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81.
Objective: To ascertain blood lead levels in a sample of preschool children from Fremantle, Western Australia, and to correlate these with possible risk factors.
Methodology The study was a cross-sectional prevalence survey of 120 children from day-care centres and 44 hospital inpatients. Blood lead and ferritin levels were determined and a risk factor questionnaire was completed by parents.
Results Of the 164 children 25.6% had lead levels above the NH&MRC goal (<10μg/dL). Nine of 133 (6.7%) had ferritin levels below 10 μg/L suggesting iron deficiency. Excessive blood lead concentrations as defined by the NH&MRC (>9μg/dL) related to: child's presence during house renovation (OR 3.35, P = 0.007, 95% Cl 1.39-8.81); Aboriginality (OR 6.4, P = 0.008, 95% Cl 1.6-24.9), and, in the 9-24 month age group, inversely to distance between home and a road carrying >7000 vehicles/day (r-0.56, P = 0.009, n = 24).
Conclusions A group of Fremantle children with unacceptably high blood lead levels has been identified. Renovation of older housing and Aboriginality are important risk factors. 相似文献
Methodology The study was a cross-sectional prevalence survey of 120 children from day-care centres and 44 hospital inpatients. Blood lead and ferritin levels were determined and a risk factor questionnaire was completed by parents.
Results Of the 164 children 25.6% had lead levels above the NH&MRC goal (<10μg/dL). Nine of 133 (6.7%) had ferritin levels below 10 μg/L suggesting iron deficiency. Excessive blood lead concentrations as defined by the NH&MRC (>9μg/dL) related to: child's presence during house renovation (OR 3.35, P = 0.007, 95% Cl 1.39-8.81); Aboriginality (OR 6.4, P = 0.008, 95% Cl 1.6-24.9), and, in the 9-24 month age group, inversely to distance between home and a road carrying >7000 vehicles/day (r-0.56, P = 0.009, n = 24).
Conclusions A group of Fremantle children with unacceptably high blood lead levels has been identified. Renovation of older housing and Aboriginality are important risk factors. 相似文献
82.
83.
Ayala Espinosa MJ Pérez-Santonja JJ Alió Y Sanz JL Artola Roig A Cardona Ausina C 《Archivos de la Sociedad Espa?ola de Oftalmología》2000,75(12):835-837
CASE REPORT: We present a case of traumatic displacement of corneal flap in the superior temporal quadrant 13 days after LASIK. The flap was repositioned after gentle irrigation of BSS, cleaned the interface and then drying the flap to verify its stability. In the next day the flap was adhered, clear cornea,smooth and visual acuity without correction was 1.00. DISCUSSION: We should try immediately to reposition the flap after traumatic displacement, as in this case. 相似文献
84.
Metal tritide is widely used for research, purification, compression, and storage of tritium. The current understanding of metal tritide and its radiation dosimetry for internal exposure is limited, and ICRP publications do not provide the tritium dosimetry for hafnium tritide. The current radiation protection guidelines for metal tritide particles (including hafnium tritide) are based on the assumption that their biological behavior is similar to tritiated water, which is completely absorbed by the body. However, the solubility of metal tritide particles depends on the chemical form of the material. The biological half-live of hafnium tritide particles and the dosimetry of an inhalation exposure to those particles could be quite different from tritiated water. This paper describes experiments on the dissolution rate of hafnium tritide particles in a simulated lung fluid. The results showed that less than 1% of the tritium was dissolved in the simulated lung fluid for hafnium tritide particles after 215 d. The short-term and long-term dissolution half times were 46 and 4.28 x 10(5) d, respectively. This indicates that hafnium tritide is an extremely insoluble material. Self-absorption of beta rays in the hafnium tritide particles was estimated by a numerical method. The dose coefficients were calculated as a function of particle size using in vitro solubility data and a calculated self-absorption factor. The dose coefficient decreased with aerodynamic diameters in the range of 0.25 to 10 microm, mainly because the self-absorption factor decreased with increasing particle size. For a particle 1 microm in aerodynamic diameter, the dose coefficient of a hafnium tritide particle was about 10 times higher than that of tritiated water but was about 1.4 times lower than that calculated by ICRP Publication 71 for Type S tritiated particles. The ICRP estimate did not include a self-absorption factor and thus might have overestimated the dose. This finding has significant implications for current health protection guidelines. 相似文献
85.
86.
MJ Veness F Foroudi V Gebski I Timms Y Sathiyaseelan B Cakir KW Tiver 《Journal of Medical Imaging and Radiation Oncology》2006,50(5):468-474
Radiation‐induced mucositis is an acute reaction of the mucosa of patients undergoing head and neck radiotherapy. It can have debilitating and dose‐limiting consequences. There is no consensus on an accepted intervention that significantly reduces its severity. Misoprostol is a synthetic prostaglandin E1 analogue, with properties of a mucosal cytoprotectant. We designed a randomized, double‐blind, placebo‐controlled trial of misoprostol in patients with head and neck cancer. The aim of this study was to determine if topical misoprostol was effective in reducing the severity of radiation‐induced mucositis in patients receiving radical dose radiotherapy. The effect of this intervention on a patient’s general well‐being was also investigated. The primary end‐point of the study was the incidence of Radiation Therapy Oncology Group grade 3 mucositis. Between 1999 and 2002, 83 patients were recruited into the study at Westmead and Nepean Hospitals, Sydney. Forty‐two patients were randomized to receive misoprostol and 41 to receive a placebo. Most patients received radiotherapy in the adjuvant setting (52 of the 83) and had either an oral cavity (42 of the 83) or an oropharyngeal (16 of the 83) cancer. We could not identify any significant difference in the incidence of severe mucositis based on whether patients were allocated to receive misoprostol or placebo. There was no significant difference in the mean area under the mucositis curve (13.2 vs 16.6; P = 0.1). Patients allocated to misoprostol did report slightly increased soreness (7.6 vs 6.9; P = 0.04) and a greater use of analgesics. However, this difference did not translate into a worse feeling of general well‐being as measured by a simple visual analogue scale (5.8 vs 5.2; P = 0.3). In conclusion, we were unable to identify a reduction in radiation‐induced mucositis in patients receiving misoprostol. There is a paucity of high‐level evidence on potentially useful interventions and a continued need for new and innovative research, incorporating quality‐of‐life measurements, in patients experiencing radiation‐induced mucositis. 相似文献
87.
GM Thambugala A Mohamed GFA O Neill MJ Fulham 《Journal of Medical Imaging and Radiation Oncology》2006,50(6):604-606
We present the FDG PET‐CT findings in a patient with persistent pain 7 weeks after a nephrectomy and lymph node dissection for a sarcomatoid renal cell carcinoma. Although conventional imaging was unable to detect evidence of metastatic spread outside the para‐aortic nodes, a PET‐CT scan showed unexpected extensive dissemination. Currently, there are no reports in the literature of the PET‐CT findings in sarcomatoid renal cell carcinomas. 相似文献
88.
A striking difference between two structurally related anti-estrogen
medicines is that tamoxifen is strongly hepatocarcinogenic in the rat,
whereas toremifene lacks such activity. To study the basis for this
difference, the initiating potential of tamoxifen and toremifene were
studied by measurement of rapid induction of hepatocellular altered foci
(HAF) that express placental-type glutathione S-transferase in the livers
of female Sprague-Dawley (S-D) rats and female Fischer 344 (F344) rats.
Both agents were administered by gavage at equimolar doses up to a dose
that produced marked weight gain suppression. In rats given the high dose
of 40 mg/kg per day tamoxifen continuously for 36 weeks, 75% of S-D rats
developed liver neoplasms, in contrast to only 10% of F344 rats. In the S-D
strain, tamoxifen produced a tendency to increased HAF at 2 weeks at the
dose of 40 mg/kg per day and by 12 weeks, a dose-related increase was
evident. In contrast, toremifene induced no HAF even at the equimolar high
dose of 42.4 mg/kg per day for 12 weeks. The induction of HAF by tamoxifen
was less in the F344 rats. Neither agent elicited increases in
hepatocellular proliferation in S-D or F344 rats. When phenobarbital was
administered for 24 weeks as a promoting agent after the anti-estrogens,
S-D rats given tamoxifen at 20 mg/kg per day for 12 weeks, developed liver
neoplasms, but not F344 rats or rats of either strain given even a higher
dose (42.4 mg/kg) of toremifene. Thus, tamoxifen has initiating activity in
these rat strains whereas toremifene does not.
相似文献
89.
The Syrian hamster embryo (SHE) cell system was used to evaluate the
ability of two hepatocarcinogenic structurally related peroxisome
proliferators (PPs) to induce morphological transformation (MT) of SHE
colonies and to inhibit gap junctional intercellular communication (GJIC).
Clofibrate and methyl clofenapate (MCP), which was shown to be a more
active PP and a more potent carcinogen in vivo than clofibrate, were
compared. MCP appeared slightly more active in vitro than clofibrate in
affecting MT and GJIC of SHE cells. The morphological transformation of SHE
colonies was induced by 50 microM MCP, against 100 microM clofibrate.
Moreover, 50 microM MCP potentiated the transforming effects of both
benzo[a]pyrene and 12-O- tetradecanoylphorbol-13-acetate. The inhibition of
GJIC, measured by transfer of lucifer yellow, was transient and occurred at
concentrations inducing morphological transformation. MCP inhibited dye
transfer at 50 microM and the inhibition lasted up to 24 h at 100 microM.
Inhibition of communication lasted only 4 h with clofibrate and occurred at
a higher concentration (175 microM). This study showed that both the SHE
cell transformation and dye transfer assays were able to display the
different activities of the two PPs, even though the difference in potency
observed was smaller than in vivo. It also revealed interactions between
non-genotoxic carcinogens and the ability of the SHE cell transformation
assay to detect these combined effects.
相似文献
90.
Porter DW; Yakushiji H; Nakabeppu Y; Sekiguchi M; Fivash MJ Jr; Kasprzak KS 《Carcinogenesis》1997,18(9):1785-1791
The toxicity of Ni(II), Co(II) and Cu(II) in animals, and that of Cd(II) in
cultured cells, has been associated with generation of the promutagenic
lesion 8-oxo-7,8-dihydroguanine (8-oxoguanine) in DNA, among other effects.
One possible source of this base may be 8-oxo-7,8-
dihydro-2'-deoxyguanosine-5'-triphosphate (8-oxo-dGTP), a product of
oxidative damage to the nucleotide pool, from which it is incorporated into
DNA. To promote such incorporation, the metals would have to inhibit
specific cellular 8-oxo-dGTPases that eliminate 8-oxo-dGTP from the
nucleotide pool. The present study was designed to test such inhibition in
vitro on 8-oxo-dGTPases from two different species, the human MTH1 protein
and Escherichia coli MutT protein. In the presence of Mg(II), the natural
activator of 8-oxo-dGTPases, all four metals were found to inhibit both
enzymes. For MTH1, the IC50 values (+/- SE; n = 3-4) were 17 +/- 2 microM
for Cu(II), 30 +/- 8 microM for Cd(II), 376 +/- 71 microM for Co(II) and
801 +/- 97 microM for Ni(II). For MutT, they were 60 +/- 6 microM for
Cd(II), 102 +/- 8 microM for Cu(II), 1461 +/- 96 microM for Ni(II) and 8788
+/- 1003 microM for Co(II). Thus, Cu(II) and Cd(II) emerged as much
stronger inhibitors than Ni(II) and Co(II), and MTH1 appeared to be
generally more sensitive to metal inhibition than MutT. Interestingly, in
the absence of Mg(II), the activity of the enzymes could be restored by
Co(II) to 73% of that with Mg(II) alone for MutT, and 34% for MTH1, the
other metals being much less or non-effective. The difference in
sensitivity to metal inhibition between the two enzymes may reflect the
differences in the amino acid ligands, especially the cysteine ligand,
outside their evolutionarily conserved Mg(II)-binding active sites, which
might indicate predominantly non-competitive or uncompetitive mechanism of
the inhibition. The overall results suggest that inhibition of 8-oxo-
dGTPases may be involved in the mechanisms of induction of the 8-
oxoguanine lesion in DNA by the metal ions studied, especially the non-
redox-active Cd(II) cation.
相似文献