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1.
Zhongguo Zhong Yao Za Zhi ; 48(16): 4508-4520, 2023 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-37802877

RESUMO

This study reviewed the current status of the use of outcome indicators in randomized controlled trial(RCT) on traditional Chinese medicine(TCM) treatment of microvascular angina(MVA) and analyzed the existing problems and possible solutions, aiming to provide a basis for the design of high-quality RCT and the establishment of core outcome sets for MVA. CNKI, Wanfang, VIP, SinoMed, PubMed, EMbase, Cochrane Library, Web of Science, and 2 clinical trial registries were searched for the RCT on TCM treatment of MVA according to pre-defined criteria. The Cochrane's risk of bias assessment tool was used to evaluate the methodological quality of the included RCT and the use of outcome indicators was summarized. A total of 69 RCTs were included, from which 100 outcome indicators were extracted, with the frequency of 430. The extracted outcome indicators belonged to 8 domains: response rate, symptoms and signs, physical and chemical examinations, TCM efficacy, safety, quality of life, economic evaluation, and long-term prognosis. The indicators of physical and chemical examinations were the most(70 indicators with the frequency of 211), followed by those of response rate(7 indicators with the frequency of 73) and symptoms and signs(7 indicators with the frequency of 54). The outcome indicators with higher frequency were adverse reactions, angina attack frequency, clinical efficacy, endothelin-1, total duration of treadmill exercise, and hypersensitive C-reactive protein. The RCT on TCM treatment of MVA had the following problems: irregular reporting of adverse reactions, diverse indicators with low frequency, lack of attention to the application of endpoint indicators, insufficient use of TCM differentiation and efficacy indicators, non-standard evaluation criteria and failure to reflect the basic characteristics of TCM. A unified MVA syndrome differentiation standard should be established, on the basis of which an MVA treatment efficacy evaluation system and core outcome indicator set that highlights the characteristics of TCM with patient-reported outcomes as the starting point should be established to improve the clinical research and research value.


Assuntos
Medicamentos de Ervas Chinesas , Angina Microvascular , Humanos , Medicina Tradicional Chinesa , Medicamentos de Ervas Chinesas/efeitos adversos , Angina Microvascular/tratamento farmacológico , Qualidade de Vida , Fitoterapia , Resultado do Tratamento
2.
Front Vet Sci ; 10: 1202811, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37671282

RESUMO

Introduction: Fluctuation in pork prices has always been a focus of academic attention. This paper examines the impact of double external shocks on pork prices, to provide reference for the impact of future outbreaks on the pork market. Methods: This paper constructs a natural experiment based on the time and regional differences in the occurrence of the epidemics. Double difference models and triple difference models are used to identify the impacts of African swine fever and COVID-19 on Chinese pork prices. Results: The results found that both African swine fever and COVID-19 positively affected pork prices, but African swine fever had a greater degree of impact; before the COVID-19 epidemic, African swine fever caused a more significant increase in pork prices; the impact of a single African swine fever shock was greater than the double shocks. Discussion: The COVID-19 epidemic may have curbed the further increase in pork prices, due to the decreased market consumption demand caused by the epidemic.

3.
BMC Health Serv Res ; 23(1): 737, 2023 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-37422663

RESUMO

OBJECTIVES: Vaccination is an important part of public health services. We aim to assess the efficiency of vaccination services in Beijing, the capital of China, and to further study the influencing factors of efficiency. METHODS: Using the immunization service data of Beijing, China in 2020, we firstly developed a data envelopment analysis (DEA) model to calculate the score of vaccination efficiency. Secondly, we used DEA model scenario simulations with different combinations of input-output factors to derive the magnitude of the effect of each input factor on the efficiency. Finally, combined with the data from the Beijing Regional Statistical Yearbook 2021, we developed the Tobit model to examine the effect of external social environmental factors on efficiency. RESULTS: The average scores of efficiency of POVs (Point of Vaccination) in different areas of Beijing vary greatly. Different input factors had different degrees of positive effects on the efficiency score. In addition, the number of populations served by POV was positively associated with efficiency, the GDP and financial allocation of the POVs' district was also positively associated with efficiency score, while the total dependency ratio of the POVs' district was negatively associated with efficiency score. CONCLUSION: The efficiency of vaccination services varied considerably across POVs. Constrained by limited resources, efficiency scores can be increased by increasing input factors that have a larger impact on efficiency score and reducing those that have a smaller impact on efficiency. In addition, the social environment should be considered in allocating vaccination resources, and more resources should be invested in areas with low levels of economic development, low financial allocation, and high population.


Assuntos
Eficiência Organizacional , Eficiência , Humanos , Pequim , China
4.
Huan Jing Ke Xue ; 43(10): 4601-4612, 2022 Oct 08.
Artigo em Chinês | MEDLINE | ID: mdl-36224145

RESUMO

The speciation of heavy metals was analyzed using modified BCR four-step extraction methods to analyze the pollution of heavy metals in surface sediments collected from the mangrove wetland in Jiulong River Estuary. Subsequently, the pollution degree and the ecological risk of heavy metals were evaluated by using the ratio of secondary phase to primary phase (RSP), risk assessment code (RAC), and modified potential ecological risk index (MRI) assessment methods. The results of BCR four-step extraction showed that Cd (52.55%) and Mn (47.71%) mainly existed in weak-acid extractable fractions. Pb, Y, and Cu mainly existed in reducible and oxidizable fractions. Ba, Tl, V, Th, Cr, As, U, Hg, Ni, Zn, and Co mainly existed in residue fractions. The results of RSP showed that the sediments were heavily polluted by Cd and Mn and moderately polluted by Pb. Cu, Y, and Co were slightly polluted, whereas Zn, Hg, As, U, Ni, Cr, Th, V, Ba, and Tl were not polluted. The results of RAC showed that Cd and Mn were high risk, whereas Co and Zn were moderate risk. Ni, Cu, Hg, and Y were slight risk, and the other elements (U, As, Pb, Cr, V, Tl, Ba, and Th) presented no risk. The MRI results showed that the comprehensive potential ecological risk of heavy metals was serious in the surface sediments, whereas Hg and Cd were the main contribution factors. Hg was a serious potential hazard, followed by Cd. Tl was a medium potential hazard, and the other elements were low potential hazards. These results demonstrated that the mangroves were polluted by heavy metals in Jiulong River Estuary, and effective strategies should be employed to remediate the mangrove sediment in the future.


Assuntos
Mercúrio , Metais Pesados , Poluentes Químicos da Água , Cádmio , China , Monitoramento Ambiental/métodos , Estuários , Sedimentos Geológicos/química , Chumbo , Metais Pesados/análise , Medição de Risco , Rios/química , Poluentes Químicos da Água/análise
5.
J Am Med Dir Assoc ; 23(12): 1984.e1-1984.e8, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-35952721

RESUMO

OBJECTIVES: Subjective health measures are often used to assess frailty, but the validity of self-reported online tools to identify frailty remains to be established. We aimed to assess concurrent, known-groups, convergent and predictive validity of the Centre of Excellence on Longevity Self-AdMinistered (CESAM) questionnaire for frailty assessment of older adults in an outpatient setting. DESIGN: Cross-sectional analysis of 120 participants. SETTING AND PARTICIPANTS: Participants of age ≥65 were recruited from an outpatient geriatric clinic. Individuals who had severe neurological, cognitive, or motor deficits were excluded. METHODS: We assessed concurrent validity with area under receiver operating characteristic curve (AUC) against the Frailty Index (FI) and Clinical Frailty Scale (CFS). We analyzed known-groups validity between CESAM scores with frailty status (CFS and FI), Modified Barthel Index (MBI), and modified Chinese Mini-Mental State Examination (mCMMSE) using 1-way analysis of variance. We evaluated convergent validity using correlations with MBI, the Lawton index, mCMMSE, and Geriatric Depression Scale (GDS). Associations between CESAM-identified frailty for clinician-diagnosed geriatric syndromes, and health-related quality of life (HRQoL) was analyzed using regression analysis. RESULTS: The CESAM questionnaire demonstrated excellent diagnostic performance for frailty using FI ≥0.25 (AUC = 0.88; 95% CI: 0.82-0.94; P < .001) and CFS ≥4 (AUC = 0.78; 95% CI: 0.68-0.88; P < .001). CESAM scores increased significantly with increasing frailty (both CFS and FI), lower MBI, and lower mCMMSE scores (all P < .001), indicating concurrent validity. The moderate-good correlation of CESAM scores with MBI (r = -0.61; P < 0.001), Lawton Index (r = -0.54; P < .001), mCMMSE (r = -0.53; P < .001) and GDS (r = 0.58; P < .001) supports convergent validity. Using a cutoff of ≥8 for frailty identification, CESAM-identified frailty was associated with cognitive impairment (OR = 3.7; 95% CI: 1.7-8.2; P = .001) depression (OR = 4.0; 95% CI: 1.7-9.6; P = .002), falls (OR = 3.1; 95% CI: 1.2-8.2; P = .021) and poorer HRQoL (ß = -0.1; 95% CI: -0.2 to -0.02; P = .017). CONCLUSION AND IMPLICATIONS: Our results support the validity of an online self-reported tool to identify frailty and geriatric syndromes in an outpatient setting, an approach that is potentially applicable for remote screening of frailty.


Assuntos
Qualidade de Vida , Humanos , Idoso , Autorrelato , Síndrome , Estudos Transversais
6.
Comput Intell Neurosci ; 2022: 5491677, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35685159

RESUMO

In this study, multidimensional collaborative management of the modern environmental economy is proposed for strategic management, distribution management, service quality management, and warehouse management, which the modern environmental economy enterprises face under the internet-of-things environment. This study studies the law of multidimensional coordination of environmental economy and puts forward the classification of the modern multidimensional coordination of environmental economy. The multidimensional synergetic-order parameter equation of the modern environmental economic system is constructed, and the information synergy is the order parameter of the environmental economic system by accurate elimination method, and the fluctuation and balance of the environmental economic system are accurately controlled by the order parameter. By using structural equation modeling and other quantitative research methods, the corresponding planning and decision-making mathematical model is established, which provides relevant support for the realization of informatization and intelligentization of multidimensional collaborative management of the environment and economy. An incentive internal management collaboration model based on right of entry is proposed. Aiming at the problem of multidimensional environmental economic management coordination, a dynamic multidimensional environmental economic coordination management algorithm was designed by using the decomposition method, and the effectiveness of the algorithm was verified by numerical experiments.


Assuntos
Meio Ambiente , Modelos Teóricos , Internet
7.
Environ Sci Pollut Res Int ; 29(51): 76983-76991, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35672643

RESUMO

Microplastics can act as carriers of heavy metals and may enter humans through ingestion and threaten human health. However, the bioaccessibility of heavy metals associated with microplastics and its implications for human health risk assessments are poorly understood. Therefore, in this study, four typical heavy metals (As(V), Cr(VI), Cd(II), and Pb(II)) and one typical microplastic (polyvinyl chloride, PVC) were chosen to estimate the human health risk of microplastic-associated heavy metals by incorporating bioaccessibility. Significant adsorption of heavy metals was observed with the following order for adsorption capacity: Pb(II) > Cr(VI) > Cd(II) > As(V); the efficiencies for desorption of these four heavy metals from PVC microplastics were all below 10%. The Fourier transform infrared spectroscopy results indicated that the functional groups on the surface of the virgin PVC microplastics did not play an important role in the capture process. Heavy metals in both gastric and small intestinal phases were prone to release from PVC microplastics when bioaccessibility was evaluated with the in vitro SBRC (Soluble Bioavailability Research Consortium) digestion model. In addition, Pb(II) bioaccessibility in the gastric phase was significantly higher than those in the other phases, while As(V), Cr(VI), and Cd(II) bioaccessibilities showed the opposite trend. After incorporating bioaccessibility adjustments, the noncarcinogenic hazards and carcinogenic risks determined were lower than those based on total metal contents. The individual hazard quotients (HQ) and carcinogenic risks (CR) for ingestion of these four heavy metals from PVC microplastics were all lower than the threshold values for adults and children. In summary, this study will provide a new view of the human health risks of heavy metals associated with microplastics.


Assuntos
Metais Pesados , Microplásticos , Criança , Adulto , Humanos , Plásticos , Cloreto de Polivinila , Cádmio , Chumbo , Monitoramento Ambiental/métodos , Metais Pesados/análise , Medição de Risco/métodos , Digestão , China
8.
Ecotoxicol Environ Saf ; 228: 112985, 2021 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-34781125

RESUMO

Heavy metals in urban dust could pose noticeable human health risks, but there are few studies focusing on comprehensive human health risk assessment with the incorporation of both bioaccessibility and source apportionment in urban dust. Thus, fifty-eight urban dust samples were collected from kindergartens in Xiamen to analyze the bioaccessibility-based, source-specific health risk of heavy metals (V, Co, Ni, As, Mo, Cr, Mn, Cu, Zn, and Pb). Most heavy metals, except for V and Mn, were significantly enriched in urban dust based on their values of geoaccumulation index (Igeo) and may be influenced by human activities. The oral bioaccessibility values of heavy metals, which were estimated by the Solubility/Bioaccessibility Research Consortium (SBRC) in vitro model, ranged from 1.563% to 76.51%. The source apportionment determined by applying the absolute principal component analysis-multiple linear regression (APCS-MLR) model indicated five main potential sources, coal combustion, traffic and industrial, natural, construction and furniture sources, and unidentified sources, with contributions of 34.09%, 20.72%, 18.72%, 7.597% and 18.87%, respectively, to the accumulation of heavy metals in urban dust. After incorporating bioaccessibility adjustments, lower non-carcinogenic and carcinogenic risks of heavy metals were observed than those based on total metal content, with the mean hazard index (HI) values being less than the threshold value (1) and the mean total carcinogenic risk (TCR) values exceeding the precautionary criterion (10-6) for both adults and children. By combining bioaccessibility-based health risk assessment and source apportionment, traffic and industrial emissions and coal combustion dominated the noncarcinogenic and carcinogenic risks induced by heavy metals in urban dust, respectively. This study is expected to promote the systematic integration of source apportionment and bioaccessibility into health risk estimation for heavy metal contamination in urban dust, thus providing useful implications for better human health protection.

9.
Huan Jing Ke Xue ; 40(4): 1656-1663, 2019 Apr 08.
Artigo em Chinês | MEDLINE | ID: mdl-31087905

RESUMO

In order to understand the sources and health risks of polycyclic aromatic hydrocarbons in the PM2.5 fraction of road dust and soil dust in Nanchang city, PM2.5 samples were collected by a resuspension sampler and the concentrations of sixteen polycyclic aromatic hydrocarbons (PAHs) were detected. The results showed that the ΣPAHs of the road dust ranged from 48.85 to 166.16 µg·kg-1, with a mean of (114.22±39.95) µg·kg-1. The ΣPAHs of the soil dust ranged from 31.05 to 62.92 µg·kg-1 with a mean of (40.79±9.39) µg·kg-1. The PAHs in the PM2.5 fraction of fugitive dust were mainly composed of 4-5 rings. The results of the principal component analysis and multiple linear regression analysis indicated that the PAHs in PM2.5 samples of road dust mainly originated from motor vehicle emissions, coal sources, and oil leakage, with contribution rates of 51.7% and 48.3%, respectively. For children and adult males, the carcinogenic risk values of PAHs in different exposure pathways followed the order dermal contact > ingestion > inhalation, while those for adult females followed the order ingestion > dermal contact > inhalation. For all exposure pathways, the carcinogenic risks of the PAHs to adults were higher than those to children. For all populations, the total carcinogenic risk values of the PAHs were lower than the US EPA recommended carcinogenic risk threshold of 10-6, indicating no carcinogenic risk.


Assuntos
Poeira , Hidrocarbonetos Policíclicos Aromáticos/efeitos adversos , Medição de Risco , Adulto , Carcinógenos/análise , Criança , Cidades , Monitoramento Ambiental , Feminino , Humanos , Masculino , Material Particulado/efeitos adversos
10.
Huan Jing Ke Xue ; 40(1): 453-460, 2019 Jan 08.
Artigo em Chinês | MEDLINE | ID: mdl-30628305

RESUMO

Speciation characteristics of twelve heavy metals in 71 paddy soils from the Jiulong River Basin were analyzed using inductively coupled plasma mass spectrometry (ICP-MS) and the modified BCR protocol. The risk assessment coding method (RAC), ratio of secondary phase and primary phase (RSP), and geoaccumulation index (Igeo) were applied to evaluate the pollution degree of heavy metals in the area. The results show that most of these elements are abundant in the paddy soils and the speciation characteristics of different heavy metals vary. The elements Cd and Mn mainly exist as acid soluble fractions in the soils, with a mean proportion of 46.2% and 35.2%, respectively; Fe and Pb mainly exist as reducible fractions in the soils, with a mean proportion of 64.5% and 41.5%, respectively; and V, Cr, Ni, As, Co, Sr, Zn, and Cu mainly exist as residual fractions in the soils, with a mean proportion of 79.6%, 78.4%, 73.1%, 67.7%, 51.9%, 49.7%, 45.3%, and 38.4%, respectively. The three pollution assessment methods focus on the acid-soluble phase, secondary phase, and total amount of heavy metals, respectively. All have their own application value and disadvantages of incompletion. The comprehensive analysis of these three pollution assessment methods helps to more accurately and comprehensively assess the pollution characteristics of the heavy metals. The results show that the paddy soils are moderately to severely polluted with Cd; the Mn and Sr pollution is mild to severe; the Zn, Pb, Cu, and Co pollution is mild to moderate; the As and Ni pollution is absent or moderate; and V, Fe, and Cr pollution is non-existent or mild.

11.
Huan Jing Ke Xue ; 38(4): 1566-1575, 2017 Apr 08.
Artigo em Chinês | MEDLINE | ID: mdl-29965161

RESUMO

The contents of 8 heavy metal elements (Sr, Ni, Fe, Cr, Cu, Mn, Pb, Zn) and the lead & strontium isotope composition of soil profile of woodland in Quanzhou city were analyzed by AAS and ICP-MS, respectively. A modified BCR four-step sequential extraction procedure was carried out to obtain the speciation fractionation of heavy metals in the soil profile from 4 stations. The results of the heavy metal elements and the speciation fractionation of heavy metals in the soil profile showed that the heavy metal pollution in the woodland in Quanzhou was relatively light, and the main pollution factor was Sr. The non-residue state of Pb was the highest, leading to the highest activity. The result of Nemero comprehensive pollution index showed that Sr in the depth of 0-60 cm was at heavy pollution level. The results of the RSP showed that the activity of Pb was the highest. The results of EF showed that Pb, Sr, Mn and Zn had exogenous sources. Factor analysis showed that the main sources of heavy metals were the compound pollution of agricultural activities, natural resources, and the vehicle exhaust. Composition of Pb isotopic ratios showed that, Pb in soil profile of woodland in Quanzhou was from vehicle exhaust and parent material. The contribution rates of the two sources in the soil profile were calculated by using the two-mixed model. The contribution rates of parent material and vehicle exhaust were 85.14%(62.53%-98.36%) and 14.86%(1.640%-37.47%) on average, respectively. Strontium isotope tracing results showed that the main sources of strontium were also vehicle exhaust and parent material. Coupling both Pb and Sr isotope ratios agreed with the above mentioned results.

12.
Huan Jing Ke Xue ; 38(10): 4061-4070, 2017 Oct 08.
Artigo em Chinês | MEDLINE | ID: mdl-29965188

RESUMO

To determine the spatial-temporal distributions and potential sources of metals in PM2.5 and assess health risks from heavy metals, 348 PM2.5 samples were collected in the Haicang District of Xiamen, China from April 2015 to January 2016. Metals (K, Ca, Na, Mg, Al, Zn, Cu, Fe, Ti, As, V, Mn, Ba, Co) in PM2.5 were detected using an X-ray fluorescence analyzer (XRF). Pollution assessment was performed via enrichment factor calculation and health risk assessment. Potential sources were explored using Pearson's correlation coefficient, principal component analysis, and the HYSPLIT Trajectory Model. Results showed that the total concentration of 14 metal elements contributed to 5.4%-10.6% of PM2.5 during the sampling period. The total concentration of metals was higher in spring and winter than those in summer and autumn. The concentrations were higher in the port and the industrial areas than in residential areas and background locations, in agreement with the seasonal and spatial distribution of PM2.5. The frequency of PM2.5 daily concentrations exceeding the Chinese Ambient Air Quality Standards was higher in the port and residential areas in the summer due to operations at the port and the wind direction. Zn concentration was the highest in the industrial area followed by the background location. Meanwhile, the highest concentration of V was observed in the port area; V concentration in the residential area was high in the summer. These variations in Zn and V indicated that the elements emitted in the polluted areas migrated easily to residential and background areas. K concentrations were the highest in winter and As showed a higher rate of exceeding the standard in winter and spring, indicating that activities, such as biomass burning and coal combustion in the winter severely impacted air quality. The enrichment factors of Cu, Zn, As, Co, Na, and Mn varied considerably, from 67 to 8,449. The total risk level for non-carcinogenic heavy metals (Zn, Cu, Mn) was lower than the average level of risk acceptance (1×10-6 a-1) and Mn contributed 74%-88% of the total risk level of Zn, Cu, and Mn. The combined results of the correlation analysis and the principal component analysis revealed that metals in PM2.5 were mainly came from re-suspension of ground dust, motor vehicle emissions, coal combustion, industrial emissions, and heavy oil combustion, with contributions of 34.5%, 12.5%, 10.6%, and 7.8% respectively. The HYSPLIT Trajectory Model showed that Xiamen was affected by the local air mass in spring, autumn, and winter, but not in summer. Moreover, the rise of PM2.5 in spring and winter was attributed to air masses traveling through the Yangtze River Delta.

13.
Huan Jing Ke Xue ; 38(3): 1010-1017, 2017 Mar 08.
Artigo em Chinês | MEDLINE | ID: mdl-29965571

RESUMO

Total concentrations of 15 metal elements in the surface sediments of Yundang Lagoon in Xiamen were determined using ICP-MS. The fractions were extracted by a modified BCR method. The results indicated that in different areas of Yundang Lagoon, the order of the concentrations of Cd, Cu, Sr, Pb, Zn and U was:outer lagoon > ditch > inner lagoon, the order for Cr, Co, Ni, V, Fe, Li, Rb and Mn was:inner lake > outer lake > ditch. Cu, Zn and Pb were mainly in the reducible phase; Cd was mainly in the acid soluble-extractable and reducible phases; Co, Ni, U, Fe and Mn were mainly in the reducible and residual phases; Li, V, Cr, Rb and Ba were dominated by residual phase. The potential ecological risk of metal elements suggested that V, Cr, Co, Ni, Zn, Cu, Cd and Pb were at a low potential ecological risk level. The results of ratio of secondary phase to primary phase (RSP) assessment indicated that Cu, Cd and Zn showed high pollution level; Pb showed moderate pollution level; Co, Mn, Sr and U were in a low polluted condition; Ni, Fe, Cr, V, Li, Ba and Rb showed no pollution. In general, Yundang Lagoon was in a low potential ecological risk.

14.
World J Gastroenterol ; 22(29): 6663-72, 2016 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-27547009

RESUMO

There are approximately 240 million patients with chronic hepatitis B virus (HBV) infection worldwide. Up to 40% of HBV-infected patients can progress to liver cirrhosis, hepatocellular carcinoma or chronic end-stage liver disease during their lifetime. This, in turn, is responsible for around 650000 deaths annually worldwide. Repeated hepatitis flares may increase the progression of liver fibrosis, making the accurate diagnosis of the stage of liver fibrosis critical in order to make antiviral therapeutic decisions for HBV-infected patients. Liver biopsy remains the "gold standard" for diagnosing liver fibrosis. However, this technique has recently been challenged by the development of several novel noninvasive tests to evaluate liver fibrosis, including serum markers, combined models and imaging techniques. In addition, the cost and accessibility of imaging techniques have been suggested as additional limitations for invasive assessment of liver fibrosis in developing countries. Therefore, a noninvasive assessment model has been suggested to evaluate liver fibrosis, specifically in HBV-infected patients, owing to its high applicability, inter-laboratory reproducibility, wide availability for repeated assays and reasonable cost. The current review aims to present the status of knowledge in this new and exciting field, and to highlight the key points in HBV-infected patients for clinicians.


Assuntos
Hepatite B Crônica/complicações , Cirrose Hepática/etiologia , Alanina Transaminase/sangue , Humanos , Cirrose Hepática/diagnóstico
15.
Medicine (Baltimore) ; 95(22): e3809, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27258519

RESUMO

The objective of this study is to explore the impact of aging and daily physical activities (PA) on muscle mass and muscle strength among community-dwelling people in Taiwan.The design is a cross-sectional study. Setting is a population-based community study.One thousand eight hundred thirty-nine community-dwelling people aged 50 years and older in Taiwan participated in the study.Measurements include demographic characteristics, Charlson Comorbidity Index (CCI) for multimorbidity, mini-nutritional assessment (MNA) for nutritional evaluation, functional autonomy measurement system (SMAF) for functional capacity, Chinese version mini mental state examination (MMSE), 5-item Taiwan Geriatric Depression Scale (TGDS-5), Chinese version of International Physical Activity Questionnaire (IPAQ), height-adjusted skeletal muscle index (SMI) by dual-energy X-ray absorptiometry, handgrip strength, timed 6-m walking test for usual gait speed. Laboratory measurements include testosterone, sex-hormone binding globulin (SHBG), dehydroepiandrosterone sulfate (DHEA-S), insulin-like growth factor-1 (IGF-1), high-sensitivity C-reactive protein (hsCRP), 25-OH vitamin D, and insulin resistance.After adjusted for age, the lowest PA tertile was associated with multimorbidity, poorer functional capacity and nutritional status, more depressive symptoms, lower SMI and lower handgrip strength, and lower free androgen index (FAI) in men. The negative association between PA and low SMI was more significant among subjects aged younger than 65 and the association decreased with older age. For subjects aged younger than 65, moderate daily PA (Q2) group had lower risk of low SMI compared with Q1 participants (OR: 0.62, 95% CI = 0.39-0.98, P = 0.040). For muscle strength, higher daily PA was associated with lower risk of low handgrip strength after age of 65 and the effect was dose-dependent. The effect was attenuated by potential confounders during age 65 to 74, while after age 75, the result was almost unchanged in fully adjusted model (OR = 0.37, 95% CI = 0.18-0.79, P = 0.010).Older age may attenuate the protective effects of higher daily PA on preventing muscle loss, but higher daily PA continues to preserve muscle strength at different age groups, even after the age of 75. The prognostic role of daily PA may be mediated by muscle strength instead of muscle mass among people aged 75 years and older.


Assuntos
Envelhecimento/fisiologia , Exercício Físico/fisiologia , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Absorciometria de Fóton , Idoso , Idoso de 80 Anos ou mais , Pesos e Medidas Corporais , Proteína C-Reativa/análise , Comorbidade , Estudos Transversais , Feminino , Força da Mão , Humanos , Masculino , Pessoa de Meia-Idade , Estado Nutricional , Globulina de Ligação a Hormônio Sexual/análise , Fatores Socioeconômicos , Taiwan , Testosterona/sangue
16.
Huan Jing Ke Xue ; 36(9): 3486-92, 2015 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-26717714

RESUMO

This study aims to investigate the concentrations of organophosphorus pesticides (OPs) in fresh vegetables. A total of Z14 samples from seven types of vegetables were collected from the suburb in Changchun City. The OPs were analyzed by gas chromatography coupled with flame photometric detector (GC-FPD). Target hazard quotients (THQ) were applied to estimate the potential health risk to inhabitants. Results showed that OPs concentrations exceeded the Maximum Residue Limit (MRL) in more than 23. 4% samples, and were not detected in only 7. 9% samples. Detection rates of OPs was as follow in the decreased order: diazinon (82. 2%) > phorate (45. 8%) > dimethoate (29. 4%) > parathion-methyl (27. 6%) > omethoate (23. 8%) > dichlorvos (22. 9%) > fenitrothion (21%) > fenthion (18. 7%) > parathion (18. 2%) > methamidophos (17. 3%) > malathion (12. 1%). The percentages above MRL for leaves were higher than for non-leafy vegetables. The order of percentages of OPs above MRL was as follows: green onion (82. 5%) > radish (37. 5%) > red pepper (17. 2%) > Chinese vegetable (14. 3%) > cucumber (3. 2%) > eggplant (2. 9%) > tomato (0%). 49. 5% vegetables samples showed more than one OP. The average target hazard quotients (ave THQ) were all less than one and the average Hazard Index (ave HI) was 0. 462, so that inhabitants who expose average OP levels may not experience adverse health effects.


Assuntos
Contaminação de Alimentos/análise , Compostos Organofosforados/análise , Resíduos de Praguicidas/análise , Verduras/química , China , Cromatografia Gasosa , Dimetoato/análogos & derivados , Dimetoato/análise , Compostos Organotiofosforados/análise , Medição de Risco
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