Job stress among resident physicians in Tanta University Hospitals,Egypt

Environmental Science and Pollution Research - Resident physicians are the first-line health service providers, subjected to prolonged working hours, sleep deprivation and high job demands. Work...     

Assessment of medication adherence among type-2 diabetes mellitus in a tertiary care hospital of North India

Environmental Science and Pollution Research - Study was conducted utilizing a confirmed medication adherence scale to measure the socio-demographic profile, self-care, and medication...     

Removal of selected endocrine disrupting chemicals and personal care products in surface waters and secondary wastewater by ozonation

This study investigated the removal of parabens, N,N-diethyl-m-toluamide (DEET), and phthalates by ozonation. The second-order rate constants for the reaction between selected compounds with ozone at pH 7 were of (2.2 +/-0.2) X 10(6) to (2.9 +/-0.3) X 10(6) M 1/s for parabens, (2.1+/- 0.3) to (3.9 +/-0.5) M-1/s for phthalates, and (5.2 +/-0.3) M-1/s for DEET. The rate constants for the reaction between selected compounds with hydroxyl radical ranged from (2.49 +/-0.06) x 10(9) to (8.5 +/-0.2) x 10(9) M-1/s. Ozonation of selected compounds in secondary wastewater and surface waters revealed that ozone dose of 1 and 3 mg/L yielded greater than 99% depletion of parabens and greater than 92% DEET and phthalates, respectively. In addition, parabens were found to transform almost exclusively through the reaction with ozone, while DEET and phthalates were transformed almost entirely by hydroxyl radicals (.OH).     

The relationship between lead and cadmium levels and functional dependence among elderly participants

The adverse impacts of lead and cadmium exposure on health outcomes have been reported in the past. Few studies have been conducted on the relationship between lead and cadmium exposures and disability. We evaluated whether lead and cadmium exposures were associated with functional dependence including the total number of disabilities, activities of daily living (ADL), instrumental activities of daily living (IADL), leisure and social activities (LSA), lower extremity mobility (LEM), and general physical activities (GPA) in an elderly population. A total of 5513 eligible subjects were enrolled in the study from the National Health and Nutrition Examination Survey 2001–2006. Serum lead and cadmium exposure assessments were performed using atomic absorption spectrometry. Functional dependence was assessed by 19 structured questions. The relationships between lead and cadmium exposures and functional dependence were investigated using by multivariable linear regression models. Q2, Q3, and Q4 of lead exposure were significantly associated with the total number of disabilities, with β coefficients of ??0.62 (95% CI ??0.99, ??0.24), ??0.64 (95% CI ??1.02, ??0.26), and ??0.81 (95% CI ??1.19, ??0.42), respectively. This relationship remained significant in males. Furthermore, we analyzed the relationships between lead and cadmium exposure quartiles and various functional dependence metrics, and we determined that lead content was significantly associated with decreased ADL, LEM, and GPA (p?<?0.05) and cadmium content was inversely associated with ADL (p?<?0.05). Our study demonstrated a strong relationship between exposure to lead and cadmium and functional dependence in an elderly population.

     

Blood mercury levels among fish consumers residing in areas with high environmental burden

Mercury is a ubiquitous, persistent toxicant found in the environment. In water, mercury bioaccumulates up the food chain and leads to high concentrations in fish. Consumption of contaminated fish is the major source of exposure to mercury in the US. The objective of this study was to enroll persons living in areas selected by the Environmental Protection Agency (EPA) to have high mercury concentrations and who consume at least 6 oz of locally caught fish per week to determine the feasibility of monitoring future trends among a population identified as highly exposed. Blood samples were collected at time of interview and analyzed for mercury. Participants (n = 287) were enrolled from North Carolina, Maryland, and South Dakota. Participants reported eating an average of five servings of fish per week. The overall geometric mean for total mercury was 0.75 μg L⁻¹, with North Carolina having the highest mean level (2.02 μg L⁻¹). Overall, 42% of the study population had levels greater than the US geometric mean 0.83 μg L⁻¹. The number of servings of fish consumed was not found to be associated with blood mercury levels. We were able to identify some persons with elevated mercury concentrations living in areas identified by EPA; however, identifying and monitoring a highly exposed population over time would be challenging.     

Blood nickel and chromium levels in association with smoking and occupational exposure among head and neck cancer patients in Tunisia

Chronic exposure to chromium (Cr) and nickel (Ni) has long been recognized as being capable to increase head and neck cancer (HNC) incidence among exposed human populations. This study represents the first biomonitoring of Cr and Ni exposure in Tunisia and focuses on a possible association with HNC risk. The aim of the present study was to evaluate the concentrations of Cr and Ni in the blood of HNC patients and controls. Metals blood levels of 169 HNC patients and 351 controls were determined using a Perkin-Elmer Analyst 800 Atomic Absorption Spectrometer. Mean blood levels of Cr and Ni in HNC cases (52.15 and 111.60 μg/L, respectively) were significantly higher than those of controls (37.04 and 30.50 μg/L, respectively). Cases’ blood levels of Cr and Ni were significantly higher than those of controls after controlling for the other risk factors of HNC, including smoking, shisha consumption, occupational exposure, and nearby environment (P?<?0.05). Among these risk factors, smoking and occupational exposure presented the most significant association with HNC (odds ratio (OR)?=?6.54 and 7.66, respectively, P?<?0.001). Cr and Ni levels in blood sample of cases and controls that are smoker/occupationally exposed were higher than that of non-smoker/non-occupationally exposed (P?<?0.05). Smokers who are occupationally exposed present the most significant association with HNC (OR?=?25.08, P?<?0.0001). High levels of blood Cr (OR?=?2.09) and high levels of blood Ni (OR?=?8.87) were strongly associated with HNC after other potential confounders were controlled (P?=?0.004 and P?<?0.0001, respectively). This study suggested a potential role of Cr and Ni in the mechanism of HNC development.     

Blood lead levels among populations differentially exposed to vehicular exhaust in Rohtak, India

In the absence of local industrial sources of lead, leaded gasoline has been suggested as the major source of lead in the urban atmosphere of Rohtak town, situated near Delhi metropolitan city and with a high vehicular density. Blood lead levels were measured in 42 male volunteers from within the Rohtak area with varying degrees of exposure to vehicular exhaust. The occupationally exposed group with a daily exposure of 10-12 h in automobile workshops was found to have the highest levels of blood lead (mean value 21.26 microg dl(-1)) followed by roadside population (mean value 14.91 microg/dl(-1)). This group of people had a daily exposure of 8-10 h in their business establishments, situated at a distance of less than 5 to about 10 ft (< 1.5-c. 3.0 m) from the road with an average traffic density of 8000 vehicles day(-1). Urban residents were found to have higher blood lead levels (mean value 9.85 microg/dl(-1)) than the rural ones (mean value 3.34 microg/dl(-1)). The values were found to increase correspondingly with the increase in age and smoking habits within the particular categories of volunteers. The levels found in the present study are comparable to those reported from other major cities of India, but well within the tolerable limits as recommended by the European Economic Community.     

Household solid fuel use with diabetes and fasting blood glucose levels among middle-aged and older adults in China

Environmental Science and Pollution Research - To explore the impacts of household solid fuel use for cooking and heating on diabetes and fasting blood glucose (FBG) levels, we used data from the...     

PCDDs/PCDFs and dioxin-like PCBs: recent body burden levels and their determinants among general inhabitants in Japan

OBJECTIVE: The objective was to grasp the recent body burden levels of polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) and dioxin-like polychlorinated biphenyls (DL-PCBs) and to investigate their determinants among general inhabitants in Japan. METHODS: This study was performed on 1374 participants aged 15-73 years, who were not occupational exposure to PCDDs/PCDFs and DL-PCBs, living widely in 75 different residential areas of 25 prefectures in Japan. Seven PCDDs, ten PCDFs, twelve DL-PCBs, which are assigned a toxicity equivalent factor, and biochemical factors were determined in fasting blood. A questionnaire survey on life-style was also performed. RESULTS: The median of total toxicity equivalent (TEQ) was 20pgTEQ/g lipid. The TEQs of PCDDs/PCDFs, DL-PCBs and total TEQ increased with age. The intake frequency of fish-and-shellfish was positively associated with the TEQ of DL-PCBs in both sexes. Current smoking was negatively related to the TEQ of DL-PCBs in male subjects but not in female subjects. Feeding status was significantly related to the TEQs of PCDDs/PCDFs, DL-PCBs and total TEQ, being lowest in breast feeding and highest in never and bottle feeding. According to the results of subgroup analysis, parity was not associated with the TEQs. CONCLUSIONS: The fish-and-shellfish consumption may contribute to the accumulation of DL-PCBs, and smoking may induce some biological action for the elimination of DL-PCBs from the human body. Breast feeding is considered to be one of the major excretory pathways of PCDDs/PCDFs and DL-PCBs in women, while parity may not largely contribute to the elimination of these pollutants.     

Year-to-year correlations in blood metal levels among individuals of two species of North American sea ducks

Sea duck populations have declined in North America. Contaminants, especially metals, have been listed as possible contributing factors. Sea ducks are long-lived. Thus, individuals chronically exposed to elevated metal levels may be at greatest risk. Information about long-term exposure (> or =1year) of individuals to metals is absent. To address this information gap, we examined year-to-year correlations among individual White-Winged Scoters and King Eiders in levels of blood cadmium, lead, mercury and selenium. Positive correlations (r> or =0.43), were found in six, five, five and two of seven correlations for cadmium, selenium, lead and mercury. Thus, certain individuals of these species may be exposed over two or more years to higher levels of cadmium, selenium and lead (but apparently not mercury) than other individuals. Single blood samples are appropriate metrics of exposure for studies that examine long-term effects of certain metals on these birds.     

Antecedents of satisfaction and engagement of low-carbon bicycle-sharing using in China

Transport sector contributed numerous carbon emissions in China. It is important to promote low-carbon bicycle-sharing using in China. This paper aims to analyze the influencing factors of the satisfaction and engagement of bicycle-sharing in China. An extended model of customer satisfaction is established, which considers both customer satisfaction theory and customer engagement theory. We explore the different effect of convenience, health, safety, and facility on satisfaction of bicycle-sharing using. We also explore the role of satisfaction on three different dimensions of engagement: enthusiasm, participation, and social interaction. Multi-group structure equation model is employed to explore the different roles of gender on the determinants of satisfaction and engagement of bicycle-sharing using. The findings reveal that facilities had the larger effect on satisfaction of bicycle-sharing using than safety and health for male. Safety had the largest influence on satisfaction of bicycle-sharing using for female, followed by facility, convenience, and health.

     

Occurrence and distribution of selected pharmaceuticals and personal care products in aquatic environments: a comparative study of regions in China with different urbanization levels

Purpose

We analyzed and compared the distributions of 13 target pharmaceuticals in different water samples from the Hangzhou metropolitan area and Linan County, Southeast China.

Methods

Sampling was conducted in five hospitals, two wastewater treatment plants (WWTPs), and Qiantang River. Samples were concentrated by solid-phase extraction and PPCP concentrations were determined by UPLC-MS/MS.

Results and discussion

Trimethoprim, erythromycin A dihydrate, norfloxacin, ofloxacin, diclofenac sodium, and atenolol were the most frequently detected pharmaceuticals in hospital effluents. Most of the pharmaceutical concentrations in hospital effluents were higher than those in the WWTP influents. Although both WWTPs adopt the anaerobic?Caerobic?Canoxic treatment process, the removal rates for pharmaceuticals, such as trimethoprim and diclofenac sodium, were completely different. Meanwhile, erythromycin A dihydrate, ofloxacin, penicillin-G, cephalexin, cefazolin, ibuprofen, and diclofenac sodium were detected in Qiantang River.

Conclusions

These results indicate that hospitals are more concentrated sources of pharmaceuticals than WWTPs, and the WWTPs are not the only route of entry of pharmaceuticals into aquatic environments in these two regions.     

Exposure to methyl tertiary butyl ether and benzene in close proximity to service stations

Exposure estimates based solely on proximity to air pollution sources are not sound and require confirmation. Accordingly, since a very limited amount of actual data for this type of exposure estimate is currently available, this study was conducted to provide actual data on residents' exposure to two important gasoline constituents [methyl tertiary butyl ether (MTBE) and benzene] relative to their proximity to roadside service stations. The results confirmed that residents in neighborhoods near service stations are exposed to elevated ambient MTBE and benzene levels compared with those living farther from such a source. However, it was also found that the presumed elevated outdoor benzene levels (a mean of 1.7 ppb) even in close proximity to service stations did not exceed the indoor levels (a mean of 2.2 ppb) of exposure for those living nearby. Regardless of residents' distance from service stations, an indoor source (cigarette smoking) appeared to be the major contributor to their benzene exposure. Conversely, for MTBE, roadside service stations were found to be the major contributor to residents' exposure. In addition, the residents close to the stations were exposed to elevated indoor and outdoor MTBE levels. The sampling period (daytime and nighttime) and season (winter and summer) were additional parameters for the outdoor MTBE and benzene levels and the indoor MTBE levels. Meanwhile, the breathing zone air concentrations of service station attendants for both MTBE and benzene were significantly higher than those of drivers (p < 0.05). In addition, the breathing zone concentrations were significantly higher during summer than during winter for both drivers and attendants (p < 0.05).     

Blood-Pb and hair-Pb levels in donor-matched samples

Lead concentrations in blood and scalp hair of 200 school boys, aged 6-8 years, were measured by electrothermal atomic absorption spectrometry. The mean blood-Pb concentration was 6.8 microg dl(-1) and the mean hair-Pb concentration was 9.7 microg g(-1) (dry weight). These values are well within the normal range for the respective tissues, indicating that the children studied are presently at relatively low risk from environmental lead pollution. A correlation analysis carried out on the data failed to show any statistically significant correlation (r = 0.13, p < 0.05) between the blood-Pb and hair-Pb concentrations.     

Atmospheric concentrations and air-sea exchanges of nonylphenol, tertiary octylphenol and nonylphenol monoethoxylate in the North Sea

Concentrations of nonylphenol isomers (NP), tertiary octylphenol (t-OP) and nonylphenol monoethoxylate isomers (NP1EO) have been simultaneously determined in the sea water and atmosphere of the North Sea. A decreasing concentration profile appeared following the distance increasing from the coast to the central part of the North Sea. Air-sea exchanges of t-OP and NP were estimated using the two-film resistance model based upon relative air-water concentrations and experimentally derived Henry's law constant. The average of air-sea exchange fluxes was -12+/-6 ng m(-2)day(-1) for t-OP and -39+/-19 ng m(-2)day(-1) for NP, which indicates a net deposition is occurring. These results suggest that the air-sea vapour exchange is an important process that intervenes in the mass balance of alkylphenols in the North Sea.     

Trends in organochlorine and mercury levels in Gannet eggs

Levels of DDE, HEOD, PCBs and mercury were measured in Gannet eggs from several colonies around Britain during 1971-1987. At two colonies (Ailsa Craig and Bass Rock) sampled throughout this period, organochlorine levels declined between the early 1970s and 1983, and then increased again. The trends at other colonies, sampled over shorter periods, were generally consistent with those at Ailsa Craig and Bass Rock. Trends in mercury levels were more variable, and increases were observed at four colonies and declines at two. Some shell-thinning occurred in association with DDE contamination. However, levels of this chemical were too low to affect breeding success in the years concerned. The same was probably true of the other chemicals.     

Sulphur dioxide and smoke levels in West London

Average daily levels of the two pollutants, smoke and sulphur dioxide, have been examined as a function of the level of the previous sample period, temperature, wind speed and wind direction. Proposed models give good agreement with the data     

污水深度处理微絮凝-D型滤池工艺运行性能与经济性分析

根据昆明市第一污水处理厂深度处理微絮凝-D型滤池工艺的运行数据,评价了工艺出水水质及总磷(TP)去除效果,同时分析了混凝剂投加量及药剂费用。结果表明,微絮凝-D型滤池工艺出水TP平均浓度为0.15 mg/L,最优水平值为0.05 mg/L,95%保证值为0.37 mg/L,TP平均去除率为63.6%。出水悬浮固体(SS)浓度95%保证值为10 mg/L。混凝剂聚合氯化铝(PAC)的投加量在1.5~4 mg Al2O3/L范围波动,去除单位TP的PAC投加量平均值为16.7 mg Al2O3/mg-P,投加比为2~8 mol-Al/mol-P。当投加比超过5时,出水TP浓度可达到0.3 mg/L以下。吨水PAC成本平均值为0.017元/t。