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Snacking is a nutrition phenomenon common among the elderly. There are various patterns, motives and circumstances of snacking, and we still need to do more research to discover the nature of its impact on health. Snacking is usually associated with high energetic density and low content of nutrients, and in this context it may result in excess weight and obesity. However, snacking can be also beneficial for health as it supplements daily food intake with energetic components and other nutrients, as well as fluids, which usually have to be supplemented when an elderly person has only three meals a day. When providing guidelines regarding snacking for the elderly, we have to bear in mind that there is no universal solution for everyone. It is necessary to adjust the guidelines to the body weight and its changes, as well as to the condition of health. Generally, reasonable snacking including such products as vegetables, fruit, low-fat dairy products or wholegrain products, may be of practical significance for improving the quality of the diet of the elderly, both living with their families and in some sort of social care institution or nursing home, and finally for improving their general health condition and quality of life.
Background. Toothpastes have multi-functional configurations as oral care products. They can however constitute a possible source, amongst others, of toxic metal exposure in public health. Indeed, the public health impact of personal hygiene and consumer products is largely unknown. Objective. To determine the level of toxic metals (lead, cadmium, cobalt, chromium, nickel) in toothpastes available in Nigeria, (home produced and imported), and assess the potential risk to the people. Material and Method. The samples of toothpastes commonly used in Nigeria were tested. Using a market basket protocol thirty five different brands of toothpaste were used. Samples were digest by addition of 10 mL mixture of conc. nitric and hydrochloric acids (HCl:HNO3, 3:1), followed by heating to dryness. 20 mL deionized water was added, stirred and filtered. The filtrate was made up in standard volumetric flask and lead, cadmium, chromium, cobalt and nickel concentrations were determined using the atomic absorption spectrophotometry 205A. The daily intake of metals and target hazard quotient (THQ) were then calculated. Results. Pepsodent and Flodent had the highest levels of lead at respectively 23.575 and 18.092 mg/kg while Colgate Herbal had the highest nickel of 18.535 mg/kg. The daily intake estimates of all imported toothpaste samples were below the stated upper limits (UL). All target hazard quotients were also found to be below one. Conclusions. Although the UL, THQ and daily intake rates were all normal, the high levels of lead in some of the toothpastes an important concern to public health suggesting that pre-marketing safety studies of toothpastes may be worthwhile for the regulatory authorities.
Suicides committed under the alcohol constitute on average 20% of all suicidal deaths. Alcohol is a signifant factor of suicidal risk. The assessment of the role of alcohol in the decision to commit suicide is in many cases difficult. Only in the case of the suicidal death of an alcoholic the circumstances of the influence of alcohol on self-destructive behavior is not as important, unless it is a means to "get rid" of alcoholism. As rule alcohol is drunk to gain courage — to make the decision to commit suicide easier.
The role of contact with nickel-containing coins has been controversial. The aim of our study was to compare the release of nickel from Euro (1 and 2) coins and from Polish coins (2 PLN and 5 PLN) at 4ºC and 32ºC in an immersion test using artificial sweat according to the EU reference method. Nickel extract was analyzed at 8 time points starting from 1 h up to 168 h. After 7 days of test duration at 32ºC, nickel ion concentration was 96.27±4.01 μg/cm2, 79.31±1.95 μg/cm2, 38.34±1.19 μg/cm2, and 32.17±2.36 μg/cm2 for 2 Euro, 1 Euro, 5 PLN, and 2 PLN, respectively. The amount of nickel ion released at 4ºC was reduced by about 70% and 40% for Euro and Polish coins, respectively. These values exceed the limit acceptable for prolonged contact with human skin as defined by the EU Nickel Directive, which indicates that nickel may be capable of eliciting allergic reactions in subjects handling nickel-containing coins daily.
Background. Chronic complications of diabetes are presently the most vital problem in diabetology and the most significant challenge in the treatment of the diseases. Because of peripheral neuropathy and macroangiopathy, people with diabetes are particularly vulnerable to foot problems. The following study aims to evaluate the development of chronic complications in patients with type 2 diabetes, with a particular focus on the prevalence of limb ischemia symptoms. Material and methods. The study involved patients with type 2 diabetes mellitus and nondiabetic persons at a similar age. Diabetics were divided into 2 groups. Group 1 consisted of type 2 diabetic patients with no trophic lesions of the limbs; Group 2 included patients with diabetic foot disease; and the control group (Group 3) were the non-diabetic elderly. The study was to analyse the incidence of retinopathy, nephropathy and neuropathy in both diabetic groups. Besides, it was to evaluate changes in macroangiopathy among diabetic patients and the control group. Results. In all groups, symptoms of lower limb ischaemia were assessed, which allowed making comparisons between them. The studied material indicated that the occurrence of diabetic ulcers is mostly associated with macroangiopathy and its symptoms, polyneuropathy and particular types of neuropathy, retinopathy and horny foot skin. Conclusions. An interdisciplinary approach to the problem of the diabetic foot allows recognising its early clinical symptoms.
Background. Bread is a basic food product in the diet of a majority of people. It is a good source of energy and it is also abundant in carbohydrates. Simultaneously, because it is consumed on a large scale by Polish people, it provides large amounts of salt and some additives like preservative and raising agents. The perception of the risk influences the choice of food and impacts eating behaviors. However, it is still unknown if there is an impact of perceived risk on the choice and the consumption of bread. Objective. The objective of the research was to assess the importance of perceived health and nutrition risk in conditioning the willingness to buy bread with decreased amounts of salt and bread without preservative and raising agents. Material and methods. Empirical research was conducted in October 2014 in a group of 1.014 adult consumers, with the use of the method of interview. The questions covered the following issues: the frequency of white and wholemeal bread consumption, the willingness to consume bread with reduced salt content and one produced without the preservatives and raising agents, the self-assessment of health and socio-demographic characteristics of respondents. To evaluate the perceived health and nutrition risks modification of Health Concern Scale was used. Opinions on the tendency to purchase both kind of breads were compared taking into account socio-demographic characteristics, health risk, nutrition risk and frequency of eating white and wholemeal bread. To determine the differences ANOVA and Tukey post hoc test at the significance level of p <0.05 were used. The relations between variables were assessed using Pearson’s correlation coefficient. Results. There was a higher tendency to consume bread without preservatives and raising agents than with low salt content. Women, people over 55 years old, and people who often consume white bread were characterized by higher willingness to consume bread with reduced salt content. People with higher education, aged over 45 years, and those who rarely consumed wholemeal bread were more willing to eat bread without additives. The greater was the nutrition and health risk perceived by the person, the greater was the willingness to consume both types of bread. Conclusions. The importance of perceived risks in conditioning consumers’ willingness to eat healthy food shows that the educational campaigns informing about risky behaviors may promote behavioral change towards a more favorable food choice.
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Health risk of exposure to bisphenol A (BPA)

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Bisphenol A (BPA) belongs to chemicals that are produced in large quantities worldwide. It is commonly used as monomer in polycarbonate synthesis, plasticizer in the production of epoxy resins, as well as an additive for the elimination of surfeit of hydrochloric acid during the polyvinyl chloride (PVC) production. BPA is not only used in the production of plastics intended to a direct contact with food, including plastic packaging and kitchenware, but also in inner coatings of cans and jar caps. There are various routes of human exposure to this substance such as oral, by inhalation and transdermal. The main sources of exposure to BPA include food packaging and dust, dental materials, healthcare equipment, thermal paper, toys and articles for children and infants. BPA is metabolized in the liver to form bisphenol A glucuronide and mostly in this form is excreted with urine. Due to its phenolic structure BPA has been shown to interact with estrogen receptors and to act as agonist or antagonist via estrogen receptor (ER) dependent signalling pathways. Therefore, BPA has been shown to play a role in the pathogenesis of several endocrine disorders including female and male infertility, precocious puberty, hormone dependent tumours such as breast and prostate cancer and several metabolic disorders including polycystic ovary syndrome (PCOS). Because of the constant, daily exposure and its tendency to bio-accumulation, BPA seems to require special attention such as biomonitoring. This observation should include clinical tests of BPA concentration in the urine, which is not only one of the best methods of evaluation of the exposure to this compound, but also the dependence of the daily intake of BPA and the risk of some endocrine disorders.
Pine processionary, Thaumetopoea pityocampa Denis and Schiffermüller, 1775 is a moth that belongs to the order of insects Lepidoptera, and family Notodontidae. The larvae of pine processionary moth are the main pest of pines all over the world, but mainly in Mediterranean region. The contact with pine processionary caterpillar (lepidopterism) can produce a strong inflammatory reaction on skin and mucous membranes. Other findings include hyperthermia, tachypnoea, respiratory distress, cyanosis and tongue oedema, labial angioedema, ptyalism, bilateral submandibular lymphadenomegaly, conjunctivitis and severe tongue necrosis. Tough, few veterinary cases have been published. Also in Poland pine processionary moth (Thaumetopoea pinivora) is present, especially near the Baltic coast and can be a possible health risk for both humans and animals (especially dogs). The aim of this article is to increase knowledge about the clinical manifestations of pine processionary caterpillar contact, which may be useful for diagnosis of this dangerous disease.
The article presents the formation and toxicity of trihalomethanes (THMs), substances belonging to Disinfection By- Products (DBP), formed as a result of pool water chlorination. Concentration of THMs in pool water has been standardised in Poland since recently. THMs concentration in pool water depends on multiple factors, mostly the method of water disinfection, including chlorine or organic substance (TOC) concentration. Apart from that, the level of exposure of swimmers to the toxic effect of THMs is affected by their content in the air of swimming pool halls, intensity of swimming as well as time of stay in the indoor swimming pool area. The water and air temperature as well as number of swimmers and time of their staying in pool have also significance influence on THMs concentration. In order to decrease the quantity of THMs in pool water, alternative disinfection agents are applied. Additionally, an efficiently operating pool ventilation system as well as proper water treatment method are also important. Because THMs are produced from organic material under the influence of the chlorination, the users can have an impact on decrease of the THMs concentration in pool water, for instance by taking a shower prior to entering the pool or by wearing a swim cap. The results of studies conducted in 2015 showed that the quantity of THMs in pool water depends on type of the pool (indoor, outdoor), water replacement frequency, water treatment system, chlorine dose and TOC content. In most collected samples, the THMs concentration exceeded the admissible norm (100 μg/L).
A vegetarian diet may be adopted for various reasons that can include ecological, economic, religious, ethical and health considerations. In the latter case they arise from the desire to lose weight, in tackling obesity, improving physical fitness and/or in reducing the risk of acquiring certain diseases. It has been shown that properly applied vegetarian diet is the most effective way of reducing body mass (expressed as BMI), improving the plasma lipid profile and in decreasing the incidence of high arterial blood pressure, cardiovascular disease, stroke, metabolic syndrome and arteriosclerosis. In addition, improved insulin sensitivity together with lower rates of diabetes and cancer has been observed. Some studies have however found that a vegetarian diet may result in changes adversely affecting the body. These could include; hyperhomocysteinaemia, protein deficiency, anaemia, decreased creatinine content in muscles and menstrual disruption in women who undertake increased physical activity. Some of these changes may decrease the ability for performing activities that require physical effort. Nevertheless, on balance it can be reasonably concluded that the beneficial effects of a vegetarian diet significantly, by far, outweigh the adverse ones. It should also be noted that the term ‘vegetarian diet’ is not always clearly defined in the literature and it may include many dietary variations.
Road transport is the source of various negative changes in all elements of the environment (air, water, soil, flora and fauna). These changes can result in unfavourable effects on human beings. The most dangerous chemical compounds to be found along roads are: nitrogen oxides, carbon oxide, polycyclic aromatic hydrocarbons and heavy metals. Noise is the most important physical factor. So far, only a few epidemiologic observations have proven that in populations surrounded by heavy traffic roads is there a noted higher prevalence of respiratory system diseases. Some data also indicate the possibility of higher risk of cancer. Exposure of humans to road traffic results, among other things, in psychic discomfort and sleep disturbances.
Staphylococci are the main aetiological factor of bovine mastitis in many dairy herds. Traditionally, coagulase-negative staphylococci (CNS) were considered a normal skin microbiota. Lately the role of CNS in bovine mastitis has increased, as in some countries these pathogens had started to outnumber other mastitis aetiological factors. Given the scale of mastitis problems, the intensive use of antibiotics in dairy cattle, the number of animals and the consumption of milk products there is an urgent need to highlight the threat to both human and animal health originating from CNS. The knowledge of how CNS mastitis develops, spreads in herd and persists is limited. Bovine strains of CNS are poorly characterised; moreover, they are characterised mainly in terms of phenotypes. This review summarises knowledge on the characterisation of CNS strains, stressing the role of the bacterial genotype, in the context of the risk to human and animal health. Selected CNS virulence factors that play a role during mastitis in dairy cattle are listed and described in this paper. They have been selected subjectively by the authors in view of their significance for public health (toxins, antimicrobial resistance) and their importance for animal health (formation of biofilm, prevention of phagocytosis intracellular survival) and mastitis outcome.
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