中华劳动卫生职业病杂志最新文献

{"title":"[Study on survival analysis and influencing factors of pneumoconiosis patients in Guangzhou].","authors":"H T Liu, B N Zheng, Q Y Mo, Y Liao","doi":"10.3760/cma.j.cn121094-20230417-00133","DOIUrl":"https://doi.org/10.3760/cma.j.cn121094-20230417-00133","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the survival of pneumoconiosis patients in Guangzhou from 1958 to 2018, explore the factors affecting the survival of pneumoconiosis, and provide scientific basis for formulating the guidelines and policies for treatment and assistance of pneumoconiosis. <b>Methods:</b> From July 2019 to January 2020, 1194 cases of occupational pneumoconiosis patients diagnosed by institutions qualified for pneumoconiosis diagnosis in Guangzhou from June 1, 1958 to December 31, 2018 were studied. Excluding 258 patients who lacked survival data, 936 patients were included in the pneumoconiosis survival analysis. Life table method was used to estimate the survival rate, Kaplan-Meier method was used to draw the survival curve, log-rank test was used to compare the groups, and Cox proportional risk regression model was used to analyze the influencing factors of survival. <b>Results:</b> The 10, 20 and 30 years cumulative survival rates of pneumoconiosis patients in Guangzhou were 62.8%, 35.2% and 15.4%, respectively. The median survival time was 19.4 years. log-rank test showed that there were statistically significant differences in the survival curves of pneumoconiosis patients between group without tuberculosis and group with tuberculosis (<i>P</i><0.001), and there were statistically significant differences among different stages and categories of pneumoconiosis (<i>P</i><0.001). Age of exposure to dust (<i>HR</i>=1.03, 95%<i>CI</i>: 1.01-1.05), age of diagnosis (<i>HR</i>=1.02, 95%<i>CI</i>: 1.00-1.04), combined pulmonary tuberculosis (<i>HR</i>=1.46, 95%<i>CI</i>: 1.18-1.81), stage of pneumoconiosis (stage Ⅲ vs. stage Ⅰ, <i>HR</i>=2.26, 95%<i>CI</i>: 1.47-3.48) and categories of pneumoconiosis (fibrogenic mineral dust pneumoconiosis and metallogenic pneumoconiosis, <i>HR</i>=2.45, 95% <i>CI</i>: 1.61-3.74; non-fibrogenic mineral pneumoconiosis and metallogenic pneumoconiosis, <i>HR</i>=2.67, 95% <i>CI</i>: 1.47-4.87; mixed pneumoconiosis and metallogenic pneumoconiosis, <i>HR</i>=2.25, 95%<i>CI</i>: 1.11-4.56) were the factors affecting the survival time of pneumoconiosis patients (<i>P</i><0.05) . <b>Conclusion:</b> Pulmonary tuberculosis may increase the risk of death in patients with pneumoconiosis. Mineral dust pneumoconiosis, mixed pneumoconiosis and stage Ⅲ pneumoconiosis may also have higher risk of death.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 11","pages":"825-830"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Visualization analysis of literature on sudden poisoning incidents in China from 2013 to 2022 based on CiteSpace and VOSviewer].","authors":"M M Liu, J Y Pan, Q Zeng","doi":"10.3760/cma.j.cn121094-20231130-00140","DOIUrl":"https://doi.org/10.3760/cma.j.cn121094-20231130-00140","url":null,"abstract":"<p><p><b>Objective:</b> To use CiteSpace and VOSviewer software to perform visualization analysis on research literature on sudden poisoning incidents in China from 2013 to 2022, in order to grasp the research hotspots and priorities, current research development status and trend of sudden poisoning incidents, and provide reference and ideas for subsequent research. <b>Methods:</b> In October 2023, literature related to sudden poisoning incidents was searched using the China National Knowledge Infrastructure and Wanfang databases. The bibliometric analysis software CiteSpace 6.1.R2 and VOSviewer 1.6.19 were used to visually analyze factors such as authors, institutions, journals, regions, and keywords in the relevant literature. <b>Results:</b> A total of 2578 valid literatures were included, and the overall number of published literatures showed a discontinuous downward trend in recent 10 years. The relevant literature was distributed in 310 journals. Among the top 10 institutions with the highest number of publications, 8 were centers for disease control and prevention at all levels, and the institution with the highest number of publications was the Chinese Center for Disease Control and Prevention (208 articles), but the cooperation between institutions was not obvious. The 2578 articles involved a total of 6549 authors (a total of 8572 appearances, with an average of 1.31 times per person), with a collaboration rate of 2.54 (6549/2578) and 2153 co-authored articles (with 2 or more authors in the literature), with a co-authorship rate of 83.51%. 643 articles (24.94%) received funding support. The region with the highest number of publications was Guangdong Province, with a total of 380 articles (14.74%). Keyword highlighting analysis showed that the research heat of pesticide poisoning, toxic mushrooms, disease characteristics, outbreak events, traceability analysis, outbreaks, and occupational diseases continued to 2022. <b>Conclusion:</b> There are many literatures on sudden poisoning incidents in China, so it is necessary to strengthen the cooperation and communication between institutions and authors. In practical work, the ability of prevention, control, and detection of poisons should be continuously improved to reduce the incidence and degree of harm caused by sudden poisoning incidents.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 11","pages":"831-837"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[3 cases of obstructive ventilation disorder caused by chronic butanedione exposure].","authors":"Q Y Xie, Y M Chu, Z Y Hu","doi":"10.3760/cma.j.cn121094-20231127-00135","DOIUrl":"10.3760/cma.j.cn121094-20231127-00135","url":null,"abstract":"<p><p>This paper analyzed and discussed 3 cases of the occupational diseases diagnosis and identification of obstructive ventilation disorder caused by chronic butanedione exposure. 3 patients developed recurrent cough 3 months to 2 years after occupational exposure to butanedione. After the activity, the chest tightness and shortness of breath were the main symptoms. Pulmonary function tests presented with ventilatory dysfunction. And the patients were diagnosed as obstructive pulmonary disease caused by occupational chronic butanedione poisoning. It is suggested that butanedione could cause lung ventilation function injury, and provided a basis for the formulation of butanedione occupational exposure limit value and occupational disease diagnosis standard in China.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 11","pages":"858-861"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A case of acute pulmonary edema caused by exertional heat stroke].","authors":"L L Song, H X Wang, W Fang","doi":"10.3760/cma.j.cn121094-20231130-00139","DOIUrl":"10.3760/cma.j.cn121094-20231130-00139","url":null,"abstract":"<p><p>This paper reports a case of acute pulmonary edema caused by exertional heat stroke due to imbalance of body heat production and heat dissipation caused by high intensity military training physical activities. The patient's lesions developed rapidly and pulmonary edema progressed rapidly and diffusingly. After early identification, active invasive mechanical ventilation and hormone therapy, the pulmonary imaging lesions of pulmonary edema were rapidly absorbed, and the dyspnea was improved. This article discusses the incidence, imaging features and treatment of acute pulmonary edema caused by exertional heat stroke, and provides reference for clinical diagnosis and treatment.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 10","pages":"769-771"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Investigation of a family cluster poisoning incident caused by Galerina sulciceps mushroom].","authors":"F P Lai, J S Zhan, J Wu, T G Wang, Y L Lu","doi":"10.3760/cma.j.cn121094-20231228-00169","DOIUrl":"https://doi.org/10.3760/cma.j.cn121094-20231228-00169","url":null,"abstract":"<p><p>Mushroom poisoning is the most important cause of death in food-borne poisoning in China, mainly caused by amanitin, which is caused by rapid progression, complex mechanism and latency. Early identification, diagnosis and treatment are important to improve the prognosis of fatal mushroom poisoning. This article analyzes the clinical characteristics, identification process and treatment of 14 patients with amanitin-containing Galerina sulciceps mushroom poisoning in a family, so as to improve the identification ability of the first physician in recognizing and managing early-stage mushroom poisoning, and to increase the cure rate through early bundle therapy of mushroom poisoning.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 10","pages":"765-768"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Occupational health risk assessment of exposure to major hazardous chemicals in copper and nickel smelting enterprises].","authors":"C Y Jia, W Hao, L Yin, H Yuan, F Han, J Yu","doi":"10.3760/cma.j.cn121094-20240424-00188","DOIUrl":"https://doi.org/10.3760/cma.j.cn121094-20240424-00188","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate the risk of major chemical exposure positions in copper and nickel smelting enterprises, and provide a basis for risk assessment and prevention control measures. <b>Methods:</b> From September to October 2023, two copper nickel ore smelting enterprises in Xinjiang Uygur Autonomous Region were selected as the research objects. Relevant information on chemicals was collected through occupational hazard field investigations. Qualitative analysis and exposure index methods were used in GBZ/T 298-2017 \"Technical Guidelines for Occupational Health Risk Assessment of Chemical Hazardous Factors in the Workplace\" to conduct risk assessments on the main chemical exposure positions. The qualitative risk assessment results were checked for consistency using the Weighted Kappa coefficient. <b>Results:</b> The positions with high risk of exposure to hazardous chemicals in copper nickel smelting enterprises are saponification positions exposed to hydrochloric acid in refining processes, black nickel positions exposed to sodium hydroxide, and tail suction positions. The consistency between the two occupational health risk assessment results is poor (Kappa=0.14) . <b>Conclusion:</b> The amount of major hazardous chemicals in copper-nickel smelting enterprises is large, and the occupational health risks caused by exposure are complex and diverse, so the effects of chronic occupational health should be strengthened.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 10","pages":"752-756"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A meta-analysis of the relationship between overtime work and neck musculoskeletal disorders in Chinese occupational population].","authors":"R B Sun, R J Ling, J Yin, J B Wu","doi":"10.3760/cma.j.cn121094-20230817-00036","DOIUrl":"10.3760/cma.j.cn121094-20230817-00036","url":null,"abstract":"<p><p><b>Objective:</b> To systematically evaluate the effect of overtime work on neck musculoskeletal disorders of occupational population in China. <b>Methods:</b> In August 2023, the literatures on the relationship between overtime work and neck musculoskeletal disorders were searched in China National Knowledge Infrasture (CNKI), WanFang Database, Chinese Science & Technology Journal Database (VIP), China Biomedical Literature Service System (SinoMed) and PubMed. The search scope was Chinese and English literatures published before June 30, 2023. The Quality of literature studies was evaluated using the Agency for Healthcare Research and Quality (AHRQ) cross-sectional study quality evaluation criteria. The Stata 15.0 software was used to calculate combined <i>OR</i> values, and subgroup analysis and meta regression were used to explore the sources of heterogeneity. <b>Results:</b> A total of 32 literatures were included, all of which were in Chinese, with a total sample size of 36003 people, and the literature quality scores were 5-7 points. Heterogeneity test showed that there was no heterogeneity between the literatures (<i>I</i>(2)=20.3%, <i>P</i>=0.156), so fixed effect model was selected to calculate the combined <i>OR</i> value. The combined <i>OR</i> value of overtime work on neck musculoskeletal disorders was 1.51 (95%<i>CI</i>: 1.42-1.60, <i>P</i><0.001). Subgroup analysis showed that the combined <i>OR</i> of occupational population <35 years old group was higher than that in the ≥35 years old group (<i>P</i><0.05). But there were no significant differences in the combined <i>OR</i> values in the subgroups classified by average years of service, male proportion, type of <i>OR</i> values, sample size and industry classification (<i>P</i>>0.05) . <b>Conclusion:</b> Overtime work is a risk factor for neck musculoskeletal disorders in Chinese occupational population. Working hours should be rationally arranged to reduce the prevalence of neck musculoskeletal disorders.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 10","pages":"735-742"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Analysis of factors affecting health status and abnormal lung function of workers exposed to welding fumes in Tianjin from 2020 to 2022].","authors":"M M A X Qumu, Y Bai, P Li, Y Gao, Q Zeng, X Wang","doi":"10.3760/cma.j.cn121094-20231218-00159","DOIUrl":"https://doi.org/10.3760/cma.j.cn121094-20231218-00159","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the health status and the influencing factors of abnormal lung function of welding fumes exposure workers in Tianjin from 2020 to 2022, and to provide theoretical basis for the protection and intervention of key occupational diseases. <b>Methods:</b> In October 2023, the relevant data of occupational health examination of welding fumes exposure workers in Tianjin from 2020 to 2022 (10831, 10758 and 21717 in 2020, 2021 and 2022, respectively) were collected from the China Disease Prevention and Control Information Platform. The electrocardiogram, chest radiograph and lung function abnormalities of workers in each year were analyzed, as well as the association between lung function abnormalities and gender, age, working age, region, etc. With gender, age and years of service as independent variables, logistic regression analysis was performed year by year on the influencing factors of abnormal lung function. <b>Results:</b> From 2020 to 2022, electrocardiogram, chest radiograph and lung function abnormality rates of workers exposed to welding fumes had statistical significances (χ(2)=301.79, 7.87, 1614.54, <i>P</i><0.05), and the lung function abnormality rate showed a downward trend year by year (χ(2)(trend)=1516.19, <i>P</i><0.001). The abnormal rates of lung function in male workers exposed to welding fumes were higher than those in female workers (χ(2)=61.65, 8.04, 15.22, <i>P</i><0.05). With the increase of age, the abnormal rate of lung function showed an increasing trend (χ(2)(trend)=6.47, 10.81, 4.72, <i>P</i><0.05). The abnormal rates of lung function in the four districts around the city in each year were 22.05% (318/1442), 8.91% (171/1919) and 6.48% (273/4212), respectively. Year by year logistic regression analysis showed that females were the protective factors for abnormal lung function (<i>OR</i>=0.369, 0.568, 0.546; 95%<i>CI</i>: 0.298-0.458, 0.367-0.879, 0.388-0.767; <i>P</i><0.05) . <b>Conclusion:</b> Attention should be paid to the health status of welding fumes workers in Tianjin, focusing on the protection of middle-aged male workers, and effective prevention measures should be taken for key areas and industries such as the four districts around the city.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 10","pages":"757-762"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Establishment and research progress of early diagnosis system for pleural mesothelioma].","authors":"W Mei, S J Yang, Y P Zhang","doi":"10.3760/cma.j.cn121094-20230915-00060","DOIUrl":"https://doi.org/10.3760/cma.j.cn121094-20230915-00060","url":null,"abstract":"<p><p>Pleural mesothelioma (PMe) was associated with asbestos exposure.The Diagnosis of PMe is difficult due to the lack of specificity of clinical signs and symptoms, although there are many tools available for early diagnosis of mesothelioma. Most PMe patients are diagnosed at an advanced stage. This article reviews advances in strategies for early diagnosis of mesothelioma, focusing on breath analysis, early diagnosis of pleural effusion cytology in patients with mesothelioma, serum biomarkers and miRNA.</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 10","pages":"793-800"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[4 cases of occupational lung cancer caused by chloromethyl ether and dichloromethyl ether in a chemical enterprise].","authors":"L K Song, J C Wang, Q J Tian, P Zhang","doi":"10.3760/cma.j.cn121094-20230710-00240","DOIUrl":"10.3760/cma.j.cn121094-20230710-00240","url":null,"abstract":"<p><p>Chloromethyl ether and diclomethyl ether are statutory substances that cause occupational lung cancer. From 2021 to 2022, the Department of Occupational Diseases of the Eighth People's Hospital of Hebei Province successively received 4 cases of lung cancer from a chemical company that required occupational disease diagnosis. All four patients had a clear occupational history of chloromethyl ether and diclomethyl ether for more than 1 year, diagnosis of primary small cell lung cancer supported by relevant histopathology, immunohistochemistry, and tumor markers. All the 4 patients were diagnosed as occupational lung cancer (chloromethyl ether, diclomethyl ether) .</p>","PeriodicalId":23958,"journal":{"name":"中华劳动卫生职业病杂志","volume":"42 10","pages":"772-775"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}