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Evaluation of exposure to airborne bacterial endotoxins and peptidoglycans in selected work environments.

The aim of this study was to assess workers' exposure to endotoxins and peptidoglycans, as well as associations between workers' reported symptoms and the detected bacterial exposures. From the filter samples, biologically-active endotoxins were analysed with the Limulus amebocyte lysate (LAL) assay. The total amount of endotoxins was analysed as 3-hydroxy (OH) fatty acids with a gas chromatography-mass spectrometry (GC-MS) assay, which was also used to assess peptidoglycans as muramic acid. Biologically-active endotoxins related better to the self-reported symptoms than total endotoxins. Specific 3-OH-14:0 fatty acid in the total endotoxin samples associated better with the symptoms than other 3-OH fatty acids. Half of the surveyed 77 workers reported respiratory symptoms, 27% eye symptoms, and 10% fever or shivering. The proportion of workers with respiratory symptoms was greater when the concentration of endotoxins was over 25 ng/m3. These endotoxin levels were occasionally found in the air of most studied occupational environments. The muramic acid concentrations of peptidoglycans were highest (medians over 100 ng/m3) in the garbage-handling plant and in the grain/vegetable storage houses. The LAL assay for endotoxins, as well as the GC-MS assay analysing muramic acid for peptidoglycans or specific 3-OH fatty acids for endotoxins, seem to be suitable methods for evaluating workers' exposure to airborne bacteria.

Adolescent↗

[Evaluation on peer education program among injecting drug users].

OBJECTIVE: To reduce risk behaviors which promotes human immuno deficiency virus (HIV) transmission among drug users. METHODS: A peer education program was implemented among drug users in drug detoxification centers in Kunming from May 1998 to June 2000. Before and after intervention, through random sampling, subjects were recruited to assess the impact of the program. Focus group discussion and a small sample of follow-up in communities were used for evaluation. RESULTS: Three hundred and six and 418 subjects were interviewed before and after the intervention program. Rates regarding "sharing needles" had a reduction from 68.3% to 62.0% (chi 2 = 2.61, P < 0.01, while "never cleaning a needle" increased from 3.3% to 15.8% (chi 2 = 19.41, P < 0.01), and "used needles disposal to garbage bin" increased from 58.4% to 81.8% (chi 2 = 40.23, P < 0.01). Thirty-four drug users were followed in their communities and 67.6% were no longer sharing needles but none reported using a condom when having casual sex. CONCLUSION: Peer education program among drug users in detoxification centers had limited impact. In order to control the epidemic of AIDS in drug using population, more effective strategies need to be explored.

Evaluation Studies as Topic↗

[Methodological principles and results of sanitary optimization of railway passenger transportation].

Systems analysis has yielded criteria for the sanitary optimization of railway passenger transportations, as well as a package of relevant practical measures, which are aimed at improving comfortable and safe conditions for both passengers and train crews, enhancing efforts to prevent diseases in railway workers and to protect the environment. For fulfilling the tasks set, sanitary requirements for designing new-generation carriages have been substantiated and put into practice. The requirements are based on the existing European quality standards, with regard to the up-to-date departmental regulations and the developments that improve air indices in the carriages, their provision with human safe finishing materials and equipment, bedding, devices for drinking water disinfection, ecologically pure lavatory systems, with those for collecting and utilizing garbage, as well as employ means and ways for carriage disinfection.

Humans↗

Children's well-being after the war in Kosovo: survey in 2000.

AIM: To assess special health and psychosocial needs of Albanian children in Kosovo shortly after the dramatic ethnic conflict in this part of former Yugoslavia in 1999. METHODS: The survey included representative samples of school-age children (n=813), parents (n=41), and teachers (n=31) from six public schools in Prishtina and surrounding area. The measuring instruments included a standardized inventory of children's coping behavior in stressful situations (Ryan-Wegner Coping Style Inventory, SCSI), and survey questionnaires for children, parents, and school teachers, which were also used in a parallel study in Bosnia and Herzegovina (Sarajevo) on comparable survey samples. The study was accomplished in April 2000, ie, only a few months after the crisis in Kosovo. RESULTS: At the time of the survey, many children in Prishtina and surrounding area lived in unhealthy and dangerous physical environment. There were frequent lack of electricity (74%), lack of safe drinking water (68%), garbage on the streets (63%), and firearms, explosive devices, and mine fields in close environment (45%). Many of them showed signs and symptoms of ill health, including frequent headaches (60%), stomach ache (41%), frequent high fever (32%), and sleeplessness (18%). Most of them felt unsafe on the streets (61%). Many of them had rather unhealthy eating habits, such as not having breakfast regularly (16%) or not having a morning snack (60%). Three major groups of stressors were identified as having impact on children's health and psychosocial well-being in Kosovo, as follows: 1) lack of cultural and social security resources at home and in the community at large (20% of common variance explained); 2) poor physical and mental health conditions (14% of common variance); and 3) school-related stressors (11% of common variance). Similarly, parents and teachers also lived and worked under stressful life conditions. Many parents feared the impact of traumatic war experiences on children's health (54%), and school teachers noticed high rates of children's learning and behavioral disorders (84%). Factor analysis of the SCSI proved the hypothesis that in stressful situations children tend to use two major coping strategies: either active, ie, object-focused coping (13% of variance explained) or passive, ie, self-focused coping (10% of variance explained), the later being more typical for younger children. The pattern of stressors and coping behaviors were similar to stressors impacting physical and mental health of children in Sarajevo, although there were a number of culture-specific differences. CONCLUSION: Environmental, educational, and social conditions must be respected in assessing impact of war and conflict on children. Promotion of solidarity, tolerance, and mutual support among children from different ethnic and cultural backgrounds should be encouraged.

Adaptation, Psychological↗

Problems of modern urban drainage in developing countries.

Socio-economic factors in developing countries make it more difficult to solve problems of urban drainage than in countries that are more advanced. Factors inhibiting the adoption of modern solutions include: (1) in matters of urban drainage, 19th-century sanitary philosophy still dominates; (2) both legal and clandestine land settlement limits the space that modern solutions require; (3) contamination of storm runoff by foul sewage, sediment and garbage prevents adoption of developed-country practices; (4) climatic and socio-economic factors favour the growth of epidemics where runoff is retained for flood-avoidance and to increase infiltration; (5) lack of a technological basis for adequate drainage management and design; (6) lack of the interaction between community and city administration that is needed to obtain modern solutions to urban drainage problems. Awareness of these difficulties is fundamental to the search for modern and viable solutions appropriate for developing countries.

Brazil↗

Acute penitrem A and roquefortine poisoning in a dog.

Penitrem A and roquefortine poisonings were diagnosed in a Laborador retriever following garbage consumption. Clinical signs of mycotoxicosis included polypnea, tachycardia, and ataxia that quickly progressed to lateral recumbency and seizures. Removal of the mycotoxins from the stomach soon after ingestion allowed the dog to recover within 72-96 hours.

Animals↗

[Social inequality and health in Brazil].

This paper studies the relationship between social inequality and health in Brazil. The strategy adopted by the authors was to analyze needs and uses of medical care as well as access to health insurance plans according to income distribution. Determinants of health care consumption were also studied by means of logistic regression. The main source of data was the 1998 National Sample Household Survey of the Brazilian Institute of Geography and Statistics (PNAD-IBGE). In general, individuals in the lowest income distribution deciles had less access to health insurance, greater need for medical care, and lower consumption of such services. Other determinants of health care consumption were heavily associated with the most privileged social strata (greater access to schooling, water supply, sewerage, electricity, garbage collection, and health insurance) and with factors pointing to the capacity to supply these services in country.

Adolescent↗

[Ecological restoration technologies for mined lands: a review].

Mining activities usually cause catastrophic and extensive environmental changes, and eventually cause major damages to the whole ecosystem. The natural restoration for mine lands and tailings is a very slow process, and even can hardly reach their original states. Therefore, how to develop rapid and efficient approaches to accelerate restoration of mined lands has been highlighted by restorationists and environmental engineers during the past two decades. Almost all studies in this field indicate that the major problems come from soils: such as high metal concentrations, extremely strong acidity resulting from oxidation of pyrite, and poor fertility. Replacement of topsoil is therefore regarded as the most efficient method to alleviate adverse conditions of substrates; if this method is not available, other alternatives with lime, fertilizers, organic manures, garbage, mining wastes, and others will be applicable. In the aspect of using plants, species with strong resistance and rapid growth, like grasses and herbaceous legume, are always the first choice. If utilizing plants for the purpose of phytoremediation, species that are capable of accumulating exceptionally high concentrations of phytotoxic metals and of course, have a huge biomass, are preferably considered. No matter what type of ecosystem a mined land is restored or reclaimed to, an evaluation on whether it is a successful restoration or reclamation should be given. However, more practical, simple, and universal evaluation methods as well as more cost-effective, and operation-easy restoration techniques are still waiting to be developed. A set of artificial restoration methods that can be widely applied was summarized, and a discussion on the advantage and disadvantage of several evaluation systems was conducted in this review.

Ecosystem↗

NTP Toxicology and Carcinogenesis Studies of 1,2-Dichlorobenzene (o-Dichlorobenzene) (CAS No. 95-50-1) in F344/N Rats and B6C3F1 Mice (Gavage Studies).

The major use of 1,2-dichlorobenzene is as an intermediate in the synthesis of several organic compounds (e.g. 3,4-dichloroaniline) and in the syntheses of the herbicides propanil, diuron, and neburon. It is used as an industrial solvent for toluene diisocyanate, an additive to degreasing agents, a heat exchange medium, a deodorant for garbage and sewage, an ingredient in paint removers, an engine cleaner and de-inking solvent, and a solvent and intermediate in dye manufacture). 1,2-Dichlorobenzene is also used as an insecticide and a fumigant to control peach tree borers, bark beetles, grubs, and termites and to kill mites and other insects in poultry houses and animal sleeping quarters. Because of its properties as both an insecticide and a solvent, 1,2-dichlorobenzene has been used in low-pressure aerosol formulations of insecticides. Approximately 49 million pounds of 1,2-dichlorobenzene were produced in the United States in 1980. First reported commercial production began in 1921. In 13-week studies using F344/N rats and B6C3F1 mice, 500 mg/kg of 1,2-dichlorobenzene (<99% pure) decreased survival in male and female mice and female rats when administered in corn oil by gavage five times per week. At this dose, 1,2-dichlorobenzene produced centrolobular necrosis of the liver, hepatocellular degeneration, and depletion of lymphocytes in the thymus and spleen of both sexes of rats and mice. At a dose of 250 mg/kg, necrosis of individual hepatocytes was observed in both sexes of rats and in male mice. Minimal hepatocellular necrosis was observed in a few rats at a dose of 125 mg/kg, but no hepatic alterations were observed in mice at this dose. Renal tubular degeneration was observed in male rats at 500 mg/kg, and multifocal mineralization of the myocardial fibers of the heart and skeletal muscle were seen in mice. The only hematologic changes considered notable were slight decreases in hemoglobin and hematocrit in the 500 mg/kg male and female rats and in red blood cell counts in the 500 mg/kg male rats; no other marked hematological changes were observed in either species. Two-year toxicology and carcinogenesis studies of 1,2-dichlorobenzene were conducted by administering the test chemical in corn oil gavage five times per week for 103 weeks to groups of 50 male and 50 female F344/N rats and B6C3F1 mice at doses of 60 and 120 mg/kg. Groups of 50 rats and 50 mice of each sex received corn oil by gavage on the same schedule and served as vehicle controls. Survivals of female rats, male mice, and female mice were comparable to those of the corresponding vehicle controls in the 2-year study, but survival of high dose male rats was (P<0.001) shorter than that of the vehicle controls. In this group there were three accidental deaths and five deaths probably due to the gavage process; in addition aspiration of 1,2-dichlorobenzene in corn oil into the lungs may have been a contributing factor to the deaths of 12 high dose male rats. The 120 mg/kg dose level of 1,2-dichlorobenzene did not affect body weight in rats or mice of either sex or survival of mice or female rats. An increase in tubular regeneration in the kidney of high dose male mice was observed in the 2-year study (control, 8/48, 17%; low dose, 12/50, 24%; high dose, 17/49, 35%). No other compound-related nonneoplastic histological lesions were noted in the 2-year study. The incidence of pheochromocytoma of the adrenal gland in low dose male rats was elevated (P<0.05, life table test) relative to controls (9/50, 16/50, 6/49). However, the incidence in the high dose group was lower than that of the controls and the dose-response trend was not statistically significant. Therefore, the increase in pheochromocytoma in the low dose male rats is not regarded as related to administration of 1,2-dichlorobenzene. A dose-related increase (P<0.05) in malignant histiocytic lymphoma was observed in male mice (control, 0/50, 0%; low dose, 1/50, 2%; high dose, 4/50, 8%) and in female mice (0/49, 0%; 0/50, 0%; 3/49, 6%); however, comparisons of the numbers of animals with all typnt;; 3/49, 6&percnt;); however, comparisons of the numbers of animals with all types of lymphomas is considered to be a more appropriate comparison. 1,2-Dichlorobenzene did not increase the incidence of all types of lymphomas (combined) in male mice (8/50, 16&percnt;; 2/50, 4&percnt;; 4/50, 8&percnt;) or female mice (11/49, 22&percnt;; 11/50, 22&percnt;; 13/49, 27&percnt;). Therefore, the increase in histiocytic lymphomas was discounted. Under the conditions of these two-year gavage studies, there was no evidence of carcinogenicity of 1,2-dichlorobenzene for male or female F344/N rats or B6C3F1 mice receiving 60 or 120 mg/kg per day. Levels of Evidence of Carcinogenicity: Male Rats: Negative Female Rats: Negative Male Mice: Negative Female Mice: Negative Synonym: o-dichlorobenzene

Journal Article↗

[Factors influencing the activity of fibrinolytic enzymes from earthworm, Eeisenia foetida].

OBJECTIVE: To study the factors influencing the activity of fibrinolytic enzymes from earthworm and to obtain the better way to extract fibrinolytic enzymes as well as keep its optimum activity. METHOD: 75% alcohol, 0.9% NaCl and 10% saccharose was used to extract the crude fibrinolytic enzymes from earthworm, the method of urokinase gelose-fibrin plate was used to measure the activity of fibrinolytic enzymes from earthworm. and the method of 3,3'-diaminobezidine tetrahydrochloride colorimetry to was used measure the content of selenium. The method use ts of measuring the content of arsenic was silver diethyldithiocarbamate colorimetry. RESULT: The fibrinolytin of earthworms reared with cattle soils had higher activity than that reared with garbage. The arsenic in the earthworm's body could improve the activity of earthworm's fibrinolytin. However, the selenium had litter influence on it. Among the three methods of extraction, the 75% alcohol one was the most efficient, the 0.9% NaCl was next, and the 10% saccharose was the lowest. The influence of dialysis on the activity of fibrinolytin was less than that of ultrafiltration, when the earthworm's fibrinolytin enzyme was further sublimated. CONCLUSION: The activity of the earthworm's fibrinolytin will be increased earthworm is reared with the fitting baits and when appropriate methods, of extraction and purification are used.

Animal Feed↗

Comparative health survey of Luangpraot-Tanlium and Marialai communities Lat Krabang district, Bangkok.

The objective of the present descriptive study was to investigate the demographic and health status of Thai people in Luangpraot-Tanlium (LPT) and Marialai community (MRL) of Lat Krabang district in Bangkok. These two communities are the pilot project of the "Healthy Community" of Lat Krabang BMA hospital. The total number of households of LPT and MRL are 263 and 240, the population is 957 and 1057, males to female ratio was 1:1.2. The median household income of the residents in both communities is 9,000 baht/month/family. About 49 per cent of people have no health insurance and 22 per cent have social welfare (for underserved population). Both communities are comparable in terms of sex, age, marital status, contraceptive use, history of physical examination, chronic diseases and environmental sanitation. MRL has more trade certificate educational attainment, history of Pap smears and voluntary health insurance than LPT. LPT seemed to be prominent to have more governmental employees and governmental subsidised reimbursement for health care access. People of LPT required health and dental care more often from hospital health teams than MRL. They needed annual health check ups, care for chronic diseases and mosquito eradication. LPT also reported more garbage disposal using the burning method, greater use of rain and tap water and significant poorer sewerage and toilet facility systems when compared with MRL. The reported prevalence of chronic diseases are 1.7 fold higher in MRL than in LPT. Percentage of vaccination coverage (BCG, OPV&DPTI-II-III, HBVI-II-III, Measles vaccine) among children aged less than 1 year was 100 per cent and 1-5 years was 90 per cent (OPV & DPTIV-V).

Adolescent↗

Clinical guidelines: strategies to nurture acceptance and adherence.

Evidence-based guidelines are a cornerstone of effective DM, and in many cases, they end up in the garbage or collecting dust. DMA investigated why physicians are so often loath to implement new guidelines, and what types of strategies are successfully overcoming these barriers.

Disease Management↗

[Sanitary control of communicable diseases in Hispanic America in the XVI, XVII, and XVIII centuries].

In each time and each place, man has avoided diseases, has tried to limit diffusion of diseases. The purpose of this article was to present in a general manure the measures taken in Hispano America during colonial times to control communicable diseases. The main problems of health during the XVI, XVII, and XVIII centuries, in Hispano American region were communicable diseases. Practices to avoid them derived from observation, control measures referred to stay away from the contagious places, and to isolate sick persons by means of quarantine, and implied some epidemiologic surveillance. The supply of safe drinking water, sewage disposal systems and sanitary control of food were not habitual practices; garbage, residuals, and waste collection were not opportune, This favored the existence of vectors-insects and animals. Domestic waste did not go away in a timely fashion, it allowed to accumulate excreta and waste near houses. In some places, the were measures related to water supply, excreta disposal, handling of dead bodies, and environmental sanitation. It was believed that with prayers and processions, prevalent diseases could be avoided. Demographic information, data on mortality, births, and morbidity, were irregular and incompletes, some data were compiled in parishes: physicians should inform and notify the governmental medical board, which regulated medicine and public heath who the cared for an action carried out only as and exception. Compiled data had no clear medical or sanitary use.

Communicable Diseases↗

Risk factors contributing to acute diarrhoeal disease in children below five years.

Data regarding factors contributing to acute diarrhoea in children under five years in urban populations in Sri Lanka is meagre. Studies of diarrhoeal disease have been limited mainly to descriptive epidemiological investigations. A case control study on 200 families in the Galle Municipality was undertaken to identify some of the social, behavioural and environmental factors contributing to childhood diarrhoea. Twelve variables were studied by logistic regression, and the following variables were identified as conferring a significant risk of causing diarrhoeal disease in children below five years in an urban setting in Sri Lanka; (1) unavailability of pipe-borne water in the house (2) lack of water-seal latrine in the household (3) low level of mother's education and her lack of awareness regarding infectious nature and mode of spread of diarrhoea (4) not disposing of children's faeces in a latrine (5) improper disposal of garbage.

Case-Control Studies↗

[Evaluation of a chemical factor during fires].

The working conditions of firemen during active service cannot be assessed without characterizing the degree of ambient gas contamination with toxic substances. Firemen extinguish fires and liquidate accidents under difficult conditions, which presents a threat to their life and health. Fire-induced combustion products can emit as high as 100 types of chemical compounds. Of them, the most common and well-studied compounds are carbon oxide, sulfur dioxide and nitric dioxide, formaldehyde, hydrogen chloride, saturated hydrocarbons (C2-C10), acetone, benzene, toluene, and some chlorohydrocarbons (vinyl chloride, chloroform, and tetrachloromethane). These compounds are hazard classes II and III, they have been detected in the air samples in the foci of a fire in the amenity and industrial premises, during combustion of motor transport, garbage, etc. Toxicological exposure to these compounds is accelerated under elevated temperatures.

Air↗

Development of a new type of anaerobic digestion process equipped with the function of nitrogen removal.

In order to develop a new type of anaerobic digestion process equipped with a nitrogen removal function, denitrification of nitrate nitrogen (NO3-N) in anaerobic acidogenesis of organic fraction of municipal waste (OFMSW) was investigated by two semi-continuous reactors. Reactor 1 and Reactor 2 were fed by 3% and 7% of solids concentration of synthetic garbage, respectively. Generation of nitrogen gas (N2) and ammonium nitrogen (NH4-N) was simultaneously observed in the low load of nitrate (NO3-N) (below 0.68 g NO3-N/L). In Reactor 1, ammonium nitrogen generation decreased as the addition of nitrate increased. Finally, the increase of the addition of nitrate resulted in the increase of acetic acid production.

Bacteria, Anaerobic↗

Risk factors for diarrhoea and upper respiratory tract infections among children in a rural area of Uganda.

This study explored risk factors associated with diarrhoea and upper respiratory tract infections (URTIs) among children in Sembabule district, Uganda. Data were collected from 300 women with children aged less than two years using the WHO 30-cluster sampling technique. The prevalence of diarrhoea among children was 40.3%. A child not immunized (odds ratio [OR] 2.8, p < 0.001), absence of latrine in a house (OR 1.4, p < 0.03), low knowledge of mixing oral rehydration salts (OR 1.7, p < 0.01), garbage thrown anywhere around the house (OR 2.6, p < 0.001), not washing hands after using latrine (OR 1.8, p < 0.03), and not washing hands before preparing food (OR 1.4, p < 0.04) were risk factors for diarrhoea. The prevalence of URTIs among children was 37.4%. A child not immunized (OR 2.4, p < 0.001), children aged 6-11 months (OR 2.1, p < 0.03), and previous episode of diarrhoea (OR 2.5, p < 0.001) were risk factors for URTIs. The results showed that low immunization status was an important risk factor for diarrhoea and URTIs among children in the study district of Uganda. For 75% of the children, care for fever was obtained from drug shops, while 9.2% were taken to health units. This is in contrast to diarrhoea cases where 49.5% of children were taken to health units for care. To reduce the burden of disease among children in this district, an integrated package of immunization services and other childcare programmes need to be implemented in addition to improved personal and environmental hygiene. There is also a need to design well-focused health-education messages to improve treatment-seeking behaviour for childhood diseases.

Adolescent↗

Prevalence of dipterous flies associated with human and animal diseases in Al-Obour and 6th October wholesale markets, Egypt.

The present study is a survey to identify the dipterous flies associated with human and animal diseases in the two wholesale markets: Al-Obour and 6th October. The results indicated that 20,824 flies belonging to 9 families, 24 genera and 31 species where trapped during the period of investigation (January-December, 2003). Musca domestica were the most abundant species in the two markets. Statistical analysis showed that species of the families: Calliphoridae, Milichiidae, Muscidae, Piophilidae, Otitidae, Sarcophagidae and Sphaeroceridae were significantly higher in Al-Obour than 6th October, due to spread of garbage and decaying fish.

Animals↗