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1.
Zhongguo Dang Dai Er Ke Za Zhi ; 23(9): 882-888, 2021.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-34535201

RESUMO

OBJECTIVES: To evaluate the quality of life and related demographic factors in long-term survivors of childhood non-Hodgkin's lymphoma (NHL). METHODS: A retrospective analysis was performed on the medical and demographic data of the NHL patients who received treatment in the Sun Yat-sen University Cancer Center and achieved long-term survival at follow-up, with an age of <18 years at initial diagnosis and a present age of ≥18 years. A questionnaire survey was performed using 36-Item Short-Form Health Survey (SF-36) and the symptom subscale of the Chinese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (QLQ-C30). The health status of long-term survivors of NHL was evaluated by comparing the scores of various dimensions of the SF-36 scale of general adult population in the United States (American norm) and those of the SF-36 scale of general adult population in Hong Kong, China (Hong Kong norm). The correlation between the score of each dimension of the scale and demographic characteristics was evaluated. The symptoms of long-term NHL survivors were evaluated according to the score of QLQ-C30 scale. RESULTS: A total of 23 patients with NHL with complete follow-up data were enrolled. The pathological types included diffuse large B-cell lymphoma in 10 patients, Burkitt lymphoma in 4 patients, T-cell lymphoblastoma in 5 patients, B-cell lymphoblastoma in 3 patients, and natural killer/T cell lymphoma in 1 patient. All patients received the chemotherapy regimen containing anthracyclines and alkylating agents. The median present age was 26.2 years (range: 16.9-55.8 years), and the median age at initial diagnosis was 10.4 years (range: 2.4-17.6 years). Among the 23 patients, 6 were married and had children and 2 had chronic diseases. There was no significant difference between the long-term survivors and the US norm in role physical, general health, role-emotional, and mental health (P>0.05), while the long-term survivors had significantly better scores of the other dimensions than the US norm (P<0.05). Similar results were obtained for the comparison between the long-term survivors and the China Hong Kong norm. Age at initial diagnosis was negatively correlated with the scores of social functioning, role physical, and general health in the SF-36 scale (P<0.05), and the present age of patients was positively correlated with the score of physical functioning and was negatively correlated with the score of general health (P<0.05). The urban and rural distribution of patients was related to the general health status (P<0.05). In addition, the long-term survivors of childhood NHL had relatively low scores of the symptom domain of QLQ-C30, and few moderate or severe symptoms were found. CONCLUSIONS: Long-term survivors of childhood NHL tend to have a good overall health status, with no significant differences compared with the general population. Age at initial diagnosis is the main demographic factor that affects patients' quality of life. Citation.


Assuntos
Linfoma não Hodgkin , Linfoma , Adolescente , Adulto , Humanos , Linfoma não Hodgkin/tratamento farmacológico , Pessoa de Meia-Idade , Qualidade de Vida , Estudos Retrospectivos , Sobreviventes , Adulto Jovem
2.
Environ Int ; 156: 106743, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34243036

RESUMO

Exposure to alternative phthalates and related health effects in pregnant women are rarely reported. Nineteen phthalate metabolites and a DNA oxidative damage biomarker 8-hydroxy-2'-deoxyguanosine (8-OHdG) were determined in urine samples of pregnant women recruited in South China. The detection frequencies and concentration of selected alternative phthalates, i.e., diisononyl phthalate (DiNP), diisodecyl phthalate (DiDP) and di-(2-propylheptyl) phthalate (DPHP) were lower than those of conventional phthalates. However, mono-(6-hydroxy-2-propylheptyl) phthalate, a metabolite of DPHP, was detected in 70% of urine samples (median: 0.13 ng/mL). The estimated daily intakes of conventional plasticizers, including dimethyl phthalate, di-n-butyl phthalate, diisobutyl phthalate and di-(2-ethylhexyl) phthalate (median range: 1.0-3.0 µg/kg_bw/day) were significantly higher than those of DiNP (0.08 µg/kg_bw/day) and DPHP (0.03 µg/kg_bw/day) (p < 0.05). Approximately 24% of pregnant women were at high risk when cumulative risk from exposure to several phthalates was considered. The concentrations of phthalate metabolites and urinary 8-OHdG were significantly correlated with each other (r = 0.206-0.772, p < 0.01), which were further conformed by multiple linear regression analysis (ß = 0.168-0.639, p < 0.01). In addition, conventional phthalates were more strongly correlated with 8-OHdG than alternative phthalates (i.e., DiNP, DPHP), partly suggesting the relatively smaller health effects of alternatives due to their low exposure doses and toxicities. These findings suggested that alternative phthalates have entered the human body from consumer products in the study area, and exposure-related risk of DNA oxidative stress was comparatively lower.


Assuntos
Poluentes Ambientais , Ácidos Ftálicos , Exposição Ambiental/análise , Poluentes Ambientais/toxicidade , Feminino , Humanos , Estresse Oxidativo , Ácidos Ftálicos/toxicidade , Plastificantes , Gravidez , Gestantes
3.
Environ Sci Pollut Res Int ; 26(6): 5873-5884, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30612374

RESUMO

Environmental endocrine disruptors (EEDs) in beverages may enter the human body by ingestion and thus may represent a potential health risk. In this study, phthalates, bisphenol A, and its analogues, parabens, benzophenone-type UV filters, and triclosan (TCS) were analyzed in beverage samples (n = 116) collected from local markets in Guangzhou, South China. Twelve of 30 target compounds were found in > 50% samples, and for the first time, TCS was found in a majority of beverages from China (~ 80%). Among all analytes, concentrations of total phthalates (median = 14.4 ng/mL) were generally two orders of magnitude higher than other target EEDs, and concentrations of total benzophenone-type UV filters (0.02 ng/mL) and TCS (0.01 ng/mL) were the lowest. Among all targets, phthalates were predominant, accounting for > 99% of the total EEDs, and dimethyl phthalate was frequently detected in beverages (> 60%). In addition, we estimated the daily intake (EDI) of EEDs for Chinese populations of different age groups based on the daily consumption of beverages. The EDIs of total EEDs were the highest for toddlers (mean = 14,200 ng/kg-bw/day) followed by children and teenagers (3420 ng/kg-bw/day), adults (1950 ng/kg-bw/day), the elderly (1740 ng/kg-bw/day), and infants (70 ng/kg-bw/day). Compared to all food categories, EEDs from beverage consumption accounted for ~ 0.1% (parabens) to 20% (phthalates) of total exposure from diet. However, intakes of phthalates, bisphenols, and TCS from beverages were comparable to those from other potential sources (food, dust, personal care products, cloth, and medicines). Furthermore, the cumulative risks of EEDs by beverage consumption were not high, which indicated that EEDs in beverages might not represent a potential human health risk for Chinese populations.


Assuntos
Bebidas/análise , Exposição Dietética/estatística & dados numéricos , Disruptores Endócrinos/análise , Poluentes Ambientais/análise , Adolescente , Adulto , Idoso , Compostos Benzidrílicos/análise , Benzofenonas/análise , Bebidas/estatística & dados numéricos , Pré-Escolar , China , Dieta/estatística & dados numéricos , Poeira , Ingestão de Alimentos , Alimentos , Contaminação de Alimentos/estatística & dados numéricos , Humanos , Lactente , Parabenos/análise , Fenóis/análise , Ácidos Ftálicos/análise , Triclosan/análise
4.
Arch Environ Contam Toxicol ; 75(2): 224-235, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29725723

RESUMO

Chemicals in the water of urban areas are representative of the occurrence of these chemicals in the city surrounding water systems and reflect recent human or industrial usage of those chemicals in the sampling areas. In this study, the levels of eight endocrine-disrupting chemicals [including bisphenol analogues, parabens, and triclosan (TCS)] were determined in urban river water and sediments in Guangzhou, South China, and their related ecological risks were evaluated. The eight target chemicals were frequently detected in our samples, with concentrations ranging from not detected (ND) to 65,600 ng/L and from ND to 492 ng/g dw in river water and sediments, respectively. Among these chemicals, the three most abundant were bisphenol A (BPA) (accounting for 35% of the total amount), methyl paraben (MeP) (23%), and TCS (14%) in river water and BPA (43%), TCS (37%), and MeP (14%) in sediments. Significant correlations were found between most target EDCs, particularly MeP and TCS, in river water and sediments (both p < 0.01), indicating their similar sources and wide usage. The ecological risk assessment methods used suggested that TCS was the chemical of primary concern, with an average hazard quotient (HQ) = 1.57 (up to 11.5) in river water and an average HQ = 0.74 (up to 3.63) in sediments. In addition, the ecological risk assessment of different sampling sites indicated a suspected high-risk level for some sites in the study area.


Assuntos
Disruptores Endócrinos/análise , Sedimentos Geológicos/análise , Rios/química , Poluentes Químicos da Água/análise , Animais , Compostos Benzidrílicos/análise , China , Cidades , Ecotoxicologia/métodos , Monitoramento Ambiental/métodos , Parabenos/análise , Fenóis/análise , Medição de Risco , Triclosan/análise
5.
Environ Res ; 165: 32-39, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29665462

RESUMO

In China, university students have unique lifestyles compared with the rest of the youth population, as they are almost entirely isolated in campuses. The number of university students is large, and since students represent the future of human reproduction, exposure to environmental endocrine disruptors (EEDs) may have a large impact on society. In this study, levels of several EEDs, including phthalate metabolites, parabens, bisphenol A (BPA) and its analogues, triclosan (TCS), and benzophenone-3, were determined in 169 urine samples collected from university students in Guangzhou, South China. In addition, to further understand the potential sources of EEDs in their daily lives, a survey of students' lifestyles was conducted. Based on the urinary concentrations of EEDs and the survey results, daily exposure doses of target EEDs and their potential sources were investigated. Our results indicated that nine phthalate metabolites, three parabens, and BPA were ubiquitous (detection frequency > 60%) in the urine of university students. The concentrations of total phthalates (median: 99.4 µg L-1) were orders of magnitude higher than those of total parabens (7.30 µg L-1) and of other environmental phenols (0.40 µg L-1). Significantly higher concentrations of phthalates, parabens, and TCS were found in female versus male students, partly due to the higher usage of personal care products (PCPs) by female students (p < 0.05). The estimated daily intakes (EDIs) of phthalates, parabens, BPA, and TCS were 0.46-1.35, 3.29-10.3, 0.007, and 0.67 µg/kg-bw/day, respectively. The EDIs of phthalates and BPA were much lower than those suggested by the European Food Safety guidelines (10, 50, and 50 µg/kg-bw/day for dibutyl phthalate, diethylhexyl phthalate, and BPA, respectively). Our results indicated that university students were widely exposed to EEDs, but at relatively low doses. PCP usage was the main reason for differences in levels of phthalates (especially diethyl phthalate) and parabens between male and female students in South Chinese universities.


Assuntos
Poluentes Ambientais , Fenóis , Ácidos Ftálicos , Estudantes , Adulto , Compostos Benzidrílicos/urina , China , Exposição Ambiental , Poluentes Ambientais/urina , Feminino , Humanos , Estilo de Vida , Masculino , Parabenos/análise , Fenóis/urina , Ácidos Ftálicos/metabolismo , Ácidos Ftálicos/urina , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Triclosan/urina , Adulto Jovem
6.
Sci Total Environ ; 615: 87-98, 2018 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-28963899

RESUMO

As a substitute of bisphenol A (BPA), bisphenol S (BPS) has been applied in consumer products present in our daily lives. With a similar chemical structure as BPA, BPS has also been demonstrated as an exogenous endocrine disrupting chemical. Compared with a large number of studies on BPA, investigation on BPS has remained limited. In this study, we reviewed the literature of BPS mainly published during 2010-2017, including its environmental distributions, toxicities, and human exposure. The data demonstrated that BPS is now ubiquitous in the environment and found worldwide, but generally with concentration levels lower than BPA in various environment media, including water, sediment, sludge, indoor dust and air, consumer products, and human urine. However, we found that the concentration levels of BPS in aquatic environments, especially water samples, were almost comparable or equal to that of BPA. Our summary also indicated that process speed of substituting BPA with BPS in consumer products in the U.S. was relatively faster than other countries. In addition, we summarized the toxicities of exposure to BPS both in vivo and in vitro experiments. The current data supports that exposure to BPS may have adverse effects on reproductive systems, endocrine systems, and nervous systems in animals and humans, and may trigger oxidative stress. The occurrence of BPS was frequently reported in human urine, but rarely in other human samples. The current research indicates that food is the dominant source for human exposure to BPS, and the contribution of personal care product usage is low. The occurrence of BPS and their metabolites in the human body and the guidelines for BPS exposure merit further investigation.


Assuntos
Exposição Ambiental/análise , Fenóis/análise , Sulfonas/análise , Animais , Compostos Benzidrílicos , Meio Ambiente , Humanos , Fenóis/urina , Sulfonas/urina
7.
Cancer Nurs ; 38(6): 466-74, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25629894

RESUMO

BACKGROUND: Resilience is commonly used to refer to the capacity to resist negative psychological reactions when encountering aversive circumstances. However, clinicians generally define resilience as a lack of psychological distress or an adoption of positive attitude in response to a potentially traumatic event. Although resilience was initially considered to be a psychological variable, it has gradually become seen as a psychosocial indicator now used in clinical settings in the Western world but is still a relatively new topic in most Eastern countries. In this study, we aimed to extend our understandings of the psychological responses of a group of mainland Chinese parents upon being informed that their children were diagnosed with cancer, using resilience as a major indicator. OBJECTIVE: The aim of this study was to evaluate the level of resilience among mainland Chinese parents in response to knowing that their children were diagnosed with cancer and to examine the relationships between resilience and other psychosocial outcomes. METHODS: A descriptive and a cross-sectional survey design was used and involved a sample of 125 parents who visited a specialist cancer hospital in southeast China between September 2013 and February 2014. RESULTS: The participants reported lower level of resilience as compared with a control population in the Chinese community (P < .01). Resilience was negatively correlated with uncertainty in illness (P < .01) and depression (P < .01) and was positively correlated with social support (P < .01) and all other positive coping strategies subscales (P < .01). Parents from the high- resilience group reported better psychosocial functions than did those from the low-resilience group (P < .01). In addition, 6 influencing factors were identified and entered into the multiple linear regression equation of psychological resilience, which predicts 38.3% (adjusted R) of total variation in psychological resilience. CONCLUSION: A high level of resilience in parents of children diagnosed with cancer is associated with better psychosocial function in response to the traumatic event. IMPLICATIONS FOR CLINICAL PRACTICE: Additional attention should be given to those Mainland Chinese parents who demonstrated a low level of resilience in response to their child's diagnosis. This is particularly important because of the long and stressful process for cancer treatment. Clinicians should also provide targeted interventions to those parents to promote their psychological resilience.


Assuntos
Neoplasias/psicologia , Pais/psicologia , Resiliência Psicológica , Adaptação Psicológica , Adulto , Criança , China , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Neoplasias/diagnóstico , Apoio Social , Incerteza
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