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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.

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This study was set out to assess the contents of five volatile organic compounds (VOCs), including BTEX (the acronym for benzene, toluene, ethylbenzene, and xylene) and methyl tertiary-butyl ether (MTBE), in three types of tollbooth (including the car lane/ticket-collecting, car lane/cash-collecting, and bus/truck lane tollbooths) at a highway toll station via the direct and indirect approaches. For the direct approach, VOC samples were collected from the breathing zone of booth attendants at all selected tollbooths during the three workshifts. For samples collected during the dayshift, we found VOC contents of BTEX and MTBE in both the car lane/ticket-collecting (=6.23, 21.93, 3.24, 8.56, and 5.63 ppb, respectively) and car lane/cash-collecting tollbooths (=5.98, 21.71, 3.25, 8.59, and 6.04 ppb, respectively) were quite comparable, but both were significantly higher than that in the bus/truck lane tollbooth (=3.13, 13.91, 2.05, 4.52, and 2.70 ppb, respectively). The same pattern can also be found for the other two workshifts. For the indirect approach, we conducted multivariate regression analyses to predict VOC contents for any given type of tollbooth by using the four independent variables of the vehicle flowrate, wind speed, relative humidity, and air temperature. We found that, except the vehicle flowrate, the other three factors did not have a significant effect on VOC contents in the three types of tollbooth. In addition, the magnitudes of the effect of the vehicle flowrate on VOC contents for the three types of tollbooth were: car lane/cash-collecting>bus/truck lane>car lane/ticket-collecting. All regression results yielded R2-values in the range of 0.41−0.74 indicating that the developed indirect approach was able to predict VOC contents for three types of tollbooth.  相似文献   
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