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[PMID]:29308862
[Au] Autor:Dordevic A; Ristic G; Zivkovic N; Todorovic B; Hristov S; Milosevic L
[Ti] Título:Respiratory diseases in preschool children in the city of Nis exposed to suspended particulates and carbon monoxide from ambient air.
[So] Source:Vojnosanit Pregl;73(4):326-36, 2016 Apr.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Background/Aim: Analysis of air quality in Serbia indicates that the city of Nis belongs to a group of cities characterized by the third category of air quality (excessive air pollution). The aim of the study was to analyze the degree of causality between ambient air quality affected by particulate matter of 10 µm (PM10) and carbon monoxide (CO) and the incidence of respiratory diseases in preschool children in the city of Nis. Methods: We quantified the influence of higher PM10 concentrations and carbon monoxide comprising motor vehicle exhausts in the city of Nis on the occurrence of unwanted health effects in preschool children by means of the hazard quotient (HQ), individual health risk (Ri), and the probability of cancer (ICR). The methodology used was according to the US Environmental Protection Agency (EPA), and it included basic scientific statistical methods, compilation methods, and the relevant mathematical methods for assessing air pollution health risk, based on the use of attribute equations. Results: Measurement of ambient air pollutant concentrations in the analyzed territory for the entire monitoring duration revealed that PM10 concentrations were significantly above the allowed limits during 80% of the days. The maximum measured PM10 concentration was 191.6 µg/m3, and carbon monoxide 5.415 mg/m3. The incidence of respiratory diseases in the experimental group, with a prominent impact of polluted air was 57.17%, whereas the incidence in the control group was considerably lower, 41.10 %. There were also significant differences in the distribution of certain respiratory diseases. Conclusion: In order to perform good causal analysis of air quality and health risk, it is very important to establish and develop a system for long-term monitoring, control, assessment, and prediction of air pollution. We identified the suspended PM10 and CO as ambient air pollutants causing negative health effects in the exposed preschool children population
[Mh] Termos MeSH primário: Poluentes Atmosféricos/efeitos adversos
Monóxido de Carbono/efeitos adversos
Material Particulado/efeitos adversos
Transtornos Respiratórios/epidemiologia
População Urbana
[Mh] Termos MeSH secundário: Pré-Escolar
Seres Humanos
Incidência
Sérvia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Particulate Matter); 7U1EE4V452 (Carbon Monoxide)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180109
[St] Status:MEDLINE
[do] DOI:10.2298/VSP140910025D


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[PMID]:28966023
[Au] Autor:Gouveia N; Junger WL; ESCALA investigators
[Ad] Endereço:Departamento de Medicina Preventiva, Faculdade de Medicina, FMUSP, Universidade de São Paulo, Av Dr Arnaldo, 455, Sao Paulo, 01246-903, Brazil. Electronic address: ngouveia@usp.br.
[Ti] Título:Effects of air pollution on infant and children respiratory mortality in four large Latin-American cities.
[So] Source:Environ Pollut;232:385-391, 2018 Jan.
[Is] ISSN:1873-6424
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Air pollution is an important public health concern especially for children who are particularly susceptible. Latin America has a large children population, is highly urbanized and levels of pollution are substantially high, making the potential health impact of air pollution quite large. We evaluated the effect of air pollution on children respiratory mortality in four large urban centers: Mexico City, Santiago, Chile, and Sao Paulo and Rio de Janeiro in Brazil. METHODS: Generalized Additive Models in Poisson regression was used to fit daily time-series of mortality due to respiratory diseases in infants and children, and levels of PM and O . Single lag and constrained polynomial distributed lag models were explored. Analyses were carried out per cause for each age group and each city. Fixed- and random-effects meta-analysis was conducted in order to combine the city-specific results in a single summary estimate. RESULTS: These cities host nearly 43 million people and pollution levels were above the WHO guidelines. For PM the percentage increase in risk of death due to respiratory diseases in infants in a fixed effect model was 0.47% (0.09-0.85). For respiratory deaths in children 1-5 years old, the increase in risk was 0.58% (0.08-1.08) while a higher effect was observed for lower respiratory infections (LRI) in children 1-14 years old [1.38% (0.91-1.85)]. For O , the only summarized estimate statistically significant was for LRI in infants. Analysis by season showed effects of O in the warm season for respiratory diseases in infants, while negative effects were observed for respiratory and LRI deaths in children. DISCUSSION: We provided comparable mortality impact estimates of air pollutants across these cities and age groups. This information is important because many public policies aimed at preventing the adverse effects of pollution on health consider children as the population group that deserves the highest protection.
[Mh] Termos MeSH primário: Poluição do Ar/estatística & dados numéricos
Exposição Ambiental/estatística & dados numéricos
Transtornos Respiratórios/mortalidade
[Mh] Termos MeSH secundário: Poluentes Atmosféricos/análise
Poluição do Ar/análise
Brasil/epidemiologia
Pré-Escolar
Chile/epidemiologia
Cidades/epidemiologia
Seres Humanos
Lactente
México/epidemiologia
Modelos Estatísticos
Saúde Pública
Política Pública
Transtornos Respiratórios/induzido quimicamente
Estações do Ano
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171003
[St] Status:MEDLINE


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[PMID]:28911012
[Au] Autor:Gurung A; Son JY; Bell ML
[Ti] Título:Particulate Matter and Risk of Hospital Admission in the Kathmandu Valley, Nepal: A Case-Crossover Study.
[So] Source:Am J Epidemiol;186(5):573-580, 2017 Sep 01.
[Is] ISSN:1476-6256
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Air pollution is known to lead to a substantial health burden, but the majority of evidence is based on data from North America and Europe. Despite rising pollution levels, very limited information is available for South Asia. We investigated the impact of particulate matter with an aerodynamic diameter less than or equal to 10 µm (PM10) on hospitalization, by cause and subpopulation, in the Kathmandu Valley, an understudied and rapidly urbanizing region in Nepal. Individual-level daily inpatient hospitalization data (2004-2007) were collected from each of 6 major hospitals, as Nepal has no central data collection system. Time-stratified case-crossover analysis was used with interaction terms for potential effect modifiers (e.g., age, sex, and socioeconomic status), with adjustment for day of the week and weather. Daily PM10 concentrations averaged 120 µg/m3, with the daily maximum reaching 403 µg/m3. A 10-µg/m3 increase in PM10 level was associated with increased risks of hospitalization of 1.00% (95% confidence interval (CI): 0.62, 1.38), 1.70% (95% CI: 0.18, 3.25), and 2.29% (95% CI: 0.18, 4.43) for total, respiratory, and cardiovascular admissions, respectively. We did not find strong evidence of effect modification by age, sex, or socioeconomic status. These results, in combination with the high levels of exposure, indicate a potentially serious human health burden from air pollution in the Kathmandu Valley.
[Mh] Termos MeSH primário: Doenças Cardiovasculares/epidemiologia
Exposição Ambiental/efeitos adversos
Material Particulado/efeitos adversos
Admissão do Paciente/estatística & dados numéricos
Transtornos Respiratórios/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Poluentes Atmosféricos/efeitos adversos
Poluentes Atmosféricos/análise
Poluição do Ar/efeitos adversos
Poluição do Ar/análise
Doenças Cardiovasculares/etiologia
Estudos Cross-Over
Exposição Ambiental/análise
Feminino
Seres Humanos
Masculino
Meia-Idade
Nepal/epidemiologia
Material Particulado/análise
Transtornos Respiratórios/etiologia
Classe Social
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Particulate Matter)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE
[do] DOI:10.1093/aje/kwx135


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[PMID]:28885343
[Au] Autor:Yang XX; Huang ZQ; Li ZH; Ren DF; Tang JG
[Ad] Endereço:aDepartment of Orthopedics, Beijing North Hospital of the China North Industries Group Corporation, Beijing bDepartment of Orthopedics, First Affiliated hospital of Zhengzhou University, Zhengzhou cDepartment of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian dDepartment of Orthopedics, First Affiliated Hospital of PLA General Hospital, Beijing, People's Republic of China.
[Ti] Título:Risk factors and the surgery affection of respiratory complication and its mortality after acute traumatic cervical spinal cord injury.
[So] Source:Medicine (Baltimore);96(36):e7887, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study is to estimate the risk factors of both respiratory complication (RC) and mortality after acute traumatic cervical spinal cord injury (TCSCI). Between July 2005 and July 2015, in 181 patients (142 males and 39 females; mean age 41.0 years) with acute TCSCI, we compared the difference and odds ratio in RC group (n = 73) with that of non-RC group (n = 108), and also death group (n = 15) and survival group (n = 166). We collected injury-related information after half a year of injury, which is as follows: the causes of injury, time of surgery, ICU (intensive care unit) days, ventilator days, ASIA (American Spinal Injury Association) classification, neurological injury, CIPS (Clinical Pulmonary Infection Score), and BMI (body mass index). Besides these, we gathered the general information such as age, gender, smoking history, and use of steroids. The study compared perioperative parameters; surgery-related and instrumentation- and graft-related complication rates; clinical parameters; patient satisfaction; and radiologic parameters. Variations like gender (odds ratio [OR] = 1.269, 95% confidence interval [CI] [0.609-2.646]), smoking history (OR = 2.902, 95% CI [1.564-5.385]), AIS grade (grade A) (OR = 6.439, 95% CI [3.334-12.434]), neurological level (C1-C4) (OR = 2.714, 95% CI [1.458-5.066]), and steroid use (OR = 2.983, 95% CI [1.276-6.969]) have a facilitated effect on RC. When we estimated surgery-related affection, only the time of surgery and anterior approach compared with posterior has significant difference in RC (P < .05). Between death and survival group, the aspect of age, non-surgical, CPIS, AIS grade, and BMI have statistically significant difference. Survival analysis reveals significant difference in aforementioned groups. In patients suffering from acute TCSCI, those who are old, have long smoking history, complete spinal cord injury, C1-C4, high CPIS, and fat have high incidence of RC and mortality.
[Mh] Termos MeSH primário: Medula Cervical/lesões
Transtornos Respiratórios/etiologia
Transtornos Respiratórios/mortalidade
Traumatismos da Medula Espinal/mortalidade
Traumatismos da Medula Espinal/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Fatores de Risco
Traumatismos da Medula Espinal/complicações
Análise de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007887


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[PMID]:28858470
[Au] Autor:Linde SJL; Franken A; du Plessis JL
[Ad] Endereço:Occupational Hygiene and Health Research Initiative (OHHRI), North-West University , Potchefstroom 2520, South Africa.
[Ti] Título:Occupational Respiratory Exposure to Platinum Group Metals: A Review and Recommendations.
[So] Source:Chem Res Toxicol;30(10):1778-1790, 2017 Oct 16.
[Is] ISSN:1520-5010
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Platinum group metals (PGMs) is a group of metals that include platinum, palladium, rhodium, ruthenium, iridium, and osmium. Occupational respiratory exposure to platinum has been reported since 1945, but studies investigating occupational exposure to palladium, rhodium, ruthenium, iridium, and osmium are scarce. This review provides a summation of the information available on the respiratory exposure to PGMs in various industrial settings, methods used to assess exposure, and the possible adverse health effects resulting from occupational exposure to PGMs. Of these effects, respiratory sensitization caused by soluble PGMs is of most importance. Metallic PGMs have not been shown to cause allergic reactions. This review reiterates that occupational respiratory exposure to PGMs is dependent on the type of industry where exposure takes place, the chemical form (soluble or insoluble) of the PGMs present in the workplace air, and the tasks performed by workers in the specific work areas. Sensitization to soluble platinum is associated with the degree of exposure to soluble platinum compounds, and the highest concentrations of soluble PGMs in workplace air have been reported for precious metals refineries where personal exposures frequently exceed the occupational exposure limit for soluble platinum (2 µg/m ). Additionally, this review emphasizes that personal exposure monitoring is preferred over area monitoring when assessing workers' exposure to PGMs. The legislation applicable to occupational exposure to PGMs is also discussed, and it is highlighted that the occupational exposure limit for soluble platinum has remained unchanged, in most countries, since 1970 and that too few countries have classified PGM compounds as respiratory or skin sensitizers. Finally, recommendations are made to ensure that future investigations are comparable in terms of the type of exposure monitoring (personal or area) conducted, the type of tasks included in the exposure monitoring program, and the format in which results are reported.
[Mh] Termos MeSH primário: Intoxicação por Metais Pesados
Exposição Ocupacional/efeitos adversos
Transtornos Respiratórios/induzido quimicamente
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Metals, Heavy)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1021/acs.chemrestox.7b00184


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[PMID]:28858134
[Au] Autor:Kim EH; Song IK; Lee JH; Kim HS; Kim HC; Yoon SH; Jang YE; Kim JT
[Ad] Endereço:aDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Jongno-gu bDepartment of Anaesthesiology and Pain Medicine, Asan Medical Center, Ulsan College of Medicine, Songpa-GU, Seoul cDepartment of Anesthesiology and Pain Medicine, Keimyung University Dongsan Medical Center, Jung-gu, Daegu, Republic of Korea.
[Ti] Título:Desflurane versus sevoflurane in pediatric anesthesia with a laryngeal mask airway: A randomized controlled trial.
[So] Source:Medicine (Baltimore);96(35):e7977, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Desflurane with a laryngeal mask airway may have advantages during ambulatory anesthesia. However, desflurane-induced airway irritability makes the use of desflurane challenging, especially in children. This study compared desflurane with sevoflurane maintenance anesthesia in terms of respiratory events and the emergence characteristics in children with a laryngeal mask airway. METHODS: This randomized controlled trial evaluated 200 children undergoing strabismus surgery allocated to desflurane or sevoflurane groups. After inducing anesthesia with sevoflurane and thiopental sodium 5 mg kg, the anesthetic agent was changed to desflurane in the desflurane group, whereas sevoflurane was continued in the sevoflurane group. Respiratory events, emergence time, recovery time, and emergence agitation were compared between the groups. RESULTS: The overall respiratory events did not differ between the groups. However, the incidence of mild desaturation (90% ≤ SpO2 < 97%) was significantly higher in the desflurane group (7%) than in the sevoflurane group (0%) (P = .007). Emergence was significantly faster in the desflurane group (6.6 ±â€Š3.9 vs 8.0 ±â€Š2.2 min, P = .003). The recovery time and emergence agitation in the postanesthesia care unit were comparable between groups. Laryngospasm developed in 5 children (1 in the sevoflurane group and 4 in the desflurane group, P = .365); of these, 4 patients were younger than 3 years. CONCLUSION: Desflurane maintenance anesthesia in children with a laryngeal mask airway shows a similar rate of overall respiratory events compared with sevoflurane anesthesia. However, anesthesiologists should be cautious of using desflurane in younger children concerning desaturation events during emergence.
[Mh] Termos MeSH primário: Anestesia por Inalação/métodos
Anestésicos Inalatórios/administração & dosagem
Isoflurano/análogos & derivados
Máscaras Laríngeas
Éteres Metílicos/administração & dosagem
[Mh] Termos MeSH secundário: Anestesia por Inalação/efeitos adversos
Anestesia por Inalação/instrumentação
Anestésicos Inalatórios/efeitos adversos
Criança
Pré-Escolar
Método Duplo-Cego
Feminino
Seres Humanos
Isoflurano/administração & dosagem
Isoflurano/efeitos adversos
Masculino
Éteres Metílicos/efeitos adversos
Transtornos Respiratórios/induzido quimicamente
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anesthetics, Inhalation); 0 (Methyl Ethers); 38LVP0K73A (sevoflurane); CRS35BZ94Q (desflurane); CYS9AKD70P (Isoflurane)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007977


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[PMID]:28844810
[Au] Autor:Toloba Y; Soumaré D; Ouattara K; Kanouté T; Boré O; Dolo O; Baya B; Berthé G; Diallo S
[Ad] Endereço:Service de pneumologie, CHU de Point-G, Bamako, Mali. Electronic address: toloba71@yahoo.fr.
[Ti] Título:[Respiratory diseases in black African carceral area].
[Ti] Título:Pathologies respiratoires en milieu carcéral noir africain..
[So] Source:Rev Mal Respir;34(7):729-733, 2017 Sep.
[Is] ISSN:1776-2588
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: The measures for people in specific situations such as prisoners are part of the Millennium Development Goals (MDGs). The objective of this study was to assess respiratory pathologies in a black African carceral center. METHODS: Retrospective study about the prevalence of respiratory pathologies in the arrest central house for men in Bamako (Mali), from May 2012 to April 2013. The admission records have served as data checking support on detainee's records. Statistical significance was investigated by the SAS 9.3 software with a threshold of 5%. RESULTS: Of 2740 admissions, 207 concerned respiratory pathologies (7.5%). All men, were of mean age 30±13 years (range 19-71). The respiratory diseases found were: pneumonia (33.8%), chronic bronchitis (26.6%), acute respiratory infection (14%), asthma (13.5%) and tuberculosis (5.3%). A definite diagnosis was made in 42% of cases. A tobacco intoxication was found in all age groups (CI 95%, R-square=0.01), without significant difference between the occurrence of cough in smoking and non-smoking men. CONCLUSION: According to their relative frequencies, the management of respiratory diseases requires collaboration between carceral health facilities and pneumological specialized services.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Africano/estatística & dados numéricos
Prisões/estatística & dados numéricos
Transtornos Respiratórios/epidemiologia
[Mh] Termos MeSH secundário: Adulto
África/epidemiologia
Idoso
Seres Humanos
Masculino
Meia-Idade
Prevalência
Pneumologia/estatística & dados numéricos
Transtornos Respiratórios/etiologia
Estudos Retrospectivos
Fatores de Risco
Fumar/efeitos adversos
Fumar/epidemiologia
Tuberculose/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170829
[St] Status:MEDLINE


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[PMID]:28830080
[Au] Autor:Liu Y; Zhou Y; Hnizdo E; Shi T; Steenland K; He X; Chen W
[Ti] Título:Total and Cause-Specific Mortality Risk Associated With Low-Level Exposure to Crystalline Silica: A 44-Year Cohort Study From China.
[So] Source:Am J Epidemiol;186(4):481-490, 2017 Aug 15.
[Is] ISSN:1476-6256
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The association between low-level crystalline silica (silica) exposure and mortality risk is not well understood. We investigated a cohort of 44,807 Chinese workers who had worked in metal mines or pottery factories for at least 1 year from January 1, 1960, to December 31, 1974, and were followed through 2003. Low-level silica exposure was defined as having a lifetime highest annual mean silica exposure at or under a permissible exposure limit (PEL). We considered 3 widely used PELs, including 0.05 mg/m3, 0.10 mg/m3, and 0.35 mg/m3. Cumulative silica exposure was estimated by linking a job exposure matrix with each participant's work history. For the 0.10-mg/m3 exposure level, Cox proportional hazards models showed significantly increased risk of mortality from all diseases (for each 1-ln mg/m3-years increase in logged cumulative silica exposure, hazard ratio (HR) = 1.05, 95% confidence interval (CI): 1.03, 1.07), malignant neoplasms (HR = 1.06, 95% CI: 1.03, 1.09), lung cancer (HR = 1.08, 95% CI: 1.02, 1.14), ischemic heart disease (HR = 1.09, 95% CI: 1.02, 1.16), pulmonary heart disease (HR = 1.08, 95% CI: 1.00, 1.16), and respiratory disease (HR = 1.20, 95% CI: 1.14, 1.26). The 0.05-mg/m3 and 0.35-mg/m3 exposure levels yielded similar associations. Long-term exposure to low levels (PELs ≤0.05 mg/m3, ≤0.10 mg/m3, or ≤0.35 mg/m3) of silica is associated with increased total and certain cause-specific mortality risk. Control of ambient silica levels and use of personal protective equipment should be emphasized in practice.
[Mh] Termos MeSH primário: Cardiopatias/induzido quimicamente
Neoplasias/induzido quimicamente
Doenças Profissionais/induzido quimicamente
Exposição Ocupacional/efeitos adversos
Transtornos Respiratórios/induzido quimicamente
Dióxido de Silício/efeitos adversos
[Mh] Termos MeSH secundário: Agricultura/estatística & dados numéricos
Causas de Morte
China/epidemiologia
Feminino
Cardiopatias/mortalidade
Seres Humanos
Estudos Longitudinais
Masculino
Indústria Manufatureira/estatística & dados numéricos
Mineração/estatística & dados numéricos
Neoplasias/mortalidade
Doenças Profissionais/mortalidade
Modelos de Riscos Proporcionais
Transtornos Respiratórios/mortalidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
7631-86-9 (Silicon Dioxide)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1093/aje/kwx124


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[PMID]:28813509
[Au] Autor:Hwang SH; Lee JY; Yi SM; Kim H
[Ad] Endereço:Graduate School of Public Health, Seoul National University, Seoul, South Korea.
[Ti] Título:Associations of particulate matter and its components with emergency room visits for cardiovascular and respiratory diseases.
[So] Source:PLoS One;12(8):e0183224, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Numerous studies have revealed an association between particulate matter (PM) and emergency room (ER) visits, although few studies have investigated the association between health and PM components. The present study evaluated the associations of ER visits for cardiovascular and respiratory diseases with PM2.5 components, including organic carbon (OC), elemental carbon (EC), and ion species (SO42-, NO3-, and NH4+). Statistical analyses were performed using the time-series approach, and generalized linear models with natural spline functions were used to adjust for the non-linear relationship between the confounders and ER visits. Our single-pollutant models revealed that the greatest increase in cardiovascular ER visits was associated with NH4+ (relative risk: 1.05; 95% confidence interval: 1.01-1.09), which was followed by OC, SO42-, NO3-, and EC. The associations of cardiovascular ER visits with EC and OC varied according to age and sex, with elderly and female patients exhibiting stronger associations. Lagged SO42- was associated with respiratory ER visits. To the best of our knowledge, this is the first study to evaluate the associations between ER visits and PM components in South Korea. As PM components are related to traffic and industrial sources, and exhibited positive associations with ER visits, our results may help improve air pollution regulation and public health.
[Mh] Termos MeSH primário: Doenças Cardiovasculares/epidemiologia
Serviço Hospitalar de Emergência/estatística & dados numéricos
Exposição Ambiental
Material Particulado/efeitos adversos
Transtornos Respiratórios/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Carbono/análise
Doenças Cardiovasculares/etiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Transtornos Respiratórios/etiologia
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Particulate Matter); 7440-44-0 (Carbon)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170817
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183224


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[PMID]:28786475
[Au] Autor:Meehan E; Williams K; Reid SM; Freed GL; Babl FE; Sewell JR; Vidmar S; Donath S; Reddihough DS
[Ad] Endereço:Developmental Disability and Rehabilitation Research, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.
[Ti] Título:Comparing emergency department presentations among children with cerebral palsy with general childhood presentations: a data linkage study.
[So] Source:Dev Med Child Neurol;59(11):1188-1195, 2017 Nov.
[Is] ISSN:1469-8749
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: The aims of this study were to estimate the proportion of emergency department presentations attributable to children with cerebral palsy (CP), investigate the frequency of emergency department presentations in a CP cohort, and compare emergency department presentations among children with CP with those of other children. METHOD: This was a retrospective cohort study. The Victorian Cerebral Palsy Register was linked to the Victorian Emergency Minimum Dataset. Data on emergency department presentations for the CP cohort occurring between 2007 and 2014 and population control data were obtained. RESULTS: The CP cohort (n=1748) had 7015 emergency department presentations during the 7-year period, accounting for 0.4% of the 1.69 million age-specific presentations during that time. The number of annual presentations per 1000 children rose with increasing CP severity. Compared with presentations among the general population, higher proportions of presentations among the CP cohort were preceded by ambulance arrivals (27% vs 8%), triaged as urgent (66% vs 32%), and required hospital admission (38% vs 12%). INTERPRETATION: The marked differences in presentations between the CP cohort and the general population in the proportions that were urgent and required ambulance arrivals and hospital admissions was an important finding. Strategies to ensure appropriate use of services, including encouragement to seek earlier assistance from primary care providers, may prevent problems escalating to the need for urgent care. WHAT THIS PAPER ADDS: Children with cerebral palsy (CP) account for 0.4% of childhood emergency department presentations. More emergency department presentations among children with CP require ambulance arrival. More CP emergency department presentations are urgent and require hospital admission. Traditional emergency department triage scales seem less accurate for this group.
[Mh] Termos MeSH primário: Paralisia Cerebral/epidemiologia
Paralisia Cerebral/terapia
Serviço Hospitalar de Emergência/estatística & dados numéricos
Hospitais Pediátricos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Paralisia Cerebral/complicações
Criança
Pré-Escolar
Estudos de Coortes
Doenças do Sistema Digestório/etiologia
Feminino
Seres Humanos
Masculino
Doenças Musculoesqueléticas/etiologia
Doenças do Sistema Nervoso/etiologia
Nova Zelândia/epidemiologia
Sistema de Registros
Transtornos Respiratórios/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170809
[St] Status:MEDLINE
[do] DOI:10.1111/dmcn.13518



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