yield polychlorinated dibenzo-p-dioxin and dibenzofuran (PCDD/F) and polychlorinated biphenyl (PCB) emission quantities around 10 times higher than those from an entire year of normal operations, as measured in this study. Thus, we tested specific control strategies for inhibiting the formation of chlorinated persistent organic pollutants (Cl-POPs), namely, extensively cleaning the ash accumulated beneath the furnace bed of the combustion chamber and deposited on the walls of the superheater and economizer and shortening the residence time of the flue gas in the optimal temperature window for Cl-POP formation. Also, we advanced the injection times of the activated carbon and lime slurry to lower Cl-POP emissions during start-up. Our findings show that these strategies were highly effective and reduced the Cl-POP emissions by > 98%, most of which (96.4-98.2%) was attributable to inhibiting formation. In summary, the proposed control strategies require no modifications to existing air pollution control devices, have little influence on operational cost, and are effective and feasible for the majority of MSWIs.


Asunto(s)
Contaminantes Atmosféricos , Contaminantes Ambientales , Dibenzodioxinas Policloradas , Contaminantes Atmosféricos/análisis , Dibenzofuranos Policlorados/análisis , Monitoreo del Ambiente , Incineración , Dibenzodioxinas Policloradas/análisis , Residuos Sólidos
13.
J Environ Sci (China) ; 92: 245-255, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32430127

RESUMEN

Volatile organic compounds (VOCs) are the important precursors of the tropospheric ozone (O3) and secondary organic aerosols (SOA), both of which are known to harm human health and disrupt the earth's climate system. In this study, VOC emission factors, O3 and SOA formation potentials were estimated for two types of industrial boilers: coal-fired boilers (n = 3) and oil-fired boilers (n = 3). Results showed that ∑VOCs concentrations were more than nine times higher for oil-fired boilers compared to those for coal-fired boilers. Emission factors of ∑VOCs were found to be higher for oil-fired boilers (9.26-32.83 mg-VOC/kg) than for coal-fired boilers (1.57-4.13 mg-VOC/kg). Alkanes and aromatics were obtained as the most abundant groups in coal-fired boilers, while oxygenated organics and aromatics were the most contributing groups in oil-fired boilers. Benzene, n-hexane and o-ethyl toluene were the abundant VOC species in coal-fired boiler emissions, whereas toluene was the most abundant VOC species emitted from oil-fired boilers. O3 and SOA formation potentials were found 12 and 18 times, respectively, higher for oil-fired than for coal-fired boilers. Total OFP ranged from 3.99 to 11.39 mg-O3/kg for coal-fired boilers. For oil-fired boilers, total OFP ranged from 36.16 to 131.93 mg-O3/kg. Moreover, total secondary organic aerosol potential (SOAP) ranged from 65.4 to 122.5 mg-SOA/kg and 779.9 to 2252.5 mg-SOA/kg for the coal-fired and oil-fired boilers, respectively.


Asunto(s)
Contaminantes Atmosféricos/análisis , Ozono/análisis , Compuestos Orgánicos Volátiles/análisis , Aerosoles/análisis , China , Carbón Mineral , Monitoreo del Ambiente , Humanos
14.
Chemosphere ; 235: 726-733, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31279123

RESUMEN

As yet, the effect of biodiesels on the emissions of polycyclic aromatic hydrocarbons (PAHs) and polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) from heavy-duty diesel engines (HDDEs) has only been studied using limited fuel blend ratios. To clarify the influence of using higher fractions of biodiesel on the emissions of toxic organic pollutants from diesel engines, in this research, the emissions of PM, PAHs, and persistent organic pollutants (POPs) from EURO IV and EURO III HDDEs fueled by low to high waste cooking oil (WCO)-based biodiesel-petrodiesel fuel blends were studied, including D100 (0% biodiesel), B20 (20%), B40 (40%), B60 (60%), B80 (80%), and B100 (100%). The engines were tested according to the US FTP-75 test procedure. The results for the EURO IV diesel engine showed that the PM and toxic organic pollutant emissions were reduced with increases in the blending ratio up until the B60 scenario when compared to the D100 scenario. This is because biodiesel has higher oxygen content and no or lower aromatic content than petrodiesel. Nevertheless, during the B80 and B100 scenarios, the PM and toxic organic pollutant emissions increased due to the high viscosity property of biodiesel, which negatively affected the combustion process. The biodiesel effect on the emissions from EURO III engine was more pronounced because of its lower combustion efficiency, and therefore the improvement in combustion using biodiesel resulted in greater PCDD/F reductions.


Asunto(s)
Contaminantes Atmosféricos/análisis , Biocombustibles/análisis , Emisiones de Vehículos/análisis , Culinaria , Dibenzofuranos , Contaminantes Ambientales , Gasolina/análisis , Dibenzodioxinas Policloradas/análisis , Hidrocarburos Policíclicos Aromáticos/análisis
15.
Asia Pac J Public Health ; 30(1): 75-84, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-29446327

RESUMEN

This study was designed to estimate the contribution of age- and disease-specific mortality, particularly that attributable to chronic noncommunicable diseases and at-birth life expectancy (LE) in Suzhou, East China, between 2006 and 2015. In total, data on 427 290 deaths were analyzed. From 2006 to 2015, the at-birth LE increased from 78.92 years to 82.87 years in Suzhou. A decrease in all-cause age-specific death rates contributed to an increase of 1.98 years. The decreased death rates attributable to noncommunicable diseases including cerebrovascular diseases, cancer, heart disease, and respiratory diseases resulted in an increased LE of 1.37 years, which was particularly pronounced among people aged 65 years and older. However, the prevalence of cancer in those aged 45 to 74 years, particularly gastric, liver, and esophageal cancers, contributed the most to the increase in LE. These data may be useful for public health communications.


Asunto(s)
Esperanza de Vida/tendencias , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Causas de Muerte , Niño , Preescolar , China/epidemiología , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Adulto Joven
16.
Clin Chim Acta ; 480: 220-224, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29476733

RESUMEN

BACKGROUND: Little is known about the relationship between C-reactive protein (CRP) and long-term mortality after acute myocardial infarction (AMI) in diabetic patients. The current study aimed to examine whether CRP levels are associated with for long-term all-cause, cardiovascular, and cardiac mortality in AMI patients with diabetes and those without separately. METHODS: The cohort study included 663 diabetic and 1853 non-diabetic patients with AMI. The median follow-up time was 1045 days (2.9 years). RESULTS: According to the median concentration of serum CRP (8.95 mg/l), the patients were divided into two groups. The low CRP level group (<8.95 mg/l) served as a reference. In diabetic patients with AMI, the adjusted hazard ratios (HRs) for long-term all-cause, cardiovascular, and cardiac mortality were 1.62 (P = 0.027), 1.91 (P = 0.008), and 2.08 (P = 0.007), respectively. In non-diabetic patients with AMI, the adjusted hazard ratios (HRs) for long-term all-cause, cardiovascular, and cardiac mortality were 1.72 (P < 0.001), 1.8 (P < 0.001), and 1.78 (P = 0.001), respectively. CONCLUSIONS: Regardless of whether patients had diabetes or not, CRP value is an independent predictor of long-term, all-cause, cardiovascular, and cardiac mortality after AMI.


Asunto(s)
Proteína C-Reactiva/análisis , Diabetes Mellitus/sangre , Infarto del Miocardio/sangre , Enfermedad Aguda , Anciano , Estudios de Cohortes , Diabetes Mellitus/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/diagnóstico , Tasa de Supervivencia
17.
Clin Chim Acta ; 477: 89-93, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29241048

RESUMEN

BACKGROUND: To evaluate the association of serum albumin (SA) with long-term all-cause, cardiovascular, and cardiac mortality in patients with first-onset acute myocardial infarction (AMI). METHODS: The cohort study enrolled 2305 patients with first-onset AMI. The median follow-up was of 1088days (3years). Impacts of SA on long-time mortality after AMI were determined using multivariate Cox proportional hazard regression analysis with backward selection. RESULTS: The patients were divided into three categories by SA tertiles (≤3.62, 3.63-4.08, >4.08g/dl). High tertile group was used as reference, the adjusted HRs for all-cause death were 1.21 (P=0.338) and 1.74 (P=0.003) for intermediate and low tertile, respectively (p-for-trend=0.001); The equivalent values for cardiovascular death were 1.13 (P=0.588) and 1.64 (P=0.022), respectively (p-for-trend=0.009); The corresponding values for cardiac death were 1.07 (P=0.806) and 1.59 (P=0.048), respectively (p-for-trend=0.022). Moreover, adjusted HRs per 1-g/dl decrease in SA concentrations were 1.66 (P=0.001) for all-cause death, 1.47 (P=0.024) for cardiovascular death, and 1.61 (P=0.012) for cardiac death. CONCLUSIONS: Low SA level (≤3.62g/dl) on admission was an independent predictor of long-term all-cause, cardiovascular, and cardiac mortality in patients with first-onset AMI. There was a dose-response relationship between decreased SA concentrations and increased long-term all-cause, cardiovascular, and cardiac mortality.


Asunto(s)
Enfermedades Cardiovasculares/diagnóstico , Enfermedades Cardiovasculares/mortalidad , Causas de Muerte , Infarto del Miocardio/diagnóstico , Infarto del Miocardio/mortalidad , Albúmina Sérica/análisis , Enfermedad Aguda , Anciano , Enfermedades Cardiovasculares/sangre , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/sangre , Factores de Tiempo
18.
J Hazard Mater ; 339: 274-280, 2017 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-28658636

RESUMEN

Few studies have been performed up to now on the emission factors and congener profiles of persistent organic pollutants (POPs) emitted from off-road diesel engines. This investigation elucidates the emission factors and congener profiles of various POPs, namely polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), polychlorinated biphenyl (PCBs), polybrominated dibenzo-p-dioxins and polybrominated dibenzofurans (PBDD/Fs) and polybrominated diphenyl ethers (PBDEs), in the exhausts of a diesel generator fueled with different waste cooking oil-based biodiesel (WCO-based biodiesel) blends. The PCDD/Fs contributed 87.2% of total dioxin-like toxicity (PCDD/Fs+PCBs+PBDD/Fs) in the exhaust, while the PCBs and PBDD/Fs only contributed 8.2% and 4.6%, respectively. Compared with petroleum diesel, B20 (20vol% WCO-based biodiesel+80vol% diesel) reduced total toxicity by 46.5% for PCDD/Fs, 47.1% for PCBs, and 24.5% for PBDD/Fs, while B40 (40vol% WCO-based biodiesel+60vol% diesel) reduced it by 89.5% for PCDD/Fs, 57.1% for PCBs, and 63.2% for PBDD/Fs in POP emission factors. The use of WCO-based biodiesel not only solves the problem of waste oil disposal, but also lowers POP emissions from diesel generators.


Asunto(s)
Contaminantes Atmosféricos/análisis , Biocombustibles , Dibenzofuranos Policlorados/análisis , Éteres Difenilos Halogenados/análisis , Bifenilos Policlorados/análisis , Dibenzodioxinas Policloradas/análisis , Culinaria , Gasolina , Residuos
19.
Environ Pollut ; 216: 924-934, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27400905

RESUMEN

Persistent organic pollutants (POPs), including polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), polychlorinated biphenyls (PCBs), polybrominated dibenzo-p-dioxins and dibenzofurans (PBDD/Fs), polybrominated biphenyls (PBBs), and polybrominated diphenyl ethers (PBDEs), have been identified in penguins, lichens, soils, and ornithogenic soils in the Antarctic coastal environment in this study. To the best of our knowledge, no previous study has reported PBDD/F and PBB data from Antarctica. The POP mass contents in penguins were in the following order: PCBs >> PBDEs >> PCDD/Fs; PCBs were the dominant pollutants (6310-144,000 pg/g-lipid), with World Health Organization toxic equivalency values being 2-14 times higher than those of PCDD/Fs. Long-range atmospheric transport is the most primary route by which POPs travel to Antarctica; however, local sources, such as research activities and penguin colonies, also influence POP distribution in the local Antarctic environment. In penguins, the biomagnification factor (BMF) of PCBs was 61.3-3760, considerably higher than that for other POPs. According to BMF data in Adélie penguins, hydrophobic PBDE congeners were more biomagnified at log Kow > 6, and levels decreased at log Kow > 7.5 because larger molecular sizes inhibited transfer across cell membranes.


Asunto(s)
Dibenzofuranos Policlorados/análisis , Monitoreo del Ambiente/métodos , Contaminantes Ambientales/análisis , Éteres Difenilos Halogenados/análisis , Bifenilos Policlorados/análisis , Dibenzodioxinas Policloradas/análisis , Spheniscidae/metabolismo , Animales , Regiones Antárticas , Dibenzofuranos Policlorados/farmacocinética , Contaminantes Ambientales/farmacocinética , Éteres Difenilos Halogenados/farmacocinética , Humanos , Bifenilos Policlorados/farmacocinética , Dibenzodioxinas Policloradas/farmacocinética , Suelo/química
20.
J Hazard Mater ; 299: 206-14, 2015 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-26124066

RESUMEN

This study examines the emissions of polychlorinated diphenyl ethers (PCDEs) during the start-up processes of a municipal solid waste incinerator (MSWI). Both normal and modified emission control start-ups were tested. Fifteen samples were taken from the flue gas with increasing furnace temperature. Peak PCDE concentrations of 1.48-10.3 ng/Nm(3) were observed at 8-11 h after the start of combustion, when the furnace temperature was in the range of 267-440 °C, that also needed for PCDD/F formation by de novo synthesis. The PCDE emissions could thus, be reduced by current control techniques. Furthermore, the modified control strategies inhibited PCDE formation at the beginning of combustion, and led to an 86% reduction in the maximum PCDE concentration. The overall start-up emissions were calculated as 1.01-3.08 mg, while the annual PCDE emissions with one start-up operation were found to be 7.48-9.64 mg. However, total PCDE emissions will increase by 12-69% if the number of start-up runs increases to between two and eight times per year. Consequently, the prevention of the unnecessary start-ups and advanced activation of the related emission control system are both efficient ways to reduce PCDE emissions.

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