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1.
Artigo em Chinês | MEDLINE | ID: mdl-34624945

RESUMO

Objective: To investigate epidemiological characteristics and influencing factors on dust-exposed working years of pneumoconiosis cases in Yantai. Methods: In January 2020, By Cluster sampling way, Using descriptive statistics to analyze dust-exposed working years of the reported 3307 new cases of pneumoconiosis from 2009 to 2019 in Yantai. Analyzing the variation trends by the chi-square trend test. Analyzing single fator by chi-square test. Using multiple classification Logistic Regression analysis to analyze multiple influencing factors. Results: The dust-exposed working age of pneumoconiosis cases decreased by years (P<0.05) . The starting age of dust exposure of cases increased year by year, while positively correlated with the dust-exposed working age (r=-0.217, P<0.05) . The years of dust exposure, starting age of dust exposure, industry, type of economy and scale of enterprise were main influence factors on the dust-exposed working age of pneumoconiosis cases. Conclusion: We should strengthen the management on prevention and control condition of pneumoconiosis in metal smelting and processing industry and privately-owned, small and micro enterprises, and pay attention to workers starting exposed to dust in the age of ≥28 years old.


Assuntos
Pneumopatias , Pneumoconiose , Adulto , Cidades , Poeira , Humanos , Indústria Manufatureira , Pneumoconiose/epidemiologia
2.
Artigo em Chinês | MEDLINE | ID: mdl-34624946

RESUMO

Objective: To investigate the clinical characteristics of acute exacerbation of acute lung disease (AECOPD) and to provide reference for clinical diagnosis and treatment. Methods: From January 2018 to December 2018, 127 patients with AECOPD were investigated retrospectively in March 2020, including 65 cases of pneumoconiosis with AECOPD group, 62 cases of AECOPD group, 127 cases of AECOPD group, the clinical characteristics, length of stay, cost difference and the correlation between pulmonary function and blood gas were analyzed in patients with AECOPD. Results: There was no significant difference in age, height, weight, BMI, ethnicity and smoking between the two groups (P>0.05) . The percentage of Neutrophil and hs-crp in pneumoconiosis combined with AECOPD group were significantly higher than those in AECOPD group (P<0.05) . The oxygen partial pressure in pneumoconiosis combined AECOPD group was lower than that in control group (P<0.05) . VC, FVC/Pred%, FEV(1)/Pred% in pneumoconiosis combined with AECOPD group were lower than those in AECOPD group, RV/Pred% and RV/TLC were higher than those in AECOPD group (P<0.05) . The hospitalization time and cost of the patients with AECOPD were significantly higher than that of the patients with AECOPD (P<0.05) . Conclusion: Compared with AECOPD group, the patients with pneumoconiosis combined AECOPD group had higher infection inflammation level, lower pulmonary function, longer hospitalization time and higher hospitalization cost.


Assuntos
Pneumoconiose , Doença Pulmonar Obstrutiva Crônica , Doença Crônica , Carvão Mineral , Humanos , Pneumoconiose/complicações , Estudos Retrospectivos
3.
Artigo em Chinês | MEDLINE | ID: mdl-34624952

RESUMO

Objective: To investigate the value of CT multiplanar reconstruction (MPR) in the diagnosis of stage Ⅲ pneumoconiosis and complications. Methods: In September 2020, 94 patients with stage Ⅲ pneumoconiosis in Guangzhou 12th people's hospital were selected for digital radiography (DR) and MPR. The detection rate of the number of large shadows and the incidence of related complications were compared and analyzed. The counting data were expressed by frequency and percentage (%) , and the comparison was performed by chi square test. Results: 178 and 132 large shadows were detected in MPR and DR chest films respectively. Compared with Dr examination, MPR had higher detection rates of pneumoconiosis related complications such as pulmonary tuberculosis, emphysema, pleural thickening, adhesion, pneumonia, pleural effusion, enlargement of hilar and mediastinal lymph nodes and calcification (P<0.05) , There was no significant difference in the detection rate of pulmonary bullae (P>0.05) . Compared with Dr, MPR had a higher detection rate in the diagnosis of cavity, calcification, bronchiectasis and parascar emphysema (P<0.05) . Conclusion: MPR is better in detecting large shadow and complications of stage Ⅲpneumoconiosis, and has important value.


Assuntos
Pneumoconiose , Intensificação de Imagem Radiográfica , Humanos , Fotografação , Pneumoconiose/diagnóstico por imagem , Tomografia Computadorizada Espiral , Tomografia Computadorizada por Raios X
4.
Artigo em Chinês | MEDLINE | ID: mdl-34488265

RESUMO

Objective: To analyze the application of Chronic Obstructive Pulmonary Disease (COPD) Screening Questionnaire and pulmonary function test in dust-exposed migrant workers. Methods: In May 2019, 149 cases of dust exposed migrant workers were selected as the research subjects through the free clinic in the countryside. COPD Screening Questionnaire and lung function test were carried out to analyze the high-risk groups and the influencing factors of positive pulmonary function test results. Results: Among 149 cases of dust-exposed migrant workers, 107 (71.8%) were positive for questionnaire screening, 73 (49.0%) were positive for pulmonary function test, 75 (50.3%) were diagnosed with coal worker's pneumoconiosis, and 101 (67.8%) were diagnosed with lung function injury. The positive rate of pulmonary function of migrant workers with positive questionnaire screening results was significantly higher than that of those with negative results (P<0.05) . The results of multivariate analysis showed that compared with non-pneumoconiosis, the risk of positive pulmonary function test results was higher in dust-exposed migrant workers with stage Ⅲ pneumoconiosis (OR=16.462, 95%CI: 3.390-79.946; P<0.01) . Compared with non-smoking, the risks of positive pulmonary function test results of dust-exposed migrant workers with smoking index of 11-20 package years and >20 package years were higher (OR=19.814, 95%CI: 3.854-101.883; OR=9.733, 95%CI: 2.310-41.008; P<0.01) . Conclusion: The risk of COPD in dust-exposed migrant workers is high, so we should strengthen the early examination of the high pneumoconiosis stage and smoking population. The screening questionnaire can better screen out the high-risk groups of COPD, and it can be used as a basic screening tool.


Assuntos
Minas de Carvão , Exposição Ocupacional , Pneumoconiose , Doença Pulmonar Obstrutiva Crônica , Migrantes , Poeira , Humanos , Pneumoconiose/diagnóstico , Pneumoconiose/epidemiologia , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Testes de Função Respiratória , Inquéritos e Questionários
5.
Artigo em Chinês | MEDLINE | ID: mdl-34488266

RESUMO

Objective: To evaluate the changes of right ventricular function in patients with pneumoconiosis in different stages using three-dimensional speckle-tracking imaging (3D-STI) . Methods: In June 2020, 114 pneumoconiosis patients were selected as subjects, including 45 patients in stage Ⅰ pneumoconiosis group, 36 patients in stage Ⅱ pneumoconiosis group and 33 patients in stage Ⅲ pneumoconiosis group. Fifty healthy subjects were enrolled and served as control group. The longitudinal strain (LS) , radial strain (RS) and circumferential strain (CS) of free wall middle and basal segment of right ventricular were collected and compared. The right ventricular global longitudinal strain (GLS) , right ventricular global circumferential strain (GCS) , right ventricular ejection fraction (RVEF) , right ventricular global radial strain (GRS) , the rate of fractional area change (FAC) , the tricuspid valve systolic peak velocity (TVSPV) and the pulmonary artery systolic pressure (PASP) of each subject in the groups were collected and compared by 3D-STI. Results: The LS and RS of the right ventricular basal segment of patients in stage Ⅱ pneumoconiosis group were significantly lower than those of control group (P<0.0125) . The LS, CS, RS of the right ventricular basal segment and RS of right ventricular middle segment of patients in stage Ⅲ pneumoconiosis group were significantly lower than those of control group (P<0.0125) . The LS, CS and RS of the right ventricular basal segment of patients in stage Ⅰ pneumoconiosis group were significantly higher than those of stage Ⅲ pneumoconiosis group (P<0.0125) , and the RS of the right ventricular basal segment of patients in stage Ⅱ pneumoconiosis group was significantly higher than that of stage Ⅲ pneumoconiosis group (P<0.0125) . The levels of RVEF and GLS of patients in stage Ⅱ and stage Ⅲ pneumoconiosis group were significantly lower than those of control group (P<0.0125) , while the levels of PASP were significantly higher than that of control group (P<0.0125) . The levels of FAC and TVSPV of patients in stage Ⅲ pneumoconiosis group were significantly lower than those of control group (P<0.0125) . The levels of RVEF, GLS and FAC of patients in stage Ⅰ pneumoconiosis group were significantly higher those that of stage Ⅲ pneumoconiosis group (P<0.0125) , and the PASP level was significantly lower than that of stage Ⅲ pneumoconiosis group (P<0.0125) . The FAC level of patients in stage Ⅱ pneumoconiosis group was significantly higher than that of stage Ⅲ pneumoconiosis group (P<0.0125) . Conclusion: Patients with pneumoconiosis could experience a decline in right ventricular function at an early stage. The 3D-STI can accurately detect the GLS, GRS, GCS and hemodynamic changes of the right ventricular and evaluate the right ventricular function comprehensively and objectively. 3D-STI is of great significance for the early detection of right ventricular dysfunction in patients with pneumoconiosis.


Assuntos
Pneumoconiose , Disfunção Ventricular Direita , Humanos , Reprodutibilidade dos Testes , Volume Sistólico , Sístole , Disfunção Ventricular Direita/diagnóstico por imagem , Função Ventricular Direita
6.
Artigo em Chinês | MEDLINE | ID: mdl-34488267

RESUMO

Objective: To explore the related risk factors of silicosis complicated with chronic obstructive pulmonary disease (COPD) , so as to provide ideas for formulating relevant prevention and treatment measures. Methods: In August 2020, 135 silicosis patients hospitalized in the pneumoconiosis Department of Beidaihe rehabilitation hospital of the emergency management department from August 2019 to July 2020 were selected as the research object. The clinical data of the patients were collected. According to whether they were complicated with COPD, they were divided into Silicosis group (74 cases) and silicosis complicated with COPD group (61 cases) . The physical activity level of the patients was investigated with the international physical activity scale (IPAQ) . Results: Compared with Silicosis group, silicosis complicated with COPD group had higher body mass index (BMI) , current smoking, previous smoking, pneumoconiosis grade Ⅱ, pneumoconiosis grade Ⅲ, insufficient physical activity, family history of respiratory diseases and abnormal C-reactive protein (CRP) (P0.05) . Multivariate logistic regression analysis showed that smoking, family history of respiratory diseases and abnormal CRP were the risk factors of silicosis complicated with COPD (OR=4.704, 2.516, 4.445, P<0.05) . Conclusion: Now smoking, family history of respiratory diseases and abnormal CRP are the possible influencing factors of silicosis complicated with COPD.


Assuntos
Pneumoconiose , Doença Pulmonar Obstrutiva Crônica , Silicose , Humanos , Doença Pulmonar Obstrutiva Crônica/complicações , Estudos Retrospectivos , Silicose/complicações , Fumar
7.
Artigo em Chinês | MEDLINE | ID: mdl-34488275

RESUMO

Porcelain tooth technology is widely used in the treatment of oral diseases, but there are few reports on the possible occupational hazard factors in the process of porcelain tooth production. Porcelain teeth production will produced a large amount of silica dust and metal dust during the grinding process. The technical workers who have been engaged in this work for a long time are very prone to pneumoconiosis due to their poor personal protection awareness. This paper analyzed the clinical data of a pneumoconiosis patient engaged in porcelain tooth making, and analyzed the possible occupational hazard factors in the process of porcelain teeth production, so as to improve the understanding of relevant enterprises, technical workers and medical personnel on the disease and reduce the risk of porcelain teeth production workers suffering from pneumoconiosis.


Assuntos
Exposição Ocupacional , Pneumoconiose , Porcelana Dentária , Poeira , Humanos , Exposição Ocupacional/análise , Pneumoconiose/complicações
8.
Artigo em Inglês | MEDLINE | ID: mdl-34360414

RESUMO

Pneumoconiosis, or occupational lung disease, is one of the world's most prevalent work-related diseases. Silicosis, a type of pneumoconiosis, is caused by inhaling respirable crystalline silica (RCS) dust. Although silicosis can be fatal, it is completely preventable. Hundreds of thousands of workers globally are at risk of being exposed to RCS at the workplace from various activities in many industries. Currently, in Australia and internationally, there are a range of methods used for the respiratory surveillance of workers exposed to RCS. These methods include health and exposure questionnaires, spirometry, chest X-rays, and HRCT. However, these methods predominantly do not detect the disease until it has significantly progressed. For this reason, there is a growing body of research investigating early detection methods for silicosis, particularly biomarkers. This literature review summarises the research to date on early detection methods for silicosis and makes recommendations for future work in this area. Findings from this review conclude that there is a critical need for an early detection method for silicosis, however, further laboratory- and field-based research is required.


Assuntos
Exposição Ocupacional , Pneumoconiose , Silicose , Austrália/epidemiologia , Poeira/análise , Humanos , Exposição Ocupacional/análise , Dióxido de Silício/análise , Silicose/diagnóstico
9.
Artigo em Chinês | MEDLINE | ID: mdl-34365762

RESUMO

Objective: To compare the quality of life of pneumoconiosis patients between from rural migrant workers and from a state-owned enterprises in Zhaotong City Yunnan Province, and to explore the factors influencing quality of life of pneumoconiosis patients. Methods: In August 2017, 83 patients from rural migrant workers in Zhaotong City Yunnan Province and 126 pneumoconiosis patients from a state-owned coal mining enterprises were selected as target population. World Health Organization on Quality of Life Brief Scale (WHOQOL-BREF) and self-designed questionnaires were used to collect information from two groups. The demographic information, health status and quality of life of two groups were compared. The factors influencing quality of life were analyzed by multi-liner regression analyses. Results: Average annual household income of rural migrant workers group was lower than that of state-owned enterprises group, and the average annual household expenditure for health of rural migrant workers group was higher than that of state-owned enterprises group (P<0.01) . Overall score of WHOQOL-BREF and scores for four domains including physiology, psychology, social relationship and environment of rural migrant workers group were lower than the scores of patients from state-owned enterprises group (P<0.01) . The result of multi-liner regression analysis showed that average annual household income (b=0.00015, 95%CI: 0.00010-0.00020) , being rural migrant workers (b=-5.904, 95%CI: -8.436--3.372) , better action ability (b=2.595, 95%CI: 0.706-4.483) and have complication (b=-2.542, 95%CI: -4.698--0.387) were factors influencing overall score of WHOQOL-BREF of pneumoconiosis patients (P<0.05) . Conclusion: The quality of life of pneumoconiosis patients from rural migrant workers is lower than that from state-owned enterprises. And the average annual household income, action ability and having complication or not are factors influencing the quality of life of pneumoconiosis patients.


Assuntos
Minas de Carvão , Pneumoconiose , Migrantes , China , Humanos , Qualidade de Vida , Inquéritos e Questionários
10.
Artigo em Chinês | MEDLINE | ID: mdl-34365763

RESUMO

Objective: To investigate the influencing factors of pneumoconiosis complicated with tuberculosis in order to provide the scientific evidence for formulating the preventive strategies. Methods: From July 2019 to January 2020, all occupational pneumoconiosis patients reported in Guangzhou from 1958 to 2018 were investigated retrospectively (n=1155) . The basic data (including gender, diagnosis time, diagnosis age, dust exposure duration, period, pneumoconiosis disease type, work type and industry) were obtained from pneumoconiosis case card and network report database. The data of pulmonary tuberculosis were collected from the occupational disease diagnosis files of Guangzhou Occupational Disease Prevention and Control Hospital, and were supplemented by telephone follow-up. The distribution of pneumoconiosis and tuberculosis in Guangzhou was analyzed. Binary logistic regression analysis model was used to analyze the influencing factors of pneumoconiosis complicated with pulmonary tuberculosis. Results: Among the 1155 new cases of pneumoconiosis, 357 cases were pneumoconiosis tuberculosis, and the complication rate of tuberculosis was 30.9%. Year of diagnosis, age of diagnosis, dust exposure duration, pneumoconiosis caused by mineral dust and construction industry were influencing factors for pneumoconiosis complicated with pulmonary tuberculosis (OR=0.948, 1.048, 0.972, 3.112, 2.815, P<0.05) . After the adjustment of gender, diagnosis year, diagnosis age, dust exposure duration and diagnosis period, the risk of pulmonary tuberculosis in rock drilling workers was 1.462 times higher than that in other types of work (P<0.05) . Conclusion: The complication rate of tuberculosis in patients with pneumoconiosis is relatively high. The main influencing factors are the year of diagnosis, age of diagnosis, dust exposure duration, the type of pneumoconiosis and the industry. The importance of occupational health examination and health education on prevention and treatment of tuberculosis should be emphasized among dust-exposed workers and pneumoconiosis patients. People with susceptibility factors are the top priority.


Assuntos
Doenças Profissionais , Exposição Ocupacional , Pneumoconiose , Tuberculose Pulmonar , Poeira , Humanos , Pneumoconiose/complicações , Pneumoconiose/epidemiologia , Estudos Retrospectivos , Tuberculose Pulmonar/complicações , Tuberculose Pulmonar/epidemiologia
11.
Artigo em Chinês | MEDLINE | ID: mdl-34365765

RESUMO

Objective: To understand the hazard degree of respirable dust (exhaled dust) in coal mine underground workplaces in China, and to provide reference for the prevention and treatment of pneumoconiosis. Methods: A total of 98 representative coal mines were selected from 2016 to 2018, and the dust concentration of the underground working face was detected by the methods of on-the-spot investigation and on-the-spot detection, the dust control measures of 29 coal mines were investigated, and the hazard degree of dust exhaling in the underground working place was analyzed statistically. Results: All 1238 samples of individual coal dust (exhaled dust) were detected in 98 underground coal mines, and the concentration was 4.0 (2.2, 7.3) mg/m(3), the over-standard rate was 73.3% (908/1238) . The concentration of coal dust (exhaled dust) in coal mining face was 5.4 (3.0, 10.6) mg/m(3), and the concentration of coal dust (exhaled dust) in heading face was 3.7 (2.1, 7.2) mg/m(3). The concentration exceeding standard rate of coal dust (exhaled dust) in coal mining face was higher than that in heading face, and the difference was statistically significant (P<0.05) . Coal seam water injection was found in 57.7% (15/26) coal mining face and 42.9% (9/21) heading face in the application of dust control measures, and the high pressure spray of shearer roadheader only accounted for 38.5% (10/26) and 28.6% (6/21) . Conclusion: The concentration of coal dust (exhaled dust) in the underground face of coal mine is seriously exceeding the standard, and the dust prevention measures have not been put in place.Compulsory standards for classified management of dust in underground coal mines should be formulated, and the research and implementation of dust control technologies should be strengthened.


Assuntos
Minas de Carvão , Exposição Ocupacional , Pneumoconiose , Carvão Mineral , Poeira/análise , Humanos
12.
Artigo em Chinês | MEDLINE | ID: mdl-34365767

RESUMO

Objective: To understand the chest CT features of aluminosis caused by alumina and to improve the understanding of the imaging findings of alumina pneumoconiosis. Methods: The chest CT findings of 17 cases of alumina-induced pneumoconiosis and 30 cases of silicosis (the control group) diagnosed in Zibo Occupational Disease Prevention Hospital from April 2015 to July 2020 were analyzed retrospectively. The characteristics of fibrosis of the two kinds of pneumoconiosis and the incidence of size, density, distribution, tractive bronchiectasis, pleural thickening and interlobular septal thickening of pneumoconiosis nodules were compared. Results: Alumina pneumoconiosis showed nodules with thickened interlobular septal of 66.67% (12/18) , honeycomb lung of 22.22% (4/18) , ground glass shadow of 61.11% (11/18) , simple nodules of 11.11% (2/18) , and no fusion mass. In the control group, the long-line fibrosis of nodules with thickened interlobular septal were 16.67% (5/30) , 6.67% (2/30) with honeycomb lung and ground glass density shadow, 23.33% (7/30) with fusion mass and 53.33% (16/30) with simple nodule. There were significant differences in CT findings of nodules with thickened interlobular septal, ground glass density shadow, fused mass and simple nodules between the two groups (P<0.05) . The interstitial beaded nodules were seen in 18 cases of alumina pneumoconiosis, 50.00% (9/18) of them were beaded nodules, 61.33% (46/75) of low density nodules and 38.89% (7/18) of central lobular nodules were seen in alumina pneumoconiosis. The average width of nodules was (1.29±0.38) mm. Central lobular nodules were seen in all 30 cases of silicosis, 10.00% (3/30) were mainly beaded nodules, low density nodules were 36.29% (90/248) , and the average width diameter of nodules was (1.85±0.58) mm. There were significant differences between the two groups (P<0.05) . Alumina pneumoconiosis was often accompanied by traction bronchiectasis, pleural thickening and interlobular septal thickening (11, 18, 17 cases, 61.11%, 100.00%, 94.44%) , compared with the control group (9, 18, 18 cases, 30.00%, 60.00%, 60.00%) . The differences were statistically significant (P<0.05) . The maximum CT value of noncalcified mediastinal lymphnodes in alumina pneumoconiosis was (103.43±26.33) HU, which was higher than that of the control group[ (75.22±16.70) HU], and the difference was statistically significant (P<0.05) . Conclusion: Alumina pneumoconiosis chest CT shows slightly low-density beaded nodules, thickened interlobular septal, and pulmonary interstitial fibrosis of ground-glass shadows, mostly combines with stretched bronchiectasis, thickened pleura, and mediastinum increased lymph node density.


Assuntos
Pneumoconiose , Silicose , Humanos , Pulmão , Pneumoconiose/diagnóstico por imagem , Estudos Retrospectivos , Silicose/diagnóstico por imagem , Tomografia Computadorizada por Raios X
13.
Artigo em Chinês | MEDLINE | ID: mdl-34218566

RESUMO

Objective: To explore the CT grading method of small opacity profusion of pneumoconiosis, and draw up the corresponding CT reference film. Methods: In December 2019, Three hundred thirty-seven cases of pneumoconosis and suspected pneumoconiosis were examined by chest radiography and Computed Tomography (CT) in the same period. According to Diagnosis of Occupational Pneumoconiosis (GBZ 70-2015) , small opacity profusion of pneumoconiosis in each zone of lung was divided. On CT scans, it was divided into 5 grades of 0, 0+, 1, 2 and 3. Grade 0 corresponded to Sub-grade 0/- and Sub-grade 0/0 of Grade 0 in chest radiograph. Grade 0+ was equivalent to Sub-grade 0/1 of Grade 0. Grade 1, 2, 3 were equivalent to Grade 1, 2 and 3, respectively (including each sub-grade) . The CT image quality of each zone of lung was divided into 1 to 4 levels. Results of level 4 were not included in statistical analyses.Based on the results of small opacity profusion in each zone of lung, consistency analysis was performed between chest radiograph and CT. The selection method of reference films was developed. Based on the types and grades of small opacity, the final reference films were determined. Results: There were 1877 zones of lung with CT image quality from level 1 to 3, including 335 in upper right, 319 in middle right, 284 in lower right, 334 in upper left, 320 in middle left and 286 in lower left. The Kappa values of small opacity profusion in upper right zone, upper left zone, left middle zone, and lower left zone were all between 0.4-0.75. In middle right zone and lower right zone, they were all above 0.75.Among all 6 zones of lung, the diagnostic concordance rates between CT and chest radiograph were all above 80%.The corresponding CT reference films were proposed, including type p and q in Grade 2 and 3, type r in Grade 2, type s and t in Grade 0+ to 3. Conclusion: The CT grading method for small opacity profusion of pneumoconiosis is feasible, and the application value of its reference films needs to be further verified.


Assuntos
Pneumoconiose , Humanos , Pulmão , Pneumoconiose/diagnóstico por imagem , Radiografia , Tomografia Computadorizada por Raios X
15.
Artigo em Chinês | MEDLINE | ID: mdl-34074091

RESUMO

Pneumoconiosis is one of the most serious and common occupational disease in China at present, there are a variety of complications, which seriously affect the disease treatment, disease progress and prognosis, but also the direct cause of death. Therefore, the prevention and treatment of various comorbidities of pneumoconiosis is a major public health problem in our country. This article outlines the epidemiological characteristics of different comorbidities of pneumoconiosis, analyze and summarize its research status and existing problems, and put forward relevant thoughts, in order to provide reference for the prevention and treatment of pneumoconiosis comorbidities.


Assuntos
Minas de Carvão , Doenças Profissionais , Pneumoconiose , China/epidemiologia , Estudos Epidemiológicos , Humanos , Pneumoconiose/epidemiologia
16.
Spectrochim Acta A Mol Biomol Spectrosc ; 261: 120015, 2021 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-34098483

RESUMO

Novel approaches are required to overcome the challenges associated with conventional microRNA (miRNA) detection methods and realize the early diagnosis of diseases. This work describes a novel label-free surface-enhanced Raman spectroscopy (SERS) method for the detection of the miRNA biomarkers for pneumoconiosis on a three-dimensional Au-coated ZnO nanorod array (Au-ZnO NRA). The Au-ZnO NRA substrate, which was fabricated via a modified seeding method combined with ion sputtering, provided a high enhancement factor and good spatial uniformity of the signal. With the Au-ZnO NRA, the SERS spectra of miRNAs were obtained in 30 s without labeling at room temperature. Density functional theory calculations were performed to understand the structural fingerprints of the miRNAs. Principal component analysis was carried out to identify the pneumoconiosis biomarkers based on their fingerprint SERS signals. Dual-logarithm linear relationships between the SERS intensity and the miRNA concentration were proposed for quantitative analysis. The label-free SERS method has limits of detection on the femtomolar level, which is much lower than the concentrations of the miRNA biomarkers for pneumoconiosis in lung fibroblasts.


Assuntos
MicroRNAs , Nanotubos , Pneumoconiose , Biomarcadores , Ouro , Humanos , Análise Espectral Raman
17.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 52(3): 467-471, 2021 May.
Artigo em Chinês | MEDLINE | ID: mdl-34018366

RESUMO

Objective: To investigate the status of infections caused by respiratory pathogens and the patterns of infections caused by pathogens in different seasons, age groups and stages of pneumoconiosis so as to explore the pathogen spectrum of respiratory tract infections in pneumoconiosis patients. Methods: The sputum samples of 376 pneumoconiosis patients admitted to an occupational disease hospital in Chengdu between January, 2017 and October, 2019 were collected. Clinical information of the patients was collected and lab tests were conducted to check for 23 kinds of common respiratory viruses, bacteria and fungi in the sputum. The relationship between seasons, ages, and different stages of pneumoconiosis and the pathogen detection rate was analyzed. Results: In the 376 sputum samples, the detection rates of pathogens, viruses, bacteria and fungi were 42.29% (159/376), 32.98% (124/376), 9.57% (36/376) and 6.12% (23/376), respectively. The six pathogens with the highest detection rates were parainfluenza virus, rhinovirus, influenza virus, Candida albicans, Klebsiella pneumoniae and Candida krousei. The severity of respiratory tract infection did not show significant difference in different seasons, age groups, and pneumoconiosis stages. Conclusion: The pathogen spectrum of respiratory tract infections in patients with pneumoconiosis is complicated and the proportion of viral infection is high. However, the severity of the infection is not associated with age, seasonal, or pneumoconiosis staging differences.


Assuntos
Pneumoconiose , Infecções Respiratórias , Bactérias , Humanos , Lactente , Pacientes Internados , Pneumoconiose/epidemiologia , Infecções Respiratórias/epidemiologia , Estações do Ano
19.
Qual Health Res ; 31(9): 1645-1656, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33825564

RESUMO

The daily challenges of patients with pneumoconiosis and their caregivers in living with and providing care for this disease remain unexplored. As guided by the interpretive description, we found that pneumoconiosis patients suffered from highly anxiety-provoking symptoms and physical debilitation, which evoked high levels of distress and sense of impending death. The reduced functional capacity disrupted patients' role functioning and self-esteem. The perceived stigma of the embarrassing symptoms and treatments further disrupted their self-concept and social lives. Providing care for pneumoconiosis patients was demanding and burdensome, which jeopardized family caregivers' physical, emotional, and social well-being, and the relationship strain with the patients added further frustration to them. The perceived caregiving gain supported them to fully engage in daily caregiving. To improve the well-being of pneumoconiosis patients, a comprehensive empowerment-based dyadic care model is required to optimize adaptive behavioral changes and self-esteem, and improve self-efficacy in disease management for this cohort.


Assuntos
Cuidadores , Pneumoconiose , Humanos , Autoimagem , Estigma Social , Apoio Social
20.
Chin Med J (Engl) ; 134(8): 898-907, 2021 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-33879753

RESUMO

ABSTRACT: Pneumoconiosis refers to a spectrum of pulmonary diseases caused by inhalation of mineral dust, usually as the result of certain occupations. The main pathological features include chronic pulmonary inflammation and progressive pulmonary fibrosis, which can eventually lead to death caused by respiratory and/or heart failure. Pneumoconiosis is widespread globally, seriously threatening global public health. Its high incidence and mortality lie in improper occupational protection, and in the lack of early diagnostic methods and effective treatments. This article reviews the epidemiology, safeguard procedures, diagnosis, and treatment of pneumoconiosis, and summarizes recent research advances and future research prospects.


Assuntos
Doenças Profissionais , Exposição Ocupacional , Pneumoconiose , Fibrose Pulmonar , Poeira , Humanos , Pneumoconiose/diagnóstico , Pneumoconiose/epidemiologia
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