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A. M. Raschke A. E. C. Burger 《Archives of environmental contamination and toxicology》1997,32(1):42-49
A preliminary study undertaken by the CSIR in July 1993
on the health effects of aerial crop spraying of pesticides in the Vaalharts
irrigation area in South Africa indicated that potential health risks could
exist for the inhabitants of this area. An extensive scientific health risk
assessment and epidemiological study to determine the actual health risks, is
very expensive and requires medical and financial justification. The aim of
this study was to develop a theoretical health risk model, which could be
used as a predictive tool to determine as accurately as possible from the
data available if a complete scientific health risk assessment study is
justified. The actual amounts of pesticides sold in the Vaalharts area by two
major pesticide manufacturers were used to perform a theoretical health risk
assessment. The risks were assessed by making use of RISK*ASSISTANT, a
computer modeling system and chemical database. The United States
Environmental Protection Agency's (EPA) health risk model was applied to
the data to identify the hazards, assess the exposures and dose response, and
characterize the risks. Three exposure scenarios, namely, the ingestion of
food and water and the inhalation of air were evaluated. The method used to
calculate the risks varied according to the type of health hazard and the
results were characterized accordingly. The acute health effects due to
exposure to pesticides are well known and the risks are easy to determine.
However, the risks associated with chronic health hazards were more difficult
to calculate. For this reason a ranking model was developed which made use of
a point scoring system. This model highlights those pesticides which have the
greatest possibility of causing chronic health effects. From the results it
can be concluded that very large amounts of pesticides are used in the
Vaalharts area and that the community might be at risk to chronic health
effects. Although the theoretical health risk assessment model was
successfully used in this study, its effectiveness as a predictive tool still
has to be proven by a complete scientific study.
Received: April 1996/Revised: 21 July 1996 相似文献
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Concern regarding the risk of disease transmission via blood transfusion together with periodic shortages of homologous blood has stimulated an interest in and the usage of autologous blood. Forty-nine patients had shed blood salvaged during venous thrombectomy. Between 200-3800 ml of blood were salvaged and reinfused using Solcotrans. No patient in this study required an homologous blood transfusion. The haematological parameters studied showed figures within the normal, acceptable range post-reinfusion. No patient experienced a clinical coagulopathy or showed evidence of renal dysfunction. The device is simple to use, safe and effective. 相似文献
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The treatment of fracture healing disorders is complex and often associated with a long-term course of treatment. After clinical radiological confirmation of delayed fracture healing, the treating physician has to decide on the optimal timing of an intervention. Waiting for 6 months is not always the best approach under these circumstances. Revision surgery can be necessary even in the early phase of fracture healing disorders, particularly in the event of a biomechanical insufficiency (early material fatigue with implant breakage) or a local infection in the fracture region. An early intervention potentially prevents long-term problems, including pain and functional limitations for the patient as well as high socioeconomic costs. 相似文献
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An ovine model of maternal iron poisoning in pregnancy was used to examine the placental transport of deferoxamine and ferrioxamine and to follow maternal and fetal serum iron concentrations when maternal serum iron levels exceeded total iron-binding capacity. Ewes in the third stage of gestation underwent hysterotomy and delivery of the fetal head through an abdominal incision while under ketamine and halothane anesthesia. The fetal external jugular vein was catheterized for sampling of venous blood while the fetus remained in utero. Administration of deferoxamine mesylate or ferrioxamine mesylate IV to ewes was not accompanied by measurable deferoxamine or ferrioxamine in fetal blood. In a final experiment, four gravid ewes in a control group received 2 mg/kg maternal body wt iron IV over 60 minutes. An experimental group comprising another four ewes received similar doses of iron but then received 50 mg/kg deferoxamine mesylate IV over 15 minutes. Control and deferoxamine ewes reached similar peak maternal serum iron concentrations (2,479 +/- 266 and 2,121 +/- 343 micrograms/dL, respectively). The markedly elevated maternal serum iron concentrations were not accompanied by meaningful elevations in fetal serum iron levels over baseline values. Maternal deferoxamine infusion resulted in a more rapid fall in maternal serum iron concentrations but had no effect on fetal serum iron levels. The ovine fetus appears to be protected from elevated maternal serum iron concentrations in the last trimester of pregnancy. It could not be demonstrated that meaningful quantities of deferoxamine or ferrioxamine cross the placenta in the last trimester.(ABSTRACT TRUNCATED AT 250 WORDS) 相似文献
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Multi‐centre reproducibility of diffusion MRI parameters for clinical sequences in the brain
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Matthew Grech‐Sollars Patrick W. Hales Keiko Miyazaki Felix Raschke Daniel Rodriguez Martin Wilson Simrandip K. Gill Tina Banks Dawn E. Saunders Jonathan D. Clayden Matt N. Gwilliam Thomas R. Barrick Paul S. Morgan Nigel P. Davies James Rossiter Dorothee P. Auer Richard Grundy Martin O. Leach Franklyn A. Howe Andrew C. Peet Chris A. Clark 《NMR in biomedicine》2015,28(4):468-485
The purpose of this work was to assess the reproducibility of diffusion imaging, and in particular the apparent diffusion coefficient (ADC), intra‐voxel incoherent motion (IVIM) parameters and diffusion tensor imaging (DTI) parameters, across multiple centres using clinically available protocols with limited harmonization between sequences. An ice–water phantom and nine healthy volunteers were scanned across fives centres on eight scanners (four Siemens 1.5T, four Philips 3T). The mean ADC, IVIM parameters (diffusion coefficient D and perfusion fraction f) and DTI parameters (mean diffusivity MD and fractional anisotropy FA), were measured in grey matter, white matter and specific brain sub‐regions. A mixed effect model was used to measure the intra‐ and inter‐scanner coefficient of variation (CV) for each of the five parameters. ADC, D, MD and FA had a good intra‐ and inter‐scanner reproducibility in both grey and white matter, with a CV ranging between 1% and 7.4%; mean 2.6%. Other brain regions also showed high levels of reproducibility except for small structures such as the choroid plexus. The IVIM parameter f had a higher intra‐scanner CV of 8.4% and inter‐scanner CV of 24.8%. No major difference in the inter‐scanner CV for ADC, D, MD and FA was observed when analysing the 1.5T and 3T scanners separately. ADC, D, MD and FA all showed good intra‐scanner reproducibility, with the inter‐scanner reproducibility being comparable or faring slightly worse, suggesting that using data from multiple scanners does not have an adverse effect compared with using data from the same scanner. The IVIM parameter f had a poorer inter‐scanner CV when scanners of different field strengths were combined, and the parameter was also affected by the scan acquisition resolution. This study shows that the majority of diffusion MRI derived parameters are robust across 1.5T and 3T scanners and suitable for use in multi‐centre clinical studies and trials. © 2015 The Authors NMR in Biomedicine Published by John Wiley & Sons Ltd. 相似文献
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