Soil Lead and Children’s Blood Lead Levels in Syracuse, NY, USA

A geo-referenced data set of 12 228 first-time blood lead screening values for Syracuse, NY, children was established for the 4-year period 1992–1996. Soil lead values were measured in a 600 m by 600 m tessellation grid covering the city. The two data sets were merged for evaluation of relationships between them. Strong seasonal variation in blood lead levels suggests the importance of contaminated soils as an exposure source. When the data were aggregated at a large geographic scale (3 km²), a logarithmic model showed an R² of > 0.65 for the regression of geometric mean blood lead on median soil lead values. Results showed a striking similarity to those obtained by Mielke et al. (1999) for a study in New Orleans, LA, USA.     

松胞素B对人血淋巴细胞和CHL细胞微核率的影响

研究了不同浓度的松胞素Ｂ对人血淋巴细胞和中国仓鼠肺成纤维细胞（ＣＨＬ）分裂吉周期和微核率的影响。结果表明,松胞素Ｂ浓度增高过高能引起细胞微核率增高。在本研究中,对ＣＨＬ细胞微核率试验以３μｇ／ｍＬ松胞素Ｂ较适合;而对人血淋巴细胞微核试验,松胞素Ｂ浓度以２－４μｇ／ｍＬ为宜,松胞表Ｂ浓度过高会提高微核背景值,降低试验的灵敏度和精确性。     

Complications of cordocentesis in high-risk pregnancies: Effects on fetal loss or preterm delivery

Between 1990 and 1993, 166 cases underwent cordocentesis and were followed for at least the following 4 weeks in the Prenatal Diagnosis and Therapy Centre of Vienna University. The indications for the procedure were structural malformations in 46·4 per cent of the cases, other high-risk diagnoses in 48·8 per cent, and maternal age over 35 years in only 4·8 per cent. We investigated retrospectively all cases of complications resulting in fetal loss or preterm labour. Abortion, intrauterine fetal death, chorioamnionitis, and preterm delivery occurred in 0·6, 5·4, 0·6 and 9·0 per cent of these cases, respectively, adding up to a total of 26 cases (15·7 per cent). Although this rate looks relatively high, 20 of the 26 cases had already displayed signs implying a complicated prognosis. Neither maternal age, gestational age, number of attempts, nor placental location correlated with fetal loss or preterm delivery. Significantly higher rates of fetal loss or preterm delivery were observed when cordocentesis was performed in cases diagnosed as duodenal/intestinal stenosis or hydrops–ascites–hydrothroax/hygroma colli (P=0·0488 and P=0·0005). The frequency of complications did not decrease as the experience of the operators increased.     

Prenatal detection of X-linked ichthyosis by maternal serum screening for down syndrome

Maternal serum unconjugated oestriol (uE3) was measured in 15 375 pregnancies during 2 years of second-trimester risk assessment for Down syndrome using biochemical markers. Very low levels of uE3 (<0·1 MOM) were detected in 22 serum samples (0·14 per cent). Very low uE3 was associated with an adverse outcome in 13 pregnancies including fetal death and miscarriage (N=11), anencephaly (N=1), and Meckel—Gruber syndrome (N=1). Dry scales on the skin appeared in the first year of life in four boys. From dermatological diagnosis, prenatal uE3 levels, and pedigree analysis, it is concluded that at least 5 in approximately 7500 male births in the study population are affected by steroid sulphatase deficiency, which is the biochemical defect in X-linked ichthyosis. Very low uE3 levels in the second trimester are indicative of this disease in pregnancies with normal ultrasound findings.     

Are you okay to drive? Commuting behavior and blood alcohol concentrations among restaurant diners

Objective: Drink driving is widely recognized as a major road safety problem. In Australia, health promotion messages encourage monitoring the number of standard drinks consumed prior to driving. This pilot research aimed to investigate commuting behavior and blood alcohol concentration (BAC) of diners, including intended drivers, at Sunshine Coast restaurants.

Methods: Five hundred and forty-four diners (n = 260 males) consented to participate in a brief interview and to use a breathalyzer device to measure their BAC.

Results: Forty percent of participants advised they don't drink and drive (34% of males, 45% of females; 67.25% of <17–20 years, 30.5% of 50–59 years), and of the remaining participants, 75% advised they count the number of their drinks (69% of males, 84% of females; 32% of <17–20 years, 82% of 50–59 years), while 10% of participants monitored their BAC by how they were feeling (12% of males, 6% of females). Thirty-seven percent of participants said it was easy/very easy to estimate their BAC (41% of males; 33% of females; 21% of <17–20 years, 43% of 50–59 years). The actual BAC was less than expected for 56% of participants, with one-third underestimating BAC and some intended drivers having an actual BAC in excess of the 0.05 limit.

Conclusions: Given the proportion of diners who reported they count the number of drinks, or use feelings as a way to gauge BAC, coupled with the considerable proportion who underestimated their BAC, a safer public health message is to avoid driving if you intend to drink. In addition, targeted intervention for experienced drivers (and, arguably, drinkers) appears warranted, as every participant aged less than 21 years who stated he or she would drive home indeed had a zero BAC. Interestingly every female driver who stated she would be driving home also had a legal BAC, suggesting gender-specific intervention.     

User involvement in the ergonomic development of a medical instrument: a longitudinal case study

In this study the focus is on the continuous ergonomic-focused development of a medical instrument that is capable of performing blood group serological tests. Primarily, a medical device must be clinically effective and safe. At the same time it must also meet the needs of its users. This calls for consideration of numerous ergonomic aspects. The development process of the product line in question was supported by a longitudinal series of carefully designed focus groups. Altogether, the 23 focus groups conducted included 245 participants from 72 laboratories. The aim of the empirical research was to collect users’ experiences, ideas and needs as inputs for the following phase of the product development process. During the mentioned focus group analyses, around 100 development proposals were conceived. Besides presenting more of the mentioned development proposals, the focus group analysis was shown as a proper methodology to involve end-users in the development and implementation of new technology or devices.     

Prevalence of alcohol-impaired driving and riding in northern Ghana

Objective: The objective of this study was to determine the roadside prevalence of alcohol-impaired driving among drivers and riders in northern Ghana. The study also verifies motorists' perceptions of their own alcohol use and knowledge of the legal blood alcohol concentration (BAC) limit in Ghana.

Method: With the assistance of police, systematic random sampling was used to collect data at roadblocks using a cross-sectional study design. Breathalyzers were used to screen whether motorists had detectable alcohol in their breath and follow-up breath tests were conducted to measure the actual breath alcohol levels among positive participants.

Results: In all, 9.7% of the 789 participants had detectable alcohol, among whom 6% exceeded the legal BAC limit of 0.08%. The prevalence of alcohol-impaired driving/riding was highest among cyclists (10% of all cyclists breath-tested) followed by truck drivers (9%) and motorcyclists (7% of all motorcyclists breath-tested). The occurrence of a positive BAC among cyclists was about 8 times higher (odds ratio [OR] = 7.73; P < .001) and it was 2 times higher among motorcyclists (OR = 2.30; P = .039) compared to private car drivers. The likelihood for detecting a positive BAC among male motorists/riders was higher than that among females (OR = 1.67; P = .354). The odds for detecting a positive BAC among weekend motorists/riders was significantly higher than on weekdays (OR = 2.62; P = .001).

Conclusion: Alcohol-impaired driving/riding in Ghana is high by international standards. In order to attenuate the harmful effects of alcohol misuse such as alcohol-impaired driving/riding, there is the need to educate road users about how much alcohol they can consume and stay below the legal limit. The police should also initiate random breath testing to instill the deterrence of detection, certainty of apprehension and punishment, and severity and celerity of punishment among drink-driving motorists and riders.     

Evaluation of potential toxic effects of occupational inhalation exposure to licorice root dust

Licorice, a plant indigenous to southern Europe, the Middle East, and northern China, exhibits several pharmacological properties, including estrogenic, anti-tumoral, anti-inflammatory, anti-allergenic, and anti-tussive activities. Prolonged use of licorice is known to produce headaches, hypertension, cardiac arrhythmias, edema, lethargy, dyspnea, sodium retention and loss of potassium in humans. However, to date, the potential adverse health effects due to occupational inhalation exposure of licorice root dust remains unknown. This study was, therefore, undertaken to address this issue. In this cross-sectional study, individuals (30 workers) occupationally exposed to licorice root dust at a licorice producing plant in Shiraz, Iran were recruited. Similarly, 30 healthy male unexposed employees at a telecommunications industry, with identical demographic and socioeconomic status, without any past or current exposure to licorice dust or habitual ingestion of this compound, served as the referent group. Systolic and diastolic blood pressures were measured. Further, individuals underwent electrocardiography, clinical examination and blood chemistry tests. To assess the extent to which subjects were exposed to licorice root dust, atmospheric concentrations of this compound were also measured in the plant. There were no differences in age, weight, height and duration of exposure to licorice dust or length of employment between exposed and referent groups. Atmospheric measurement of licorice dust showed that concentration exceeded the permissible limit of 5 mg m^?3. Systolic and diastolic blood pressures of exposed subjects were significantly higher than those of the referent group. Similarly, blood analysis revealed that serum concentrations of potassium and platelet counts were significantly lower in exposed subjects than in referent individuals. Questionnaire data demonstrated that symptoms such as headaches, lethargy, and vertigo were more common in exposed subjects. No abnormal changes were noted in the electrocardiographs of exposed or referent subjects. Our findings provide evidence that inhalation exposure to high concentrations of licorice dust is associated with an increased prevalence of headache, lethargy, and vertigo, as well as hypertension and hypokalemia. None of these changes resulted in increased morbidity and mortality in exposed workers.     

High blood lead levels amongst Hinayana Buddhist monks: A possible effect due to daily exposure to joss stick and candle smoke

Lead (Pb) has no relevant biological functions and is one of the most toxic metals. Among several other heavy metals, monitoring of Pb is an important focus in occupational medicine. In exposure and risk evaluation, monitoring Pb biologically has several advantages over technical exposure assessment. In this study, a high blood level of Pb was found amongst Hinayana Buddhist monks, who constitute a new forgotten high-risk population. The high blood Pb levels amongst this population might be due to prolonged exposure to joss stick and candle smoke.