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Food contamination as a pathway for lead exposure in children during the 2010–2013 lead poisoning epidemic in Zamfara,Nigeria 被引量:3
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作者 Simba Tirima Casey Bartrem +4 位作者 Ian von Lindern Margrit von Braun Douglas Lind Shehu Mohamed Anka Aishat Abdullahi 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2018年第5期260-272,共13页
In 2010, an estimated 400 to 500 children died of acute lead poisoning associated with artisanal gold mining in Zamfara, Nigeria. Processing of gold ores containing up to 10% lead within residential compounds put resi... In 2010, an estimated 400 to 500 children died of acute lead poisoning associated with artisanal gold mining in Zamfara, Nigeria. Processing of gold ores containing up to 10% lead within residential compounds put residents, especially children, at the highest risk. Principal routes of exposure were incidental ingestion and inhalation of contaminated soil and dusts. Several Nigerian and international health organizations collaborated to reduce lead exposures through environmental remediation and medical treatment. The contribution of contaminated food to total lead exposure was assessed during the environmental health response. Objectives of this investigation were to assess the influence of cultural/dietary habits on lead exposure pathways and estimate the contribution of contaminated food to children's blood lead levels(BLLs). A survey of village dietary practices and staple food lead content was conducted to determine dietary composition, caloric intakes, and lead intake. Potential blood lead increments were estimated using bio-kinetic modeling techniques. Most dietary lead exposure was associated with contamination of staple cereal grains and legumes during post-harvest processing and preparation in contaminated homes. Average post-harvest and processed cereal grain lead levels were 0.32 mg/kg and 0.85 mg/kg dry weight, respectively. Age-specific food lead intake ranged from 7 to 78 μg/day. Lead ingestion and absorption were likely aggravated by the dusty environment, fasting between meals, and nutritional deficiencies. Contamination of staple cereal grains by highly bioavailable pulverized ores could account for as much as 11%–34% of children's BLLs during the epidemic, and were a continuing source after residential soil remediation until stored grain inventories were exhausted. 展开更多
关键词 Artisanal mining Environmental health lead poisoning Nigerian environmentalcontamination Dietary exposures Para-occupational exposuresChildren's health
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Effection of Lead Poisoning and Newcastle Disease Vaccine on Development of Egg Yellow Feather Quail 被引量:3
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作者 PANG You-zhi ZHAO De-ming +3 位作者 ZHAO Shu-juan YANG You-bing CHEN Sheng CUI Yan-jun 《Animal Husbandry and Feed Science》 CAS 2011年第2期29-33,48,共6页
[ Objective] To investigate the effects of Newcastle disease vaccination and lead exposure on growth and development of egg yellow feather quail. [ Method] Ninety 14-day-old quails were assigned randomly to 10 groups ... [ Objective] To investigate the effects of Newcastle disease vaccination and lead exposure on growth and development of egg yellow feather quail. [ Method] Ninety 14-day-old quails were assigned randomly to 10 groups ( n = 9), and they fed and drunk at liberty. A 2 ×5 factorial design was used. The quail immunized with ND vaccine and those non-immunized were exposed to lead at a dosage of 0, 50,500, 1 000 and 2 000 mg/L, respectively. [Result] The ND immunization reduced body weight significantly ( P 〈 0.01 ) and increased liver index and serum levels of hy- aluronic acid in quail within 1 -2 weeks post inoculation. The quail exposed to 2 000 mg/L lead acetate had significantly lower body weight than the control ( P 〈 0.01 ). From 7 weeks old, the same inhibitory effect was observed in the quail'exposed to lead at different dosages ( P 〈 0.01 ). In addition, the lead poisoning could cause decreased feed intake, depilation, gonadal dysgenesis, and increased serum levels of hyaluronic acid. [ Conduslon] The inhibitory effect of ND vaccination on growth of quail occurs within 1 -2 weeks post inoculation; thus, the effects of immune stress should not be worried in quail production. The lead poisoning has significant effects on body weight and feed intake of quail, and lead dosage and duration affect the inhibitory effects of lead. Gonadal dysgenesis is an important indicator of lead poisoning in. quail. The serum levels of hyaluronic acid can be used to determine whether the quail have been immunized with ND vaccine or have contacted lead pollutants. 展开更多
关键词 QUAIL DEVELOPMENT Hyaluronic acid lead poisoning STRESS
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Association between the HOTAIR Polymorphism and Susceptibility to Lead Poisoning in a Chinese Population
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作者 CHEN Lin ZHAO Qiu Ni +5 位作者 QIAN Xiu Rong ZHU Bao Li DING En Min WANG Bo Shen ZHANG Heng Dong YANG Hong 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2018年第6期473-478,共6页
This study explored the association between the lncRNA HOTAIR polymorphism and susceptibility to lead poisoning in a Chinese population. We speculated that lead poisoning caused elevated levels of oxidative stress, wh... This study explored the association between the lncRNA HOTAIR polymorphism and susceptibility to lead poisoning in a Chinese population. We speculated that lead poisoning caused elevated levels of oxidative stress, which, in turn, activate the HOTAIR gene to cause apoptosis. Three lncRNA HOTAIR tagSNPs(rs7958904, rs4759314, and rs874945) were genotyped by TaqM an genotyping technology in 113 lead-sensitive and 113 lead-resistant Chinese workers exposed to lead. Rs7958904 was significantly associated with susceptibility to lead poisoning(P = 0.047). The rs7958904 G allele had a protective effect compared with the C allele and reduced the risk of lead poisoning(P = 0.016). Rs7958904 may act as a potential biomarker for predicting the risk of lead poisoning and distinguishing lead-sensitive individuals from lead-resistant individuals. 展开更多
关键词 HOTAIR Association between the HOTAIR Polymorphism and Susceptibility to lead poisoning in a Chinese Population
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Lead poisoning due to appendiceal foreign body
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作者 Gustavo Stringel Camelia Lawrence +2 位作者 Richard Noto Adele Brudnicki Gwen Smith 《Open Journal of Pediatrics》 2013年第3期180-182,共3页
Lead poisoning caused by a foreign body is rare. Foreign bodies that are ingested typically pass without consequence or awareness by the patient [1]. There are few documented cases of lead poisoning from an ingested f... Lead poisoning caused by a foreign body is rare. Foreign bodies that are ingested typically pass without consequence or awareness by the patient [1]. There are few documented cases of lead poisoning from an ingested foreign body lodged in the appendix. Screening for lead poisoning is mandated by New York State at annual well person exams for children ages 6 months to 6 years [2]. We present a case of a 2-year-old male who was found to have elevated lead levels during a routine well-child visit. An abdominal X-ray was obtained as part of routine follow up for elevated lead levels and a foreign body was found in the right lower quadrant. After unsuccessful attempt to flush the foreign body out with golytely, a CT abdomen/ pelvis was obtained. The foreign body was localized in the appendix. The patient was subsequently taken to surgery for an appendectomy to remove the foreign body. This case is a demonstration of the positive effects of the lead screening guidelines of New York. 展开更多
关键词 lead poisonING APPENDIX FOREIGN BODY
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Lead poisoning in new immigrant children from the mainland of China
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作者 凌绍祥 周镇邦 +3 位作者 陈恩和 谢江 莫国荣 吴瑞芬 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第1期17-20,共4页
Objective To define the prevalence, severity and risk factors for lead poisoning in new immigrant children from the mainland of China to Hong Kong, China.Methods New immigrant children from the mainland of China und... Objective To define the prevalence, severity and risk factors for lead poisoning in new immigrant children from the mainland of China to Hong Kong, China.Methods New immigrant children from the mainland of China under 18 years of age were invited to join the study. Their growth parameters and venous blood lead levels (BLL) were measured within 7 days of arrival. Those with elevated BLL i.e. 】10?μg/dl (0.48?μmol/L) were assessed for signs, symptoms and risk factors of lead poisoning. Education on the prevention of lead poisoning and follow up BLL measurements were offered until their BLL normalized.Results Four hundred and fifty-seven children were recruited. Among them, 18.1% and 2.6% had BLL 】0.48 and 0.71?μmol/L, respectively. None had BLL 】0.96?μmol/L. Possible risk factors included contaminated drinking water (19%), herb ingestion (17.5%), pica, playing in dumping grounds, residing near paint factories or highways, habitual inhalation of car exhaust and cooking with petroleum. Symptoms and signs included abdominal pain, headache, short stature, and learning difficulties but did not correlate with BLL. None required treatment except for counseling on the avoidance of risk factors. About 94.7% showed a reduction in BLL 2-3 months after arrival and before counseling. All had normalized BLL by 9 months except 1 who had an X-ray feature of lead line.Conclusions Lead poisoning is common in new immigrant children from the mainland of China. Environmental factors were most important while behavioral factors like regular herb ingestion might have contributed to the persistence of high BLL in the minority. 展开更多
关键词 lead poisonING · prevalance · RISK FACTORS · CHILD · China
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Chrysophanol attenuates lead exposure-induced injury to hippocampal neurons in neonatal mice 被引量:9
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作者 Ji Zhang Chunlin Yan +3 位作者 Shu Wang Yong Hou Guiping Xue Li Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第9期924-930,共7页
Previous studies have shown that chrysophanol protects against learning and memory impairments in lead-exposed adult mice. In the present study, we investigated whether chrysophanol can alleviate learning and memory d... Previous studies have shown that chrysophanol protects against learning and memory impairments in lead-exposed adult mice. In the present study, we investigated whether chrysophanol can alleviate learning and memory dysfunction and hippocampal neuronal injury in lead-exposed neonatal mice. At the end of lactation, chrysophanol(0.1, 1.0, 10.0 mg/kg) was administered to the neonatal mice by intraperitoneal injection for 15 days. Chrysophanol significantly alleviated injury to hippocampal neurons and improved learning and memory abilities in the lead-poisoned neonatal mice. Chrysophanol also significantly decreased lead content in blood, brain, heart, spleen, liver and kidney in the lead-exposed neonatal mice. The levels of malondialdehyde in the brain, liver and kidney were significantly reduced, and superoxide dismutase and glutathione peroxidase activities were significantly increased after chrysophanol treatment. Collectively, these findings indicate that chrysophanol can significantly reduce damage to hippocampal neurons in lead-exposed neonatal mice. 展开更多
关键词 nerve regeneration traditional Chinese medicine CHRYSOPHANOL lead poisoning lead MALONDIALDEHYDE superoxide dismutase glutathione peroxidase neurons neonatal mice antioxidant learning and memory Morris water maze step-down test hippocampal neurons ULTRASTRUCTURE Medical Scientific Research Project of Health Bureau of Hebei Province neural regeneration
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Neurotoxicity and Biomarkers of Lead Exposure: a Review 被引量:11
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作者 Kang-sheng Liu Jia-hu Hao +2 位作者 Yu Zeng Fan-chun Dai Ping-qing Gu 《Chinese Medical Sciences Journal》 CAS CSCD 2013年第3期178-188,共11页
Appropriate selection and measurement of lead biomarkers of exposure are critically important for health care management purposes,public health decision making,and primary prevention synthesis.Lead is one of the neuro... Appropriate selection and measurement of lead biomarkers of exposure are critically important for health care management purposes,public health decision making,and primary prevention synthesis.Lead is one of the neurotoxicants that seems to be involved in the etiology of psychologies.Biomarkers are generally classified into three groups:biomarkers of exposure,effect,and susceptibility.The main body compartments that store lead are the blood,soft tissues,and bone;the half-life of lead in these tissues is measured in weeks for blood,months for soft tissues,and years for bone.Within the brain,lead-induced damage in the prefrontal cerebral cortex,hippocampus,and cerebellum can lead to a variety of neurological disorders,such as brain damage,mental retardation,behavioral problems,nerve damage,and possibly Alzheimer’s disease,Parkinson’s disease,and schizophrenia.This paper presents an overview of biomarkers of lead exposure and discusses the neurotoxic effects of lead with regard to children and adults. 展开更多
关键词 lead poisoning biological monitoring NEUROTOXICITY NEURODEVELOPMENT
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Chronic exercise training versus acute endurance exercise in reducing neurotoxicity in rats exposed to lead acetate 被引量:3
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作者 Mohammad Shahandeh Valiollah Dabidi Roshan +2 位作者 Somayeh Hosseinzadeh Soleiman Mahjoub Vaginak Sarkisian 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第8期714-722,共9页
After intraperitoneal injection of 20 mg/kg lead acetate, rats received 8 weeks of treadmill exercise (15-22 m/min, 25-64 minutes) and/or treadmill exercise at 1.6 km/h until exhaustion. The markers related to neuro... After intraperitoneal injection of 20 mg/kg lead acetate, rats received 8 weeks of treadmill exercise (15-22 m/min, 25-64 minutes) and/or treadmill exercise at 1.6 km/h until exhaustion. The markers related to neurotoxicity were measured by enzyme-linked immunosorbent assay method. 8 weeks of treadmill exercise significantly increased brain-derived neurotrophic factor level in the hippocampus (P = 0.04) and plasma level of total antioxidant capacity of rats exposed to lead acetate (P 〈 0.001), and significantly decreased plasma level of malondialdehyde (P 〈 0.001). Acute exercise only decreased the hippocampal malondialdehyde level (P = 0.09) and increased brain-derived neurotrophic factor level in the hippocampus (P = 0.66). Acute exercise also enhanced the total antioxidant capacity in rats exposed to lead acetate, insignificantly (P = 0.99), These findings suggest that chronic treadmill exercise can significantly decrease neurotoxicity and alleviate oxidative stress in rats exposed to lead acetate. However, acute endurance exercise was not associated with these beneficial effects. 展开更多
关键词 neural regeneration NEUROREHABILITATION long-term exercise training endurance exercise TREADMILL lead poisoning NEUROTOXICITY oxidative stress HIPPOCAMPUS brain-derived neurotrophic factor NEUROREGENERATION
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Lead Can Inhibit NMDA-,K^+-,QA/KA-Induced Increases in Intracellular Free Ca^(2+) in Cultured Rat Hippocampal Neurons 被引量:2
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作者 ZHANGHENG-SHAN SONGLI-HUA 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2002年第4期330-340,共11页
Objective To examine the effects of Pb2+ on N-methyl-D-aspartate (NMDA)-, K+- and quisqualate(QA)/kainite(KA)-induced increases in intracellular free calcium concentration ([Ca2+],) in cultured fetal rat hippocampal n... Objective To examine the effects of Pb2+ on N-methyl-D-aspartate (NMDA)-, K+- and quisqualate(QA)/kainite(KA)-induced increases in intracellular free calcium concentration ([Ca2+],) in cultured fetal rat hippocampal neurons in order to explain the cognitive and learning deficits produced by this heavy metal. Methods Laser scanning confocal microscopy was used. Results The results clearly demonstrated that adding Pb2+ before or after NMDA/glycine stimulation selectively inhibited the stimulated increases in [Ca2+], in a concentration-dependent manner. In contrast, Pb2+ treatment did not markedly affect increases in [Ca2+], induced by an admixture of QA and KA. The minimal inhibitory effect of Pb2+ occurred at 1 μmol/L, and more than seventy percent abolition of the NMDA-stimulated increase in [Ca2+]; was observed at 100 Jμmoll/L Pb2+. Evaluation of Pb2+-induced increase in [Ca2+], response to elevating extracellular concentrations of NMDA, glycine or calcium revealed that Pb2+ was a noncompetitive antagonist of both NMDA and glycine, and a competitive antagonist of Ca2+ at NMDA receptor channels. In addition. Pb2+ inhibited depolarization-evoked increases in [Ca2+], mediated by K+ stimulation(30μmol/L). indicating that Pb2+ also depressed the voltage-dependent calcium channels. Also, the results showed that Pb2+ appeared to be able to elevate the resting levels of [Ca2+|, in cultured neurons, implying a reason for Pb2+-enhanced spontaneous release of several neurotransmitters reported in several previous studies. Conclusion Lead can inhibit NMDA-. K+-, QA/KA-jnduced increases in intracellular [Ca2+], in cultured hippocampal neurons. 展开更多
关键词 lead poisoning Glutamate receptor: Rat hippocampal neuron Calcium Learning deficit Laser scanning confocal microscopy
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PREPARATION AND PROPERTIES OF CRYSTAL GLASSES WITHOUT LEAD CONTENT
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作者 王为 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 1999年第3期53-58,共6页
BaO is the most common consideration in the preparation of newcrystal glass for getting rid of lead content in the glass andceramic wares to protect hu- man health and environment. But forkeeping the glass products... BaO is the most common consideration in the preparation of newcrystal glass for getting rid of lead content in the glass andceramic wares to protect hu- man health and environment. But forkeeping the glass products' properties to meet the requirements ofthe tradi- tional crystal glass, B_2O_3, Al_2O_3, TiO_2, SrO and ZnOetc (at a special ratio) had been researched with BaO to con- stitutea mixture to replace the lead content in the glass compositions. 展开更多
关键词 crystal glass lead poison glass composition and preparation
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STUDY OF BEHAVIORAL TOXICOLOGY IN LEAD EXPOSED RATS
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作者 张进 陈等 周明 《Journal of Pharmaceutical Analysis》 CAS 1998年第2期141-145,共5页
The study treated 72 s,rague-Dawley rats that were divided into 4 groups, one controlgroup and low, middle and higa dose groups, through drinking lead acetate solutions for threemonths. On the basis of founding subcl... The study treated 72 s,rague-Dawley rats that were divided into 4 groups, one controlgroup and low, middle and higa dose groups, through drinking lead acetate solutions for threemonths. On the basis of founding subclinical lead poisoning model, behavioral toxicological testwhich consisted of neurobehavioral functions, neuroelectrophysiology and neurobiochemistry wascarried out. The results indicabo that low lvel lead exposure could result in the obvious changes orneurobehavioral function, neuroelectrophyslology and ueurobiochemistry, and the changes of neurobeltavioral runctiou had close correlatiom with P6B, Zap, NCV and DA, and they also had promlnant dose-response relatiouskips. The results suggested that the indexes of neurobehavioral functionmight be cousldered as early, semitive indexes for subolinical'lead poisoning. The combination ofneurobehavioral function with neuroectrophysiology could be used to evaluate the early neurotic toxicity of lead. The results also suggested that the change of dopamine metabolism of the central nervous system (CNS) might be one of the biological foundation of lead neurotic toxicity which changedthe neurobehavioral function of laboratory rats. 展开更多
关键词 lead poisoning behavioral toxicology neurobehavioral function neuroelectrophysiology neurobiochemistry
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Effect of Functional Compound Recipe Liquid of Eliminating Lead on Eliminating Lead and Calcium in Rats
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作者 ZHANG Dongjie WANG Ying MA Zhongsu 《Journal of Northeast Agricultural University(English Edition)》 CAS 2010年第2期60-63,共4页
The experiment was conducted to approve the efficacy of functional compound recipe liquid of eliminating lead andcalcium to eliminate lead in rats.Total 120 rats were divided into six groups according to weight:blank ... The experiment was conducted to approve the efficacy of functional compound recipe liquid of eliminating lead andcalcium to eliminate lead in rats.Total 120 rats were divided into six groups according to weight:blank group(CK),negative group(ND),positive group(PD)and high group(HD,6.67Mg kg1 BW d),middle group(MD,3.33 Mg kg1 BW d')and low group(LD,1.67 Mg kg1 BW·d1 three groups).Except CK,other groups were drunk 0.24%Pb(AC)»in which rats were lled with functionalcompound recipe liquid to eliminate lead and DSMA was added to positive group(PD).On the 20th day,the blood was collectedfrom the tail.on the 40th day,the whole blood was collected from eyeball.After executed,liver and blood were collected to determinethe content of lead and calcium.Results showed that lead contents in blood and liver of three dosage groups obviously decreasedcompared with ND and there was signi cant difference between any two groups of three dosage groups(Pc0.01).Meanwhile,thecalcium concentration increased in three dosage groups.It is concluded that the fumctional compound recipe liquid of eliminating leadhas the evident function of eliminating lead and can promote calcium absorption. 展开更多
关键词 eliminating lead lead poisoning supply RAT
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Risk Assessment of Heavy Metals in Food Crops at Abandoned Lead-Zinc Mining Site at Tse-Faga, Logo, Lga, Benue State, Nigeria
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作者 Paul N. Samuel Bolaji B. Babatunde 《Journal of Environmental Protection》 2021年第9期624-638,共15页
Hundreds of children died in 2010 due to suspected lead poisoning from mining sources in Zamfara State among epidemiological concerns. Evaluating ecological and human health risks of heavy metals levels in sampled foo... Hundreds of children died in 2010 due to suspected lead poisoning from mining sources in Zamfara State among epidemiological concerns. Evaluating ecological and human health risks of heavy metals levels in sampled food crops harvested near two abandoned Lead-Zinc mining sites at Logo Benue State is crucial. <i>Abelmoschus esculentus</i>, <i>Carica papaya</i>, <i>Manihot esculenta</i>, and <i>Zea mays</i> were sampled, prepared, and analyzed for four heavy metals using the Atomic Absorption Spectrophotometric method. The mean data from the analysis of variance was subjected to ecological and health risk models. Pb means value ranged from <i>Carica papaya</i> Peel 0.46 ± 0.011 mg/kg to 1.30 ± 0.01 mg/kg in <i>Zea mays</i> seed. Zn was highest in <i>Carica papaya</i> flesh 0.50 ± 0.01 mg/kg, and lowest in <i>Manihot esculenta</i> peels and its flesh 0.12 ± 0.000 mg/kg. Hg and Cd were below detectable levels. <i>Zea mays</i> <i>seeds</i> (1.001) had the highest Pd bioaccumulation factor. BAF of zinc and ecological indices were <1. Daily Intake of Metals were all <1, however, Hazard Quotient (HQ) of Pb was ≥1 in <i>Manihot esculenta</i> flesh 1.143 and Zea mays at 1714. Cancer Risks were within permissible range (10<sup>-4</sup> - 10<sup>-6</sup>). Health Risk result indicates communities around the mining area may be at risk of lead poisoning therefore due to high contamination of samples, routine checks on heavy metals especially lead is recommended to prevent excessive bioaccumulation in the body. 展开更多
关键词 MINING Food Crops Heavy Metals Ecological Risk Health Risks lead poisoning
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Liver Lead Levels in Snow Goose (Chen caerulescens) in a Wetland near the City of Durango, Mexico
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作者 Martín Emilio Pereda-Solís Alicia Zulema Cárdenas González +2 位作者 José Hugo Martínez Guerrero Luis Francisco Sánchez Anguiano Federico Rosales Alférez 《Open Journal of Animal Sciences》 2015年第1期30-35,共6页
The use of lead in ammunition for hunting exposes waterfowl to lead poisoning (plumbism) by accidental consumption of shotgun pellets. To test this hypothesis we sampled 18 liver tissue samples of Snow Goose (Chen cae... The use of lead in ammunition for hunting exposes waterfowl to lead poisoning (plumbism) by accidental consumption of shotgun pellets. To test this hypothesis we sampled 18 liver tissue samples of Snow Goose (Chen caerulescens) collected during the 2012-2013 hunting season in a wetland near the city of Durango, Mexico. We quantified liver lead levels using an atomic absorption spectrophotometer and portions of liver were fixed and stained for their histological study. Average lead concentration (in dry weight) were under the normal range (mean = 0.73 ± 0.2, standard error) which do not represent any risk of poisoning. Liver tissue injuries were not observed in the histopathological analysis, suggesting no reaction to a xenobiotic agent such as lead. Gastrointestinal content analysis showed lead pellet in the gizzard of one individual, but we could not find a relationship between pellet ingestion and lead concentration in the liver. Although the results did not provide evidences of lethal or sublethal effects caused by lead poisoning, they show a possible risk due to the presence of lead pellets in the digestive tract. 展开更多
关键词 Snow Goose CHEN caerulescens lead poisonING lead PELLETS Ingestion lead Concentration LIVER
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尿DKK3与TIMP-2联合检测对职业性铅中毒患者肾损伤的预测价值
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作者 冯娜 刘洪雁 +4 位作者 白金 曲莹 高朴洁 杜立华 徐明 《中国急救复苏与灾害医学杂志》 2025年第7期929-932,共4页
目的分析尿Dickkopf相关蛋白3(DKK3)、人基质金属蛋白酶抑制因子-2(TIMP-2)联合检测对职业性铅中毒患者肾损伤的预测价值,为早期识别及诊断职业性铅中毒提供实用工具。方法研究对象为2022年1月—2024年1月山东第一医科大学附属职业病医... 目的分析尿Dickkopf相关蛋白3(DKK3)、人基质金属蛋白酶抑制因子-2(TIMP-2)联合检测对职业性铅中毒患者肾损伤的预测价值,为早期识别及诊断职业性铅中毒提供实用工具。方法研究对象为2022年1月—2024年1月山东第一医科大学附属职业病医院收治的职业性铅中毒患者,共128例。统计职业性铅中毒患者肾损伤发生情况。将患者分为发生组(n=45)与未发生组(n=83)。比较两组患者的一般信息、基础生命体征指标、实验室数据。采用单因素分析筛选出职业性铅中毒肾损伤影响因素,多因素Logistic回归分析筛选出职业性铅中毒肾损伤的独立危险因素。通过构建预测模型,绘制受试者操作特征(ROC)曲线,分析DKK3与TIMP-2联合预测模型的诊断效能以及与单独DKK3与TIMP-2检测间的差异性。结果单因素分析结果中,职业性铅中毒患者发生组的DKK3表达量、TIMP-2水平均高于未发生组(t=8.063、8.164,均P<0.05);多因素回归分析结果显示,DKK3(OR:1.009,95%CI:1.005~1.013)、TIMP-2(OR:7.377,95%CI:3.041~17.895)均为职业性铅中毒患者肾损伤的独立危险因素(均P<0.05);尿DKK3与TIMP-2联合预测模型的曲线下面积(AUC)为0.925,灵敏度和特异度分别为88.89%、89.16%,均高于DKK3单独检测的灵敏度(71.11%)、特异度(89.16%)与TIMP-2单独检测的灵敏度(80.00%)和特异度(79.52%)。DKK3与TIMP-2联合模型的预测效能较好。结论尿DKK3与TIMP-2联合模型预测检测职业性铅中毒患者肾损伤的效能较高,为该疾病的早期临床筛选与评估提供了重要参考指标。 展开更多
关键词 职业性铅中毒 肾损伤 Dickkopf相关蛋白3 人基质金属蛋白酶抑制因子-2 预测模型
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植物乳植杆菌CCFM8661缓解铅中毒小鼠毒性作用的研究
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作者 郭政涛 项芳琴 +2 位作者 张鹏 刘飞 李柏良 《食品与发酵工业》 北大核心 2025年第3期58-63,共6页
重金属铅摄入对生物体造成不利影响,严重时引发肾脏和肝脏的不可逆损伤。植物乳植杆菌被认为是重要的益生菌,对生物体产生诸多益处。该研究旨在阐明植物乳植杆菌CCFM8661对铅中毒小鼠毒性作用的缓解效果。该研究针对BALB/c小鼠,灌胃醋... 重金属铅摄入对生物体造成不利影响,严重时引发肾脏和肝脏的不可逆损伤。植物乳植杆菌被认为是重要的益生菌,对生物体产生诸多益处。该研究旨在阐明植物乳植杆菌CCFM8661对铅中毒小鼠毒性作用的缓解效果。该研究针对BALB/c小鼠,灌胃醋酸铅水溶液建立铅中毒小鼠模型,利用酶联免疫试验、组织病理学等方法测定补充植物乳植杆菌CCFM8661对铅中毒小鼠的毒性作用的缓解效果。结果发现,模型组的体重、抗氧化能力、组织病理以及组织含铅量较对照组相比均发生显著的负面变化,说明造模有效。补充植物乳植杆菌CCFM8661能够逆转模型组中的体重、抗氧化能力、组织病理学以及组织含铅量的恶化,缓解铅中毒小鼠的毒性作用。该研究为开发针对慢性铅中毒的益生菌治疗方法提供了理论依据。 展开更多
关键词 益生菌 植物乳植杆菌 铅中毒 抗氧化 氧化应激
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高精度职业性慢性铅中毒筛查:机器学习增强的LIBS技术应用
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作者 张蕊 康丽珠 +6 位作者 黄智杰 闫文豪 林湛坚 陈吉 鲁兵 薛志东 李祥友 《光谱学与光谱分析》 北大核心 2025年第6期1648-1656,共9页
职业性慢性铅中毒是一种逐渐发展的病症,因早期症状不典型而忽略致使铅累积并发展为重度铅中毒,严重威胁着职业群体的身体健康及生活质量。尽管现有技术(如原子荧光光谱)已应用于现场即时监测,但其复杂的设备结构和分析时间限制了快速... 职业性慢性铅中毒是一种逐渐发展的病症,因早期症状不典型而忽略致使铅累积并发展为重度铅中毒,严重威胁着职业群体的身体健康及生活质量。尽管现有技术(如原子荧光光谱)已应用于现场即时监测,但其复杂的设备结构和分析时间限制了快速原位检测的普及。激光诱导击穿光谱(LIBS)作为一种新兴的检测手段在元素分析领域展现出巨大的潜力和应用前景。采用LIBS技术结合机器学习算法,证明了职业性慢性铅中毒类别快速诊断的可行性。优化了全血样品制样方法,提出超声处理可使全血基质分布更加均匀从而缓解激光作用于干燥血液时的样品碎裂问题。相比滤纸、石墨和硼酸基板,载玻片是最合适的基板类型。探讨了不同LIBS实验参数对铅元素特征谱线信号强度与信背比的影响。采集了不同类型职业性慢性铅中毒的模拟血液LIBS数据,利用主成分分析(PCA)提取特征实现数据降维。采用10折交叉验证和支持向量机(SVM)、反向传播神经网络(BPNN)构建慢性铅中毒类别诊断模型。两种模型的识别准确度均达到90%以上,为低浓度铅元素光谱弱,传统方法难区分问题提出了解决方案,并且BPNN模型表现出优异的诊断效果,分类准确率和精确率分别为95.56%和96.08%。结果表明:基于机器学习的LIBS技术可实现全血中铅元素超标的及时筛检,为快速准确筛查血铅异常值提供了辅助检测方法,为职业性慢性铅中毒的诊断补充了临床依据。 展开更多
关键词 职业性慢性铅中毒 血铅 LIBS PCA SVM BPNN
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1例表现为溶血性贫血的铅中毒病案报道及文献复习
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作者 管雪萍 何兰荣 +1 位作者 李亚杰 刘盛 《微量元素与健康研究》 2025年第5期10-12,共3页
目的探讨铅中毒引起贫血的原因与其临床表现,寻找骨髓涂片及外周血涂片中的嗜碱性点彩红细胞在铅中毒诊断中有一定参考价值。方法本文报道了一位患者以中度正细胞性贫血、黄疸为主要表现的诊治过程,同时我们复习了相关文献。结果患者50... 目的探讨铅中毒引起贫血的原因与其临床表现,寻找骨髓涂片及外周血涂片中的嗜碱性点彩红细胞在铅中毒诊断中有一定参考价值。方法本文报道了一位患者以中度正细胞性贫血、黄疸为主要表现的诊治过程,同时我们复习了相关文献。结果患者50岁男性,因乏力、纳差、身目黄染半月余入院,我们在这位患者的外周血涂片及骨髓穿刺涂片中发现了嗜碱性点彩红细胞,患者最后被确诊为铅中毒,随后转至深圳市职业病防治院进行驱铅治疗,经电话随访,患者现病情较前明显好转。结论铅中毒的诊断需要重点询问暴露史,若临床医师遇到溶血性贫血的患者的骨髓涂片及外周血涂片均存在嗜碱性点彩红细胞,需要考虑铅中毒的可能。 展开更多
关键词 铅中毒 嗜碱性点彩红细胞 溶血性贫血
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儿童铅中毒102例临床分析 被引量:43
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作者 颜崇淮 沈晓明 +4 位作者 薛敏波 余晓刚 金星明 张燕萍 Markowitz M 《临床儿科杂志》 CAS CSCD 北大核心 2003年第4期235-238,共4页
为了解目前铅中毒门诊患儿的常见症状 ,造成铅暴露的主要原因 ,摸索铅中毒门诊患儿的病史询问及诊疗方案 ,对上海新华医院和上海儿童医学中心半年中门诊患儿的资料进行归纳整理。结果发现铅中毒患儿102例 ,血铅水平几何均数129μg/L ,... 为了解目前铅中毒门诊患儿的常见症状 ,造成铅暴露的主要原因 ,摸索铅中毒门诊患儿的病史询问及诊疗方案 ,对上海新华医院和上海儿童医学中心半年中门诊患儿的资料进行归纳整理。结果发现铅中毒患儿102例 ,血铅水平几何均数129μg/L ,多数患儿表现为多动和注意力不集中 ,学龄儿童中绝大多数表现为上课时注意力分散、学习困难、成绩差 ,部分患儿伴腹痛和便秘等消化系统症状 ,此外还有贫血及血清锌水平降低等 ;多数患儿能找出铅暴露的危险因素 ,常见因素有饭前洗手不认真 ,日钙摄入量低于DRI的50 % ,常有手 -口动作如啃咬指头、铅笔或玩具 ,父亲吸烟或有被动吸烟史等 ;39例复诊患儿 ,经门诊指导 (包括高危因素分析、环境干预、行为矫正、营养指导 )及住院驱铅后血铅水平均呈不同程度下降 ,几何均数由148μg/L下降到117μg/L ,其中1例极重度铅中毒患儿经住院驱铅治疗后血铅水平显著下降 ,但停药2周开始反跳 ,提示这种病例可能需要多个疗程的驱铅治疗 。 展开更多
关键词 儿童 铅中毒 临床分析 诊断 治疗
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珠海市0~6岁儿童血铅水平的流行病学调查 被引量:40
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作者 宋玫 张红忠 +3 位作者 邝忠荣 邬友昌 谢栩 梁晓红 《中国儿童保健杂志》 CAS 2002年第4期220-222,共3页
【目的】 了解珠海市 0~ 6岁儿童血铅水平及影响因素。 【方法】 采用严格质量控制的流行病学研究方法 ,于 2 0 0 0年 1~ 7月对珠海地区、市区、农村、海岛 5 40例 0~ 6岁儿童进行血铅水平测定及危险因素问卷调查。 【结果】  5... 【目的】 了解珠海市 0~ 6岁儿童血铅水平及影响因素。 【方法】 采用严格质量控制的流行病学研究方法 ,于 2 0 0 0年 1~ 7月对珠海地区、市区、农村、海岛 5 40例 0~ 6岁儿童进行血铅水平测定及危险因素问卷调查。 【结果】  5 40名儿童血铅水平均数为 182 .0 8μg/L( 1μg/L =0 .0 0 483μmoL/L)。其中血铅≥ 10 0 μg/L者占 77.6 %,市区和农村儿童血铅水平显著高于海岛 (P <0 .0 5 )。 【结论】 目前珠海地区儿童铅中毒流行率已较高 ,应该引起高度重视。 展开更多
关键词 珠海市 儿童 铅中毒 调查 流行病学
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