WorldWideScience

Sample records for assessing nutrition-pollution interactions

  1. Report of a consultant's meeting on nuclear analytical and isotope techniques for assessing nutrition-pollution interactions

    International Nuclear Information System (INIS)

    2001-01-01

    Until now nutritional status and environmental pollution were mostly treated as separate issues. However, there is a tight interaction between both areas, which can be defined as one system consisting of the elements: Agent (air, water, soil), pollutant, host (compartment, age, physiological stage), and environment (geographical, socio-cultural). The interaction between the elements of the system is regulated by a complex mechanism, which is only understood in fractions. To comprehend the system and its regulation, appropriate indicators for the total system need to be verified and validated. Together with the indicators for the subsystem of the environmental conditions and the nutritional situation, the models of the regulation and accumulation of pollutants in the biological system of humans (cell, tissues and organs, individuals, populations) affecting their nutritional status can be developed. This will help to understand the wider impact of pollution on human and economic development and to develop measures to reduce and alleviate health risks. Concerns for food safety provides an example. Food safety issues and factors that contribute to nutrient compositional changes are critical to several aspects surrounding the nutrition-health-disease domain, and will continue to attract much attention in the future. Nutritional toxicology will become a major challenge in this context. There are known instances of inter-element interactions of Pb and Fe (anaemia), Hg and Se, Hg and Fe, As and Se. Se and I, Cd and Zn, among others. Similarly, placental transfer of nutrients and toxicants are of concern in relation to fetal health, and well defined studies are required to elucidate the health impact in cases where pollutant levels are above the safe levels. Populations in developing countries, particularly children, represent the largest segment of society in need of protection and multi-factorial interventions to prevent malnutrition, infectious disease and the effects of

  2. Co-ordinated research project on application of isotopic and nuclear techniques in the study of nutrition-pollution interactions and their impact on the nutritional status of human subjects in developing country populations. Report on the 2. research co-ordination meeting

    International Nuclear Information System (INIS)

    2004-01-01

    The International Atomic Energy Agency (IAEA) is actively contributing through coordinated research project mechanisms to the development of isotopic techniques applicable for pollution-nutrition interactions. This CRP is based on the recommendations of a consultants' meeting on: 'Nuclear Analytical and Isotope Techniques for assessing nutrition-pollution interactions', NAHRES-62. The main objective of the CRP is to provide a scientific basis for better assessment of selected pollutants and nutrients in biological samples with a view to elucidate their interactions and the impact on human health. Results of this study will enhance the existing body of knowledge on nutrition-pollution interactions mechanisms and can be used to develop preventive strategies. SPECIFIC OBJECTIVES: Use of non-invasive specimens (e.g. breast milk, blood, hair, urine, placenta, eventually adipose tissue for organic pollutants) as indicators to monitor the interaction between the environmental pollution (both organic and inorganic) and nutritional status. Development of protocols to assess the health impact of environmental conditions on populations living under the risk of malnutrition. Validated procedures for chemical analysis in selected environment and nutritional specimens for research in the pollutant-nutrition interaction

  3. Application of radiochemical neutron activation and atomic absorption spectrometry methods for the study of nutrition-pollution interactions in children

    Energy Technology Data Exchange (ETDEWEB)

    Tran Bang Diep [Institute for Nuclear Science and Technique, VAEC, P.O. Box 5T-160, Hanoi (Viet Nam)]. E-mail: tranfbangdiepj@yahoo.com; Tran Dai Nghiep [Institute for Nuclear Science and Technique, VAEC, P.O. Box 5T-160, Hanoi (Viet Nam)]. E-mail: tdnghiep@vaec.gov.vn

    2005-07-01

    The application of radiochemical neutron activation analysis (RNAA) and atomic absorption spectrometry (AAS) is expected to aid in understanding and evaluating the effects of environmental pollution on the nutritional status of children already exposed to marginal malnutrition. Samples of placenta, of low-weight and control newborns groups, were collected for determination of nutritional elements and pollutants. The mean ratios of pollutants and nutrients such as Cd/Zn, Hg/Se and Pb/Ca were evaluated for both groups. All these ratios in the placenta of the low-weight newborns are higher than that of the healthy group. The degree of the nutrient-pollutant interaction is evaluated by quantity R, with mercury considered as the most active pollutant while calcium the most active nutrient among the involved elements in process of the interaction. (author)

  4. Application of radiochemical neutron activation and atomic absorption spectrometry methods for the study of nutrition-pollution interactions in children

    International Nuclear Information System (INIS)

    Tran Bang Diep; Tran Dai Nghiep

    2005-01-01

    The application of radiochemical neutron activation analysis (RNAA) and atomic absorption spectrometry (AAS) is expected to aid in understanding and evaluating the effects of environmental pollution on the nutritional status of children already exposed to marginal malnutrition. Samples of placenta, of low-weight and control newborns groups, were collected for determination of nutritional elements and pollutants. The mean ratios of pollutants and nutrients such as Cd/Zn, Hg/Se and Pb/Ca were evaluated for both groups. All these ratios in the placenta of the low-weight newborns are higher than that of the healthy group. The degree of the nutrient-pollutant interaction is evaluated by quantity R, with mercury considered as the most active pollutant while calcium the most active nutrient among the involved elements in process of the interaction. (author)

  5. Co-ordinated research project on application of isotopic nuclear techniques in the study of nutrition-pollution interactions and their impact on the nutritional status of human subjects in developing country populations. Report on the first research co-ordination meeting

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    indicator for RTM, reflecting the pollutant status in both mother and fetus. Hair, adipose tissue (to monitor organic pollutants), and hard tissues such as bone and teeth (to monitor selected elements, particularly Pb, Sr and Ur) have been used as Long Term Monitoring (LTM) specimen. In this context, the International Atomic Energy Agency (IAEA) is actively contributing through coordinated research project mechanisms to the development of isotopic techniques applicable for pollution-nutrition interactions. This CRP is based on the recommendations of a Consultants' Meeting on 'Nuclear analytical and isotope techniques for assessing Nutrition-pollution interactions' held in Vienna, 11-15 December 2000. This report summarizes the main activities of the first RCM held at the IAEA Headquarters in Vienna from 6 to 10 May 2002. The countries participating in this CRP are: Bangladesh, Brazil, Chile, China, India, Kenya, Korea, Morocco, Peru, Sweden and Viet Nam.

  6. Assessment of nutritional status, cognitive development, and mother-child interaction in Central American refugee children

    OpenAIRE

    Laude Monica

    1999-01-01

    A cross-sectional study was conducted between July and December 1992 to assess the nutritional status, cognitive development, and mother-child interactions in a group of 153 Nicaraguan refugee children living in Costa Rica. Nutritional status was assessed using anthropometric indices. Cognitive development was assessed with the Bayley Scale of Mental Development. Mother-child interaction was assessed with the Nursing Child Assessment Teaching Scale and Caldwell's Home Observation and Measurem...

  7. Interactive effects of nutrition, reproductive state and pollution on molecular stress responses of mussels, Mytilus galloprovincialis Lamarck, 1819.

    Science.gov (United States)

    González-Fernández, Carmen; Albentosa, Marina; Sokolova, Inna

    2017-10-01

    Marine bivalves including mussels Mytilus galloprovincialis are commonly used as sentinels for pollution monitoring and ecosystem health assessment in the coastal zones. Use of biomarkers to assess the pollution effects assumes that the effects of pollutants on the biomarkers exceed the natural background variability; yet this assumption has rarely been tested. We exposed mussels at different reproductive stages and nutritive states to two concentrations of a polycyclic aromatic hydrocarbon (fluoranthene, 3 and 60 μg L -1 ) for three weeks. Expression levels of the molecular biomarkers related to the detoxification and general stress response [cytochrome P450 oxidase (CYP450), glutathione S-transferases (GST-α; GST-S1; GST-S2), the multixenobiotic resistance protein P-glycoprotein (PgP), metallothioneins (MT10 and MT20), heat shock proteins (HSP22, HSP70-2; HSP70-3; HSP70-4), as well as mRNA expression of two reproduction-related genes, vitellogenin (Vitel) and vitelline coat lysin M7 (VCLM7)] were measured. The mussels' nutrition and reproductive state affected the baseline mRNA levels of molecular biomarkers and modulated the transcriptional responses of biomarker genes to the pollutant exposure. Thus, mussel physiological state could act as a confounding factor in the evaluation of the response of pollution through molecular biomarkers. The biomarker baseline levels must be determined across a range of physiological states to enable the use of biomarkers in monitoring programs. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Non-Chemical Stressors and Cumulative Risk Assessment: An Overview of Current Initiatives and Potential Air Pollutant Interactions

    Science.gov (United States)

    Lewis, Ari S.; Sax, Sonja N.; Wason, Susan C.; Campleman, Sharan L.

    2011-01-01

    Regulatory agencies are under increased pressure to consider broader public health concerns that extend to multiple pollutant exposures, multiple exposure pathways, and vulnerable populations. Specifically, cumulative risk assessment initiatives have stressed the importance of considering both chemical and non-chemical stressors, such as socioeconomic status (SES) and related psychosocial stress, in evaluating health risks. The integration of non-chemical stressors into a cumulative risk assessment framework has been largely driven by evidence of health disparities across different segments of society that may also bear a disproportionate risk from chemical exposures. This review will discuss current efforts to advance the field of cumulative risk assessment, highlighting some of the major challenges, discussed within the construct of the traditional risk assessment paradigm. Additionally, we present a summary of studies of potential interactions between social stressors and air pollutants on health as an example of current research that supports the incorporation of non-chemical stressors into risk assessment. The results from these studies, while suggestive of possible interactions, are mixed and hindered by inconsistent application of social stress indicators. Overall, while there have been significant advances, further developments across all of the risk assessment stages (i.e., hazard identification, exposure assessment, dose-response, and risk characterization) are necessary to provide a scientific basis for regulatory actions and effective community interventions, particularly when considering non-chemical stressors. A better understanding of the biological underpinnings of social stress on disease and implications for chemical-based dose-response relationships is needed. Furthermore, when considering non-chemical stressors, an appropriate metric, or series of metrics, for risk characterization is also needed. Cumulative risk assessment research will benefit

  9. Assessment of nutritional status, cognitive development, and mother-child interaction in Central American refugee children

    Directory of Open Access Journals (Sweden)

    Monica Laude

    1999-09-01

    Full Text Available A cross-sectional study was conducted between July and December 1992 to assess the nutritional status, cognitive development, and mother-child interactions in a group of 153 Nicaraguan refugee children living in Costa Rica. Nutritional status was assessed using anthropometric indices. Cognitive development was assessed with the Bayley Scale of Mental Development. Mother-child interaction was assessed with the Nursing Child Assessment Teaching Scale and Caldwell's Home Observation and Measurement of the Environment Inventory. Correlational analysis was performed to examine the relationship between child cognitive development scores and mother-child interaction measures and also between anthropometric measures and child cognitive development scores. Multiple regression analysis was performed to evaluate the relationship between the mother-child interaction measures and cognitive development scores, after adjusting by anthropometric measures. Thirty-three percent of the children were below the 10th percentile for height-for-age. There was no significant correlation between the total amount of mother-child interaction and child cognitive development. However, certain aspects of the home environment correlated with cognitive development, specifically the manner in which the mother responded emotionally and verbally to her child, and the organization of the child's physical and temporal environment. Multiple regression analysis revealed that the manner in which the mother responded and the child's weight-for-height were important in predicting child cognitive development. The child's weight-for-height and certain aspects of the home environment played an important role in the cognitive development of this refugee population. The findings indicate the importance of assessing nutritional status in this refugee population.

  10. Multi-pollutant interactions in hyporheic zones

    Science.gov (United States)

    Krause, S.; Weatherill, J.; Bonet, B.; Blaen, P.; Khamis, K.; Cassidy, N. J.; Hannah, D. M.; Rivett, M. O.; Lynch, I.; Ullah, S.

    2017-12-01

    Hyporheic zones represent hotspots of biogeochemical reactivity, with the potential to attenuate pollutants and ameliorate their impact on ecosystem functioning. Sources and types of pollutants in streambed environments are manifold, with legacy industry contaminants, agricultural pollution and emerging pollutants such as pharmaceuticals or engineered nanoparticles entering hyporheic zones along different flow paths where they mix and potentially react with each other. Current conceptualizations of drivers and controls of biogeochemical turnover in hyporheic zones highlight primarily the role of transport and reaction times but do not account for potential interactions between different pollutants. This study presents two case studies of multi-pollutant interactions to illustrate the need to consider interferences between different pollutants, their transport and reaction pathways for adequate impact assessment. We discuss in the first instance how the natural attenuation of a Trichloroethylene (TCE) groundwater plume in an agricultural catchment is limited by high riparian and hyporheic nitrate concentrations. As nitrate outcompeted TCE in its reaction with organic carbon as electron donor, TCE attenuation was in this case limited to hyporheic denitrification hotspots. Hence any pollution control measures to reduce the impact of this TCE plume require a reduction of agricultural nitrate loads, highlighting the connectedness of legacy (TCE) and more recent (nitrate) pollution problems. In the second case, we investigate how the labile organic carbon content of streambed sediments as main control of hyporheic respiration is overridden by exposure to different silver nanoparticle concentrations, representing emerging pollutants in many of our rivers. Also in this case, the impacts of different stressors (nanoparticle exposure) and drivers (availability of organic matter, water temperature) are interacting in their impacts on hyporheic zone functioning. We argue that

  11. Light and noise pollution interact to disrupt interspecific interactions.

    Science.gov (United States)

    McMahon, Taegan A; Rohr, Jason R; Bernal, Ximena E

    2017-05-01

    Studies on the consequences of urbanization often examine the effects of light, noise, and heat pollution independently on isolated species providing a limited understanding of how these combined stressors affect species interactions. Here, we investigate how these factors interact to affect parasitic frog-biting midges (Corethrella spp.) and their túngara frog (Engystomops pustulosus) hosts. A survey of túngara frog calling sites revealed that frog abundance was not significantly correlated with urbanization, light, noise, or temperature. In contrast, frog-biting midges were sensitive to light pollution and noise pollution. Increased light intensity significantly reduced midge abundance at low noise levels. At high noise intensity, there were no midges regardless of light level. Two field experiments controlling light and noise levels to examine attraction of the midges to their host and their feeding behavior confirmed the causality of these field patterns. These findings demonstrate that both light and noise pollution disrupt this host-parasite interaction and highlight the importance of considering interactions among species and types of pollutants to accurately assess the impacts of urbanization on ecological communities. © 2017 by the Ecological Society of America.

  12. Nutritional Solutions to Reduce Risks of Negative Health Impacts of Air Pollution.

    Science.gov (United States)

    Péter, Szabolcs; Holguin, Fernando; Wood, Lisa G; Clougherty, Jane E; Raederstorff, Daniel; Antal, Magda; Weber, Peter; Eggersdorfer, Manfred

    2015-12-10

    Air pollution worldwide has been associated with cardiovascular and respiratory morbidity and mortality, particularly in urban settings with elevated concentrations of primary pollutants. Air pollution is a very complex mixture of primary and secondary gases and particles, and its potential to cause harm can depend on multiple factors-including physical and chemical characteristics of pollutants, which varies with fine-scale location (e.g., by proximity to local emission sources)-as well as local meteorology, topography, and population susceptibility. It has been hypothesized that the intake of anti-oxidant and anti-inflammatory nutrients may ameliorate various respiratory and cardiovascular effects of air pollution through reductions in oxidative stress and inflammation. To date, several studies have suggested that some harmful effects of air pollution may be modified by intake of essential micronutrients (such as B vitamins, and vitamins C, D, and E) and long-chain polyunsaturated fatty acids. Here, we review the existing literature related to the potential for nutrition to modify the health impacts of air pollution, and offer a framework for examining these interactions.

  13. Nutritional Solutions to Reduce Risks of Negative Health Impacts of Air Pollution

    Science.gov (United States)

    Péter, Szabolcs; Holguin, Fernando; Wood, Lisa G.; Clougherty, Jane E.; Raederstorff, Daniel; Antal, Magda; Weber, Peter; Eggersdorfer, Manfred

    2015-01-01

    Air pollution worldwide has been associated with cardiovascular and respiratory morbidity and mortality, particularly in urban settings with elevated concentrations of primary pollutants. Air pollution is a very complex mixture of primary and secondary gases and particles, and its potential to cause harm can depend on multiple factors—including physical and chemical characteristics of pollutants, which varies with fine-scale location (e.g., by proximity to local emission sources)—as well as local meteorology, topography, and population susceptibility. It has been hypothesized that the intake of anti-oxidant and anti-inflammatory nutrients may ameliorate various respiratory and cardiovascular effects of air pollution through reductions in oxidative stress and inflammation. To date, several studies have suggested that some harmful effects of air pollution may be modified by intake of essential micronutrients (such as B vitamins, and vitamins C, D, and E) and long-chain polyunsaturated fatty acids. Here, we review the existing literature related to the potential for nutrition to modify the health impacts of air pollution, and offer a framework for examining these interactions. PMID:26690474

  14. Nutritional Solutions to Reduce Risks of Negative Health Impacts of Air Pollution

    Directory of Open Access Journals (Sweden)

    Szabolcs Péter

    2015-12-01

    Full Text Available Air pollution worldwide has been associated with cardiovascular and respiratory morbidity and mortality, particularly in urban settings with elevated concentrations of primary pollutants. Air pollution is a very complex mixture of primary and secondary gases and particles, and its potential to cause harm can depend on multiple factors—including physical and chemical characteristics of pollutants, which varies with fine-scale location (e.g., by proximity to local emission sources—as well as local meteorology, topography, and population susceptibility. It has been hypothesized that the intake of anti-oxidant and anti-inflammatory nutrients may ameliorate various respiratory and cardiovascular effects of air pollution through reductions in oxidative stress and inflammation. To date, several studies have suggested that some harmful effects of air pollution may be modified by intake of essential micronutrients (such as B vitamins, and vitamins C, D, and E and long-chain polyunsaturated fatty acids. Here, we review the existing literature related to the potential for nutrition to modify the health impacts of air pollution, and offer a framework for examining these interactions.

  15. Assessment of nutritional status in the community and clinical settings

    Directory of Open Access Journals (Sweden)

    Saurabh RamBihariLal Shrivastava

    2014-01-01

    Full Text Available The nutritional status of an individual is usually a result of multiple factors that interact with each other at different levels. Recognizing the role of diet at the onset of many diseases and assessing the nutritional status of an individual, family and community are important for public health. The nutritional assessment is done to obtain information about the prevalence and geographic distribution of nutritional disorders within a community or a specified population group. It can also be used to identify high-risk groups and to assess the role of different epidemiological factors in nutritional deficiency. Assessment of the nutritional status aids assessing the prevalence of nutritional disorders, planning corrective measures, and evaluating the effectiveness of the implemented strategies simultaneously.

  16. Improving nutrition through nuclear science

    International Nuclear Information System (INIS)

    2003-06-01

    Good nutrition is essential to health and quality of life. As a United Nations agency dedicated to helping Member States achieve their social and economic goals, the International Atomic Energy Agency (IAEA) recognizes the importance of good nutrition and is working to address the problems underlying poor nutrition. In fact, many Agency activities serve basic human needs, by applying nuclear science to increase food production, improve health care, improve management of water resources, and assess sources of environmental pollution. Global progress in reducing malnutrition throughout the human life cycle has been slow and patchy. In its 2000 Report on the World Nutrition Situation, the United Nations Sub Committee on Nutrition estimated that in developing countries 182 million children under five years of age are chronically undernourished and 150 million are underweight. An estimated 30 million infants are born each year with impaired growth due to poor nutrition during pregnancy. Worldwide, renewed international commitments have been made to address this situation, and the IAEA is a vital partner in these efforts. Nuclear science provides valuable tools for monitoring factors that influence nutrition, such as micronutrients, body composition, and breast milk uptake. Through its sub-programme on nutrition, the Agency is helping countries to use isotope applications and other nuclear techniques to their nutritional problems and is supporting leading-edge research on the interaction between nutrition and environmental pollution and infection with the ultimate goal of improving human nutrition

  17. Interaction of atmospheric pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Bustueva, K A; Sanotsky, I V

    1975-01-01

    In evaluating the health effects of chemical and physical factors, it is of great importance to know the possible interactions between different pollutants. The biological effects of interactions, when present, may be synergistic, antagonistic or additive. Each type of interaction calls for a different evaluation and different practical measures. As yet the understanding of such effects is not clear, probably because of differing definitions of terminology. For example, the combined effect of sulfur dioxide and particulates is interpreted as a synergistic effect; in the author's opinion, this is an aggravating effect. The type of interaction depends on the levels of concentration observed, for example, the synergism shown at high levels of concentration is not always demonstrated for low levels of concentration. In fact there is little evidence of synergistic effects from ambient air pollutant; the more common type of interaction is additive in effect. 12 references.

  18. Nutritional ecology beyond the individual: a conceptual framework for integrating nutrition and social interactions.

    Science.gov (United States)

    Lihoreau, Mathieu; Buhl, Jerome; Charleston, Michael A; Sword, Gregory A; Raubenheimer, David; Simpson, Stephen J

    2015-03-01

    Over recent years, modelling approaches from nutritional ecology (known as Nutritional Geometry) have been increasingly used to describe how animals and some other organisms select foods and eat them in appropriate amounts in order to maintain a balanced nutritional state maximising fitness. These nutritional strategies profoundly affect the physiology, behaviour and performance of individuals, which in turn impact their social interactions within groups and societies. Here, we present a conceptual framework to study the role of nutrition as a major ecological factor influencing the development and maintenance of social life. We first illustrate some of the mechanisms by which nutritional differences among individuals mediate social interactions in a broad range of species and ecological contexts. We then explain how studying individual- and collective-level nutrition in a common conceptual framework derived from Nutritional Geometry can bring new fundamental insights into the mechanisms and evolution of social interactions, using a combination of simulation models and manipulative experiments. © 2015 The Authors. Ecology Letters published by John Wiley & Sons Ltd and CNRS.

  19. Sport and Nutrition Education Interaction on Stress

    Science.gov (United States)

    Ozturk, Mehmet Ertugrul

    2015-01-01

    The aim of the study was to determine sport and nutrition education interaction on stress. Three groups were selected for the study: control, single treatment and social treatment under nutrition treatment, too. The groups that were under nutrition treatments should have information about the nutrition resources. This experiment was done for two…

  20. [Nutritional assessment and perioperative nutritional support in gastric cancer patients].

    Science.gov (United States)

    Seo, Kyung Won; Yoon, Ki Young

    2013-04-01

    Weight loss and malnutrition are common in cancer patients. Although weight loss is predominantly due to loss of fat mass, the morbidity risk is given by the decrease in muscle mass. The assessment of nutritional status is essential for a diagnosis of nutritional compromise and required for the multidisciplinary approach. Subjective global assessment (SGA) is made by the patients nutritional symptoms and weight loss. The objective assessment, a significant weight loss (>10%) for 6 months is considered an indicator of nutritional deficiency. The mean body index, body fat mass and body protein mass are decreased as cancer stage increases. The biochemical data of albumin, cholesterol, triglyceride, Zn, transferrin, total lymphocyte count are decreased in advanced cancer stage. Daily energy intake, cabohyderate and Vit B1 intake is decreased according to cancer stage. The patients are divided into three groups according to SGA. The three groups showed a significant difference in body weight, 1 month weight loss%, 6 month weight loss%, body mass index, mid arm circumference, albumin, energy intake, as well as carbohyderate intake protein and energy malnutrition. Nutritional assessment is of great importance because undernutrition has been shown to be associated with increase in stomach cancer associated morbidity and mortality. The authors concluded that nutritional assessment should be done in cancer patients preoperatively, and with adequate nutritional support, the morbidity and mortality would be decreased.

  1. Protective influence of healthful nutrition on mechanisms of environmental pollutant toxicity and disease risks.

    Science.gov (United States)

    Hoffman, Jessie B; Hennig, Bernhard

    2017-06-01

    Human exposures to environmental contaminants around the world contribute to the global burden of disease and thus require urgent attention. Exploring preventive measures against environmental exposure and disease risk is essential. While a sedentary lifestyle and/or poor dietary habits can exacerbate the deleterious effects resulting from exposure to toxic chemicals, much emerging evidence suggests that positive lifestyle changes (e.g., healthful nutrition) can modulate and/or reduce the toxicity of environmental pollutants. Our work has shown that diets high in anti-inflammatory bioactive food components (e.g., phytochemicals or polyphenols) are possible strategies for modulating and reducing the disease risks associated with exposure to toxic pollutants in the environment. Thus, consuming healthy diets rich in plant-derived bioactive nutrients may reduce the vulnerability to diseases linked to environmental toxic insults. This nutritional paradigm in environmental toxicology requires further study in order to improve our understanding of the relationships between nutrition and other lifestyle modifications and toxicant-induced diseases. © 2017 New York Academy of Sciences.

  2. A Qualitative Investigation to Underpin the Development of an Electronic Tool to Assess Nutrition Literacy in Australian Adults

    Directory of Open Access Journals (Sweden)

    Alyssa M Cassar

    2018-02-01

    Full Text Available Nutrition literacy is linked to health via its influence on dietary intake. There is a need for a tool to assess nutrition literacy in research and dietetic practice. We sought guidance from nutrition professionals on topic areas and features of an electronic nutrition literacy assessment tool for Australian adults. 28 experienced nutrition professionals engaged in a range of nutrition and dietetic work areas participated in six focus groups using a semi-structured interview schedule. Data were analysed using an inductive approach using NVivo 10 (QSR International, Pty Ltd., Doncaster, Australia, 2012. Key areas identified to assess nutrition literacy included specific nutrients versus foods, labels and packaging, construction of the diet, knowledge of the Australian Dietary Guidelines and Australian Guide to Healthy Eating, understanding of serve and portion sizes, ability to select healthier foods, and demographics such as belief systems and culture. Exploitation of electronic features to enhance visual and auditory displays, including interactive animations such as “drag and drop” and virtual reality situations, were discussed. This study provided insight into the most relevant topic areas and presentation format to assess the nutrition literacy of adult Australians. The visual, auditory, and interactive capacity of the available technology could enhance the assessment of nutrition literacy.

  3. A Qualitative Investigation to Underpin the Development of an Electronic Tool to Assess Nutrition Literacy in Australians Adults.

    Science.gov (United States)

    Cassar, Alyssa M; Denyer, Gareth S; O'Connor, Helen T; Gifford, Janelle A

    2018-02-23

    Nutrition literacy is linked to health via its influence on dietary intake. There is a need for a tool to assess nutrition literacy in research and dietetic practice. We sought guidance from nutrition professionals on topic areas and features of an electronic nutrition literacy assessment tool for Australian adults. 28 experienced nutrition professionals engaged in a range of nutrition and dietetic work areas participated in six focus groups using a semi-structured interview schedule. Data were analysed using an inductive approach using NVivo 10 (QSR International, Pty Ltd., Doncaster, Australia, 2012). Key areas identified to assess nutrition literacy included specific nutrients versus foods, labels and packaging, construction of the diet, knowledge of the Australian Dietary Guidelines and Australian Guide to Healthy Eating, understanding of serve and portion sizes, ability to select healthier foods, and demographics such as belief systems and culture. Exploitation of electronic features to enhance visual and auditory displays, including interactive animations such as "drag and drop" and virtual reality situations, were discussed. This study provided insight into the most relevant topic areas and presentation format to assess the nutrition literacy of adult Australians. The visual, auditory, and interactive capacity of the available technology could enhance the assessment of nutrition literacy.

  4. Assessing the nutritional status of hospitalized elderly

    Directory of Open Access Journals (Sweden)

    Abd Aziz NAS

    2017-10-01

    Full Text Available Nur Adilah Shuhada Abd Aziz, Nur Islami Mohd Fahmi Teng, Mohd Ramadan Abdul Hamid, Nazrul Hadi Ismail Department of Nutrition and Dietetics, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Malaysia Purpose: The increasing number of elderly people worldwide throughout the years is concerning due to the health problems often faced by this population. This review aims to summarize the nutritional status among hospitalized elderly and the role of the nutritional assessment tools in this issue.Methods: A literature search was performed on six databases using the terms “malnutrition”, “hospitalised elderly”, “nutritional assessment”, “Mini Nutritional Assessment (MNA”, “Geriatric Nutrition Risk Index (GNRI”, and “Subjective Global Assessment (SGA”.Results: According to the previous studies, the prevalence of malnutrition among hospitalized elderly shows an increasing trend not only locally but also across the world. Under-recognition of malnutrition causes the number of malnourished hospitalized elderly to remain high throughout the years. Thus, the development of nutritional screening and assessment tools has been widely studied, and these tools are readily available nowadays. SGA, MNA, and GNRI are the nutritional assessment tools developed specifically for the elderly and are well validated in most countries. However, to date, there is no single tool that can be considered as the universal gold standard for the diagnosis of nutritional status in hospitalized patients.Conclusion: It is important to identify which nutritional assessment tool is suitable to be used in this group to ensure that a structured assessment and documentation of nutritional status can be established. An early and accurate identification of the appropriate treatment of malnutrition can be done as soon as possible, and thus, the malnutrition rate among this group can be minimized in the future. Keywords: malnutrition in elderly

  5. Nutritional modulation of health, egg quality and environmental pollution of the layers.

    Science.gov (United States)

    Wang, Jing; Yue, Hongyuan; Wu, Shugeng; Zhang, Haijun; Qi, Guanghai

    2017-06-01

    World egg production and consumption have been increasing for the past decades. Traditional strategies in poultry nutrition have made vital contributions to this great growth in quantity. However, current global issues should be considered in modern egg production such as growing populations and food security, food safety and quality, limited resources and environmental problems. The development of knowledge of poultry nutrition and modern biotechnology provides novel nutritional approaches to closely fit the requirement of pullets and laying hens, which will consequently decrease the nutrition excretion and maintain the lower cost of feed. Nutrition has also been widely accepted as a strategy to influence health and diseases of laying hens. The maintenance of good health is an important prerequisite for improving productivity and egg quality. In addition, there are many measures and strategies for minimizing the incidence of egg defects and providing a choice of lifestyle to enhance human health. This paper reviews current research progress on developing innovative technologies and strategies to maximize animal health and performance, improve the quality of egg products and minimize pollution caused by poultry production.

  6. Nutritional modulation of health, egg quality and environmental pollution of the layers

    Directory of Open Access Journals (Sweden)

    Jing Wang

    2017-06-01

    Full Text Available World egg production and consumption have been increasing for the past decades. Traditional strategies in poultry nutrition have made vital contributions to this great growth in quantity. However, current global issues should be considered in modern egg production such as growing populations and food security, food safety and quality, limited resources and environmental problems. The development of knowledge of poultry nutrition and modern biotechnology provides novel nutritional approaches to closely fit the requirement of pullets and laying hens, which will consequently decrease the nutrition emissions and maintain the lower cost of feed. Nutrition has also been widely accepted as a strategy to influence health and diseases of laying hens. The maintenance of good health is an important prerequisite for improving productivity and egg quality. In addition, there are many measures and strategies for minimizing the incidence of egg defects and providing a choice of lifestyle to enhance human health. This paper reviews current research progress on developing innovative technologies and strategies to maximize animal health and performance, improve the quality of egg products and minimize pollution caused by poultry production.

  7. Nutritional Assessment in Elderly Hospitalized Patients in Qazvin Teaching Hospitals in 2011

    Directory of Open Access Journals (Sweden)

    Azam Ghorbani

    2013-04-01

    Full Text Available Objectives: Nutritional status in the elderly is an important issue in developing countries has been little attention to it. It results from complex interaction between personal and environmental factors that have a considerable effect on mortality, morbidity and quality of life of elderly people especially the hospitalized ones. The aim of this study was to investigate nutritional status in elderly hospitalized patients in Qazvin Teaching Hospitals and know Influential factors to plan appropriate programs for improving their health. Methods & Materials: In this cross-sectional study 233 elderly (151 women and 171 men aging more than 60 years, hospitalized in two hospitals in Qazvin city were studied. Nutritional status were evaluated using Mini Nutritional Assessment, The nutritional status was classified into: malnourished, risk of malnutrition and without malnutrition (adequate. Results: Among the assessed elderly 29.8% were well nourish, 13.4% malnourished and 42.95 at risk of malnutrition. There was more malnutrition in females compared to males (25.8% vs 7.2 P=23(62.5% vs. 12.6% P<0.001, Statistical analysis of the studied variables showed that nutritional status were significantly associated with Age, BMI, WC and WHR Conclusion: This study confirms a high prevalence of malnutrition risk in hospitalized elderly patients. The assessment of nutritional status with MNA that can facilitate evaluation of the nutritional status of elderly individuals in hospitals

  8. Interaction of nutrition and infections globally: an overview.

    Science.gov (United States)

    Krawinkel, M B

    2012-01-01

    The interaction of nutrition and infections is known by experience by generations of medical doctors. Before the era of antibiotics, diet was an integral part of the management of infections. Now, it is necessary to take a fresh look at this interaction as the understanding of immune response has expanded considerably. Comparatively little research has addressed the impact of nutrition interventions on the management of infectious diseases. Most observations of the interaction between nutrition and infections are epidemiological in character. This holds especially true for measles as well as for tuberculosis. In AIDS, the deterioration of the nutritional status is an indicator of disease progression. Infections in undernourished children are a common cause of death, and taking this finding into account helps to reduce the case fatality rate in severely malnourished patients. Regarding the immune response, cellular as well as soluble components are affected by deficiencies of single nutrients or general undernutrition. The immunosuppressive effect of undernutrition starts during intrauterine life already: maternal nutrition status has been shown to impact on immune function in adult animals. Recent research suggests that not only undernutrition but also caloric overnutrition impacts on immune response to infections and immunization. This is partly due to the chronic inflammatory activity of the adipose tissue and partly due to neuroendocrine alterations. Infectious diseases also impact on the nutritional status, either specifically or through unspecific mechanisms, such as anorexia, tachypnea, and vomiting. Copyright © 2013 S. Karger AG, Basel.

  9. Genome-Wide Interaction Analysis of Air Pollution Exposure and Childhood Asthma with Functional Follow-up.

    Science.gov (United States)

    Gref, Anna; Merid, Simon K; Gruzieva, Olena; Ballereau, Stéphane; Becker, Allan; Bellander, Tom; Bergström, Anna; Bossé, Yohan; Bottai, Matteo; Chan-Yeung, Moira; Fuertes, Elaine; Ierodiakonou, Despo; Jiang, Ruiwei; Joly, Stéphane; Jones, Meaghan; Kobor, Michael S; Korek, Michal; Kozyrskyj, Anita L; Kumar, Ashish; Lemonnier, Nathanaël; MacIntyre, Elaina; Ménard, Camille; Nickle, David; Obeidat, Ma'en; Pellet, Johann; Standl, Marie; Sääf, Annika; Söderhäll, Cilla; Tiesler, Carla M T; van den Berge, Maarten; Vonk, Judith M; Vora, Hita; Xu, Cheng-Jian; Antó, Josep M; Auffray, Charles; Brauer, Michael; Bousquet, Jean; Brunekreef, Bert; Gauderman, W James; Heinrich, Joachim; Kere, Juha; Koppelman, Gerard H; Postma, Dirkje; Carlsten, Christopher; Pershagen, Göran; Melén, Erik

    2017-05-15

    The evidence supporting an association between traffic-related air pollution exposure and incident childhood asthma is inconsistent and may depend on genetic factors. To identify gene-environment interaction effects on childhood asthma using genome-wide single-nucleotide polymorphism (SNP) data and air pollution exposure. Identified loci were further analyzed at epigenetic and transcriptomic levels. We used land use regression models to estimate individual air pollution exposure (represented by outdoor NO 2 levels) at the birth address and performed a genome-wide interaction study for doctors' diagnoses of asthma up to 8 years in three European birth cohorts (n = 1,534) with look-up for interaction in two separate North American cohorts, CHS (Children's Health Study) and CAPPS/SAGE (Canadian Asthma Primary Prevention Study/Study of Asthma, Genetics and Environment) (n = 1,602 and 186 subjects, respectively). We assessed expression quantitative trait locus effects in human lung specimens and blood, as well as associations among air pollution exposure, methylation, and transcriptomic patterns. In the European cohorts, 186 SNPs had an interaction P asthma development and provided supportive evidence for interaction with air pollution for ADCY2, B4GALT5, and DLG2.

  10. Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care.

    Science.gov (United States)

    Malara, Alba; Sgrò, Giovanni; Caruso, Chiara; Ceravolo, Francesco; Curinga, Giuseppe; Renda, Grazia Francesca; Spadea, Fausto; Garo, Michele; Rispoli, Vincenzo

    2014-01-01

    The interaction between dementia and nutritional state is very complex and not yet fully understood. The aim of the present study was to assess the interaction between cognitive impairment and nutritional state in a cohort of residential elderly in relationship with functional condition of patients and their load of assistance in long-term-care facilities of the National Association of Third Age Structures (ANASTE) Calabria. One hundred seventy-four subjects (122 female and 52 male) were admitted to the long-term-care ANASTE Calabria study. All patients underwent multidimensional geriatric assessment. Nutritional state was assessed with the Mini Nutritional Assessment (MNA), whereas cognitive performance was evaluated by the Mini-Mental State Examination (MMSE). The functional state was assessed by Barthel Index (BI) and Activity Daily Living (ADL). The following nutritional biochemical parameters were also evaluated: albumin, cholesterol, iron, and hemoglobin. All patients were reassessed 180 days later. A severe cognitive impairment in MMSE performance was displayed in 49.7% patients, while 39.8% showed a moderate deficit; 6.9% had a slight deficit; and 3.4% evidenced no cognitive impairment. In MNA, 30% of patients exhibited an impairment of nutritional state; 56% were at risk of malnutrition; and 14% showed no nutritional problems. Malnutrition was present in 42% of patients with severe cognitive impairment, but only 4% of malnourished patients showed moderate cognitive deficit. The statistical analysis displayed a significant correlation between MNA and MMSE (Pnutritional state (P<0.005) as well as with the functional state (P<0.05) and mortality (P<0.01). The present study clearly shows that malnutrition may play an important role in the progression of cognitive loss.

  11. Interactions between particulate air pollution and temperature in air pollution mortality time series studies

    International Nuclear Information System (INIS)

    Roberts, Steven

    2004-01-01

    In many community time series studies on the effect of particulate air pollution on mortality, particulate air pollution is modeled additively. In this study, we investigated the interaction between daily particulate air pollution and daily mean temperature in Cook County, Illinois and Allegheny County, Pennsylvania, using data for the period 1987-1994. This was done through the use of joint particulate air pollution-temperature response surfaces and by stratifying the effect of particulate air pollution on mortality by temperature. Evidence that the effect of particulate air pollution on mortality may depend on temperature is found. However, the results were sensitive to the number of degrees of freedom used in the confounder adjustments, the particulate air pollution exposure measure, and how the effects of temperature on mortality are modeled. The results were less sensitive to the estimation method used--generalized linear models and natural cubic splines or generalized additive models and smoothing splines. The results of this study suggest that in community particulate air pollution mortality time series studies the possibility of an interaction between daily particulate air pollution and daily mean temperature should be considered

  12. heavy metal pollution asse al pollution assessment in the sediments

    African Journals Online (AJOL)

    User

    ABSTRACT. Sediments were collected from Dumba and to assess the pollution statusof the sedim. Cadmium (Cd), Chromium (Cr), Copper (Cu. (Zn) and Arsenic (As) were analysed using concentration of heavy metals varies bet with standard average shale to assess pollution in Dumba and KwataYobe sedi assessed ...

  13. Nutritional Informatics: Mining Supermarket Sales Data as a Nutritional Assessment Method

    Science.gov (United States)

    Brinkerhoff, Kristina Michelle

    2012-01-01

    Many nutritional assessment techniques, including food frequency questionnaires (FFQs) and 24-hour dietary recalls have innate limitations such as expensive protocols, high respondent burden, and self-reporting biases. Supermarket sales data have shown promise as a new, indirect, inexpensive nutritional assessment method in recent studies. The…

  14. Interaction patterns of major air pollutants in Hong Kong territory

    International Nuclear Information System (INIS)

    Lu, W.Z.; Wang, X.K.

    2004-01-01

    Air pollution in a metropolitan city like Hong Kong is a major obstacle to improve air quality and living environment due to the high population density and the vehicle emission increases. The high air pollutant levels impose harm to the human health and impair the city image. The characteristic analysis of air pollutants is very important and necessary to pollutant monitoring, forecasting and controlling. In this study, the interaction patterns of principle air pollutants, e.g. nitrogen dioxide (NO 2 ), nitric oxide (NO), nitric oxides (NO x ) and ozone (O 3 ), a secondary pollutant, are investigated based on the measured database in four selected areas, which covers two urban types (i.e. residential area, mixed residential/commercial/industrial area) in Hong Kong, during the period of 1999-2001. The study involves analyzing the chemical and physical properties, the characteristics of air pollutants and the factors affecting such interactions using statistical method. The results reveal several routines in urban air pollutants' variations, interaction and trends from macro aspect

  15. Nutritional Status Assessment (SMO 016E)

    Science.gov (United States)

    Smith, S. M.; Zwart, S. R.; Heer, M.; Ericson, K.; Coburn, S. P.; Booth, S. A.; Jones, J. A.; Lupton, J.

    2009-01-01

    Until 2006, it was not been possible to assess nutritional status of crewmembers on the ISS during flight because blood and urine could not be collected during ISS missions. Postflight observations of alterations in status of several nutrients are troubling, and we require the ability to monitor the status of these nutrients during flight to determine if there is a specific impetus or timeframe for these changes. In addition to the monitoring of crew nutritional status during flight, in-flight sample collection would allow better assessment of countermeasure effectiveness. Collecting samples during flight is one of the objectives of SMO 016E, and it is also designed to expand the current medical requirement for nutritional assessment (MR016L) to include additional normative markers for assessing crew health and countermeasure effectiveness. Additional markers of bone metabolism will be measured to better monitor bone health and the effectiveness of countermeasures to prevent bone resorption. New markers of oxidative damage will be measured to better assess the type of oxidative insults that occur during space flight. The array of nutritional assessment variables will be expanded to include ones that will allow us to better understand changes in folate, vitamin K, and vitamin B6 status, as well as risk factors for cardiovascular and oxidative damage during and after flight. Stress hormones and hormones that affect bone and muscle metabolism will also be measured. Measuring these additional variables will allow us to better monitor the health of crewmembers and make more accurate recommendations for their rehabilitation. Several nutritional assessment variables are altered at landing, but it is not known how long these changes persist. We extended the original protocol to include an additional postflight blood and urine sample collection 30 days after landing. Data are being collected before, during, and after flight. These data will provide a complete survey of how

  16. Pollution prevention and energy conservation: Understanding the interactions

    International Nuclear Information System (INIS)

    Purcell, A.H.

    1992-01-01

    The traditional view holds that pollution prevention is good for energy conservation and vice versa. Analysis of pollution prevention and energy conservation activities indicates, however, that interactions and synergies between environmental and energy factors can mean that pollution prevention can be energy intensive and, conversely, that energy conservation can lead to increased pollution. Full cost accounting, taking into account all media, must be performed before precise pollution prevention-energy conservation interrelationships can be characterized and quantified. Use of a pollution prevention-energy conservation matrix can further this understanding

  17. Human Exposure Assessment for Air Pollution.

    Science.gov (United States)

    Han, Bin; Hu, Li-Wen; Bai, Zhipeng

    2017-01-01

    Assessment of human exposure to air pollution is a fundamental part of the more general process of health risk assessment. The measurement methods for exposure assessment now include personal exposure monitoring, indoor-outdoor sampling, mobile monitoring, and exposure assessment modeling (such as proximity models, interpolation model, air dispersion models, and land-use regression (LUR) models). Among these methods, personal exposure measurement is considered to be the most accurate method of pollutant exposure assessment until now, since it can better quantify observed differences and better reflect exposure among smaller groups of people at ground level. And since the great differences of geographical environment, source distribution, pollution characteristics, economic conditions, and living habits, there is a wide range of differences between indoor, outdoor, and individual air pollution exposure in different regions of China. In general, the indoor particles in most Chinese families comprise infiltrated outdoor particles, particles generated indoors, and a few secondary organic aerosol particles, and in most cases, outdoor particle pollution concentrations are a major contributor to indoor concentrations in China. Furthermore, since the time, energy, and expense are limited, it is difficult to measure the concentration of pollutants for each individual. In recent years, obtaining the concentration of air pollutants by using a variety of exposure assessment models is becoming a main method which could solve the problem of the increasing number of individuals in epidemiology studies.

  18. Nutritional knowledge assessment of syrian university students

    OpenAIRE

    Louay Labban

    2015-01-01

    Nutrition knowledge is one of the factors that affect nutritional status and nutritional habits of individuals, families, and societies. Nutrition knowledge is an important tool in assessing the nutritional status of an individual, group or community. Researchers have been trying to design and develop reliable and valid questionnaires that distinguish and measure nutrition knowledge and its impact on dietary behavior and diet-health awareness. Many studies have shown that nutrition knowledge ...

  19. Drug-Nutrition Interactions in Older People

    NARCIS (Netherlands)

    Orten-Luiten, van A.C.; Janse, A.; Witkamp, R.

    2016-01-01

    Although both malnutrition and polypharmacy in elderly populations are relevant clinical issues, relatively little is known about their mutual relationship through drug-nutrition interactions (DNIs). To address this knowledge gap, DNIs are discussed, captured in a framework of five classes: the

  20. Nutritional assessment in patients with cirrhosis

    Directory of Open Access Journals (Sweden)

    Sabrina Alves Fernandes

    2012-03-01

    Full Text Available CONTEXT: Malnutrition in cirrhotic patients with end-stage disease is common, and the degree of nutritional debilitation can play an important role in the pathogenesis of complications and cause a negative impact on prognosis. However, it involves difficulties and controversies regarding the identification of the best nutritional assessment method. OBJECTIVE: To identify a method that provides a safe and effective nutritional diagnosis. METHODS: Cross-sectional study with 129 cirrhotic patients. Anthropometric measurements, subjective global assessment, hand grip strength and bioelectrical impedance. RESULTS: Through phase angle of bioelectrical impedance analysis (BIA method, significant associations with Child-Pugh (P = 0.008, age group and gender were observed. The ROC (receiver operator characteristic curve was generated to determine the best cutoff point of the phase angle of cirrhotic patients, serving as one of the reference parameters for the nutritional assessment with bioimpedance in this study, considering the classification through Child-Pugh score as the reference standard for the clinical conditions of patients with cirrhosis. CONCLUSIONS: The assessment through bioelectrical impedance presented a statistically significant correlation with Child-Pugh score. The identification of phase angle of 5.44º is the new parameter suggested for the classification of the nutritional conditions of cirrhotic patients.

  1. Nutritional knowledge assessment of syrian university students

    Directory of Open Access Journals (Sweden)

    Louay Labban

    2015-01-01

    Full Text Available Nutrition knowledge is one of the factors that affect nutritional status and nutritional habits of individuals, families, and societies. Nutrition knowledge is an important tool in assessing the nutritional status of an individual, group or community. Researchers have been trying to design and develop reliable and valid questionnaires that distinguish and measure nutrition knowledge and its impact on dietary behavior and diet-health awareness. Many studies have shown that nutrition knowledge can affect someone to follow dietary recommendations. The aim of this study was to assess the nutrition knowledge of Syrian university students and to find out if there was any relationship between anthropometric measurements, socioeconomic status, type of university and nutrition knowledge of the students. Nutritional knowledge was assessed using valid nutrition knowledge questionnaire, which covered six main sections. The questionnaire was designed for this study and was adapted from Parameter and Wardle. The number of students participated in the study was 998 students and were selected from four universities in Syria. They were asked to complete the nutrition knowledge questionnaire under supervision of trained nutritionist. Anthropometric measurements were taken for all participants by trained professional. The results were statistically analyzed and P 30 had the highest points in TNK. Females had higher TNK score as compared with males. Furthermore, students enrolled in the private university and in health-related programs showed typically better TNK scores than those enrolled in public universities and in nonhealth-related programs. The highest TNK score based on BMI was found among students with BMI >30. The results support the likely value of including nutrition knowledge as a target for health education campaigns aimed at promoting healthy eating.

  2. Nutritional assessment of athletes

    National Research Council Canada - National Science Library

    Driskell, Judy A; Wolinsky, Ira

    2011-01-01

    "Evaluating dietary intake, determining energy metabolism, and conducting other nutritional assessments are essential in understanding the relationships between diet, exercise, health, and physical...

  3. Opportunities for using spatial property assessment data in air pollution exposure assessments

    Directory of Open Access Journals (Sweden)

    Keller C Peter

    2005-10-01

    Full Text Available Abstract Background Many epidemiological studies examining the relationships between adverse health outcomes and exposure to air pollutants use ambient air pollution measurements as a proxy for personal exposure levels. When pollution levels vary at neighbourhood levels, using ambient pollution data from sparsely located fixed monitors may inadequately capture the spatial variation in ambient pollution. A major constraint to moving toward exposure assessments and epidemiological studies of air pollution at a neighbourhood level is the lack of readily available data at appropriate spatial resolutions. Spatial property assessment data are widely available in North America and may provide an opportunity for developing neighbourhood level air pollution exposure assessments. Results This paper provides a detailed description of spatial property assessment data available in the Pacific Northwest of Canada and the United States, and provides examples of potential applications of spatial property assessment data for improving air pollution exposure assessment at the neighbourhood scale, including: (1 creating variables for use in land use regression modelling of neighbourhood levels of ambient air pollution; (2 enhancing wood smoke exposure estimates by mapping fireplace locations; and (3 using data available on individual building characteristics to produce a regional air pollution infiltration model. Conclusion Spatial property assessment data are an extremely detailed data source at a fine spatial resolution, and therefore a source of information that could improve the quality and spatial resolution of current air pollution exposure assessments.

  4. Interactive effects of antioxidant genes and air pollution on respiratory function and airway disease: a HuGE review.

    Science.gov (United States)

    Minelli, Cosetta; Wei, Igor; Sagoo, Gurdeep; Jarvis, Debbie; Shaheen, Seif; Burney, Peter

    2011-03-15

    Susceptibility to the respiratory effects of air pollution varies between individuals. Although some evidence suggests higher susceptibility for subjects carrying variants of antioxidant genes, findings from gene-pollution interaction studies conflict in terms of the presence and direction of interactions. The authors conducted a systematic review on antioxidant gene-pollution interactions which included 15 studies, with 12 supporting the presence of interactions. For the glutathione S-transferase M1 gene (GSTM1) (n=10 studies), only 1 study found interaction with the null genotype alone, although 5 observed interactions when GSTM1 was evaluated jointly with other genes (mainly NAD(P)H dehydrogenase [quinone] 1 (NQO1)). All studies on the glutathione S-transferase P1 (GSTP1) Ile105Val polymorphism (n=11) provided some evidence of interaction, but findings conflicted in terms of risk allele. Results were negative for glutathione S-transferase T1 (GSTT1) (n=3) and positive for heme oxygenase 1 (HMOX-1) (n=2). Meta-analysis could not be performed because there were insufficient data available for any specific gene-pollutant-outcome combination. Overall the evidence supports the presence of gene-pollution interactions, although which pollutant interacts with which gene is unclear. However, issues regarding multiple testing, selective reporting, and publication bias raise the possibility of false-positive findings. Larger studies with greater accuracy of pollution assessment and improved quality of conduct and reporting are required. © The Author 2011. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved.

  5. Use of Subjective Global Assessment, Patient-Generated Subjective Global Assessment and Nutritional Risk Screening 2002 to evaluate the nutritional status of non-critically ill patients on parenteral nutrition.

    Science.gov (United States)

    Badia-Tahull, M B; Cobo-Sacristán, S; Leiva-Badosa, E; Miquel-Zurita, M E; Méndez-Cabalerio, N; Jódar-Masanés, R; Llop-Talaverón, J

    2014-02-01

    To evaluate the nutritional status of non-critically ill digestive surgery patients at the moment of parenteral nutrition initiation using three different nutritional test tools and to study their correlation. To study the association between the tests and the clinical and laboratory parameters used in the follow-up of PN treatment. Prospective study over 4 months. Anthropometric and clinical variables were recorded. Results of Subjective Global Assessment; Patient-Generated Subjective Global Assessment; and Nutritional Risk Screening 2002 were compared applying kappa test. Relationship between the clinical and laboratory parameters with Subjective Global Assessment was studied by multinominal regression and with the other two tests by multiple linear regression models. Age and sex were included as adjustment variables. Malnutrition in 45 studied patients varied from 51% to 57%. Subjective Global Assessment correlated well with Patient-Generated Subjective Global Assessment and Nutritional Risk Screening 2002 (κ = 0531 p = 0.000). The test with the greatest correlation with the clinical and analytical variables was the Nutritional Risk Screening 2002. Worse nutritional state in this test was associated with worse results in albumin (B = -0.087; CI = -0.169/-0.005], prealbumin (B = -0.005; CI = [-0.011/-0.001]), C-reactive protein (B = 0.006;CI = [0.001/ 0.011]) and leukocytes (B = 0.134; CI = [0.031/0.237]) at the en of parenteral nutrition treatment. Half of the digestive surgery patients were at malnutritional risk at the moment of initiating parenteral nutrition. Nutritional Risk Screening 2002 was the test with best association with the parameters used in the clinical follow-up of parenteral nutrition treated patients. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  6. Interactive relations among maternal depressive symptomatology, nutrition, and parenting.

    Science.gov (United States)

    Aubuchon-Endsley, Nicki L; Thomas, David G; Kennedy, Tay S; Grant, Stephanie L; Valtr, Tabitha

    2012-01-01

    Theoretical models linking maternal nutrition, depressive symptomatology, and parenting are underdeveloped. However, existing literature suggests that iron status and depressive symptomatology interact in relation to problematic parenting styles (authoritarian, permissive). Therefore, in the current study the authors investigate these interactive relations in a sample of breastfeeding mothers (n = 105) interviewed at three months postpartum. Participants completed questionnaires (from December 2008 to January 2011) regarding their depressive symptomatology and parenting styles. Iron status (i.e., hemoglobin, soluble transferrin receptors, and serum ferritin concentrations) was assessed from blood samples. Significant interactions were found between iron status and depressive symptomatology in relation to authoritarian parenting style (low warmth, high punishment and directiveness). For those women with hemoglobin below 14.00 g/dL, depressive symptomatology was positively related to authoritarian parenting style (p parenting. Dietary interventions may help to eliminate relations between depressive symptoms and problematic parenting.

  7. Nutritional biomarkers for objective dietary assessment.

    Science.gov (United States)

    Kuhnle, Gunter G C

    2012-04-01

    The accurate assessment of dietary exposure is important in investigating associations between diet and disease. Research in nutritional epidemiology, which has resulted in a large amount of information on associations between diet and chronic diseases in the last decade, relies on accurate assessment methods to identify these associations. However, most dietary assessment instruments rely to some extent on self-reporting, which is prone to systematic bias affected by factors such as age, gender, social desirability and approval. Nutritional biomarkers are not affected by these and therefore provide an additional, alternative method to estimate intake. However, there are also some limitations in their application: they are affected by inter-individual variations in metabolism and other physiological factors, and they are often limited to estimating intake of specific compounds and not entire foods. It is therefore important to validate nutritional biomarkers to determine specific strengths and limitations. In this perspective paper, criteria for the validation of nutritional markers and future developments are discussed. Copyright © 2012 Society of Chemical Industry.

  8. Interactive Distance Learning Effectively Provides Winning Sports Nutrition Workshops.

    Science.gov (United States)

    Ricketts, Jennifer; Hoelscher-Day, Sharon; Begeman, Gale; Houtkooper, Linda

    2001-01-01

    Interactive distance-education (n=226) and face-to-face (n=129) continuing education workshops for health care and education professionals on sports nutrition were evaluated immediately and after 6 months. The well-designed distance-education format was as effective and acceptable as face to face and increased sports nutrition knowledge. (SK)

  9. Understanding Plant-Microbe Interactions for Phytoremediation of Petroleum-Polluted Soil

    Science.gov (United States)

    Nie, Ming; Wang, Yijing; Yu, Jiayi; Xiao, Ming; Jiang, Lifen; Yang, Ji; Fang, Changming; Chen, Jiakuan; Li, Bo

    2011-01-01

    Plant-microbe interactions are considered to be important processes determining the efficiency of phytoremediation of petroleum pollution, however relatively little is known about how these interactions are influenced by petroleum pollution. In this experimental study using a microcosm approach, we examined how plant ecophysiological traits, soil nutrients and microbial activities were influenced by petroleum pollution in Phragmites australis, a phytoremediating species. Generally, petroleum pollution reduced plant performance, especially at early stages of plant growth. Petroleum had negative effects on the net accumulation of inorganic nitrogen from its organic forms (net nitrogen mineralization (NNM)) most likely by decreasing the inorganic nitrogen available to the plants in petroleum-polluted soils. However, abundant dissolved organic nitrogen (DON) was found in petroleum-polluted soil. In order to overcome initial deficiency of inorganic nitrogen, plants by dint of high colonization of arbuscular mycorrhizal fungi might absorb some DON for their growth in petroleum-polluted soils. In addition, through using a real-time polymerase chain reaction method, we quantified hydrocarbon-degrading bacterial traits based on their catabolic genes (i.e. alkB (alkane monooxygenase), nah (naphthalene dioxygenase) and tol (xylene monooxygenase) genes). This enumeration of target genes suggests that different hydrocarbon-degrading bacteria experienced different dynamic changes during phytoremediation and a greater abundance of alkB was detected during vegetative growth stages. Because phytoremediation of different components of petroleum is performed by different hydrocarbon-degrading bacteria, plants’ ability of phytoremediating different components might therefore vary during the plant life cycle. Phytoremediation might be most effective during the vegetative growth stages as greater abundances of hydrocarbon-degrading bacteria containing alkB and tol genes were observed

  10. The Role of Proanthocyanidins Complex in Structure and Nutrition Interaction in Alfalfa Forage

    Directory of Open Access Journals (Sweden)

    Arjan Jonker

    2016-05-01

    Full Text Available Alfalfa (Medicago sativa L. is one of the main forages grown in the world. Alfalfa is a winter hardy, drought tolerant, N-fixing legume with a good longevity, high yield, high nutrient levels, high digestibility, unique structural to non-structural components ratio, high dry matter intake, and high animal productivity per hectare. However, its main limitation is its excessively rapid initial rate of protein degradation in the rumen, which results in pasture bloat and inefficient use of protein with consequent excessive excretions of nitrogen into the environment. Proanthocyanidins are secondary plant metabolites that can bind with protein and thereby reduce the rate and extent of ruminal protein degradation. However, these secondary metabolites do not accumulate in alfalfa. This review aims to firstly describe the events involved in the rapid release of protein from alfalfa and its effect on ruminant nutrition, environmental pollution, and pasture bloat; secondly, to describe occurrence, structure, functions and benefits of moderate amounts of proanthocyanidin; and finally, to describe the development of alfalfa which accumulates moderate amounts of proanthocyanidins. The emphasis of this review focuses on the role of proanthocyanidins compounds in structure and nutrition interaction in ruminant livestock systems.

  11. The Role of Proanthocyanidins Complex in Structure and Nutrition Interaction in Alfalfa Forage.

    Science.gov (United States)

    Jonker, Arjan; Yu, Peiqiang

    2016-05-23

    Alfalfa (Medicago sativa L.) is one of the main forages grown in the world. Alfalfa is a winter hardy, drought tolerant, N-fixing legume with a good longevity, high yield, high nutrient levels, high digestibility, unique structural to non-structural components ratio, high dry matter intake, and high animal productivity per hectare. However, its main limitation is its excessively rapid initial rate of protein degradation in the rumen, which results in pasture bloat and inefficient use of protein with consequent excessive excretions of nitrogen into the environment. Proanthocyanidins are secondary plant metabolites that can bind with protein and thereby reduce the rate and extent of ruminal protein degradation. However, these secondary metabolites do not accumulate in alfalfa. This review aims to firstly describe the events involved in the rapid release of protein from alfalfa and its effect on ruminant nutrition, environmental pollution, and pasture bloat; secondly, to describe occurrence, structure, functions and benefits of moderate amounts of proanthocyanidin; and finally, to describe the development of alfalfa which accumulates moderate amounts of proanthocyanidins. The emphasis of this review focuses on the role of proanthocyanidins compounds in structure and nutrition interaction in ruminant livestock systems.

  12. Public health relevance of drug–nutrition interactions

    NARCIS (Netherlands)

    Péter, Szabolcs; Navis, Gerjan; Borst, de Martin H.; Schacky, von Clemens; Orten-Luiten, van Anne Claire B.; Zhernakova, Alexandra; Witkamp, Renger F.; Janse, André; Weber, Peter; Bakker, Stephan L.J.; Eggersdorfer, Manfred

    2017-01-01

    The public health relevance of drug–nutrition interactions is currently highly undervalued and overlooked. This is particularly the case for elderly persons where multi-morbidity and consequently polypharmacy is very common. Vitamins and other micronutrients have central functions in metabolism, and

  13. Public health relevance of drug-nutrition interactions

    NARCIS (Netherlands)

    Péter, Szabolcs; Navis, Gerjan; de Borst, Martin H; von Schacky, Clemens; van Orten-Luiten, Anne Claire B; Zhernakova, Alexandra; Witkamp, Renger F; Janse, André; Weber, Peter; Bakker, Stephan J L; Eggersdorfer, Manfred

    The public health relevance of drug-nutrition interactions is currently highly undervalued and overlooked. This is particularly the case for elderly persons where multi-morbidity and consequently polypharmacy is very common. Vitamins and other micronutrients have central functions in metabolism, and

  14. Usefulness of the Mini Nutritional Assessment (MNA) in predicting the nutritional status of people with mental disorders in Taiwan.

    Science.gov (United States)

    Tsai, Alan C; Chou, Yuan-Ti; Chang, Tsui-Lan

    2011-02-01

    The study was to evaluate the ability of the Mini Nutritional Assessment in predicting malnutrition in people with three subtypes of mental disorder (schizophrenia, major depression and bipolar disorder) in Taiwan. The study involved a convenience sample of 120 residents of psychiatric wards managed by a hospital in central Taiwan (52 with schizophrenia, 36 with major depression and 32 with bipolar disorder) classified according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria. A structured questionnaire elicited subjects' personal data, disease history and answers to questions in the Mini Nutritional Assessment. Serum and anthropometrical parameters were measured. Nutritional status was evaluated with a content-equivalent version of the Mini Nutritional Assessment (Taiwan version-1, T1). The Mini Nutritional Assessment-Taiwan version-1 was effective in assessing the nutritional status of people of all three subtypes of disorder. Nutritional statuses predicted with the Mini Nutritional Assessment-Taiwan version-1 agreed well with other nutritional indicators such as BMI, waist circumference and appetite status. According to the Mini Nutritional Assessment-Taiwan version-1, people with major depression were more likely to be at risk of undernutrition, whereas people with schizophrenia or bipolar disorder were more likely to be at risk of overnutrition. The Mini Nutritional Assessment-Taiwan version-1 can effectively grade both undernutrition and overnutrition of people with schizophrenia, major depression or bipolar disorder. The Mini Nutritional Assessment enables nurses to monitor emerging nutritional problems in people with psychiatric disorder without relying on subjective judgement. With proper intervention, it can help reduce nutrition-related chronic conditions in these individuals and save on healthcare cost. © 2011 Blackwell Publishing Ltd.

  15. Nutrition Knowledge Assessment of Preschool Children

    OpenAIRE

    Plum, Jane Meacham Jr.

    1997-01-01

    A game with food and nutrition related pictures was developed to provide an opportunity for a classroom teacher to interview preschool children for assessment of nutrition knowledge concepts. Specifically, knowledge of vegetable concepts which included identification of the food, the food group, the source, preparation methods and use by the body was measured. The assessment was administered to five groups of children (ages two and one-half to five years) in preschools and child care center...

  16. A clinical nutritional information system with personalized nutrition assessment.

    Science.gov (United States)

    Kuo, Su-E; Lai, Hui-San; Hsu, Jen-Ming; Yu, Yao-Chang; Zheng, Dong-Zhe; Hou, Ting-Wei

    2018-03-01

    Traditional nutrition evaluations not only require the use of numerous tables and lists to provide sufficient recommendations for patients' diets but are also very time-consuming due to cross-referencing and calculations. To personalize patient assessments, this study implemented a Clinical Nutritional Information System (CNIS) to help hospital dietitians perform their daily work more effectively in terms of time management and paper work. The CNIS mainly targets in-patients who require cancer-nutrition counselling. The development of the CNIS occurred in three phases. Phase 1 included system design and implementation based on the Nutrition Care Process and Model (NCPM) and the Patient Nutrition Care Process. Phase 2 involved a survey to characterize the efficiency, quality and accuracy of the CNIS. In Phase 3, a second survey was conducted to determine how well dietitians had adapted to the system and the extent of improvement in efficiency after the CNIS had been available online for three years. The work time requirements decreased by approximately 58% with the assistance of the CNIS. Of the dietitians who used the CNIS, 95% reported satisfaction, with 91.66% indicating that the CNIS was really helpful in their work. However, some shortcomings were also evident according to the results. Dietitians favoured the standardization of nutritional intervention and monitoring. The CNIS meets the needs of dietitians by increasing the quality of nutritional interventions by providing accurate calculations and cross-referencing for information regarding patients' conditions, with the benefit of decreasing the processing time, such as handwritten documentation. In addition, the CNIS also helps dietitians statistically analyse each patient's personal nutritional needs to achieve nutritional improvement. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Assessing the nutritional status of elderly Chinese lung cancer patients using the Mini-Nutritional Assessment (MNA® tool

    Directory of Open Access Journals (Sweden)

    Zhang L

    2013-03-01

    Full Text Available Lei Zhang,1,* Yanjun Su,1,* Chen Wang,2 Yongsheng Sha,1 Hong Zhu,3 Shumin Xie,4 Sabrina Kwauk,5 Jing Zhang,2 Yunshou Lin,2 Changli Wang1,*1Department of Thoracic Surgery, Key Laboratory of Cancer Prevention and Therapy, Tianjin Lung Cancer Center, Tianjin Medical University Cancer Institute and Hospital, Tianjin, 2Tianjin Medical University, Tianjin, 3Department of Public Health, Tianjin Medical University, Tianjin, 4Xiangya Medical School of Central-South University, Changsha, People's Republic of China; 5School of Public Health, Harvard University, Boston, Cambridge, MA, USA*These authors contributed equally to this workPurpose: This study assessed the nutritional status of elderly Chinese lung cancer inpatients using a revised version of the Mini-Nutritional Assessment (MNA® tool.Patients and methods: The revised version of the MNA tool was used to assess the nutritional status of 180 elderly Chinese lung cancer inpatients prior to their scheduled surgery between June 2010 and July 2011. Patients' demographic data, anthropometric parameters, and biochemical markers were collected and analyzed.Results: Among the 180 inpatients who underwent the MNA, 9% were malnourished (MNA score < 19, 33% were at risk of malnutrition (MNA score 19–23, and 58% were well nourished (MNA score ≥ 24. There was significant correlation between the MNA scores of patients who were malnourished, at risk of malnutrition, and well nourished (P < 0.001, as well as between total MNA score and most MNA questions. The three patient groups with different nutritional statuses differed significantly in their responses to anthropometrics and global, diet, and subjective assessments.Conclusion: Incidence rates of malnutrition prior to surgery are high among elderly Chinese lung cancer inpatients. The revised MNA is a valid and reliable tool that can be used to assess and prevent malnutrition among these inpatients.Keywords: malnutrition, MNA-SF, nutrition, inpatients, diet

  18. Design of an interactive digital nutritional education package for elderly people.

    Science.gov (United States)

    Ali, Nazlena Mohamad; Shahar, Suzana; Kee, You Lee; Norizan, Azir Rezha; Noah, Shahrul Azman Mohd

    2012-12-01

    Designing a system for the elderly is crucial, as aging is associated with physiological changes that may impair perception, cognition and other social aspects; therefore, many aspects need consideration, especially in interface design. This study was conducted to develop a digital nutritional education package (WE Sihat) by following appropriate guidelines for elderly people to achieve better design interface and interaction. Touch-screen technology was used as a platform for user interaction. The nutritional content was based on previous nutrition studies and a lifestyle education package on healthy aging, which contains four modules. The questionnaires were distributed to 31 Malay subjects aged 60-76 years old, containing an evaluation about the overall content, graphics, design layout, colour, font size, audio/video, user-perceived satisfaction and acceptance levels. The findings showed positive feedback and acceptance. Most subjects agreed that the digital nutritional education package can increase their nutritional knowledge for a healthy lifestyle and is easy to use. The touch-screen technology was also well accepted by elderly people and can be used as a kiosk for disseminating nutrition education for healthy aging.

  19. Varying coefficient function models to explore interactions between maternal nutritional status and prenatal methylmercury toxicity in the Seychelles Child Development Nutrition Study

    International Nuclear Information System (INIS)

    Lynch, Miranda L.; Huang, Li-Shan; Cox, Christopher; Strain, J.J.; Myers, Gary J.; Bonham, Maxine P.; Shamlaye, Conrad F.; Stokes-Riner, Abbie; Wallace, Julie M.W.; Duffy, Emeir M.; Clarkson, Thomas W.; Davidson, Philip W.

    2011-01-01

    Maternal consumption of fish during the gestational period exposes the fetus to both nutrients, especially the long-chain polyunsaturated fatty acids (LCPUFAs), believed to be beneficial for fetal brain development, as well as to the neurotoxicant methylmercury (MeHg). We recently reported that nutrients present in fish may modify MeHg neurotoxicity. Understanding the apparent interaction of MeHg exposure and nutrients present in fish is complicated by the limitations of modeling methods. In this study we fit varying coefficient function models to data from the Seychelles Child Development Nutrition Study (SCDNS) cohort to assess the association of dietary nutrients and children's development. This cohort of mother-child pairs in the Republic of Seychelles had fish consumption averaging 9 meals per week. Maternal nutritional status was assessed for five different nutritional components known to be present in fish (n-3 LCPUFA, n-6 LCPUFA, iron status, iodine status, and choline) and associated with children's neurological development. We also included prenatal MeHg exposure (measured in maternal hair). We examined two child neurodevelopmental outcomes (Bayley Scales Infant Development-II (BSID-II) Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI)), each administered at 9 and at 30 months. The varying coefficient models allow the possible interactions between each nutritional component and MeHg to be modeled as a smoothly varying function of MeHg as an effect modifier. Iron, iodine, choline, and n-6 LCPUFA had little or no observable modulation at different MeHg exposures. In contrast the n-3 LCPUFA docosahexaenoic acid (DHA) had beneficial effects on the BSID-II PDI that were reduced or absent at higher MeHg exposures. This study presents a useful modeling method that can be brought to bear on questions involving interactions between covariates, and illustrates the continuing importance of viewing fish consumption during pregnancy as a case

  20. Biomonitoring of arsenic and lead in health indices (hair, blood, etc.) and their interactions and impacts on the nutritional status of Bangladesh population

    International Nuclear Information System (INIS)

    Ali, M.

    2002-01-01

    Atomic Energy Centre, Dhaka under the Bangladesh Atomic Energy Commission was recently awarded a research contract from the International Atomic Energy Agency to investigate the levels of micronutrients (K, Ca, Mn, Fe, Ni, Cu, Zn) and pollutants (As, Pb) in health indices (hair, blood, etc.) to study their interactions and impacts on the nutritional status of Bangladeshi population. The project was scheduled to start in December 2001 and to be completed by November 2002. To date, sampling and sample preparation techniques for heavy metal analysis in hair and blood using XRF/PIXE have been investigated, and some preliminary work on sample analysis has been performed. It indicates that both PIXE and XRF methods can be used for the determination of nutritionally important trace metals in health indices after a simple sample treatment for volume reduction either by oven or freeze drying. Results of Biochemical assessment of nutritional status of Bangladeshi pre-school children under normal and malnutrition conditions from a previous study has been given in the Results section of this paper. There has been found a positive correlation of malnutrition with some nutritional parameters such as fasting blood glucose, serum total protein, serum total albumin, and serum Cu and Zn levels. Hair Zn level had no significant correlation (p>0.05) with serum Zn level but hair Cu level had a positive correlation with serum Cu level. The trace element concentrations in hair of both normal and malnourished children in the age group of 1-5 years, as studied do not show any regular dependence on nutritional status of the subjects. Only the low copper content in the hair of the malnourished group can possibly be linked with nutritional disorders. (author)

  1. Quantifying human exposure to air pollution - moving from static monitoring to spatio-temporally resolved personal exposure assessment

    DEFF Research Database (Denmark)

    Steinle, Susanne; Reis, Stefan; Sabel, Clive E

    2013-01-01

    exposure studies to accurately assess human health risks. ? We discuss potential and shortcomings of methods and tools with a focus on how their development influences study design. ? We propose a novel conceptual model for integrated health impact assessment of human exposure to air pollutants. ? We......Quantifying human exposure to air pollutants is a challenging task. Ambient concentrations of air pollutants at potentially harmful levels are ubiquitous in urban areas and subject to high spatial and temporal variability. At the same time, every individual has unique activity-patterns. Exposure...... results from multifaceted relationships and interactions between environmental and human systems, adding complexity to the assessment process. Traditionally, approaches to quantify human exposure have relied on pollutant concentrations from fixed air quality network sites and static population...

  2. Nutrimetabonomics:applications for nutritional sciences, with specific reference to gut microbial interactions.

    Science.gov (United States)

    Claus, Sandrine P; Swann, Jonathan R

    2013-01-01

    Understanding the role of the diet in determining human health and disease is one major objective of modern nutrition. Mammalian biocomplexity necessitates the incorporation of systems biology technologies into contemporary nutritional research. Metabonomics is a powerful approach that simultaneously measures the low-molecular-weight compounds in a biological sample, enabling the metabolic status of a biological system to be characterized. Such biochemical profiles contain latent information relating to inherent parameters, such as the genotype, and environmental factors, including the diet and gut microbiota. Nutritional metabonomics, or nutrimetabonomics, is being increasingly applied to study molecular interactions between the diet and the global metabolic system. This review discusses three primary areas in which nutrimetabonomics has enjoyed successful application in nutritional research: the illumination of molecular relationships between nutrition and biochemical processes; elucidation of biomarker signatures of food components for use in dietary surveillance; and the study of complex trans-genomic interactions between the mammalian host and its resident gut microbiome. Finally, this review illustrates the potential for nutrimetabonomics in nutritional science as an indispensable tool to achieve personalized nutrition.

  3. NRS-2002 for pre-treatment nutritional risk screening and nutritional status assessment in head and neck cancer patients.

    Science.gov (United States)

    Orell-Kotikangas, Helena; Österlund, Pia; Saarilahti, Kauko; Ravasco, Paula; Schwab, Ursula; Mäkitie, Antti A

    2015-06-01

    The aim of this study was to assess the value of nutritional risk screening-2002 (NRS-2002) as a nutritional risk screening and status assessment method and to compare it with nutritional status assessed by subjective and objective methods in the screening of head and neck cancer patients. Sixty-five consecutive patients (50 male), with a median age of 61 years (range, 33-77), with head and neck squamous cell carcinoma (HNSCC) were enrolled prior to cancer therapy. Nutritional status was assessed by NRS-2002, patient-generated subjective global assessment (PG-SGA), handgrip strength (HGS) and mid-arm muscle area (MAMA). Twenty-eight percent of patients were at nutritional risk based on NRS-2002, and 34 % were malnourished according to PG-SGA, while 43 % had low HGS. NRS-2002 cut-off score of ≥3 compared with the nutritional status according to PG-SGA showed 77 % specificity and 98 % sensitivity (K = 0.78). NRS-2002 was able to predict malnutrition (PG-SGA BC) both in men (p nutrition screening in head and neck cancer patients prior to oncological treatment.

  4. Application of electromagnetic and sound waves in nutritional assessment

    International Nuclear Information System (INIS)

    Heymsfield, S.B.; Rolandelli, R.; Casper, K.; Settle, R.G.; Koruda, M.

    1987-01-01

    Four relatively new techniques that apply electromagnetic or sound waves promise to play a major role in the study of human body composition and in clinical nutritional assessment. Computerized axial tomography, nuclear magnetic resonance, infrared interactance, and ultrasonography provide capabilities for measuring the following: total body and regional fat volume; regional skeletal muscle volume; brain, liver, kidney, heart, spleen, and tumor volume; lean tissue content of triglyceride, iron, and high-energy intermediates; bone density; and cardiac function. Each method is reviewed with regard to basic principles, research and clinical applications, strengths, and limitations.33 references

  5. Assessment of Nutritional Status in Children With Cancer and Effectiveness of Oral Nutritional Supplements.

    Science.gov (United States)

    Gürlek Gökçebay, Dilek; Emir, Suna; Bayhan, Turan; Demir, Hacı Ahmet; Gunduz, Mehmet; Tunc, Bahattin

    2015-01-01

    Malnutrition is a common consequence of cancer in children, but the most effective methods of nutrition intervention are under debate. We aimed to evaluate the nutritional status of children diagnosed with cancer, and to investigate the effect of oral nutritional supplements on anthropometric measurements, biochemical parameters, and outcome. A randomized clinical study of 45 newly diagnosed cancer patients was performed. Anthropometric and biochemical data and related factors were assessed at 0, 3, and 6 months after diagnosis. On initial anthropometric assessment, prevalence of malnutrition by weight or height was found to be lower as compared with body mass index (BMI), or weight for height (WFH), or arm anthropometry. Twenty-six of the patients (55%) received oral nutritional supplement. During the second 3 months after diagnosis, there was a statistically significant decrease in number of the patients with WFH Nutritional intervention is necessary to promote normal development and increase functional status as a child receives intensive treatment. Protein- and energy-dense oral nutritional supplements are effective for preventing weight loss in malnourished children.

  6. Pollution prevention opportunity assessment: Foundation of pollution prevention for waste management

    International Nuclear Information System (INIS)

    Damewood, R.W.

    1994-01-01

    The objective of this paper is to promote the Pollution Prevention Opportunity Assessment (PPOA) technique as a fundamental of pollution prevention for waste management. All key elements of an effective PPOA program are presented. These key elements include impacts of environmental laws on pollution prevention, PPOA concepts and overview, waste minimization opportunities assessment, reporting and monitoring waste minimization progress, and PPOA program implementation. As environmental laws evolve the focus is shifting from end-of-pipe pollution control to front-end source reduction. Waste minimization was mistakenly interpreted to mean the reduction of hazardous waste after generation in the past. The Pollution Prevention Act of 1990 has clearly defined its requirement on resource reduction. Waste reduction can be viewed as a criterion to assess all industrial processes and operations. The fundamental approach of PPOA focuses on a mass balance concept. This concept deals with tracking of chemicals from the point of purchase, through storage, utilization in the process, and waste generation at the end of process. In other words, PPOA is a technique to analyze this input/output process. By applying PPOA techniques, the framework of applicable compliance requirements to the current operation process is established. Furthermore, documentation of PPOA itself can meet as documentation requirements for environmental compliance. In general, the PPOA process consists of two phases. The first phase involves input and output process description and waste characterization. The second phase is an opportunities assessment for waste minimization from input/output waste characterization. These two phases are explained in detail in the paper

  7. The interaction between nutrition and exercise for promoting health and performance.

    Science.gov (United States)

    Witard, Oliver C; Ball, Derek

    2018-02-01

    The theme of The Nutrition Society Spring Conference 2017 was on the interaction between nutrition and exercise for promoting healthy ageing, maintaining cognitive function and improving the metabolic health of the population. The importance of this theme is highlighted by the public health issues surrounding obesity, diabetes and the age-related loss of skeletal muscle mass (sarcopenia). The opening symposium provided a historical perspective of both invasive and non-invasive methodologies for measuring exercise energetics and energy balance. Data derived from these techniques underpin current understanding regarding the metabolic response to nutrition and exercise. Further symposia examined the importance of skeletal muscle for healthy ageing in older men and postmenopausal women. From a nutritional perspective, the potential for animal- v. plant-based protein sources to offset the age-related decline in muscle mass was discussed. The day concluded by discussing the link(s) between nutrition, exercise and brain function. Day 2 commenced with examples of applied equine research illustrating the link between nutrition/exercise and insulin resistance to those of a human model. The final symposium examined the combined role of nutrition and exercise in reducing risk of type 2 diabetes and dyslipidaemia. The overall conclusion from the meeting was that the interaction between diet and physical activity confers greater benefits to human health and performance than either component alone.

  8. Pollution prevention opportunity assessments, a training and resource guide

    Energy Technology Data Exchange (ETDEWEB)

    VALERO, O.J.

    1998-11-03

    The intention of the ''Pollution Prevention Opportunity Assessment Training and Resource Guide'' is to help Hanford waste generators identify ways to reduce waste through the Pollution Prevention Opportunity Assessment (P20A) process. This document presents pollution prevention tools and provides a step-by-step approach for conducting assessments.

  9. Varying coefficient function models to explore interactions between maternal nutritional status and prenatal methylmercury toxicity in the Seychelles Child Development Nutrition Study.

    Science.gov (United States)

    Lynch, Miranda L; Huang, Li-Shan; Cox, Christopher; Strain, J J; Myers, Gary J; Bonham, Maxine P; Shamlaye, Conrad F; Stokes-Riner, Abbie; Wallace, Julie M W; Duffy, Emeir M; Clarkson, Thomas W; Davidson, Philip W

    2011-01-01

    Maternal consumption of fish during the gestational period exposes the fetus to both nutrients, especially the long-chain polyunsaturated fatty acids (LCPUFAs), believed to be beneficial for fetal brain development, as well as to the neurotoxicant methylmercury (MeHg). We recently reported that nutrients present in fish may modify MeHg neurotoxicity. Understanding the apparent interaction of MeHg exposure and nutrients present in fish is complicated by the limitations of modeling methods. In this study we fit varying coefficient function models to data from the Seychelles Child Development Nutrition Study (SCDNS) cohort to assess the association of dietary nutrients and children's development. This cohort of mother-child pairs in the Republic of Seychelles had fish consumption averaging 9 meals per week. Maternal nutritional status was assessed for five different nutritional components known to be present in fish (n-3 LCPUFA, n-6 LCPUFA, iron status, iodine status, and choline) and associated with children's neurological development. We also included prenatal MeHg exposure (measured in maternal hair). We examined two child neurodevelopmental outcomes (Bayley Scales Infant Development-II (BSID-II) Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI)), each administered at 9 and at 30 months. The varying coefficient models allow the possible interactions between each nutritional component and MeHg to be modeled as a smoothly varying function of MeHg as an effect modifier. Iron, iodine, choline, and n-6 LCPUFA had little or no observable modulation at different MeHg exposures. In contrast the n-3 LCPUFA docosahexaenoic acid (DHA) had beneficial effects on the BSID-II PDI that were reduced or absent at higher MeHg exposures. This study presents a useful modeling method that can be brought to bear on questions involving interactions between covariates, and illustrates the continuing importance of viewing fish consumption during pregnancy as a case

  10. Varying coefficient function models to explore interactions between maternal nutritional status and prenatal methylmercury toxicity in the Seychelles Child Development Nutrition Study

    Energy Technology Data Exchange (ETDEWEB)

    Lynch, Miranda L., E-mail: Miranda_Lynch@urmc.rochester.edu [University of Rochester School of Medicine and Dentistry, Rochester, NY 14642 (United States); Huang, Li-Shan [University of Rochester School of Medicine and Dentistry, Rochester, NY 14642 (United States); Cox, Christopher [Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (United States); Strain, J.J. [University of Ulster, Coleraine, Northern Ireland (United Kingdom); Myers, Gary J. [University of Rochester School of Medicine and Dentistry, Rochester, NY 14642 (United States); Bonham, Maxine P. [University of Ulster, Coleraine, Northern Ireland (United Kingdom); Shamlaye, Conrad F. [Ministry of Health, Republic of Seychelles (Seychelles); Stokes-Riner, Abbie [University of Rochester School of Medicine and Dentistry, Rochester, NY 14642 (United States); Wallace, Julie M.W.; Duffy, Emeir M. [University of Ulster, Coleraine, Northern Ireland (United Kingdom); Clarkson, Thomas W.; Davidson, Philip W. [University of Rochester School of Medicine and Dentistry, Rochester, NY 14642 (United States)

    2011-01-15

    Maternal consumption of fish during the gestational period exposes the fetus to both nutrients, especially the long-chain polyunsaturated fatty acids (LCPUFAs), believed to be beneficial for fetal brain development, as well as to the neurotoxicant methylmercury (MeHg). We recently reported that nutrients present in fish may modify MeHg neurotoxicity. Understanding the apparent interaction of MeHg exposure and nutrients present in fish is complicated by the limitations of modeling methods. In this study we fit varying coefficient function models to data from the Seychelles Child Development Nutrition Study (SCDNS) cohort to assess the association of dietary nutrients and children's development. This cohort of mother-child pairs in the Republic of Seychelles had fish consumption averaging 9 meals per week. Maternal nutritional status was assessed for five different nutritional components known to be present in fish (n-3 LCPUFA, n-6 LCPUFA, iron status, iodine status, and choline) and associated with children's neurological development. We also included prenatal MeHg exposure (measured in maternal hair). We examined two child neurodevelopmental outcomes (Bayley Scales Infant Development-II (BSID-II) Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI)), each administered at 9 and at 30 months. The varying coefficient models allow the possible interactions between each nutritional component and MeHg to be modeled as a smoothly varying function of MeHg as an effect modifier. Iron, iodine, choline, and n-6 LCPUFA had little or no observable modulation at different MeHg exposures. In contrast the n-3 LCPUFA docosahexaenoic acid (DHA) had beneficial effects on the BSID-II PDI that were reduced or absent at higher MeHg exposures. This study presents a useful modeling method that can be brought to bear on questions involving interactions between covariates, and illustrates the continuing importance of viewing fish consumption during pregnancy

  11. Nurses' Knowledge and Responsibility toward Nutritional Assessment for Patients in Intensive Care Units

    Directory of Open Access Journals (Sweden)

    Mahmoud Al Kalaldeh

    2014-09-01

    Full Text Available Introduction: Nutritional assessment is a prerequisite for nutritional delivery. Patients in intensive care suffer from under-nutrition and nutritional failure due to poor assessment. Nursing ability to early detect nutritional failure is the key for minimizing imparities in practice and attaining nutritional goals. Aim of this article is to examine the ability of Jordanian ICU nurses to assess the nutritional status of critically ill patients, considering biophysical and biochemical measures.Methods: This cross sectional study recruited nurses from different health sectors in Jordan. ICU nurses from the governmental sector (two hospitals and private sectors (two hospitals were surveyed using a self-administered questionnaire. Nurses' knowledge and responsibility towards nutritional assessment were examined.Results: A total of 220 nurses from both sectors have completed the questionnaire. Nurses were consistent in regard to knowledge, responsibility, and documentation of nutritional assessment. Nurses in the governmental hospitals inappropriately perceived the application of aspiration reduction measures. However, they scored higher in applying physical examination and anthropometric assessment.  Although both nurses claimed higher use of biochemical measurements, biophysical measurements were less frequently used. Older nurses with longer clinical experience exhibited better adherence to biophysical measurement than younger nurses.Conclusion: Nursing nutritional assessment is still suboptimal to attain nutritional goals. Assessment of body weight, history of nutrition intake, severity of illness, and function of gastrointestinal tract should be considered over measuring albumin and pre-albumin levels.  A well-defined evidence-based protocol as well as a multidisciplinary nutritional team for nutritional assessment is the best to minimize episodes of under-nutrition.

  12. [Software for performing a global phenotypic and genotypic nutritional assessment].

    Science.gov (United States)

    García de Diego, L; Cuervo, M; Martínez, J A

    2013-01-01

    The nutritional assessment of a patient needs the simultaneous managing a extensive information and a great number of databases, as both aspects of the process of nutrition and the clinical situation of the patient are analyzed. The introduction of computers in the nutritional area constitutes an extraordinary advance in the administration of nutrition information, providing a complete assessment of nutritional aspects in a quick and easy way. To develop a computer program that can be used as a tool for assessing the nutritional status of the patient, the education of clinical staff, for epidemiological studies and for educational purposes. Based on a computer program which assists the health specialist to perform a full nutritional evaluation of the patient, through the registration and assessment of the phenotypic and genotypic features. The application provides nutritional prognosis based on anthropometric and biochemical parameters, images of states of malnutrition, questionnaires to characterize diseases, diagnostic criteria, identification of alleles associated with the development of specific metabolic illnesses and questionnaires of quality of life, for a custom actuation. The program includes, as part of the nutritional assessment of the patient, food intake analysis, design of diets and promotion of physical activity, introducing food frequency questionnaires, dietary recalls, healthy eating indexes, model diets, fitness tests, and recommendations, recalls and questionnaires of physical activity. A computer program performed under Java Swing, using SQLite database and some external libraries such as JfreeChart for plotting graphs. This brand new designed software is composed of five blocks categorized into ten modules named: Patients, Anthropometry, Clinical History, Biochemistry, Dietary History, Diagnostic (with genetic make up), Quality of life, Physical activity, Energy expenditure and Diets. Each module has a specific function which evaluates a

  13. Assessment of biological effects of environmental pollution along the NW Mediterranean Sea using mussels as sentinel organisms

    International Nuclear Information System (INIS)

    Zorita, Izaskun; Apraiz, Itxaso; Ortiz-Zarragoitia, Maren; Orbea, Amaia; Cancio, Ibon; Soto, Manu; Marigomez, Ionan; Cajaraville, Miren P.

    2007-01-01

    With the aim of assessing the biological effects of pollution along three gradients of pollution in the NW Mediterranean Sea, a biomonitoring survey was implemented using a battery of biomarkers (lysosomal membrane stability, lysosomal structural changes, metallothionein (MT) induction and peroxisome proliferation) in mussels over a period of two years as part of the EU-funded BEEP project. Mussels from the most impacted zones (Fos, Genova and Barcelona harbours) showed enlarged lysosomes accompanied by reduced labilisation period of lysosomal membranes, indicating disturbed health. MT levels did not reveal significant differences between stations and were significantly correlated with gonad index, suggesting that they were influenced by gamete development. Peroxisomal acyl-CoA oxidase (AOX) activity was significantly inhibited in polluted stations possibly due to interactions among mixtures of pollutants. In conclusion, the application of a battery of effect and exposure biomarkers provided relevant data for the assessment of biological effects of environmental pollution along the NW Mediterranean Sea. - The biomarker approach is suitable for assessment of environmental pollution in the NW Mediterranean Sea

  14. Assessment of biological effects of environmental pollution along the NW Mediterranean Sea using mussels as sentinel organisms

    Energy Technology Data Exchange (ETDEWEB)

    Zorita, Izaskun [Biologia Zelularra eta Histologia Laborategia, Zoologia eta Biologia Zelularra Saila, Zientzia eta Teknologia Fakultatea, Euskal Herriko Unibertsitatea/Univ. del Pais Vasco, 644 P.K., E-48080 Bilbao, Basque Country (Spain); Apraiz, Itxaso [Biologia Zelularra eta Histologia Laborategia, Zoologia eta Biologia Zelularra Saila, Zientzia eta Teknologia Fakultatea, Euskal Herriko Unibertsitatea/Univ. del Pais Vasco, 644 P.K., E-48080 Bilbao, Basque Country (Spain); Ortiz-Zarragoitia, Maren [Biologia Zelularra eta Histologia Laborategia, Zoologia eta Biologia Zelularra Saila, Zientzia eta Teknologia Fakultatea, Euskal Herriko Unibertsitatea/Univ. del Pais Vasco, 644 P.K., E-48080 Bilbao, Basque Country (Spain); Orbea, Amaia [Biologia Zelularra eta Histologia Laborategia, Zoologia eta Biologia Zelularra Saila, Zientzia eta Teknologia Fakultatea, Euskal Herriko Unibertsitatea/Univ. del Pais Vasco, 644 P.K., E-48080 Bilbao, Basque Country (Spain); Cancio, Ibon [Biologia Zelularra eta Histologia Laborategia, Zoologia eta Biologia Zelularra Saila, Zientzia eta Teknologia Fakultatea, Euskal Herriko Unibertsitatea/Univ. del Pais Vasco, 644 P.K., E-48080 Bilbao, Basque Country (Spain); Soto, Manu [Biologia Zelularra eta Histologia Laborategia, Zoologia eta Biologia Zelularra Saila, Zientzia eta Teknologia Fakultatea, Euskal Herriko Unibertsitatea/Univ. del Pais Vasco, 644 P.K., E-48080 Bilbao, Basque Country (Spain); Marigomez, Ionan [Biologia Zelularra eta Histologia Laborategia, Zoologia eta Biologia Zelularra Saila, Zientzia eta Teknologia Fakultatea, Euskal Herriko Unibertsitatea/Univ. del Pais Vasco, 644 P.K., E-48080 Bilbao, Basque Country (Spain); Cajaraville, Miren P. [Biologia Zelularra eta Histologia Laborategia, Zoologia eta Biologia Zelularra Saila, Zientzia eta Teknologia Fakultatea, Euskal Herriko Unibertsitatea/Univ. del Pais Vasco, 644 P.K., E-48080 Bilbao, Basque Country (Spain)]. E-mail: mirenp.cajaraville@ehu.es

    2007-07-15

    With the aim of assessing the biological effects of pollution along three gradients of pollution in the NW Mediterranean Sea, a biomonitoring survey was implemented using a battery of biomarkers (lysosomal membrane stability, lysosomal structural changes, metallothionein (MT) induction and peroxisome proliferation) in mussels over a period of two years as part of the EU-funded BEEP project. Mussels from the most impacted zones (Fos, Genova and Barcelona harbours) showed enlarged lysosomes accompanied by reduced labilisation period of lysosomal membranes, indicating disturbed health. MT levels did not reveal significant differences between stations and were significantly correlated with gonad index, suggesting that they were influenced by gamete development. Peroxisomal acyl-CoA oxidase (AOX) activity was significantly inhibited in polluted stations possibly due to interactions among mixtures of pollutants. In conclusion, the application of a battery of effect and exposure biomarkers provided relevant data for the assessment of biological effects of environmental pollution along the NW Mediterranean Sea. - The biomarker approach is suitable for assessment of environmental pollution in the NW Mediterranean Sea.

  15. Nutrition notes for quick reference. Issues and perspectives reflecting the UN thinking on the global nutritional scenario and its relevance to the activities of NAHRES/NAHU

    International Nuclear Information System (INIS)

    Iyengar, V.

    2000-01-01

    Nutritional sciences are both complex and multidisciplinary in nature and will be more so in the coming years. Recent developments in nutrition extending into areas such as nutrient gene interactions, nutrient-pollutant interactions, nutritional physiology and preventive medicine among others, are emerging as new dimensions for our understanding the many relationships between nutrition and health on one hand. and nutrition and disease on the other. The future nutritional researcher should be prepared to address a range of scientific and clinical disciplines together. Food safety issues and factors that contribute to nutrient compositional changes are critical to several aspects surrounding the nutrition-health-disease domain, and will continue to attract much attention in the future. Nutritional toxicology too will become a major challenge in this context. New strategies are being sought to address micronutrient malnutrition (vitamin A and iron deficiencies in particular). The UN agencies are supporting several initiatives to alleviate micronutrient deficiencies as major public health problems in nutrition. The IAEA is contributing to these efforts by facilitating the development of a variety of isotope based techniques to improve nutrition monitoring techniques and to identify effective strategies in nutrition intervention schemes particularly among vulnerable groups in developing regions around the world

  16. Nutrition notes for quick reference. Issues and perspectives reflecting the UN thinking on the global nutritional scenario and its relevance to the activities of NAHRES/NAHU

    Energy Technology Data Exchange (ETDEWEB)

    Iyengar, V [comp.

    2000-01-01

    Nutritional sciences are both complex and multidisciplinary in nature and will be more so in the coming years. Recent developments in nutrition extending into areas such as nutrient gene interactions, nutrient-pollutant interactions, nutritional physiology and preventive medicine among others, are emerging as new dimensions for our understanding the many relationships between nutrition and health on one hand. and nutrition and disease on the other. The future nutritional researcher should be prepared to address a range of scientific and clinical disciplines together. Food safety issues and factors that contribute to nutrient compositional changes are critical to several aspects surrounding the nutrition-health-disease domain, and will continue to attract much attention in the future. Nutritional toxicology too will become a major challenge in this context. New strategies are being sought to address micronutrient malnutrition (vitamin A and iron deficiencies in particular). The UN agencies are supporting several initiatives to alleviate micronutrient deficiencies as major public health problems in nutrition. The IAEA is contributing to these efforts by facilitating the development of a variety of isotope based techniques to improve nutrition monitoring techniques and to identify effective strategies in nutrition intervention schemes particularly among vulnerable groups in developing regions around the world.

  17. Interactive short-term effects of equivalent temperature and air pollution on human mortality in Berlin and Lisbon

    International Nuclear Information System (INIS)

    Burkart, Katrin; Canário, Paulo; Breitner, Susanne; Schneider, Alexandra; Scherber, Katharina; Andrade, Henrique; Alcoforado, Maria João; Endlicher, Wilfried

    2013-01-01

    There is substantial evidence that both temperature and air pollution are predictors of mortality. Thus far, few studies have focused on the potential interactive effects between the thermal environment and different measures of air pollution. Such interactions, however, are biologically plausible, as (extreme) temperature or increased air pollution might make individuals more susceptible to the effects of each respective predictor. This study investigated the interactive effects between equivalent temperature and air pollution (ozone and particulate matter) in Berlin (Germany) and Lisbon (Portugal) using different types of Poisson regression models. The findings suggest that interactive effects exist between air pollutants and equivalent temperature. Bivariate response surface models and generalised additive models (GAMs) including interaction terms showed an increased risk of mortality during periods of elevated equivalent temperatures and air pollution. Cold effects were mostly unaffected by air pollution. The study underscores the importance of air pollution control in mitigating heat effects. -- Highlights: • Interactive effects between air pollution and equivalent temperature result in augmented excess mortality. • High levels of ozone and particulate matter increase adverse heat effects on human mortality. • Cold effects are mostly unaffected by air pollution. • Findings underscore the importance of air pollution control in mitigating heat-related mortality. -- Interactive effects between air pollution and elevated (equivalent) temperatures underscore the importance of air pollution control in mitigating the adverse effects of heat

  18. Assessing nutritional status in children with chronic liver disease.

    Science.gov (United States)

    Taylor, Rachel M; Dhawan, Anil

    2005-12-01

    The metabolic changes compounded by anorexia associated with chronic liver disease adversely affect growth in children. In many cases, this requires the administration of artificial nutritional support. It is important in this group of patients that those who are becoming nutritionally depleted are identified quickly and in those receiving artificial nutritional support, the effectiveness is monitored. The current review is an examination of methods available to assess nutritional status. These include anthropometry, methods available in the laboratory and a selection of less commonly used methods undergoing evaluation at research level. A brief discussion accompanies each technique, outlining the limitations of its use in children with chronic liver disease. The review concludes with an outline of how nutritional status should be assessed in this group of children, and suggests further research.

  19. A review of soil heavy metal pollution from mines in China: pollution and health risk assessment.

    Science.gov (United States)

    Li, Zhiyuan; Ma, Zongwei; van der Kuijp, Tsering Jan; Yuan, Zengwei; Huang, Lei

    2014-01-15

    Heavy metal pollution has pervaded many parts of the world, especially developing countries such as China. This review summarizes available data in the literature (2005-2012) on heavy metal polluted soils originating from mining areas in China. Based on these obtained data, this paper then evaluates the soil pollution levels of these collected mines and quantifies the risks these pollutants pose to human health. To assess these potential threat levels, the geoaccumulation index was applied, along with the US Environmental Protection Agency (USEPA) recommended method for health risk assessment. The results demonstrate not only the severity of heavy metal pollution from the examined mines, but also the high carcinogenic and non-carcinogenic risks that soil heavy metal pollution poses to the public, especially to children and those living in the vicinity of heavily polluted mining areas. In order to provide key management targets for relevant government agencies, based on the results of the pollution and health risk assessments, Cd, Pb, Cu, Zn, Hg, As, and Ni are selected as the priority control heavy metals; tungsten, manganese, lead-zinc, and antimony mines are selected as the priority control mine categories; and southern provinces and Liaoning province are selected as the priority control provinces. This review, therefore, provides a comprehensive assessment of soil heavy metal pollution derived from mines in China, while identifying policy recommendations for pollution mitigation and environmental management of these mines. © 2013.

  20. [Physical process based risk assessment of groundwater pollution in the mining area].

    Science.gov (United States)

    Sun, Fa-Sheng; Cheng, Pin; Zhang, Bo

    2014-04-01

    Case studies of groundwater pollution risk assessment at home and abroad generally start from groundwater vulnerability, without considering the influence of characteristic pollutants on the consequences of pollution too much. Vulnerability is the natural sensitivity of the environment to pollutants. Risk assessment of groundwater pollution should reflect the movement and distribution of pollutants in groundwater. In order to improve the risk assessment theory and method of groundwater pollution, a physical process based risk assessment methodology for groundwater pollution was proposed in a mining area. According to the sensitivity of the economic and social conditions and the possible distribution of pollutants in the future, the spatial distribution of risk levels in aquifer was ranged before hand, and the pollutant source intensity corresponding to each risk level was deduced accordingly. By taking it as the criterion for the classification of groundwater pollution risk assessment, the groundwater pollution risk in the mining area was evaluated by simulating the migration of pollutants in the vadose zone and aquifer. The result show that the risk assessment method of groundwater pollution based on physical process can give the concentration distribution of pollutants and the risk level in the spatial and temporal. For single punctuate polluted area, it gives detailed risk characterization, which is better than the risk assessment method that based on aquifer intrinsic vulnerability index, and it is applicable to the risk assessment of existing polluted sites, optimizing the future sites and providing design parameters for the site construction.

  1. In situ assessment of genotoxic hazards of environmental pollution.

    Science.gov (United States)

    Sandhu, S S; Lower, W R

    1989-01-01

    The potential impact of the environmental pollutants on human health can be evaluated by the laboratory analysis of the environmental samples or by the measurement of the biological effects on indigenous populations and/or specific test organisms placed in the environment to be monitored. A canary in a cage, used by 19th century miners as a biological indicator for rising levels of toxic gases, is a classical example of in situ hazard identification. The induced toxic effects are often the result of synergistic and antagonistic interactions among various physical and chemical factors that are difficult to reproduce in the laboratory. Therefore, conceivably the biological effects measured on or near the impacted site have greater relevancy for hazard assessment to man than from the data derived from the environmental samples analyzed in the lab. The organisms most commonly employed for the assessment of mutagenicity under real-world conditions are: (1) flowering plants, (2) wild and captive mammals, and (3) aquatic vertebrates. Plant species such as Tradescantia paludosa, Zea mays, and Osmunda regalis have been used for monitoring ambient air quality around several major industrial cities in the U.S.A., nuclear power plants, and industrial waste sites, and also for the assessment of potential health effects of municipal sewage sludges. Domestic animals such as dogs can be used as sentinels to provide information on the effects of contaminants in the environment and have been used to a limited extent to evaluate the environmental influences on the occurrence of breast cancer and osteosarcoma. Cytogenetic analysis from feral and wild animals has been employed for assessing the health hazards and prioritizing the clean-up efforts at hazardous waste sites. Aquatic animals have been used more often than terrestrial animals or plants to identify and characterize the genotoxic effects of environmental pollution. Since 1970, a number of studies has been reported on the

  2. Integrated monitoring and assessment of air pollution

    Energy Technology Data Exchange (ETDEWEB)

    Hertel, O.

    2009-09-15

    Improved quality, better understanding of processes and optimisation of allocated resources, these are the main advantages of applying Integrated Monitoring and Assessment (IMA) in air quality management. The IMA is defined as the combined use of measurements and model calculations. The use of IMA is demonstrated with examples with different aims: to obtain data for air pollution in urban streets, to assess human exposure to traffic air pollution, and to assess atmospheric deposition of nitrogen compounds to marine and terrestrial ecosystems. (author)

  3. Objective and subjective nutritional assessment of patients with cancer in palliative care.

    Science.gov (United States)

    Kwang, Ang Yee; Kandiah, Mirnalini

    2010-03-01

    This study aimed to evaluate the nutritional status of patients with cancer in palliative care and to examine the interrelationship between objective and subjective nutritional assessment measures. Patients' nutritional status in a palliative care unit of a Malaysian government hospital and a hospice facility were assessed using anthropometric measurements, weight loss at 1/6 months, and the scored patient-generated subjective global assessment (PG-SGA). Moderate-to-severe malnutrition was observed in a range from 31% to 69% using both measurements. Common nutritional impact symptoms were pain, xerostomia, and anorexia. Patient-generated subjective global assessment scores were significantly correlated with anthropometric measurements (P nutritional status assessment of patients with cancer in palliative care.

  4. A training program for anthropometric measurements by a dedicated nutrition support team improves nutritional status assessment of the critically ill child.

    Science.gov (United States)

    Valla, Frederic V; Ford-Chessel, Carole; Meyer, Rosan; Berthiller, Julien; Dupenloup, Christine; Follin-Arbelet, Nathalie; Hubert, Anna; Javouhey, Etienne; Peretti, Noel

    2015-03-01

    The cornerstone of an optimal nutrition approach in PICUs is to evaluate the nutritional status of any patient. Anthropometric measurements and nutritional indices calculation allow for nutritional status assessment, which is not often part of routine management, as it is considered difficult to perform in this setting. We designed a study to evaluate the impact of a training program by the PICU nutritional support team on the implementation of routine anthropometric measurements on our PICU. A prospective study was performed over a 2-year period, which included: a baseline evaluation of nutritional assessment, knowledge, anthropometric measurements (weight, height, and head and mid upper arm circumferences), and nutritional indices calculation in patient files. This was followed by a training program to implement the newly developed nutrition assessment guidelines, which included anthropometrical measurements and also the interpretation of these. The impact of this nutritional assessment program was reviewed annually for 2 years after the implementation. PICU--Lyon, France. PICU nursing and medical staff, and patients admitted in February 2011, 2012, and 2013. Training program. Ninety-nine percent of staff (n = 145) attended the individual teaching. We found significant progress in nutritional awareness and confidence about nutritional assessment following the teaching program. In addition, an improvement in staff knowledge about undernutrition and its consequences were found. We enrolled 41, 55, and 91 patients in 2011, 2012, and 2013, respectively. There was a significant increase in anthropometric measurements during this time: 32%, 65% (p = 0.002), and 96% in 2013 (p Nutritional indices were calculated in 20%, 74% (p nutritional assessment teaching program that highlights both the importance and techniques of anthropometrical measurements has successfully been implemented in a PICU. It managed to improve staff knowledge and nutritional practice.

  5. Interactions of Climate Change, Air Pollution, and Human Health.

    Science.gov (United States)

    Kinney, Patrick L

    2018-03-01

    I review literature on the impacts of climate change on air quality and human health, with a focus on articles published from 2013 on ozone and airborne particles. Selected previous literature is discussed where relevant in tracing the origins of our current knowledge. Climate and weather have strong influences on the spatial and temporal distribution of air pollution concentrations. Emissions of ozone and PM 2.5 precursors increase at higher ambient temperatures. The reactions that form ozone occur faster with greater sunlight and higher temperatures. Weather systems influence the movement and dispersion of air pollutants in the atmosphere through the action of winds, vertical mixing, and precipitation, all of which are likely to alter in a changing climate. Recent studies indicate that, holding anthropogenic air pollution emissions constant, ozone concentrations in populated regions will tend to increase in future climate scenarios. For the USA, the climate impact on ozone is most consistently seen in north-central and north-eastern states, with the potential for many thousands of additional ozone-related deaths. The sensitivity of anthropogenic PM 2.5 to climate is more variable across studies and regions, owing to the varied nature of PM constituents, as well as to less complete characterization of PM reaction chemistry in available atmospheric models. However, PM emitted by wildland fires is likely to become an increasing health risk in many parts of the world as climate continues to change. The complex interactions between climate change and air quality imply that future policies to mitigate these twin challenges will benefit from greater coordination. Assessing the health implications of alternative policy approaches towards climate and pollution mitigation will be a critical area of future work.

  6. Nutritional status assessment in geriatrics: Consensus declaration by the Spanish Society of Geriatrics and Gerontology Nutrition Work Group.

    Science.gov (United States)

    Camina-Martín, M Alicia; de Mateo-Silleras, Beatriz; Malafarina, Vincenzo; Lopez-Mongil, Rosa; Niño-Martín, Virtudes; López-Trigo, J Antonio; Redondo-del-Río, M Paz

    2015-07-01

    Ongoing population ageing is one of the factors influencing the increase in the prevalence of undernutrition, because elderly people are a vulnerable group due to their biological, psychological and social characteristics. Despite its high prevalence, undernutrition is underdiagnosed in the geriatric sphere. For this reason, the aim of this consensus document is to devise a protocol for geriatric nutritional assessment. A multidisciplinary team has been set up within the Spanish Society of Geriatrics and Gerontology (in Spanish Sociedad Española de Geriatría y Gerontología, SEGG) in order to address undernutrition and risk of undernutrition so that they can be diagnosed and treated in an effective manner. The MNA-SF is a practical tool amongst the many validated methods for nutritional screening. Following suspicion of undernutrition or after establishing the presence of undernutrition, a full assessment will include a detailed nutritional history of the patient. The compilation of clinical-nutritional and dietetic histories seeks to aid in identifying the possible risk factors at the root of a patient's undernutrition. Following this, an anthropometric assessment associated to laboratory data, will describe the patient's physical and metabolic changes associated to undernutrition. Currently, the tendency is to further nutritional assessment through the use of non-invasive techniques to study body composition in association with functional status. The latter is an indirect index for nutritional status which is very interesting from a geriatrician's point of view. To conclude, correct nutritional screening is the fundamental basis for an early undernutrition diagnosis and to assess the need for nutritional treatment. In order to achieve this, it is fundamental to foster research in the field of nutritional geriatrics, in order to expand our knowledge base and to increasingly practice evidence-based geriatrics. Copyright © 2015 Elsevier Ireland Ltd. All rights

  7. [Nutritional status assessment in Geriatrics: Consensus declaration by the Spanish Society of Geriatrics and Gerontology NutritionWork Group].

    Science.gov (United States)

    Camina-Martín, María Alicia; de Mateo-Silleras, Beatriz; Malafarina, Vincenzo; Lopez-Mongil, Rosa; Niño-Martín, Virtudes; López-Trigo, José Antonio; Redondo-Del-Río, María Paz

    2016-01-01

    Ongoing population ageing is one of the factors influencing the increase in the prevalence of undernutrition, as elderly people are a vulnerable group due to their biological, psychological and social characteristics. Despite its high prevalence, undernutrition is underdiagnosed in the geriatric sphere. For this reason, the aim of this consensus document is to devise a protocol for geriatric nutritional assessment. A multidisciplinary team has been set up within the Spanish Society of Geriatrics and Gerontology (in Spanish Sociedad Española de Geriatría y Gerontología [SEGG]) in order to address undernutrition and risk of undernutrition so that they can be diagnosed and treated in an effective manner. The MNA-SF is a practical tool amongst the many validated methods for nutritional screening. Following suspicion of undernutrition, or after establishing the presence of undernutrition, a full assessment will include a detailed nutritional history of the patient. The compilation of clinical-nutritional and dietetic histories is intended to help in identifying the possible risk factors at the root of a patient's undernutrition. Following this, an anthropometric assessment, combined with laboratory data, will describe the patient's physical and metabolic changes associated to undernutrition. Currently, the tendency is for further nutritional assessment through the use of non-invasive techniques to study body composition in association with functional status. The latter is an indirect index for nutritional status, which is very interesting from a geriatrician's point of view. To conclude, correct nutritional screening is the fundamental basis for an early undernutrition diagnosis and to assess the need for nutritional treatment. In order to achieve this, it is fundamental to foster research in the field of nutritional geriatrics, in order to expand our knowledge base and to increasingly practice evidence-based geriatrics. Copyright © 2015 SEGG. Published by Elsevier

  8. Quantifying human exposure to air pollution--moving from static monitoring to spatio-temporally resolved personal exposure assessment.

    Science.gov (United States)

    Steinle, Susanne; Reis, Stefan; Sabel, Clive Eric

    2013-01-15

    Quantifying human exposure to air pollutants is a challenging task. Ambient concentrations of air pollutants at potentially harmful levels are ubiquitous in urban areas and subject to high spatial and temporal variability. At the same time, every individual has unique activity-patterns. Exposure results from multifaceted relationships and interactions between environmental and human systems, adding complexity to the assessment process. Traditionally, approaches to quantify human exposure have relied on pollutant concentrations from fixed air quality network sites and static population distributions. New developments in sensor technology now enable us to monitor personal exposure to air pollutants directly while people are moving through their activity spaces and varying concentration fields. The literature review on which this paper is based on reflects recent developments in the assessment of human exposure to air pollution. This includes the discussion of methodologies and concepts, and the elaboration of approaches and study designs applied in the field. We identify shortcomings of current approaches and discuss future research needs. We close by proposing a novel conceptual model for the integrated assessment of human exposure to air pollutants taking into account latest technological capabilities and contextual information. Copyright © 2012 Elsevier B.V. All rights reserved.

  9. Sports Nutrition Knowledge Assessment of Physical Educators and Coaches.

    Science.gov (United States)

    Conkle, M. Terence; Tishler, Anne G.

    This study assessed the sports nutrition knowledge of current and prospective physical educators/coaches (HPEs) to determine the need for improved education in this area and to compare the nutrition knowledge of HPEs with that of foods and nutrition students (FNSs) and general college students (GENs). A researcher-developed 4-point Likert-type…

  10. Assessment of groundwater vulnerability and sensitivity to pollution ...

    African Journals Online (AJOL)

    Groundwater pollution caused by human activity is a serious environmental problem in cities. Pollution vulnerability assessment of groundwater resources provides information on how to protect areas vulnerable to pollution. The present study is a detailed investigation of the potential for groundwater contamination through ...

  11. Interactive short-term effects of equivalent temperature and air pollution on human mortality in Berlin and Lisbon.

    Science.gov (United States)

    Burkart, Katrin; Canário, Paulo; Breitner, Susanne; Schneider, Alexandra; Scherber, Katharina; Andrade, Henrique; Alcoforado, Maria João; Endlicher, Wilfried

    2013-12-01

    There is substantial evidence that both temperature and air pollution are predictors of mortality. Thus far, few studies have focused on the potential interactive effects between the thermal environment and different measures of air pollution. Such interactions, however, are biologically plausible, as (extreme) temperature or increased air pollution might make individuals more susceptible to the effects of each respective predictor. This study investigated the interactive effects between equivalent temperature and air pollution (ozone and particulate matter) in Berlin (Germany) and Lisbon (Portugal) using different types of Poisson regression models. The findings suggest that interactive effects exist between air pollutants and equivalent temperature. Bivariate response surface models and generalised additive models (GAMs) including interaction terms showed an increased risk of mortality during periods of elevated equivalent temperatures and air pollution. Cold effects were mostly unaffected by air pollution. The study underscores the importance of air pollution control in mitigating heat effects. Copyright © 2013 Elsevier Ltd. All rights reserved.

  12. Air Pollution and Climate Change Health Impact Assessment. The ACHIA Project

    International Nuclear Information System (INIS)

    Kinney, P.L.

    2013-01-01

    Climate change may affect human health via interactions with air pollutants such as ozone and PM 2.5 . These air pollutants are linked to climate because they can be both affected by and have effects on climate. In coming decades, substantial, cost-effective improvements in public health may be achieved with well-planned strategies to mitigate climate impacts while also reducing health effects of ozone and PM 2.5 . Climate mitigation actions affect greenhouse pollutant emissions, including methane and black carbon, but also may affect other key air pollution precursors such as NOx, CO, and SOx. To better understand the potential of such strategies, studies are needed that assess possible future health impacts under alternative assumptions about future emissions and climate across multiple spatial scales. The overall objective of this project is to apply state of the art climate, air quality, and health modelling tools to assess future health impacts of ozone and PM 2.5 under different IPCCs scenario of climate change, focusing specifically on pollution-related health co-benefits which could be achieved under alternative climate mitigation pathways in the period 2030-2050. This question will be explored at three spatial scales: global, regional (Europe), and urban (Paris). ACHIA is comprised of an integrated set of four work packages: WP1. Global Climate and Air Pollution Impacts of Alternative Emissions Pathways; WP2. Climate and Air Quality at Regional and Urban Scales: Results for Europe and Paris; WP3. Health Impact Assessment; WP4. Dissemination, Evaluation, Management. ACHIA is designed to create an interdisciplinary approach to the impacts of climate change on health through air quality changes, and to start longer-term collaborations between communities. We expect the project to advance state of art across all WPs, with important implications for research groups around the world. A particular innovation of the project is the multi-scale aspect, i.e., the

  13. The Impact of a Computerized Dietary Assessment on Nutrition Knowledge

    Science.gov (United States)

    Hensleigh, Katherine Elizabeth; Eddy, James M.; Wang, Min Qi; Dennison, Darwin; Chaney, J. Don

    2004-01-01

    In recent years, many health educators have integrated computer applications into their health education program interventions. The assessment of the impact of these interventions is limited. This study assessed the impact of the Pyramid Challenge nutrition software program on nutrition knowledge levels of students enrolled in traditional personal…

  14. An early warning system for groundwater pollution based on the assessment of groundwater pollution risks.

    Science.gov (United States)

    Zhang, Weihong.; Zhao, Yongsheng; Hong, Mei; Guo, Xiaodong

    2009-04-01

    Groundwater pollution usually is complex and concealed, remediation of which is difficult, high cost, time-consuming, and ineffective. An early warning system for groundwater pollution is needed that detects groundwater quality problems and gets the information necessary to make sound decisions before massive groundwater quality degradation occurs. Groundwater pollution early warning were performed by considering comprehensively the current groundwater quality, groundwater quality varying trend and groundwater pollution risk . The map of the basic quality of the groundwater was obtained by fuzzy comprehensive evaluation or BP neural network evaluation. Based on multi-annual groundwater monitoring datasets, Water quality state in sometime of the future was forecasted using time-sequenced analyzing methods. Water quality varying trend was analyzed by Spearman's rank correlative coefficient.The relative risk map of groundwater pollution was estimated through a procedure that identifies, cell by cell,the values of three factors, that is inherent vulnerability, load risk of pollution source and contamination hazard. DRASTIC method was used to assess inherent vulnerability of aquifer. Load risk of pollution source was analyzed based on the potential of contamination and pollution degree. Assessment index of load risk of pollution source which involves the variety of pollution source, quantity of contaminants, releasing potential of pollutants, and distance were determined. The load risks of all sources considered by GIS overlay technology. Early warning model of groundwater pollution combined with ComGIS technology organically, the regional groundwater pollution early-warning information system was developed, and applied it into Qiqiha'er groundwater early warning. It can be used to evaluate current water quality, to forecast water quality changing trend, and to analyze space-time influencing range of groundwater quality by natural process and human activities. Keywords

  15. Interactions of GST Polymorphisms in Air Pollution Exposure and Respiratory Diseases and Allergies.

    Science.gov (United States)

    Bowatte, Gayan; Lodge, Caroline J; Perret, Jennifer L; Matheson, Melanie C; Dharmage, Shyamali C

    2016-11-01

    The purpose of this review is to summarize the evidence from recently published original studies investigating how glutathione S-transferase (GST) gene polymorphisms modify the impact of air pollution on asthma, allergic diseases, and lung function. Current studies in epidemiological and controlled human experiments found evidence to suggest that GSTs modify the impact of air pollution exposure on respiratory diseases and allergies. Of the nine articles included in this review, all except one identified at least one significant interaction with at least one of glutathione S-transferase pi 1 (GSTP1), glutathione S-transferase mu 1 (GSTM1), or glutathione S-transferase theta 1 (GSTT1) genes and air pollution exposure. The findings of these studies, however, are markedly different. This difference can be partially explained by regional variation in the exposure levels and oxidative potential of different pollutants and by other interactions involving a number of unaccounted environment exposures and multiple genes. Although there is evidence of an interaction between GST genes and air pollution exposure for the risk of respiratory disease and allergies, results are not concordant. Further investigations are needed to explore the reasons behind the discordancy.

  16. Assessment of nutrition knowledge and related aspects among first-year Kuwait University students.

    Science.gov (United States)

    El-Sabban, Farouk; Badr, Hanan E

    2011-01-01

    Assessing nutrition knowledge of populations assists in drawing strategies for education programs. Nutrition-related problems are common in Kuwait, thus data on nutrition knowledge are needed. This study involved administration of a questionnaire to 1,037 first-year Kuwait University students. The overall nutrition knowledge score was rated as fair, with deficiency in specific areas of knowledge. Students' dietary habits, attitudes, and interest in nutrition information were assessed as fair. Our findings will aid in building a nutrition knowledge database in Kuwait. A simplified course on aspects of healthy nutrition and lifestyle to all Kuwait University students is highly recommended.

  17. Assessment of Nutritional Problems in Pediatric Patients with Cancer and the Information Needs of Their Parents: A Parental Perspective

    Science.gov (United States)

    Arpaci, Tuba; Toruner, Ebru Kilicarslan; Altay, Naime

    2018-01-01

    Objective: The majority of problems and symptoms occur in the gastrointestinal system in children with cancer. Parents have difficulty in coping with the nutritional problems and changing routines of children and need support in this respect. This study aimed to assess the nutritional problems of children with cancer and the information needs of their parents. Methods: This descriptive study was performed among children with cancer aged 3–18 years and their parents (n = 69). The data were collected through a data collection form developed by the researchers based on the literature. Results: The most prominent nutritional problems experienced by children were loss of appetite (85.5%), nausea (84.1%), vomiting (81.2%), fatigue (79.7%), and mucositis (66.7%). According to the parents, the factors causing these nutritional problems in children were physiological factors (100%) and the foods given to children in the hospital (65.2%). The parents mostly needed information about food–drug interactions (58.0%), food–disease interactions (52.2%), foods that children with neutropenia should avoid or should eat (neutropenic diet) (46.4%), and frequency of nutritional intake (36.2%). Conclusions: This study has shown that most children experience at least one nutritional problem, and the parents need comprehensive and regular information about nutrition. Pediatric oncology nurses have a significant responsibility in the evaluation, education, and monitoring of these children. PMID:29607385

  18. Assessment of Nutritional Problems in Pediatric Patients with Cancer and the Information Needs of Their Parents: A Parental Perspective

    Directory of Open Access Journals (Sweden)

    Tuba Arpaci

    2018-01-01

    Full Text Available Objective: The majority of problems and symptoms occur in the gastrointestinal system in children with cancer. Parents have difficulty in coping with the nutritional problems and changing routines of children and need support in this respect. This study aimed to assess the nutritional problems of children with cancer and the information needs of their parents. Methods: This descriptive study was performed among children with cancer aged 3–18 years and their parents (n = 69. The data were collected through a data collection form developed by the researchers based on the literature. Results: The most prominent nutritional problems experienced by children were loss of appetite (85.5%, nausea (84.1%, vomiting (81.2%, fatigue (79.7%, and mucositis (66.7%. According to the parents, the factors causing these nutritional problems in children were physiological factors (100% and the foods given to children in the hospital (65.2%. The parents mostly needed information about food–drug interactions (58.0%, food–disease interactions (52.2%, foods that children with neutropenia should avoid or should eat (neutropenic diet (46.4%, and frequency of nutritional intake (36.2%. Conclusions: This study has shown that most children experience at least one nutritional problem, and the parents need comprehensive and regular information about nutrition. Pediatric oncology nurses have a significant responsibility in the evaluation, education, and monitoring of these children.

  19. Assessment of Nutritional Problems in Pediatric Patients with Cancer and the Information Needs of Their Parents: A Parental Perspective.

    Science.gov (United States)

    Arpaci, Tuba; Toruner, Ebru Kilicarslan; Altay, Naime

    2018-01-01

    The majority of problems and symptoms occur in the gastrointestinal system in children with cancer. Parents have difficulty in coping with the nutritional problems and changing routines of children and need support in this respect. This study aimed to assess the nutritional problems of children with cancer and the information needs of their parents. This descriptive study was performed among children with cancer aged 3-18 years and their parents ( n = 69). The data were collected through a data collection form developed by the researchers based on the literature. The most prominent nutritional problems experienced by children were loss of appetite (85.5%), nausea (84.1%), vomiting (81.2%), fatigue (79.7%), and mucositis (66.7%). According to the parents, the factors causing these nutritional problems in children were physiological factors (100%) and the foods given to children in the hospital (65.2%). The parents mostly needed information about food-drug interactions (58.0%), food-disease interactions (52.2%), foods that children with neutropenia should avoid or should eat (neutropenic diet) (46.4%), and frequency of nutritional intake (36.2%). This study has shown that most children experience at least one nutritional problem, and the parents need comprehensive and regular information about nutrition. Pediatric oncology nurses have a significant responsibility in the evaluation, education, and monitoring of these children.

  20. Assessment of Nutritional Status and Knowledge of Students from ...

    African Journals Online (AJOL)

    The significance of improving nutrition knowledge in order to have a positive influence on food choices and health should not be underestimated. This study assessed the nutritional status and knowledge of school children attending selected secondary schools in Sokoto metropolis. The study population was purposively ...

  1. General assessment of estuarine pollution

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. General assessment of estuarine pollution. Contamination of estuaries by untreated domestic wastewater is widespread, however, in absence of time-series studies the responses of native flora and fauna to modified environment are unclear. Agricultural runoff ...

  2. Assessing the polycyclic aromatic hydrocarbon (PAH) pollution of urban stormwater runoff: a dynamic modeling approach.

    Science.gov (United States)

    Zheng, Yi; Lin, Zhongrong; Li, Hao; Ge, Yan; Zhang, Wei; Ye, Youbin; Wang, Xuejun

    2014-05-15

    Urban stormwater runoff delivers a significant amount of polycyclic aromatic hydrocarbons (PAHs), mostly of atmospheric origin, to receiving water bodies. The PAH pollution of urban stormwater runoff poses serious risk to aquatic life and human health, but has been overlooked by environmental modeling and management. This study proposed a dynamic modeling approach for assessing the PAH pollution and its associated environmental risk. A variable time-step model was developed to simulate the continuous cycles of pollutant buildup and washoff. To reflect the complex interaction among different environmental media (i.e. atmosphere, dust and stormwater), the dependence of the pollution level on antecedent weather conditions was investigated and embodied in the model. Long-term simulations of the model can be efficiently performed, and probabilistic features of the pollution level and its risk can be easily determined. The applicability of this approach and its value to environmental management was demonstrated by a case study in Beijing, China. The results showed that Beijing's PAH pollution of road runoff is relatively severe, and its associated risk exhibits notable seasonal variation. The current sweeping practice is effective in mitigating the pollution, but the effectiveness is both weather-dependent and compound-dependent. The proposed modeling approach can help identify critical timing and major pollutants for monitoring, assessing and controlling efforts to be focused on. The approach is extendable to other urban areas, as well as to other contaminants with similar fate and transport as PAHs. Copyright © 2014 Elsevier B.V. All rights reserved.

  3. Assessment of nutritional status in the elderly: a proposed function-driven model.

    Science.gov (United States)

    Engelheart, Stina; Brummer, Robert

    2018-01-01

    There is no accepted or standardized definition of 'malnutrition'. Hence, there is also no definition of what constitutes an adequate nutritional status. In elderly people, assessment of nutritional status is complex and is complicated by multi-morbidity and disabilities combined with nutrition-related problems, such as dysphagia, decreased appetite, fatigue, and muscle weakness. We propose a nutritional status model that presents nutritional status from a comprehensive functional perspective. This model visualizes the complexity of the nutritional status in elderly people. The presented model could be interpreted as the nutritional status is conditional to a person's optimal function or situation. Another way of looking at it might be that a person's nutritional status affects his or her optimal situation. The proposed model includes four domains: (1) physical function and capacity; (2) health and somatic disorders; (3) food and nutrition; and (4) cognitive, affective, and sensory function. Each domain has a major impact on nutritional status, which in turn has a major impact on the outcome of each domain. Nutritional status is a multifaceted concept and there exist several knowledge gaps in the diagnosis, prevention, and optimization of treatment of inadequate nutritional status in elderly people. The nutritional status model may be useful in nutritional assessment research, as well as in the clinical setting.

  4. A quantitative integrated assessment of pollution prevention achieved by integrated pollution prevention control licensing.

    Science.gov (United States)

    Styles, David; O'Brien, Kieran; Jones, Michael B

    2009-11-01

    This paper presents an innovative, quantitative assessment of pollution avoidance attributable to environmental regulation enforced through integrated licensing, using Ireland's pharmaceutical-manufacturing sector as a case study. Emissions data reported by pharmaceutical installations were aggregated into a pollution trend using an Environmental Emissions Index (EEI) based on Lifecycle Assessment methodologies. Complete sectoral emissions data from 2001 to 2007 were extrapolated back to 1995, based on available data. Production volume data were used to derive a sectoral production index, and determine 'no-improvement' emission trends, whilst questionnaire responses from 20 industry representatives were used to quantify the contribution of integrated licensing to emission avoidance relative to these trends. Between 2001 and 2007, there was a 40% absolute reduction in direct pollution from 27 core installations, and 45% pollution avoidance relative to hypothetical 'no-improvement' pollution. It was estimated that environmental regulation avoided 20% of 'no-improvement' pollution, in addition to 25% avoidance under business-as-usual. For specific emissions, avoidance ranged from 14% and 30 kt a(-1) for CO(2) to 88% and 598 t a(-1) for SO(x). Between 1995 and 2007, there was a 59% absolute reduction in direct pollution, and 76% pollution avoidance. Pollution avoidance was dominated by reductions in emissions of VOCs, SO(x) and NO(x) to air, and emissions of heavy metals to water. Pollution avoidance of 35% was attributed to integrated licensing, ranging from between 8% and 2.9 t a(-1) for phosphorus emissions to water to 49% and 3143 t a(-1) for SO(x) emissions to air. Environmental regulation enforced through integrated licensing has been the major driver of substantial pollution avoidance achieved by Ireland's pharmaceutical sector - through emission limit values associated with Best Available Techniques, emissions monitoring and reporting requirements, and

  5. Regional Persistent Organic Pollutants' Environmental Impact Assessment and Control Model

    Directory of Open Access Journals (Sweden)

    Jurgis Staniskis

    2008-10-01

    Full Text Available The sources of formation, environmental distribution and fate of persistent organic pollutants (POPs are increasingly seen as topics to be addressed and solved at the global scale. Therefore, there are already two international agreements concerning persistent organic pollutants: the Protocol of 1998 to the 1979 Convention on the Long-Range Transboundary Air Pollution on Persistent Organic Pollutants (Aarhus Protocol; and the Stockholm Convention on Persistent Organic Pollutants. For the assessment of environmental pollution of POPs, for the risk assessment, for the evaluation of new pollutants as potential candidates to be included in the POPs list of the Stokholmo or/and Aarhus Protocol, a set of different models are developed or under development. Multimedia models help describe and understand environmental processes leading to global contamination through POPs and actual risk to the environment and human health. However, there is a lack of the tools based on a systematic and integrated approach to POPs management difficulties in the region.

  6. Part 4. Interaction between air pollution and respiratory viruses: time-series study of daily mortality and hospital admissions in Hong Kong.

    Science.gov (United States)

    Wong, Chit-Ming; Thach, Thuan Quoc; Chau, Patsy Yuen Kwan; Chan, Eric King Pan; Chung, Roger Yat-nork; Ou, Chun-Quan; Yang, Lin; Peiris, Joseph Sriyal Malik; Thomas, Graham Neil; Lam, Tai-Hing; Wong, Tze-Wai; Hedley, Anthony Johnson

    2010-11-01

    Populations in Asia are not only at risk of harm to their health through environmental degradation as a result of worsening pollution problems but also constantly threatened by recurring and emerging influenza epidemics and. pandemics. Situated in the area with the world's fastest growing economy and close to hypothetical epicenters of influenza transmission, Hong Kong offers a special opportunity for testing environmental management and public health surveillance in the region. In the Public Health and Air Pollution in Asia (PAPA*) project, the Hong Kong research team assessed the health effects of air pollution and influenza as well as the interaction between them. The team also assessed disparities in the health effects of air pollution between relatively deprived and more affluent areas in Hong Kong. The aim was to provide answers to outstanding research questions relating to the short-term effects of air pollution on mortality and hospital admissions; the health effects of influenza with a view to validating different measures of influenza activity according to virologic data; the confounding effects of influenza on estimates of the health effects of air pollution; the modifying effects of influenza on the health effects of air pollution; and the modifying effects of neighborhood social deprivation on the health effects of air pollution. Data on mortality and hospital admissions for all natural causes, as well as the subcategories of cardiovascular diseases (CVD) and respiratory diseases (RD), were derived from the Hong Kong Census and Statistics Department and the Hospital Authority. Daily concentrations of nitrogen dioxide (NO2), sulfur dioxide (SO2), particulate matter with an aerodynamic diameter respiratory syncytial virus (RSV) activity were derived from positive isolates of specimens in the virology laboratory of Queen Mary Hospital (QMH), the main clinical teaching center at The University of Hong Kong and part of the Hong Kong Hospital Authority

  7. Nutritional risk assessment in critically ill cancer patients: systematic review

    Science.gov (United States)

    Fruchtenicht, Ana Valéria Gonçalves; Poziomyck, Aline Kirjner; Kabke, Geórgia Brum; Loss, Sérgio Henrique; Antoniazzi, Jorge Luiz; Steemburgo, Thais; Moreira, Luis Fernando

    2015-01-01

    Objective To systematically review the main methods for nutritional risk assessment used in critically ill cancer patients and present the methods that better assess risks and predict relevant clinical outcomes in this group of patients, as well as to discuss the pros and cons of these methods according to the current literature. Methods The study consisted of a systematic review based on analysis of manuscripts retrieved from the PubMed, LILACS and SciELO databases by searching for the key words “nutritional risk assessment”, “critically ill” and “cancer”. Results Only 6 (17.7%) of 34 initially retrieved papers met the inclusion criteria and were selected for the review. The main outcomes of these studies were that resting energy expenditure was associated with undernourishment and overfeeding. The high Patient-Generated Subjective Global Assessment score was significantly associated with low food intake, weight loss and malnutrition. In terms of biochemical markers, higher levels of creatinine, albumin and urea were significantly associated with lower mortality. The worst survival was found for patients with worse Eastern Cooperative Oncologic Group - performance status, high Glasgow Prognostic Score, low albumin, high Patient-Generated Subjective Global Assessment score and high alkaline phosphatase levels. Geriatric Nutritional Risk Index values < 87 were significantly associated with mortality. A high Prognostic Inflammatory and Nutritional Index score was associated with abnormal nutritional status in critically ill cancer patients. Among the reviewed studies that examined weight and body mass index alone, no significant clinical outcome was found. Conclusion None of the methods reviewed helped to define risk among these patients. Therefore, assessment by a combination of weight loss and serum measurements, preferably in combination with other methods using scores such as Eastern Cooperative Oncologic Group - performance status, Glasgow Prognostic

  8. Reduction Assessment of Agricultural Non-Point Source Pollutant Loading

    OpenAIRE

    Fu, YiCheng; Zang, Wenbin; Zhang, Jian; Wang, Hongtao; Zhang, Chunling; Shi, Wanli

    2018-01-01

    NPS (Non-point source) pollution has become a key impact element to watershed environment at present. With the development of technology, application of models to control NPS pollution has become a very common practice for resource management and Pollutant reduction control in the watershed scale of China. The SWAT (Soil and Water Assessment Tool) model is a semi-conceptual model, which was put forward to estimate pollutant production & the influences on water quantity-quality under different...

  9. Gene-Diet Interaction and Precision Nutrition in Obesity

    Directory of Open Access Journals (Sweden)

    Yoriko Heianza

    2017-04-01

    Full Text Available The rapid rise of obesity during the past decades has coincided with a profound shift of our living environment, including unhealthy dietary patterns, a sedentary lifestyle, and physical inactivity. Genetic predisposition to obesity may have interacted with such an obesogenic environment in determining the obesity epidemic. Growing studies have found that changes in adiposity and metabolic response to low-calorie weight loss diets might be modified by genetic variants related to obesity, metabolic status and preference to nutrients. This review summarized data from recent studies of gene-diet interactions, and discussed integration of research of metabolomics and gut microbiome, as well as potential application of the findings in precision nutrition.

  10. Application of environmental accounting to pollution prevention assessments

    International Nuclear Information System (INIS)

    Del Mar, R.A.

    1997-08-01

    Environmental accounting represents a major paradigm shift in the way most companies account for costs and benefits. However, it is a change that must be made if pollution prevention is to become institutionalized into the corporate and government mainstream. Pollution prevention investments must be justified on an economic basis; without environmental accounting tools, pollution prevention investments cannot show their true profitability. This is because traditional accounting methods only track billable costs, thus ignoring some of the major benefits of pollution prevention investments, which are indirect savings resulting from a lessening of a company's regulatory compliance burden and present and future liabilities. This paper discusses how to apply environmental accounting principles to pollution prevention assessments to improve the outcome of profitability analyses

  11. How much, how long, what, and where: air pollution exposure assessment for epidemiologic studies of respiratory disease.

    Science.gov (United States)

    Brauer, Michael

    2010-05-01

    Epidemiology has played an important role in the understanding of air pollution as a risk factor for respiratory disease and in the evidence base for air quality standards. With the widespread availability of genetic information and increasingly sophisticated measurements of molecular markers of adverse effects, there is a need for more specific and precise assessment of exposure to maximize the potential information to be derived from epidemiologic studies. Here advances in air pollution exposure assessment and their applications to studies of respiratory disease are reviewed, with a focus on recent studies of traffic-related air pollution and asthma. Although continuous measurements of personal exposures for all study subjects for a complete study period might be considered the desired "gold standard" for exposure, this is rarely, if ever, achieved due to feasibility constraints. Given this, exposure is typically estimated using models. Recent applications of geospatial (e.g., land use regression) models to studies of respiratory disease have made possible new study designs focused on spatial variability in exposure within urban areas and have provided new insights into the potential role of traffic-related air pollution (TRAP) as a risk factor for the development of childhood asthma. Substantial uncertainty remains, however, regarding what agent(s) within TRAP might be responsible for the observed associations. Future research will require increasing the specificity of exposure assessment to identify the potential roles of individual air pollution components, to elucidate potential mechanisms, and to facilitate studies of mixtures and gene-air pollution interactions.

  12. Nutrition and allergic diseases

    NARCIS (Netherlands)

    Neerven, van R.J.J.; Savelkoul, Huub

    2017-01-01

    The development of IgE-mediated allergic diseases is influenced by many factors, including genetic and environmental factors such as pollution and farming, but also by nutrition. In the last decade, substantial progress has been made in our understanding of the impact that nutrition can have on

  13. Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients.

    Science.gov (United States)

    Ryu, Seung Wan; Kim, In Ho

    2010-07-14

    To evaluate the prevalence of preoperative and postoperative malnutrition and the relationships between objective and subjective nutritional assessment of gastric cancer patients. From October 2005 to July 2006, we studied 80 patients with no evidence of recurrent disease and no loss to follow-up after curative surgery for gastric cancer. In this group, 9 patients underwent total gastrectomy and 71 patients subtotal gastrectomy. At admission, 6 and 12 mo after surgery, the patients were assessed on the subjective global assessment (SGA), nutritional risk screening (NRS-2002), nutritional risk index (NRI) and by anthropometric measurements and laboratory data. Differences between the independent groups were assessed with the Student's t test and one-way analysis of variance. Spearman's rank correlation coefficients were calculated to evaluate the association between the scores and variables. The prevalence of malnutrition at admission was 31% by SGA and 43% by NRS-2002. At admission, the anthropometric data were lower in the malnourished groups defined by the SGA and NRS-2002 assessments, but did not differ between the groups using the NRI assessment. Body weight (BW), body mass index (BMI), triceps skin fold and midarm circumference were significantly reduced, but the total lymphocyte count, albumin, protein, cholesterol and serum iron levels did not decrease during the postoperative period. Six months after surgery, there was a good correlation between the nutritional assessment tools (SGA and NRS-2002) and the other nutritional measurement tools (BW, BMI, and anthropometric measurements). However, 12 mo after surgery, most patients who were assessed as malnourished by SGA and NRS-2002 had returned to their preoperative status, although their BW, BMI, and anthropometric measurements still indicated a malnourished status. A combination of objective and subjective assessments is needed for the early detection of the nutritional status in case of gastric cancer

  14. A brief review and evaluation of earthworm biomarkers in soil pollution assessment.

    Science.gov (United States)

    Shi, Zhiming; Tang, Zhiwen; Wang, Congying

    2017-05-01

    Earthworm biomarker response to pollutants has been widely investigated in the assessment of soil pollution. However, whether and how the earthworm biomarker-approach can be actually applied to soil pollution assessment is still a controversial issue. This review is concerned about the following points: 1. Despite much debate, biomarker is valuable to ecotoxicology and biomarker approach has been properly used in different fields. Earthworm biomarker might be used in different scenarios such as large-scale soil pollution survey and soil pollution risk assessment. Compared with physicochemical analysis, they can provide more comprehensive and straightforward information about soil pollution at low cost. 2. Although many earthworm species from different ecological categories have been tested, Eisenia fetida/andrei is commonly used. Many earthworm biomarkers have been screened from the molecular to the individual level, while only a few biomarkers, such as avoidance behavior and lysosomal membrane stability, have been focused on. Other aspects of the experimental design were critically reviewed. 3. More studies should focus on determining the reliability of various earthworm biomarkers in soil pollution assessment in future research. Besides, establishing a database of a basal level of each biomarker, exploring biomarker response in different region/section/part of earthworm, and other issues are also proposed. 4. A set of research guideline for earthworm biomarker studies was recommended, and the suitability of several earthworm biomarkers was briefly evaluated with respect to their application in soil pollution assessment. This review will help to promote further studies and practical application of earthworm biomarker in soil pollution assessment.

  15. Effect of Digital Nutrition Education Intervention on the Nutritional Knowledge Levels of Information Technology Professionals.

    Science.gov (United States)

    Sharma, Priya; Rani, M Usha

    2016-01-01

    The purpose of the study was to determine the changes in knowledge of information technology (IT) professionals after receiving a nutrition education intervention for a month. The sample comprised of 40 IT professionals (29 males and 11 females). The sample was drawn from four IT companies of Hyderabad city using random sampling techniques. The data on the general information of the subjects was collected. The data regarding the commonly accessed sources of nutrition and health information by the subjects was also obtained from the study. The intervention study group received nutrition education by distribution of the developed CD-ROMs to them followed by interactive sessions. To assess the impact of nutrition education intervention, the knowledge assessment questionnaire (KAQ) was developed and administered before and after the education programme. A significant improvement in the mean nutritional knowledge scores was observed among the total study subjects from 22.30 to 40.55 after the intervention (p educated groups on nutrition, physical activity and overall health education to improve their health, lifestyle and eating habits.

  16. Development of NutriSportEx TM -interactive sport nutrition based ...

    African Journals Online (AJOL)

    Development of NutriSportExTM-interactive sport nutrition based mobile application software. B.S. Pushpa, N.S. Safii, S.H. Hamzah, N Fauzi, W.K. Yeo, P.B. Koon, C.Y. Tsin, M.I. Mohamad, A.H.A. Rahman, C.L. Ming, R.A. Talib, M.R. Shahril ...

  17. Lifestyle Factors and Metabolic Syndrome among Workers: The Role of Interactions between Smoking and Alcohol to Nutrition and Exercise.

    Science.gov (United States)

    Huang, Jui-Hua; Li, Ren-Hau; Huang, Shu-Ling; Sia, Hon-Ke; Chen, Yu-Ling; Tang, Feng-Cheng

    2015-12-16

    This study aimed to investigate (1) relations of smoking and alcohol to metabolic syndrome (MetS) and its components, with nutrition and exercise controlled; and (2) interactions between smoking/alcohol and nutrition/exercise on MetS. This cross-sectional study enrolled 4025 workers. Self-reported lifestyles, anthropometric values, blood pressure (BP), and biochemical determinations were obtained. Among males, smoking significantly increased the risk of low high-density lipoprotein cholesterol (HDL-C), high triglyceride, abdominal obesity (AO), and MetS. Additionally, smoking showed significant interaction effects with nutrition on high BP, AO, and MetS; after further analysis, nutrition did not decrease above-mentioned risks for smokers. However, there was no significant interaction of smoking with exercise on any metabolic parameter. Alcohol increased the risk of AO, but decreased low HDL-C. It also showed an interaction effect with exercise on AO; after further analysis, exercise decreased AO risk for drinkers. Among females, alcohol significantly decreased the risk of high fasting blood glucose, but did not show significant interaction with nutrition/exercise on any metabolic parameter. In conclusion, in males, smoking retained significant associations with MetS and its components, even considering benefits of nutrition; exercise kept predominance on lipid parameters regardless of smoking status. Alcohol showed inconsistencies on metabolic parameters for both genders.

  18. Publishing nutrition research: validity, reliability, and diagnostic test assessment in nutrition-related research.

    Science.gov (United States)

    Gleason, Philip M; Harris, Jeffrey; Sheean, Patricia M; Boushey, Carol J; Bruemmer, Barbara

    2010-03-01

    This is the sixth in a series of monographs on research design and analysis. The purpose of this article is to describe and discuss several concepts related to the measurement of nutrition-related characteristics and outcomes, including validity, reliability, and diagnostic tests. The article reviews the methodologic issues related to capturing the various aspects of a given nutrition measure's reliability, including test-retest, inter-item, and interobserver or inter-rater reliability. Similarly, it covers content validity, indicators of absolute vs relative validity, and internal vs external validity. With respect to diagnostic assessment, the article summarizes the concepts of sensitivity and specificity. The hope is that dietetics practitioners will be able to both use high-quality measures of nutrition concepts in their research and recognize these measures in research completed by others. Copyright 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

  19. Assessment of the nutritional status of the elderly and its correlates.

    Science.gov (United States)

    Agarwalla, Rashmi; Saikia, Anku Moni; Baruah, Rupali

    2015-01-01

    The percentage of elderly is growing rapidly and malnutrition is not uncommon in the elderly. The present study was carried out to assess the nutritional status of the elderly using the Mini Nutritional Assessment (MNA) tool, and to study the various epidemiological factors influencing their nutritional status. This cross-sectional study was done from July 2012 to August 2013 in Boko-Bongaon Block, Kamrup District, Assam, India. The elderly, those over 60 years of age, who met the inclusion criteria participated in the study. A total of 30 clusters were selected and 12 elderly from each cluster were taken to achieve the desired sample size of 360. Nutritional status was assessed by the MNA tool and a 24-h dietary recall method. Out of the total of 360 elderly persons, 15% were found to be malnourished and 55% were at risk of malnutrition. The association between nutritional status and older age group, female gender, dependent functional status, dependent financial status and inadequate calorie intake was found to be significant. The present findings reveal that malnutrition is not an uncommon problem in the elderly, and further studies are needed in this regard.

  20. Developing an interactive portion size assessment system (IPSAS) for use with children.

    Science.gov (United States)

    Foster, E; Hawkins, A; Simpson, E; Adamson, A J

    2014-01-01

    Novel methods of assessing dietary intake are required to reduce the participant burden in dietary surveys, improve participation rates and thereby improve the representativeness of the sample and minimise the impact of measuring dietary intake on a subject's food intake during the recording period. One method of reducing the burden placed on participants in recording dietary intake is to replace weighing of foods with estimation of portion size using tools such as food photographs. The interactive portion size assessment system (IPSAS) is an interactive portion size assessment system for use in assessing portion sizes of foods consumed by children aged 18 months to 16 years. The system is computer-based and is designed to be administered during an interview for a food diary or 24-h recall. The portion sizes depicted are age-specific and based on the weights of foods served to children during the UK National Diet and Nutrition Surveys. The system displays digital images of food used to estimate the amount of each food served to the child and the amount of any food left over. Foods are categorised within the system using a three-tier structure. Twenty-seven food group icons are used with two further drop-down menus to select first the food group, then the food category and, finally, the actual food product. Each food is linked to UK food composition codes and all photographs are linked to the weight of the food depicted. Nutritional output is via a companion database. The present study describes the development of the IPSAS and the structure of the system. © 2013 The Authors Journal of Human Nutrition and Dietetics © 2013 The British Dietetic Association Ltd.

  1. Manual for THOR-AirPAS - air pollution assessment system

    DEFF Research Database (Denmark)

    Jensen, Steen Solvang; Ketzel, Matthias; Brandt, Jørgen

    The report provides an outline of the THOR-AirPAS - air pollution assessment system and a brief manual for getting started with the air quality models and input data included in THOR-AirPAS.......The report provides an outline of the THOR-AirPAS - air pollution assessment system and a brief manual for getting started with the air quality models and input data included in THOR-AirPAS....

  2. Assessment of Light Pollution Impact on Protected Areas in China

    Science.gov (United States)

    Jiang, W.; He, G.; Ni, Y.

    2017-09-01

    The Protected Areas (PAs) with natural, ecological and cultural value play important role in biological processes, biodiversity and ecosystem service. During the past years of rapid urban expansion in China, the spatial range and intensity of light pollution unprecedented increase. Historically, optical remote sensing and field survey data had been used to reveal that human activities impacted on PAs for individual areas and few papers documented the issue of light pollution impact on PAs at national scale. Here, time series night-time light satellite images of Defense Meteorological Satellite Program Operational Linescan System (DMSP-OLS) were selected to assess the light pollution impacted on PAs in China. The method we proposed can be effectively applied to assess the impact of light pollution on PAs and the percent of dark PAs decreased by 35.38 % from 1992 to 2012 at nationwide. The trend of light pollution of most PAs in stable, however, light pollution of the local area is increase significantly, especially in northern Xinjiang, Gansu, Xizang, Yunnan, Jiangsu and Shandong. Considering the current status of light pollution encroach into PAs, two strategies of appropriate buffer zone and wide measured for light pollution are also recommend.

  3. Interactive responses of primary producers and grazers to pollution on temperate rocky reefs.

    Science.gov (United States)

    Fowles, Amelia E; Stuart-Smith, Rick D; Hill, Nicole A; Thomson, Russell J; Strain, Elisabeth M A; Alexander, Timothy J; Kirkpatrick, James; Edgar, Graham J

    2018-06-01

    Macroalgal beds provide important habitat structure and support primary production for rocky reef communities, but are increasingly degraded as a result of human pressures. Various sources of pollution can have both direct and interactive effects on stressed ecosystems. In particular, interactions involving invertebrate grazers could potentially weaken or strengthen the overall impact of pollution on macroalgal beds. Using a paired impact-control experimental design, we tested the effects of multiple pollution sources (fish farms, marinas, sewerage, and stormwater) on translocated and locally established algal assemblages, while also considering the influence of invertebrate grazers. Marinas directly affected algal assemblages and also reduced densities of amphipods and other invertebrate mesograzers. Fish farms and sewerage outfalls tended to directly increase local establishment of foliose and leathery algae without any indication of changes in herbivory. Overall, pollution impacts on algae did not appear to be strongly mediated by changes in grazer abundance. Instead, mesograzer abundance was closely linked to availability of more complex algal forms, with populations likely to decline concurrently with loss of complex algal habitats. Macrograzers, such as sea urchins, showed no signs of a negative impact from any pollution source; hence, the influence of this group on algal dynamics is probably persistent and independent of moderate pollution levels, potentially adding to the direct impacts of pollution on algal beds in urbanised environments. Copyright © 2018 Elsevier Ltd. All rights reserved.

  4. Raw materials, energy, water. Air pollution, ecological nutrition, alternatives to nuclear energy

    International Nuclear Information System (INIS)

    Lepper, Rolf

    2008-01-01

    ''Ecological cattle breeding: A climate killer''. This was the title of an article in ''Frankfurter Rundschau'' journal, which summarized the findings of a study according to which ecological cattle breeding is more harmful to the environment than conventional cattle breeding, not least because eco-cattle live longer and are kept according to the principles of organic farming. This special issue of OeKO-TEST goes into detail about ecological nutrition. After all, animal farming accounts for 18 percent of the global climate-relevant gaseous emissions. A closer look will show that ecological cattle breeding is not a climate killer but that ecological farming and nutrition may even help in the fight against global climate change. In fact, this has been known all along, as are other strategies to prevent global warming. Thirty years ago, the Oeko-Institut, Freiburg, published a concept to prevent global climate change that is still up to date. It comprises energy conservation, rational energy use, and the utilization of alternative energy sources. If these concepts had been followed then and there, we would not have the problems of global climate change and rising energy cost today. We all know how to save this planet and how to prevent the dying out of species, the pollution of the oceans and air, and the destruction of forests. It is up to us to do it. (orig.)

  5. Popular Nutrition-Related Mobile Apps: A Feature Assessment.

    Science.gov (United States)

    Franco, Rodrigo Zenun; Fallaize, Rosalind; Lovegrove, Julie A; Hwang, Faustina

    2016-08-01

    A key challenge in human nutrition is the assessment of usual food intake. This is of particular interest given recent proposals of eHealth personalized interventions. The adoption of mobile phones has created an opportunity for assessing and improving nutrient intake as they can be used for digitalizing dietary assessments and providing feedback. In the last few years, hundreds of nutrition-related mobile apps have been launched and installed by millions of users. This study aims to analyze the main features of the most popular nutrition apps and to compare their strategies and technologies for dietary assessment and user feedback. Apps were selected from the two largest online stores of the most popular mobile operating systems-the Google Play Store for Android and the iTunes App Store for iOS-based on popularity as measured by the number of installs and reviews. The keywords used in the search were as follows: calorie(s), diet, diet tracker, dietician, dietitian, eating, fit, fitness, food, food diary, food tracker, health, lose weight, nutrition, nutritionist, weight, weight loss, weight management, weight watcher, and ww calculator. The inclusion criteria were as follows: English language, minimum number of installs (1 million for Google Play Store) or reviews (7500 for iTunes App Store), relation to nutrition (ie, diet monitoring or recommendation), and independence from any device (eg, wearable) or subscription. A total of 13 apps were classified as popular for inclusion in the analysis. Nine apps offered prospective recording of food intake using a food diary feature. Food selection was available via text search or barcode scanner technologies. Portion size selection was only textual (ie, without images or icons). All nine of these apps were also capable of collecting physical activity (PA) information using self-report, the global positioning system (GPS), or wearable integrations. Their outputs focused predominantly on energy balance between dietary

  6. Combined nutritional and environmental life cycle assessment of fruits and vegetables

    DEFF Research Database (Denmark)

    Stylianou, Katerina S.; Fantke, Peter; Jolliet, Olivier

    2016-01-01

    -LCA) framework that compares environmental and nutritional effects of foods in a common end -point metric, Disability Adjusted Life Years (DALY). In the assessment, environmental health impact categories include green house gases, particulate matter (PM), and pesticide residues on fruits and vegetables, while......; 35 μDALY/serving fruit benefit compared to a factor 10 lower impact. Replacing detrimental foods, such as trans-fat and red meat, with fruits or vegetables further enhances health benefit. This study illustrates the importance of considering nutritional effects in food-LCA.......Nutritional health effects from the ‘use stage’ of the life cycle of food products can be substantial, especially for fruits and vegetables. To assess potential one-serving increases in fruit and vegetable consumption in Europe, we employ the Combined Nutritional and Environmental LCA (CONE...

  7. Bio-assessment of water pollution in coal belt

    International Nuclear Information System (INIS)

    Mishra, P.K.

    1998-01-01

    Water pollution in coal belt has attracted attention of scientists as well as general people. Implication of water pollution on bio-system is still a more important issue and a lot of information has been accumulated. Apart from conventional methods of pollution monitoring, bio-monitoring is comparatively a new approach and a proper methodology is still in pipeline. The present study reviews various methods of bio-monitoring and compare various methodologies suggested at population level with conventional methods. The results indicated that the bio-assessment methodology can be a tool and hence be developed. (author)

  8. Malaria infection, poor nutrition and indoor air pollution mediate socioeconomic differences in adverse pregnancy outcomes in Cape Coast, Ghana.

    Directory of Open Access Journals (Sweden)

    Adeladza K Amegah

    Full Text Available BACKGROUND: The epidemiological evidence linking socioeconomic deprivation with adverse pregnancy outcomes has been conflicting mainly due to poor measurement of socioeconomic status (SES. Studies have also failed to evaluate the plausible pathways through which socioeconomic disadvantage impacts on pregnancy outcomes. We investigated the importance of maternal SES as determinant of birth weight and gestational duration in an urban area and evaluated main causal pathways for the influence of SES. METHODS: A population-based cross-sectional study was conducted among 559 mothers accessing postnatal services at the four main health facilities in Cape Coast, Ghana in 2011. Information on socioeconomic characteristics of the mothers was collected in a structured questionnaire. RESULTS: In multivariate linear regression adjusting for maternal age, parity and gender of newborn, low SES resulted in 292 g (95% CI: 440-145 reduction in birth weight. Important SES-related determinants were neighborhood poverty (221 g; 95% CI: 355-87, low education (187 g; 95% CI: 355-20, studentship during pregnancy (291 g; 95% CI: 506-76 and low income (147 g; 95% CI: 277-17. In causal pathway analysis, malaria infection (6-20%, poor nutrition (2-51% and indoor air pollution (10-62% mediated substantial proportions of the observed effects of socioeconomic deprivation on birth weight. Generalized linear models adjusting for confounders indicated a 218% (RR: 3.18; 95% CI: 1.41-7.21 risk increase of LBW and 83% (RR: 1.83; 95% CI: 1.31-2.56 of PTB among low income mothers. Low and middle SES was associated with 357% (RR: 4.57; 95% CI: 1.67-12.49 and 278% (RR: 3.78; 95% CI: 1.39-10.27 increased risk of LBW respectively. Malaria infection, poor nutrition and indoor air pollution respectively mediated 10-21%, 16-44% and 31-52% of the observed effects of socioeconomic disadvantage on LBW risk. CONCLUSION: We provide evidence of the effects of socioeconomic deprivation

  9. Malaria infection, poor nutrition and indoor air pollution mediate socioeconomic differences in adverse pregnancy outcomes in Cape Coast, Ghana.

    Science.gov (United States)

    Amegah, Adeladza K; Damptey, Obed K; Sarpong, Gideon A; Duah, Emmanuel; Vervoorn, David J; Jaakkola, Jouni J K

    2013-01-01

    The epidemiological evidence linking socioeconomic deprivation with adverse pregnancy outcomes has been conflicting mainly due to poor measurement of socioeconomic status (SES). Studies have also failed to evaluate the plausible pathways through which socioeconomic disadvantage impacts on pregnancy outcomes. We investigated the importance of maternal SES as determinant of birth weight and gestational duration in an urban area and evaluated main causal pathways for the influence of SES. A population-based cross-sectional study was conducted among 559 mothers accessing postnatal services at the four main health facilities in Cape Coast, Ghana in 2011. Information on socioeconomic characteristics of the mothers was collected in a structured questionnaire. In multivariate linear regression adjusting for maternal age, parity and gender of newborn, low SES resulted in 292 g (95% CI: 440-145) reduction in birth weight. Important SES-related determinants were neighborhood poverty (221 g; 95% CI: 355-87), low education (187 g; 95% CI: 355-20), studentship during pregnancy (291 g; 95% CI: 506-76) and low income (147 g; 95% CI: 277-17). In causal pathway analysis, malaria infection (6-20%), poor nutrition (2-51%) and indoor air pollution (10-62%) mediated substantial proportions of the observed effects of socioeconomic deprivation on birth weight. Generalized linear models adjusting for confounders indicated a 218% (RR: 3.18; 95% CI: 1.41-7.21) risk increase of LBW and 83% (RR: 1.83; 95% CI: 1.31-2.56) of PTB among low income mothers. Low and middle SES was associated with 357% (RR: 4.57; 95% CI: 1.67-12.49) and 278% (RR: 3.78; 95% CI: 1.39-10.27) increased risk of LBW respectively. Malaria infection, poor nutrition and indoor air pollution respectively mediated 10-21%, 16-44% and 31-52% of the observed effects of socioeconomic disadvantage on LBW risk. We provide evidence of the effects of socioeconomic deprivation, substantially mediated by malaria infection, poor nutrition

  10. The Evolution of Integrated Assessment and Emerging Challenges in the Assessment of Human and Natural System Interactions

    Science.gov (United States)

    Clarke, L.

    2017-12-01

    Integrated assessment (IA) modeling and research has a long history, spanning over 30 years since its inception and addressing a wide range of contemporary issues along the way. Over the last decade, IA modeling and research has emerged as one of the primary analytical methods for understanding the complex interactions between human and natural systems, from the interactions between energy, water, and land/food systems to the interplay between health, climate, and air pollution. IA modeling and research is particularly well-suited for the analysis of these interactions because it is a discipline that strives to integrate representations of multiple systems into consistent computational platforms or frameworks. In doing so, it explicitly confronts the many tradeoffs that are frequently necessary to manage complexity and computational cost while still representing the most important interactions and overall, coupled system behavior. This talk explores the history of IA modeling and research as a means to better understand its role in the assessment of contemporary issues at the confluence of human and natural systems. It traces the evolution of IA modeling and research from initial exploration of long-term emissions pathways, to the role of technology in the global evolution of the energy system, to the key linkages between land and energy systems and, more recently, the linkages with water, air pollution, and other key systems and issues. It discusses the advances in modeling that have emerged over this evolution and the biggest challenges that still present themselves as we strive to better understand the most important interactions between human and natural systems and the implications of these interactions for human welfare and decision making.

  11. Assessing nutritional diversity of cropping systems in African villages.

    Directory of Open Access Journals (Sweden)

    Roseline Remans

    Full Text Available BACKGROUND: In Sub-Saharan Africa, 40% of children under five years in age are chronically undernourished. As new investments and attention galvanize action on African agriculture to reduce hunger, there is an urgent need for metrics that monitor agricultural progress beyond calories produced per capita and address nutritional diversity essential for human health. In this study we demonstrate how an ecological tool, functional diversity (FD, has potential to address this need and provide new insights on nutritional diversity of cropping systems in rural Africa. METHODS AND FINDINGS: Data on edible plant species diversity, food security and diet diversity were collected for 170 farms in three rural settings in Sub-Saharan Africa. Nutritional FD metrics were calculated based on farm species composition and species nutritional composition. Iron and vitamin A deficiency were determined from blood samples of 90 adult women. Nutritional FD metrics summarized the diversity of nutrients provided by the farm and showed variability between farms and villages. Regression of nutritional FD against species richness and expected FD enabled identification of key species that add nutrient diversity to the system and assessed the degree of redundancy for nutrient traits. Nutritional FD analysis demonstrated that depending on the original composition of species on farm or village, adding or removing individual species can have radically different outcomes for nutritional diversity. While correlations between nutritional FD, food and nutrition indicators were not significant at household level, associations between these variables were observed at village level. CONCLUSION: This study provides novel metrics to address nutritional diversity in farming systems and examples of how these metrics can help guide agricultural interventions towards adequate nutrient diversity. New hypotheses on the link between agro-diversity, food security and human nutrition are

  12. Lifestyle Factors and Metabolic Syndrome among Workers: The Role of Interactions between Smoking and Alcohol to Nutrition and Exercise

    Directory of Open Access Journals (Sweden)

    Jui-Hua Huang

    2015-12-01

    Full Text Available This study aimed to investigate (1 relations of smoking and alcohol to metabolic syndrome (MetS and its components, with nutrition and exercise controlled; and (2 interactions between smoking/alcohol and nutrition/exercise on MetS. This cross-sectional study enrolled 4025 workers. Self-reported lifestyles, anthropometric values, blood pressure (BP, and biochemical determinations were obtained. Among males, smoking significantly increased the risk of low high-density lipoprotein cholesterol (HDL-C, high triglyceride, abdominal obesity (AO, and MetS. Additionally, smoking showed significant interaction effects with nutrition on high BP, AO, and MetS; after further analysis, nutrition did not decrease above-mentioned risks for smokers. However, there was no significant interaction of smoking with exercise on any metabolic parameter. Alcohol increased the risk of AO, but decreased low HDL-C. It also showed an interaction effect with exercise on AO; after further analysis, exercise decreased AO risk for drinkers. Among females, alcohol significantly decreased the risk of high fasting blood glucose, but did not show significant interaction with nutrition/exercise on any metabolic parameter. In conclusion, in males, smoking retained significant associations with MetS and its components, even considering benefits of nutrition; exercise kept predominance on lipid parameters regardless of smoking status. Alcohol showed inconsistencies on metabolic parameters for both genders.

  13. Nutritional evaluation of the patient with phenylketonuria (PKU

    Directory of Open Access Journals (Sweden)

    Sara Guillén-López

    2014-07-01

    Full Text Available In order to diagnose the nutritional status and to provide a personalized treatment in PKU patients, an evaluation of nutritional status should be conducted. Several components are involved in the nutritional assessment; among the parameters there are anthropometric evaluation: weight, height, head circumference; biochemical: proteins, amino acids, vitamins, inorganic nutrients, essential fatty acids; clinical: deficiencies in hair, skin, oral cavity , eyes, etc.; dietary assessment: quantification of energy intake, macronutrients and micronutrients through several tools such as the 24-hour recall; finally it must be taken into account the interaction of nutrients such as carnitine, fatty acids, vitamin B complex, among others, with drugs, which are often anticonvulsants, in order to plan the diet and prevent a future nutritional deficiency. It is important to perform the nutritional status assessment frequently in patients with PKU because the dietary management is essential to prevent neurological problems.

  14. Genotype x Nutritional Environment Interaction in a Composite Beef Cattle Breed

    Science.gov (United States)

    Environmental effects have been shown to influence several economically important traits in beef cattle. In this study, genetic x nutritional environment interaction has been evaluated in a composite beef cattle breed(50% Red Angus, 25% Charolais, 25% Tarentaise).Cows were randomly assigned to be fe...

  15. Indices of soil contamination by heavy metals - methodology of calculation for pollution assessment (minireview).

    Science.gov (United States)

    Weissmannová, Helena Doležalová; Pavlovský, Jiří

    2017-11-07

    This article provides the assessment of heavy metal soil pollution with using the calculation of various pollution indices and contains also summarization of the sources of heavy metal soil pollution. Twenty described indices of the assessment of soil pollution consist of two groups: single indices and total complex indices of pollution or contamination with relevant classes of pollution. This minireview provides also the classification of pollution indices in terms of the complex assessment of soil quality. In addition, based on the comparison of metal concentrations in soil-selected sites of the world and used indices of pollution or contamination in soils, the concentration of heavy metal in contaminated soils varied widely, and pollution indices confirmed the significant contribution of soil pollution from anthropogenic activities mainly in urban and industrial areas.

  16. Assessment of the nutritional status of the elderly and its correlates

    Directory of Open Access Journals (Sweden)

    Rashmi Agarwalla

    2015-01-01

    Full Text Available Background: The percentage of elderly is growing rapidly and malnutrition is not uncommon in the elderly. Objectives: The present study was carried out to assess the nutritional status of the elderly using the Mini Nutritional Assessment (MNA tool, and to study the various epidemiological factors influencing their nutritional status. Materials and Methods: This cross-sectional study was done from July 2012 to August 2013 in Boko-Bongaon Block, Kamrup District, Assam, India. The elderly, those over 60 years of age, who met the inclusion criteria participated in the study. A total of 30 clusters were selected and 12 elderly from each cluster were taken to achieve the desired sample size of 360. Nutritional status was assessed by the MNA tool and a 24-h dietary recall method. Results: Out of the total of 360 elderly persons, 15% were found to be malnourished and 55% were at risk of malnutrition. The association between nutritional status and older age group, female gender, dependent functional status, dependent financial status and inadequate calorie intake was found to be significant. Conclusion: The present findings reveal that malnutrition is not an uncommon problem in the elderly, and further studies are needed in this regard.

  17. An assessment of pollution in aquatic environment using bioindicators

    African Journals Online (AJOL)

    This review highlights the importance of biological indicators in monitoring presence of pollution in aquatic environment. This assessment involves the use of living organisms (macro or microorganisms and plants or animals) as bioindicators of pollution in water bodies. These organisms are believed to show higher ...

  18. Pollution prevention opportunity assessment for Technical Art

    International Nuclear Information System (INIS)

    Torres, H.M.

    1995-09-01

    This pollution prevention opportunity assessment was conducted to evaluate Technical Art, which is part of the Technical Communications Department at Sandia National Laboratories/California. It is located in Building 912, Room 138. This assessment documents the processes, identifies the hazardous chemical waste streams generated by these processes, and recommends possible ways to minimize waste

  19. Assessing Interventions: IAEA Technical Cooperation Enhances Nutrition Programmes

    International Nuclear Information System (INIS)

    Aning, Kwaku

    2014-01-01

    Malnutrition — in all its forms — is a significant development challenge, affecting childhood health, workplace productivity, and national health programmes in countries around the world. While the effects of undernutrition are well recognized, there is less recognition of the fact that the long term impact of obesity or inappropriate nutrition can also be very damaging to health and to national economies. Increasingly, countries around the world are taking action to implement nutritional or physical activity interventions designed to improve the future health of children, as well as the health of their populations in general. Such interventions may include the promotion of exclusive breastfeeding, school breakfast or lunch programmes, nutrition awareness campaigns, food fortification, and investment in sports activities and facilities. The IAEA, through its Technical Cooperation (TC) programme, is working with its Member States to help them to assess the efficiency and effectiveness of such intervention programmes, in order to ensure that government efforts are having the desired effect, and that resources are being well applied. For such assessments, reliable data are essential, and it is here that nuclear science and technology come into play

  20. Evaluation of conducting a screening assessment of nutritional status of hospitalized patients. Presentation of main goals and objectives of the global health project "NutritionDay".

    Science.gov (United States)

    Jeznach-Steinhagen, Anna; Ostrowska, Joanna; Czerwonogrodzka-Senczyna, Aneta

    2016-01-01

    European Society for Clinical Nutrition and Metabolism (ESPEN) commenced in 2004 a global health project named "NutritionDay" aiming to promote awareness of proper nutritional status of hospitalized patients and to draw attention to the need for early detection of malnutrition among patients. Under the Polish law--pursunat to the regulation of the Minister of Health dated September 15, 2011 (amendment as of 27.12.2013)--a nutritional status of each patient should be assessed at the time of a hospital admission. of this study was to analyze the fulfilment of the mandatory questionnaire assessment of nutritional status at selected wards of one of Warsaw's clinical hospitals. The study included an analysis of medical records of patients hospitalized within 6 months (n = 26375). The correct fulfilment of screening questionnaire assessing nutritional status (NRS 2002 survey) and the information about patients' body weight as well as the results assessment of nutritional status were subject to the analysis. NRS 2002 questionnaire was present in only 67,14% medical records of patients, however 49.24% of them were unfilled. The obtained results confirming low degree of NRS 2002 questionnaires' fulfilment in one of the Warsaw clinical hospitals draws attention to the need for education of hospital personnel in the field of significance of screening of nutritional assessment and its regulations. The "NutritionDay" project is an interesting form to attract attention of the aforementioned problem and its global extent additionally encourage medical units to participate in the project.

  1. NUTRITIONAL ASSESSMENT IN PATIENTS PREDICTED TO MAJOR ABDOMINAL SURGERY AT THE GENERAL HOSPITAL CELJE

    Directory of Open Access Journals (Sweden)

    Ernest Novak

    2001-12-01

    Full Text Available Background. Malnutrition has serious implications for recovery after surgery. Early detection of malnutrition with nutritional support minimizes postoperative complications. Nutritional assessment tools need to be simple and suitable for use in everyday practice. In our study we wanted to determine, how many patients might benefit from nutritional support.Methods. From April to August 1999 fifty consecutively admitted patients predicted to major abdominal surgery have been examined. We used Mini nutritional assessment (MNA, Buzby’s nutrition risk index (NRI, blood albumin level and weight loss in the last 3 months period prior to the examination, to assess nutritional status.Results. We examined 50 patients (27 males and 23 females, age 76.5 ± 16.5 and confirmed malnutrition in 40% of patients with MNA and serum albumin level. The increased risk for nutrition-associated complications was confirmed by NRI and weight loss in 44%.Conclusions. A confident diagnosis of malnutrition and increased risk for nutrition-associated complications can be established by using a combination of simple methods like MNA, NRI, weight loss and serum albumin level. Almost half of the patients admitted for major abdominal surgery in General hospital Celje suffer from malnutrition and they may benefit with early nutritional intervention.

  2. Assessing nutritional status in cancer: role of the Patient-Generated Subjective Global Assessment.

    Science.gov (United States)

    Jager-Wittenaar, Harriët; Ottery, Faith D

    2017-09-01

    The Scored Patient-Generated Subjective Global Assessment (PG-SGA) is used internationally as the reference method for proactive risk assessment (screening), assessment, monitoring and triaging for interventions in patients with cancer. This review aims to explain the rationale behind and data supporting the PG-SGA, and to provide an overview of recent developments in the utilization of the PG-SGA and the PG-SGA Short Form. The PG-SGA was designed in the context of a paradigm known as 'anabolic competence'. Uniquely, the PG-SGA evaluates the patient's status as a dynamic rather than static process. The PG-SGA has received new attention, particularly as a screening instrument for nutritional risk or deficit, identifying treatable impediments and guiding patients and professionals in triaging for interdisciplinary interventions. The international use of the PG-SGA indicates a critical need for high-quality and linguistically validated translations of the PG-SGA. As a 4-in-1 instrument, the PG-SGA can streamline clinic work flow and improve the quality of interaction between the clinician and the patient. The availability of multiple high-quality language versions of the PG-SGA enables the inclusion of the PG-SGA in international multicenter studies, facilitating meta-analysis and benchmarking across countries.

  3. Integrative Metabolism: An Interactive Learning Tool for Nutrition, Biochemistry, and Physiology

    Science.gov (United States)

    Carey, Gale

    2010-01-01

    Metabolism is a dynamic, simultaneous, and integrative science that cuts across nutrition, biochemistry, and physiology. Teaching this science can be a challenge. The use of a scenario-based, visually appealing, interactive, computer-animated CD may overcome the limitations of learning "one pathway at a time" and engage two- and…

  4. Nutritional care of medical inpatients: a health technology assessment

    Directory of Open Access Journals (Sweden)

    Kruse Filip

    2006-02-01

    Full Text Available Abstract Background The inspiration for the present assessment of the nutritional care of medical patients is puzzlement about the divide that exists between the theoretical knowledge about the importance of the diet for ill persons, and the common failure to incorporate nutritional aspects in the treatment and care of the patients. The purpose is to clarify existing problems in the nutritional care of Danish medical inpatients, to elucidate how the nutritional care for these inpatients can be improved, and to analyse the costs of this improvement. Methods Qualitative and quantitative methods are deployed to outline how nutritional care of medical inpatients is performed at three Danish hospitals. The practices observed are compared with official recommendations for nutritional care of inpatients. Factors extraneous and counterproductive to optimal nutritional care are identified from the perspectives of patients and professional staff. A review of the literature illustrates the potential for optimal nutritional care. A health economic analysis is performed to elucidate the savings potential of improved nutritional care. Results The prospects for improvements in nutritional care are ameliorated if hospital management clearly identifies nutritional care as a priority area, and enjoys access to management tools for quality assurance. The prospects are also improved if a committed professional at the ward has the necessary time resources to perform nutritional care in practice, and if the care staff can requisition patient meals rich in nutrients 24 hours a day. At the kitchen production level prospects benefit from a facilitator contact between care and kitchen staff, and if the kitchen staff controls the whole food path from the kitchen to the patient. At the patient level, prospects are improved if patients receive information about the choice of food and drink, and have a better nutrition dialogue with the care staff. Better nutritional care of

  5. Assessment of the impact of point source pollution from the ...

    African Journals Online (AJOL)

    Assessment of the impact of point source pollution from the Keiskammahoek Sewage ... Water SA. Journal Home · ABOUT THIS JOURNAL · Advanced Search ... Also, significant pollution of the receiving Keiskamma River was indicated for ...

  6. Are nutrition messages lost in transmission? Assessing the quality and consistency of diabetes guideline recommendations on the delivery of nutrition therapy.

    Science.gov (United States)

    Hale, Kelli; Capra, Sandra; Bauer, Judy

    2016-12-01

    To provide an overview of (1) the consistency of Type 2 Diabetes Clinical Practice Guidelines recommendations on the delivery of nutrition therapy and (2) Clinical Practice Guideline quality. Large international clinical practice guideline repositories, diabetes organisation websites, and electronic databases (Pubmed, Scopus), were searched to identify Clinical Practice Guidelines for adults with type 2 diabetes published 2005 to August 2014. Recommendations on the delivery of nutrition therapy were extracted and inductive content analysis was used to analyse consistency. Two researchers independently assessed guideline quality using the AGREE II tool. Nine topics were identified from the recommendations. Overall the consistency of the recommendations was related to guideline type. Compared with nutrition-specific guidelines, the broad ones had a broader focus and included more patient-focused recommendations. The ten Clinical Practice Guidelines assessed included six broad guidelines and four nutrition specific guidelines. Based on AGREE II analysis, the broad guidelines were higher quality than nutrition-specific ones. Broad Clinical Practice Guidelines were higher quality and included more patient-focused recommendations than nutrition-specific ones. Our findings suggest a need for nutrition-specific guidelines to be modified to include greater patient-focus, or for practitioners delivering nutrition therapy to adopt broad Clinical Practice Guidelines. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  7. Chemometric Analysis for Pollution Source Assessment of Harbour Sediments in Arctic Locations

    DEFF Research Database (Denmark)

    Pedersen, Kristine B.; Lejon, Tore; Jensen, Pernille Erland

    2015-01-01

    Pollution levels, pollutant distribution and potential source assessments based on multivariate analysis (chemometrics) were made for harbour sediments from two Arctic locations; Hammerfest in Norway and Sisimiut in Greenland. High levels of heavy metals were detected in addition to organic...... pollutants. Preliminary assessments based on principal component analysis (PCA) revealed different sources and pollutant distribution in the sediments of the two harbours. Tributyltin (TBT) was, however, found to originate from point source(s), and the highest concentrations of TBT in both harbours were...... indicated relation primarily to German, Russian and American mixtures in Hammerfest; and American, Russian and Japanese mixtures in Sisimiut. PCA was shown to be an important tool for identifying pollutant sources and differences in pollutant composition in relation to sediment characteristics....

  8. Evaluation of perioperative nutritional status with subjective global assessment method in patients undergoing gastrointestinal cancer surgery.

    Science.gov (United States)

    Erdim, Aylin; Aktan, Ahmet Özdemir

    2017-01-01

    This study was designed to evaluate the perioperative nutritional status of patients undergoing surgery for gastrointestinal cancer using Subjective Global Assessment and surgeon behavior on nutritional support. We recruited 100 patients undergoing surgery for gastrointestinal cancer in one university and two state teaching hospitals. Subjective Global Assessment was administered to evaluate preoperative and postoperative nutritional status. Fifty-two patients in the state hospitals (Group 1) and 48 in the university hospital were assessed. Anthropometric and biochemical measurements were performed. Changes in preoperative Subjective Global Assessment scores and scores at the time of discharge and types of nutritional support were compared. Subjective Global Assessment-B was regarded as moderate and Subjective Global Assessment-C as heavy malnutrition. Ten patients had Subjective Global Assessment-B and 29 had Subjective Global Assessment-C malnutrition in Group 1 and nine had Subjective Global Assessment-B and 31 had Subjective Global Assessment-C malnutrition in Group 2 during preoperative assessment. Respective numbers in postoperative assessment were 12 for Subjective Global Assessment-B and 30 for Subjective Global Assessment-C in Group 1 and 14 for Subjective Global Assessment-B and 26 for Subjective Global Assessment-C in Group 2. There was no difference between two groups. Nutritional methods according to Subjective Global Assessment evaluation in pre- and postoperative periods were not different between the groups. This study demonstrated that the malnutrition rate is high among patients scheduled for gastrointestinal cancer surgery and the number of surgeons were inadequate to provide perioperative nutritional support. Both university and state hospitals had similar shortcomings. Subjective Global Assessment is an easy and reliable test and if utilized will be helpful to detect patients requiring nutritional support.

  9. Preliminary Assessment of Heavy Metal Pollution of Opa Reservoir, Ile

    African Journals Online (AJOL)

    big timmy

    Awolowo University (OAU), Ile-Ife, Nigeria, with a view to assessing its pollution level. ... Heavy metals are not biodegradable, but are assimilated .... samples were filtered (with Whatman filter paper. No 42) and ..... acidity,Water, Air Soil Pollut.

  10. Accelerator production of tritium pollution prevention design assessment

    International Nuclear Information System (INIS)

    Reynolds, R.; Nowacki, P.; Sheetz, S.O.; Lanik, P.

    1997-01-01

    This Pollution Prevention Design Assessment (PPDA) provides data for cost-benefit analysis of the potential environmental impact of the APT, is an integral part of pollution prevention/waste minimization, and is required by DOE for any activity generating radioactive, hazardous, and mixed wastes. It will also better position the APT to meet future requirements, since it is anticipated that regulatory and other requirements will continue to become more restrictive and demanding

  11. Accelerator production of tritium pollution prevention design assessment

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, R.; Nowacki, P.; Sheetz, S.O. [Westinghouse Savannah River Co., Aiken, SC (United States); Lanik, P. [Burns and Roe Engineering Inc. (United States)

    1997-09-18

    This Pollution Prevention Design Assessment (PPDA) provides data for cost-benefit analysis of the potential environmental impact of the APT, is an integral part of pollution prevention/waste minimization, and is required by DOE for any activity generating radioactive, hazardous, and mixed wastes. It will also better position the APT to meet future requirements, since it is anticipated that regulatory and other requirements will continue to become more restrictive and demanding.

  12. Modalities for assessing the nutritional status in patients with diabetes and cancer.

    Science.gov (United States)

    Clemente, G; Gallo, M; Giorgini, M

    2018-05-30

    Epidemiological data have shown that an increased body mass index (BMI) is associated with a higher risk of various cancers, especially in obese diabetic patients. However, oncologic patients often present nutritional alterations that can worsen their prognosis. The aim of this review is to propose the use of cheaper and easy to use tools to assess the nutritional status of patients with cancer with altered glucose metabolism. Based on a literature review, we propose anthropometric measures to classify the degree of malnutrition. Moreover, the Karnofsky Performance Status (KPS) and the Eastern Cooperative Oncology Group's performance index (ECOG) are useful to assess the functional status of the body; the achievement of nutritional needs can be analysed with the PG-SGA questionnaire, while the quality of life can be investigated using the DTSQ, SF36, EQ-5D questionnaires and the Edmonton Symptom Assessment System. Pre-albumin dosage and lymphocyte count are proposed as nutritional parameters. The degree of hydration can be evaluated through the Bio-Impedance Test (BIA), and energy intake through the dairy food diary, which considers the type of nutrition and the consistency of the meals. It is possible to use a score for each tool used, which is useful to plan an adequate nutritional intervention. Copyright © 2018 Elsevier B.V. All rights reserved.

  13. Integrative Application of Life Cycle Assessment and Risk Assessment to Environmental Impacts of Anthropogenic Pollutants at a Watershed Scale.

    Science.gov (United States)

    Lin, Xiaodan; Yu, Shen; Ma, Hwongwen

    2018-01-01

    Intense human activities have led to increasing deterioration of the watershed environment via pollutant discharge, which threatens human health and ecosystem function. To meet a need of comprehensive environmental impact/risk assessment for sustainable watershed development, a biogeochemical process-based life cycle assessment and risk assessment (RA) integration for pollutants aided by geographic information system is proposed in this study. The integration is to frame a conceptual protocol of "watershed life cycle assessment (WLCA) for pollutants". The proposed WLCA protocol consists of (1) geographic and environmental characterization mapping; (2) life cycle inventory analysis; (3) integration of life-cycle impact assessment (LCIA) with RA via characterization factor of pollutant of interest; and (4) result analysis and interpretation. The WLCA protocol can visualize results of LCIA and RA spatially for the pollutants of interest, which might be useful for decision or policy makers for mitigating impacts of watershed development.

  14. Assessment of nutritional status in cancer--the relationship between body composition and pharmacokinetics.

    Science.gov (United States)

    Prado, Carla M M; Maia, Yara L M; Ormsbee, Michael; Sawyer, Michael B; Baracos, Vickie E

    2013-10-01

    Several nutritional assessment tools have been used in oncology settings to monitor nutritional status and its associated prognostic significance. Body composition is fundamental for the assessment of nutritional status. Recently, the use of accurate and precise body composition tools has significantly added to the value of nutritional assessment in this clinical setting. Computerized tomography (CT) is an example of a technique which provides state-of-the-art assessment of body composition. With use of CT images, a great variability in body composition of cancer patients has been identified even in people with identical body weight or body mass index. Severe muscle depletion (sarcopenia) has emerged as a prevalent body composition phenotype which is predictive of poor functional status, shorter time to tumor progression, shorter survival, and higher incidence of dose-limiting toxicity. Variability in body composition of cancer patients may be a source of disparities in the metabolism of cytotoxic agents. Future clinical trials investigating dose reductions in patients with sarcopenia and dose-escalating studies based on pre-treatment body composition assessment have the potential to alter cancer treatment paradigms.

  15. Can the Mini Nutritional Assessment (MNA) Be Used as a Nutrition Evaluation Tool for Subacute Inpatients over an Average Length of Stay?

    Science.gov (United States)

    McDougall, K E; Cooper, P L; Stewart, A J; Huggins, C E

    2015-12-01

    The prevalence of malnutrition in subacute inpatient settings has been reported to be 30-50%. While there are a number of nutrition evaluation tools which have been validated to diagnose malnutrition, the use of a validated nutrition evaluation tool to measure changes in nutritional status during an average length of stay for a subacute inpatient has not yet been tested. This study aims to determine the potential of the full MNA (full Mini Nutritional Assessment) and MNA (Mini Nutritional Assessment Short Form) scores to measure change in nutritional status over an average subacute inpatient stay (21 days). A prospective observational study. The study was performed in three Rehabilitation and Geriatric Evaluation and Management (GEM) wards of the Kingston Centre, Monash Health, Melbourne, Australia. All patients ≥65 years admitted to these wards with an expected length of stay of at least 14 days were considered for inclusion in this study. Nutritional status was assessed on admission using the full MNA as part of usual dietetic care and patients were provided with nutrition intervention/diet therapy based on full MNA classification. Full MNA score (0-30), MNA score (0-14), anthropometry (weight and height) and nutritional biochemistry (serum albumin, transthyretin and C-reactive protein) were compared between admission and day 20.5 ± 2.4. Mean age (± SD) of 83 ± 7 years, n=114. For those patients diagnosed at risk of malnutrition or malnourished (n=103), there were significant increases in full MNA score (1.8 ± 2.4, pnutrition states (p=0.033). Both the MNA and full MNA can be used to evaluate nutrition progress within the subacute inpatient setting over a three week time period, thereby providing clinicians with feedback on a patient's nutrition progress and assisting with ongoing care planning. Due to its ease of use and shorter time required to complete, the MNA may be the preferred nutrition evaluation tool in this setting.

  16. Air pollution control technologies and their interactions

    Energy Technology Data Exchange (ETDEWEB)

    Nalbandian, H. [IEA Clean Coal Centre, London (United Kingdom)

    2004-11-01

    A large number of coal-fired power stations have been fitted/retrofitted with dedicated air pollutant control technologies. Experience shows that these technologies can have complex interactions and can impact each other as well as balance of plant, positively and/or negatively. Particulate matter (PM) is usually captured with electrostatic precipitators (ESPs) and fabric filters (FF). These technologies are efficient and reliable but their performance may be affected by modifying operating conditions and introducing primary measures for NOx reduction. Flue gas desulphurisation (FGD) systems for SO{sub 2} control have been installed in many facilities with the most popular technology being the wet limestone/gypsum scrubber. FGD use can decrease particulate matter and mercury emissions which is a major issue in the USA, cause an increase in carbon dioxide emissions, and in solids by-product. Primary measures such as low NOx burners (LNBs) and overfire air (OFA) minimise NOx formation but can increase carbon in ash (CIA) which can cause problems with fly ash sales but may also improve mercury capture. Reducing NOx emissions with selective catalytic reduction (SCR) can result in a decrease in particulate matter, an increase in SO{sub 3} emissions and trace increase in NH{sub 3}. This can cause fouling and loss of performance of the air preheater, due to the formation of ammonium sulphates. One way of alleviating this is improved soot-blowing and other cleaning capabilities. This report studies these and other interactions between existing air pollution control technologies in pulverised coal fired power plants. 249 refs., 13 figs., 18 tabs.

  17. Nutritional status assessment in colorectal cancer patients qualified to systemic treatment

    OpenAIRE

    Ziętarska, Monika; Krawczyk-Lipiec, Joanna; Kraj, Leszek; Zaucha, Renata; Małgorzewicz, Sylwia

    2017-01-01

    Aim of the study Cancer is usually associated with impaired nutritional status, which is one of the factors contributing to the deterioration of the results of surgery, chemotherapy, or radiotherapy. The aim of this study was the assessment of the nutritional status of patients with CRC qualified to chemotherapy. Material and methods Seventy-five persons aged 40–86 years with colorectal cancer were examined. To evaluate the nutritional status NRS 2002, SGA, SCRINIO Working Group classificatio...

  18. Nutritional status assessment in colorectal cancer patients qualified to systemic treatment

    OpenAIRE

    Monika Ziętarska; Joanna Krawczyk-Lipiec; Leszek Kraj; Renata Zaucha; Sylwia Małgorzewicz

    2017-01-01

    Aim of the study . Cancer is usually associated with impaired nutritional status, which is one of the factors contributing to the deterioration of the results of surgery, chemotherapy, or radiotherapy. The aim of this study was the assessment of the nutritional status of patients with CRC qualified to chemotherapy. Material and methods : Seventy-five persons aged 40–86 years with colorectal cancer were examined. To evaluate the nutritional status NRS 2002, SGA, SCRINIO Working Group...

  19. Interactive effects of global climate change and pollution on marine microbes: the way ahead.

    Science.gov (United States)

    Coelho, Francisco J R C; Santos, Ana L; Coimbra, Joana; Almeida, Adelaide; Cunha, Angela; Cleary, Daniel F R; Calado, Ricardo; Gomes, Newton C M

    2013-06-01

    Global climate change has the potential to seriously and adversely affect marine ecosystem functioning. Numerous experimental and modeling studies have demonstrated how predicted ocean acidification and increased ultraviolet radiation (UVR) can affect marine microbes. However, researchers have largely ignored interactions between ocean acidification, increased UVR and anthropogenic pollutants in marine environments. Such interactions can alter chemical speciation and the bioavailability of several organic and inorganic pollutants with potentially deleterious effects, such as modifying microbial-mediated detoxification processes. Microbes mediate major biogeochemical cycles, providing fundamental ecosystems services such as environmental detoxification and recovery. It is, therefore, important that we understand how predicted changes to oceanic pH, UVR, and temperature will affect microbial pollutant detoxification processes in marine ecosystems. The intrinsic characteristics of microbes, such as their short generation time, small size, and functional role in biogeochemical cycles combined with recent advances in molecular techniques (e.g., metagenomics and metatranscriptomics) make microbes excellent models to evaluate the consequences of various climate change scenarios on detoxification processes in marine ecosystems. In this review, we highlight the importance of microbial microcosm experiments, coupled with high-resolution molecular biology techniques, to provide a critical experimental framework to start understanding how climate change, anthropogenic pollution, and microbiological interactions may affect marine ecosystems in the future.

  20. Population Dynamics and Air Pollution: The Impact of Demographics on Health Impact Assessment of Air Pollution

    Directory of Open Access Journals (Sweden)

    Esben Meulengracht Flachs

    2013-01-01

    Full Text Available Objective. To explore how three different assumptions on demographics affect the health impact of Danish emitted air pollution in Denmark from 2005 to 2030, with health impact modeled from 2005 to 2050. Methods. Modeled air pollution from Danish sources was used as exposure in a newly developed health impact assessment model, which models four major diseases and mortality causes in addition to all-cause mortality. The modeling was at the municipal level, which divides the approximately 5.5 M residents in Denmark into 99 municipalities. Three sets of demographic assumptions were used: (1 a static year 2005 population, (2 morbidity and mortality fixed at the year 2005 level, or (3 an expected development. Results. The health impact of air pollution was estimated at 672,000, 290,000, and 280,000 lost life years depending on demographic assumptions and the corresponding social costs at 430.4 M€, 317.5 M€, and 261.6 M€ through the modeled years 2005–2050. Conclusion. The modeled health impact of air pollution differed widely with the demographic assumptions, and thus demographics and assumptions on demographics played a key role in making health impact assessments on air pollution.

  1. [Nutritional risk screening and nutrition assessment for gastrointestinal cancer patients].

    Science.gov (United States)

    Du, Yan-ping; Li, Ling-ling; He, Qing; Li, Yun; Song, Hu; Lin, Yi-jia; Peng, Jun-sheng

    2012-05-01

    To investigate the nutritional status, and provide evidence for nutritional treatment option. A total of 452 patients with gastrointestinal cancer were selected, including 156 gastric cancer,117 colon cancer, and 180 rectal cancer. The nutritional risk screening 2002(NRS2002) was applied to grade the nutritional risk. A multi-frequency bioelectrical impedance analysis was used to measure the patients' body composition. Albumin (Alb), prealbumin(PA), transferring(Tf), retinol binding protein(RBP), red blood cell(RBC), hemoglobin (Hb), haematocrit(Hct) were measured after fasting. The rate of patients with NRS2002 score more than 3 was 70.5%(110/156) for gastric cancer, 53.8%(63/117) for colon cancer, and 46.7%(86/180) for rectal cancer. The score for impaired nutritional status more than 1 for gastric cancer was higher than that for colorectal cancer(Pgastric cancer(Pgastric cancer patients as compared to colorectal cancer patients(Pgastric cancer patients(Pgastric cancer and colon cancer(Pgastric cancer are prone to fat loss and therefore have a higher nutritional risk and malnutrition than those with colorectal cancer. Combination of body composition analysis and laboratory examination may achieve comprehensive evaluation of the nutritional status of patients, and provide the evidence of nutritional therapy by being combined with NRS2002 score.

  2. [Nutritional Assessment and Management for Patients with Chronic Liver Disease].

    Science.gov (United States)

    Lee, Tae Hee

    2018-04-25

    When liver disease is severe, the prognosis can be worse if the patient is malnourished. Adequate nutritional support for patients with liver diseases can improve the patient's condition and prognosis. In the case of liver cirrhosis, malnutrition can occur due to a variety of causes, including poor oral intake, maldigestion, malabsorption, associated renal disease, and metabolic abnormalities. For a nutritional assessment, it is important to check the dietary intake, change in body composition, including anthropometry, and a functional assessment of muscle. Counselling and oral or enteral nutrition is preferred over parenteral nutrition as in other diseases. If esophageal varices are present, care should be taken when installing a feeding tube, but if there are ascites, percutaneous endoscopic gastrostomy is contraindicated because of the risk of complications. Calories of 30-35 kcal/kg/day and protein from 1.2 to 1.5 g/kg/day are appropriate. Protein restriction is unnecessary unless the hepatic encephalopathy is severe. A late evening snack and branched chain amino acids can be helpful. In the case of cholestasis, the supply of manganese and copper should be restricted. Sarcopenia in patients with liver cirrhosis is also prevalent and associated with the prognosis.

  3. Role of oxidative stress in cardiovascular disease outcomes following exposure to ambient air pollution.

    Science.gov (United States)

    Kelly, Frank J; Fussell, Julia C

    2017-09-01

    Exposure to ambient air pollution is associated with adverse cardiovascular outcomes. These are manifested through several, likely overlapping, pathways including at the functional level, endothelial dysfunction, atherosclerosis, pro-coagulation and alterations in autonomic nervous system balance and blood pressure. At numerous points within each of these pathways, there is potential for cellular oxidative imbalances to occur. The current review examines epidemiological, occupational and controlled exposure studies and research employing healthy and diseased animal models, isolated organs and cell cultures in assessing the importance of the pro-oxidant potential of air pollution in the development of cardiovascular disease outcomes. The collective body of data provides evidence that oxidative stress (OS) is not only central to eliciting specific cardiac endpoints, but is also implicated in modulating the risk of succumbing to cardiovascular disease, sensitivity to ischemia/reperfusion injury and the onset and progression of metabolic disease following ambient pollution exposure. To add to this large research effort conducted to date, further work is required to provide greater insight into areas such as (a) whether an oxidative imbalance triggers and/or worsens the effect and/or is representative of the consequence of disease progression, (b) OS pathways and cardiac outcomes caused by individual pollutants within air pollution mixtures, or as a consequence of inter-pollutant interactions and (c) potential protection provided by nutritional supplements and/or pharmacological agents with antioxidant properties, in susceptible populations residing in polluted urban cities. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  4. Assessment of nutritional status in laparoscopic gastrectomy for gastric cancer.

    Science.gov (United States)

    Son, Young-Gil; Kwon, In Gyu; Ryu, Seung Wan

    2017-01-01

    Malnutrition is very common in gastric cancer patients and can be detected in up to 85% of patients with gastric cancer. Malnutrition is associated with increased morbidity and mortality, prolonged hospital stay, poor treatment tolerance, and lower survival rate. Malnutrition also has an impact on quality of life. The early detection of nutritional risk with appropriate nutritional care can significantly reduce patient's postoperative morbidity and mortality. Because there is no gold standard tool, appropriate tools should be selected and applied depending on one's institutional conditions. And, it is recommended that nutritional assessment should be achieved for every patient at pre/post-operative period.

  5. Assessing the appropriateness of parenteral nutrition use in hospitalized patients. A comparison on parenteral nutrition bag prescription in different wards and nutritional outcomes.

    Science.gov (United States)

    Ponta, Monica Laura; Rabbione, Laura; Borgio, Cristina; Quirico, Eliana; Patrito, Elena; Petrachi, Maria Novella; Girotto, Elisabetta; Sillano, Marisa; Geninatti, Silvio; Zanardi, Michela; Pezzana, Andrea

    2018-06-01

    Our aim is to assess parenteral nutrition (PN) bag prescription in hospitalized patients and evaluate clinical outcomes linked to PN therapy. We performed an observational longitudinal retrospective study on PN prescription in a General Public Hospital in Turin, Italy, on ninety-five patients receiving PN prescribed by the Nutrition Support Team (NST). We described patients' demography and assessed nutritional outcomes, as well as PN bag prescription in different wards. Medians were calculated for several clinical parameters before and after PN therapy. A z-test for proportions has been performed to better understand the impact of various conditions on clinical outcomes and to compare differences between administered nutrients and required amounts. The NST resulted responsible for only 18% of bags prescribed in the geriatrics ward and for 48% in the surgery wards. PN was not able to fulfill nutritional requirements resulting in a median lack of 3.1 calories and 0.23 g of proteins per kilogram of reference body weight per day. Despite this, PN therapy was able to improve total blood proteins and calcium blood levels in our cohort. The NST changed the prescription in 55.8% of the pre-existing PN regimens. More strict adherence to guidelines is needed in order to maximize effectiveness of PN and observe a positive impact on clinical parameters. Copyright © 2018 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

  6. A review of soil heavy metal pollution from industrial and agricultural regions in China: Pollution and risk assessment.

    Science.gov (United States)

    Yang, Qianqi; Li, Zhiyuan; Lu, Xiaoning; Duan, Qiannan; Huang, Lei; Bi, Jun

    2018-06-14

    Soil heavy metal pollution has been becoming serious and widespread in China. To date, there are few studies assessing the nationwide soil heavy metal pollution induced by industrial and agricultural activities in China. This review obtained heavy metal concentrations in soils of 402 industrial sites and 1041 agricultural sites in China throughout the document retrieval. Based on the database, this review assessed soil heavy metal concentration and estimated the ecological and health risks on a national scale. The results revealed that heavy metal pollution and associated risks posed by cadmium (Cd), lead (Pb) and arsenic (As) are more serious. Besides, heavy metal pollution and associated risks in industrial regions are severer than those in agricultural regions, meanwhile, those in southeast China are severer than those in northwest China. It is worth noting that children are more likely to be affected by heavy metal pollution than adults. Based on the assessment results, Cd, Pb and As are determined as the priority control heavy metals; mining areas are the priority control areas compared to other areas in industrial regions; food crop plantations are the priority control areas in agricultural regions; and children are determined as the priority protection population group. This paper provides a comprehensive ecological and health risk assessment on the heavy metals in soils in Chinese industrial and agricultural regions and thus provides insights for the policymakers regarding exposure reduction and management. Copyright © 2018. Published by Elsevier B.V.

  7. Assessment of odor activity value coefficient and odor contribution based on binary interaction effects in waste disposal plant

    Science.gov (United States)

    Wu, Chuandong; Liu, Jiemin; Yan, Luchun; Chen, Haiying; Shao, Huiqi; Meng, Tian

    2015-02-01

    Odor activity value (OAV) has been widely used for the assessment of odor pollution from various sources. However, little attention has been paid to the extreme OAV variation and potential inaccuracies of odor contribution assessment caused by odor interaction effects. The objective of this study is to assess the odor interaction effect for precise assessment of odor contribution. In this paper, samples were collected from a food waste disposal plant, and analyzed by instrumental and olfactory method to conclude odorants' occurrence and OAV. Then odor activity value coefficient (γ) was first proposed to evaluate the type and the level of binary interaction effects based on determination of OAV variation. By multiplying OAV and γ, odor activity factor (OAF) was used to reflect the real OAV. Correlation between the sum of OAF and odor concentration reached 80.0 ± 5.7%, which was 10 times higher than the sum of OAV used before. Results showed that hydrogen sulfide contributed most (annual average 66.4 ± 15.8%) to odor pollution in the waste disposal plant. However, as odor intensity of samples in summer rising, odor contribution of trimethylamine increased to 48.3 ± 3.7% by the strong synergistic interaction effect, while odor contribution of phenol decreased to 0.1 ± 0.02% for the increasing antagonistic interaction effect.

  8. Road traffic air and noise pollution exposure assessment - A review of tools and techniques.

    Science.gov (United States)

    Khan, Jibran; Ketzel, Matthias; Kakosimos, Konstantinos; Sørensen, Mette; Jensen, Steen Solvang

    2018-09-01

    Road traffic induces air and noise pollution in urban environments having negative impacts on human health. Thus, estimating exposure to road traffic air and noise pollution (hereafter, air and noise pollution) is important in order to improve the understanding of human health outcomes in epidemiological studies. The aims of this review are (i) to summarize current practices of modelling and exposure assessment techniques for road traffic air and noise pollution (ii) to highlight the potential of existing tools and techniques for their combined exposure assessment for air and noise together with associated challenges, research gaps and priorities. The study reviews literature about air and noise pollution from urban road traffic, including other relevant characteristics such as the employed dispersion models, Geographic Information System (GIS)-based tool, spatial scale of exposure assessment, study location, sample size, type of traffic data and building geometry information. Deterministic modelling is the most frequently used assessment technique for both air and noise pollution of short-term and long-term exposure. We observed a larger variety among air pollution models as compared to the applied noise models. Correlations between air and noise pollution vary significantly (0.05-0.74) and are affected by several parameters such as traffic attributes, building attributes and meteorology etc. Buildings act as screens for the dispersion of pollution, but the reduction effect is much larger for noise than for air pollution. While, meteorology has a greater influence on air pollution levels as compared to noise, although also important for noise pollution. There is a significant potential for developing a standard tool to assess combined exposure of traffic related air and noise pollution to facilitate health related studies. GIS, due to its geographic nature, is well established and has a significant capability to simultaneously address both exposures. Copyright

  9. Gender-specific differences of interaction between obesity and air pollution on stroke and cardiovascular diseases in Chinese adults from a high pollution range area: A large population based cross sectional study

    International Nuclear Information System (INIS)

    Qin, Xiao-Di; Qian, Zhengmin; Vaughn, Michael G.; Trevathan, Edwin; Emo, Brett; Paul, Gunther; Ren, Wan-Hui; Hao, Yuan-Tao; Dong, Guang-Hui

    2015-01-01

    exposure and onset of disease. - Highlights: • Few studies assessed interactions of obesity and air pollution on CVDs in Chinese. • We included a large population of 24,845 Chinese adults from three cities of China. • Obesity enhanced the effects of air pollution on stoke and CVDs in Chinese adults. • Modification of obesity was significant only in females

  10. Gender-specific differences of interaction between obesity and air pollution on stroke and cardiovascular diseases in Chinese adults from a high pollution range area: A large population based cross sectional study

    Energy Technology Data Exchange (ETDEWEB)

    Qin, Xiao-Di [Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Environmental and Occupational Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080 (China); Qian, Zhengmin [Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104 (United States); Vaughn, Michael G. [School of Social Work, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104 (United States); Trevathan, Edwin [Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104 (United States); Emo, Brett [Department of Environmental and Occupational Health, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104 (United States); Paul, Gunther [Facuty of Health, School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD 4059 (Australia); Ren, Wan-Hui [Department of Ambient Air Pollution Monitor, Shenyang Environmental Monitoring Center, Shenyang 110004 (China); Hao, Yuan-Tao [Department of Epidemiology and Biostatistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080 (China); Dong, Guang-Hui, E-mail: donggh5@mail.sysu.edu.cn [Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Environmental and Occupational Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080 (China)

    2015-10-01

    of BMI relative to exposure and onset of disease. - Highlights: • Few studies assessed interactions of obesity and air pollution on CVDs in Chinese. • We included a large population of 24,845 Chinese adults from three cities of China. • Obesity enhanced the effects of air pollution on stoke and CVDs in Chinese adults. • Modification of obesity was significant only in females.

  11. Environmental Sustainability Analysis and Nutritional Strategies of Animal Production in China.

    Science.gov (United States)

    Tan, Bie; Yin, Yulong

    2017-02-08

    Animal production in China has achieved considerable progress and contributes to 46% of the total agriculture output value of the country. However, this fast expansion of animal production has led to environmental pollution. In this article, we review the status of soil, water, and air pollution associated with animal production in China and analyze the main sources of the pollutants. The government has promulgated regulations and standards, and effective models and technologies have been developed to control pollution during the last 10 years. Because nutrition and feed strategies represent the most effective method of controlling environmental pollution at the source, this review focuses on nutritional technologies, including accurate feed formulation, rational use of additives, and proper processing of feeds. The advances of modern biotechnology and big data systems also provide more modern approaches to decreasing wastage release. These nutritional strategies are expected to promote sustainable development of animal production.

  12. Comparison of nutritional status assessment parameters in predicting length of hospital stay in cancer patients.

    Science.gov (United States)

    Mendes, J; Alves, P; Amaral, T F

    2014-06-01

    Undernutrition has been associated with an increased length of hospital stay which may reflect the patient prognosis. The aim of this study was to quantify and compare the association between nutritional status and handgrip strength at hospital admission with time to discharge in cancer patients. An observational prospective study was conducted in an oncology center. Patient-Generated Subjective Global Assessment, Nutritional Risk Screening 2002 and handgrip strength were conducted in a probabilistic sample of 130 cancer patients. The association between baseline nutritional status, handgrip strength and time to discharge was evaluated using survival analysis with discharge alive as the outcome. Nutritional risk ranged from 42.3 to 53.1% depending on the tool used. According to Patient-Generated Subjective Global Assessment severe undernutrition was present in 22.3% of the sample. The association between baseline data and time to discharge was stronger in patients with low handgrip strength (adjusted hazard ratio, low handgrip strength: 0.33; 95% confidence interval: 0.19-0.55), compared to undernourished patients evaluated by the other tools; Patient-Generated Subjective Global Assessment: (adjusted hazard ratio, severe undernutrition: 0.45; 95% confidence interval: 0.27-0.75) and Nutritional Risk Screening 2002: (adjusted hazard ratio, with nutritional risk: 0.55; 95% confidence interval: 0.37-0.80). An approximate 3-fold decrease in probability of discharge alive was observed in patients with low handgrip strength. Decreasing handgrip strength tertiles allowed to discriminate between patients who will have longer hospital stay, as well as undernutrition and nutritional risk assessed by Patient-Generated Subjective Global Assessment and Nutritional Risk Screening 2002. Copyright © 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  13. ASSESSMENT OF THE TOTAL PETROLEUM HYDROCARBON CONTENT OF AGRICULTURAL SOIL POLLUTED WITH DIFFERENT VOLUME OF CRUDE OIL DURING PLANT- MICROBE INTERACTION

    Directory of Open Access Journals (Sweden)

    Toochukwu Ekwutosi OGBULIE

    2014-06-01

    Full Text Available The effectiveness of plants in interaction with indigenous organisms in environmental clean –up was evaluated. The agricultural soil used for the study was polluted with 100ml, 200ml, 400ml and 800ml of Bonny light crude oil [100%]. Pre and post Microbial examination of the polluted soil identified the indigenous flora present in the soil to be Penicillum sp Aspergillus fumigatus, Aspergillus niger, Candida sp, Pseudomonas fluorescence, Acinetobacter baumanni, Bacillus mycoides, Klebsiella sp., Staphylococcus aureus and Escherichia coli though the absence of S aureus and E. coli was evident during the latter. Vigna unguiculata var unguiculata, Mucuna pruriens, Zea mays and Telfairia occidentalis were the test plant used. Gas chromatographic (GC analysis revealed the total petroleum hydrocarbon (TPH of polluted soil on comparison with the value of 10,380 kg/ mg for control sample, to be low. The high TPH obtained from samples polluted with higher concentration depicts that the numbers of plants to be cultivated for remediation could be a determining factor for a faster clean-up. Statistical analysis using analysis of variance (ANOVA model of SPSS software however, showed there was no significant difference in the degradation of crude oil in samples that are in the green house or field.

  14. Assessing the cost of groundwater pollution: the case of diffuse agricultural pollution in the Upper Rhine valley aquifer.

    Science.gov (United States)

    Rinaudo, J-D; Arnal, C; Blanchin, R; Elsass, P; Meilhac, A; Loubier, S

    2005-01-01

    This paper presents an assessment of the costs of diffuse groundwater pollution by nitrates and pesticides for the industrial and the drinking water sectors in the Upper Rhine valley, France. Pollution costs which occurred between 1988 and 2002 are described and assessed using the avoidance cost method. Geo-statistical methods (kriging) are then used to construct three scenarios of nitrate concentration evolution. The economic consequences of each scenario are then assessed. The estimates obtained are compared with the results of a contingent valuation study carried out in the same study area ten years earlier.

  15. Assessment of nutritional status in cancer patients in Osijek health area center.

    Science.gov (United States)

    Ebling, Barbara; Brumnić, Vesna; Rendić-Miocević, Zrinka; Gmajnić, Rudika; Pribić, Sanda; Juretić, Antonio; Ebling, Zdravko; Muha, Ivana

    2014-03-01

    The aim of this research was to perform the nutritional screening and clinical assessment of malnutrition and of cachexia as well as the need for enteral nutritional support. We used an international questionnaire for nutrition screening and clinical assessment of malnutrition. 103 cancer patients participated in the research. The results indicate that 80patients (78%) have recently unintentionally lost weight in the last six months. Of those 80 patients 12 (15%) have lost more than 15 kilograms. Three patients (3%) suffer from hunger because of their inability to eat. Presence of multiple (3 or more) symptoms (nausea, vomiting, diarrhea or anorexia) was reported by 11 patients (11%). Severe work dysfunction was found in 28 patients (27%). 14 patients (14%) experience significant loss of musculature (musculus quadriceps femoris, musculus deltoideus). The obtained results indicate that 15patients (14%) are severely, and 39 patients (38%) are moderately undernourished. This survey confirmed the significance of nutritional screening in cancer patients, as it detected 30 patients (29%) who required introduction of enteral nutrition.

  16. Importance of taste, nutrition, cost and convenience in relation to diet quality: Evidence of nutrition resilience among US adults using National Health and Nutrition Examination Survey (NHANES) 2007-2010.

    Science.gov (United States)

    Aggarwal, Anju; Rehm, Colin D; Monsivais, Pablo; Drewnowski, Adam

    2016-09-01

    Concerns with taste, nutrition, cost, and convenience are said to be key influences on food choices. This study examined the importance of food-related attitudes in relation to diet quality using US national level data. Interactions by socioeconomic status (SES), gender and race/ethnicity were tested. Analyses of 8957 adults from National Health and Nutrition Examination Survey (NHANES 2007-2010) were conducted in 2014-15. Perceived importance of taste, nutrition, cost, and convenience in dietary choices were assessed using 4-point Likert scales. Education and family income-to-poverty ratio (FIPR) were SES indicators. Healthy Eating Index (HEI-2010), a measure of adherence to 2010 dietary guidelines, was the diet quality measure. Survey-weighted regressions examined associations between attitudes and HEI, and tested for interactions. Taste was rated as "very important" by 77.0% of the US adults, followed by nutrition (59.9%), cost (39.9%), and convenience (29.8%). However, it was the perceived importance of nutrition that most strongly predicted HEI (β: +8.0 HEI scores among "very important" vs. "not at all important"). By contrast, greater importance for taste and convenience had a weak inverse relation with HEI (β: -5.1 and -1.5 respectively), adjusting for SES. Significant interactions were observed by race/ethnicity, but not SES and gender. Those who prioritized nutrition during food shopping had higher-quality diets regardless of gender, education and income in the US. Certain racial/ethnic groups managed to eat healthy despite attaching importance to cost and convenience. This is the first evidence of nutrition resilience among US adults using national data, which has huge implications for nutrition interventions. Published by Elsevier Inc.

  17. Knowledge of General Nutrition, Soy Nutrition, and Consumption of Soy Products: Assessment of a Sample Adult Population in Montgomery County, Virginia

    OpenAIRE

    Johnson, Lida Catherine

    1999-01-01

    KNOWLEDGE OF GENERAL NUTRITION, SOY NUTRITION, AND CONSUMPTION OF SOY PRODUCTS: ASSESSMENT OF A SAMPLE ADULT POPULATION IN MONTGOMERY COUNTY, VIRGINIA Lida Catherine Johnson (ABSTRACT) Nutrition education programs in the prevention of chronic diseases has flourished over the last 15 years. Investigators continue to demonstrate that soy consumption plays a role in decreasing chronic diseases such as cardiovascular disease, cancer, osteoporosis and problems regarding menopause....

  18. A review of air exchange rate models for air pollution exposure assessments.

    Science.gov (United States)

    Breen, Michael S; Schultz, Bradley D; Sohn, Michael D; Long, Thomas; Langstaff, John; Williams, Ronald; Isaacs, Kristin; Meng, Qing Yu; Stallings, Casson; Smith, Luther

    2014-11-01

    A critical aspect of air pollution exposure assessments is estimation of the air exchange rate (AER) for various buildings where people spend their time. The AER, which is the rate of exchange of indoor air with outdoor air, is an important determinant for entry of outdoor air pollutants and for removal of indoor-emitted air pollutants. This paper presents an overview and critical analysis of the scientific literature on empirical and physically based AER models for residential and commercial buildings; the models highlighted here are feasible for exposure assessments as extensive inputs are not required. Models are included for the three types of airflows that can occur across building envelopes: leakage, natural ventilation, and mechanical ventilation. Guidance is provided to select the preferable AER model based on available data, desired temporal resolution, types of airflows, and types of buildings included in the exposure assessment. For exposure assessments with some limited building leakage or AER measurements, strategies are described to reduce AER model uncertainty. This review will facilitate the selection of AER models in support of air pollution exposure assessments.

  19. Industrial pollution load assessment in Phnom Penh, Cambodia using an industrial pollution projection system.

    Science.gov (United States)

    San, Vibol; Spoann, Vin; Schmidt, Johannes

    2018-02-15

    Approximately 56% out of the total 1302 Cambodian firms are operated in the Capital city of Cambodia. The necessary information on industrial pollution to set strategies, priorities and action plans on environmental protection issues is absent in Cambodia. In the absence of this data, effective environmental protection cannot be implemented. The objective of this study is to estimate industrial pollution load by employing the Industrial Pollution Projection System, a rapid environmental management tool for assessment of pollution load, to produce a scientific rational basis for preparing future policy direction to reduce industrial pollution in Phnom Penh city. Factory data between 1994 and 2014 obtained from the Ministry of Industry and Handicraft of Cambodia were used in our study. Due to the high number of employees, the total environmental load generated in Phnom Penh city was estimated to be 476,981Mg in 2014. Phnom Penh city generated 189,109Mg of VOC, 165,411Mg of toxic chemicals to air, 38,523Mg of toxic chemicals to land, and 28,968Mg of SO 2 in 2014. The results of the estimation show that the Textiles and Apparel sector was the highest generators of toxic chemicals into land and air, and toxic metals into land, air and water, while the Basic Metal sector was the greatest contributor of toxic chemicals to water. The Textiles and Apparel sector alone emitted 436,016Mg of total pollution load. The results indicate that the Dangkao and Meanchey districts were the greatest emitters of all pollutants in Phnom Penh. The results suggest that reduction in industrial pollution could be achieved by focusing on the most polluting sectors and areas. Adopting waste minimization strategies, which include cleaner production processes, will not only reduce the cost of controlling pollution, it will also make manufacturing more efficient thereby increasing profits while reducing pollution load in the long run. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Assessment of Air Pollution and GHG Mitigation Strategies in Malaysia using the GAINS Model

    International Nuclear Information System (INIS)

    Kumar, M.

    2013-01-01

    Planning for future energy development, taking into account the national obligations to mitigate climate change and air quality pressures is a major challenge faced by Malaysia. This research facilitates the impact assessment of simultaneous control of air pollution and GHG abatement through a set of emission scenarios while considering current and future Malaysian policies. The IIASAs GAINS (Greenhouse Gas-Air Pollution Interactions and Synergies) model is used for the estimation of emissions and costs, and the outputs of the MESSAGE and MAED energy models provide the underlying energy projections by 2050. Results show that current air-quality policies are efficient in keeping emissions growth at moderate rate, however, significant reduction potential exists if best available control technologies are introduced. Malaysian climate policies - modeled here for power sector - aiming at the -40 % decrease in carbon-intensity, result in important reductions of air pollutants, while the overall co-benefits can be substantial if other sectors are tackled by climate strategies. Initial results indicate the reduction of air pollutant control cost due to climate measures is comparable to the invoked cost-increase in power sector by 2030. Thereby, these co-benefits help to moderate total expenditures for meeting national climate policy targets. (author)

  1. Validity and reliability of a nutrition knowledge survey for assessment in elementary school children.

    Science.gov (United States)

    Gower, Jared R; Moyer-Mileur, Laurie J; Wilkinson, Robert D; Slater, Hillarie; Jordan, Kristine C

    2010-03-01

    Limited surveys are available to assess the nutrition knowledge of children. The goals of this study were to test the validity and reliability of a computer nutrition knowledge survey for elementary school students and to evaluate the impact of the "Fit Kids 'r' Healthy Kids" nutrition intervention via the knowledge survey. During survey development, a sample (n=12) of health educators, elementary school teachers, and registered dietitians assessed the survey. The target population consisted of first- through fourth-grade students from Salt Lake City, UT, metropolitan area schools. Participants were divided into reliability (n=68), intervention (n=74), and control groups (n=59). The reliability group took the survey twice (2 weeks apart); the intervention and control groups also took the survey twice, but at pre- and post-intervention (4 weeks later). Only students from the intervention group participated in four weekly nutrition classes. Reliability was assessed by Pearson's correlation coefficients for knowledge scores. Results demonstrated appropriate content validity, as indicated by expert peer ratings. Test-retest reliability correlations were found to be significant for the overall survey (r=0.54; PNutrition knowledge was assessed upon program completion with paired samples t tests. Students from the intervention group demonstrated improvement in nutrition knowledge (12.2+/-1.9 to 13.5+/-1.6; Pnutrition survey demonstrated content validity and test-retest reliability for first- through fourth-grade elementary school children. Also, the study results imply that the Fit Kids 'r' Healthy Kids intervention promoted gains in nutrition knowledge. Overall, the computer survey shows promise as an appealing medium for assessing nutrition knowledge in children. Copyright 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

  2. [Evaluation of nutritional Status in lung cancer using bio electrical impedance analysis and mini nutritional assessment].

    Science.gov (United States)

    Daghfous, Hafaoua; El Ayeb, Wejdène; Alouane, Leila; Tritar, Fatma

    2014-12-01

    Malnutrition and cachexia were a frequent problem in lung cancer and increases the risks of morbidity and mortality in these patients. Bioelectrical impedance analysis (BIA) is easy, non-invasive and reproducible method that can be performed. Evaluate nutritional status in patients with primary lung cancer by Mini Nutritional Assessment (MNA), BIA and anthropometric values (weight, arm and calf circumferences) and correlate the nutritional parameters to severity of cancer and histopathology. The nutritional status of 73 cases of primary lung cancer was evaluated by anthropometric parameters, MNA test and impedencemetrie Results: According to body mass index (BMI), malnutrition, overweight and obesity were noted in 34,2%, 13,7% and 5,5%. According to BMI, free-fat mass index (FFMI) and fat mass index (FMI), the investigations occurred malnutrition and depletion of muscle in respectively 19,2% and 23,3% of cases. Fat depletion was noted in 21,9%. Overweight and obesity were detected in 6,8% and 5,5% of cases. Assessment by MNA, revealed that 28,7% of patients were already malnourished and 49,3% of patients were at risk of malnutrition. A significant correlation existed between the score of MNA and arm and calf circumferences, FFMI and FMI. FMI was significantly lower in group of patients with small lung carcinoma. Only FFMI allows early detection of malnutrition in cancer patients overestimated by measuring BMI and arm circumference was the better indicator of depletion of muscle.

  3. GIS-based pollution hazard mapping and assessment framework of shallow lakes: southeastern Pampean lakes (Argentina) as a case study.

    Science.gov (United States)

    Romanelli, A; Esquius, K S; Massone, H E; Escalante, A H

    2013-08-01

    The assessment of water vulnerability and pollution hazard traditionally places particular emphasis on the study on groundwaters more than on surface waters. Consequently, a GIS-based Lake Pollution Hazard Index (LPHI) was proposed for assessing and mapping the potential pollution hazard for shallow lakes due to the interaction between the Potential Pollutant Load and the Lake Vulnerability. It includes easily measurable and commonly used parameters: land cover, terrain slope and direction, and soil media. Three shallow lake ecosystems of the southeastern Pampa Plain (Argentina) were chosen to test the usefulness and applicability of this suggested index. Moreover, anthropogenic and natural medium influence on biophysical parameters in these three ecosystems was examined. The evaluation of the LPHI map shows for La Brava and Los Padres lakes the highest pollution hazard (≈30 % with high to very high category) while Nahuel Rucá Lake seems to be the less hazardous water body (just 9.33 % with high LPHI). The increase in LPHI value is attributed to a different loading of pollutants governed by land cover category and/or the exposure to high slopes and influence of slope direction. Dissolved oxygen and biochemical oxygen demand values indicate a moderately polluted and eutrophized condition of shallow lake waters, mainly related to moderate agricultural activities and/or cattle production. Obtained information by means of LPHI calculation result useful to perform a local diagnosis of the potential pollution hazard to a freshwater ecosystem in order to implement basic guidelines to improve lake sustainability.

  4. Interactions Between Asian Air Pollution and Monsoon System: South Asia (ROSES-2014 ACMAP)

    Science.gov (United States)

    Pan, Xiaohua; Chin, Mian; Tao, Zhining; Kim, Dongchul; Bian, Huisheng; Kucsera, Tom

    2018-01-01

    Asia's rapid economic growth over the past several decades has brought a remarkable increase in air pollution levels in that region. High concentrations of aerosols (also known as particulate matter or PM) from pollution sources pose major health hazards to half of the world population in Asia including South Asia. How do pollution and dust aerosols regulate the monsoon circulation and rainfall via scattering and absorbing solar radiation, changing the atmospheric heating rates, and modifying the cloud properties? We conducted a series of regional model experiments with NASA-Unified Weather Research and Forecast (NUWRF) regional model with coupled aerosol-chemistry-radiation-microphysics processes over South Asia for winter, pre-monsoon, and monsoon seasons to address this question. This study investigates the worsening air quality problem in South Asia by focusing on the interactions between pollution and South Asian monsoon, not merely focusing on the increase of pollutant emissions.

  5. Anoxic denitrification of BTEX: Biodegradation kinetics and pollutant interactions.

    Science.gov (United States)

    Carvajal, Andrea; Akmirza, Ilker; Navia, Daniel; Pérez, Rebeca; Muñoz, Raúl; Lebrero, Raquel

    2018-05-15

    Anoxic mineralization of BTEX represents a promising alternative for their abatement from O 2 -deprived emissions. However, the kinetics of anoxic BTEX biodegradation and the interactions underlying the treatment of BTEX mixtures are still unknown. An activated sludge inoculum was used for the anoxic abatement of single, dual and quaternary BTEX mixtures, being acclimated prior performing the biodegradation kinetic tests. The Monod model and a Modified Gompertz model were then used for the estimation of the biodegradation kinetic parameters. Results showed that both toluene and ethylbenzene are readily biodegradable under anoxic conditions, whereas the accumulation of toxic metabolites resulted in partial xylene and benzene degradation when present both as single components or in mixtures. Moreover, the supplementation of an additional pollutant always resulted in an inhibitory competition, with xylene inducing the highest degree of inhibition. The Modified Gompertz model provided an accurate fitting for the experimental data for single and dual substrate experiments, satisfactorily representing the antagonistic pollutant interactions. Finally, microbial analysis suggested that the degradation of the most biodegradable compounds required a lower microbial specialization and diversity, while the presence of the recalcitrant compounds resulted in the selection of a specific group of microorganisms. Copyright © 2018 Elsevier Ltd. All rights reserved.

  6. The geometric framework for nutrition reveals interactions between protein and carbohydrate during larval growth in honey bees

    Directory of Open Access Journals (Sweden)

    Bryan R. Helm

    2017-06-01

    Full Text Available In holometabolous insects, larval nutrition affects adult body size, a life history trait with a profound influence on performance and fitness. Individual nutritional components of larval diets are often complex and may interact with one another, necessitating the use of a geometric framework for elucidating nutritional effects. In the honey bee, Apis mellifera, nurse bees provision food to developing larvae, directly moderating growth rates and caste development. However, the eusocial nature of honey bees makes nutritional studies challenging, because diet components cannot be systematically manipulated in the hive. Using in vitro rearing, we investigated the roles and interactions between carbohydrate and protein content on larval survival, growth, and development in A. mellifera. We applied a geometric framework to determine how these two nutritional components interact across nine artificial diets. Honey bees successfully completed larval development under a wide range of protein and carbohydrate contents, with the medium protein (∼5% diet having the highest survival. Protein and carbohydrate both had significant and non-linear effects on growth rate, with the highest growth rates observed on a medium-protein, low-carbohydrate diet. Diet composition did not have a statistically significant effect on development time. These results confirm previous findings that protein and carbohydrate content affect the growth of A. mellifera larvae. However, this study identified an interaction between carbohydrate and protein content that indicates a low-protein, high-carb diet has a negative effect on larval growth and survival. These results imply that worker recruitment in the hive would decline under low protein conditions, even when nectar abundance or honey stores are sufficient.

  7. Assessment of the biomass related indoor air pollution in Kwale ...

    African Journals Online (AJOL)

    Background: Indoor air pollution remains an important health problem in some countries. Although research data on this issue is available, routine monitoring in affected areas is limited. The aims of this study were to quantify exposure to biomass- related indoor air pollution; assess the respiratory health of subjects; and ...

  8. [Nutritional care in the cardiac rehabilitation program].

    Science.gov (United States)

    da Vico, Letizia; Biffi, Barbara; Masini, Maria Luisa; Fattirolli, Francesco

    2007-06-01

    There is some evidence of the efficacy of nutritional care in modifying eating habits and behavior in patients undergoing cardiac rehabilitation: nutritional care has a relevant role in the secondary prevention of cardiovascular disease. The dietitian is the qualified sanitary professional for nutritional care. The aim of this study was to define the role of dietitians within a health care team in programs of cardiac rehabilitation. In this setting, nutritional care starts with a dietary assessment, which includes a measurement of the anthropometric parameters, and a survey of the patient knowledge and eating habits. If there is no need for change in the patient lifestyle, the patient is addressed to the normal cardiac rehabilitation program with no further nutritional intervention except one session of counseling. When lifestyle changes are needed, the dietitian defines, together with the patient, therapeutic aims and expected results. The following phase is represented by group session with patients and their relatives during which nutritional topics are discussed and nutritional education is provided Afterwards, self-monitoring sheets of eating habits are individually discussed in one visit; a last individual visit is used for a final assessment of nutritional knowledge, dietary habits, and anthropometric parameters. In case of unsatisfactory results, patients are invited to participate to three group session to be held biweekly, during which they interact with the dietitian and take part to exercises and group discussions. When the established targets are reached, the nutritional program includes individual follow up visits at six and twelve months for further assessment of medium term results.

  9. The use of the Mini Nutritional Assessment to assess the Nutritional Status of Elderly Subjects living in The Riyadh Nursing Home

    International Nuclear Information System (INIS)

    Al-Hamadan, Adel Ibn Abd. Al-Wahab; Alorf, Sadaa Bent Muhamed

    2005-01-01

    All elderly residents (total number 74) in the Riyadh nursing home were included in this study. Body mass index (BMI), mid-arm circumference (MAC) and calf circumference (CC) were measured. The Mini Nutritional Assessment (MAA), specifically designed for elderly subjects was used in the study to determine the nutritional status. 27% and 43% of elderly subjects were found to be malnourished and at risk of being malnourished, respectively. The means the (BMI), (MAC), and (CC) were about 24 Kg/m2, 26 cm and 29.5 cm, respectively. Elderly people, who were classified as malnourished, according to the (MNA), had the lowest (BMI), (MAC). When the score of the (MNA) was based on the diagnosis of the elderly, the results show the elderly subjects with more one main diagnosis had the lowest score. Based on the score of the (MNA) test, more than 1/4 of the subjects were malnourished. Most of the subjects were consuming three whole meals and more than two serving of fruit and vegetables per day. It seems that food intake, in the nursing home, was satisfactory, among the subjects. Despite that the percentage of malnourished subjects reached 27%. The results of the (MNA) test indicated the necessity of performing national nutritional assessment for this vulnerable group of people in other nursing homes and in the community. (author)

  10. Health assessment of environmental pollutants: proliferative and degenerative diseases

    International Nuclear Information System (INIS)

    Stuart, B.O.

    1988-01-01

    In order to achieve a balanced approach to risk assessment between carcinogenic and non-carcinogenic health effects one must examine the risk of disease or death in the general population exposed to a particular air pollutant that can be related quantitatively to intensity and duration of exposures (National Academy of Sciences, 1983). Such risk assessment should be based upon careful evaluation of scientific findings of dose-response relationships in the chronically exposed population. Quantitative assessment of environmentally produced disease in man has proven to be complex and demanding. A variety of factors play important roles in this task. As an example, there are induction-latency periods for chronic diseases, including cancer, which may range from five to twenty-five years. The diseases themselves, whether proliferative or degenerative, may follow several stages of progression. There is only sparse epidemiological data on serious health effects that may be due to environmental as compared to occupational exposures. Exposures to chemical or radiological air contaminants do not occur singly but to a multiplicity of agents, and disease processes are frequently markedly affected by the interaction of a variety of factors, particularly that of cigarette smoking. There is growing recognition of potentially sensitive subpopulations, including the elderly and the very young, but adequate techniques for assessing the magnitude of increased risks to these groups have not yet been developed

  11. Assessment of nutritional status and quality of life in patients treated for head and neck cancer.

    Science.gov (United States)

    Prevost, V; Joubert, C; Heutte, N; Babin, E

    2014-04-01

    The purpose of this study was to identify tools for the assessment of nutritional status in head and neck cancer patients, to evaluate the impact of malnutrition on therapeutic management and quality of life and to propose a simple screening approach adapted to routine clinical practice. The authors conducted a review of the literature to identify tools for the assessment of nutritional status in head and neck cancer patients published in French and English. Articles were obtained from the PubMed database and from the references of these articles and selected journals, using the keywords: "nutritional assessment", and "head and neck" and "cancer". Anthropometric indices, laboratory parameters, dietary intake assessment, clinical scores and nutritional risk scores used in patients with head and neck cancers are presented. The relevance of these tools in clinical practice and in research is discussed, together with the links between nutritional status and quality of life. This article is designed to help teams involved in the management of patients with head and neck cancer to choose the most appropriate tools for assessment of nutritional status according to their resources and their objectives. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  12. Ecotoxicological Assessment of Water and Sediment Pollution of the Iskar River bellow Samokov

    Directory of Open Access Journals (Sweden)

    Ivan Diadovski

    2005-04-01

    Full Text Available A system of integral ecological indices has been worked out to assess the level of pollution of water and sediments with hazardous substances. A model for the dynamics of the integral index for water and sediments pollution is proposed. This index was applied for ecotoxicological assessment of water and sediments pollution of the Iskar river bellow Samokov. A modification method on time series analysis is applied.

  13. Effects of an individualised nutritional education and support programme on dietary habits, nutritional knowledge and nutritional status of older adults living alone.

    Science.gov (United States)

    Ahn, Jeong-Ah; Park, JeeWon; Kim, Chun-Ja

    2017-09-07

    The effects of an individualised nutritional education and support programme on dietary habits, nutritional knowledge and nutritional status of 71 older adults living alone were examined. Although a regular dietary meal plan is recommended for improving nutritional status of older adults living alone, little research is done in this field in Korea. A pre- and post-test controlled quasi-experimental design was used at public health centres. The intervention group participated in an intensive nutritional education and support programme once a week for 8 weeks with dietary menus provided by home visiting nurses/dieticians; control group received usual care. Dietary habits and nutritional knowledge were assessed using structured questionnaires; nutritional intake status was analysed using Computer Aided Nutritional Analysis Program 5.0. The mean age of participants was 77.6 years, and 81.7% of the participants were women. At 8 weeks, there were significant interactions of group by time for dietary habits, nutritional knowledge and selected nutritional status of protein, iron and vitamins of B 2 and C. Changes over time in the mean score of dietary habits and nutritional knowledge were significantly improved in the intervention group compared to the control group. The percentages of normal nutrition intake of protein, iron and vitamins A and C in the intervention group were significantly higher than the control group at 8 weeks. Nutritional education and support programme positively impacted dietary habits, nutritional knowledge and selected nutritional status in older adults living alone, and we highlight the need for community-based nutritional education and counselling programmes. Older adults living alone in a community have relatively poor nutritional status and thus require tailored nutritional intervention according to objective nutritional analysis. It is necessary to link visiting nurses with dieticians in the community to manage effective nutritional

  14. The Nutrition Literacy Assessment Instrument is a Valid and Reliable Measure of Nutrition Literacy in Adults with Chronic Disease.

    Science.gov (United States)

    Gibbs, Heather D; Ellerbeck, Edward F; Gajewski, Byron; Zhang, Chuanwu; Sullivan, Debra K

    2018-03-01

    To test the reliability and validity of the Nutrition Literacy Assessment Instrument (NLit) in adult primary care and identify the relationship between nutrition literacy and diet quality. This instrument validation study included a cross-sectional sample participating in up to 2 visits 1 month apart. A total of 429 adults with nutrition-related chronic disease were recruited from clinics and a patient registry affiliated with a Midwestern university medical center. Nutrition literacy was measured by the NLit, which was composed of 6 subscales: nutrition and health, energy sources in food, food label and numeracy, household food measurement, food groups, and consumer skills. Diet quality was measured by Healthy Eating Index-2010 with nutrient data from Diet History Questionnaire II surveys. The researchers measured factor validity and reliability by using binary confirmatory factor analysis; test-retest reliability was measured by Pearson r and the intraclass correlation coefficient, and relationships between nutrition literacy and diet quality were analyzed by linear regression. The NLit demonstrated substantial factor validity and reliability (0.97; confidence interval, 0.96-0.98) and test-retest reliability (0.88; confidence interval, 0.85-0.90). Nutrition literacy was the most significant predictor of diet quality (β = .17; multivariate coefficient = 0.10; P measuring nutrition literacy in adult primary care patients. Copyright © 2017 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  15. The Role of Plant–Microbe Interactions and Their Exploitation for Phytoremediation of Air Pollutants

    Science.gov (United States)

    Weyens, Nele; Thijs, Sofie; Popek, Robert; Witters, Nele; Przybysz, Arkadiusz; Espenshade, Jordan; Gawronska, Helena; Vangronsveld, Jaco; Gawronski, Stanislaw W.

    2015-01-01

    Since air pollution has been linked to a plethora of human health problems, strategies to improve air quality are indispensable. Despite the complexity in composition of air pollution, phytoremediation was shown to be effective in cleaning air. Plants are known to scavenge significant amounts of air pollutants on their aboveground plant parts. Leaf fall and runoff lead to transfer of (part of) the adsorbed pollutants to the soil and rhizosphere below. After uptake in the roots and leaves, plants can metabolize, sequestrate and/or excrete air pollutants. In addition, plant-associated microorganisms play an important role by degrading, detoxifying or sequestrating the pollutants and by promoting plant growth. In this review, an overview of the available knowledge about the role and potential of plant–microbe interactions to improve indoor and outdoor air quality is provided. Most importantly, common air pollutants (particulate matter, volatile organic compounds and inorganic air pollutants) and their toxicity are described. For each of these pollutant types, a concise overview of the specific contributions of the plant and its microbiome is presented. To conclude, the state of the art and its related future challenges are presented. PMID:26516837

  16. Comparative assessment of the nutritional contents and sensory ...

    African Journals Online (AJOL)

    The objectives of this study was to comparatively assess the dry matter, nutritive value and sensory properties of cheese produced from cow and sheep milk using three different local coagulants of plant origin: Calotropis procera leaf extract, Carica papaya leaf extract and lemon fruit juice. The following proximate and ...

  17. Supplemental mathematical formulations, Atmospheric pathway: The Multimedia Environmental Pollutant Assessment System (MEPAS)

    International Nuclear Information System (INIS)

    Droppo, J.G.; Buck, J.W.

    1996-03-01

    The Multimedia Environmental Pollutant Assessment System (MEPAS) is an integrated software implementation of physics-based fate and transport models for health and environmental risk assessments of both radioactive and hazardous pollutants. This atmospheric component report is one of a series of formulation reports that document the MEPAS mathematical models. MEPAS is a ''multimedia'' model; pollutant transport is modeled within, through, and between multiple media (air, soil, groundwater, and surface water). The estimated concentrations in the various media are used to compute exposures and impacts to the environment, to maximum individuals, and to populations

  18. Air pollution policy in Europe: Quantifying the interaction with greenhouse gases and climate change policies

    International Nuclear Information System (INIS)

    Bollen, Johannes; Brink, Corjan

    2014-01-01

    This paper uses the computable general equilibrium model WorldScan to analyse interactions between EU's air pollution and climate change policies. Covering the entire world and seven EU countries, WorldScan simulates economic growth in a neo-classical recursive dynamic framework, including emissions and abatement of greenhouse gases (CO 2 , N 2 O and CH 4 ) and air pollutants (SO 2 , NO x , NH 3 and PM 2.5 ). Abatement includes the possibility of using end-of-pipe control options that remove pollutants without affecting the emission-producing activity itself. This paper analyses several variants of EU's air pollution policies for the year 2020. Air pollution policy will depend on end-of-pipe controls for not more than two thirds, thus also at least one third of the required emission reduction will come from changes in the use of energy through efficiency improvements, fuel switching and other structural changes in the economy. Greenhouse gas emissions thereby decrease, which renders climate change policies less costly. Our results show that carbon prices will fall, and may even drop to zero when the EU agrees on a more stringent air pollution policy. - Highlights: • This paper models bottom-up emission control in top-down CGE model. • We analyse interactions between air pollution and climate policies in Europe. • Structural changes induced by stringent air policies may make EU-ETS market obsolete

  19. An integrated assessment of climate change, air pollution, and energy security policy

    International Nuclear Information System (INIS)

    Bollen, Johannes; Hers, Sebastiaan; Van der Zwaan, Bob

    2010-01-01

    This article presents an integrated assessment of climate change, air pollution, and energy security policy. Basis of our analysis is the MERGE model, designed to study the interaction between the global economy, energy use, and the impacts of climate change. For our purposes we expanded MERGE with expressions that quantify damages incurred to regional economies as a result of air pollution and lack of energy security. One of the main findings of our cost-benefit analysis is that energy security policy alone does not decrease the use of oil: global oil consumption is only delayed by several decades and oil reserves are still practically depleted before the end of the 21st century. If, on the other hand, energy security policy is integrated with optimal climate change and air pollution policy, the world's oil reserves will not be depleted, at least not before our modeling horizon well into the 22nd century: total cumulative demand for oil decreases by about 24%. More generally, we demonstrate that there are multiple other benefits of combining climate change, air pollution, and energy security policies and exploiting the possible synergies between them. These benefits can be large: for Europe the achievable CO 2 emission abatement and oil consumption reduction levels are significantly deeper for integrated policy than when a strategy is adopted in which one of the three policies is omitted. Integrated optimal energy policy can reduce the number of premature deaths from air pollution by about 14,000 annually in Europe and over 3 million per year globally, by lowering the chronic exposure to ambient particulate matter. Only the optimal strategy combining the three types of energy policy can constrain the global average atmospheric temperature increase to a limit of 3 C with respect to the pre-industrial level. (author)

  20. Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia

    Science.gov (United States)

    Li, Suyun; Liu, Xiaoqian; He, Yuan; Li, Qianyu; Ji, Linlin; Shen, Wenbin; Tong, Guansheng

    2017-01-01

    Abstract Rationale: Intestinal lymphangiectasia (IL) is a rare enteropathy involving the expansion and rupture of intestinal lymphatic channels. Although several reports have studied cases of primary IL (PIL), this condition is very rare, and is even less commonly encountered in infants. This study aimed to investigate the nutritional therapy and effect assessment of chylous reflux disorder caused by PIL in infants. Patient concerns: Infantile patients were enrolled in the Affiliated Beijing Shijitan Hospital of the Capital Medical University between January 2012 and March 2014. The minimum age of onset was 4 months and the maximum age of onset was 16 months, with an average age of 4.9 months. Diagnoses: All children were inpatient who had been diagnosed with chylous reflux syndrome (chylothorax and/or chylic abdomen) caused by PIL. Interventions: Retrospective analysis and individualized nutrition therapy of these cases were carried out. Finally, nutritional therapy and prognosis of PIL were assessed and summarized. Outcomes: All the children survived, showed improvement in the serum total protein, albumin, and HGB levels after nutritional therapy. After comprehensive nutritional therapy, we were able to achieve diarrhea control for all the 9 patients, and after treatment, the children passed soft, yellow stools 1 to 2 times/d. After treatment, the height and weight of all patients increased to within the normal ranges of the World Health Organization standard chart. The mean serum albumin level reached 41.3 g/L. All nutrition-related indicators were found to have significant improvement compared with the baseline levels. Lessons: The results revealed that nutritional therapy for the 9 children with PIL was effective, and it may be able to improve the clinical syndromes and symptoms of children with PIL and promote recovery. PMID:29390480

  1. Assessment of nutritional rickets in Western Saudi Arabia

    International Nuclear Information System (INIS)

    Fida, Nadia M.

    2003-01-01

    To explore the role of radiological examination and certain biochemichal values in diagnosing and assessing severity of nutritional rickets. There were cases of nutritional rickets (age range between 3-36 months) seen at King Abdul-Aziz University Hospital, Jeddah,Kingdom of Saudi Arabia, during the period 1997-1999 were studied. Determinatin of calcium (Ca), phosphate(PO4),alkaline phosphate(ALP),hand and wrist x-rays,were performed for all cases. 60 cases of nutritional rickets were dignosed within 2 years,38.3% of the patients presented with swollen wristand 28.3% with bowleg.The bone profile at the time of diagnosis: Ca=2.33+-0.23,PO4=1.47+-0.40 and ALP=925+-418. Approximately 81.7% of the patients had a normal of Ca level, 18.3% had low serum PO4 level, 98.3%high value of ALP. X-ray studies indicated that,58.3% of patients have active rickets, 35% had minimal changes, and 6.7% showed healed rickets. Among those having active rickets 20% had low PO4 level ,83% had normal Ca vlaue , and 100% had high ALP.The mean value +- Sd of biochemical values in this group : Ca=2.34+-0.24, PO4= 1.45+-0.42,ALP=1067+-452. The later was significantly higher compared to other groups (P=0.004). Radiological examination and ALP remains essential to confirm clinical diagnosis of rickets and assessment of severity. (author)

  2. Assessment of nutritional status of soil supporting coconut (Cocus ...

    African Journals Online (AJOL)

    AJB SERVER

    2007-02-05

    Feb 5, 2007 ... Assessment of nutritional status of soil supporting coconut ... Infact coconut plays a vital role in the ... A high fertility status of the supporting soils is required for high .... the amount/concentration of basic fertility elements of the.

  3. Nutritional Assessment of Some Nigerian Land and Water Snail ...

    African Journals Online (AJOL)

    Choice-Academy

    lapillus) snail species for nutritional assessment using their muscular foot tissues. The mean of ... Kwashiorkor is a protein – energy malnutrition that occurs ... analyses from the same pool of snails. ... due to the fact that swimming in water is a.

  4. [Study on ecological risk assessment technology of fluoride pollution from arid oasis soil].

    Science.gov (United States)

    Xue, Su-Yin; Li, Ping; Wang, Sheng-Li; Nan, Zhong-Ren

    2014-03-01

    According to translocation regulation of fluoride in the typical oasis soil-plant system under field, an ecological risk assessment model of fluoride was established, and this model was used to assess ecological risk to fluoride pollution from suburban oasis soils in Baiyin City, which was specifically expressed with the potential ecological risk of bioavailability (ER(bc)) model to assess ecological risk of fluoride pollution in oasis regions. Results showed that the ecological risk indices of fluoride pollution from this region were 1.37-24.81, the level of risk at most sites was high to very high, the average ecological risk index was 11.28, belonged to very high risk. This indicated that in the suburb soil of Baiyin City needs to be concerned about the remediation of fluoride pollution.

  5. Assessing emissions levels and costs associated with climate and air pollution policies in South Africa

    International Nuclear Information System (INIS)

    Henneman, Lucas R.F.; Rafaj, Peter; Annegarn, Harold J.; Klausbruckner, Carmen

    2016-01-01

    Affordable energy supply and reductions in emissions of local air pollution and greenhouse gases are each important aspects of South Africa's goals. Many traditional solutions, however, work in contradiction to one another. This work investigates effects on estimated emissions and costs of mitigation strategies using the Greenhouse Gas and Air Pollution Interaction Synergies (GAINS) model to identify policies that satisfy multiple goals. Eight scenarios that describe air pollution control options and mixes of energy production technologies are implemented in GAINS, which quantifies country-wide air pollution and greenhouse emissions and costs of controls. Emissions and costs trajectories are compared to the business as usual case, which projects CO_2 emissions to increase by 60% by 2050 compared to 2015. Results show that replacing all coal generation with renewables reduces CO_2 emissions in 2050 by 8% compared to 2015, and that aggressive policy targeting the whole energy sector reduces CO_2 emissions in 2050 by 40%. GAINS is used to show co-benefits and tradeoffs of each scenario, such as reductions in emissions control costs that accompany a switch to renewables. The approach provides supporting evidence for policies that exploit co-benefits and avoid contradictions by assessing multiple aspects of the energy sector within the integrated framework provided by the GAINS modeling platform.

  6. An assessment of worldwide energy-related atmospheric pollution

    International Nuclear Information System (INIS)

    1989-01-01

    Energy-related emissions of atmospheric pollutants are currently suspected as the source of a number of major environmental problems. Early concerns about local and regional air quality and respiratory health risks, greatly alleviated in the case of sulfur dioxide (SO 2 ) emissions by the use of tall stacks, have been superseded by ''global problems,'' such as acidification of the biosphere, increase in tropospheric ozone (O 3 ), visibility impairment, long-term exposure to toxic pollutants, and buildup of ''greenhouse gases''. Chapter 1 assesses the sources and physical/chemical atmospheric processes of energy-related atmospheric pollution (ERAP). It is not an exhaustive review but rather a documented statement of the state-of-art knowledge on issues critical to effective environmental decision-making. Chapter 2 looks at the effects on man, the environment and materials, and chapter 3 presents an overview and policy options. (author)

  7. Nutrition-gene interactions (post-genomics). Changes in gene expression through nutritional manipulations

    International Nuclear Information System (INIS)

    Harper, G.S.; Lehnert, S.A.; Greenwood, P.L.

    2005-01-01

    This paper discusses the effects of severe nutritional restriction, both pre- and post-weaning, on development of skeletal muscle in food animals. Given recent predictions about growth in demand for muscle-foods in developing countries, the global community will need to face the food-feed dilemma, and balance efficiency of production against the quality-of-life aspects of local livestock husbandry. It is likely that production animals will be grown in successively more marginal environments and at higher stocking rates on unimproved pastures. Understanding the nutritional limits to animal growth at the level of muscle gene networks will help us find optima for nutrition, growth rate and meat yield. Genomic approaches give us unprecedented capacity to map the networks of control under nutritionally restricted conditions, though the challenges remain of identifying steps that regulate substrate flux. The paper describes some approaches currently being taken to understanding muscle development, and concludes that the genes contributing to two ruminant phenotypes should be mapped and characterized. These are: the capacity to depress metabolic rate in response to nutritional restriction; and the capacity to exhibit compensatory growth after restriction is relieved. (author)

  8. Nutritional status assessment in semiclosed environments: ground-based and space flight studies in humans

    Science.gov (United States)

    Smith, S. M.; Davis-Street, J. E.; Rice, B. L.; Nillen, J. L.; Gillman, P. L.; Block, G.

    2001-01-01

    Adequate nutrition is critical during long-term spaceflight, as is the ability to easily monitor dietary intake. A comprehensive nutritional status assessment profile was designed for use before, during and after flight. It included assessment of both dietary intake and biochemical markers of nutritional status. A spaceflight food-frequency questionnaire (FFQ) was developed to evaluate intake of key nutrients during spaceflight. The nutritional status assessment protocol was evaluated during two ground-based closed-chamber studies (60 and 91 d; n = 4/study), and was implemented for two astronauts during 4-mo stays on the Mir space station. Ground-based studies indicated that the FFQ, administered daily or weekly, adequately estimated intake of key nutrients. Chamber subjects maintained prechamber energy intake and body weight. Astronauts tended to eat 40--50% of WHO-predicted energy requirements, and lost >10% of preflight body mass. Serum ferritin levels were lower after the chamber stays, despite adequate iron intake. Red blood cell folate concentrations were increased after the chamber studies. Vitamin D stores were decreased by > 40% on chamber egress and after spaceflight. Mir crew members had decreased levels of most nutritional indices, but these are difficult to interpret given the insufficient energy intake and loss of body mass. Spaceflight food systems can provide adequate intake of macronutrients, although, as expected, micronutrient intake is a concern for any closed or semiclosed food system. These data demonstrate the utility and importance of nutritional status assessment during spaceflight and of the FFQ during extended-duration spaceflight.

  9. A life cycle assessment framework combining nutritional and environmental health impacts of diet: a case study on milk

    DEFF Research Database (Denmark)

    Stylianou, Katerina S.; Heller, Martin C.; Fulgoni III, Victor L.

    2016-01-01

    of less healthy foods (sugar-sweetened beverages). Further studies are needed to test whether this conclusion holds within a more comprehensive assessment of environmental and nutritional health impacts. Conclusions This case study provides the first quantitative epidemiology-based estimate......Purpose While there has been considerable effort to understand the environmental impact of a food or diet, nutritional effects are not usually included in food-related life cycle assessment (LCA). Methods We developed a novel Combined Nutritional and Environmental Life Cycle Assessment (CONE......-LCA) framework that evaluates and compares in parallel the environmental and nutritional effects of foods or diets. We applied this framework to assess human health impacts, expressed in Disability Adjusted Life Years (DALYs), in a proof-of conceptcase study that investigated the environmental and nutritional...

  10. The role of micronutrients in the response to air pollutants ...

    Science.gov (United States)

    People living in regions of low socioeconomic status are thought to be prone to higher exposures to environmental pollutants, poor nutrition, and numerous preventable diseases and infections. Poverty correlates with pollution and malnutrition, however limited studies examined their interrelationship. The well-studied, deleterious health effects attributed to environmental pollutants and poor nutrition may act in combination to produce more severe adverse health outcomes than any one factor alone. Deficiency in specific nutrients render the body more susceptible to injury which may influence the pathways that serve as the mechanistic responses to air pollutants. This review (1) explores specific micronutrients that are of global concern, (2) explains how these nutrients may impact the body’s response to ambient air pollution, and (3) provides guidance on designing animal models of nutritional deficiency. It is likely that those individuals who reside in regions of high ambient air pollution are similarly malnourished. Therefore, it is important that research identifies specific nutrients of concern and their impact in identified regions of high ambient air pollution. The purpose of the current paper is to (1) provide an understanding of the known nutrients of concern worldwide. Selected nutrients will be discussed in depth in the following sections based on information from the World Health Organization, World Food Programme data, and also demonstrate risk of

  11. Interactions Between Nutrition and Infections With Haemonchus contortus and Related Gastrointestinal Nematodes in Small Ruminants.

    Science.gov (United States)

    Hoste, H; Torres-Acosta, J F J; Quijada, J; Chan-Perez, I; Dakheel, M M; Kommuru, D S; Mueller-Harvey, I; Terrill, T H

    2016-01-01

    Interactions between host nutrition and feeding behaviour are central to understanding the pathophysiological consequences of infections of the digestive tract with parasitic nematodes. The manipulation of host nutrition provides useful options to control gastrointestinal nematodes as a component of an integrated strategy. Focussed mainly on the Haemonchus contortus infection model in small ruminants, this chapter (1) illustrates the relationship between quantitative (macro- and micro-nutrients) and qualitative (plant secondary metabolites) aspects of host nutrition and nematode infection, and (2) shows how basic studies aimed at addressing some generic questions can help to provide solutions, despite the considerable diversity of epidemiological situations and breeding systems. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Long-Term Benthic Macroinvertebrate Community Monitoring to Assess Pollution Abatement Effectiveness

    Energy Technology Data Exchange (ETDEWEB)

    Smith, John G [ORNL; Brandt, Craig C [ORNL; Christensen, Sigurd W [ORNL

    2011-01-01

    The benthic macroinvertebrate community of East Fork Poplar Creek (EFPC) in East Tennessee was monitored for 18 years to evaluate the effectiveness of a water pollution control program implemented at a major United States (U.S.) Department of Energy facility. Several actions were implemented to reduce and control releases of pollutants into the headwaters of the stream. Four of the most significant actions were implemented during different time periods, which allowed assessment of each action. Macroinvertebrate samples were collected annually in April from three locations in EFPC (EFK24, EFK23, and EFK14) and two nearby reference streams from 1986 through 2003. Significant improvements occurred in the macroinvertebrate community at the headwater sites (EFK24 and EFK23) after implementation of each action, while changes detected 9 km further downstream (EFK14) could not be clearly attributed to any of the actions. Because the stream was impacted at its origin, invertebrate recolonization was primarily limited to aerial immigration, thus, recovery has been slow. As recovery progressed, abundances of small pollution-tolerant taxa (e.g., Orthocladiinae chironomids) decreased and longer lived taxa colonized (e.g., hydropsychid caddisflies, riffle beetles, Baetis). While assessments lasting three to four years may be long enough to detect a response to new pollution controls at highly impacted locations, more time may be needed to understand the full effects. Studies on the effectiveness of pollution controls can be improved if impacted and reference sites are selected to maximize spatial and temporal trending, and if a multidisciplinary approach is used to broadly assess environmental responses (e.g., water quality trends, invertebrate and fish community assessments, toxicity testing, etc.).

  13. Geoscience of the Built Environment: Pollutants and Materials Surfaces

    Directory of Open Access Journals (Sweden)

    Jorge Sanjurjo-Sánchez

    2011-12-01

    Full Text Available An overview of issues with environmental relevance that arise from the interaction between pollutants and surfaces of the built environment is presented in this paper. Two broad perspectives are considered: decay of materials and recording of pollution characteristics. In relation to the former, we consider the possible implications on human activities restrictions, materials and morphological options, consumption of resources and release of pollutants resulting from the alteration of materials, conservation and restoration procedures. In terms of pollution recording, the interest of the stony materials as passive monitors of pollution, the question of heterogeneous conditions on buildings and the interest of qualitative and quantitative studies are highlighted. The importance of longitudinal studies on new and cleaned surfaces is considered, both for the understanding of materials decay and for the assessment of pollution conditions. The use of tracers to record the characteristics of pollution sources, interaction with materials and pathways of pollutants is also discussed. Finally, some recommendations are presented, based on the issues discussed on this paper that might be relevant for environmental management programs, including environmental education.

  14. Assessment of health risks caused by air pollutants

    International Nuclear Information System (INIS)

    Nilsson, Robert.

    1991-02-01

    This report is a support document to an other report from the Swedish Environmental Protection Agency 'Risk assessment - a research programme aimed at health risks from air pollution in the general environment', report 3890, 1991 and is a survey of the scientific 'state of the art' in the different parts of risk assessment. Furthermore certain proposals are made concerning the scientific content of the future research in this area. (au)

  15. Assessing Health Impacts of Air Pollution in Kashan 2011

    Directory of Open Access Journals (Sweden)

    Masoud Motalleby

    2015-08-01

    Full Text Available Abstract Background: The air pollutants such as CO, SO2, NO2, O3, and particulate matters have harmful effects on public health. Determination of the actual concentration of the pollutants and description of air quantity and quality contents in comparison of standard conditions and timely informing people to regulate control programs is essential. Kashan is exposed to the winds contain-ing the suspended particulate matters due to the proximity of the desert. Moreover, the growth of population, factories and industries in the city are artifical resources of the air pollution. Hence, assessment and monitoring of air pollution standard condition in kashan is crucial. Materials and Methods: In this cross-sectional and descriptive study, the concentration of CO, SO2, NO2, O3, and suspended particulate matters less than 10 microns (PM10 measured according to WHO standards in Panzdah-e-Khordad station of Kashan in 2011. The annual mean and maximum rates, the mean and maximum rate of summer and winter, and annual percentile 98%, determined for each pollutant and used in AirQ software. Then, the number of death and disease attributed to each pollutant was calculated. Results: The results demonstrate that the cumulative number of deaths attributed to PM10, NO2, SO2, and O3 was 100, 22, 82, and 54, respectively. Conclusion: In total, the suspended particulate matters have the most effects on death and disease resulted from the air pollution. Hence, managing the resources of particulate matters and SO2 pollutants has many effects on reducing the adverse health effects of air pollution in Kashan.

  16. Assessment of parenteral nutrition prescription in Canadian acute care settings.

    Science.gov (United States)

    Adjemian, Daniela; Arendt, Bianca M; Allard, Johane P

    2018-05-01

    Parenteral nutrition (PN) prescription can be challenging in patients with complex conditions and has potential complications. To assess PN prescription, monitoring, and PN-related complications in a Canadian acute care setting. This was a prospective cohort study in which patients receiving PN were assessed by an auditor for nutritional status, PN-related prescription, monitoring, and complications. In addition, length of stay and mortality were recorded. 147 patients (mean ± SD 56.1 ± 16.4 y) with complex diseases (Charlson comorbidity index, median [p25-p75] 2 [1-4]) were enrolled. Before starting PN, 18.6%, 63.9%, and 17.5% of patients were classified as subjective global assessment A, B, and C, respectively. Body mass index remained unchanged during the period on PN. On average, 89% and 73% of patients received <90% of their energy and protein requirements, respectively, but 65% received oral or enteral nutrition at some point during PN. The average daily energy provided by PN increased and stabilized on day 10, reaching 87.2 ± 20.1% of the requirements. Line sepsis (6.8% of patients) and hyperglycemia (6.9%) were the most common complications. The overall mortality was 15.6%. For those alive, length of stay was 30 (range: 4-268) d. PN was discontinued because of transitioning to an oral diet (56.6%), enteral nutrition (17.6%), home PN (14.7%), palliative care (5.1%), death (4.4%), or other (1.5%). Most patients were malnourished at the start of PN. Energy and protein provided from PN were less than requirements, and the goals were reached with delay. Mortality was high, possibly as a result of complex diseases. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Water pollution control in river basin by interactive fuzzy interval multiobjective programming

    Energy Technology Data Exchange (ETDEWEB)

    Chang, N.B.; Chen, H.W. [National Cheng-Kung Univ., Tainan (Taiwan, Province of China). Dept. of Environmental Engineering; Shaw, D.G.; Yang, C.H. [Academia Sinica, Taipei (Taiwan, Province of China). Inst. of Economics

    1997-12-01

    The potential conflict between protection of water quality and economic development by different uses of land within river basins is a common problem in regional planning. Many studies have applied multiobjective decision analysis under uncertainty to problems of this kind. This paper presents the interactive fuzzy interval multiobjective mixed integer programming (IFIMOMIP) model to evaluate optimal strategies of wastewater treatment levels within a river system by considering the uncertainties in decision analysis. The interactive fuzzy interval multiobjective mixed integer programming approach is illustrated in a case study for the evaluation of optimal wastewater treatment strategies for water pollution control in a river basin. In particular, it demonstrates how different types of uncertainty in a water pollution control system can be quantified and combined through the use of interval numbers and membership functions. The results indicate that such an approach is useful for handling system complexity and generating more flexible policies for water quality management in river basins.

  18. Pollution exposure on marine protected areas: A global assessment.

    Science.gov (United States)

    Partelow, Stefan; von Wehrden, Henrik; Horn, Olga

    2015-11-15

    Marine protected areas (MPAs) face many challenges in their aim to effectively conserve marine ecosystems. In this study we analyze the extent of pollution exposure on the global fleet of MPAs. This includes indicators for current and future pollution and the implications for regionally clustered groups of MPAs with similar biophysical characteristics. To cluster MPAs into characteristic signature groups, their bathymetry, baseline biodiversity, distance from shore, mean sea surface temperature and mean sea surface salinity were used. We assess the extent at which each signature group is facing exposure from multiple pollution types. MPA groups experience similar pollution exposure on a regional level. We highlight how the challenges that MPAs face can be addressed through governance at the appropriate scale and design considerations for integrated terrestrial and marine management approaches within regional level networks. Furthermore, we present diagnostic social-ecological indicators for addressing the challenges facing unsuccessful MPAs with practical applications. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Combined effects of night warming and light pollution on predator-prey interactions.

    Science.gov (United States)

    Miller, Colleen R; Barton, Brandon T; Zhu, Likai; Radeloff, Volker C; Oliver, Kerry M; Harmon, Jason P; Ives, Anthony R

    2017-10-11

    Interactions between multiple anthropogenic environmental changes can drive non-additive effects in ecological systems, and the non-additive effects can in turn be amplified or dampened by spatial covariation among environmental changes. We investigated the combined effects of night-time warming and light pollution on pea aphids and two predatory ladybeetle species. As expected, neither night-time warming nor light pollution changed the suppression of aphids by the ladybeetle species that forages effectively in darkness. However, for the more-visual predator, warming and light had non-additive effects in which together they caused much lower aphid abundances. These results are particularly relevant for agriculture near urban areas that experience both light pollution and warming from urban heat islands. Because warming and light pollution can have non-additive effects, predicting their possible combined consequences over broad spatial scales requires knowing how they co-occur. We found that night-time temperature change since 1949 covaried positively with light pollution, which has the potential to increase their non-additive effects on pea aphid control by 70% in US alfalfa. Our results highlight the importance of non-additive effects of multiple environmental factors on species and food webs, especially when these factors co-occur. © 2017 The Author(s).

  20. The interaction between nutrition and metabolism in West African dwarf goats, infected with trypanosomes

    NARCIS (Netherlands)

    Dam, van J.T.P.

    1996-01-01

    In a series of experiments the interaction between nutrition and energy- and nitrogen metabolism of West African Dwarf goats, infected with trypanosomes was studied. Animals were injected with trypanosomes, and feed intake, energy and nitrogen balance and blood metabolites and hormones were measured

  1. Spatial and Temporal Dynamics in Air Pollution Exposure Assessment

    Science.gov (United States)

    Dias, Daniela; Tchepel, Oxana

    2018-01-01

    Analyzing individual exposure in urban areas offers several challenges where both the individual’s activities and air pollution levels demonstrate a large degree of spatial and temporal dynamics. This review article discusses the concepts, key elements, current developments in assessing personal exposure to urban air pollution (seventy-two studies reviewed) and respective advantages and disadvantages. A new conceptual structure to organize personal exposure assessment methods is proposed according to two classification criteria: (i) spatial-temporal variations of individuals’ activities (point-fixed or trajectory based) and (ii) characterization of air quality (variable or uniform). This review suggests that the spatial and temporal variability of urban air pollution levels in combination with indoor exposures and individual’s time-activity patterns are key elements of personal exposure assessment. In the literature review, the majority of revised studies (44 studies) indicate that the trajectory based with variable air quality approach provides a promising framework for tackling the important question of inter- and intra-variability of individual exposure. However, future quantitative comparison between the different approaches should be performed, and the selection of the most appropriate approach for exposure quantification should take into account the purpose of the health study. This review provides a structured basis for the intercomparing of different methodologies and to make their advantages and limitations more transparent in addressing specific research objectives. PMID:29558426

  2. Assessment of Nutritional Status of Nepalese Hemodialysis Patients by Anthropometric Examinations and Modified Quantitative Subjective Global Assessment

    Directory of Open Access Journals (Sweden)

    Arun Sedhain

    2015-01-01

    Full Text Available Objective To assess the nutritional status of patients on maintenance hemodialysis by using modified quantitative subjective global assessment (MQSGA and anthropometric measurements. Method We Conducted a cross sectional descriptive analytical study to assess the nutritional status of fifty four patients with chronic kidney disease undergoing maintenance hemodialysis by using MQSGA and different anthropometric and laboratory measurements like body mass index (BMI, mid-arm circumference (MAC, mid-arm muscle circumference (MAMC, triceps skin fold (TSF and biceps skin fold (BSF, serum albumin, C-reactive protein (CRP and lipid profile in a government tertiary hospital at Kathmandu, Nepal. Results Based on MQSGA criteria, 66.7% of the patients suffered from mild to moderate malnutrition and 33.3% were well nourished. None of the patients were severely malnourished. CRP was positive in 56.3% patients. Serum albumin, MAC and BMI were (mean + SD 4.0 + 0.3 mg/dl, 22 + 2.6 cm and 19.6 ± 3.2 kg/m 2 respectively. MQSGA showed negative correlation with MAC ( r = −0.563; P = < 0.001, BMI ( r = −0.448; P = < 0.001, MAMC ( r = −0.506; P = < .0001, TSF ( r = −0.483; P = < .0002, and BSF ( r = −0.508; P = < 0.0001. Negative correlation of MQSGA was also found with total cholesterol, triglyceride, LDL cholesterol and HDL cholesterol without any statistical significance. Conclusion Mild to moderate malnutrition was found to be present in two thirds of the patients undergoing hemodialysis. Anthropometric measurements like BMI, MAC, MAMC, BSF and TSF were negatively correlated with MQSGA. Anthropometric and laboratory assessment tools could be used for nutritional assessment as they are relatively easier, cheaper and practical markers of nutritional status.

  3. Towards a multidisciplinary and integrated strategy in the assessment of adverse health effects related to air pollution: The case study of Cracow (Poland) and asthma

    International Nuclear Information System (INIS)

    Oudinet, Jean-Paul; Meline, Julie; Chelmicki, Wojciech; Sanak, Marek; Magdalena, Dutsch-Wicherek; Besancenot, Jean-Pierre; Wicherek, Stanislas; Julien-Laferriere, Bertrand; Gilg, Jean-Paul; Geroyannis, Helene; Szczeklik, Andrew; Krzemien, Kazimierz

    2006-01-01

    Complex interaction between anthropogenic activities, air quality and human health in urban areas, such as in Cracow sustains the need for the development of an interdisciplinary and integrated risk-assessment methodology. In such purpose, we propose a pilot study performed on asthmatics and based on a combined use of a biomarker, such as metallothionein 2A (MT-2A) in the characterization of human exposure to one or a mixture of pollutants and of Geographical Information Systems (G.I.S.) which integrates climatic and urban anthropogenic parameters in the assessment of spatio-temporal dispersion of air pollutants. Considering global incidence of air pollution on asthma and on peripheral blood lymphocytes MT-2A expression should provide a complementary information on biological risks linked to urban anthropogenic activities. Such study would help for the establishment of a sustainable development in urban areas that can maintain the integrity of air quality and preserve human health. - An integrative risk methodology based on both geographic and molecular biological approaches is proposed for the assessment of asthmatics exposure to urban air pollution

  4. Pollutant Assessments Group procedures manual: Volume 2, Technical procedures

    Energy Technology Data Exchange (ETDEWEB)

    1992-03-01

    This is volume 2 of the manuals that describes the technical procedures currently in use by the Pollution Assessments Group. This manual incorporates new developments in hazardous waste assessment technology and administrative policy. Descriptions of the equipment, procedures and operations of such things as radiation detection, soil sampling, radionuclide monitoring, and equipment decontamination are included in this manual. (MB)

  5. Nutritional status, dietary habits, nutritional knowledge and self-care assessment in a group of older adults attending community centres in Pavia, Northern Italy.

    Science.gov (United States)

    Turconi, G; Rossi, M; Roggi, C; Maccarini, L

    2013-02-01

    The population of industrialised countries is ageing as a consequence of an increase in life expectancy. As a result of the increasing ageing process, the assessment of nutritional status and dietary habits, as well as the assessment of self-care, is needed to plan selected actions aimed at improving the quality of life in the third and fourth life spans. A cross-sectional study was carried out on a randomly selected sample of 200 healthy older adults (≥65 years old), attending community centres for older people in Pavia, Northern Italy. Ninety-two percent of the recruited subjects participated in the survey. Anthropometric measurements and the Mini Nutritional Assessment were performed. Dietary habits, nutritional knowledge and self-care were investigated using a questionnaire administered by two dietitians. The majority of subjects were low socio-economic status and overweight [mean (SD) body mass index = 28.4 (4.3) kg/m(2) ], 12% were malnourished according to their Mini Nutritional Assessment score and the majority of the arm muscle circumference measurements were below the 10th percentile, predicting accelerated loss of lean mass, even in the healthy independently living older adults. Only 30% of the sample had adequate dietary habits, whereas the ability to self-care was good for the whole sample. The unhealthy and unbalanced diet, frequently too rich in sugar and fats and low in protein intake, might explain being overweight and the loss of lean mass in the study subjects. © 2012 The Authors Journal of Human Nutrition and Dietetics © 2012 The British Dietetic Association Ltd.

  6. Assessment of nutritional status and eating disorders in female adolescents with fibromyalgia.

    Science.gov (United States)

    da Silva, Simone Guerra L; Sarni, Roseli O S; de Souza, Fabíola I S; Molina, Juliana; Terreri, Maria Teresa R A; Hilário, Maria Odete E; Len, Claudio A

    2012-11-01

    To assess eating disorders, nutritional status, body composition, and food intake in adolescents presenting with fibromyalgia. In a cross-sectional study, we evaluated the nutritional status (z score of body mass index [ZBMI]), waist circumference, body fat percentage by bioelectrical impedance analysis, symptoms of disordered eating, and possible eating disorders (Kids' Eating Disorders Survey [KEDS]) of 23 female adolescents with fibromyalgia and 23 matched healthy control subjects. Median age for both groups was 15 years. In the fibromyalgia group, the median time for diagnosis was 13.5 months. We did not observe a statistically significant difference between the control and fibromyalgia groups in relation to ZBMI, fat mass percentage, food intake, and symptoms of disordered eating (KEDS). In the fibromyalgia group, there was a significant correlation between fat mass percentage and the total KEDS score (r = .587, p = .003); the same correlation was observed for ZBMI (r = .0778, p fibromyalgia that, in addition to the correlation between adiposity indexes and KEDS total score, emphasizes the importance of nutritional and body composition assessment, allowing an early and adequate nutritional intervention. Copyright © 2012 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  7. Pollution assessment and source apportionment of heavy metals in contaminated site soils

    Science.gov (United States)

    Zheng, Hongbo; Ma, Yan

    2018-03-01

    Pollution characteristics of heavy metals in soil were analyzed with a typical contaminated site as the case area. The pollution degree of the element was evaluated by indexes of geoaccumulation (Igeo). The potential ecological risk of heavy metals was assessed with potential ecological risk index model. Principal component analysis (PCA) model was simultaneously carried out to identify the main sources of heavy metals in topsoils. The results indicated that: 1. Mean values of 11 kinds of metals in topsoils were greater than respective soil background values, following the order: Zn>Pb>V>Cr>Cu>Ni>Co>As>Sb>Cd>Hg. Heavy metals with a certain accumulation in the research area were significantly affected by external factors. 2. Igeo results showed that Cd and Zn reached strongly polluted degree, while Pb with moderately to strongly polluted, Sb and Hg with moderately polluted, Cu, Co, Ni and Cr with unpolluted to moderately polluted, V and As with un-polluted. 3. Potential ecological risk assessment showed the degree of ecological risk with Cd at very high risk, Hg at high risk, Pb at moderate risk and others at low risk. The comprehensive risk of all the metals was very high. 4. PCA got three main sources with contributions, including industrial activities (44.18%), traffic and burning dust (26.68%) and soil parent materials (12.20%).

  8. The Multimedia Environmental Pollutant Assessment System (MEPAS)reg-sign: Atmospheric pathway formulations. Revision

    International Nuclear Information System (INIS)

    Droppo, J.G.; Buck, J.W.

    1996-03-01

    The Multimedia Environmental Pollutant Assessment System (MEPAS) is an integrated software implementation of physics-based fate and transport models for health and environmental risk assessments of both radioactive and hazardous pollutants. This atmospheric component report is one of a series of formulation reports that document the MEPAS mathematical models. MEPAS is a multimedia model; pollutant transport is modeled within, through, and between multiple media (air, soil, groundwater, and surface water). The estimated concentrations in the various media are used to compute exposures and impacts to the environment, to maximum individuals, and to populations. The MEPAS atmospheric component for the air media documented in this report includes models for emission from a source to the air, initial plume rise and dispersion, airborne pollutant transport and dispersion, and deposition to soils and crops. The material in this report is documentation for MEPAS Versions 3.0 and 3.1 and the MEPAS version used in the Remedial Action Assessment System (RAAS) Version 1.0

  9. Method for screening prevention and control measures and technologies based on groundwater pollution intensity assessment

    Energy Technology Data Exchange (ETDEWEB)

    Li, Juan, E-mail: lijuan@craes.org.cn [College of Water Sciences, Beijing Normal University, Beijing 100875 (China); Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Yang, Yang [College of Environment, Beijing Normal University, Beijing 100875 (China); Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Huan, Huan; Li, Mingxiao [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Xi, Beidou, E-mail: xibd413@yeah.net [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Lanzhou Jiaotong University, Lanzhou 730070 (China); Lv, Ningqing [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Wu, Yi [Guizhou Academy of Environmental Science and Designing, Guizhou 550000 (China); Xie, Yiwen, E-mail: qin3201@126.com [School of Chemical and Environmental Engineering, Dongguan University of Technology, Dongguan, 523808 (China); Li, Xiang; Yang, Jinjin [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China)

    2016-05-01

    index-based methodology to assess the groundwater pollution intensity (GPI). • GPI assessment includes PSH assessment and GIV assessment. • Measures to prevent and control groundwater pollution based on GPI assessment. • An index-based methodology for prevention and control technologies (PCT) screening. • PCT screening based on GPI assessment results and TOPSIS method.

  10. Method for screening prevention and control measures and technologies based on groundwater pollution intensity assessment

    International Nuclear Information System (INIS)

    Li, Juan; Yang, Yang; Huan, Huan; Li, Mingxiao; Xi, Beidou; Lv, Ningqing; Wu, Yi; Xie, Yiwen; Li, Xiang; Yang, Jinjin

    2016-01-01

    index-based methodology to assess the groundwater pollution intensity (GPI). • GPI assessment includes PSH assessment and GIV assessment. • Measures to prevent and control groundwater pollution based on GPI assessment. • An index-based methodology for prevention and control technologies (PCT) screening. • PCT screening based on GPI assessment results and TOPSIS method.

  11. Gene-environment interactions linking air pollution and inflammation in Parkinson's disease.

    Science.gov (United States)

    Lee, Pei-Chen; Raaschou-Nielsen, Ole; Lill, Christina M; Bertram, Lars; Sinsheimer, Janet S; Hansen, Johnni; Ritz, Beate

    2016-11-01

    Both air pollution exposure and systemic inflammation have been linked to Parkinson's disease (PD). In the PASIDA study, 408 incident cases of PD diagnosed in 2006-2009 and their 495 population controls were interviewed and provided DNA samples. Markers of long term traffic related air pollution measures were derived from geographic information systems (GIS)-based modeling. Furthermore, we genotyped functional polymorphisms in genes encoding proinflammatory cytokines, namely rs1800629 in TNFα (tumor necrosis factor alpha) and rs16944 in IL1B (interleukin-1β). In logistic regression models, long-term exposure to NO 2 increased PD risk overall (odds ratio (OR)=1.06 per 2.94μg/m 3 increase, 95% CI=1.00-1.13). The OR for PD in individuals with high NO 2 exposure (≧75th percentile) and the AA genotype of IL1B rs16944 was 3.10 (95% CI=1.14-8.38) compared with individuals with lower NO 2 exposure (<75th percentile) and the GG genotype. The interaction term was nominally significant on the multiplicative scale (p=0.01). We did not find significant gene-environment interactions with TNF rs1800629. Our finds may provide suggestive evidence that a combination of traffic-related air pollution and genetic variation in the proinflammatory cytokine gene IL1B contribute to risk of developing PD. However, as statistical evidence was only modest in this large sample we cannot rule out that these results represent a chance finding, and additional replication efforts are warranted. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Pollution and respiratory disease: can diet or supplements help? A review.

    Science.gov (United States)

    Whyand, T; Hurst, J R; Beckles, M; Caplin, M E

    2018-05-02

    Pollution is known to cause and exacerbate a number of chronic respiratory diseases. The World Health Organisation has placed air pollution as the world's largest environmental health risk factor. There has been recent publicity about the role for diet and anti-oxidants in mitigating the effects of pollution, and this review assesses the evidence for alterations in diet, including vitamin supplementation in abrogating the effects of pollution on asthma and other chronic respiratory diseases. We found evidence to suggest that carotenoids, vitamin D and vitamin E help protect against pollution damage which can trigger asthma, COPD and lung cancer initiation. Vitamin C, curcumin, choline and omega-3 fatty acids may also play a role. The Mediterranean diet appears to be of benefit in patients with airways disease and there appears to be a beneficial effect in smokers however there is no direct evidence regarding protecting against air pollution. More studies investigating the effects of nutrition on rapidly rising air pollution are urgently required. However it is very difficult to design such studies due to the confounding factors of diet, obesity, co-morbid illness, medication and environmental exposure.

  13. Pollution prevention opportunity assessments. Guidance for the Hanford Site

    International Nuclear Information System (INIS)

    Engel, J.A.

    1994-10-01

    The purpose of this document is to provide help to you, Hanford waste generators, in finding ways to reduce waste through Pollution Prevention (P2) and Pollution Prevention Opportunity Assessments (P2OAs). It is based on guidance from other sites, and serves to compliment the Hanford-specific training on P2OAs offered by the Pollution Prevention group at Westinghouse Hanford Company (WHC). The chapters of this document include help on how to choose major waste generating activities, how to conduct a P2OA, how to get results, and how to show progress. There is also a chapter on special situations and problems your facility may encounter. This first chapter tells you why you should consider conducting P2OAs and why they may be required

  14. The assessment of the nutritional value of meals consumed by patients with recognized schizophrenia

    Science.gov (United States)

    Stefańska, Ewa; Wendołowicz, Agnieszka; Lech, Magdalena; Wilczyńska, Karolina; Konarzewska, Beata; Zapolska, Joanna; Ostrowska, Lucyna

    2018-01-01

    As studies show, changes in diet - so important in the therapy of psychiatric disorders and related to changes in appetite and nutritional preferences, including avoiding of the consumption of specific groups of products and dishes - are much more frequent among patients affected by schizophrenia. The aim of the study was to assess the chosen nutritional habits, including the number and type of meals usually consumed during a day, snacking between meals and the energy value and content of the chosen nutrients in the diets of persons with recognized schizophrenia. The study was carried out in a group of 85 patients with recognized schizophrenia, and 70 healthy volunteers ranging in age from 18-65 years without mental or nutritional disorders. For the purpose of the study, we used a questionnaire containing questions on nutritional habits. A 24-hour diet recall was used in the quantitative nutritional assessment with the use of the computer program Dieta 5.0. Female patients with recognized schizophrenia were having 3 meals a day significantly more frequently as compared to healthy women. They were also having an afternoon snack much more frequently as compared to the control group. The food rations of female patients were characterized by a significantly higher energy value and the content of most of the assessed nutrients as compared to the food rations of healthy women. The food rations of men with recognized schizophrenia were characterized by a much lower energy intake and the content of the majority of assessed nutrients as compared to the food rations of healthy men. In all compared groups, we observed an energetic structure of food rations with the breakdown by specific meals that was inconsistent with the applicable recommendations. Despite of differences between the nutritional value of the meals of patients with recognized schizophrenia and those of healthy subjects, it seems advisable to involve patients with recognized schizophrenia in the education of

  15. Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002).

    Science.gov (United States)

    Christner, S; Ritt, M; Volkert, D; Wirth, R; Sieber, C C; Gaßmann, K-G

    2016-12-01

    The present study aimed to evaluate a short-form (MNA-SF) version of the Mini Nutritional Assessment (MNA), in which some of the items were operationalised, based on scores from tools used for a comprehensive geriatric assessment, as a method for analysing the nutritional status of hospitalised geriatric patients. We compared this MNA-SF version with the corresponding MNA long-form (MNA-LF) and Nutritional Risk Screening 2002 (NRS 2002) in terms of completion rate, prevalence and agreement regarding malnutrition and/or the risk of this. In total, 201 patients aged ≥65 years who were hospitalised in geriatric wards were included in this analysis. The MNA-SF, MNA-LF and NRS 2002 were completed in 98.0%, 95.5% and 99.5% of patients (P = 0.06), respectively. The MNA-SF, MNA-LF and NRS 2002 categorised 93.4%, 91.1% and 66.0% of patients as being malnourished or at risk of being malnourished (P evaluating the nutritional status of hospitalised geriatric patients. The NRS 2002 part 1 showed limited value as a prescreening aid in relation to the NRS 2002 part 2 in the same group of patients. © 2016 The British Dietetic Association Ltd.

  16. Interactive computer programs for applied nutrition education.

    Science.gov (United States)

    Wise, A

    1985-12-01

    DIET2 and DIET3 are programs written for a Dec2050 computer and intended for teaching applied nutrition to students of nutrition, dietetics, home economics, and hotel and institutional administration. DIET2 combines all the facilities of the separate dietary programs already available at Robert Gordon's Institute of Technology into a single package, and extends these to give students a large amount of relevant information about the nutritional balance of foods (including DHSS and NACNE recommendations) prior to choosing them for meals. Students are also helped by the inclusion of typical portion weights. They are presented with an analysis of nutrients and their balance in the menu created, with an easy mechanism for ammendation of the menu and addition of foods which provide the nutrients that are lacking. At any stage the computer can give the proportion of total nutrient provided by each meal. DIET3 is a relatively simple program that displays the nutritional profile of foods and diets semigraphically.

  17. Climate change and nutrition: creating a climate for nutrition security.

    Science.gov (United States)

    Tirado, M C; Crahay, P; Mahy, L; Zanev, C; Neira, M; Msangi, S; Brown, R; Scaramella, C; Costa Coitinho, D; Müller, A

    2013-12-01

    Climate change further exacerbates the enormous existing burden of undernutrition. It affects food and nutrition security and undermines current efforts to reduce hunger and promote nutrition. Undernutrition in turn undermines climate resilience and the coping strategies of vulnerable populations. The objectives of this paper are to identify and undertake a cross-sectoral analysis of the impacts of climate change on nutrition security and the existing mechanisms, strategies, and policies to address them. A cross-sectoral analysis of the impacts of climate change on nutrition security and the mechanisms and policies to address them was guided by an analytical framework focused on the three 'underlying causes' of undernutrition: 1) household food access, 2) maternal and child care and feeding practices, 3) environmental health and health access. The analytical framework includes the interactions of the three underlying causes of undernutrition with climate change,vulnerability, adaptation and mitigation. Within broad efforts on climate change mitigation and adaptation and climate-resilient development, a combination of nutrition-sensitive adaptation and mitigation measures, climate-resilient and nutrition-sensitive agricultural development, social protection, improved maternal and child care and health, nutrition-sensitive risk reduction and management, community development measures, nutrition-smart investments, increased policy coherence, and institutional and cross-sectoral collaboration are proposed as a means to address the impacts of climate change to food and nutrition security. This paper proposes policy directions to address nutrition in the climate change agenda and recommendations for consideration by the UN Framework Convention on Climate Change (UNFCCC). Nutrition and health stakeholders need to be engaged in key climate change adaptation and mitigation initiatives, including science-based assessment by the Intergovernmental Panel on Climate Change (IPCC

  18. Comprehensive assessment of toxic chemical pollutants at Trombay region

    International Nuclear Information System (INIS)

    Sahu, S.K.; Saradhi, I.V.; Raghunath, R.; Pandit, G.G.; Puranik, V.D.

    2006-04-01

    Anthropogenic activities like industrial production and transportation, a wide range of chemical pollutants such as trace and toxic metals, pesticides, polycyclic aromatic hydrocarbons etc. eventually found their way into various environmental compartments. These pollutants get distributed among soil, water bodies, air and if left unattended can cause serious health risk to all exposed ecosystem components including human beings. These compounds may produce immediate toxicity to ecosystems or exhibit long term effects such as mutagenicity, carcinogenicity or biomagnify (concentrations of pollutant increase per unit body weight) in higher trophic organism of the food chain. Thus regular monitoring of these toxic chemicals in all the environmental matrices is unquestionably essential for reclaiming our natural resources. This report describes some of the activities of Environmental Assessment Division which are having direct relevance to the public health and regulatory bodies. Extensive studies were carried out in our laboratories for the Trombay site, over the years; on the organic as well as inorganic pollution in the environment to understand inter compartmental behaviour of these chemical pollutants. In this report attempt has been made to compare the data on various toxic chemical pollutants that are being monitored regularly at Trombay site and their levels are compared with existing regulations. For monitoring, methodologies have been standardized for characterization of toxic chemical pollutants using different analytical techniques. Regular sample collection from different environmental matrices has been done. Sample analysis has been carried out using different analytical instruments such as high performance liquid chromatograph, ion chromatograph, gas chromatograph, atomic absorption spectrophotometer, and differential pulse anodic stripping voltammetry. Major portion of the study covers Air quality monitoring of toxic chemical pollutants, as the other

  19. Pollution prevention opportunity assessment benchmarking: Recommendations for Hanford

    Energy Technology Data Exchange (ETDEWEB)

    Engel, J.A.

    1994-05-01

    Pollution Prevention Opportunity Assessments (P2OAs) are an important first step in any pollution prevention program. While P2OAs have been and are being conducted at Hanford, there exists no standard guidance, training, tracking, or systematic approach to identifying and addressing the most important waste streams. The purpose of this paper then is to serve as a guide to the Pollution Prevention group at Westinghouse Hanford in developing and implementing P2OAs at Hanford. By searching the literature and benchmarks other sites and agencies, the best elements from those programs can be incorporated and pitfalls more easily avoided. This search began with the 1988 document that introduces P2OAs (then called Process Waste Assessments, PWAS) by the Environmental Protection Agency. This important document presented the basic framework of P20A features which appeared in almost all later programs. Major Department of Energy programs were also examined, with particular attention to the Defense Programs P20A method of a graded approach, as presented at the Kansas City Plant. The graded approach is a system of conducting P2OAs of varying levels of detail depending on the size and importance of the waste stream. Finally, private industry programs were examined briefly. While all the benchmarked programs had excellent features, it was determined that the size and mission of Hanford precluded lifting any one program for use. Thus, a series of recommendations were made, based on the literature review, in order to begin an extensive program of P2OAs at Hanford. These recommendations are in the areas of: facility Pollution Prevention teams, P20A scope and methodology, guidance documents, training for facilities (and management), technical and informational support, tracking and measuring success, and incentives.

  20. Nutritional Risk Screening 2002, Short Nutritional Assessment Questionnaire, Malnutrition Screening Tool, and Malnutrition Universal Screening Tool Are Good Predictors of Nutrition Risk in an Emergency Service.

    Science.gov (United States)

    Rabito, Estela Iraci; Marcadenti, Aline; da Silva Fink, Jaqueline; Figueira, Luciane; Silva, Flávia Moraes

    2017-08-01

    There is an international consensus that nutrition screening be performed at the hospital; however, there is no "best tool" for screening of malnutrition risk in hospitalized patients. To evaluate (1) the accuracy of the MUST (Malnutrition Universal Screening Tool), MST (Malnutrition Screening Tool), and SNAQ (Short Nutritional Assessment Questionnaire) in comparison with the NRS-2002 (Nutritional Risk Screening 2002) to identify patients at risk of malnutrition and (2) the ability of these nutrition screening tools to predict morbidity and mortality. A specific questionnaire was administered to complete the 4 screening tools. Outcomes measures included length of hospital stay, transfer to the intensive care unit, presence of infection, and incidence of death. A total of 752 patients were included. The nutrition risk was 29.3%, 37.1%, 33.6%, and 31.3% according to the NRS-2002, MUST, MST, and SNAQ, respectively. All screening tools showed satisfactory performance to identify patients at nutrition risk (area under the receiver operating characteristic curve between 0.765-0.808). Patients at nutrition risk showed higher risk of very long length of hospital stay as compared with those not at nutrition risk, independent of the tool applied (relative risk, 1.35-1.78). Increased risk of mortality (2.34 times) was detected by the MUST. The MUST, MST, and SNAQ share similar accuracy to the NRS-2002 in identifying risk of malnutrition, and all instruments were positively associated with very long hospital stay. In clinical practice, the 4 tools could be applied, and the choice for one of them should be made per the particularities of the service.

  1. Pollution Prevention Opportunity Assessment for the SNL/NM cafeterias.

    Energy Technology Data Exchange (ETDEWEB)

    McCord, Samuel Adam

    2005-12-01

    This Pollution Prevention Opportunity Assessment (PPOA) was conducted for the two Sandia National Laboratories/New Mexico cafeteria facilities between May and August 2005. The primary purpose of this PPOA is to assess waste and resource reduction opportunities and issue Pollution Prevention (P2) recommendations for Sandia's food service facilities. This PPOA contains recommendations for energy, water and resource reduction, as well as material substitution based upon environmentally preferable purchasing. Division 3000 has requested the PPOA report as part of the Division's compliance effort to implement the Environmental Management System (EMS) per DOE Order 450.1. This report contains a summary of the information collected and analyses performed with recommended options for implementation. The SNL/NM P2 Group will work with Division 3000 and the respective cafeteria facilities to implement these options.

  2. Respiratory Effects of Indoor Heat and the Interaction with Air Pollution in Chronic Obstructive Pulmonary Disease.

    Science.gov (United States)

    McCormack, Meredith C; Belli, Andrew J; Waugh, Darryn; Matsui, Elizabeth C; Peng, Roger D; Williams, D'Ann L; Paulin, Laura; Saha, Anik; Aloe, Charles M; Diette, Gregory B; Breysse, Patrick N; Hansel, Nadia N

    2016-12-01

    There is limited evidence of the effect of exposure to heat on chronic obstructive pulmonary disease (COPD) morbidity, and the interactive effect between indoor heat and air pollution has not been established. To determine the effect of indoor and outdoor heat exposure on COPD morbidity and to determine whether air pollution concentrations modify the effect of temperature. Sixty-nine participants with COPD were enrolled in a longitudinal cohort study, and data from the 601 participant days that occurred during the warm weather season were included in the analysis. Participants completed home environmental monitoring with measurement of temperature, relative humidity, and indoor air pollutants and simultaneous daily assessment of respiratory health with questionnaires and portable spirometry. Participants had moderate to severe COPD and spent the majority of their time indoors. Increases in maximal indoor temperature were associated with worsening of daily Breathlessness, Cough, and Sputum Scale scores and increases in rescue inhaler use. The effect was detected on the same day and lags of 1 and 2 days. The detrimental effect of temperature on these outcomes increased with higher concentrations of indoor fine particulate matter and nitrogen dioxide (P pollution concentrations. For patients with COPD who spend the majority of their time indoors, indoor heat exposure during the warmer months represents a modifiable environmental exposure that may contribute to respiratory morbidity. In the context of climate change, adaptive strategies that include optimization of indoor environmental conditions are needed to protect this high-risk group from the adverse health effects of heat.

  3. Environmental Restoration Program waste minimization and pollution prevention self-assessment

    International Nuclear Information System (INIS)

    1994-10-01

    The Environmental Restoration (ER) Program within Martin Marietta Energy Systems, Inc. is currently developing a more active waste minimization and pollution prevention program. To determine areas of programmatic improvements within the ER Waste Minimization and Pollution Prevention Awareness Program, the ER Program required an evaluation of the program across the Oak Ridge K-25 Site, the Oak Ridge National Laboratory, the Oak Ridge Y-12 Plant, the Paducah Environmental Restoration and Waste Minimization Site, and the Portsmouth Environmental Restoration and Waste Minimization Site. This document presents the status of the overall program as of fourth quarter FY 1994, presents pollution prevention cost avoidance data associated with FY 1994 activities, and identifies areas for improvement. Results of this assessment indicate that the ER Waste Minimization and Pollution Prevention Awareness Program is firmly established and is developing rapidly. Several procedural goals were met in FY 1994 and many of the sites implemented ER waste minimization options. Additional growth is needed, however, for the ER Waste Minimization and Pollution Prevention Awareness Program

  4. Nutritional status of an elderly population in Southwest China: a cross-sectional study based on comprehensive geriatric assessment.

    Science.gov (United States)

    Shi, R; Duan, J; Deng, Y; Tu, Q; Cao, Y; Zhang, M; Zhu, Q; Lü, Y

    2015-01-01

    Few data is available on the nutritional status of old Chinese. The present study aimed to describe the nutritional status and clinical correlates for malnutrition risk in the older people. Cross-sectional study. Hospital- and community-based older people were recruited in the region of Chongqing, China. 558 individuals aged 60 years old or over between April 2011 and October 2012. Comprehensive geriatric assessment was performed and nutritional status was assessed by the Mini Nutritional Assessment Short Form (MNA-SF). Nutrition-associated factors were analyzed, including health status (chronic diseases, depression, cognition, function impaired), social factors (education status, marital status, the type of work before 60 years old) and life style factors (smoking, drinking, diet). The mean age was 73.1±8.0 years and 43.9% were men. Prevalence of malnutrition and risk for malnutrition were 3.2% and 19.3 %, respectively. Several factors increased poor nutrition independently including self-rated health, comorbidity, chronic obstructive pulmonary disease, gastrointestinal disease and cognitive impairment. Fish decreased the risk of poor nutrition. The prevalence was relatively low in older people of Chongqing, Southwest China. Poor nutrition was found to be increased due to the common health problems. Thus the patients with these problems should pay more attention on nutritional status. The older people should often have fish because of their nutritional benefit.

  5. Establishing an air pollution monitoring network for intra-urban population exposure assessment : a location-allocation approach

    Energy Technology Data Exchange (ETDEWEB)

    Kanaroglou, P.S. [McMaster Univ., Hamilton, ON (Canada). School of Geography and Geology; Jerrett, M.; Beckerman, B.; Arain, M.A. [McMaster Univ., Hamilton, ON (Canada). School of Geography and Geology]|[McMaster Univ., Hamilton, ON (Canada). McMaster Inst. of Environment and Health; Morrison, J. [Carleton Univ., Ottawa, ON (Canada). School of Computer Science; Gilbert, N.L. [Health Canada, Ottawa, ON (Canada). Air Health Effects Div; Brook, J.R. [Meteorological Service of Canada, Toronto, ON (Canada)

    2004-10-01

    A study was conducted to assess the relation between traffic-generated air pollution and health reactions ranging from childhood asthma to mortality from lung cancer. In particular, it developed a formal method of optimally locating a dense network of air pollution monitoring stations in order to derive an exposure assessment model based on the data obtained from the monitoring stations and related land use, population and biophysical information. The method for determining the locations of 100 nitrogen dioxide monitors in Toronto, Ontario focused on land use, transportation infrastructure and the distribution of at-risk populations. The exposure assessment produced reasonable estimates at the intra-urban scale. This method for locating air pollution monitors effectively maximizes sampling coverage in relation to important socio-demographic characteristics and likely pollution variability. The location-allocation approach integrates many variables into the demand surface to reconfigure a monitoring network and is especially useful for measuring traffic pollutants with fine-scale spatial variability. The method also shows great promise for improving the assessment of exposure to ambient air pollution in epidemiologic studies. 19 refs., 3 tabs., 4 figs.

  6. Multi-model assessment of health impacts of air pollution in Europe and the U.S.

    Science.gov (United States)

    Im, Ulas; Brandt, Jørgen; Christensen, Jesper H.; Geels, Camilla; Hansen, Kaj M.; Andersen, Mikael S.; Solazzo, Efisio; Hogrefe, Christian; Galmarini, Stefano

    2017-04-01

    According to the World Health Organization (WHO), air pollution is now the world's largest single environmental health risk. Assessments of health impacts and the associated external costs related to air pollution are estimated based on observed and/or modelled air pollutant levels. Chemistry and transport models (CTMs) are useful tools to calculate the concentrations of health-related pollutants taking into account the non-linearities in the chemistry and the complex interactions between meteorology and chemistry. However, the CTMs include different chemical and aerosol schemes that introduce differences in the representation of the processes. Likewise, will differences in the emissions and boundary conditions used in the models add to the overall uncertainties. These uncertainties are introduced also into the health impact estimates using output from the CTMs. Multi-model (MM) ensembles can be useful to minimize these uncertainties introduced by the individual CTMs. In the present study, the simulated surface concentrations of health related air pollutants for the year 2010 from fifteen modelling groups participating in the AQMEII exercise, serve as input to the Economic Valuation of Air Pollution model (EVA), in order to calculate the impacts of these pollutants on human health and the associated external costs in Europe and U.S. In addition, the impacts of a 20% global emission reduction scenario on the human health and associated costs have been calculated. Preliminary results show that in Europe and U.S., the MM mean number of premature deaths due to air pollution is calculated to be 400 000 and 160 000, respectively. Estimated health impacts among different models can vary up to a factor of 3 and 1.2 in Europe and U.S., respectively. PM is calculated to be the major pollutant affecting the health impacts and the differences in models regarding the treatment of aerosol composition, physics and dynamics is a key factor. The total MM mean costs due to health

  7. Space Nutrition

    Science.gov (United States)

    Smith, Scott M.

    2009-01-01

    Optimal nutrition will be critical for crew members who embark on space exploration missions. Nutritional assessment provides an opportunity to ensure that crewmembers begin their missions in optimal nutritional status, to document changes during a mission and, if necessary, to provide intervention to maintain that status throughout the mission, and to assesses changes after landing in order to facilitate the return to their normal status as soon as possible after landing. We report here the findings from our nutritional assessment of astronauts who participated in the International Space Station (ISS) missions, along with flight and ground-based research findings. We also present ongoing and planned nutrition research activities. These studies provide evidence that bone loss, compromised vitamin status, and oxidative damage are the critical nutritional concerns for space travelers. Other nutrient issues exist, including concerns about the stability of nutrients in the food system, which are exposed to longterm storage and radiation during flight. Defining nutrient requirements, and being able to provide and maintain those nutrients on exploration missions, will be critical for maintaining crew member health.

  8. Nutritional status assessment in colorectal cancer patients.

    Science.gov (United States)

    Lopes, Joana Pedro; de Castro Cardoso Pereira, Paula Manuela; dos Reis Baltazar Vicente, Ana Filipa; Bernardo, Alexandra; de Mesquita, María Fernanda

    2013-01-01

    The present study intended to evaluate the nutritional status of Portuguese colorectal patients and associated it with surgery type as well as quality of life outcomes. Malnutrition can affect up to 85% of cancer patients and specifically 30-60% in colorectal cancer and can significantly influence health outcomes. A sample of 50 colorectal cancer patients was evaluated in what refers to several anthropometric measures, food intake, clinical history, complications rate before and after surgery procedure. The sample was divided between convention and fast-track procedures. Most of the individuals were overweight or obese but had lost weight on the past six months. Despite mild, there were signs of malnutrition in this sample with high losses of fat free mass, weight and also fat mass during the hospitalization period. These results reinforce the importance of malnutrition assessment in colorectal patients as well as consider weight loss on the past months and body composition in order to complement nutritional status evaluation. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

  9. An assessment of air pollution and its attributable mortality in Ulaanbaatar, Mongolia.

    Science.gov (United States)

    Allen, Ryan W; Gombojav, Enkhjargal; Barkhasragchaa, Baldorj; Byambaa, Tsogtbaatar; Lkhasuren, Oyuntogos; Amram, Ofer; Takaro, Tim K; Janes, Craig R

    2013-03-01

    Epidemiologic studies have consistently reported associations between outdoor fine particulate matter (PM 2.5 ) air pollution and adverse health effects. Although Asia bears the majority of the public health burden from air pollution, few epidemiologic studies have been conducted outside of North America and Europe due in part to challenges in population exposure assessment. We assessed the feasibility of two current exposure assessment techniques, land use regression (LUR) modeling and mobile monitoring, and estimated the mortality attributable to air pollution in Ulaanbaatar, Mongolia. We developed LUR models for predicting wintertime spatial patterns of NO 2 and SO 2 based on 2-week passive Ogawa measurements at 37 locations and freely available geographic predictors. The models explained 74% and 78% of the variance in NO 2 and SO 2 , respectively. Land cover characteristics derived from satellite images were useful predictors of both pollutants. Mobile PM 2.5 monitoring with an integrating nephelometer also showed promise, capturing substantial spatial variation in PM 2.5 concentrations. The spatial patterns in SO 2 and PM, seasonal and diurnal patterns in PM 2.5 , and high wintertime PM 2.5 /PM 10 ratios were consistent with a major impact from coal and wood combustion in the city's low-income traditional housing (ger) areas. The annual average concentration of PM 2.5 measured at a centrally located government monitoring site was 75 μg/m 3 or more than seven times the World Health Organization's PM 2.5 air quality guideline, driven by a wintertime average concentration of 148 μg/m 3 . PM 2.5 concentrations measured in a traditional housing area were higher, with a wintertime mean PM 2.5 concentration of 250 μg/m 3 . We conservatively estimated that 29% (95% CI, 12-43%) of cardiopulmonary deaths and 40% (95% CI, 17-56%) of lung cancer deaths in the city are attributable to outdoor air pollution. These deaths correspond to nearly 10% of the city's total

  10. Capable and credible? Challenging nutrition science : Challenging nutrition science

    NARCIS (Netherlands)

    Penders, Bart; Wolters, Anna; Feskens, Edith F; Brouns, Fred; Huber, Machteld; Maeckelberghe, Els L M; Navis, Gerjan; Ockhuizen, Theo; Plat, Jogchum; Sikkema, Jan; Stasse-Wolthuis, Marianne; van 't Veer, Pieter; Verweij, Marcel; de Vries, Jan

    Nutrition science has enriched our understanding of how to stay healthy by producing valuable knowledge about the interaction of nutrients, food, and the human body. Nutrition science also has raised societal awareness about the links between food consumption and well-being, and provided the basis

  11. assessing nutrition intervention programmes that addressed

    African Journals Online (AJOL)

    2012-04-02

    Apr 2, 2012 ... national nutrition strategy for combating malnutrition was ..... Efficient and effective nutrition information system for planning, policy formulation and ... Efficient and effective financial management and administration in support ...

  12. Spatial traffic noise pollution assessment - A case study.

    Science.gov (United States)

    Monazzam, Mohammad Reza; Karimi, Elham; Abbaspour, Majid; Nassiri, Parvin; Taghavi, Lobat

    2015-01-01

    Spatial assessment of traffic noise pollution intensity will provide urban planners with approximate estimation of citizens exposure to impermissible sound levels. They could identify critical noise pollution areas wherein noise barriers should be embedded. The present study aims at using the Geographic Information System (GIS) to assess spatial changes in traffic noise pollution in Tehran, the capital of Iran, and the largest city in the Middle East. For this purpose, while measuring equivalent sound levels at different time periods of a day and different days of a week in District 14 of Tehran, wherein there are highways and busy streets, the geographic coordination of the measurement points was recorded at the stations. The obtained results indicated that the equivalent sound level did not show a statistically significant difference between weekdays, and morning, afternoon and evening hours as well as time intervals of 10 min, 15 min and 30 min. Then, 91 stations were selected in the target area and equivalent sound level was measured for each station on 3 occasions of the morning (7:00-9:00 a.m.), afternoon (12.00-3:00 p.m.) and evening (5:00-8:00 p.m.) on Saturdays to Wednesdays. As the results suggest, the maximum equivalent sound level (Leq) was reported from Basij Highway, which is a very important connecting thoroughfare in the district, and was equal to 84.2 dB(A), while the minimum equivalent sound level (Leq), measured in the Fajr Hospital, was equal to 59.9 dB(A). The average equivalent sound level was higher than the national standard limit at all stations. The use of sound walls in Highways Basij and Mahallati as well as widening the Streets 17th Shahrivar, Pirouzi and Khavaran, benchmarked on a map, were recommended as the most effective mitigation measures. Additionally, the research findings confirm the outstanding applicability of the Geographic Information System in handling noise pollution data towards depicting noise pollution intensity caused

  13. Study protocol: Mother and Infant Nutritional Assessment (MINA) cohort study in Qatar and Lebanon.

    Science.gov (United States)

    Naja, Farah; Nasreddine, Lara; Al Thani, Al Anoud; Yunis, Khaled; Clinton, Michael; Nassar, Anwar; Farhat Jarrar, Sara; Moghames, Patricia; Ghazeeri, Ghina; Rahman, Sajjad; Al-Chetachi, Walaa; Sadoun, Eman; Lubbad, Nibal; Bashwar, Zelaikha; Bawadi, Hiba; Hwalla, Nahla

    2016-05-04

    The Middle East and North Africa region harbors significant proportions of stunting and wasting coupled with surging rates of non-communicable diseases (NCDs). Recent evidence identified nutrition during the first 1000 days of life as a common denominator not only for optimal growth but also for curbing the risk of NCDs later in life. The main objective of this manuscript is to describe the protocol of the first cohort in the region to investigate the association of nutrition imbalances early in life with birth outcomes, growth patterns, as well as early determinants of non-communicable diseases. More specifically the cohort aims to 1) examine the effects of maternal and early child nutrition and lifestyle characteristics on birth outcomes and growth patterns and 2) develop evidence-based nutrition and lifestyle guidelines for pregnant women and young children. A multidisciplinary team of researchers was established from governmental and private academic and health sectors in Lebanon and Qatar to launch the Mother and Infant Nutritional Assessment 3-year cohort study. Pregnant women (n = 250 from Beirut, n = 250 from Doha) in their first trimester are recruited from healthcare centers in Beirut, Lebanon and Doha, Qatar. Participants are interviewed three times during pregnancy (once every trimester) and seven times at and after delivery (when the child is 4, 6, 9, 12, 18, and 24 months old). Delivery and birth data is obtained from hospital records. Data collection includes maternal socio-demographic and lifestyle characteristics, dietary intake, anthropometric measurements, and household food security data. For biochemical assessment of various indicators of nutritional status, a blood sample is obtained from women during their first trimester. Breastfeeding and complementary feeding practices, dietary intake, as well as anthropometric measurements of children are also examined. The Delphi technique will be used for the development of the nutrition and lifestyle

  14. Nutritional assessment methods for zinc supplementation in prepubertal non-zinc-deficient children

    Directory of Open Access Journals (Sweden)

    Márcia Marília Gomes Dantas Lopes

    2015-10-01

    Full Text Available Background: Zinc is an essential nutrient that is required for numerous metabolic functions, and zinc deficiency results in growth retardation, cell-mediated immune dysfunction, and cognitive impairment. Objective: This study evaluated nutritional assessment methods for zinc supplementation in prepubertal non-zinc-deficient children. Design: We performed a randomised, controlled, triple-blind study. The children were divided into a control group (10% sorbitol, n=31 and an experimental group (10 mg Zn/day, n=31 for 3 months. Anthropometric and dietary assessments as well as bioelectrical measurements were performed in all children. Results: Our study showed (1 an increased body mass index for age and an increased phase angle in the experimental group; (2 a positive correlation between nutritional assessment parameters in both groups; (3 increased soft tissue, and mainly fat-free mass, in the body composition of the experimental group, as determined using bioelectrical impedance vector analysis; (4 increased consumption of all nutrients, including zinc, in the experimental group; and (5 an increased serum zinc concentration in both groups (p<0.0001. Conclusions: Given that a reference for body composition analysis does not exist for intervention studies, longitudinal studies are needed to investigate vector migration during zinc supplementation. These results reinforce the importance of employing multiple techniques to assess the nutritional status of populations.

  15. Nutritional status and nutritional risk in patients with neuroendocrine tumors

    DEFF Research Database (Denmark)

    Borre, Mette; Dam, Gitte Aarøe; Knudsen, Anne Wilkens

    2018-01-01

    BACKGROUND: Malnutrition is frequent among patients with malignancies and associated with impaired function, reduced quality of life and increased mortality. Few data are available in patients with neuroendocrine tumors (NET) on nutritional status, nutritional risk, and nutrition impact symptoms...... (NIS). We aimed to assess nutritional status (NS) and risk, level of function and associations with NIS in NET patients. METHODS: In a cross-sectional study of NET patients, we measured body mass index (BMI) and handgrip strength (HGS) as markers of NS and muscle function assessed by HGS....... The nutritional risk score (NRS) was determined by NRS-2002. NIS was assessed by the eating symptoms questionnaire (ESQ), and disease-related appetite questionnaire (DRAQ). RESULTS: We included 186 patients (51% women), median age 66 years. We observed low BMI (

  16. Assessment of air, water and land-based sources of pollution in the ...

    African Journals Online (AJOL)

    A quantitative assessment of air, water and land-based sources of pollution to the coastal zone of the Accra-Tema Metropolitan Area of Ghana was conducted by making an emission inventory from information on industrial, commercial and domestic activities. Three sources of air pollution were analysed, viz, emission from ...

  17. Clinical Metabolomics and Nutrition: The New Frontier in Neonatology and Pediatrics

    Directory of Open Access Journals (Sweden)

    Angelica Dessì

    2014-01-01

    Full Text Available In the pediatric clinic, nutritional research is focusing more and more on preventing the development of long-term diseases as well as supporting the repair processes important in the therapy of already fully developed diseases. Most children who are hospitalized or affected by chronic diseases could benefit from specific and careful attention to nutrition. Indeed, the state of nutrition modulates all body functions, including the different metabolic processes which, all together, have a profound effect on the development of the health and future of all individuals. Inappropriate food, even in the first periods of life, can accelerate the development of chronic metabolic diseases, especially in the pediatric age. To gain further insights into metabolic cycles and how they are connected with diet and health, nutrition and metabolomics interact to develop and apply modern technologies for metabolic assessment. In particular, nutritionists are evaluating the metabolomic approach to establish the single nutritional phenotypes, that is, the way in which diet interacts with individuals’ metabolisms. This strategy offers the possibility of providing a complete definition of the individual’s nutritional and health status, predict the risk of disease, and create metabolomic databases supporting the development of “personalized nutrition,” in which diet is attuned to the nutritional needs of individual patients.

  18. Current status of parenteral nutrition and enteral nutrition application: an assessment of nutritional prescriptions from 59 hospitals in the People’s Republic of China

    Science.gov (United States)

    Han, Gang; Yu, Zhenwei; Ma, Ke

    2015-01-01

    Purpose The aim of the study reported here was to assess the use of parenteral nutrition (PN) and enteral nutrition (EN), and the prevalence of PN and EN formulas, in the People’s Republic of China. Methods Fifty-nine hospitals in the People’s Republic of China participated in a nutrition survey. The resulting information on nutritional support was analyzed. Results We received 379,584 nutritional-support prescriptions over 40 days in 2013. PN provided approximately 63.2% and EN provided approximately 36.8% of nitrogen intake. PN provided 63.5% and EN provided 36.5% of lipid intake. There were obvious differences in nitrogen and lipid intake between PN and EN in different regions, departments, and diseases. The percentage of nourishment provided by PN in different regions was highest in Chengdu, followed by the Beijing, Guangzhou, and Hangzhou areas. The percentage of nourishment provided by PN in different departments was highest in general surgery, followed by gastroenterology and the intensive care unit. The percentage of nourishment provided by PN in different diseases/conditions was highest in acute pancreatitis, followed by cancer, and burns. The main source of nitrogen in PN was balanced amino-acid preparations, and in EN, it was protein. The main source of lipids in PN was long- and medium-chain triglyceride lipid emulsion injection. Conclusion Despite recent improvements in the application of nutritional support in the People’s Republic of China, a much higher percentage of nitrogen and lipids is delivered through PN than through EN. Furthermore, there are marked regional, departmental, and disease-based differences in the selection of PN versus EN. The rationale for use of nutritional support needs to be improved. PMID:25709462

  19. Interacting effects of sulphate pollution, sulphide toxicity and eutrophication on vegetation development in fens: A mesocosm experiment

    International Nuclear Information System (INIS)

    Geurts, Jeroen J.M.; Sarneel, Judith M.; Willers, Bart J.C.; Roelofs, Jan G.M.; Verhoeven, Jos T.A.; Lamers, Leon P.M.

    2009-01-01

    Both eutrophication and SO 4 pollution can lead to higher availability of nutrients and potentially toxic compounds in wetlands. To unravel the interaction between the level of eutrophication and toxicity at species and community level, effects of SO 4 were tested in nutrient-poor and nutrient-rich fen mesocosms. Biomass production of aquatic and semi-aquatic macrophytes and colonization of the water layer increased after fertilization, leading to dominance of highly competitive species. SO 4 addition increased alkalinity and sulphide concentrations, leading to decomposition and additional eutrophication. SO 4 pollution and concomitant sulphide production considerably reduced biomass production and colonization, but macrophytes were less vulnerable in fertilized conditions. The experiment shows that competition between species, vegetation succession and terrestrialization are not only influenced by nutrient availability, but also by toxicity, which strongly interacts with the level of eutrophication. This implies that previously neutralized toxicity effects in eutrophied fens may appear after nutrient reduction measures have been taken. - Interspecific competition, vegetation succession and terrestrialization in fens depend on the interacting effects of SO 4 pollution, sulphide toxicity and nutrient availability.

  20. A six months' prospective follow-up of 65+-y-old patients from general practice classified according to nutritional risk by the Mini Nutritional Assessment

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Ovesen, Lars; Schroll, M.

    2001-01-01

    Objective: To assess the prevalence of old people at risk of undernutrition according to the Mini Nutritional Assessment (MNA), characterise the at risk group with regard to nutritional state, energy intake, and physical and mental functioning, and to assess the consequences of the MNA score over...... a 6 month period. Design: A cross-sectional prospective study. Setting: The clinic of a general practitioner. Subjects: Ninety-four patients 65 + -y-old with no acute illness contacted at the clinic. Sixty-one subjects (65%) agreed to participate at baseline and 34 (56%) showed up at the follow-up 6...

  1. Ground water pollution through air pollutants

    International Nuclear Information System (INIS)

    Cichorowski, G.; Michel, B.; Versteegen, D.; Wettmann, R.

    1989-01-01

    The aim of the investigation is to determine the significance of air pollutants for ground water quality and ground water use. The report summarizes present knowledge and assesses statements with a view to potential ground water pollution from the air. In this context pollution paths, the spreading behaviour of pollutants, and 'cross points' with burden potentials from other pollutant sources are presented. (orig.) [de

  2. Work-based assessment: qualitative perspectives of novice nutrition and dietetics educators.

    Science.gov (United States)

    Palermo, C; Beck, E J; Chung, A; Ash, S; Capra, S; Truby, H; Jolly, B

    2014-10-01

    The assessment of competence for health professionals including nutrition and dietetics professionals in work-based settings is challenging. The present study aimed to explore the experiences of educators involved in the assessment of nutrition and dietetics students in the practice setting and to identify barriers and enablers to effective assessment. A qualitative research approach using in-depth interviews was employed with a convenience sample of inexperienced dietitian assessors. Interviews explored assessment practices and challenges. Data were analysed using a thematic approach within a phenomenological framework. Twelve relatively inexperienced practice educators were purposefully sampled to take part in the present study. Three themes emerged from these data. (i) Student learning and thus assessment is hindered by a number of barriers, including workload demands and case-mix. Some workplaces are challenged to provide appropriate learning opportunities and environment. Adequate support for placement educators from the university, managers and their peers and planning are enablers to effective assessment. (ii) The role of the assessor and their relationship with students impacts on competence assessment. (iii) There is a lack of clarity in the tasks and responsibilities of competency-based assessment. The present study provides perspectives on barriers and enablers to effective assessment. It highlights the importance of reflective practice and feedback in assessment practices that are synonymous with evidence from other disciplines, which can be used to better support a work-based competency assessment of student performance. © 2013 The British Dietetic Association Ltd.

  3. Nutritional assessment of cancer patients in Tehran, Iran.

    Science.gov (United States)

    Khoshnevis, N; Ahmadizar, F; Alizadeh, M; Akbari, M E

    2012-01-01

    Weight loss and malnutrition are common among cancer patients, these two factors greatly affecting survival and quality of life during treatment. Since cancer is becoming increasingly common in the world and in order to provide better treatment measures, it is important to identify and prevent side effects. The present study has been conducted in 2010 on a sample of cancer patients in the oncology center of Shahid Beheshti University of Medical Sciences to determine the prevalence rates of malnutrition and the factors affecting it. The PG-SGA standard questionnaire was administered to 416 cancer patients to evaluate their nutrition status and determine the frequency of each malnutrition stage. Correlations and ANOVA tests were used to analyze the relationship between factors and weight loss and how they might affect the development of malnutrition. The prevalence of malnutrition among the patients was 53.1% out of which 29.1% had moderate and 24% had severe malnutrition. The most common factors inducing nutritional symptoms were depression and anorexia. Some 35 % of the patients had over 5% weight loss in the last mouth. The average PG-SGA score was 10.1 with 49 being the highest. 46.1 percent of the patients scored over 9 (requiring critical nutrient intervention). Malnutrition has a high correlation with weight loss, activity limitations, nutritional symptoms, and cancer stage, but low correlation with treatment and pathologic type. Malnutrition has a high prevalence in Iranian cancer patients and has a close relationship with mortality, morbidity and treatment-related problems and also quality of life. Therefore, periodical assessment by PG-SGA to detect malnutrition in patients should be made so that appropriate nutritional interventions can be provided.

  4. Nutritional status of patients treated with radiotherapy as determined by subjective global assessment

    International Nuclear Information System (INIS)

    Koom, Woong Sub; Keum, Ki Chang; Ahn, Seung Do

    2012-01-01

    The purpose of this prospective multi-institutional study was to evaluate the nutritional status of patients undergoing radiotherapy (RT) for treatment of head and neck, lung, or gastrointestinal cancer. A total of 1,000 patients were enrolled in this study at seven different hospitals in Seoul, Korea between October 2009 and May 2010. The nutritional status of patients after receiving 3 weeks of RT was evaluated using subjective global assessment (SGA). The nutritional status of each patient was rated as well nourished (A), moderately malnourished (B), or severely malnourished (C). The mean age of patients in this study was 59.4 ± 11.9 years, and the male to female ratio was 7:3. According to the SGA results, 60.8%, 34.5%, and 4.7% of patients were classified as A, B, or C, respectively. The following criteria were significantly associated with malnutrition (SGA B or C; p < 0.001): loss of subcutaneous fat or muscle wasting (odds ratio [OR], 11.473); increased metabolic demand/stress (OR, 8.688); ankle, sacral edema, or ascites (OR, 3.234); and weight loss 5% (OR, 2.299). SGA was applied successfully to assess the nutritional status of most patients. The prevalence of malnutrition in a radiation oncology department was 39.2%. The results of this study serve as a basis for implementation of nutrition intervention to patients being treated at radiation oncology departments.

  5. Nutritional status of patients treated with radiotherapy as determined by subjective global assessment

    Energy Technology Data Exchange (ETDEWEB)

    Koom, Woong Sub; Keum, Ki Chang [Dept. of Radiation Oncology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Ahn, Seung Do [Dept. of Radiation Oncology, Asan Medical Center, Seoul (Korea, Republic of); and others

    2012-09-15

    The purpose of this prospective multi-institutional study was to evaluate the nutritional status of patients undergoing radiotherapy (RT) for treatment of head and neck, lung, or gastrointestinal cancer. A total of 1,000 patients were enrolled in this study at seven different hospitals in Seoul, Korea between October 2009 and May 2010. The nutritional status of patients after receiving 3 weeks of RT was evaluated using subjective global assessment (SGA). The nutritional status of each patient was rated as well nourished (A), moderately malnourished (B), or severely malnourished (C). The mean age of patients in this study was 59.4 {+-} 11.9 years, and the male to female ratio was 7:3. According to the SGA results, 60.8%, 34.5%, and 4.7% of patients were classified as A, B, or C, respectively. The following criteria were significantly associated with malnutrition (SGA B or C; p < 0.001): loss of subcutaneous fat or muscle wasting (odds ratio [OR], 11.473); increased metabolic demand/stress (OR, 8.688); ankle, sacral edema, or ascites (OR, 3.234); and weight loss 5% (OR, 2.299). SGA was applied successfully to assess the nutritional status of most patients. The prevalence of malnutrition in a radiation oncology department was 39.2%. The results of this study serve as a basis for implementation of nutrition intervention to patients being treated at radiation oncology departments.

  6. The role of IGFs and leptin in nutrition-reproduction interactions and their potential application as indicators of nutritional adequacy and predictors of reproductive performance in dairy cattle

    International Nuclear Information System (INIS)

    Blanche, Dominique

    2002-01-01

    Full text: The interaction between nutrition and reproductive activity has been described in both wild and farm animals. The lactating cow is one of the very best examples of this interaction. During lactation, the length of time spent in negative energy balance around parturition seems to be an important factor controlling the delay to return to breeding after parturition. The mechanism by which nutrition regulates the reproductive system is not fully understood in lactating dairy cows or indeed in any other situation in ruminants or mammals in general. However, to be effective, a nutritional signal should ultimately act on at least one of the 3 regulatory sites in the reproductive axis - the brain, the pituitary gland and the gonads. Nutrition is likely to involve metabolic signals that could act directly on one of these targets or it could interfere with other regulatory mechanisms such as the feedback by gonadal steroids on gonadotrophin secretion. In this presentation, we will use examples from laboratory rodents and ruminants, and from dairy cattle where they are available, to examine how IGF-1 and leptin, amongst several other blood metabolites and metabolic hormones, could be part of the link between nutrition and reproduction in the postpartum dairy cow. A number of studies have proposed a role for IGF-1 in the control of postpartum anoestrus and the framework of the current hypothesis will be presented. The role of leptin is still not clear for ruminants in general, but especially in cattle, because leptin was only recently discovered (about 6 years ago) and because a reliable radioimmunoassay for bovine leptin only became available since 1999. The possibilities and restrictions of a role for leptin in the control of reproduction by nutrition will be discussed. To conclude, we will examine the use of these two hormones as potential indicators of the adequacy of nutritional status for reproductive function and we will introduce insulin as another

  7. Nutrition and mortality assessment--southern Sudan, March 1993.

    Science.gov (United States)

    1993-04-30

    During the last 5 years of Sudan's decade-long civil war, increased fighting and food shortages in southern Sudan have led to displacement of large numbers of persons. In late 1992, the United Nations (UN), the government of Sudan, and factions of the Sudanese People's Liberation Army negotiated increased access for delivery of relief aid to civilians in southern Sudan. To assist in the targeting of food and other relief aid, CDC and the U.S. Agency for International Development's Office of Foreign Disaster Assistance conducted rapid assessments of nutritional status (children aged Akon (Bahr el Ghazal) (Figure 1). This report summarizes findings of the assessments.

  8. Chemical and biochemical tools to assess pollution exposure in cultured fish

    International Nuclear Information System (INIS)

    Fernandes, Denise; Zanuy, Silvia; Bebianno, Maria Joao; Porte, Cinta

    2008-01-01

    There is little information regarding pollutant levels in farmed fish, and the risks associated to consumption. This study was designed to assess levels of exposure to metals, organochlorinated compounds, polycyclic aromatic hydrocarbons (PAHs) and alkylphenols (APEs) in farmed sea bass Dicentrarchus labrax from five aquacultures located in Southern Europe. Additionally, several biochemical responses (metallothionein, 7-ethoxyresorufin O-deethylase, vitellogenin) were determined as complementary tools. The obtained data indicate that pollutants exposure in farmed fish is similar to the levels reported in wild specimens from the area. Nonetheless, some biochemical responses were observed in the studied organisms, viz. metallothionein induction in Cu exposed organisms, and 7-ethoxyresorufin O-deethylase (EROD) and vitellogenin induction in PAHs and APEs exposed ones. The study further supports the usefulness of the biomarker approach as a first screening method to discriminate between basal and high levels of exposure in cultured fish. - Pollution assessment in cultured fish: chemical and biochemical tools

  9. Anorexia nervosa and nutritional assessment: contribution of body composition measurements.

    Science.gov (United States)

    Mattar, Lama; Godart, Nathalie; Melchior, Jean Claude; Pichard, Claude

    2011-06-01

    The psychiatric condition of patients suffering from anorexia nervosa (AN) is affected by their nutritional status. An optimal assessment of the nutritional status of patients is fundamental in understanding the relationship between malnutrition and the psychological symptoms. The present review evaluates some of the available methods for measuring body composition in patients with AN. We searched literature in Medline using several key terms relevant to the present review in order to identify papers. Only articles in English or French were reviewed. A brief description is provided for each body composition technique, with its applicability in AN as well as its limitation. All methods of measuring body composition are not yet validated and/or feasible in patients with AN. The present review article proposes a practical approach for selecting the most appropriate methods depending on the setting, (i.e. clinical v. research) and the goal of the assessment (initial v. follow-up) in order to have a more personalised treatment for patients suffering from AN.

  10. Disability adjusted life year (DALY): a useful tool for quantitative assessment of environmental pollution.

    Science.gov (United States)

    Gao, Tingting; Wang, Xiaochang C; Chen, Rong; Ngo, Huu Hao; Guo, Wenshan

    2015-04-01

    Disability adjusted life year (DALY) has been widely used since 1990s for evaluating global and/or regional burden of diseases. As many environmental pollutants are hazardous to human health, DALY is also recognized as an indicator to quantify the health impact of environmental pollution related to disease burden. Based on literature reviews, this article aims to give an overview of the applicable methodologies and research directions for using DALY as a tool for quantitative assessment of environmental pollution. With an introduction of the methodological framework of DALY, the requirements on data collection and manipulation for quantifying disease burdens are summarized. Regarding environmental pollutants hazardous to human beings, health effect/risk evaluation is indispensable for transforming pollution data into disease data through exposure and dose-response analyses which need careful selection of models and determination of parameters. Following the methodological discussions, real cases are analyzed with attention paid to chemical pollutants and pathogens usually encountered in environmental pollution. It can be seen from existing studies that DALY is advantageous over conventional environmental impact assessment for quantification and comparison of the risks resulted from environmental pollution. However, further studies are still required to standardize the methods of health effect evaluation regarding varied pollutants under varied circumstances before DALY calculation. Copyright © 2014 Elsevier B.V. All rights reserved.

  11. Dynamic assessment of exposure to air pollution using mobile phone data.

    Science.gov (United States)

    Dewulf, Bart; Neutens, Tijs; Lefebvre, Wouter; Seynaeve, Gerdy; Vanpoucke, Charlotte; Beckx, Carolien; Van de Weghe, Nico

    2016-04-21

    Exposure to air pollution can have major health impacts, such as respiratory and cardiovascular diseases. Traditionally, only the air pollution concentration at the home location is taken into account in health impact assessments and epidemiological studies. Neglecting individual travel patterns can lead to a bias in air pollution exposure assessments. In this work, we present a novel approach to calculate the daily exposure to air pollution using mobile phone data of approximately 5 million mobile phone users living in Belgium. At present, this data is collected and stored by telecom operators mainly for management of the mobile network. Yet it represents a major source of information in the study of human mobility. We calculate the exposure to NO2 using two approaches: assuming people stay at home the entire day (traditional static approach), and incorporating individual travel patterns using their location inferred from their use of the mobile phone network (dynamic approach). The mean exposure to NO2 increases with 1.27 μg/m(3) (4.3%) during the week and with 0.12 μg/m(3) (0.4%) during the weekend when incorporating individual travel patterns. During the week, mostly people living in municipalities surrounding larger cities experience the highest increase in NO2 exposure when incorporating their travel patterns, probably because most of them work in these larger cities with higher NO2 concentrations. It is relevant for health impact assessments and epidemiological studies to incorporate individual travel patterns in estimating air pollution exposure. Mobile phone data is a promising data source to determine individual travel patterns, because of the advantages (e.g. low costs, large sample size, passive data collection) compared to travel surveys, GPS, and smartphone data (i.e. data captured by applications on smartphones).

  12. A Comparison of the Nutritional Risk Screening 2002 Tool With the Subjective Global Assessment Tool to Detect Nutritional Status in Chinese Patients Undergoing Surgery With Gastrointestinal Cancer.

    Science.gov (United States)

    Chi, Juntao; Yin, Shaohua; Zhu, Yongjian; Gao, Fengli; Song, Xinna; Song, Zhenlan; Lv, Junying; Li, Miaomiao

    The objectives of this study were to describe the nutritional status of Chinese patients with gastrointestinal cancer undergoing surgery and to compare the ease of use, diversity, and concordance of the Nutritional Risk Screening 2002 with the Subjective Global Assessment in the same patients. A total of 280 gastrointestinal cancer patients admitted for elective surgery were evaluated by the Nutritional Risk Screening 2002 (NRS 2002) and Subjective Global Assessment (SGA) tools within 48 hours of admission from April to October 2012. Related opinions about ease of using the tools were obtained from 10 nurses. The prevalence of patients at nutritional risk with the SGA and NRS 2002 was 33.9% and 53.2% on admission. In the total group, ≤70 age group, and >70 age group, respectively, consistency was observed in 214 (76.4%), 175 (91.1%), and 39 (44.3%); and kappa values were 0.54 (p 70 age group (p nutritional status of patients with gastrointestinal cancer undergoing surgery, but it appeared to detect more patients at nutritional risk in the >70 age group.

  13. Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports.

    Science.gov (United States)

    Li, Suyun; Liu, Xiaoqian; He, Yuan; Li, Qianyu; Ji, Linlin; Shen, Wenbin; Tong, Guansheng

    2017-12-01

    Intestinal lymphangiectasia (IL) is a rare enteropathy involving the expansion and rupture of intestinal lymphatic channels. Although several reports have studied cases of primary IL (PIL), this condition is very rare, and is even less commonly encountered in infants. This study aimed to investigate the nutritional therapy and effect assessment of chylous reflux disorder caused by PIL in infants. Infantile patients were enrolled in the Affiliated Beijing Shijitan Hospital of the Capital Medical University between January 2012 and March 2014. The minimum age of onset was 4 months and the maximum age of onset was 16 months, with an average age of 4.9 months. All children were inpatient who had been diagnosed with chylous reflux syndrome (chylothorax and/or chylic abdomen) caused by PIL. Retrospective analysis and individualized nutrition therapy of these cases were carried out. Finally, nutritional therapy and prognosis of PIL were assessed and summarized. All the children survived, showed improvement in the serum total protein, albumin, and HGB levels after nutritional therapy. After comprehensive nutritional therapy, we were able to achieve diarrhea control for all the 9 patients, and after treatment, the children passed soft, yellow stools 1 to 2 times/d. After treatment, the height and weight of all patients increased to within the normal ranges of the World Health Organization standard chart. The mean serum albumin level reached 41.3 g/L. All nutrition-related indicators were found to have significant improvement compared with the baseline levels. The results revealed that nutritional therapy for the 9 children with PIL was effective, and it may be able to improve the clinical syndromes and symptoms of children with PIL and promote recovery. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

  14. Modeling-Enabled Systems Nutritional Immunology

    Science.gov (United States)

    Verma, Meghna; Hontecillas, Raquel; Abedi, Vida; Leber, Andrew; Tubau-Juni, Nuria; Philipson, Casandra; Carbo, Adria; Bassaganya-Riera, Josep

    2016-01-01

    This review highlights the fundamental role of nutrition in the maintenance of health, the immune response, and disease prevention. Emerging global mechanistic insights in the field of nutritional immunology cannot be gained through reductionist methods alone or by analyzing a single nutrient at a time. We propose to investigate nutritional immunology as a massively interacting system of interconnected multistage and multiscale networks that encompass hidden mechanisms by which nutrition, microbiome, metabolism, genetic predisposition, and the immune system interact to delineate health and disease. The review sets an unconventional path to apply complex science methodologies to nutritional immunology research, discovery, and development through “use cases” centered around the impact of nutrition on the gut microbiome and immune responses. Our systems nutritional immunology analyses, which include modeling and informatics methodologies in combination with pre-clinical and clinical studies, have the potential to discover emerging systems-wide properties at the interface of the immune system, nutrition, microbiome, and metabolism. PMID:26909350

  15. Modeling-Enabled Systems Nutritional Immunology

    Directory of Open Access Journals (Sweden)

    Meghna eVerma

    2016-02-01

    Full Text Available This review highlights the fundamental role of nutrition in the maintenance of health, the immune response and disease prevention. Emerging global mechanistic insights in the field of nutritional immunology cannot be gained through reductionist methods alone or by analyzing a single nutrient at a time. We propose to investigate nutritional immunology as a massively interacting system of interconnected multistage and multiscale networks that encompass hidden mechanisms by which nutrition, microbiome, metabolism, genetic predisposition and the immune system interact to delineate health and disease. The review sets an unconventional path to applying complex science methodologies to nutritional immunology research, discovery and development through ‘use cases’ centered around the impact of nutrition on the gut microbiome and immune responses. Our systems nutritional immunology analyses, that include modeling and informatics methodologies in combination with pre-clinical and clinical studies, have the potential to discover emerging systems-wide properties at the interface of the immune system, nutrition, microbiome, and metabolism.

  16. National Port Strategy Assessment: Reducing Air Pollution and Greenhouse Gases at U.S. Ports

    Science.gov (United States)

    The assessment finds that air pollution at the Nation's ports can be significantly reduced by implementing currently available strategies and technologies to reduce emissions of harmful pollutants from diesel vehicles and engines.

  17. Risk assessment of metals and organic pollutants for herbivorous and carnivorous small mammal food chains in a polluted floodplain (Biesbosch, The Netherlands)

    NARCIS (Netherlands)

    Hamers, T.H.M.; Berg, van den J.H.J.; Gestel, van C.A.M.; Schooten, van F.J.; Murk, A.J.

    2006-01-01

    A risk assessment was made for a carnivorous and a herbivorous food chain in a heavily polluted natural estuary (Biesbosch), by determining the most critical pollutants and the food chain most at risk. Exposure of food chains to metals, polycyclic aromatic hydrocarbons (PAHs), and polychlorinated

  18. Spatial traffic noise pollution assessment – A case study

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Monazzam

    2015-06-01

    Full Text Available Objectives: Spatial assessment of traffic noise pollution intensity will provide urban planners with approximate estimation of citizens exposure to impermissible sound levels. They could identify critical noise pollution areas wherein noise barriers should be embedded. The present study aims at using the Geographic Information System (GIS to assess spatial changes in traffic noise pollution in Tehran, the capital of Iran, and the largest city in the Middle East. Material and Methods: For this purpose, while measuring equivalent sound levels at different time periods of a day and different days of a week in District 14 of Tehran, wherein there are highways and busy streets, the geographic coordination of the measurement points was recorded at the stations. The obtained results indicated that the equivalent sound level did not show a statistically significant difference between weekdays, and morning, afternoon and evening hours as well as time intervals of 10 min, 15 min and 30 min. Then, 91 stations were selected in the target area and equivalent sound level was measured for each station on 3 occasions of the morning (7:00–9:00 a.m., afternoon (12.00–3:00 p.m. and evening (5:00–8:00 p.m. on Saturdays to Wednesdays. Results: As the results suggest, the maximum equivalent sound level (Leq was reported from Basij Highway, which is a very important connecting thoroughfare in the district, and was equal to 84.2 dB(A, while the minimum equivalent sound level (Leq, measured in the Fajr Hospital, was equal to 59.9 dB(A. Conclusions: The average equivalent sound level was higher than the national standard limit at all stations. The use of sound walls in Highways Basij and Mahallati as well as widening the Streets 17th Shahrivar, Pirouzi and Khavaran, benchmarked on a map, were recommended as the most effective mitigation measures. Additionally, the research findings confirm the outstanding applicability of the Geographic Information System in

  19. Older Adults' Perceptions of Nutrition as Protective Against Detrimental Effects of Environmental Pollution.

    Science.gov (United States)

    Dunn, Kristina; Gaetke, Lisa; Stephenson, Tammy; Brewer, Dawn

    2017-08-01

    The aging process makes older adults vulnerable to the detrimental health effects of environmental contaminants. Our study assessed older adults' perceptions regarding diet being protective against environmental contaminants, their levels of concern about exposure, and their interest in learning about protective food-related strategies. A needs assessment to collect such information has not been conducted among older adults. Health fair survey results showed that they perceived diet as beneficial against contaminants, were concerned about health implications of exposure, and were interested in learning how to protect health through diet-related strategies. Results suggest that a nutrition-focused curriculum addressing how dietary strategies can help protect against environmental contaminants is needed for Extension professionals.

  20. What are the most effective methods for assessment of nutritional status in outpatients with gastric and colorectal cancer?

    Science.gov (United States)

    Abe Vicente, Mariana; Barão, Katia; Silva, Tiago Donizetti; Forones, Nora Manoukian

    2013-01-01

    To evaluate methods for the identification of nutrition risk and nutritional status in outpatients with colorectal (CRC) and gastric cancer (GC), and to compare the results to those obtained for patients already treated for these cancers. A cross-sectional study was conducted on 137 patients: group 1 (n = 75) consisting of patients with GC or CRC, and group 2 (n = 62) consisting of patients after treatment of GC or CRC under follow up, who were tumor free for a period longer than 3 months. Nutritional status was assessed in these patients using objective methods [body mass index (BMI), phase angle, serum albumin]; nutritional screening tools [Malnutrition Universal Screening Tool (MUST), Malnutrition Screening Tool (MST), Nutritional Risk Index (NRI)], and subjective assessment [Patient-Generated Subjective Global Assessment (PGSGA)]. The sensitivity and specificity of each method was calculated in relation to the PG-SGA used as gold standard. One hundred thirty seven patients participated in the study. Stage IV cancer patients were more common in group 1. There was no difference in BMI between groups (p = 0.67). Analysis of the association between methods of assessing nutritional status and PG-SGA showed that the nutritional screening tools provided more significant results (p nutritional screening tools MUST, NRI and MST were more sensitive than the objective methods. Phase angle measurement was the most sensitive objective method in group 1. The nutritional screening tools showed the best association with PG-SGA and were also more sensitive than the objective methods. The results suggest the combination of MUST and PG-SGA for patients with cancer before and after treatment. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

  1. Monitoring Healthy Metabolic Trajectories with Nutritional Metabonomics

    Directory of Open Access Journals (Sweden)

    Sebastiano Collino

    2009-09-01

    Full Text Available Metabonomics is a well established analytical approach for the analysis of physiological regulatory processes via the metabolic profiling of biofluids and tissues in living organisms. Its potential is fully exploited in the field of “nutrimetabonomics” that aims at assessing the metabolic effects of active ingredients and foods in individuals. Yet, one of the greatest challenges in nutrition research is to decipher the critical interactions between mammalian organisms and environmental factors, including the gut microbiota. “Nutrimetabonomics” is today foreseen as a powerful approach for future nutritional programs tailored at health maintenance and disease prevention.

  2. Monitoring Healthy Metabolic Trajectories with Nutritional Metabonomics

    Science.gov (United States)

    Collino, Sebastiano; Martin, François-Pierre J.; Kochhar, Sunil; Rezzi, Serge

    2009-01-01

    Metabonomics is a well established analytical approach for the analysis of physiological regulatory processes via the metabolic profiling of biofluids and tissues in living organisms. Its potential is fully exploited in the field of “nutrimetabonomics” that aims at assessing the metabolic effects of active ingredients and foods in individuals. Yet, one of the greatest challenges in nutrition research is to decipher the critical interactions between mammalian organisms and environmental factors, including the gut microbiota. “Nutrimetabonomics” is today foreseen as a powerful approach for future nutritional programs tailored at health maintenance and disease prevention. PMID:22253970

  3. Human health risks analysis: assessment of health costs of energy related pollutants

    International Nuclear Information System (INIS)

    Ginevan, M.E.; Grahn, D.; Lundy, R.T.; Brown, C.D.; Curtiss, J.B.

    1979-01-01

    This section contains a summary of research on the assessment of health costs of energy related pollutants. It includes the development of new statistical methodology, mathematical models, and data bases relevant to the assessment

  4. Air pollution: a tale of two countries.

    Science.gov (United States)

    Haryanto, Budi; Franklin, Peter

    2011-01-01

    The fast growing economies and continued urbanization in Asian countries have increased the demand for mobility and energy in the region, resulting in high levels of air pollution in cities from mobile and stationary sources. In contrast, low level of urbanization in Australia produces low level of urban air pollution. The World Health Organization estimates that about 500,000 premature deaths per year are caused by air pollution, leaving the urban poor particularly vulnerable since they live in air pollution hotspots, have low respiratory resistance due to bad nutrition, and lack access to quality health care. Identifying the differences and similarities of air pollution levels and its impacts, between Indonesia and Australia, will provide best lesson learned to tackle air pollution problems for Pacific Basin Rim countries.

  5. Nutritional assessment in vegetarians and vegans: questions clinicians should ask.

    Science.gov (United States)

    Plotnikoff, Gregory A

    2012-12-01

    Not all who adhere to vegetarian, vegan or other special diets have nutritionally sound eating habits. The clinical consequences of an insufficiently mindful vegetarian or vegan diet include many common symptoms such as anxiety, brain fog, depression, fatigue, insomnia, neuropathies and other neurologic dysfunction. Patients with such symptoms who report having a vegetarian or vegan diet, or a diet that severely restricts meat consumption, require a slightly expanded differential diagnosis. The challenge is to identify which patients require closer attention. This article lists questions to use to quickly assess for potential dietary drivers of clinical symptoms. In many cases, simple nutritional interventions, through diet and/or supplementation, can resolve or minimize problematic symptoms.

  6. Nutritional status of children on the National School Nutrition ...

    African Journals Online (AJOL)

    Background. School feeding programmes are intended to alleviate short-term hunger, improve nutrition and cognition of children, and provide incomes to families. Objectives. To assess the nutritional status of children receiving meals provided by the National School Nutrition Programme (NSNP) in Capricorn Municipality, ...

  7. In vitro assessment and mechanism of action of environmental pollutants

    International Nuclear Information System (INIS)

    Hart, R.W.; Hays, S.; Brash, D.; Daniel, F.B.; Davis, M.T.; Lewis, N.J.

    1977-01-01

    Some topics discussed are as follows: correlations between DNA damage and carcinogenesis; prereplication repair of chemically induced DNA damage; strand break repair in chemical carcinogenesis; postreplication repair in chemical carcinogenesis; and biologic assessment of environmental pollutants

  8. The Burden of COPD Morbidity Attributable to the Interaction between Ambient Air Pollution and Temperature in Chengdu, China

    Directory of Open Access Journals (Sweden)

    Hang Qiu

    2018-03-01

    Full Text Available Evidence on the burden of chronic obstructive pulmonary disease (COPD morbidity attributable to the interaction between ambient air pollution and temperature has been limited. This study aimed to examine the modification effect of temperature on the association of ambient air pollutants (including particulate matter (PM with aerodynamic diameter <10 μm (PM10 and <2.5 μm (PM2.5, nitrogen dioxide (NO2, sulfur dioxide (SO2, carbon monoxide (CO and ozone (O3 with risk of hospital admissions (HAs for COPD, as well as the associated morbidity burden in urban areas of Chengdu, China, from 2015 to 2016. Based on the generalized additive model (GAM with quasi-Poisson link, bivariate response surface model and stratification parametric model were developed to investigate the potential interactions between ambient air pollution and temperature on COPD HAs. We found consistent interactions between ambient air pollutants (PM2.5, PM10 and SO2 and low temperature on COPD HAs, demonstrated by the stronger associations between ambient air pollutants and COPD HAs at low temperatures than at moderate temperatures. Subgroup analyses showed that the elderly (≥80 years and males were more vulnerable to this interaction. The joint effect of PM and low temperature had the greatest impact on COPD morbidity burden. Using WHO air quality guidelines as reference concentration, about 17.30% (95% CI: 12.39%, 22.19% and 14.72% (95% CI: 10.38%, 19.06% of COPD HAs were attributable to PM2.5 and PM10 exposures on low temperature days, respectively. Our findings suggested that low temperature significantly enhanced the effects of PM and SO2 on COPD HAs in urban Chengdu, resulting in increased morbidity burden. This evidence has important implications for developing interventions to reduce the risk effect of COPD morbidity.

  9. The health-nutrition dimension: a methodological approach to assess the nutritional sustainability of typical agro-food products and the Mediterranean diet.

    Science.gov (United States)

    Azzini, Elena; Maiani, Giuseppe; Turrini, Aida; Intorre, Federica; Lo Feudo, Gabriella; Capone, Roberto; Bottalico, Francesco; El Bilali, Hamid; Polito, Angela

    2018-01-09

    The aim of this paper is to provide a methodological approach to evaluate the nutritional sustainability of typical agro-food products, representing Mediterranean eating habits and included in the Mediterranean food pyramid. For each group of foods, suitable and easily measurable indicators were identified. Two macro-indicators were used to assess the nutritional sustainability of each product. The first macro-indicator, called 'business distinctiveness', takes into account the application of different regulations and standards regarding quality, safety and traceability as well as the origin of raw materials. The second macro-indicator, called 'nutritional quality', assesses product nutritional quality taking into account the contents of key compounds including micronutrients and bioactive phytochemicals. For each indicator a 0-10 scoring system was set up, with scores from 0 (unsustainable) to 10 (very sustainable), with 5 as a sustainability benchmark value. The benchmark value is the value from which a product can be considered sustainable. A simple formula was developed to produce a sustainability index. The proposed sustainability index could be considered a useful tool to describe both the qualitative and quantitative value of micronutrients and bioactive phytochemical present in foodstuffs. This methodological approach can also be applied beyond the Mediterranean, to food products in other world regions. © 2018 Society of Chemical Industry. © 2018 Society of Chemical Industry.

  10. Different methodologies in neutron activation to approach the full analysis of environmental and nutritional samples

    International Nuclear Information System (INIS)

    Freitas, M.C.; Dionisio, I.; Dung, H.M.

    2008-01-01

    Different methodologies of neutron activation analysis (NAA) are now available at the Technological and Nuclear Institute (Sacavem, Portugal), namely Compton suppression, epithermal activation, replicate and cyclic activation, and low energy photon measurement. Prompt gamma activation analysis (PGAA) will be implemented soon. Results by instrumental NAA and PGAA on environmental and nutritional samples are discussed herein, showing that PGAA - carried out at the Institute of Isotope Research (Budapest, Hungary) - brings about an effective input to assessing relevant elements. Sensitivity enhancement in NAA by Compton suppression is also illustrated. Through a judicious combination of methodologies, practically all elements of interest in pollution and nutrition terms can be determined. (author)

  11. Water Pollution

    International Nuclear Information System (INIS)

    Goni, J.

    1984-01-01

    This work is about the water pollution. The air and the water interaction cycles is the main idea of the geochemical pollution conception. In the water surface as well as in the deep aquifers we can found cough metals or minerals from the athmosferic air. The activities of mercury fluor and nitrates are important to the pollution study

  12. Air Pollution Policy in Europe. Quantifying the Interaction with Greenhouse Gases and Climate Change Policies

    Energy Technology Data Exchange (ETDEWEB)

    Bollen, J. [CPB Netherlands Bureau for Economic Policy Analysis, Den Haag (Netherlands); Brink, C. [Netherlands Environmental Assessment Agency PBL, Den Haag (Netherlands)

    2012-10-15

    In this study the Computable General Equilibrium Model called WorldScan is used to analyse interactions between European air pollution policies and policies aimed at addressing climate change. WorldScan incorporates the emissions of both greenhouse gases (CO2, N2O and CH4) and air pollutants (SO2, NOx, NH3 and PM2.5). WorldScan has been extended with equations that enable the simulation of end-of-pipe measures that remove pollutants without affecting the emission-producing activity itself. Air pollution policy will depend on end-of-pipe controls for not more than 50%, thus also at least 50% of the required emission reduction will come from changes in the use of energy through efficiency improvements, fuel switching and other structural changes in the economy. Greenhouse gas emissions thereby decrease which renders climate change policies less costly. Our results show that carbon prices will fall, but not more than 33%, although they could drop to zero when the EU agrees on a more stringent air pollution policy.

  13. Application of Aspergillus niger-treated agrowaste residue and Glomus mosseae for improving growth and nutrition of Trifolium repens in a Cd-contaminated soil.

    Science.gov (United States)

    Medina, A; Vassilev, N; Barea, J M; Azcón, R

    2005-04-06

    The microbial transformation of sugar beet (SB) agrowaste with or without rock-phosphate (RP) has utility for the improvement of plant growth in a Cd (5 microg g-1) artificially contaminated soil, particularly when the soil is co-inoculated with arbuscular mycorrhizal (AM) fungus Glomus mosseae isolated from a Cd-polluted area. Under such Cd-polluted conditions, the limited growth, mineral nutrition, symbiotic developments (nodulation and AM-colonization) and soil enzymatic activities were stimulated using SB or SB+RP as soil amendments and G. mosseae as inoculant. G. mosseae enhanced plant establishment in a higher extent in amended soil; it is probably due to the interactive effect increasing the potential fertility of such compounds and its ability for decreasing Cd transfer from soil to plant. The amount of Cd transferred from soil solution to biomass of AM-colonized plants ranged from 0.09 microg Cd g-1 (in SB+RP-amended soil) to 0.6 microg Cd g-1 (in non-amended soil). Nodule formation was more sensitive to Cd than AM-colonization, and both symbioses were stimulated in amended soils. Not only AM-colonization but also amendments were critical for plant growth and nutrition in Cd-polluted soil. The high effectiveness of AM inoculum increasing nutrients and decreasing Cd in amended soil indicated the positive interaction of these treatments in increasing plant tolerance to Cd contamination.

  14. Nitrogen Deposition Effects on Ecosystem Services and Interactions with other Pollutants and Climate Change

    NARCIS (Netherlands)

    Erisman, J.W.; Leach, A.; Adams, M.; Vries, de W.

    2014-01-01

    Ecosystem services are defined as the ecological and socio-economic value of goods and services provided by natural and semi-natural ecosystems. Ecosystem services are being impacted by many human induced stresses, one of them being nitrogen (N) deposition and its interactions with other pollutants

  15. POLLUTION PREVENTION OPPORTUNITY ASSESSMENT - GEOCHEMISTRY LABORATORY AT SANDIA NATIONAL LABORATORIES

    Science.gov (United States)

    These reports summarize pollution prevention opportunity assessments conducted jointly by EPA and DOE at the Geochemistry Laboratory and the Manufacturing and Fabrication Repair Laboratory at the Department of Energy's Sandia National Laboratories facility in Albuquerque, New Mex...

  16. How nutritional risk is assessed and managed in European hospitals: a survey of 21,007 patients findings from the 2007-2008 cross-sectional nutritionDay survey

    NARCIS (Netherlands)

    Schindler, Karin; Pernicka, Elisabeth; Laviano, Alessandro; Howard, Pat; Schütz, Tatjana; Bauer, Peter; Grecu, Irina; Jonkers, Cora; Kondrup, Jens; Ljungqvist, Olle; Mouhieddine, Mohamed; Pichard, Claude; Singer, Pierre; Schneider, Stéphane; Schuh, Christian; Hiesmayr, Michael

    2010-01-01

    Recognition and treatment of undernutrition in hospitalized patients are not often a priority in clinical practice. We investigated how the nutritional risk of patients is determined and whether such assessment influences daily nutritional care across Europe and in Israeli hospitals. 1217 units from

  17. Interacting effects of sulphate pollution, sulphide toxicity and eutrophication on vegetation development in fens: A mesocosm experiment

    Energy Technology Data Exchange (ETDEWEB)

    Geurts, Jeroen J.M., E-mail: j.geurts@b-ware.e [Aquatic Ecology and Environmental Biology, Institute for Wetland and Water Research, Radboud University Nijmegen, Toernooiveld 1, 6525 ED Nijmegen (Netherlands); B-WARE Research Centre, Radboud University Nijmegen, Toernooiveld 1, 6525 ED Nijmegen (Netherlands); Sarneel, Judith M. [Landscape Ecology, Institute of Environmental Biology, Utrecht University, Sorbonnelaan 16, 3584 CA Utrecht (Netherlands); Willers, Bart J.C.; Roelofs, Jan G.M. [Aquatic Ecology and Environmental Biology, Institute for Wetland and Water Research, Radboud University Nijmegen, Toernooiveld 1, 6525 ED Nijmegen (Netherlands); Verhoeven, Jos T.A. [Landscape Ecology, Institute of Environmental Biology, Utrecht University, Sorbonnelaan 16, 3584 CA Utrecht (Netherlands); Lamers, Leon P.M. [Aquatic Ecology and Environmental Biology, Institute for Wetland and Water Research, Radboud University Nijmegen, Toernooiveld 1, 6525 ED Nijmegen (Netherlands)

    2009-07-15

    Both eutrophication and SO{sub 4} pollution can lead to higher availability of nutrients and potentially toxic compounds in wetlands. To unravel the interaction between the level of eutrophication and toxicity at species and community level, effects of SO{sub 4} were tested in nutrient-poor and nutrient-rich fen mesocosms. Biomass production of aquatic and semi-aquatic macrophytes and colonization of the water layer increased after fertilization, leading to dominance of highly competitive species. SO{sub 4} addition increased alkalinity and sulphide concentrations, leading to decomposition and additional eutrophication. SO{sub 4} pollution and concomitant sulphide production considerably reduced biomass production and colonization, but macrophytes were less vulnerable in fertilized conditions. The experiment shows that competition between species, vegetation succession and terrestrialization are not only influenced by nutrient availability, but also by toxicity, which strongly interacts with the level of eutrophication. This implies that previously neutralized toxicity effects in eutrophied fens may appear after nutrient reduction measures have been taken. - Interspecific competition, vegetation succession and terrestrialization in fens depend on the interacting effects of SO{sub 4} pollution, sulphide toxicity and nutrient availability.

  18. Nanoparticle-organic pollutant interaction dataset

    Data.gov (United States)

    U.S. Environmental Protection Agency — Dataset presents concentrations of organic pollutants, such as polyaromatic hydrocarbon compounds, in water samples. Water samples of known volume and concentration...

  19. Development of a new biotic index to assess freshwater pollution

    International Nuclear Information System (INIS)

    Jiang Jianguo

    2006-01-01

    We developed a new biotic index of species pollution value (SPV) and community pollution value (CPV) based on the correlation of protozoan communities with chemical water quality to assess freshwater pollution. Five hundred and twenty-three species of protozoa SPV were established based on the data of River Hangjiang and Lake Donghu. The present research was conducted in order to further consummate the biotic index. Protozoa of the water system in Changde City were collected from 16 stations using the PFU method and the water chemical parameters of the stations were analyzed. The results showed that CPV calculated from SPV had a close correlation with the degree of water pollution (p < 0.00001), which indicated that the method is reliable. By combining the data of River Hangjiang, Lake Donghu and Changde City, the final form of SPV was accomplished and the SPV list increased to 757. The ultimate water standard evaluated by CPV calculated from SPV was proposed. - A new biotic index of water quality based on protozoa is described

  20. Development of a new biotic index to assess freshwater pollution

    Energy Technology Data Exchange (ETDEWEB)

    Jiang Jianguo [College of Food and Bioengineering, South China University of Technology, Guangzhou 510640 (China)]. E-mail: jgjiang@scut.edu.cn

    2006-01-15

    We developed a new biotic index of species pollution value (SPV) and community pollution value (CPV) based on the correlation of protozoan communities with chemical water quality to assess freshwater pollution. Five hundred and twenty-three species of protozoa SPV were established based on the data of River Hangjiang and Lake Donghu. The present research was conducted in order to further consummate the biotic index. Protozoa of the water system in Changde City were collected from 16 stations using the PFU method and the water chemical parameters of the stations were analyzed. The results showed that CPV calculated from SPV had a close correlation with the degree of water pollution (p < 0.00001), which indicated that the method is reliable. By combining the data of River Hangjiang, Lake Donghu and Changde City, the final form of SPV was accomplished and the SPV list increased to 757. The ultimate water standard evaluated by CPV calculated from SPV was proposed. - A new biotic index of water quality based on protozoa is described.

  1. Nutrition economics - characterising the economic and health impact of nutrition.

    Science.gov (United States)

    Lenoir-Wijnkoop, I; Dapoigny, M; Dubois, D; van Ganse, E; Gutiérrez-Ibarluzea, I; Hutton, J; Jones, P; Mittendorf, T; Poley, M J; Salminen, S; Nuijten, M J C

    2011-01-01

    There is a new merging of health economics and nutrition disciplines to assess the impact of diet on health and disease prevention and to characterise the health and economic aspects of specific changes in nutritional behaviour and nutrition recommendations. A rationale exists for developing the field of nutrition economics which could offer a better understanding of both nutrition, in the context of having a significant influence on health outcomes, and economics, in order to estimate the absolute and relative monetary impact of health measures. For this purpose, an expert meeting assessed questions aimed at clarifying the scope and identifying the key issues that should be taken into consideration in developing nutrition economics as a discipline that could potentially address important questions. We propose a first multidisciplinary outline for understanding the principles and particular characteristics of this emerging field. We summarise here the concepts and the observations of workshop participants and propose a basic setting for nutrition economics and health outcomes research as a novel discipline to support nutrition, health economics and health policy development in an evidence and health-benefit-based manner.

  2. Assessment of Heavy Metal Pollution in Sediment and Polychaete ...

    African Journals Online (AJOL)

    Metal pollution in the Mzinga creek mangrove stand was assessed and compared with a relatively pristine mangrove forest at Ras Dege in Dar es Salaam. The concentrations of cadmium, chromium, copper, lead and zinc in sediment and polychaete worms (Capitella sp.) were analyzed by ICP-AES and mercury was ...

  3. Assessment of avoidance behaviour by earthworms (Lumbricus rubellus and Octolasion cyaneum) in linear pollution gradients.

    Science.gov (United States)

    Lowe, Christopher N; Butt, Kevin R; Cheynier, Kevin Yves-Marie

    2016-02-01

    Avoidance behaviour by earthworms is recognised as a valuable endpoint in soil quality assessment and has resulted in the development of a standardised test (ISO 17512-1, 2008) providing epigeic earthworms with a choice between test and control soils. This study sought to develop and evaluate an avoidance test utilising soil-dwelling earthworms in linear pollution gradients with Visible Implant Elastomer (VIE) tags used to identify individual organisms. Sequential experiments were established in laboratory-based mesocosms (0.6m×0.13m×0.1m) that determined the relative sensitivities (in terms of associated avoidance behaviour) of Octolasion cyaneum and Lumbricus rubellus at varying levels of polluted soil and also assessed the influence of introduction point on recorded movement within gradients. In an initial gradient (0%, 25%, 50%, 75%, 100% polluted soil), both species exhibited a clear avoidance response with all surviving earthworms retrieved (after 7 days) from the unpolluted soil. In a less polluted gradient (0%, 6.25%, 12.5%, 18.75%, 25%) L. rubellus were retrieved throughout the gradient while O. cyaneum were located within the 0% and 6.25% divisions, suggesting a species-specific response to polluted soil. Results also showed that the use of a linear pollution gradient system has the potential to assess earthworm avoidance behaviour and could provide a more ecologically relevant alternative to the ISO 17512: 2008 avoidance test. However, further work is required to establish the effectiveness of this procedure, specifically in initial chemical screening and assessment of single contaminant bioavailability, where uptake of pollutants by earthworms could be measured and directly related to the point of introduction and retrieval. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. A scheme to scientifically and accurately assess cadmium pollution of river sediments, through consideration of bioavailability when assessing ecological risk.

    Science.gov (United States)

    Song, Zhixin; Tang, Wenzhong; Shan, Baoqing

    2017-10-01

    Evaluating heavy metal pollution status and ecological risk in river sediments is a complex task, requiring consideration of contaminant pollution levels, as well as effects of biological processes within the river system. There are currently no simple or low-cost approaches to heavy metal assessment in river sediments. Here, we introduce a system of assessment for pollution status of heavy metals in river sediments, using measurements of Cd in the Shaocun River sediments as a case study. This system can be used to identify high-risk zones of the river that should be given more attention. First, we evaluated the pollution status of Cd in the river sediments based on their total Cd content, and calculated a risk assessment, using local geochemical background values at various sites along the river. Using both acetic acid and ethylenediaminetetraacetic acid to extracted the fractions of Cd in sediments, and used DGT to evaluate the bioavailability of Cd. Thus, DGT provided a measure of potentially bioavailable concentrations of Cd concentrations in the sediments. Last, we measured Cd contents in plant tissue collected at the same site to compare with our other measures. A Pearson's correlation analysis showed that Cd-Plant correlated significantly with Cd-HAc, (r = 0.788, P < 0.01), Cd-EDTA (r = 0.925, P < 0.01), Cd-DGT (r = 0.976, P < 0.01), and Cd-Total (r = 0.635, P < 0.05). We demonstrate that this system of assessment is a useful means of assessing heavy metal pollution status and ecological risk in river sediments. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Occurrence and risk assessment of potentially toxic elements and typical organic pollutants in contaminated rural soils.

    Science.gov (United States)

    Xu, Yongfeng; Dai, Shixiang; Meng, Ke; Wang, Yuting; Ren, Wenjie; Zhao, Ling; Christie, Peter; Teng, Ying

    2018-07-15

    The residual levels and risk assessment of several potentially toxic elements (PTEs), phthalate esters (PAEs) and polycyclic aromatic hydrocarbons (PAHs) in rural soils near different types of pollution sources in Tianjin, China, were studied. The soils were found to be polluted to different extents with PTEs, PAEs and PAHs from different pollution sources. The soil concentrations of chromium (Cr), nickel (Ni), di-n-butyl phthalate (DnBP), acenaphthylene (Any) and acenaphthene (Ane) were higher than their corresponding regulatory reference limits. The health risk assessment model used to calculate human exposure indicates that both non-carcinogenic and carcinogenic risks from selected pollutants were generally acceptable or close to acceptable. Different types of pollution sources and soil physicochemical properties substantially affected the soil residual concentrations of and risks from these pollutants. PTEs in soils collected from agricultural lands around industrial and residential areas and organic pollutants (PAEs and PAHs) in soils collected from agricultural areas around livestock breeding were higher than those from other types of pollution sources and merit long-term monitoring. Copyright © 2018 Elsevier B.V. All rights reserved.

  6. Is smog innocuous? Air pollution and cardiovascular disease

    Directory of Open Access Journals (Sweden)

    Sundeep Mishra

    2017-07-01

    Full Text Available Air pollution is a significant environmental and health hazard. Earlier studies had examined the adverse health effects associated with short- and long-term exposure to particulate matter on respiratory disease. However, later studies demonstrated that was actually cardiovascular disease that accounted for majority of mortality. Furthermore, it was not gaseous pollutants like oxides of nitrate, sulfur, carbon mono-oxide or ozone but the particulate matter or PM, of fine or coarse size (PM2.5 and PM10 which was linearly associated with mortality; PM2.5 with long term and PM10 with short term. Several cardiovascular diseases are associated with pollution; acute myocardial infarction, heart failure, cardiac arrhythmias, atherosclerosis and cardiac arrest. The ideal way to address this problem is by adhering to stringent environmental standards of pollutants but some individual steps like choosing to stay indoors (on high pollution days, reducing outdoor air permeation to inside, purifying indoor air using air filters, and also limiting outdoor physical activity near source of air pollution can help. Nutritional anti-oxidants like statins or Mediterranean diet, and aspirin have not been associated with reduced risk but specific nutritional agents like broccoli, cabbage, cauliflower or brussels sprouts, fish oil supplement may help. Use of face-mask has been controversial but may be useful if particulate matter load is higher.

  7. Is smog innocuous? Air pollution and cardiovascular disease.

    Science.gov (United States)

    Mishra, Sundeep

    Air pollution is a significant environmental and health hazard. Earlier studies had examined the adverse health effects associated with short- and long-term exposure to particulate matter on respiratory disease. However, later studies demonstrated that was actually cardiovascular disease that accounted for majority of mortality. Furthermore, it was not gaseous pollutants like oxides of nitrate, sulfur, carbon mono-oxide or ozone but the particulate matter or PM, of fine or coarse size (PM 2.5 and PM 10 ) which was linearly associated with mortality; PM 2.5 with long term and PM 10 with short term. Several cardiovascular diseases are associated with pollution; acute myocardial infarction, heart failure, cardiac arrhythmias, atherosclerosis and cardiac arrest. The ideal way to address this problem is by adhering to stringent environmental standards of pollutants but some individual steps like choosing to stay indoors (on high pollution days), reducing outdoor air permeation to inside, purifying indoor air using air filters, and also limiting outdoor physical activity near source of air pollution can help. Nutritional anti-oxidants like statins or Mediterranean diet, and aspirin have not been associated with reduced risk but specific nutritional agents like broccoli, cabbage, cauliflower or brussels sprouts, fish oil supplement may help. Use of face-mask has been controversial but may be useful if particulate matter load is higher. Copyright © 2017. Published by Elsevier B.V.

  8. Genotype x prenatal and post-weaning nutritional environment interaction in a composite beef cattle breed using reaction norms and multi-trait model

    Science.gov (United States)

    Environmental effects have been shown to influence several economically important traits in beef cattle. In this study, genetic x nutritional environment interaction has been evaluated in a composite beef cattle breed (50% Red Angus, 25% Charolais, 25% Tarentaise). Four nutritional environments (MAR...

  9. Nutrition support in hospitalised adults at nutritional risk.

    Science.gov (United States)

    Feinberg, Joshua; Nielsen, Emil Eik; Korang, Steven Kwasi; Halberg Engell, Kirstine; Nielsen, Marie Skøtt; Zhang, Kang; Didriksen, Maria; Lund, Lisbeth; Lindahl, Niklas; Hallum, Sara; Liang, Ning; Xiong, Wenjing; Yang, Xuemei; Brunsgaard, Pernille; Garioud, Alexandre; Safi, Sanam; Lindschou, Jane; Kondrup, Jens; Gluud, Christian; Jakobsen, Janus C

    2017-05-19

    The prevalence of disease-related malnutrition in Western European hospitals is estimated to be about 30%. There is no consensus whether poor nutritional status causes poorer clinical outcome or if it is merely associated with it. The intention with all forms of nutrition support is to increase uptake of essential nutrients and improve clinical outcome. Previous reviews have shown conflicting results with regard to the effects of nutrition support. To assess the benefits and harms of nutrition support versus no intervention, treatment as usual, or placebo in hospitalised adults at nutritional risk. We searched Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, MEDLINE (Ovid SP), Embase (Ovid SP), LILACS (BIREME), and Science Citation Index Expanded (Web of Science). We also searched the World Health Organization International Clinical Trials Registry Platform (www.who.int/ictrp); ClinicalTrials.gov; Turning Research Into Practice (TRIP); Google Scholar; and BIOSIS, as well as relevant bibliographies of review articles and personal files. All searches are current to February 2016. We include randomised clinical trials, irrespective of publication type, publication date, and language, comparing nutrition support versus control in hospitalised adults at nutritional risk. We exclude trials assessing non-standard nutrition support. We used standard methodological procedures expected by Cochrane and the Cochrane Hepato-Biliary Group. We used trial domains to assess the risks of systematic error (bias). We conducted Trial Sequential Analyses to control for the risks of random errors. We considered a P value of 0.025 or less as statistically significant. We used GRADE methodology. Our primary outcomes were all-cause mortality, serious adverse events, and health-related quality of life. We included 244 randomised clinical trials with 28,619 participants that met our inclusion criteria. We considered all trials to be at high risk of bias. Two

  10. Moving boundaries in transboundary air pollution co-production of science and policy under the convention on long range transboundary air pollution

    NARCIS (Netherlands)

    Tuinstra, W.; Hordijk, L.; Kroeze, C.

    2006-01-01

    This article focuses on the science-policy interaction in international negotiations in the context of the United Nations Economic Commission for Europe's Convention for Long Range Transboundary Air Pollution (CLRTAP). It addresses the question how participants in the assessment process divide and

  11. Diet and physical activity--interactions for health; public health nutrition in the European perspective.

    Science.gov (United States)

    Sjöström, M; Yngve, A; Poortvliet, E; Warm, D; Ekelund, U

    1999-09-01

    For the majority of European adults, who neither smoke nor drink excessively, the most significant controllable risk factors affecting their long-term health are what they eat, and how physically active they are. Scientists are supposed to clarify to policy makers and health professionals the usefulness of their health messages. However, to be able to do that, a more detailed understanding is needed of the basic mechanisms behind the effects on health of diet and physical activity and, especially, the two in combination. Further, better methods for assessment of nutrition and physical activity in the population have to be developed, and more and better baseline data have to be collected. Increased and more efficient interventions are then needed. People trained and competent in the new discipline of Public Health Nutrition are required. Through the stimulating support that the European Commission, as well as other national and international partners, are presently giving to the development of Public Health Nutrition across Europe, we can hope for an increased mobility, networking and understanding between European nutrition and physical activity professionals. This will most likely result in greater and better policy making, strategy development, implementation and evaluation. We now have a great possibility to develop the integrated field of preventive nutrition and health enhancing physical activity.

  12. Analyse of pollution sources in Horna Nitra river basin using the system GeoEnviron such as instrument for groundwater and surface water pollution risk assessment

    International Nuclear Information System (INIS)

    Kutnik, P.

    2004-01-01

    In this presentation author deals with the analyse of pollution sources in Horna Nitra river basin using the system GeoEnviron such as instrument for groundwater and surface water pollution risk assessment

  13. Assessment on urban soil pollution by biocides from building materials

    DEFF Research Database (Denmark)

    Bollmann, Ulla E.; Vollertsen, Jes; Bester, Kai

    2015-01-01

    . Based on a monitoring study of stormwater runoff from a residential catchment as well as direct façade runoff analysis, the present study was assessing the pollution of urban soil to biocides from building material. The stormwater runoff of a residential catchment in Silkeborg (Denmark) was monitored...... from a freshly painted or rendered house, it is obvious that a huge part is actually draining directly to the soil and not to the sewer system. Consequently, the soil in urban areas is exposed to stormwater highly polluted by biocides which might affect the microbial community there....

  14. Challenges of molecular nutrition research 6: the nutritional phenotype database to store, share and evaluate nutritional systems biology studies

    NARCIS (Netherlands)

    Ommen, van B.; Bouwman, J.H.; Dragsted, L.O.; Drevon, C.A.; Elliott, R.; Groot, de P.J.; Kaput, J.; Mathers, J.C.; Müller, M.R.; Pepping, F.; Saito, J.; Scalbert, A.; Radonjic, M.; Rocca-Serra, P.; Travis, A.; Wopereis, S.; Evelo, C.

    2010-01-01

    The challenge of modern nutrition and health research is to identify food-based strategies promoting life-long optimal health and well-being. This research is complex because it exploits a multitude of bioactive compounds acting on an extensive network of interacting processes. Whereas nutrition

  15. Challenges of molecular nutrition research 6: The nutritional phenotype database to store, share and evaluate nutritional systems biology studies

    NARCIS (Netherlands)

    Ommen, B. van; Bouwman, J.; Dragsted, L.O.; Drevon, C.A.; Elliott, R.; Groot, P. de; Kaput, J.; Mathers, J.C.; Müller, M.; Pepping, F.; Saito, J.; Scalbert, A.; Radonjic, M.; Rocca-Serra, P.; Travis, A.; Wopereis, S.; Evelo, C.T.

    2010-01-01

    The challenge of modern nutrition and health research is to identify food-based strategies promoting life-long optimal health and well-being. This research is complex because it exploits a multitude of bioactive compounds acting on an extensive network of interacting processes. Whereas nutrition

  16. Quantitative assessments of indoor air pollution and the risk of childhood acute leukemia in Shanghai

    International Nuclear Information System (INIS)

    Gao, Yu; Zhang, Yan; Kamijima, Michihiro; Sakai, Kiyoshi; Khalequzzaman, Md; Nakajima, Tamie; Shi, Rong; Wang, Xiaojin; Chen, Didi; Ji, Xiaofan; Han, Kaiyi; Tian, Ying

    2014-01-01

    We investigated the association between indoor air pollutants and childhood acute leukemia (AL). A total of 105 newly diagnosed cases and 105 1:1 gender-, age-, and hospital-matched controls were included. Measurements of indoor pollutants (including nitrogen dioxide (NO 2 ) and 17 types of volatile organic compounds (VOCs)) were taken with diffusive samplers for 64 pairs of cases and controls. Higher concentrations of NO 2 and almost half of VOCs were observed in the cases than in the controls and were associated with the increased risk of childhood AL. The use of synthetic materials for wall decoration and furniture in bedroom was related to the risk of childhood AL. Renovating the house in the last 5 years, changing furniture in the last 5 years, closing the doors and windows overnight in the winter and/or summer, paternal smoking history and outdoor pollutants affected VOC concentrations. Our results support the association between childhood AL and indoor air pollution. - Highlights: • We firstly assessed the effects of indoor air pollution on childhood AL in China. • Indoor air pollutants were assessed by questionnaire and quantitative measurements. • NO 2 and 17 types of VOCs were measured in bedrooms of both cases and controls. • Higher concentrations of indoor air pollutants increased the risk of childhood AL. • Indoor behavioral factors and outdoor pollution might affect indoor air pollution. - Higher concentrations of indoor air pollutants were related to an elevated risk of childhood AL

  17. Pollution prevention opportunity assessment for Sandia National Laboratories/California recycling programs.

    Energy Technology Data Exchange (ETDEWEB)

    Wrons, Ralph Jordan; Vetter, Douglas Walter

    2007-07-01

    This Pollution Prevention Opportunity Assessment (PPOA) was conducted for the Sandia National Laboratories/California (SNL/CA) Environmental Management Department between May 2006 and March 2007, to evaluate the current site-wide recycling program for potential opportunities to improve the efficiency of the program. This report contains a summary of the information collected and analyses performed with recommended options for implementation. The SNL/NM Pollution Prevention (P2) staff worked with the SNL/CA P2 Staff to arrive at these options.

  18. Importance of food composition data to nutrition and public health.

    Science.gov (United States)

    Elmadfa, I; Meyer, A L

    2010-11-01

    Adequate nutrition is one of the pillars of public health. Before developing and implementing effective intervention programmes to improve nutrition at the population level, it is important to know the nutritional situation of the target group. The estimation of nutrient intake from food consumption requires reliable data on food composition. These data are also the fundamentals of food-based dietary guidelines for healthy nutrition, containing the necessary information on food sources for different nutrients. Furthermore, food composition tables can provide information on chemical forms of nutrients and the presence and amounts of interacting components, and thus provide information on their bioavailability. For some nutrients such as vitamin A, vitamin E and niacin, the concept of equivalence has been introduced to account for differences in the availability and biological activity of different chemical forms. NON-NUTRITIVE FOOD COMPONENTS: Although most food composition tables focus on energy, macro- and micronutrients, interest in non-nutritive components is increasing. Considering the beneficial effects of biologically active secondary plant cell compounds such as polyphenols and carotenoids, more data on these are needed. On the other hand, there are a number of naturally occurring or 'man-made' non-nutritive substances with negative effects, and to control exposure, the main dietary sources must be known. Another aspect is contaminants, which could have detrimental effects on consumers' health. Among these are agrochemicals, industrial pollutants reaching the food chain and substances formed during food preparation. A valid risk assessment requires data on exposure, and thus on the contents of contaminants in foods. However, these data are highly variable and may significantly differ even within narrowly confined regions. CURRENT FOOD COMPOSITION DATABASES ARE FAR FROM COMPLETE: The fact that composition tables generally do not provide information about the

  19. Pollution prevention opportunity assessments at Hanford

    Energy Technology Data Exchange (ETDEWEB)

    Betsch, M.D., Westinghouse Hanford

    1996-06-26

    The Pollution Prevention Opportunity Assessment (PPOA) is a pro- active way to look at a waste generating activity and identify opportunities to minimize wastes through a cost benefit analysis. Hanford`s PPOA process is based upon the graded approach developed by the Kansas City Plant. Hanford further streamlined the process while building in more flexibility for the individual users. One of the most challenging aspects for implementing the PPOA process at Hanford is one overall mission which is environmental restoration, Now that the facilities are no longer in production, each has a different non- routine activity making it difficult to quantify the inputs and outputs of the activity under consideration.

  20. Assessing the hydrogeochemical processes affecting groundwater pollution in arid areas using an integration of geochemical equilibrium and multivariate statistical techniques

    International Nuclear Information System (INIS)

    El Alfy, Mohamed; Lashin, Aref; Abdalla, Fathy; Al-Bassam, Abdulaziz

    2017-01-01

    Rapid economic expansion poses serious problems for groundwater resources in arid areas, which typically have high rates of groundwater depletion. In this study, integration of hydrochemical investigations involving chemical and statistical analyses are conducted to assess the factors controlling hydrochemistry and potential pollution in an arid region. Fifty-four groundwater samples were collected from the Dhurma aquifer in Saudi Arabia, and twenty-one physicochemical variables were examined for each sample. Spatial patterns of salinity and nitrate were mapped using fitted variograms. The nitrate spatial distribution shows that nitrate pollution is a persistent problem affecting a wide area of the aquifer. The hydrochemical investigations and cluster analysis reveal four significant clusters of groundwater zones. Five main factors were extracted, which explain >77% of the total data variance. These factors indicated that the chemical characteristics of the groundwater were influenced by rock–water interactions and anthropogenic factors. The identified clusters and factors were validated with hydrochemical investigations. The geogenic factors include the dissolution of various minerals (calcite, aragonite, gypsum, anhydrite, halite and fluorite) and ion exchange processes. The anthropogenic factors include the impact of irrigation return flows and the application of potassium, nitrate, and phosphate fertilizers. Over time, these anthropogenic factors will most likely contribute to further declines in groundwater quality. - Highlights: • Hydrochemical investigations were carried out in Dhurma aquifer in Saudi Arabia. • The factors controlling potential groundwater pollution in an arid region were studied. • Chemical and statistical analyses are integrated to assess these factors. • Five main factors were extracted, which explain >77% of the total data variance. • The chemical characteristics of the groundwater were influenced by rock–water interactions

  1. Health and household air pollution from solid fuel use: the need for improved exposure assessment.

    Science.gov (United States)

    Clark, Maggie L; Peel, Jennifer L; Balakrishnan, Kalpana; Breysse, Patrick N; Chillrud, Steven N; Naeher, Luke P; Rodes, Charles E; Vette, Alan F; Balbus, John M

    2013-10-01

    Nearly 3 billion people worldwide rely on solid fuel combustion to meet basic household energy needs. The resulting exposure to air pollution causes an estimated 4.5% of the global burden of disease. Large variability and a lack of resources for research and development have resulted in highly uncertain exposure estimates. We sought to identify research priorities for exposure assessment that will more accurately and precisely define exposure-response relationships of household air pollution necessary to inform future cleaner-burning cookstove dissemination programs. As part of an international workshop in May 2011, an expert group characterized the state of the science and developed recommendations for exposure assessment of household air pollution. The following priority research areas were identified to explain variability and reduce uncertainty of household air pollution exposure measurements: improved characterization of spatial and temporal variability for studies examining both short- and long-term health effects; development and validation of measurement technology and approaches to conduct complex exposure assessments in resource-limited settings with a large range of pollutant concentrations; and development and validation of biomarkers for estimating dose. Addressing these priority research areas, which will inherently require an increased allocation of resources for cookstove research, will lead to better characterization of exposure-response relationships. Although the type and extent of exposure assessment will necessarily depend on the goal and design of the cookstove study, without improved understanding of exposure-response relationships, the level of air pollution reduction necessary to meet the health targets of cookstove interventions will remain uncertain.

  2. Design and development of a nutritional assessment application for smartphones and tablets with Android OS.

    Science.gov (United States)

    Carnero Gregorio, Miguel; Blanco Ramos, Montserrat; Obeso Carillo, Gerardo Andrés; García Fontán, Eva; Álvarez González, Miguel Ángel; Cañizares Carretero, Miguel Ángel

    2014-10-03

    To design and develop a nutritional application for smartphones and tablets with Android operating system for using to in- and outpatients that need a nutritional assessment. To check the validity of the results of such software. The application was compiled for version 2.1 of the Android operating system from Google. A cohort of 30 patients was included for evaluating the reliability of the application. The calculations were performed by staff of the Nutrition Unit of the Complexo Hospitalario Universitario de Vigo, manually and through e-Nutrimet software on a smartphone and a tablet. Concordance was absolute between results of different methods obtained using e-Nutrimet on a smartphone and a tablet (Fleiss index κ= 1). The same level of concordance was obtained by comparing handmade and e-Nutrimet made results. The degree of correlation is good, and it would be extended to all healthcare staff who wants to determine whether a patient has malnutrition, or not. The nutritional assessment software e-Nutrimet does not replace healthcare staff in any case, but could be an important aid in assessing patients who may be in risk of malnutrition, saving time of evaluation. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  3. The New European Society for Clinical Nutrition and Metabolism Definition of Malnutrition: Application for Nutrition Assessment and Prediction of Morbimortality in an Emergency Service.

    Science.gov (United States)

    Fink, Jaqueline da Silva; Marcadenti, Aline; Rabito, Estela Iraci; Silva, Flávia Moraes

    2017-03-01

    Recently, the European Society for Clinical Nutrition and Metabolism (ESPEN) provided novel consensus criteria for malnutrition diagnosis. This study aimed to evaluate the applicability of this instrument in combination with different nutrition screening tools (1) to identify malnutrition and (2) to predict morbidity and mortality in hospitalized patients. Observational prospective study in 750 adults admitted to the emergency service of a tertiary public hospital. Subjective Global Assessment (SGA-reference method) and the new ESPEN criteria were used to assess nutrition status of patients, who were initially screened for nutrition risk using 4 different tools. Outcome measures included length of hospital stay, occurrence of infection, and incidence of death during hospitalization, analyzed by logistic regression. There was a lack of agreement between the SGA and ESPEN definition of malnutrition, regardless of the nutrition screening tool applied previously (κ = -0.050 to 0.09). However, when Malnutrition Screening Tool and Nutritional Risk Screening-2002 (NRS-2002) were used as the screening tool, malnourished patients according to ESPEN criteria showed higher probability of infection (relative risk [RR], 1.54; 95% confidence interval [CI], 1.02-2.31 and RR, 2.06; 95% CI, 1.37-3.10, respectively), and when the NRS-2002 was used, the risk for death was 2.7 times higher (hazard ratio, 2.69; 95% CI, 1.07-6.81) in malnourished patients than in well-nourished patients. Although the new ESPEN criteria had a poor diagnostic value, it seems to be a prognostic tool among hospitalized patients, especially when used in combination with the NRS-2002.

  4. Food Sanitation and Safety Self-Assessment Instrument for School Nutrition Programs.

    Science.gov (United States)

    California State Dept. of Education, Sacramento.

    Like food-service establishments, child nutrition programs are responsible for preserving the quality and wholesomeness of food. Proper food-handling practices prevent contamination and job-related accidents. Application of the evaluation instrument presented in this document to individual programs helps to define proper practices, assess the…

  5. Assessment of nutritional status of school children in Oyo West Local ...

    African Journals Online (AJOL)

    Objective: The objective of this study was to assess the nutritional status of primary school children in Oyo West Local Government Area of Oyo State. Materials and Methods: A cross-sectional survey was among 499 primary school children. The study instrument was a pretested interviewer-administered questionnaire.

  6. Assessment and monitoring of air pollution effects. Possibilities and constraints of international cooperation

    International Nuclear Information System (INIS)

    Panzer, K.F.; Hassan, I.A.; Vellisariou, D.A.

    1996-01-01

    Under the geneva convention on long-range transboundary air pollution, an international cooperative programme on 'Assessment and monitoring of Air effects' had been set-up in 1985. of the 34 signatory states of the convention, 28 participate in the implementation of the programme. The objective is to assess effects of air pollution on forests in europe, using a common survey method in order to assure comparability of survey results. In 1987, 20 countries conducted harmonized forest health surveys based on the assessment of two visible symptoms, loss and/or discoloration of foliage. harmonization of the surveys was quickly achieved because of the simplicity of the methodical approach. The price of rapidly obtaining large-area information on defoliation of forests is, that no distinction can be made in the assessment process between defoliation caused by air pollution and defoliation caused by natural, biotic or a biotic causes. Further improvements of the interpretability of survey results can be expected if additional visible symptoms can be defined for the major species in the different european regions. Possibilities and constraints of incorporating differentiating symptoms into the annual health surveys are discussed. 1 fig., 2 tabs

  7. Dietary assessment and self-monitoring with nutrition applications for mobile devices.

    Science.gov (United States)

    Lieffers, Jessica R L; Hanning, Rhona M

    2012-01-01

    Nutrition applications for mobile devices (e.g., personal digital assistants, smartphones) are becoming increasingly accessible and can assist with the difficult task of intake recording for dietary assessment and self-monitoring. This review is a compilation and discussion of research on this tool for dietary intake documentation in healthy populations and those trying to lose weight. The purpose is to compare this tool with conventional methods (e.g., 24-hour recall interviews, paper-based food records). Research databases were searched from January 2000 to April 2011, with the following criteria: healthy or weight loss populations, use of a mobile device nutrition application, and inclusion of at least one of three measures, which were the ability to capture dietary intake in comparison with conventional methods, dietary self-monitoring adherence, and changes in anthropometrics and/or dietary intake. Eighteen studies are discussed. Two application categories were identified: those with which users select food and portion size from databases and those with which users photograph their food. Overall, positive feedback was reported with applications. Both application types had moderate to good correlations for assessing energy and nutrient intakes in comparison with conventional methods. For self-monitoring, applications versus conventional techniques (often paper records) frequently resulted in better self-monitoring adherence, and changes in dietary intake and/or anthropometrics. Nutrition applications for mobile devices have an exciting potential for use in dietetic practice.

  8. Physical Activity, a Critical Exposure Factor of Environmental Pollution in Children and Adolescents Health Risk Assessment.

    Science.gov (United States)

    Dong, Jingmei; Zhang, Su; Xia, Li; Yu, Yi; Hu, Shuangshuang; Sun, Jingyu; Zhou, Ping; Chen, Peijie

    2018-01-23

    It is an extremely urgent problem that physical fitness promotion must face not only the increasing air pollution but also the decline of physical activity level of children and adolescents worldwide at present, which is the major reason that forms an inactive lifestyle and does harm to adolescents' health. Thus, it is necessary to focus on the exposure factor in environmental health risk assessment (EHRA) which conducts supervision of environmental pollution and survey of adolescents' activity patterns according to the harmful characteristics of air pollutant and relationship between dose and response. Some countries, such as USA, Canada and Australia, regard both respiratory rate and physical activity pattern as main exposure factors for adolescents in both air pollution health risk assessment and exercise risk assessment to forecast a safe exposing condition of pollutant for adolescents while they are doing exercise outdoors. In addition, it suggests that the testing indexes and testing methods of these two exposure factors, such as investigating the time of daily physical activity, strength, and characteristic of frequency, help to set up the quantitative relationship between environmental pollution index and the time, strength, frequency of daily activities, and formulate children's and adolescents' activity instructions under different levels of environmental pollutions. As smog becomes increasingly serious at present, it is meaningful to take physical activity as a critical composition of exposure factor and establish physical activity guideline, so as to reduce the risk of air pollution, and promote physical health of children and adolescents effectively.

  9. Using cell phone location to assess misclassification errors in air pollution exposure estimation.

    Science.gov (United States)

    Yu, Haofei; Russell, Armistead; Mulholland, James; Huang, Zhijiong

    2018-02-01

    Air pollution epidemiologic and health impact studies often rely on home addresses to estimate individual subject's pollution exposure. In this study, we used detailed cell phone location data, the call detail record (CDR), to account for the impact of spatiotemporal subject mobility on estimates of ambient air pollutant exposure. This approach was applied on a sample with 9886 unique simcard IDs in Shenzhen, China, on one mid-week day in October 2013. Hourly ambient concentrations of six chosen pollutants were simulated by the Community Multi-scale Air Quality model fused with observational data, and matched with detailed location data for these IDs. The results were compared with exposure estimates using home addresses to assess potential exposure misclassification errors. We found the misclassifications errors are likely to be substantial when home location alone is applied. The CDR based approach indicates that the home based approach tends to over-estimate exposures for subjects with higher exposure levels and under-estimate exposures for those with lower exposure levels. Our results show that the cell phone location based approach can be used to assess exposure misclassification error and has the potential for improving exposure estimates in air pollution epidemiology studies. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. HEALTH INDICATORS IN SCHOOL: ASSESSMENT OF NUTRITIONAL STATUS AND MOTOR PERFORMANCE

    Directory of Open Access Journals (Sweden)

    Andressa Ribeiro Contreira

    2013-11-01

    Full Text Available Objective: This study aimed to investigate the relationship among motor performance and nutritional status in students. Methods: Attended by 27 adolescents of both sexes, aged between 11-13 years (average 11.74 ± 0.70 years from a private school in Florianópolis/SC. The motor performance was assessed using the MABC-2. For assess the nutritional status was used the BMI calculus. Results: Among 27 participants, 6 had a risk / indicative of motor difficulties and 9 had overweight. The vast majority of participants had adequate height for age. There was negative significant statistically correlation, but moderate, among BMI and total performance in the MABC-2, indicating that as higher the BMI, worse is the motor performance. Conclusion: Based on these results and the literature, it is suggested that in addition to the identification of children with overweight and motor difficulties, programs targeted physical activity and motor interventions are implemented, especially in the school environment, aiming to maintain the health conditions.

  11. Nutritional status, nutrition practices and post-operative complications in patients with gastrointestinal cancer.

    Science.gov (United States)

    Garth, A K; Newsome, C M; Simmance, N; Crowe, T C

    2010-08-01

    Malnutrition and its associated complications are a considerable issue for surgical patients with upper gastrointestinal and colorectal cancer. The present study aimed to determine whether specific perioperative nutritional practices and protocols are associated with improved patient outcomes in this group. Patients admitted for elective upper gastrointestinal or colorectal cancer surgery (n = 95) over a 19-month period underwent a medical history audit assessing weight changes, nutritional intake, biochemistry, post-operative complications and length of stay. A subset of patients (n = 25) underwent nutritional assessment by subjective global assessment prior to surgery in addition to assessment of post-operative medical outcomes, nutritional intake and timing of dietetic intervention. Mean (SD) length of stay for patients was 14.0 (12.2) days, with complication rates at 35%. Length of stay was significantly longer in patients who experienced significant preoperative weight loss compared to those who did not [17.0 (15.8) days versus 10.0 (6.8) days, respectively; P nutritional assessment, 32% were classified as mild-moderately malnourished and 16% severely malnourished. Malnourished patients were hospitalised twice as long as well-nourished patients [15.8 (12.8) days versus 7.6 (3.5) days; P nutrition post surgery was a factor in post-operative outcomes, with a positive correlation with length of stay (r = 0.493; P cancer. Poor nutritional status coupled with delayed and inadequate post-operative nutrition practices are associated with worse clinical outcomes.

  12. Colour correct: the interactive effects of food label nutrition colouring schemes and food category healthiness on health perceptions.

    Science.gov (United States)

    Nyilasy, Gergely; Lei, Jing; Nagpal, Anish; Tan, Joseph

    2016-08-01

    The purpose of the present study was to examine the effects of food label nutrition colouring schemes in interaction with food category healthiness on consumers' perceptions of food healthiness. Three streams of colour theory (colour attention, colour association and colour approach-avoidance) in interaction with heuristic processing theory provide consonant predictions and explanations for the underlying psychological processes. A 2 (food category healthiness: healthy v. unhealthy)×3 (food label nutrient colouring schemes: healthy=green, unhealthy=red (HGUR) v. healthy=red, unhealthy=green (HRUG) v. no colour (control)) between-subjects design was used. The research setting was a randomised-controlled experiment using varying formats of food packages and nutritional information colouring. Respondents (n 196) sourced from a national consumer panel, USA. The findings suggest that, for healthy foods, the nutritional colouring schemes reduced perceived healthiness, irrespective of which nutrients were coloured red or green (healthinesscontrol=4·86; healthinessHGUR=4·10; healthinessHRUG=3·70). In contrast, for unhealthy foods, there was no significant difference in perceptions of food healthiness when comparing different colouring schemes against the control. The results make an important qualification to the common belief that colour coding can enhance the correct interpretation of nutrition information and suggest that this incentive may not necessarily support healthier food choices in all situations.

  13. Reliability and validity of a nutrition and physical activity environmental self-assessment for child care

    Directory of Open Access Journals (Sweden)

    Ammerman Alice S

    2007-07-01

    Full Text Available Abstract Background Few assessment instruments have examined the nutrition and physical activity environments in child care, and none are self-administered. Given the emerging focus on child care settings as a target for intervention, a valid and reliable measure of the nutrition and physical activity environment is needed. Methods To measure inter-rater reliability, 59 child care center directors and 109 staff completed the self-assessment concurrently, but independently. Three weeks later, a repeat self-assessment was completed by a sub-sample of 38 directors to assess test-retest reliability. To assess criterion validity, a researcher-administered environmental assessment was conducted at 69 centers and was compared to a self-assessment completed by the director. A weighted kappa test statistic and percent agreement were calculated to assess agreement for each question on the self-assessment. Results For inter-rater reliability, kappa statistics ranged from 0.20 to 1.00 across all questions. Test-retest reliability of the self-assessment yielded kappa statistics that ranged from 0.07 to 1.00. The inter-quartile kappa statistic ranges for inter-rater and test-retest reliability were 0.45 to 0.63 and 0.27 to 0.45, respectively. When percent agreement was calculated, questions ranged from 52.6% to 100% for inter-rater reliability and 34.3% to 100% for test-retest reliability. Kappa statistics for validity ranged from -0.01 to 0.79, with an inter-quartile range of 0.08 to 0.34. Percent agreement for validity ranged from 12.9% to 93.7%. Conclusion This study provides estimates of criterion validity, inter-rater reliability and test-retest reliability for an environmental nutrition and physical activity self-assessment instrument for child care. Results indicate that the self-assessment is a stable and reasonably accurate instrument for use with child care interventions. We therefore recommend the Nutrition and Physical Activity Self-Assessment for

  14. Interactions between nutrition and gastrointestinal parasitism in sheep.

    Science.gov (United States)

    Sykes, A R; Coop, R L

    2001-12-01

    Effects of gastrointestinal nematode infection on metabolism and nutrient utilisation in sheep are reviewed. Infection induces protein deficiency by increasing the demand for amino acids in the alimentary tract while reducing supply through depression of appetite. Mechanisms through which improved protein nutrition could improve the performance of the host are then discussed. Opportunities for capitalising on such effects are limited by our rudimentary understanding of the cell-mediated immune response in gastrointestinal epithelial tissue. Both resistance of the animal to larval establishment and performance in the face of larval challenge can be enhanced by improved protein nutrition. However, enhanced immune responses may not necessarily be synonymous with improved productivity except at luxurious levels of protein intake, because of apparently competing demands for protein. Such levels of protein nutrition are difficult to achieve in pasture-based systems, because of the protein limiting role of the rumen. Work with proteinprotecting tannins to overcome this limitation is discussed. The much more limited evidence for effect of mineral nutrition, particularly copper (Cu), molybdenum (Mo), cobalt (Co) and phosphorus (P), on outcome of larval challenge is also reviewed.

  15. Stepwise magnetic-geochemical approach for efficient assessment of heavy metal polluted sites

    Science.gov (United States)

    Appel, E.; Rösler, W.; Ojha, G.

    2012-04-01

    Previous studies have shown that magnetometry can outline the distribution of fly ash deposition in the surroundings of coal-burning power plants and steel industries. Especially the easy-to-measure magnetic susceptibility (MS) is capable to act as a proxy for heavy metal (HM) pollution caused by such kind of point source pollution. Here we present a demonstration project around the coal-burning power plant complex "Schwarze Pumpe" in eastern Germany. Before reunification of West and East Germany huge amounts of HM pollutants were emitted from the "Schwarze Pumpe" into the environment by both fly ash emission and dumped clinker. The project has been conducted as part of the TASK Centre of Competence which aims at bringing new innovative techniques closer to the market. Our project combines in situ and laboratory MS measurements and HM analyses in order to demonstrate the efficiency of a stepwise approach for site assessment of HM pollution around point sources of fly-ash emission and deposition into soil. The following scenario is played through: We assume that the "true" spatial distribution of HM pollution (given by the pollution load index PLI comprising Fe, Zn, Pb, and Cu) is represented by our entire set of 85 measured samples (XRF analyses) from forest sites around the "Schwarze Pumpe". Surface MS data (collected with a Bartington MS2D) and in situ vertical MS sections (logged by an SM400 instrument) are used to determine a qualitative overview of potentially higher and lower polluted areas. A suite of spatial HM distribution maps obtained by random selections of 30 out of the 85 analysed sites is compared to the HM map obtained from a targeted 30-sites-selection based on pre-information from the MS results. The PLI distribution map obtained from the targeted 30-sites-selection shows all essential details of the "true" pollution map, while the different random 30-sites-selections miss important features. This comparison shows that, for the same cost

  16. Nutritional Solutions to Reduce Risks of Negative Health Impacts of Air Pollution

    OpenAIRE

    Szabolcs Péter; Fernando Holguin; Lisa G. Wood; Jane E. Clougherty; Daniel Raederstorff; Magda Antal; Peter Weber; Manfred Eggersdorfer

    2015-01-01

    Air pollution worldwide has been associated with cardiovascular and respiratory morbidity and mortality, particularly in urban settings with elevated concentrations of primary pollutants. Air pollution is a very complex mixture of primary and secondary gases and particles, and its potential to cause harm can depend on multiple factors?including physical and chemical characteristics of pollutants, which varies with fine-scale location (e.g., by proximity to local emission sources)?as well as l...

  17. An assessment the effects of human-caused air pollution on resources within the interior Columbia River basin

    Science.gov (United States)

    Schoettle, A.W.; Tonnessen, K.; Turk, J.; Vimont, J.; Amundson, Ronald; Acheson, A.; Peterson, J.

    1999-01-01

    An assessment of existing and potential impacts to vegetation, aquatics, and visibility within the Columbia River basin due to air pollution was conducted as part of the Interior Columbia Basin Ecosystem Management Project. This assessment examined the current situation and potential trends due to pollutants such as ammonium, nitrogen oxides, sulfur oxides, particulates, carbon, and ozone. Ecosystems and resources at risk are identified, including certain forests, lichens, cryptogamic crusts, high-elevation lakes and streams, arid lands, and class I areas. Current monitoring data are summarized and air pollution sources identified. The assessment also includes a summary of data gaps and suggestions for future research and monitoring related to air pollution and its effects on resources in the interior Columbia River basin.

  18. Preoperative Nutritional Assessment by Controlling Nutritional Status (CONUT) is Useful to estimate Postoperative Morbidity After Esophagectomy for Esophageal Cancer.

    Science.gov (United States)

    Yoshida, Naoya; Baba, Yoshifumi; Shigaki, Hironobu; Harada, Kazuto; Iwatsuki, Masaaki; Kurashige, Junji; Sakamoto, Yasuo; Miyamoto, Yuji; Ishimoto, Takatsugu; Kosumi, Keisuke; Tokunaga, Ryuma; Imamura, Yu; Ida, Satoshi; Hiyoshi, Yukiharu; Watanabe, Masayuki; Baba, Hideo

    2016-08-01

    A nutritional indicator suitable for predicting complications after esophagectomy has not been confirmed. The nutritional screening tool CONUT is a potential candidate. We retrospectively analyzed 352 patients who underwent elective esophagectomy with lymphadenectomy for esophageal cancer between April 2005 and December 2014. Patients were divided into three groups according to the malnutrition degree in controlling nutritional status (CONUT): normal, light malnutrition, moderate or severe malnutrition. The numbers of patients assigned to the normal, light malnutrition, and moderate or severe malnutrition groups were 205, 126, and 21, respectively. One hundred forty-seven (41.8 %) patients were considered malnourished. Patients with moderate or severe malnutrition had a significantly high incidence of any morbidity, severe morbidities, and surgical site infection. Hospital stay in patients with moderate or severe malnutrition was significantly longer. Logistic regression analysis suggested that moderate or severe malnutrition was an independent risk factor for any morbidity [hazard ratio (HR) 2.75, 95 % confidence interval (CI) 1.081-7.020; p = 0.034] and severe morbidities (HR 3.07, 95 % CI 1.002-9.432; p = 0.049). CONUT was a convenient and useful tool to assess nutritional status before esophagectomy. Patients with moderate or severe malnutrition according to CONUT are at high risk for postoperative complications.

  19. Nutrition and Allergic Diseases

    Directory of Open Access Journals (Sweden)

    R.J.J. van Neerven

    2017-07-01

    Full Text Available The development of IgE-mediated allergic diseases is influenced by many factors, including genetic and environmental factors such as pollution and farming, but also by nutrition. In the last decade, substantial progress has been made in our understanding of the impact that nutrition can have on allergic diseases. Many studies have addressed the effect of breastfeeding, pre-, pro- and synbiotics, vitamins and minerals, fiber, fruit and vegetables, cow’s milk, and n-3 fatty acids, on the development of allergies. In addition, nutrition can also have indirect effects on allergic sensitization. This includes the diet of pregnant and breastfeeding women, which influences intrauterine development, as well as breastmilk composition. These include the diet of pregnant and breastfeeding women that influences intrauterine development as well as breastmilk composition, effects of food processing that may enhance allergenicity of foods, and effects via modulation of the intestinal microbiota and their metabolites. This editorial review provides a brief overview of recent developments related to nutrition and the development and management of allergic diseases.

  20. [A Method Research on Environmental Damage Assessment of a Truck Rollover Pollution Incident].

    Science.gov (United States)

    Cai, Feng; Zhao, Shi-ho; Chen, Gang-cai; Xian, Si-shu; Yang, Qing-ling; Zhou, Xian-jie; Yu, Hai

    2015-05-01

    With high occurrence of sudden water pollution incident, China faces an increasingly severe situation of water environment. In order to deter the acts of environmental pollution, ensure the damaged resources of environment can be restored and compensated, it is very critical to quantify the economic losses caused by the sudden water pollution incident. This paper took truck rollover pollution incidents in Chongqing for an example, established a set of evaluation method for quantifying the environmental damage, and then assessed the environmental damage by the method from four aspects, including the property damage, ecological environment and resources damages, the costs of administrative affairs in emergency disposal, and the costs of investigation and evaluation.

  1. Interactions between chemical and climate stressors: A role for mechanistic toxicology in assessing climate change risks

    Science.gov (United States)

    Hooper, Michael J.; Ankley, Gerald T.; Cristol, Daniel A.; Maryoung, Lindley A.; Noyes, Pamela D.; Pinkerton, Kent E.

    2013-01-01

    Incorporation of global climate change (GCC) effects into assessments of chemical risk and injury requires integrated examinations of chemical and nonchemical stressors. Environmental variables altered by GCC (temperature, precipitation, salinity, pH) can influence the toxicokinetics of chemical absorption, distribution, metabolism, and excretion as well as toxicodynamic interactions between chemicals and target molecules. In addition, GCC challenges processes critical for coping with the external environment (water balance, thermoregulation, nutrition, and the immune, endocrine, and neurological systems), leaving organisms sensitive to even slight perturbations by chemicals when pushed to the limits of their physiological tolerance range. In simplest terms, GCC can make organisms more sensitive to chemical stressors, while alternatively, exposure to chemicals can make organisms more sensitive to GCC stressors. One challenge is to identify potential interactions between nonchemical and chemical stressors affecting key physiological processes in an organism. We employed adverse outcome pathways, constructs depicting linkages between mechanism-based molecular initiating events and impacts on individuals or populations, to assess how chemical- and climate-specific variables interact to lead to adverse outcomes. Case examples are presented for prospective scenarios, hypothesizing potential chemical–GCC interactions, and retrospective scenarios, proposing mechanisms for demonstrated chemical–climate interactions in natural populations. Understanding GCC interactions along adverse outcome pathways facilitates extrapolation between species or other levels of organization, development of hypotheses and focal areas for further research, and improved inputs for risk and resource injury assessments.

  2. Australia’s first national level quantitative environmental justice assessment of industrial air pollution

    International Nuclear Information System (INIS)

    Chakraborty, Jayajit; Green, Donna

    2014-01-01

    This study presents the first national level quantitative environmental justice assessment of industrial air pollution in Australia. Specifically, our analysis links the spatial distribution of sites and emissions associated with industrial pollution sources derived from the National Pollution Inventory, to Indigenous status and social disadvantage characteristics of communities derived from Australian Bureau of Statistics indicators. Our results reveal a clear national pattern of environmental injustice based on the locations of industrial pollution sources, as well as volume, and toxicity of air pollution released at these locations. Communities with the highest number of polluting sites, emission volume, and toxicity-weighted air emissions indicate significantly greater proportions of Indigenous population and higher levels of socio-economic disadvantage. The quantities and toxicities of industrial air pollution are particularly higher in communities with the lowest levels of educational attainment and occupational status. These findings emphasize the need for more detailed analysis in specific regions and communities where socially disadvantaged groups are disproportionately impacted by industrial air pollution. Our empirical findings also underscore the growing necessity to incorporate environmental justice considerations in environmental planning and policy-making in Australia. (paper)

  3. The Scientific Challenge of Expanding the Frontiers of Nutrition.

    Science.gov (United States)

    Rezzi, Serge; Solari, Soren; Bouche, Nicolas; Baetge, Emmanuel E

    2016-01-01

    Nutritional research is entering a paradigm shift which necessitates the modeling of complex interactions between diet, genetics, lifestyle, and environmental factors. This requires the development of analytical and processing capabilities for multiple data and information sources to be able to improve targeted and personalized nutritional approaches for the maintenance of health. Ideally, such knowledge will be employed to underpin the development of concepts that combine consumer and medical nutrition with diagnostic targeting for early intervention designed to maintain proper metabolic homeostasis and delay the onset of chronic diseases. Nutritional status is fundamental to any description of health, and when combined with other data on lifestyle, environment, and genetics, it can be used to drive stratified or even personalized nutritional strategies for health maintenance and preventive medicine. In this work, we will discuss the importance of developing new nutrient assessment methods and diagnostic capabilities for nutritional status to generate scientific hypotheses and actionable concepts from which to develop targeted and eventually personalized nutritional solutions for health protection. We describe efforts to develop algorithms for dietary nutrient intake and a holistic nutritional profiling platform as the basis of understanding the complex nutrition and health interactome. © 2016 Nestec Ltd., Vevey/S. Karger AG, Basel.

  4. Elaboration of an experimental method to assess biodegradation agents: Bioremediation trials on oil polluted beach

    International Nuclear Information System (INIS)

    Merlin, F.X.; Guerroue, P.L.; Quere, C.; Chaumery, C.J.; Oudot, J.

    1992-01-01

    Trials were conducted on a sheltered beach in Brittany, France, in order to define a methodology to control and assess biotreatment of oil polluted shores. Six test plots of 3 m 2 each were prepared, each enclosed by a wall to protect the plot from extensive wave action. Light crude was applied to each plot at a total concentration of 5 l/m 2 in two consecutive applications. Four different bioremediation processes were evaluated, involving the application of microflora specifically adapted to oil degradation, adapted dehydrated bacteria, nutritive nitrogen and phosphorus, and chalk powder. The evaluation included microbiological analyses, measurements of oil concentration in the sediment, and qualitative analysis of the oil. Under the test conditions, the oil biodegradation in surface sediment took place very slowly and the disappearance of oil was mainly due to tidal and wave action. The main factor limiting biodegradation is the availability of nitrogen. Only the second and third of the above four processes were able to show a slight increase in oil biodegradation. The amount of oil biodegraded by those processes was estimated at about 20%. 9 refs., 11 figs., 5 tabs

  5. [Quality control an assessment system. Its location within a program for food, nutrition and metabolic intervention].

    Science.gov (United States)

    Santana Porbén, S

    2012-01-01

    A design proposal for a HQCAS Hospital Quality Control and Assessment System of the nutritional and feeding care processes conducted in a hospital environment is presented in this article. The design proposal is accompanied of the results of inspections conducted by the hospital NST Nutritional Support Group between 2005-2010. The system design includes quality policies that should rule the useful and safe conduction of such processes, the recording and documentary foundations of the System, and the quality control and assessment exercises for the continuous verification of such established policies. The current state of the conduction of these processes was documented from secondary records opened by the NST after satisfying consultation requests from the medical care teams of the institution. Inspections conducted by the NST revealed that less than half of clinical charts contained information minimally enough for elaborating nutritional judgments, almost one-fifth of the assisted patients were on Nils Per Oris, for whom no nutritional support schemes were prescribed, and a low prescription and usage of artificial nutrition schemes. Corrective measures adopted by the NST served to significantly increase the rates of successful completion of inspected processes. Quality assurance of feeding and nutritional care processes is a practical as well as an intellectual activity subjected to constant remodeling, in order to always warrant the fulfillment of quality policies advanced by the NST, and thus, that the patient benefits from the prescribed nutritional intervention strategy.

  6. A cross-sectional pilot study to examine food sufficiency and assess nutrition among low-income patients with injection-related venous ulcers.

    Science.gov (United States)

    Pieper, Barbara; Templin, Thomas N

    2015-04-01

    Adequate nutrition has long been considered a critical component for wound healing, but literature regarding the relationship between nutrition and venous ulcer (VU) healing is limited. A person's nutrition is affected by the availability of food as well as his/her overall health. Food sufficiency and nutrition are important concerns in the care of persons of low income with injection-related VUs, which tend to be large and slow to heal. A cross-sectional pilot study was conducted to explore the relationship between food sufficiency/security and nutrition with regard to demographic, wound, quality-of-life, physical activity, falls, and fall risk variables. Nutrition was examined using 2 well-developed instruments that measure food sufficiency/security and assess nutrition--the United States Department of Agriculture's Adult Food Sufficiency Questionnaire (FSQ) and the Nestle Mini Nutritional Assessment (MNA). All participants (N = 31, 54% men, mean age 56.1 ± 3.6 years, all African American) were recruited from an outpatient clinic. All had injection-related VUs from a history of injecting illicit substances. In terms of food sufficiency/security, most participants (26, 84%) reported having enough food in the house, but 10 (32%) worried about running out of food. From 16% to 22.6% of participants expressed concern with food sufficiency/security in terms of cutting meal size, eating less, hunger, and weight loss. Food sufficiency/security was high for 19 (61.3%), but 12 (39%) had marginal or lower food sufficiency/security. MNA scores showed 16 participants (52%) were at risk of malnutrition or malnourished. Low food sufficiency/security was significantly (P nutrition assessment scores were significantly associated (P nutrition assessment are important to assess in low-income persons with injection-related VUs. A number of significant relationships of the FSQ and MNA to other variables was found but needs further investigation with a larger sample.

  7. A new air quality monitoring and early warning system: Air quality assessment and air pollutant concentration prediction.

    Science.gov (United States)

    Yang, Zhongshan; Wang, Jian

    2017-10-01

    Air pollution in many countries is worsening with industrialization and urbanization, resulting in climate change and affecting people's health, thus, making the work of policymakers more difficult. It is therefore both urgent and necessary to establish amore scientific air quality monitoring and early warning system to evaluate the degree of air pollution objectively, and predict pollutant concentrations accurately. However, the integration of air quality assessment and air pollutant concentration prediction to establish an air quality system is not common. In this paper, we propose a new air quality monitoring and early warning system, including an assessment module and forecasting module. In the air quality assessment module, fuzzy comprehensive evaluation is used to determine the main pollutants and evaluate the degree of air pollution more scientifically. In the air pollutant concentration prediction module, a novel hybridization model combining complementary ensemble empirical mode decomposition, a modified cuckoo search and differential evolution algorithm, and an Elman neural network, is proposed to improve the forecasting accuracy of six main air pollutant concentrations. To verify the effectiveness of this system, pollutant data for two cities in China are used. The result of the fuzzy comprehensive evaluation shows that the major air pollutants in Xi'an and Jinan are PM 10 and PM 2.5 respectively, and that the air quality of Xi'an is better than that of Jinan. The forecasting results indicate that the proposed hybrid model is remarkably superior to all benchmark models on account of its higher prediction accuracy and stability. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. The Interaction Effects of Meteorological Factors and Air Pollution on the Development of Acute Coronary Syndrome.

    Science.gov (United States)

    Huang, Ching-Hui; Lin, Heng-Cheng; Tsai, Chen-Dao; Huang, Hung-Kai; Lian, Ie-Bin; Chang, Chia-Chu

    2017-03-09

    This study investigated the interaction effects of meteorological factors and air pollutants on the onset of acute coronary syndrome (ACS). Data of ACS patients were obtained from the Taiwan ACS Full Spectrum Registry and comprised 3164 patients with a definite onset date during the period October 2008 and January 2010 at 39 hospitals. Meteorological conditions and air pollutant concentrations at the 39 locations during the 488-day period were obtained. Time-lag Poisson and logistic regression were used to explore their association with ACS incidence. One-day lag atmospheric pressure (AP), humidity, particulate matter (PM 2.5 , and PM 10 ), and carbon monoxide (CO) all had significant interaction effects with temperature on ACS occurrence. Days on which high temperatures (>26 °C) and low AP (Typhoon Morakot was an example of high temperature with extremely low AP associated with higher ACS incidence than the daily average. Combinations of high concentrations of PM or CO with low temperatures (<21 °C) and high humidity levels with low temperatures were also associated with increased incidence of ACS. Atmospheric pollution and weather factors have synergistic effects on the incidence of ACS.

  9. Family and Consumer Sciences Teacher Needs Assessment of a STEM-Enhanced Food and Nutrition Sciences Curriculum

    OpenAIRE

    Merrill, Cathy A.

    2016-01-01

    Science, technology, engineering and mathematics (STEM) education concepts are naturally contextualized in the study of food and nutrition. In 2014 a pilot group of Utah high school Career and Technical Education Family and Consumer Sciences teachers rewrote the Food and Nutrition Sciences curriculum to add and enhance the STEM-related content. This study is an online needs assessment by Utah Food and Nutrition 1 teachers on the implementation of the STEM-enhanced curriculum after its first y...

  10. Gravitactic orientation of Euglena gracilis – a sensitive endpoint for ecotoxicological assessment of water pollutants

    Directory of Open Access Journals (Sweden)

    Aziz eUllah

    2013-12-01

    Full Text Available Pollution of aquatic environments with natural and anthropogenically produced substances is one of the major environmental problems of the world. In many countries the decreasing quantity of water coupled with its increasing usage in multiple sectors has adversely affected water quality and caused problems of water pollution. Polluted water has been a main cause of adverse effects on plants, animals and humans throughout the world. Physicochemical analysis of water, which is a common method used for quality assessment of water, alone may not be enough as it cannot evaluate the impact on living organisms. Therefore, bioassessment of water and wastewater quality is considered to be essential to reflect the ultimate effects on living organisms. Many organisms like bacteria, algae, fish, invertebrates and protozoan are used as bioassay organisms for assessment of water quality. This review article elucidates the use of Euglena gracilis, a freshwater motile flagellate of the phylum Euglenophyta, as a suitable organism in ecotoxicological studies with special emphasis on its gravitactic orientation as a sensitive end point in ecotoxicological assessment of water pollutants.

  11. Physical Activity, a Critical Exposure Factor of Environmental Pollution in Children and Adolescents Health Risk Assessment

    Science.gov (United States)

    Zhang, Su; Xia, Li; Yu, Yi; Hu, Shuangshuang; Sun, Jingyu; Zhou, Ping; Chen, Peijie

    2018-01-01

    It is an extremely urgent problem that physical fitness promotion must face not only the increasing air pollution but also the decline of physical activity level of children and adolescents worldwide at present, which is the major reason that forms an inactive lifestyle and does harm to adolescents’ health. Thus, it is necessary to focus on the exposure factor in environmental health risk assessment (EHRA) which conducts supervision of environmental pollution and survey of adolescents’ activity patterns according to the harmful characteristics of air pollutant and relationship between dose and response. Some countries, such as USA, Canada and Australia, regard both respiratory rate and physical activity pattern as main exposure factors for adolescents in both air pollution health risk assessment and exercise risk assessment to forecast a safe exposing condition of pollutant for adolescents while they are doing exercise outdoors. In addition, it suggests that the testing indexes and testing methods of these two exposure factors, such as investigating the time of daily physical activity, strength, and characteristic of frequency, help to set up the quantitative relationship between environmental pollution index and the time, strength, frequency of daily activities, and formulate children’s and adolescents’ activity instructions under different levels of environmental pollutions. As smog becomes increasingly serious at present, it is meaningful to take physical activity as a critical composition of exposure factor and establish physical activity guideline, so as to reduce the risk of air pollution, and promote physical health of children and adolescents effectively. PMID:29360730

  12. Physical Activity, a Critical Exposure Factor of Environmental Pollution in Children and Adolescents Health Risk Assessment

    Directory of Open Access Journals (Sweden)

    Jingmei Dong

    2018-01-01

    Full Text Available It is an extremely urgent problem that physical fitness promotion must face not only the increasing air pollution but also the decline of physical activity level of children and adolescents worldwide at present, which is the major reason that forms an inactive lifestyle and does harm to adolescents’ health. Thus, it is necessary to focus on the exposure factor in environmental health risk assessment (EHRA which conducts supervision of environmental pollution and survey of adolescents’ activity patterns according to the harmful characteristics of air pollutant and relationship between dose and response. Some countries, such as USA, Canada and Australia, regard both respiratory rate and physical activity pattern as main exposure factors for adolescents in both air pollution health risk assessment and exercise risk assessment to forecast a safe exposing condition of pollutant for adolescents while they are doing exercise outdoors. In addition, it suggests that the testing indexes and testing methods of these two exposure factors, such as investigating the time of daily physical activity, strength, and characteristic of frequency, help to set up the quantitative relationship between environmental pollution index and the time, strength, frequency of daily activities, and formulate children’s and adolescents’ activity instructions under different levels of environmental pollutions. As smog becomes increasingly serious at present, it is meaningful to take physical activity as a critical composition of exposure factor and establish physical activity guideline, so as to reduce the risk of air pollution, and promote physical health of children and adolescents effectively.

  13. Adapting ecological risk valuation for natural resource damage assessment in water pollution.

    Science.gov (United States)

    Chen, Shuzhen; Wu, Desheng

    2018-07-01

    Ecological risk assessment can address requirements of natural resource damage assessment by quantifying the magnitude of possible damages to the ecosystem. This paper investigates an approach to assess water damages from pollution incident on the basis of concentrations of contaminants. The baseline of water pollution is determined with not-to-exceed concentration of contaminants required by water quality standards. The values of damage cost to water quality are estimated through sewage treatment cost. To get a reliable estimate of treatment cost, DEA is employed to classify samples of sewage plants based on their efficiency of sewage treatment. And exponential fitting is adopted to determine the relation between treatment cost and the decrease of COCs. The range of damage costs is determined through the fitting curves respectively based on efficient and inefficient samples. Copyright © 2018 Elsevier Inc. All rights reserved.

  14. Assessment of nutrition and physical activity environments in family child care homes: modification and psychometric testing of the Environment and Policy Assessment and Observation

    Directory of Open Access Journals (Sweden)

    Amber E. Vaughn

    2017-08-01

    Full Text Available Abstract Background Early care and education (ECE settings play an important role in shaping the nutrition and physical activity habits of young children. Increasing research attention is being directed toward family child care homes (FCCHs specifically. However, existing measures of child care nutrition and physical activity environments are limited in that they have been created for use with center-based programs and require modification for studies involving FCCHs. This paper describes the modification of the Environment and Policy Assessment and Observation (EPAO for use in FCCHs. Methods The EPAO underwent a through modification process that incorporated an updated format for the data collection instrument, assessment of emerging best practices, tailoring to the FCCH environment, and creation of a new scoring rubric. The new instrument was implemented as part of a larger randomized control trial. To assess inter-rater reliability, observations on 61 different days were performed independently by two data collectors. To assess construct validity, associations between EPAO scores and measures of children’s dietary intake (Healthy Eating Index (HEI score and physical activity (accelerometer-measured minutes per hour of moderate to vigorous physical activity, MVPA were examined. Results The modified EPAO assesses 38 nutrition and 27 physical activity best practices, which can be summarized into 7 nutrition-related and 10 physical activity-related environmental sub- scores as well as overall nutrition and overall physical activity scores. There was generally good agreement between data collectors (ICC > 0.60. Reliability was slightly lower for feeding practices and physical activity education and professional development (ICC = 0.56 and 0.22, respectively. Child HEI was significantly correlated with the overall nutrition score (r = 0.23, foods provided (r = 0.28, beverages provided (r = 0.15, nutrition education and professional

  15. Assessment of nutrition and physical activity environments in family child care homes: modification and psychometric testing of the Environment and Policy Assessment and Observation.

    Science.gov (United States)

    Vaughn, Amber E; Mazzucca, Stephanie; Burney, Regan; Østbye, Truls; Benjamin Neelon, Sara E; Tovar, Alison; Ward, Dianne S

    2017-08-29

    Early care and education (ECE) settings play an important role in shaping the nutrition and physical activity habits of young children. Increasing research attention is being directed toward family child care homes (FCCHs) specifically. However, existing measures of child care nutrition and physical activity environments are limited in that they have been created for use with center-based programs and require modification for studies involving FCCHs. This paper describes the modification of the Environment and Policy Assessment and Observation (EPAO) for use in FCCHs. The EPAO underwent a through modification process that incorporated an updated format for the data collection instrument, assessment of emerging best practices, tailoring to the FCCH environment, and creation of a new scoring rubric. The new instrument was implemented as part of a larger randomized control trial. To assess inter-rater reliability, observations on 61 different days were performed independently by two data collectors. To assess construct validity, associations between EPAO scores and measures of children's dietary intake (Healthy Eating Index (HEI) score) and physical activity (accelerometer-measured minutes per hour of moderate to vigorous physical activity, MVPA) were examined. The modified EPAO assesses 38 nutrition and 27 physical activity best practices, which can be summarized into 7 nutrition-related and 10 physical activity-related environmental sub- scores as well as overall nutrition and overall physical activity scores. There was generally good agreement between data collectors (ICC > 0.60). Reliability was slightly lower for feeding practices and physical activity education and professional development (ICC = 0.56 and 0.22, respectively). Child HEI was significantly correlated with the overall nutrition score (r = 0.23), foods provided (r = 0.28), beverages provided (r = 0.15), nutrition education and professional development (r = 0.21), and nutrition policy (r

  16. [Nutritional assessment for hospitalized patients].

    Science.gov (United States)

    Henríquez Martínez, T; Armero Fuster, M

    1991-01-01

    A review of the following points was performed: Factors favouring the development and presence of malnutrition among hospitalized patients. Useful parameters in nutritional evaluation. Types of malnutrition. The Chang nutritional evaluation protocol is used in our Hospital, which is simple, inexpensive, reliable, specific and easily reproduced. This is based on five variables (three anthropometric and two biochemical), randomized and based on reference tables and values. A study was made on data corresponding to 70 patients, in whom a prevalence of malnutrition was observed in critical patients. The patients were classified based on three different definitive possibilities (Marasmo, Kwashiorkor and combined), and three grades of malnutrition (slight, moderate and severe).

  17. Nanorhizosphere: a new approach to study the interactions between plant and soil microorganisms - The effect of pollutants

    Science.gov (United States)

    De Cesare, Fabrizio; Di Mattia, Elena; Macagnano, Antonella

    2017-04-01

    Global and local environmental changes are exerting significant pressures on organisms living in ecosystems. In the terrestrial ecosystem, plant, soil and microorganisms mutually interact in the rhizosphere, i.e. the volume of soil surrounding roots that is affected by the release of rhizodeposition (root exudates, root debris, volatiles and gases) by plants. Such interactions can be beneficial, neutral or harmful for organisms, depending on the stimulatory or inhibitory (or null) effect resulting from these relationships. Soil organisms are sensitive indicators of environmental alterations. Effects induced by climate changes (e.g. global warming and elevated CO2), land-use (e.g. forest vs. agrosystems, and conventional vs. conservation agriculture) and pollution (e.g. agrochemicals, and industrial and urban wastes) can affect the attitudes, composition, physiology, metabolism and morphology of organisms in the rhizosphere and their interactions. Plenty of studies published to date has been devoted to analysing the effects of a multitude of factors on the rhizosphere ecosystems (e.g. root exudate amount and composition, microbial community dynamics, populations of soil animals) and their biogeochemical properties (enzyme activities). Accordingly, a lot of markers, protocols and techniques have been created on purpose and used for such analyses until now. In this study, a new approach based on the creation of a nanostructured support mimicking the rhizosphere environment and its main features is proposed. Sketching them out: i) solid materials (grain-shaped minerals and fibrous and crumble-like organic matter) distributed in a 3D space; ii) release of nutritive substrates. This nanorhizosphere is composed of both micro-beads and nano-to-micro fibres of organic polymer approximately mimicking the soil structure. A biodegradable organic polymer has been selected on purpose. The nanostructure was created employing a nanotechnology named electrospinning, which typically

  18. Analysis of Sampling Methodologies for Noise Pollution Assessment and the Impact on the Population

    Directory of Open Access Journals (Sweden)

    Guillermo Rey Gozalo

    2016-05-01

    Full Text Available Today, noise pollution is an increasing environmental stressor. Noise maps are recognised as the main tool for assessing and managing environmental noise, but their accuracy largely depends on the sampling method used. The sampling methods most commonly used by different researchers (grid, legislative road types and categorisation methods were analysed and compared using the city of Talca (Chile as a test case. The results show that the stratification of sound values in road categories has a significantly lower prediction error and a higher capacity for discrimination and prediction than in the legislative road types used by the Ministry of Transport and Telecommunications in Chile. Also, the use of one or another method implies significant differences in the assessment of population exposure to noise pollution. Thus, the selection of a suitable method for performing noise maps through measurements is essential to achieve an accurate assessment of the impact of noise pollution on the population.

  19. Analysis of Sampling Methodologies for Noise Pollution Assessment and the Impact on the Population.

    Science.gov (United States)

    Rey Gozalo, Guillermo; Barrigón Morillas, Juan Miguel

    2016-05-11

    Today, noise pollution is an increasing environmental stressor. Noise maps are recognised as the main tool for assessing and managing environmental noise, but their accuracy largely depends on the sampling method used. The sampling methods most commonly used by different researchers (grid, legislative road types and categorisation methods) were analysed and compared using the city of Talca (Chile) as a test case. The results show that the stratification of sound values in road categories has a significantly lower prediction error and a higher capacity for discrimination and prediction than in the legislative road types used by the Ministry of Transport and Telecommunications in Chile. Also, the use of one or another method implies significant differences in the assessment of population exposure to noise pollution. Thus, the selection of a suitable method for performing noise maps through measurements is essential to achieve an accurate assessment of the impact of noise pollution on the population.

  20. Assessing the impact of the primary school-based nutrition intervention Petits cuistots--parents en réseaux.

    Science.gov (United States)

    Bisset, Sherri L; Potvin, Louise; Daniel, Mark; Paquette, Manon

    2008-01-01

    This study sought to provide an intermediate impact assessment of the nutrition intervention Petits cuistots--parents en réseaux (Little Cooks--Parental Networks) on: 1) knowledge, attitude, capacity and experience with regard to nutrition, diet and cookery, and 2) parental and/or family participation in school. A total of 388 students from grades 5 (participants) and 6 (non-participants). The evaluation of the nutrition intervention took place in each of the seven participating elementary schools, all of which are located in Montreal's most disadvantaged neighbourhoods. The program component "Little Cooks" is a nutrition workshop run by community dieticians. Each of the eight annual workshops features a food item and nutrition theme with a recipe for a collective food preparation and tasting experience. Classroom teachers participate to provide classroom management and program support. The "Parental Networks" component of the program invites parents to assist with the nutrition workshop, and offers additional parent and family activities which link to nutrition workshop themes (e.g., dinners or visits to local food producers). The program had some impact on knowledge of the nutrient content of food, food produce and cooking; attitude and experience with tasting of new or less common foods; and perceived cooking capacity. Families with students participating in the program participated more in school activities than did families of students not in the program. Our assessment indicates a potential program impact upon several intermediate impact measures, and in so doing highlights a promising nutrition capacity-promoting intervention.

  1. Interaction matters: Strategies to promote engaged learning in an online introductory nutrition course.

    Science.gov (United States)

    Banna, Jinan; Grace Lin, Meng-Fen; Stewart, Maria; Fialkowski, Marie K

    2015-06-01

    Fostering interaction in the online classroom is an important consideration in ensuring that students actively create their own knowledge and reach a high level of achievement in science courses. This study focuses on fostering interaction in an online introductory nutrition course offered in a public institution of higher education in Hawai'i, USA. Interactive features included synchronous discussions and polls in scheduled sessions, and social media tools for sharing of information and resources. Qualitative student feedback was solicited regarding the new course features. Findings indicated that students who attended monthly synchronous sessions valued live interaction with peers and the instructor. Issues identified included technical difficulties during synchronous sessions, lack of participation on the part of fellow students in discussion and inability to attend synchronous sessions due to scheduling conflicts. In addition, few students made use of the opportunity to interact via social media. While students indicated that the interactive components of the course were valuable, several areas in which improvement may be made remain. Future studies may explore potential solutions to issues identified with new features to further promote interaction and foster learning in the course. Recommendations for instructors who are interested in offering online science courses in higher education are provided.

  2. Pollution assessment using local enrichment factors: the Berounka River (Czech Republic)

    Czech Academy of Sciences Publication Activity Database

    Nováková, Tereza; Matys Grygar, Tomáš; Kotková, Kristýna; Elznicová, J.; Strnad, L.; Mihaljevic, M.

    2016-01-01

    Roč. 16, č. 3 (2016), s. 1081-1092 ISSN 1439-0108 Institutional support: RVO:61388980 Keywords : Berounka River * Fluvial sediments * Local enrichment factors * Normalization * Pollution assessment Subject RIV: DD - Geochemistry Impact factor: 2.522, year: 2016

  3. Assessment of metals pollution in some herbs from Kano metropolis ...

    African Journals Online (AJOL)

    Assessment of metals pollution in some herbs from Kano metropolis. M.I. Mohammed, Y Inuwa. Abstract. No Abstract. Keywords: Herbs, metals, Kano, Nigeria. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE ...

  4. Interactions between C-Reactive Protein Genotypes with Markers of Nutritional Status in Relation to Inflammation

    Directory of Open Access Journals (Sweden)

    Cornelie Nienaber-Rousseau

    2014-11-01

    Full Text Available Inflammation, as indicated by C-reactive protein concentrations (CRP, is a risk factor for chronic diseases. Both genetic and environmental factors affect susceptibility to inflammation. As dietary interventions can influence inflammatory status, we hypothesized that dietary effects could be influenced by interactions with single nucleotide polymorphisms (SNPs in the CRP gene. We determined 12 CRP SNPs, as well as various nutrition status markers in 2010 black South Africans and analyzed their effect on CRP. Interactions were observed for several genotypes with obesity in determining CRP. Lipid intake modulated the pro-inflammatory effects of some SNPs, i.e., an increase in both saturated fatty acid and monounsaturated fatty acid intake in those homozygous for the polymorphic allele at rs2808630 was associated with a larger increase in CRP. Those harboring the minor alleles at rs3093058 and rs3093062 presented with significantly higher CRP in the presence of increased triglyceride or cholesterol intake. When harboring the minor allele of these SNPs, a high omega-6 to -3 ratio was, however, found to be anti-inflammatory. Carbohydrate intake also modulated CRP SNPs, as HbA1C and fasting glucose levels interacted with some SNPs to influence the CRP. This investigation highlights the impact that nutritional status can have on reducing the inherent genetic susceptibility to a heightened systemic inflammatory state.

  5. Nutritional status assessment in colorectal cancer patients qualified to systemic treatment

    Directory of Open Access Journals (Sweden)

    Monika Ziętarska

    2017-06-01

    Full Text Available Aim of the study . Cancer is usually associated with impaired nutritional status, which is one of the factors contributing to the deterioration of the results of surgery, chemotherapy, or radiotherapy. The aim of this study was the assessment of the nutritional status of patients with CRC qualified to chemotherapy. Material and methods : Seventy-five persons aged 40–86 years with colorectal cancer were examined. To evaluate the nutritional status NRS 2002, SGA, SCRINIO Working Group classification, VAS scale for appetite, and FAACT questionnaire were used. The health status of patients was evaluated based on the Karnofsky Performance Scale. Anthropometric measurements were made. Results : The results indicate that 75% of patients present pre-cachexia status based on SCRINIO Working Group classification. According to both NRS-2002 and SGA, 73.3% of patients were moderately malnourished and 2.7% were severely malnourished. 37.0% of patients had moderate appetite and 6.0% (n = 5 had poor appetite. The Karnofsky score indicates the state of normal activity, and minor signs and symptoms of the disease among most of the patients. A statistically significant positive correlation was found between the VAS and the Karnofsky score (R = 0,4; p < 0.05. The FACCT average score (78.5 indicates a reduction in the quality of life of the patients in all aspects of functioning. Conclusions : Evaluation of the baseline nutritional status of patients with CRC should be a part of routine clinical practice. Because of the high incidence of confirmed pre-cachexia, this group of patients also requires early adequate nutrition intervention.

  6. Nutritional requirements of freshwater ornamental fish: a review

    OpenAIRE

    Velasco-Santamaría, Yohana; Corredor-Santamaría, Wilson

    2011-01-01

    The knowledge of nutritional requirements in ornamental fish species is essential to improve the productive development; however, the nutritional information of these species is scarce and sometimes this information is extrapolated from results obtained from non-ornamental fish species. In ornamental fish, a correct formulation of the diet improve the nutrient digestibility and supply the metabolic needs, reducing the maintenance cost and at the same time the water pollution. Inert food such ...

  7. Air Quality Assessment of Faisalabad and Gujranwala Cities of Pakistan: Application of Pollution Indices

    International Nuclear Information System (INIS)

    Faiz, Y.; Waheed, S.; Siddique, N.

    2015-01-01

    Urban air quality of industrial cities of Pakistan, namely Gujranwala and Faisalabad was assessed in terms of pollution level indicators such as pollution load index (PLI), geo-accumulation index (I/sub geo/), pollution index (PI) and integrated pollution index (IPI). It was found that both cities have elevated metal concentration indicating heavy to extreme contamination for most of the sites. Local anthropogenic activities and elevated geo-accumulation indices for different suite of elements were used to indicate possible pollutant sources in these two industrial cities to be traffic derived emissions, suspended soil, road dust, construction materials, fossil fuel and industrial emissions, tanneries, chrome plating units and metal smelters. Comparison of the pollution indices shows that Ba, Br, Ca, Cd, Na, Pb, Sb and Zn have mean PLI, I/sub geo/, PI and IPI for both cities which are in the highly polluted category. Cu, La, Sc, V and Zr have pollution indices corresponding to high or extreme levels in Faisalabad only while Cr and Ti are highly polluting only in Gujranwala. In Faisalabad and Gujranwala it was found that 91.43% and 85.29% respectively of the PI data occurs in high level of pollution implying that to some extent Faisalabad is more polluted as compared to Gujranwala. (author)

  8. Integrated environmental assessment and pollution prevention in Vietnam: the case of anthracite production

    Energy Technology Data Exchange (ETDEWEB)

    Chinh, L.D.; Gheewala, S.H.; Bonnet, S. [King Mongkuts University of Technology at Thonburi, Bangkok (Thailand)

    2007-07-01

    Abstract: Using the concept of life cycle analysis, the whole life cycle of anthracite production in Vietnam was assessed and the environmental 'hot-spots' were identified. These include (I) dust pollution at coal transfer points or piles in storage; (ii) noise pollution resulting from the usage of heavy equipment, and (iii) high volume of acid and turbid mine water discharged into the environment. Pollution prevention and treatment options were identified and discussed in this study which consists of wet treatment of dust, planning, collection and treatment of mine water, planting of trees for dust and noise reduction as well as minimization of erosion. Some recommendations are made for pollution abatement from coal production and improvement of anthracite production in the region.

  9. Nutritional ecology of insect-plant interactions: persistent handicaps and the need for innovative approaches

    NARCIS (Netherlands)

    Loon, van J.J.A.; Casas, J.; Pincebourde, S.

    2005-01-01

    Quantifying the flow of matter and energy in food webs is indispensable when assessing the effects of increases in atmospheric carbon dioxide, ozone level and temperature as a result of global climate change. In insect nutritional ecology, quantification of digestive and metabolic efficiency is

  10. The Multimedia Environmental Pollutant Assessment System (MEPAS)reg-sign: Source-term release formulations

    International Nuclear Information System (INIS)

    Streile, G.P.; Shields, K.D.; Stroh, J.L.; Bagaasen, L.M.; Whelan, G.; McDonald, J.P.; Droppo, J.G.; Buck, J.W.

    1996-11-01

    This report is one of a series of reports that document the mathematical models in the Multimedia Environmental Pollutant Assessment System (MEPAS). Developed by Pacific Northwest National Laboratory for the US Department of Energy, MEPAS is an integrated impact assessment software implementation of physics-based fate and transport models in air, soil, and water media. Outputs are estimates of exposures and health risk assessments for radioactive and hazardous pollutants. Each of the MEPAS formulation documents covers a major MEPAS component such as source-term, atmospheric, vadose zone/groundwater, surface water, and health exposure/health impact assessment. Other MEPAS documentation reports cover the sensitivity/uncertainty formulations and the database parameter constituent property estimation methods. The pollutant source-term release component is documented in this report. MEPAS simulates the release of contaminants from a source, transport through the air, groundwater, surface water, or overland pathways, and transfer through food chains and exposure pathways to the exposed individual or population. For human health impacts, risks are computed for carcinogens and hazard quotients for noncarcinogens. MEPAS is implemented on a desktop computer with a user-friendly interface that allows the user to define the problem, input the required data, and execute the appropriate models for both deterministic and probabilistic analyses

  11. [Malnutrition and weight loss - nurse assessment of nutritional status and counselling: experiences of patients with newly diagnosed or relapsed cancer].

    Science.gov (United States)

    Kröner, A; Stoll, H; Spichiger, E

    2012-04-01

    Due to the anorexia-cachexia syndrome, cancer patients are already suffering from nutritional problems and weight loss by the time they receive their diagnosis and start chemotherapy. In the oncology outpatient clinic of a Swiss university hospital, patients currently undergo a nutritional assessment and receive individual counselling at the beginning of cancer treatment. This qualitative study explored cancer patients' experiences with weight loss and nutritional problems as well as how they experienced the assessment and the consecutive counselling by nurses. Interviews were conducted with 12 patients and qualitative content analysis was used for data analysis. Results showed that patients barely registered the weight loss and did not interpret it as an early warning signal. Nevertheless, they attempted to improve their nutritional habits soon after diagnosis, prior to receiving any counselling. The patients did not experience the assessment as troublesome. They appreciated the nurses' advice and implemented the suggestions they found appropriate. This study highlights the importance of patient education regarding weight loss and nutritional problems early in the course of an illness. Patients may not be aware of nutritional problems at this early stage and may lack the necessary specialised knowledge. Assessment and counselling provided by nurses offer targeted measures for prevention of malnutrition and weight loss.

  12. Value of geriatric frailty and nutritional status assessment in predicting postoperative mortality in gastric cancer surgery.

    Science.gov (United States)

    Tegels, Juul J W; de Maat, M F G; Hulsewé, K W E; Hoofwijk, A G M; Stoot, J H M B

    2014-03-01

    This study seeks to evaluate assessment of geriatric frailty and nutritional status in predicting postoperative mortality in gastric cancer surgery. Preoperatively, patients operated for gastric adenocarcinoma underwent assessment of Groningen Frailty Indicator (GFI) and Short Nutritional Assessment Questionnaire (SNAQ). We studied retrospectively whether these scores were associated with in-hospital mortality. From 2005 to September 2012 180 patients underwent surgery with an overall mortality of 8.3%. Patients with a GFI ≥ 3 (n = 30, 24%) had a mortality rate of 23.3% versus 5.2% in the lower GFI group (OR 4.0, 95%CI 1.1-14.1, P = 0.03). For patients who underwent surgery with curative intent (n = 125), this was 27.3% for patients with GFI ≥ 3 (n = 22, 18%) versus 5.7% with GFI gastric cancer surgical mortality and geriatric frailty as well as nutritional status using a simple questionnaire. This may have implications in preoperative decision making in selecting patients who optimally benefit from surgery.

  13. Comparison of Dual Energy X-ray Absorptiometry and Bioimpedance in Assessing Body Composition and Nutrition in Peritoneal Dialysis Patients

    DEFF Research Database (Denmark)

    Popovic, Velena; Zerahn, Bo; Heaf, James Goya

    2017-01-01

    OBJECTIVE: Peritoneal dialysis (PD) patients are characterized by protein malnutrition and muscle wasting. Reliable, easy, and cheap methods for evaluating nutrition are desirable. Three methods are commonly available: dual-energy X-ray absorptiometry (DXA), bioimpedance (BI), and subjective global...... assessment (SGA).The objective of the study was to compare the previously mentioned methods for assessment of body composition and nutritional status in PD patients. DESIGN: The study is cross-sectional and consisted of 72 PD patients from a single center PD ambulatorium. METHODS: Participants were measured...... in this population. OH might reduce DXA accuracy in PD patients. LTI and ICW may be useful measures to supplement SGA in assessing nutrition....

  14. Direct method for impact assessment of environmental pollutants and toxicants causing health hazards

    International Nuclear Information System (INIS)

    Fazal-ur-Rehman; Adil, A.; Abdullah, A.; Masood, S.R.; Agha, A.

    1997-01-01

    Industrial waste pollutants and toxicants are released in three forms i.e. gas, liquid, solid or their admixtures, causing atmospheric , hydro spheric and lithospheric pollutions. Gaseous wastes pollute the surrounding air before entering the waste-cycle and bio-cycle through vegetation/ forestation(i.e., plant kingdom). Liquid wastes enter the water-cycle directly and speedily whereas solid wastes enter the water-cycle indirectly and slowly. All these wastes, as it is well known later on enter plant and animal kingdoms which ultimately effect the human health and make different body parts sick/malignant. Therefore, the regular monitoring of elemental composition of these body parts becomes imperative. The above mentioned format of impact assessment has been followed during different joint studies (carried out in collaboration with university of the Punjab, INMOL and other Departments) which are based on the analytical data collected during the period of last five years. These samples include specimens of blood serum, cancer tissues, drinking and running water, industrial wastes and effluents etc. The comparison, of analysis of samples of unaffected (healthy) and malignant body parts, leads to the direct assessment of environmental pollutants and the inhabitants. (author)

  15. Indices for the assessment of nutritional quality of meals: a systematic review

    NARCIS (Netherlands)

    Gorgulho, B.M.; Pot, G.K.; Sarti, F.M.; Marchioni, D.M.

    2016-01-01

    This systematic review aimed to synthesise information on indices developed to evaluate nutritional quality of meals. A strategy for systematic search of the literature was developed using keywords related to assessment of meal quality. Databases searched included ScienceDirect, PubMed, Lilacs,

  16. Nutrition impact symptoms, handgrip strength and nutritional risk in hospitalized patients with gastroenterological and liver diseases

    DEFF Research Database (Denmark)

    Wilkens Knudsen, Anne; Naver, Astrid; Bisgaard, Karen

    2015-01-01

    OBJECTIVE: Malnutrition is common among patients with diseases of the liver and gastrointestinal tract. Nutritional intake may be negatively affected by nutrition impact symptoms (NIS). Therefore, the aims were to assess: 1) the prevalence of NIS in this group of patients and 2) the relationship...... between NIS and nutritional status as well as nutritional risk. MATERIAL AND METHODS: We performed a cross-sectional study among patients with liver disease, inflammatory bowel disease, cancer or pancreatitis. Nutritional risk was assessed by the NRS-2002. Nutritional status was assessed by body mass......). The prevalence of low HGS was 38%, and the prevalence of those at nutritional risk was 58%. The number of NIS reported by 50% of the patients were 4 or more in the ESQ and 5 or more in the DRAQ. Patients who were both at nutritional risk and had a low HGS more frequently reported difficulties swallowing, poor...

  17. Nutrition economics – characterising the economic and health impact of nutrition

    Science.gov (United States)

    Lenoir-Wijnkoop, I.; Dapoigny, M.; Dubois, D.; van Ganse, E.; Gutiérrez-Ibarluzea, I.; Hutton, J.; Jones, P.; Mittendorf, T.; Poley, M. J.; Salminen, S.; Nuijten, M. J. C.

    2011-01-01

    There is a new merging of health economics and nutrition disciplines to assess the impact of diet on health and disease prevention and to characterise the health and economic aspects of specific changes in nutritional behaviour and nutrition recommendations. A rationale exists for developing the field of nutrition economics which could offer a better understanding of both nutrition, in the context of having a significant influence on health outcomes, and economics, in order to estimate the absolute and relative monetary impact of health measures. For this purpose, an expert meeting assessed questions aimed at clarifying the scope and identifying the key issues that should be taken into consideration in developing nutrition economics as a discipline that could potentially address important questions. We propose a first multidisciplinary outline for understanding the principles and particular characteristics of this emerging field. We summarise here the concepts and the observations of workshop participants and propose a basic setting for nutrition economics and health outcomes research as a novel discipline to support nutrition, health economics and health policy development in an evidence and health-benefit-based manner. PMID:20797310

  18. To See or Not to See: Do Front of Pack Nutrition Labels Affect Attention to Overall Nutrition Information?

    Directory of Open Access Journals (Sweden)

    Laura Bix

    Full Text Available Front of pack (FOP nutrition labels are concise labels located on the front of food packages that provide truncated nutrition information. These labels are rapidly gaining prominence worldwide, presumably because they attract attention and their simplified formats enable rapid comparisons of nutritional value.Eye tracking was conducted as US consumers interacted with actual packages with and without FOP labels to (1 assess if the presence of an FOP label increases attention to nutrition information when viewers are not specifically tasked with nutrition-related goals; and (2 study the effect of FOP presence on consumer use of more comprehensive, traditional nutrition information presented in the Nutritional Facts Panel (NFP, a mandatory label for most packaged foods in the US.Our results indicate that colored FOP labels enhanced the probability that any nutrition information was attended, and resulted in faster detection and longer viewing of nutrition information. However, for cereal packages, these benefits were at the expense of attention to the more comprehensive NFP. Our results are consistent with a potential short cut effect of FOP labels, such that if an FOP was present, participants spent less time attending the more comprehensive NFP. For crackers, FOP labels increased time spent attending to nutrition information, but we found no evidence that their presence reduced the time spent on the nutrition information in the NFP.The finding that FOP labels increased attention to overall nutrition information by people who did not have an explicit nutritional goal suggests that these labels may have an advantage in conveying nutrition information to a wide segment of the population. However, for some food types this benefit may come with a short-cut effect; that is, decreased attention to more comprehensive nutrition information. These results have implications for policy and warrant further research into the mechanisms by which FOP labels

  19. Environmental assessment of mining industry solid pollution in the mercurial district of Azzaba, northeast Algeria.

    Science.gov (United States)

    Seklaoui, M'hamed; Boutaleb, Abdelhak; Benali, Hanafi; Alligui, Fadila; Prochaska, Walter

    2016-11-01

    To date, there have been few detailed studies regarding the impact of mining and metallogenic activities on solid fractions in the Azzaba mercurial district (northeast Algeria) despite its importance and global similarity with large Hg mines. To assess the degree, distribution, and sources of pollution, a physical inventory of apparent pollution was developed, and several samples of mining waste, process waste, sediment, and soil were collected on regional and local scales to determine the concentration of Hg and other metals according to their existing mineralogical association. Several physico-chemical parameters that are known to influence the pollution distribution are realized. The extremely high concentrations of all metals exceed all norms and predominantly characterize the metallurgic and mining areas; the metal concentrations significantly decrease at significant low distances from these sources. The geo-accumulation index, which is the most realistic assessment method, demonstrates that soils and sediments near waste dumps and abandoned Hg mines are extremely polluted by all analyzed metals. The pollution by these metals decreases significantly with distance, which indicates a limited dispersion. The results of a clustering analysis and an integrated pollution index suggest that waste dumps, which are composed of calcine and condensation wastes, are the main source of pollution. Correlations and principal component analysis reveal the important role of hosting carbonate rocks in limiting pollution and differentiating calcine wastes from condensation waste, which has an extremely high Hg concentration (˃1 %).

  20. Comparison of methodologies estimating emissions of aircraft pollutants, environmental impact assessment around airports

    International Nuclear Information System (INIS)

    Kurniawan, Jermanto S.; Khardi, S.

    2011-01-01

    Air transportation growth has increased continuously over the years. The rise in air transport activity has been accompanied by an increase in the amount of energy used to provide air transportation services. It is also assumed to increase environmental impacts, in particular pollutant emissions. Traditionally, the environmental impacts of atmospheric emissions from aircraft have been addressed in two separate ways; aircraft pollutant emissions occurring during the landing and take-off (LTO) phase (local pollutant emissions) which is the focus of this study, and the non-LTO phase (global/regional pollutant emissions). Aircraft pollutant emissions are an important source of pollution and directly or indirectly harmfully affect human health, ecosystems and cultural heritage. There are many methods to asses pollutant emissions used by various countries. However, using different and separate methodology will cause a variation in results, some lack of information and the use of certain methods will require justification and reliability that must be demonstrated and proven. In relation to this issue, this paper presents identification, comparison and reviews of some of the methodologies of aircraft pollutant assessment from the past, present and future expectations of some studies and projects focusing on emissions factors, fuel consumption, and uncertainty. This paper also provides reliable information on the impacts of aircraft pollutant emissions in short term and long term predictions.

  1. Heavy metals pollution levels and children health risk assessment of Yerevan kindergartens soils.

    Science.gov (United States)

    Tepanosyan, Gevorg; Maghakyan, Nairuhi; Sahakyan, Lilit; Saghatelyan, Armen

    2017-08-01

    Children, the most vulnerable urban population group, are exceptionally sensitive to polluted environments, particularly urban soils, which can lead to adverse health effects upon exposure. In this study, the total concentrations of Ag, As, Ba, Cd, Co, Cr, Cu, Fe, Hg, Mn, Mo, Ni, Pb, Ti, V, and Zn were determined in 111 topsoil samples collected from kindergartens in Yerevan. The objectives of this study were to evaluate heavy metal pollution levels of kindergarten's soils in Yerevan, compare with national legal and international requirements on heavy metal contents in kindergarten soil, and assess related child health risk. Multivariate geostatistical analyses suggested that the concentrations of Ag, As, Ba, Cd, Cu, Hg, Mo, Pb, and Zn observed in the kindergarten's topsoil may have originated from anthropogenic sources, while Co, Cr, Fe, Mn, Ni, Ti, and V mostly come from natural sources. According to the Summary pollution index (Zc), 102 kindergartens belong to the low pollution level, 7 to the moderate and only 2 to the high level of pollution. Summary concentration index (SCI) showed that 109 kindergartens were in the allowable level, while 2 featured in the low level of pollution. The health risk assessment showed that in all kindergartens except for seven, non-carcinogenic risk for children was detected (HI>1), while carcinogenic risk from arsenic belongs to the very low (allowable) level. Cr and multi-element carcinogenic risk (RI) exceeded the safety level (1.0E- 06) in all kindergartens and showed that the potential of developing cancer, albeit small, does exist. Therefore, city's kindergartens require necessary remedial actions to eliminate or reduce soil pollution and heavy metal-induced health risks. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Correlation between nutritional markers and appetite self-assessments in hemodialysis patients.

    Science.gov (United States)

    Oliveira, Claudia M C; Kubrusly, Marcos; Lima, André T; Torres, Danielle M; Cavalcante, Natasha M R; Jerônimo, Antônio L C; Oliveira, Thiago C B

    2015-05-01

    Protein-energy malnutrition is among the comorbidities that most strongly affect the prognosis of patients with chronic kidney disease. Anorexia, defined as a loss of desire to eat, is one cause of such malnutrition. Tools that evaluate appetite and the correlation between appetite and nutritional parameters require further study. To evaluate the appetite status in patients from 2 hemodialysis clinics in Fortaleza, Brazil and the correlations between appetite (evaluated in the past week and in the past 4 weeks) and demographic, laboratory, and nutritional parameters. This was a cross-sectional study of patients aged ≥18 years who had undergone dialysis for >3 months. Appetite was evaluated using the first 3 questions of the Appetite and Diet Assessment Tool (ADAT) questionnaire, which evaluate the appetite status during the past week as well as 1 question from the Kidney Disease and Quality of Life™ Short Form that assesses appetite in the past 4 weeks. The patients were divided into 3 groups according to the degree of appetite: group 1: very good and good appetite (ADAT) or not and somewhat (Kidney Disease and Quality of Life™ Short Form); group 2: fair or moderately; and group 3: poor and very poor, or very much and extremely. The nutritional parameters evaluated were body mass index (BMI), serum albumin, Geriatric Nutritional Risk Index (GNRI) and lean body mass index (lean mass in kilogram per square meter) as obtained by multifrequency bioelectrical impedance analysis. Patients with a BMI appetite and nutritional variables were tested using Fisher exact test and by comparing the means of the variables in the 3 groups using the analysis of variance and Kruskal-Wallis tests. A total of 136 patients were included in the study with a mean age of 50.9 years and a median time on dialysis of 45 months; 57% of the patients were male. Regarding the first question on the ADAT questionnaire, 36% of patients exhibited anorexia in the past week. Furthermore, 28

  3. Assessing national nutrition security: The UK reliance on imports to meet population energy and nutrient recommendations.

    Science.gov (United States)

    Macdiarmid, Jennie I; Clark, Heather; Whybrow, Stephen; de Ruiter, Henri; McNeill, Geraldine

    2018-01-01

    Nutrition security describes the adequacy of the food supply to meet not only energy but also macronutrient and micronutrient requirements for the population. The aim of this study was to develop a method to assess trends in national nutrition security and the contribution of imports to nutrition security, using the UK as a case study. Food supply data from FAO food balance sheets and national food composition tables were used to estimate the nutrient content of domestically produced food, imported food and exported food. Nutrition security was defined as the total nutrient supply (domestic production, minus exports, plus imports) to meet population-level nutrient requirements. The results showed that the UK was nutrition secure over the period 1961-2011 for energy, macronutrients and key micronutrients, with the exception of total carbohydrates and fibre, which may be due to the loss of fibre incurred by processing cereals into refined products. The supply of protein exceeded population requirements and could be met with domestic production alone. Even excluding all meat there was sufficient protein for population requirements. The supply of total fat, saturated fat and sugar considerably exceeded the current dietary recommendation. As regards nutrition security in 2010, the UK was reliant on imported foods to meet energy, fibre, total carbohydrate, iron, zinc and vitamin A requirements. This analysis demonstrates the importance of including nutrients other than energy to determine the adequacy of the food supply. The methodology also provides an alternative perspective on food security and self-sufficiency by assessing the dependency on imports to meet population level nutritional requirements.

  4. Pollution prevention and waste minimization opportunity assessment in environmental restoration

    International Nuclear Information System (INIS)

    Roybal, J.A.; Willison, C.P.

    1997-01-01

    The Environmental Restoration (ER) Project at Sandia National Laboratories implicitly subscribed to the philosophy of pollution prevention and waste minimization. As a result of a Department of Energy (DOE) offer, Pollution Prevention Opportunity Assessments (PPOA) were conducted at two ER sites and a decontamination and Demolition (D and D) site. The purpose of one of the PPOAs was to identify pollution prevention (P2) opportunities during environmental remediation at the Classified Waste Landfill located at Sandia National Laboratories, New Mexico (SNL/NM). The remediation activities at this site are scheduled to begin in the fall of 1997. The PPOA included presentations by the team members, a tour of the site, and a brainstorming session to list the waste streams, identify P2 opportunities and rank them in order of priority. Twenty-five P2 opportunities were identified during the brainstorming session of which twenty-two opportunities were selected for further investigation. Those twenty-two opportunities are discussed in this paper. A cost benefit analysis was performed for each P2 opportunity based on the estimated waste volume, feasibility, and cost. Pollution Prevention by Design (P2D) was incorporated into the PPOA to introduce waste minimization techniques that can be used during the planning phase of restoration projects

  5. Choices Behind Numbers: a Review of the Major Air Pollution Health Impact Assessments in Europe.

    Science.gov (United States)

    Malmqvist, E; Oudin, A; Pascal, M; Medina, S

    2018-03-01

    The aim of this review is to identify the key contextual and methodological differences in health impact assessments (HIA) of ambient air pollution performed for Europe. We limited our review to multi-country reviews. An additional aim is to quantify some of these differences by applying them in a HIA template in three European cities. Several HIAs of ambient air pollution have been performed for Europe, and their key results have been largely disseminated. Different studies have, however, come up with substantial differences in attributed health effects. It is of importance to review the background contributing to these differences and to quantify their importance for decision makers who will use them. We identified several methodological differences that could explain the discrepancy behind the number of attributable deaths or years of life lost. The main differences are due to the exposure-response functions chosen, the ways of assessing air pollution levels, the air pollution scenarios and the study population. In the quantification part, we found that using risk estimates from the European Study of Cohorts for Air Pollution Effects (ESCAPE) instead of the American Cancer Society (ACS) study could nearly double the attributable burden of ambient air pollution. This study provides some insights into the differential results in previously published HIAs on air pollution in Europe. These results are important for stakeholders in order to make informed decisions.

  6. Different methods for assessment of nutritional status in newborn infants based on physical and anthropometric indexes: a short review article

    Directory of Open Access Journals (Sweden)

    Ali Asghar Rashidi

    2017-01-01

    Full Text Available Several complications during childhood is associated with nutritional status of infants at birth. Therefore, nutritional status of newborns must be evaluated properly after birth. Assessment of the nutritional status of neonates based on anthropometric and physical indices is simple and inexpensive without the need for advanced medical equipment. However, no previous studies have focused on the assessment methods of the nutritional status of infants via anthropometric and physical indices. This study aimed to review some of the key methods used to determine the nutritional status of neonates using anthropometric and physical indices. To date, most studies have focused on the diagnosis of fetal malnutrition (FM and growth monitoring. In order to diagnose FM, researchers have used growth charts and Ponderal index (PI based on anthropometric indices, as well as Clinical Assessment of Nutritional (CAN Score based on physical features. Moreover, in order to assess the growth status of infants, growth charts were used. According to the findings of this study, standard intrauterine growth curves and the PI are common measurement tools in the diagnosis of FM. Furthermore, CAN score is widely used in the evaluation of the nutritional status of neonates. Given the differences in the physical features of term and preterm infants, this index should be adjusted for preterm neonates. Longitudinal growth charts are one of the most prominent methods used for monitoring of the growth patterns of infants.

  7. Global topics and novel approaches in the study of air pollution, climate change and forest ecosystems.

    Science.gov (United States)

    Sicard, Pierre; Augustaitis, Algirdas; Belyazid, Salim; Calfapietra, Carlo; de Marco, Alessandra; Fenn, Mark; Bytnerowicz, Andrzej; Grulke, Nancy; He, Shang; Matyssek, Rainer; Serengil, Yusuf; Wieser, Gerhard; Paoletti, Elena

    2016-06-01

    Research directions from the 27th conference for Specialists in Air Pollution and Climate Change Effects on Forest Ecosystems (2015) reflect knowledge advancements about (i) Mechanistic bases of tree responses to multiple climate and pollution stressors, in particular the interaction of ozone (O3) with nitrogen (N) deposition and drought; (ii) Linking genetic control with physiological whole-tree activity; (iii) Epigenetic responses to climate change and air pollution; (iv) Embedding individual tree performance into the multi-factorial stand-level interaction network; (v) Interactions of biogenic and anthropogenic volatile compounds (molecular, functional and ecological bases); (vi) Estimating the potential for carbon/pollution mitigation and cost effectiveness of urban and peri-urban forests; (vii) Selection of trees adapted to the urban environment; (viii) Trophic, competitive and host/parasite relationships under changing pollution and climate; (ix) Atmosphere-biosphere-pedosphere interactions as affected by anthropospheric changes; (x) Statistical analyses for epidemiological investigations; (xi) Use of monitoring for the validation of models; (xii) Holistic view for linking the climate, carbon, N and O3 modelling; (xiii) Inclusion of multiple environmental stresses (biotic and abiotic) in critical load determinations; (xiv) Ecological impacts of N deposition in the under-investigated areas; (xv) Empirical models for mechanistic effects at the local scale; (xvi) Broad-scale N and sulphur deposition input and their effects on forest ecosystem services; (xvii) Measurements of dry deposition of N; (xviii) Assessment of evapotranspiration; (xix) Remote sensing assessment of hydrological parameters; and (xx) Forest management for maximizing water provision and overall forest ecosystem services. Ground-level O3 is still the phytotoxic air pollutant of major concern to forest health. Specific issues about O3 are: (xxi) Developing dose-response relationships and

  8. Nutritional Habits According to Human Chronotype and Nutritional Status of Morningness and Eveningness

    Science.gov (United States)

    Toktas, Nese; Erman, K. Alparslan; Mert, Zekai

    2018-01-01

    Sixty one female and eighty one male volunteers participated in the study that aims to assess the nutrition habits according to human chronotype and nutritional status of morningness and eveningness. Chronotype was assessed by Turkish version of the Morningness-Eveningness Questionnaire and the other questionnaire prepared to assess of nutritional…

  9. Individual and Neighborhood Stressors, Air Pollution and Cardiovascular Disease.

    Science.gov (United States)

    Hazlehurst, Marnie F; Nurius, Paula S; Hajat, Anjum

    2018-03-08

    Psychosocial and environmental stress exposures across the life course have been shown to be relevant in the development of cardiovascular disease (CVD). Assessing more than one stressor from different domains (e.g., individual and neighborhood) and across the life course moves us towards a more integrated picture of how stress affects health and well-being. Furthermore, these individual and neighborhood psychosocial stressors act on biologic pathways, including immune function and inflammatory response, which are also impacted by ubiquitous environmental exposures such as air pollution. The objective of this study is to evaluate the interaction between psychosocial stressors, at both the individual and neighborhood level, and air pollution on CVD. This study used data from the 2009-2011 Behavioral Risk Factor Surveillance System (BRFSS) from Washington State. Adverse childhood experiences (ACEs) measured at the individual level, and neighborhood deprivation index (NDI) measured at the zip code level, were the psychosocial stressors of interest. Exposures to three air pollutants-particulate matter (both PM 2.5 and PM 10 ) and nitrogen dioxide (NO₂)-were also calculated at the zip code level. Outcome measures included several self-reported CVD-related health conditions. Both multiplicative and additive interaction quantified using the relative excess risk due to interaction (RERI), were evaluated. This study included 32,151 participants in 502 unique zip codes. Multiplicative and positive additive interactions were observed between ACEs and PM 10 for diabetes, in models adjusted for NDI. The prevalence of diabetes was 1.58 (95% CI: 1.40, 1.79) times higher among those with both high ACEs and high PM 10 compared to those with low ACEs and low PM 10 ( p -value = 0.04 for interaction on the multiplicative scale). Interaction was also observed between neighborhood-level stressors (NDI) and air pollution (NO₂) for the stroke and diabetes outcomes on both

  10. Malnutrition-Sarcopenia Syndrome: Is This the Future of Nutrition Screening and Assessment for Older Adults?

    Directory of Open Access Journals (Sweden)

    Maurits F. J. Vandewoude

    2012-01-01

    Full Text Available Malnutrition is common across varying patient populations, particularly older adults, and sarcopenia prevalence increases with advancing age. Both malnutrition and sarcopenia are associated with substantial adverse outcomes affecting both the patient and the healthcare system, including increased morbidity, mortality, rehospitalization rates, and healthcare costs. Healthcare practitioners may assess patients for either malnutrition or sarcopenia; however, many patients clinically present with both conditions, resulting in the syndrome, Malnutrition-Sarcopenia Syndrome, which is the clinical presentation of both malnutrition and accelerated age-associated loss of lean body mass, strength, and/or functionality. Clinicians are urged to screen, assess, and treat these conditions currently so as to adequately address the full spectrum of patients’ nutritional issues. By examining aspects of both conditions, clinicians can more fully assess their patients’ clinical and nutritional status and can tailor targeted therapies to meet their needs and improve outcomes. This proposed syndrome embodies the inherent association of malnutrition and sarcopenia, highlighting their combined impact on clinical outcomes. The objective of this review paper is to characterize Malnutrition-Sarcopenia Syndrome to advance clinical practice, by providing clinicians with the necessary background information to integrate nutritional assessment along with loss of muscle mass and functionality in their everyday clinical practice.

  11. Heavy metal pollution assessment in the sediments of lake Chad ...

    African Journals Online (AJOL)

    Sediments were collected from Dumba and KwataYobe of Lake Chad, Nigerian Sector.The aim was to assess the pollution statusof the sediments of the lake. The concentration of heavy metals, Cadmium (Cd), Chromium (Cr), Copper (Cu), Iron (Fe), Manganese (Mn), Nickel (Ni), lead (Pb), Z (Zn) and Arsenic (As) were ...

  12. A computer based system for prioritizing pollution prevention opportunity assessments at SNL/NM

    International Nuclear Information System (INIS)

    Custer, M.S.; Leishman, N.L.; Walsh, M.L.; Nelson, J.D.; Davis, R.L.; Bueno, N.C.

    1996-01-01

    Prioritizing waste generators is necessary to determine which are the best candidates for Pollution Prevention Opportunity Assessments (PPOAs). This paper describes the Sandia National Laboratories/New Mexico (SNL/NM) PPOA Ranking System. The system uses a multimedia approach that considers hazardous and radioactive waste disposal data, and hazardous chemical usage data (from which air emissions are extrapolated). Pollution prevention information is included, from the SNL Pollution Prevention Opportunities database that identifies waste streams that have readily apparent pollution prevention opportunities. The system also considers the relative costs of waste management and the chargeback fees paid for waste generation. From these data, organizations are ranked with an algorithm developed in Microsoft Access trademark on a personal computer. The concept could readily be transferred to other facilities needing to decide where to perform PPOAs

  13. Formative assessment in the development of an obesity prevention component for the Expanded Food and Nutrition Education Program in Texas

    Science.gov (United States)

    This study conducted formative research (surveys, focus groups); to assess the nutrition education needs of clients in the Texas Expanded Food and Nutrition Education Program prior to curriculum revision. Current participants in the Expanded Food and Nutrition Education Program from 3 Texas cities (...

  14. Assessing Nutrition Knowledge and Dietary Habits of Adolescents Using Personal Data Assistants

    Science.gov (United States)

    Murimi, Mary W.; Guthrie, Joanne; Landry, Danielle; Paun, Mihaela M.

    2008-01-01

    Objective: To assess nutrition knowledge and dietary behaviors of seventh graders in nine randomly selected middle schools in Louisiana. Methods: This descriptive study used personal data assistants (PDAs) to administer a pre-validated questionnaire developed from national instruments to 127 seventh grade students from nine randomly-selected…

  15. [Food habits and nutritional assessment in a tunisian university population].

    Science.gov (United States)

    Cervera Burriel, Faustino; Serrano Urrea, Ramón; Daouas, Thouraya; Delicado Soria, Amalia; García Meseguer, María José

    2014-12-01

    Nutrition and health are of great importance throughout life, in particular in adulthood due to active population is included among the adults. Therefore, it is essential to assess the quality of the diet and the possible conditioning factors. The objectives of this study were to characterize food habits and assess the quality of the diet of university students from the Virtual University of Tunisia, a North African country in nutritional transition. This is a cross-sectional study performed with data collected from a sample of 54 students from this University. For each individual a questionnaire involving socio-economic and demographic data was self-reported. Food consumption was gathered by a 24 hours recall. The assessment of diet quality was conducted by Healthy Eating Index and Mediterranean Diet Score. The study revealed that the diet of this population is hypocaloric. The percentage of total energy from proteins was 18% and the percentage of total energy from carbohydrates was about 40%. The diet was high in simple sugars, saturated fat and cholesterol. Apart from oils and fat, the main source of lipids had an animal origin from meat (19%), and the fish group only provided 3% of this macronutrient. According to Healthy Eating Index classification more than 50% of students scored "poor" and more than 40% "needs improvement" about the quality of their diet. The study also showed low adherence rates to the Mediterranean diet. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  16. The Interaction Effects of Meteorological Factors and Air Pollution on the Development of Acute Coronary Syndrome

    Science.gov (United States)

    Huang, Ching-Hui; Lin, Heng-Cheng; Tsai, Chen-Dao; Huang, Hung-Kai; Lian, Ie-Bin; Chang, Chia-Chu

    2017-03-01

    This study investigated the interaction effects of meteorological factors and air pollutants on the onset of acute coronary syndrome (ACS). Data of ACS patients were obtained from the Taiwan ACS Full Spectrum Registry and comprised 3164 patients with a definite onset date during the period October 2008 and January 2010 at 39 hospitals. Meteorological conditions and air pollutant concentrations at the 39 locations during the 488-day period were obtained. Time-lag Poisson and logistic regression were used to explore their association with ACS incidence. One-day lag atmospheric pressure (AP), humidity, particulate matter (PM2.5, and PM10), and carbon monoxide (CO) all had significant interaction effects with temperature on ACS occurrence. Days on which high temperatures (>26 °C) and low AP (<1009 hPa) occurred the previous day were associated with a greater likelihood of increased incidence of developing ACS. Typhoon Morakot was an example of high temperature with extremely low AP associated with higher ACS incidence than the daily average. Combinations of high concentrations of PM or CO with low temperatures (<21 °C) and high humidity levels with low temperatures were also associated with increased incidence of ACS. Atmospheric pollution and weather factors have synergistic effects on the incidence of ACS.

  17. Air pollution as a risk factor in health impact assessments of a travel mode shift towards cycling.

    Science.gov (United States)

    Raza, Wasif; Forsberg, Bertil; Johansson, Christer; Sommar, Johan Nilsson

    2018-01-01

    Promotion of active commuting provides substantial health and environmental benefits by influencing air pollution, physical activity, accidents, and noise. However, studies evaluating intervention and policies on a mode shift from motorized transport to cycling have estimated health impacts with varying validity and precision. To review and discuss the estimation of air pollution exposure and its impacts in health impact assessment studies of a shift in transport from cars to bicycles in order to guide future assessments. A systematic database search of PubMed was done primarily for articles published from January 2000 to May 2016 according to PRISMA guidelines. We identified 18 studies of health impact assessment of change in transport mode. Most studies investigated future hypothetical scenarios of increased cycling. The impact on the general population was estimated using a comparative risk assessment approach in the majority of these studies, whereas some used previously published cost estimates. Air pollution exposure during cycling was estimated based on the ventilation rate, the pollutant concentration, and the trip duration. Most studies employed exposure-response functions from studies comparing background levels of fine particles between cities to estimate the health impacts of local traffic emissions. The effect of air pollution associated with increased cycling contributed small health benefits for the general population, and also only slightly increased risks associated with fine particle exposure among those who shifted to cycling. However, studies calculating health impacts based on exposure-response functions for ozone, black carbon or nitrogen oxides found larger effects attributed to changes in air pollution exposure. A large discrepancy between studies was observed due to different health impact assessment approaches, different assumptions for calculation of inhaled dose and different selection of dose-response functions. This kind of assessments

  18. Air pollution as a risk factor in health impact assessments of a travel mode shift towards cycling

    Science.gov (United States)

    Raza, Wasif; Forsberg, Bertil; Johansson, Christer; Sommar, Johan Nilsson

    2018-01-01

    ABSTRACT Background: Promotion of active commuting provides substantial health and environmental benefits by influencing air pollution, physical activity, accidents, and noise. However, studies evaluating intervention and policies on a mode shift from motorized transport to cycling have estimated health impacts with varying validity and precision. Objective: To review and discuss the estimation of air pollution exposure and its impacts in health impact assessment studies of a shift in transport from cars to bicycles in order to guide future assessments. Methods: A systematic database search of PubMed was done primarily for articles published from January 2000 to May 2016 according to PRISMA guidelines. Results: We identified 18 studies of health impact assessment of change in transport mode. Most studies investigated future hypothetical scenarios of increased cycling. The impact on the general population was estimated using a comparative risk assessment approach in the majority of these studies, whereas some used previously published cost estimates. Air pollution exposure during cycling was estimated based on the ventilation rate, the pollutant concentration, and the trip duration. Most studies employed exposure-response functions from studies comparing background levels of fine particles between cities to estimate the health impacts of local traffic emissions. The effect of air pollution associated with increased cycling contributed small health benefits for the general population, and also only slightly increased risks associated with fine particle exposure among those who shifted to cycling. However, studies calculating health impacts based on exposure-response functions for ozone, black carbon or nitrogen oxides found larger effects attributed to changes in air pollution exposure. Conclusion: A large discrepancy between studies was observed due to different health impact assessment approaches, different assumptions for calculation of inhaled dose and different

  19. A systematic assessment of the current capacity to act in nutrition in West Africa: cross-country similarities and differences

    Directory of Open Access Journals (Sweden)

    Roger Sodjinou

    2014-07-01

    Full Text Available Background: Although it is widely accepted that lack of capacity is one of the barriers to scaling up nutrition in West Africa, there is a paucity of information about what capacities exist and the capacities that need to be developed to accelerate progress toward improved nutrition outcomes in the region. Objective: To systematically assess the current capacity to act in nutrition in the West Africa region and explore cross-country similarities and differences. Design: Data were collected from 13 West African countries through interviews with government officials, key development partners, tertiary-level training institutions, and health professional schools. The assessment was based on a conceptual framework of four interdependent levels (tools; skills; staff and infrastructure; and structures, systems and roles. In each of the surveyed countries, we assessed capacity assets and gaps at individual, organizational, and systemic levels. Results: Important similarities and differences in capacity assets and gaps emerged across all the surveyed countries. There was strong momentum to improve nutrition in nearly all the surveyed countries. Most of the countries had a set of policies on nutrition in place and had set up multisectoral, multi-stakeholder platforms to coordinate nutrition activities, although much remained to be done to improve the effectiveness of these platforms. Many initiatives aimed to reduce undernutrition were ongoing in the region, but there did not seem to be clear coordination between them. Insufficient financial resources to implement nutrition activities were a major problem in all countries. The bulk of financial allocations for nutrition was provided by development partners, even though some countries, such as Niger, Nigeria, and Senegal, had a national budget line for nutrition. Sporadic stock-outs of nutrition supplies were reported in most of the countries as a result of a weak logistic and supply chain system. They

  20. Incorporating performance improvement methods into a needs assessment: experience with a nutrition and exercise curriculum.

    Science.gov (United States)

    Fluker, Shelly-Ann; Whalen, Ursula; Schneider, Jason; Cantey, Paul; Bussey-Jones, Jada; Brady, Donald; Doyle, Joyce P

    2010-09-01

    Clinical guidelines recommend that physicians counsel patients on diet and exercise; however, physician counseling remains suboptimal. To determine if incorporating performance improvement (PI) methodologies into a needs assessment for an internal medicine (IM) residency curriculum on nutrition and exercise counseling was feasible and enhanced our understanding of the curricular needs. One hundred and fifty-eight IM residents completed a questionnaire to assess their knowledge, attitudes, and practices (KAP) about nutrition and exercise counseling for hypertensive patients. Residents' baseline nutrition and exercise counseling rates were also obtained using chart abstraction. Fishbone diagrams were created by the residents to delineate perceived barriers to diet and exercise counseling. The KAP questionnaire was analyzed using descriptive statistics. Chart abstraction data was plotted on run charts and average counseling rates were calculated. Pareto charts were developed from the fishbone diagrams depicting the number of times each barrier was reported. Almost 90% of the residents reported counseling their hypertensive patients about diet and exercise more than 20% of the time on the KAP questionnaire. In contrast, chart abstraction revealed average counseling rates of 3% and 4% for nutrition and exercise, respectively. The KAP questionnaire exposed a clinical knowledge deficit, lack of familiarity with the national guidelines, and low self-efficacy. In contrast, the fishbone analysis highlighted patient apathy, patient co-morbidities, and time pressure as the major perceived barriers. We found that incorporating PI methods into a needs assessment for an IM residency curriculum on nutrition and exercise counseling for patients at risk of cardiovascular disease was feasible, provided additional information not obtained through other means, and provided the opportunity to pilot the use of PI techniques as an educational strategy and means of measuring outcomes. Our

  1. Nutritional knowledge of women with breast cancer and its relationship with nutritional status

    Directory of Open Access Journals (Sweden)

    Karin Sarkis Sedó

    2013-03-01

    Full Text Available Objective: To assess the nutritional knowledge of women with breast cancer on the dietdisease interface and its association with nutritional status. Methods: Observational, crosssectional and analytical study, conducted between June and September 2011, with 59 women diagnosed with breast cancer, undergoing chemotherapy or radiotherapy treatment, older than 19, who did not receive prior nutritional counseling. Vegetarian women or those whose treatment had been completed more than two years prior to the study were not included. The patients were treated at a cancer care reference center, in Fortaleza-CE. Clinical and socioeconomic data was collected through direct interview and searching in medical records. The assessment of nutritional knowledge (NK was performed with the Nutrition Knowledge Scale, developed by the National Health Interview Survey Cancer Epidemiology, validated for Brazil, applied by a trained interviewer. Nutritional status was assessed through body mass index (BMI and waist circumference. Data was analyzed statistically by SPSS 16.0. Results: Among 59 patients evaluated, 18 (30.5% women had a limited knowledge of the diet-disease association. The mean BMI was 29 kg/m2 (± 4.4 and 47 (79.7% women presented excessive weight (overweight or obesity. There was no correlation between nutritional knowledge and BMI (p = 0.64. Nutrition knowledge scores were similar among patients with overweight and normal weight (p = 0.89. Conclusion: Women in this study had a limited knowledge of the interface between diet and disease, were overweight, but there was no correlation between their nutritional knowledge and nutritional status.

  2. Pollution prevention opportunity assessment approach, training, and technical assistance for DOE contractors. FY 1995 report

    Energy Technology Data Exchange (ETDEWEB)

    Pemberton, S.

    1996-02-01

    The Department of Energy and its contractors are faced with environmental concerns and large waste management costs. Federal legislation and DOE Orders require sites to develop waste minimization/pollution prevention programs. In response to these requirements, the Kansas City Plant developed a pollution prevention tool called a pollution prevention opportunity assessment (PPOA). Pilot assessments resulted in the development of a graded approach to reduce the amount of effort required for activities that utilized nonhazardous and/or low-volume waste streams. The project`s objectives in FY95 were to validate DOE`s PPOA Graded Approach methodology, provide PPOA training and technical assistance to interested DOE personnel and DOE contractors, enhance the methodology with energy analysis and tools for environmental restoration activities, implement a DOE-wide PPOA database, and provide support to DOE EM-334 in the completion of a report which estimates the future potential for pollution prevention and waste minimization in the DOE complex.

  3. Pollution prevention opportunity assessment approach, training, and technical assistance for DOE contractors. FY 1995 report

    International Nuclear Information System (INIS)

    Pemberton, S.

    1996-02-01

    The Department of Energy and its contractors are faced with environmental concerns and large waste management costs. Federal legislation and DOE Orders require sites to develop waste minimization/pollution prevention programs. In response to these requirements, the Kansas City Plant developed a pollution prevention tool called a pollution prevention opportunity assessment (PPOA). Pilot assessments resulted in the development of a graded approach to reduce the amount of effort required for activities that utilized nonhazardous and/or low-volume waste streams. The project's objectives in FY95 were to validate DOE's PPOA Graded Approach methodology, provide PPOA training and technical assistance to interested DOE personnel and DOE contractors, enhance the methodology with energy analysis and tools for environmental restoration activities, implement a DOE-wide PPOA database, and provide support to DOE EM-334 in the completion of a report which estimates the future potential for pollution prevention and waste minimization in the DOE complex

  4. Nutrition in acute renal failure

    Directory of Open Access Journals (Sweden)

    Sérgio Mussi Guimarães

    Full Text Available Nutritional status has been considered to be one of the possible determinants of mortality rates in cases of acute renal failure (ARF. However, most studies evaluating possible mortality indicators in ARF cases have not focused on the nutritional status, possibly because of the difficulties involved in assessing the nutritional status of critically ill patients. Although the traditional methods for assessing nutritional status are used for ARF patients, they are not the best choice in this population. The use of nutritional support for these patients has produced conflicting results regarding morbidity and mortality. This review covers the mechanisms and indicators of malnutrition in ARF cases and the types of nutritional support that may be used.

  5. An evaluation of wheelchair basketball players' nutritional status and nutritional knowledge levels.

    Science.gov (United States)

    Eskici, Günay; Ersoy, Gülgün

    2016-03-01

    This study aimed to assess the nutritional status of women paralympic athletes and their nutritional knowledge. Twenty two players of National Wheelchair Women Basketball Team (15-38 years) participated in this study and answered a questionnaire (76 questions) Players were at sport camp during the assessment where their body weight is measured regularly by the team coach. The waist, hip size and the height of the players who are able to stand have been used for the assessment, while the knee height of the players who are not able to stand have been measured for the study. SPSS 15.0 and BEBIS (Nutritional Data System) have been used for statistical assessment. The average age and sport years as a player of the participants are; respectively; 25.5±7.2 years and 3.9±2.8 years. The average daily energy consumption is 2867.8±523.6 kcal/day. The average proportion of energy, converted from carbohydrate, protein, fat are been calculated as, respectively; 42.7% (5.3±1.5 g/kg/day), 13.3% (1.6±0.3 g/kg/day), 44% (2.5±0.8 g/kg/day). It is also found that Vitamin B1, folic acid, magnesium, iron and fiber have not been consumed enough. The questions about sport nutrition have been mostly answered incorrectly. Athletes have inadequate food consumption and nutrition information. The athletes have to be educated more about nutrition and they should have nutritional counseling support.

  6. WIC nutrition risk criteria: a scientific assessment

    National Research Council Canada - National Science Library

    National Academy Press Staff; Institute of Medicine

    ... of WIC Nutrition Risk Criteria Food and Nutrition Board INSTITUTE OF MEDICINE NATIONAL ACADEMY PRESS Washington, D.C. 1996 Copyrightoriginal retained, the be not from cannot book, paper original however, for version formatting, authoritative the typesetting-specific created from the as publication files other XML and from this of recomposed styles, versio...

  7. Body Mass Index assessment of institutionalized aged people without cognitive impairment using clinical and nutritional factors

    Directory of Open Access Journals (Sweden)

    María del Mar Ruperto López

    2016-12-01

    Full Text Available Introduction: Overweight and obesity are recognized mortality risk factors in the general population. The aim of the study was to analyse the phenotypic distribution of body mass index (BMI, and to identify the prevalence of malnutrition and clinical and nutritional factors related to BMI in autonomous institutionalized elders. Material and Methods: Cross-sectional and descriptive study in 104 institutionalized aged people (73% female, mean of age 86.4 [±6.2] years and time on institutionalization 25.7 [±21.7] months. Mini-Nutritional Assessment (MNA, anthropometric measures and laboratory parameters were used for nutritional assessment. Bioimpedance analysis (BIA-101; RJL-System was used for body composition analysis. The sample was classified into BMI tertiles (Tn: T1=<26.2kg/m2; T2=26.3-29.7kg/m2; and T3=≥29.8kg/m2. Results: The phenotypic distribution of BMI was: overweight 51% and, prevalence of obesity 29.8%. Mean of BMI: 28.3 (±4.6 kg/m2. Nutritional risk or malnutrition were 60.6% and 11.5%, respectively in the sample. The tertiles of BMI showed significant differences with: mid-arm muscle circumference, triceps-skinfold thickness, total body water (TBW (all, p<0.001. Subjects into T1 had significantly higher nutritional risk or malnutrition compared with T2 and T3 counterparts (p=0.015. Waist-circumference, calf-circumference (at least, p<0.01, and TBW (p<0.001 were independent predictors of BMI in the linear regression analysis (R2=0.52. Conclusions: Overweight and obesity measured by BMI is not an exclusion criterion of malnutrition in the geriatric population. Nutritional screening by MNA and the conjoint use of clinical-nutritional parameters are useful for identifying at nutritional risk or malnutrition. Further studies are needed to define the potential nutritional risk factors associated with BMI in autonomous institutionalized aged.

  8. The importance of interactions among nutrition, seasonality and socio-sexual factors in the development of hormone-free methods for controlling fertility.

    Science.gov (United States)

    Scaramuzzi, R J; Martin, G B

    2008-07-01

    Around the world, consumers are demanding animal products that are produced to agreed standards for human health, environmental management and animal welfare. This has led to the development in Australia of the concept of 'clean, green and ethical' (CGE) animal production based on the manipulation of nutrition ('focus feeding') and the application of phenomena, such as the 'male effect', to provide 'natural' methods for managing small ruminant production systems. With respect to the management of fertility, CGE involves utilization of the inherited responses of animals to environmental factors to manipulate their reproductive processes. The successful development and implementation of this new generation of management tools depends on a thorough yet holistic understanding of the interactions among environmental factors and the ways these interactions affect reproductive physiology and behaviour of the animal. For sheep and goats, a central aspect of CGE management is the way in which ovarian function is affected by three major factors (nutrition, photoperiod and socio-sexual signals) and by interactions among them. Nutrition can exert two profound yet contrasting types of effect on ovarian activity: (i) the complete inhibition of reproduction by undernutrition through the hypothalamic mechanism that controls ovulation and (ii) the enhancement of fecundity by nutritional supplementation, through a direct ovarian mechanism, in females that are already ovulating. A similarly profound control over ovarian function in female sheep and goats is exerted by the well-known endocrine responses to photoperiod (seasonality) and to male socio-sexual signals. The 'male effect' already has a long history as a valuable technique for inducing a synchronized fertile ovulation during seasonal and post-partum anoestrus in sheep and goats. Importantly, experimentation has shown that these three major environmental factors interact, synergistically and antagonistically, but the precise

  9. Comparison of strategies for assessing nutritional adequacy in elite female athletes' dietary intake.

    Science.gov (United States)

    Heaney, Susan; O'Connor, Helen; Gifford, Janelle; Naughton, Geraldine

    2010-06-01

    This study aimed to compare strategies for assessing nutritional adequacy in the dietary intake of elite female athletes. Dietary intake was assessed using an adapted food-frequency questionnaire in 72 elite female athletes from a variety of sports. Nutritional adequacy was evaluated and compared using mean intake; the proportion of participants with intakes below Australian nutrient reference values (NRV), U.S. military dietary reference intakes (MDRI), and current sports nutrition recommendations; and probability estimates of nutrient inadequacy. Mean energy intake was 10,551 +/- 3,836 kJ/day with macronutrient distribution 18% protein, 31% fat, and 46% carbohydrate, consistent with Australian acceptable macronutrient distribution ranges. Mean protein intake (1.6 g . kg(-1) . d(-1)) was consistent with (>1.2 g . kg(-1) . d(-1)), and carbohydrate intake (4.5 g . kg(-1) . d(-1)), below, current sports nutrition recommendations (>5 g . kg(-1) . d(-1)), with 30% and 65% of individuals not meeting these levels, respectively. Mean micronutrient intake met the relevant NRV and MDRI except for vitamin D and folate. A proportion of participants failed to meet the estimated average requirement for folate (48%), calcium (24%), magnesium (19%), and iron (4%). Probability estimates of inadequacy identified intake of folate (44%), calcium (22%), iron (19%), and magnesium (15%) as inadequate. Interpretation of dietary adequacy is complex and varies depending on whether the mean, proportion of participants below the relevant NRV, or statistical probability estimate of inadequacy is used. Further research on methods to determine dietary adequacy in athlete populations is required.

  10. A new four-step hierarchy method for combined assessment of groundwater quality and pollution.

    Science.gov (United States)

    Zhu, Henghua; Ren, Xiaohua; Liu, Zhizheng

    2017-12-28

    A new four-step hierarchy method was constructed and applied to evaluate the groundwater quality and pollution of the Dagujia River Basin. The assessment index system is divided into four types: field test indices, common inorganic chemical indices, inorganic toxicology indices, and trace organic indices. Background values of common inorganic chemical indices and inorganic toxicology indices were estimated with the cumulative-probability curve method, and the results showed that the background values of Mg 2+ (51.1 mg L -1 ), total hardness (TH) (509.4 mg L -1 ), and NO 3 - (182.4 mg L -1 ) are all higher than the corresponding grade III values of Quality Standard for Groundwater, indicating that they were poor indicators and therefore were not included in the groundwater quality assessment. The quality assessment results displayed that the field test indices were mainly classified as grade II, accounting for 60.87% of wells sampled. The indices of common inorganic chemical and inorganic toxicology were both mostly in the range of grade III, whereas the trace organic indices were predominantly classified as grade I. The variabilities and excess ratios of the indices were also calculated and evaluated. Spatial distributions showed that the groundwater with poor quality indices was mainly located in the northeast of the basin, which was well-connected with seawater intrusion. Additionally, the pollution assessment revealed that groundwater in well 44 was classified as "moderately polluted," wells 5 and 8 were "lightly polluted," and other wells were classified as "unpolluted."

  11. Assessment of pollution due to oxides of sulphur and nitrogen at Tarapur

    International Nuclear Information System (INIS)

    Sudheendran, V.; Pimple, K.G.; Rao, D.D.; Chandramouli, S.; Iyer, R.S.; Hegde, A.G.

    1995-01-01

    An Environmental Survey Laboratory (ESL) was established in 1964 to monitor and assess the dispersion of radioactive releases from the power station in the environmental matrices. ESL has been making measurements of ambient sulphur dioxide concentration in the atmosphere at a few selected locations since 1984. The residential areas which are in the vicinity of the chemical zone experience acute effects of sulphur dioxide pollution from time to time depending upon the seasonal variations of meteorological parameters. The proposed commissioning of a thermal power station in the region (Dahanu) gives added importance to the estimation of SO 2 and NO 2 concentrations in the atmosphere. The paper presents data and assessment of the prevailing status with respect to above pollutants close to the industrial zone. (author). 5 refs., 3 tabs., 2 figs

  12. Microplate Ames MPF™ test use in assessment of mutagenic properties of dust pollution

    Directory of Open Access Journals (Sweden)

    Agnieszka Kozłowska

    2012-09-01

    Full Text Available Background: Highly industrialized Upper Silesia Region is particularly polluted by both anthropogenic and natural airborne particulate matters, which may lead to negative health effects in human. Materials and methods: The aim of the study was to assess the mutagenic properties of dust extracts which were collected in six cities in the Silesian Voivodeship. Dust samples were collected on glass fiber filters by the aspirator with air flow ca. 1 m3/min. Extraction of pollution was carried out using dichlorometane. The extracted samples were dissolved in dimethylsulfoxide (DMSO. The mutagenic properties were assessed using microplate Ames assay MPFTM with the use of bacteria Salmonella typhimurium strain TA98 and TA100. Results: In microplate Ames assay MPFTM there was observed a linear dose-response relationship in both metabolic variants of TA98 strain. Similar relationship was observed for TA100 strain with metabolic activation (S9. Mutagenic activity (AM of 100% extracts for TA98 strain in both metabolic variants (S9 exceeded 2, what indicate highly mutagenic effects of dust extracts. There was no mutagenic activity observed in the assay with TA100 (S9, AM 1. In the variant with exogenous metabolic activation (S9 in TA100 strain AM values ranged from AM1,160,15 to AM9,671,02. Mutagenic activity varied between different cities. Conclusions: The study demonstrated that microplate Ames assay MPFTM is fast and complex method of assessing the mutagenic properties of dust pollution, which exert toxic effect on organisms. The use of microplate Ames assay MPFTM together with chemical analyses of air dust pollution may evaluate the level of exposure in the environment and enable to perform health risk assessment in populations exposed to mutagenic, toxic and cytotoxic substances.

  13. Assessing the potential of random forest method for estimating solar radiation using air pollution index

    International Nuclear Information System (INIS)

    Sun, Huaiwei; Gui, Dongwei; Yan, Baowei; Liu, Yi; Liao, Weihong; Zhu, Yan; Lu, Chengwei; Zhao, Na

    2016-01-01

    Highlights: • Models based on random forests for daily solar radiation estimation are proposed. • Three sites within different air pollution index conditions are considered. • Performance of random forests is better than that of empirical methodologies. • Special attention is given to the use of air pollution index. • The potential of air pollution index is assessed by random forest models. - Abstract: Simulations of solar radiation have become increasingly common in recent years because of the rapid global development and deployment of solar energy technologies. The effect of air pollution on solar radiation is well known. However, few studies have attempting to evaluate the potential of the air pollution index in estimating solar radiation. In this study, meteorological data, solar radiation, and air pollution index data from three sites having different air pollution index conditions are used to develop random forest models. We propose different random forest models with and without considering air pollution index data, and then compare their respective performance with that of empirical methodologies. In addition, a variable importance approach based on random forest is applied in order to assess input variables. The results show that the performance of random forest models with air pollution index data is better than that of the empirical methodologies, generating 9.1–17.0% lower values of root-mean-square error in a fitted period and 2.0–17.4% lower values of root-mean-square error in a predicted period. Both the comparative results of different random forest models and variance importance indicate that applying air pollution index data is improves estimation of solar radiation. Also, although the air pollution index values varied largely from season to season, the random forest models appear more robust performances in different seasons than different models. The findings can act as a guide in selecting used variables to estimate daily solar

  14. Overfishing and nutrient pollution interact with temperature to disrupt coral reefs down to microbial scales.

    Science.gov (United States)

    Zaneveld, Jesse R; Burkepile, Deron E; Shantz, Andrew A; Pritchard, Catharine E; McMinds, Ryan; Payet, Jérôme P; Welsh, Rory; Correa, Adrienne M S; Lemoine, Nathan P; Rosales, Stephanie; Fuchs, Corinne; Maynard, Jeffrey A; Thurber, Rebecca Vega

    2016-06-07

    Losses of corals worldwide emphasize the need to understand what drives reef decline. Stressors such as overfishing and nutrient pollution may reduce resilience of coral reefs by increasing coral-algal competition and reducing coral recruitment, growth and survivorship. Such effects may themselves develop via several mechanisms, including disruption of coral microbiomes. Here we report the results of a 3-year field experiment simulating overfishing and nutrient pollution. These stressors increase turf and macroalgal cover, destabilizing microbiomes, elevating putative pathogen loads, increasing disease more than twofold and increasing mortality up to eightfold. Above-average temperatures exacerbate these effects, further disrupting microbiomes of unhealthy corals and concentrating 80% of mortality in the warmest seasons. Surprisingly, nutrients also increase bacterial opportunism and mortality in corals bitten by parrotfish, turning normal trophic interactions deadly for corals. Thus, overfishing and nutrient pollution impact reefs down to microbial scales, killing corals by sensitizing them to predation, above-average temperatures and bacterial opportunism.

  15. Needs and preference assessment for an in-home nutrition education program using social marketing theory.

    Science.gov (United States)

    Francis, Sarah L; Taylor, Martha L; Strickland, Amy Williams

    2004-01-01

    Nutrition education programs for elder caregivers (CG) and their elder care recipients (CR) are important in preventing malnutrition. Using Social Marketing Theory, this study assessed the needs and preferences for nutrition education in elder CGs and their CRs in Guilford County, NC. Thirty-two pairs of community-residing elder CGs/CRs and three focus groups (FGs) participated. Health and diet questionnaires were administered to all CGs/CRs during in-home interviews. CGs/CRs and FGs evaluated nutrition education materials. Questionnaires were analyzed using SPSS v9. Ethnograph v5.0 was used to code the interviews regarding the education materials. The CGs were middle age (58.9 years), overweight (BMI = 28.8) Caucasian women. The CRs were old (79.4 years), overweight (BMI = 26.0) Caucasian women. Identified malnutrition risk factors of CGs and CRs included inadequate fluid and dietary intake, polypharmacy, and chronic disease. Identified nutrition needs and education preferences of CGs/CRs were similar. Perceived nutrition education preferences of the FGs did not reflect the interests of the CGs/CRs. This information is being used to revise the education materials and develop an in-home nutrition education program for CGs and CRs in Guilford County, NC.

  16. Attitude and Behavior Factors Associated with Front-of-Package Label Use with Label Users Making Accurate Product Nutrition Assessments.

    Science.gov (United States)

    Roseman, Mary G; Joung, Hyun-Woo; Littlejohn, Emily I

    2018-05-01

    Front-of-package (FOP) labels are increasing in popularity on retail products. Reductive FOP labels provide nutrient-specific information, whereas evaluative FOP labels summarize nutrient information through icons. Better understanding of consumer behavior regarding FOP labels is beneficial to increasing consumer use of nutrition labeling when making grocery purchasing decisions. We aimed to determine FOP label format effectiveness in aiding consumers at assessing nutrient density of food products. In addition, we sought to determine relationships between FOP label use and attitude toward healthy eating, diet self-assessment, self-reported health and nutrition knowledge, and label and shopping behaviors. A between-subjects experimental design was employed. Participants were randomly assigned to one of four label conditions: Facts Up Front, Facts Up Front Extended, a binary symbol, and no-label control. One hundred sixty-one US primary grocery shoppers, aged 18 to 69 years. Participants were randomly invited to the online study. Participants in one of four label condition groups viewed three product categories (cereal, dairy, and snacks) with corresponding questions. Adults' nutrition assessment of food products based on different FOP label formats, along with label use and attitude toward healthy eating, diet self-assessment, self-reported health and nutrition knowledge, and label and shopping behaviors. Data analyses included descriptive statistics, χ 2 tests, and logistical regression. Significant outcomes were set to α=.05. Participants selected the more nutrient-dense product in the snack food category when it contained an FOP label. Subjective health and nutrition knowledge and frequency of selecting food for healthful reasons were associated with FOP label use (P<0.01 and P<0.05, respectively). Both Facts Up Front (reductive) and binary (evaluative) FOP labels appear effective for nutrition assessment of snack products compared with no label. Specific

  17. Near-Infrared Spectroscopy as a Novel Non-Invasive Tool to Assess Spiny Lobster Nutritional Condition

    Science.gov (United States)

    Rodemann, Thomas; Carter, Chris G.

    2016-01-01

    Rapid non-invasive monitoring of spiny lobster nutritional condition has considerable application in the established fishery, live market and prospective aquaculture. The aim of this research was to test the feasibility of near-infrared spectroscopy (NIRS) as a novel non-invasive tool to assess the nutritional condition of three lobster species. Lobster (n = 92) abdominal muscle dry matter (AMDM) and carbon content (AMC) correlated significantly with indices of nutritional condition including hepatopancreas dry matter (HPDM; rho = 0.83, 0.78), total lipid content (HPTL; rho = 0.85, 0.87) and haemolymph total protein (TP; rho = 0.89, 0.87 respectively). Abdominal muscle nitrogen content (AMN) was a poor correlate of nutritional condition. Models based on FT-NIR scanning of whole lobster tails successfully predicted AMDM, AMN and AMC (RMSECV = 1.41%, 0.35% and 0.91%; R2 = 0.75, 0.65, 0.77, respectively), and to a lower accuracy HPDM, HPTL and TP (RMSECV = 6.22%, 8.37%, 18.4 g l-1; R2 = 0.51, 0.70, 0.83, respectively). NIRS was applied successfully to assess the condition of spiny lobsters non-invasively. This pilot study paves the way for the development of crustacean condition models using portable non-invasive devices in the laboratory or in the field. PMID:27442242

  18. Discriminating nutritional quality of foods using the 5-Color nutrition label in the French food market: consistency with nutritional recommendations.

    Science.gov (United States)

    Julia, Chantal; Ducrot, Pauline; Péneau, Sandrine; Deschamps, Valérie; Méjean, Caroline; Fézeu, Léopold; Touvier, Mathilde; Hercberg, Serge; Kesse-Guyot, Emmanuelle

    2015-09-28

    Our objectives were to assess the performance of the 5-Colour nutrition label (5-CNL) front-of-pack nutrition label based on the Food Standards Agency nutrient profiling system to discriminate nutritional quality of foods currently on the market in France and its consistency with French nutritional recommendations. Nutritional composition of 7777 foods available on the French market collected from the web-based collaborative project Open Food Facts were retrieved. Distribution of products across the 5-CNL categories according to food groups, as arranged in supermarket shelves was assessed. Distribution of similar products from different brands in the 5-CNL categories was also assessed. Discriminating performance was considered as the number of color categories present in each food group. In the case of discrepancies between the category allocation and French nutritional recommendations, adaptations of the original score were proposed. Overall, the distribution of foodstuffs in the 5-CNL categories was consistent with French recommendations: 95.4% of 'Fruits and vegetables', 72.5% of 'Cereals and potatoes' were classified as 'Green' or 'Yellow' whereas 86.0% of 'Sugary snacks' were classified as 'Pink' or 'Red'. Adaptations to the original FSA score computation model were necessary for beverages, added fats and cheese in order to be consistent with French official nutritional recommendations. The 5-CNL label displays a high performance in discriminating nutritional quality of foods across food groups, within a food group and for similar products from different brands. Adaptations from the original model were necessary to maintain consistency with French recommendations and high performance of the system.

  19. Different methodologies in NAA to assess pollutants at a Lisbon traffic tunnel

    International Nuclear Information System (INIS)

    Canha, N.H.; Freitas, M.C.; Manh Dung, H.; Almeida, S.M.

    2010-01-01

    Full text: In the past 30 years, outdoor levels of some pollutants are decreasing in many cities of Europe and US, due to emission controls on vehicles, heating, power generation and industry. However in developing countries the outdoor air pollution is worsening due to the increasing number of vehicles and industry. The major outdoor air pollutants are particulates, O 3 , CO, SO x , H 2 S, acid gases (HF, HCI), NO x , Pb and other metals, volatile organics, solvents, pesticides, methane, bioaerosols, and gamma radiation. Many of them are under regulation by European Union. 100% of new cars sold in USA and 85% of new cars sold worldwide are being equipped with catalytic converters in order to keep them meeting the vehicle emission standards of gaseous pollutants. In this work, we measured several particles with different aerodynamic diameter, from the very fine (0.025 μm to 10 μm) in a city tunnel where 200,000 vehicles from commuters circulate at traffic hours. The total number of samples was 58. This is the ideal situation where traffic is the only possible emission source. INAA and PGAA are being applied to assess the pollutant concentrations. Results show very high concentrations of pollutants at rush hours, with substantial decrease during the weekends. Data are discussed taking into account the EU legislation. Quality control is done by analysing NIST 2783 standard reference material

  20. Assessment of nutritional knowledge in female athletes susceptible to the Female Athlete Triad syndrome

    Directory of Open Access Journals (Sweden)

    Petroczi Andrea

    2007-09-01

    Full Text Available Abstract Background The study aimed to i assess nutritional knowledge in female athletes susceptible to the Female Athlete Triad (FAT syndrome and to compare with controls; and ii to compare nutritional knowledge of those who were classified as being 'at risk' for developing FAT syndrome and those who are 'not at risk'. Methods In this study, participants completed General Nutritional Knowledge Questionnaire (GNKQ, the Eating Attitude Test (EAT-26 and survey measures of training/physical activity, menstrual and skeletal injury history. The sample consisted of 48 regional endurance athletes, 11 trampoline gymnasts and 32 untrained controls. Based on proxy measures for the FAT components, participants were classified being 'at risk' or 'not at risk' and nutrition knowledge scores were compared for the two groups. Formal education related to nutrition was considered. Results A considerably higher percentage of athletes were classified 'at risk' of menstrual dysfunction than controls (28.8% and 9.4%, respectively and a higher percentage scored at or above the cutoff value of 20 on the EAT-26 test among athletes than controls (10.2% and 3.1%, respectively. 8.5% of athletes were classified 'at risk' for bone mineral density in contrast to none from the control group. Nutrition knowledge and eating attitude appeared to be independent for both athletes and controls. GNKQ scores of athletes were higher than controls but the differences between the knowledge of 'at risk' and 'not at risk' athletes and controls were inconsequential. Formal education in nutrition or closely related subjects does not have an influence on nutrition knowledge or on being classified as 'at risk' or 'not at risk'. Conclusion The lack of difference in nutrition knowledge between 'at risk' and 'not at risk' athletes suggests that lack of information is not accountable for restricted eating associated with the Female Athlete Triad.

  1. Validity of a traffic air pollutant dispersion model to assess exposure to fine particles.

    Science.gov (United States)

    Kostrzewa, Aude; Reungoat, Patrice; Raherison, Chantal

    2009-08-01

    Fine particles (PM(2.5)) are an important component of air pollution. Epidemiological studies have shown health effects due to ambient air particles, particularly allergies in children. Since the main difficulty is to determine exposure to such pollution, traffic air pollutant (TAP) dispersions models have been developed to improve the estimation of individual exposure levels. One such model, the ExTra index, has been validated for nitrogen oxide concentrations but not for other pollutants. The purpose of this study was to assess the validity of the ExTra index to assess PM(2.5) exposure. We compared PM(2.5) concentrations calculated by the ExTra index to reference measures (passive samplers situated under the covered part of the playground), in 15 schools in Bordeaux, in 2000. First, we collected the input data required by the ExTra index: background and local pollution depending on traffic, meteorology and topography. Second, the ExTra index was calculated for each school. Statistical analysis consisted of a graphic description; then, we calculated an intraclass correlation coefficient. Concentrations calculated with the ExTra index and the reference method were similar. The ExTra index underestimated exposure by 2.2 microg m(-3) on average compared to the reference method. The intraclass correlation coefficient was 0.85 and its 95% confidence interval was [0.62; 0.95]. The results suggest that the ExTra index provides an assessment of PM(2.5) exposure similar to that of the reference method. Although caution is required in interpreting these results owing to the small number of sites, the ExTra index could be a useful epidemiological tool for reconstructing individual exposure, an important challenge in epidemiology.

  2. Factoring stream turbulence into global assessments of nitrogen pollution.

    Science.gov (United States)

    Grant, Stanley B; Azizian, Morvarid; Cook, Perran; Boano, Fulvio; Rippy, Megan A

    2018-03-16

    The discharge of excess nitrogen to streams and rivers poses an existential threat to both humans and ecosystems. A seminal study of headwater streams across the United States concluded that in-stream removal of nitrate is controlled primarily by stream chemistry and biology. Reanalysis of these data reveals that stream turbulence (in particular, turbulent mass transfer across the concentration boundary layer) imposes a previously unrecognized upper limit on the rate at which nitrate is removed from streams. The upper limit closely approximates measured nitrate removal rates in streams with low concentrations of this pollutant, a discovery that should inform stream restoration designs and efforts to assess the effects of nitrogen pollution on receiving water quality and the global nitrogen cycle. Copyright © 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  3. Mini Nutritional Assessment for Hospitalized Patients in King Khalid Hospital at Hail city in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Rafia Bano

    2016-12-01

    Full Text Available Introduction: The Mini Nutritional Assessment (MNA has been developed to assess malnutrition in elderly  and to filter those who might get benefited from early diagnosis and treatment. The objective of the present study was to examine the nutritional profile of old age hospitalized individuals through the use of the MNA in King Khalid Hospital at Hail city of Saudi Arabia. Methods: Demographic data was gathered through a questionnaire and a modified version of MNA, which was translated into Arabic and applied to 100 elderly females aged ≥ 45 years to assess their nutritional status . The MNA version modified by  Nestle and translated into Arabic was used to evaluate the patients for this study. The descriptive analysis of variables is shown as the average ± one standard deviation. Results: Mean age of the participants was 61.12±12.4 years ranging from 45 to 92 years. The mean body mass index of total population was found to be 26.9±5.2 ranging from 18.3 to 46.5 kg/m2. The assessment scores and total malnutrition score was found to be decreasing with increasing age, showing a significant inverse correlation (P<0.01. Furthermore, the difference in the screening scores according to the age was found to be statistically insignificant. Conclusion: Because of the high prevalence of elderly patients that were malnourished or at risk of malnutrition, a more detailed evaluation of nutritional status, along with a regular follow up and dietary intervention to reverse the situation, of these patients is recommended.

  4. Assessing the impact of a food supplement on the nutritional status and body composition of HIV-infected Zambian women on ARVs.

    Science.gov (United States)

    Zulu, Rodah M; Byrne, Nuala M; Munthali, Grace K; Chipeta, James; Handema, Ray; Musonda, Mofu; Hills, Andrew P

    2011-09-21

    Zambia is a sub-Saharan country with one of the highest prevalence rates of HIV, currently estimated at 14%. Poor nutritional status due to both protein-energy and micronutrient malnutrition has worsened this situation. In an attempt to address this combined problem, the government has instigated a number of strategies, including the provision of antiretroviral (ARV) treatment coupled with the promotion of good nutrition. High-energy protein supplement (HEPS) is particularly promoted; however, the impact of this food supplement on the nutritional status of people living with HIV/AIDS (PLHA) beyond weight gain has not been assessed. Techniques for the assessment of nutritional status utilising objective measures of body composition are not commonly available in Zambia. The aim of this study is therefore to assess the impact of a food supplement on nutritional status using a comprehensive anthropometric protocol including measures of skinfold thickness and circumferences, plus the criterion deuterium dilution technique to assess total body water (TBW) and derive fat-free mass (FFM) and fat mass (FM). This community-based controlled and longitudinal study aims to recruit 200 HIV-infected females commencing ARV treatment at two clinics in Lusaka, Zambia. Data will be collected at four time points: baseline, 4-month, 8-month and 12-month follow-up visits. Outcome measures to be assessed include body height and weight, body mass index (BMI), body composition, CD4, viral load and micronutrient status. This protocol describes a study that will provide a longitudinal assessment of the impact of a food supplement on the nutritional status of HIV-infected females initiating ARVs using a range of anthropometric and body composition assessment techniques. Pan African Clinical Trial Registry PACTR201108000303396.

  5. Anthropometric and Nutritional Profile of People Living with HIV and AIDS in India: an Assessment

    OpenAIRE

    Anand, Deepika; Puri, Seema

    2014-01-01

    Background: Importance of nutrition in human immunodeficiency virus (HIV) is well-established; however, the information regarding the diet quality of people living with HIV (PLHIV) especially in India is lacking. Objectives: The objective of this study is to assess the anthropometric and nutritional profile of Indian PLHIV. Material and Methods: The study was performed on 400 adult PLHIV registered at the Antiretroviral Center (ART) center in New Delhi, India. Anthropometric data including he...

  6. Translation of Nutritional Genomics into Nutrition Practice: The Next Step

    Directory of Open Access Journals (Sweden)

    Chiara Murgia

    2017-04-01

    Full Text Available Genetics is an important piece of every individual health puzzle. The completion of the Human Genome Project sequence has deeply changed the research of life sciences including nutrition. The analysis of the genome is already part of clinical care in oncology, pharmacology, infectious disease and, rare and undiagnosed diseases. The implications of genetic variations in shaping individual nutritional requirements have been recognised and conclusively proven, yet routine use of genetic information in nutrition and dietetics practice is still far from being implemented. This article sets out the path that needs to be taken to build a framework to translate gene–nutrient interaction studies into best-practice guidelines, providing tools that health professionals can use to understand whether genetic variation affects nutritional requirements in their daily clinical practice.

  7. Nutritional intervention and quality of life in adult oncology patients.

    Science.gov (United States)

    Marín Caro, Mónica María; Laviano, Alessandro; Pichard, Claude

    2007-06-01

    The evaluation of quality of life (QoL) assesses patients' well-being by taking into account physical, psychological and social conditions. Cancer and its treatment result in severe biochemical and physiological alterations associated with a deterioration of QoL. These metabolic changes lead to decreased food intake and promote wasting. Cancer-related malnutrition can evolve to cancer cachexia due to complex interactions between pro-inflammatory cytokines and host metabolism. Beside and beyond the physical and the metabolic effects of cancer, patients often suffer as well from psychological distress, including depression. Depending on the type of cancer treatment (either curative or palliative) and on patients' clinical conditions and nutritional status, adequate and patient-tailored nutritional intervention should be prescribed (diet counselling, oral supplementation, enteral or total parenteral nutrition). Such an approach, which should be started as early as possible, can reduce or even reverse their poor nutritional status, improve their performance status and consequently their QoL. Nutritional intervention accompanying curative treatment has an additional and specific role, which is to increase the tolerance and response to the oncology treatment, decrease the rate of complications and possibly reduce morbidity by optimizing the balance between energy expenditure and food intake. In palliative care, nutritional support aims at improving patient's QoL by controlling symptoms such as nausea, vomiting and pain related to food intake and postponing loss of autonomy. The literature review supports that nutritional care should be integrated into the global oncology care because of its significant contribution to QoL. Furthermore, the assessment of QoL should be part of the evaluation of any nutritional support to optimize its adequacy to the patient's needs and expectations.

  8. Risk assessment of metals and organic pollutants for herbivorous and carnivorous small mammal food chains in a polluted floodplain (Biesbosch, The Netherlands)

    International Nuclear Information System (INIS)

    Hamers, Timo; Berg, Johannes H.J. van den; Gestel, Cornelis A.M. van; Schooten, Frederik-Jan van; Murk, Albertinka J.

    2006-01-01

    A risk assessment was made for a carnivorous and a herbivorous food chain in a heavily polluted natural estuary (Biesbosch), by determining the most critical pollutants and the food chain most at risk. Exposure of food chains to metals, polycyclic aromatic hydrocarbons (PAHs), and polychlorinated biphenyls (PCBs) was assessed by analyzing dietary concentrations, internal concentrations, and biomarkers of exposure. Common shrew (Sorex araneus) and bank vole (Clethrionomys glareolus) were selected as representative small mammal species for the carnivorous and herbivorous food chain, respectively, and earthworms (Lumbricus rubellus) and snails (Cepaea nemoralis) as representative prey species for the carnivorous food chain. Metals contributed most to the total risk for small mammals and earthworms. PCBs, but not PAHs, contributed to the overall risk for S. araneus at regularly flooded locations. The carnivorous food chain appeared most at risk given the higher exposure levels and bioaccumulating potency found for contaminants in S. araneus. - In polluted floodplain areas, dietary exposure to metals poses a larger risk for small mammals in a carnivorous than in a herbivorous food chain

  9. Atmospheric pollution assessment with mosses in Western Rhodopes, Bulgaria

    Directory of Open Access Journals (Sweden)

    Gana Gecheva

    2016-09-01

    Full Text Available The moss analysis technique was applied to monitor 10 heavy metals and toxic elements deposition. Our study was the first attempt to assess spatial patterns in a border mountain region (area 8732 km2 with a low population density and high proportion of protected territories. The obtained results did not correlate to the results from areas with low air pollution and could be linked to the impact of old and open mines.

  10. Nutritional screening, assessment and implementation strategies for adults in an Australian acute tertiary hospital: a best practice implementation report.

    Science.gov (United States)

    Smith, Louise; Chapman, Amanda; Flowers, Kelli; Wright, Kylie; Chen, Tanghua; O'Connor, Charmaine; Astorga, Cecilia; Francis, Nevenka; Vigh, Gia; Wainwright, Craig

    2018-01-01

    The project aimed to improve the effectiveness of nutritional screening and assessment practices through clinical audits and the implementation of evidence-based practice recommendations. In the absence of optimal nutrition, health may decline and potentially manifest as adverse health outcomes. In a hospitalized person, poor nutrition may adversely impact on the person's outcome. If the nutritional status can be ascertained, nutritional needs can be addressed and potential risks minimized.The overall purpose of this project was to review and monitor staff compliance with nutritional screening and assessment best practice recommendations ensuring there is timely, relevant and structured nutritional therapeutic practices that support safe, compassionate and person-centered care in adults in a tertiary hospital in South Western Sydney, Australia, in the acute care setting. A baseline retrospective chart audit was conducted and measured against 10 best practice criteria in relation to nutritional screening and assessment practices. This was followed by a facilitated multidisciplinary focus group to identify targeted strategies, implementation of targeted strategies, and a post strategy implementation chart audit.The project utilized the Joanna Briggs Institute Practical Application of Clinical Evidence System (JBI PACES) and Getting Research into Practice (GRIP) tool, including evidence from other available supporting literature, for promoting change in healthcare practice. The baseline audit revealed deficits between current practice and best practice across the 10 criteria. Barriers for implementation of nutritional screening and assessment best practice criteria were identified by the focus group and an education strategy was implemented. There were improved outcomes across all best practice criteria in the follow-up audit. The baseline audit revealed gaps between current practice and best practice. Through the implementation of a targeted education program and

  11. Assessment, analysis and appraisal of road traffic noise pollution in Rourkela city, India.

    Science.gov (United States)

    Goswami, Shreerup; Swain, Bijay Kumar; Panda, Santosh Kumar

    2013-09-01

    The problem of road traffic noise pollution has become a concern for both the public and the policy makers. Noise level was assessed in 12 different squares of Rourkela city during different specified times (7-10 a.m., 11 a.m.-2 p.m., 3-6 p.m., 7-10 p.m., 10 p.m.-12 midnight and 4-6 a.m.). Noise descriptors such as L,eq, traffic noise index, noise pollution level, noise climate, Lday, Levening, Lnight and Lden were assessed to reveal the extent of noise pollution due to heavy traffic in this city. The equivalent noise levels of all the 12 squares were found to be much beyond the permissible limit (70dB during day time and 55dB during night time). Appallingly, even the minimum L eq and NPL values were more than 82 dB and 96 dB during day time and 69 dB and 91 dB during night time respectively. Lden values of investigated squares ranged from 83.4 to 86.1 dB and were even more than the day time permissible limit of traffic noise. The prediction model was used in the present study to predict noise pollution level instead of Leq. Comparison of predicted with that of the actual measured data demonstrated that the model used for the prediction has the ability to calibrate the multicomponent traffic noise and yield reliable results close to that by direct measurement. Lastly, it is inferred that the dimension of the traffic generated noise pollution in Rourkela is critical.

  12. Indices for the assessment of nutritional quality of meals: a systematic review.

    Science.gov (United States)

    Gorgulho, B M; Pot, G K; Sarti, F M; Marchioni, D M

    2016-06-01

    This systematic review aimed to synthesise information on indices developed to evaluate nutritional quality of meals. A strategy for systematic search of the literature was developed using keywords related to assessment of meal quality. Databases searched included ScienceDirect, PubMed, Lilacs, SciELO, Scopus, Cochrane, Embase and Google Scholar. The literature search resulted in seven different meal quality indices. Each article was analysed in order to identify the following items: authors, country, year, study design, population characteristics, type of meal evaluated, dietary assessment method, characteristics evaluated (nutrients or food items), score range, index components, nutritional references, correlations performed, validation and relationship with an outcome (if existing). Two studies developed instruments to assess the quality of breakfast, three analysed lunch, one evaluated dinner and one was applied to all types of meals and snacks. All meal quality indices reviewed were based on the evaluation of presence or absence of food groups and relative contributions of nutrients, according to food-based guidelines or nutrient references, adapting the daily dietary recommendations to one specific meal. Most of the indices included three items as components for meal quality assessment: (I) total fat or some specific type of fat, (II) fruits and vegetables and (III) cereals or whole grains. This systematic review indicates aspects that need further research, particularly the numerous approaches to assessing meals considering different foods and nutrients, and the need for validation studies of meal indices.

  13. Mini-Nutritional Assessment, Malnutrition Universal Screening Tool, and Nutrition Risk Screening Tool for the Nutritional Evaluation of Older Nursing Home Residents.

    Science.gov (United States)

    Donini, Lorenzo M; Poggiogalle, Eleonora; Molfino, Alessio; Rosano, Aldo; Lenzi, Andrea; Rossi Fanelli, Filippo; Muscaritoli, Maurizio

    2016-10-01

    Malnutrition plays a major role in clinical and functional impairment in older adults. The use of validated, user-friendly and rapid screening tools for malnutrition in the elderly may improve the diagnosis and, possibly, the prognosis. The aim of this study was to assess the agreement between Mini-Nutritional Assessment (MNA), considered as a reference tool, MNA short form (MNA-SF), Malnutrition Universal Screening Tool (MUST), and Nutrition Risk Screening (NRS-2002) in elderly institutionalized participants. Participants were enrolled among nursing home residents and underwent a multidimensional evaluation. Predictive value and survival analysis were performed to compare the nutritional classifications obtained from the different tools. A total of 246 participants (164 women, age: 82.3 ± 9 years, and 82 men, age: 76.5 ± 11 years) were enrolled. Based on MNA, 22.6% of females and 17% of males were classified as malnourished; 56.7% of women and 61% of men were at risk of malnutrition. Agreement between MNA and MUST or NRS-2002 was classified as "fair" (k = 0.270 and 0.291, respectively; P < .001), whereas the agreement between MNA and MNA-SF was classified as "moderate" (k = 0.588; P < .001). Because of the high percentage of false negative participants, MUST and NRS-2002 presented a low overall predictive value compared with MNA and MNA-SF. Clinical parameters were significantly different in false negative participants with MUST or NRS-2002 from true negative and true positive individuals using the reference tool. For all screening tools, there was a significant association between malnutrition and mortality. MNA showed the best predictive value for survival among well-nourished participants. Functional, psychological, and cognitive parameters, not considered in MUST and NRS-2002 tools, are probably more important risk factors for malnutrition than acute illness in geriatric long-term care inpatient settings and may account for the low predictive

  14. Anthropometric and nutritional profile of people living with HIV and AIDS in India: an assessment

    Directory of Open Access Journals (Sweden)

    Deepika Anand

    2014-01-01

    Full Text Available Background: Importance of nutrition in human immunodeficiency virus (HIV is well-established; however, the information regarding the diet quality of people living with HIV (PLHIV especially in India is lacking. Objectives: The objective of this study is to assess the anthropometric and nutritional profile of Indian PLHIV. Material and Methods: The study was performed on 400 adult PLHIV registered at the Antiretroviral Center (ART center in New Delhi, India. Anthropometric data including height, weight, waist, hip, mid arm, and calf circumferences, were collected; 1-day 24-h dietary recall was done to gather nutrient intake from which nutrient adequacy ratios were computed. Mini Nutritional Assessment (MNA was also conducted. Results: The mean body mass index (BMI of the sample was 19.73 ± 3.55 kg/m 2 with around 40% having BMI <18.5 kg/m 2 . All anthropometric measurements were found to correlate positively and significantly with CD4 count (P < 0.05. The sample consumed poor quality of diet as they could not meet even the 2/3 rd of the Indian Council of Medical Research (2010 requirements for energy, protein, calcium, iron, riboflavin, niacin, folic acid, B12, copper, and zinc. Classification of subjects according to MNA indicated that more than 50% of the sample was at-risk of malnutrition and 34% were malnourished. With 40% of sample having BMI less than normal, 50% at risk of malnutrition together with poor nutrient intakes over a long period of time could contribute to further worsening of the nutritional status. Conclusion: There is a need to develop a database on nutritional profile of PLHIV in India which reinforces the need for development of effective strategies to improve their nutritional status.

  15. An assessment of air pollutant exposure methods in Mexico City, Mexico.

    Science.gov (United States)

    Rivera-González, Luis O; Zhang, Zhenzhen; Sánchez, Brisa N; Zhang, Kai; Brown, Daniel G; Rojas-Bracho, Leonora; Osornio-Vargas, Alvaro; Vadillo-Ortega, Felipe; O'Neill, Marie S

    2015-05-01

    Geostatistical interpolation methods to estimate individual exposure to outdoor air pollutants can be used in pregnancy cohorts where personal exposure data are not collected. Our objectives were to a) develop four assessment methods (citywide average (CWA); nearest monitor (NM); inverse distance weighting (IDW); and ordinary Kriging (OK)), and b) compare daily metrics and cross-validations of interpolation models. We obtained 2008 hourly data from Mexico City's outdoor air monitoring network for PM10, PM2.5, O3, CO, NO2, and SO2 and constructed daily exposure metrics for 1,000 simulated individual locations across five populated geographic zones. Descriptive statistics from all methods were calculated for dry and wet seasons, and by zone. We also evaluated IDW and OK methods' ability to predict measured concentrations at monitors using cross validation and a coefficient of variation (COV). All methods were performed using SAS 9.3, except ordinary Kriging which was modeled using R's gstat package. Overall, mean concentrations and standard deviations were similar among the different methods for each pollutant. Correlations between methods were generally high (r=0.77 to 0.99). However, ranges of estimated concentrations determined by NM, IDW, and OK were wider than the ranges for CWA. Root mean square errors for OK were consistently equal to or lower than for the IDW method. OK standard errors varied considerably between pollutants and the computed COVs ranged from 0.46 (least error) for SO2 and PM10 to 3.91 (most error) for PM2.5. OK predicted concentrations measured at the monitors better than IDW and NM. Given the similarity in results for the exposure methods, OK is preferred because this method alone provides predicted standard errors which can be incorporated in statistical models. The daily estimated exposures calculated using these different exposure methods provide flexibility to evaluate multiple windows of exposure during pregnancy, not just trimester or

  16. New perspective for nutritional support of cancer patients: Enteral/parenteral nutrition.

    Science.gov (United States)

    Akbulut, Gamze

    2011-07-01

    Cancer and its treatment result in severe biochemical and physiological alterations associated with a deterioration of quality of life (QoL). Cancer-related malnutrition may evolve into cancer cachexia due to complex interactions between pro-inflammatory cytokines and the host metabolism. Depending on the type of cancer treatment (either curative or palliative), the clinical condition of the patient and nutritional status, adequate and patient-tailored nutritional intervention should be prescribed (diet counseling, oral supplementation, enteral or total parenteral nutrition). Nutritional support has been widely advocated as adjunctive therapy for a variety of underlying illnesses, including surgery and medical oncotherapy (radiation or chemotherapy for cancer). Glutamine, n-3 fatty acids and probiotics/prebiotics are therapeutic factors that potentially modulate gastrointestinal toxicity related to cancer treatments. Enteral and parenteral nutrition may help improve patient survival, functional status and QoL, yet the benefits appear to be primarily limited to patients with good functional status and with gastrointestinal disease affecting nutritional intake. Parenteral nutrition offers the possibility of increased or maintenance of the nutrient intake in patients for whom normal food intake is inadequate and for whom enteral nutrition is not feasible, is contraindicated or is not accepted by the patient. This article reviews evidence on issues relevant to enteral and parenteral nutrition in patients with cancer.

  17. Traditional methods v. new technologies – dilemmas for dietary assessment in large-scale nutrition surveys and studies

    DEFF Research Database (Denmark)

    Amoutzopoulos, B.; Steer, T.; Roberts, C.

    2018-01-01

    assessment in population surveys’, was held at the 9th International Conference on Diet and Activity Methods (ICDAM9), Brisbane, September 2015. Despite respondent and researcher burden, traditional methods have been most commonly used in nutrition surveys. However, dietary assessment technologies offer...... of traditional dietary assessment methods (food records, FFQ, 24 h recalls, diet history with interviewer-assisted data collection) v. new technology-based dietary assessment methods (web-based and mobile device applications). The panel discussion ‘Traditional methods v. new technologies: dilemmas for dietary......The aim of the present paper is to summarise current and future applications of dietary assessment technologies in nutrition surveys in developed countries. It includes the discussion of key points and highlights of subsequent developments from a panel discussion to address strengths and weaknesses...

  18. A robust sebum, oil, and particulate pollution model for assessing cleansing efficacy of human skin.

    Science.gov (United States)

    Peterson, G; Rapaka, S; Koski, N; Kearney, M; Ortblad, K; Tadlock, L

    2017-06-01

    With increasing concerns over the rise of atmospheric particulate pollution globally and its impact on systemic health and skin ageing, we have developed a pollution model to mimic particulate matter trapped in sebum and oils creating a robust (difficult to remove) surrogate for dirty, polluted skin. To evaluate the cleansing efficacy/protective effect of a sonic brush vs. manual cleansing against particulate pollution (trapped in grease/oil typical of human sebum). The pollution model (Sebollution; sebum pollution model; SPM) consists of atmospheric particulate matter/pollution combined with grease/oils typical of human sebum. Twenty subjects between the ages of 18-65 were enrolled in a single-centre, cleansing study comparisons between the sonic cleansing brush (normal speed) compared to manual cleansing. Equal amount of SPM was applied to the centre of each cheek (left and right). Method of cleansing (sonic vs. manual) was randomized to the side of the face (left or right) for each subject. Each side was cleansed for five-seconds using the sonic cleansing device with sensitive brush head or manually, using equal amounts of water and a gel cleanser. Photographs (VISIA-CR, Canfield Imaging, NJ, USA) were taken at baseline (before application of the SPM), after application of SPM (pre-cleansing), and following cleansing. Image analysis (ImageJ, NIH, Bethesda, MD, USA) was used to quantify colour intensity (amount of particulate pollutants on the skin) using a scale of 0 to 255 (0 = all black pixels; 255 = all white pixels). Differences between the baseline and post-cleansing values (pixels) are reported as the amount of SPM remaining following each method of cleansing. Using a robust cleansing protocol to assess removal of pollutants (SPM; atmospheric particulate matter trapped in grease/oil), the sonic brush removed significantly more SPM than manual cleansing (P pollution method easily allows assessment of efficacy through image analysis. © 2016 The Authors

  19. [Assessing nutritional status of severe malnutrition patients by bioelectrical impedance technique: a multicenter prospective study].

    Science.gov (United States)

    Li, Qiang; Li, Xueni; Leng, Yuxin; Zhu, Xi; Yao, Gaiqi

    2018-02-01

    To assess the nutritional status of severe malnutrition patients with anorexia nervosa by multi-frequency bioelectrical impedance technique, and to provide the basis for nutritional support therapy. A prospective study was conducted. Twenty-six severe malnutrition patients with anorexia nervosa, body mass index (BMI) ≤ 16 kg/m 2 admitted to intensive care unit (ICU) of Peking University Third Hospital and general three ward of Peking University Sixth Hospital from June 1st to September 30th, 2017 were enrolled. The extracellular water (ECW), intracellular water (ICW), ECW/ICW ratio, adipose tissue mass (ATM), lean tissue mass (LTM), total body water/body weight (TBW/WT), ATM/WT, and LTM/WT were measured by multi-frequency bioelectrical impedance meter. Thirty-eighty healthy volunteers with normal nutritional status (23.0 kg/m 2 > BMI > 18.5 kg/m 2 ) matched by gender and height were enrolled as healthy control group. The predictive value of main body composition for nutritional status were analyzed by receiver operating characteristic (ROC) curve. All the patients were female. There was no significant difference in height between two groups, but WT and BMI in the severe malnutrition group were significantly higher than those in the healthy control group [WT (kg): 38.1±4.9 vs. 54.2±3.3, BMI (kg/m 2 ): 13.6±2.5 vs. 21.2±1.1, both P anorexia nervosa changed significantly. Bioelectrical impedance technology can be an effective assessment tool for the nutritional status of such patients.

  20. Air Pollution and Climate Change Effects on Allergies in the Anthropocene: Abundance, Interaction, and Modification of Allergens and Adjuvants.

    Science.gov (United States)

    Reinmuth-Selzle, Kathrin; Kampf, Christopher J; Lucas, Kurt; Lang-Yona, Naama; Fröhlich-Nowoisky, Janine; Shiraiwa, Manabu; Lakey, Pascale S J; Lai, Senchao; Liu, Fobang; Kunert, Anna T; Ziegler, Kira; Shen, Fangxia; Sgarbanti, Rossella; Weber, Bettina; Bellinghausen, Iris; Saloga, Joachim; Weller, Michael G; Duschl, Albert; Schuppan, Detlef; Pöschl, Ulrich

    2017-04-18

    Air pollution and climate change are potential drivers for the increasing burden of allergic diseases. The molecular mechanisms by which air pollutants and climate parameters may influence allergic diseases, however, are complex and elusive. This article provides an overview of physical, chemical and biological interactions between air pollution, climate change, allergens, adjuvants and the immune system, addressing how these interactions may promote the development of allergies. We reviewed and synthesized key findings from atmospheric, climate, and biomedical research. The current state of knowledge, open questions, and future research perspectives are outlined and discussed. The Anthropocene, as the present era of globally pervasive anthropogenic influence on planet Earth and, thus, on the human environment, is characterized by a strong increase of carbon dioxide, ozone, nitrogen oxides, and combustion- or traffic-related particulate matter in the atmosphere. These environmental factors can enhance the abundance and induce chemical modifications of allergens, increase oxidative stress in the human body, and skew the immune system toward allergic reactions. In particular, air pollutants can act as adjuvants and alter the immunogenicity of allergenic proteins, while climate change affects the atmospheric abundance and human exposure to bioaerosols and aeroallergens. To fully understand and effectively mitigate the adverse effects of air pollution and climate change on allergic diseases, several challenges remain to be resolved. Among these are the identification and quantification of immunochemical reaction pathways involving allergens and adjuvants under relevant environmental and physiological conditions.

  1. Assessment of the Pre-operative Nutritional Status of Patients who were Scheduled for Elective Surgery and Determination of Nutritional Support Requirements

    Directory of Open Access Journals (Sweden)

    Bahri Özer

    2016-12-01

    Full Text Available Aim: We aimed to evaluate the nutritional status with clinical, antropometric and laboratory methods in patients who were scheduled for elective surgery. Methods: Retrospective evaluation of 90 patients in a period of 4 years was performed. Patients with tumors (group 1 were compared with controls (group 2 in regard to nutritional status. Student t-test, Mann-Whitney U test and chi-square test were used for statistical analysis. Results: The mean age of patients in group 1 (3 males, 8 females and group 2 (35 males, 44 females was 62.8±11.0 and 47.7±16.2 years, respectively. The mean body mass index (BMI was 30.1±6.6. Triceps thickness and circumference of the upper mid-arm were 2.2±0.8 and 28.6±4.2 cm, respectively. All patients had a Subjective Global Assessment (SGA score A, but two patients were classified as having moderate nutritional risk according to Nutritional Risk Screening (NRS 2002. The mean length of hospital stay was 2.6±2.4 days. Complications were observed in four patients of group 2 and in two patients of group 1. Gender, SGA score, albumin, prealbumin, BMI, triceps thickness, circumference of the upper mid-arm and complication rates were statistically similar between the groups. There was a statistically significant difference in age, NRS 2002, gastrointestinal system findings, length of hospital stay, sedimentation and fasting blood glucose levels between the groups. Conclusion: Patients with nutritional risk can be detected using the NRS 2002. Nutritional support was necessary in 2% of all cases and in 18% of group 1 patients. However, advantages of antropometric measurements, biochemical tests, BMI and SGA could not be shown.

  2. Air pollution epidemiology. Assessment of health effects and risks

    Energy Technology Data Exchange (ETDEWEB)

    Katsouyanni, K. [Athens Univ. (Greece). Dept. of Hygiene and Epidemiology

    1995-12-31

    Air pollution epidemiology is the study of the occurrence and distribution of health outcomes in association with community air pollution exposure. It is therefore specific in the exposure variable. Air pollution health effects became evident during high air pollution episodes which occurred in the first decades of our century. Since then, legal and other control measures have led to lower air pollution levels. However, recent results from several studies indicate that lower levels of air pollution than the previously considered safe have serious adverse health effects. Although, there is increasingly agreement that air pollution, at levels measured today, affects health, there is still a lot to be understood concerning specific causal pollutants, biologic mechanisms involved and sensitive groups of individuals. The extent of potential confounding, time-considerations in air pollution effects, individual variation in air pollution exposure and exposure misclassification are some factors which complicate the study of these issues. (author)

  3. Air pollution epidemiology. Assessment of health effects and risks

    Energy Technology Data Exchange (ETDEWEB)

    Katsouyanni, K [Athens Univ. (Greece). Dept. of Hygiene and Epidemiology

    1996-12-31

    Air pollution epidemiology is the study of the occurrence and distribution of health outcomes in association with community air pollution exposure. It is therefore specific in the exposure variable. Air pollution health effects became evident during high air pollution episodes which occurred in the first decades of our century. Since then, legal and other control measures have led to lower air pollution levels. However, recent results from several studies indicate that lower levels of air pollution than the previously considered safe have serious adverse health effects. Although, there is increasingly agreement that air pollution, at levels measured today, affects health, there is still a lot to be understood concerning specific causal pollutants, biologic mechanisms involved and sensitive groups of individuals. The extent of potential confounding, time-considerations in air pollution effects, individual variation in air pollution exposure and exposure misclassification are some factors which complicate the study of these issues. (author)

  4. An assessment of the effects of human-caused air pollution on resources within the interior Columbia River basin.

    Science.gov (United States)

    Anna W. Schoettle; Kathy Tonnessen; John Turk; John Vimont; Robert Amundson; Ann Acheson; Janice Peterson

    1999-01-01

    An assessment of existing and potential impacts to vegetation, aquatics, and visibility within the Columbia River basin due to air pollution was conducted as part of the Interior Columbia Basin Ecosystem Management Project. This assessment examined the current situation and potential trends due to pollutants such as ammonium, nitrogen oxides, sulfur oxides,...

  5. Safety and nutritional assessment of GM plants and derived food and feed: The role of animal feeding trials

    NARCIS (Netherlands)

    Haver, van E.; Alink, G.M.; Cockburn, A.; Kuiper, H.A.; Peijnenburg, A.A.C.M.

    2008-01-01

    In this report the various elements of the safety and nutritional assessment procedure for genetically modified (GM) plant derived food and feed are discussed, in particular the potential and limitations of animal feeding trials for the safety and nutritional testing of whole GM food and feed. The

  6. Assessment of heavy metal pollution in surface soils and plant material in the post-industrial city of Katowice, Poland.

    Science.gov (United States)

    Steindor, Karolina A; Franiel, Izabella J; Bierza, Wojciech M; Pawlak, Beata; Palowski, Bernard F

    2016-01-01

    This investigation was undertaken to assess the level of environment pollution by biological monitoring. The leaves and bark of popular ornamental trees Acer pseudoplatanus L. and Acer platanoides L. and soil from the sampling sites were used to perform heavy metals pollution monitoring in urban areas with different pollution sources, as well to investigate the suitability of the leaves and bark as bioindicators of Pb, Zn, Cd and Cu pollution. Plant samples were collected at nine locations classified into three pollution groups based on metal content in the soils. The chosen pollution indices were used to assess the level of contamination according to background values. Soils in the Katowice area are found to be relatively heavily contaminated with Pb, Zn and Cd. Both of the maple tree species did not statistically differ in terms of the investigated elements' concentration in leaves or bark. Only bark samples reflected the pollution level, showing differences between the sampling points, and therefore are recommended for biomonitoring purposes.

  7. Assessing the impact of a food supplement on the nutritional status and body composition of HIV-infected Zambian women on ARVs

    Directory of Open Access Journals (Sweden)

    Musonda Mofu

    2011-09-01

    Full Text Available Abstract Background Zambia is a sub-Saharan country with one of the highest prevalence rates of HIV, currently estimated at 14%. Poor nutritional status due to both protein-energy and micronutrient malnutrition has worsened this situation. In an attempt to address this combined problem, the government has instigated a number of strategies, including the provision of antiretroviral (ARV treatment coupled with the promotion of good nutrition. High-energy protein supplement (HEPS is particularly promoted; however, the impact of this food supplement on the nutritional status of people living with HIV/AIDS (PLHA beyond weight gain has not been assessed. Techniques for the assessment of nutritional status utilising objective measures of body composition are not commonly available in Zambia. The aim of this study is therefore to assess the impact of a food supplement on nutritional status using a comprehensive anthropometric protocol including measures of skinfold thickness and circumferences, plus the criterion deuterium dilution technique to assess total body water (TBW and derive fat-free mass (FFM and fat mass (FM. Methods/Design This community-based controlled and longitudinal study aims to recruit 200 HIV-infected females commencing ARV treatment at two clinics in Lusaka, Zambia. Data will be collected at four time points: baseline, 4-month, 8-month and 12-month follow-up visits. Outcome measures to be assessed include body height and weight, body mass index (BMI, body composition, CD4, viral load and micronutrient status. Discussion This protocol describes a study that will provide a longitudinal assessment of the impact of a food supplement on the nutritional status of HIV-infected females initiating ARVs using a range of anthropometric and body composition assessment techniques. Trial Registration Pan African Clinical Trial Registry PACTR201108000303396.

  8. Assessment of pollution prevention and control technology for plating operations

    Science.gov (United States)

    Chalmer, Paul D.; Sonntag, William A.; Cushnie, George C., Jr.

    1995-01-01

    The National Center for Manufacturing Sciences (NCMS) is sponsoring an on-going project to assess pollution prevention and control technology available to the plating industry and to make this information available to those who can benefit from it. Completed project activities include extensive surveys of the plating industry and vendors of technologies and an indepth literature review. The plating industry survey was performed in cooperation with the National Association of Metal Finishers. The contractor that conducted the surveys and prepared the project products was CAI Engineering. The initial products of the project were made available in April, 1994. These products include an extensive report that presents the results of the surveys and literature review and an electronic database. The project results are useful for all those associated with pollution prevention and control in the plating industry. The results show which treatment, recovery and bath maintenance technologies have been most successful for different plating processes and the costs for purchasing and operating these technologies. The project results also cover trends in chemical substitution, the identification of compliance-problem pollutants, sludge generation rates, off-site sludge recovery and disposal options, and many other pertinent topics.

  9. Distribution and pollution assessment of heavy metals in surface sediments in the Yellow Sea.

    Science.gov (United States)

    Jiang, Xin; Teng, Ankang; Xu, Wenzhe; Liu, Xiaoshou

    2014-06-15

    Heavy metal concentrations in surface sediments at 56 stations during two cruises in the Yellow Sea in summer and winter, 2011 were analyzed by inductively coupled plasma-mass spectrometry. The pollution status was assessed via the Geoaccumulation index and Hankanson potential ecological risk index. Higher concentrations of heavy metals (except for Mn) were found in the central Southern Yellow Sea and the western Northern Yellow Sea. The higher contents of Mn were much closer to Shandong Peninsula. Correlation analyses indicated that Pb, Cu, Fe, Ni, Zn and Co probably had the same origin and were controlled by grain size and total organic carbon. Pollution assessment showed that most areas of the Yellow Sea were not or lowly contaminated with the exception of the northwest and south parts of the Southern Yellow Sea showing Cd-contamination. The pollution status of the Yellow Sea in summer was worse than that in winter. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Considerations of stationary-phase interactions in groundwater pollution studies

    International Nuclear Information System (INIS)

    Hall, E.S.

    1980-01-01

    Studies of groundwater pollution are complicated by retention of both pollutant and tracers as static phases associated with the rock matrix. Three types of static phase are considered: (1) immobile pore water, (2) equilibrium adsorbed layers and (3) bulk precipitates, including biological systems. A brief discussion of the systems is given with examples from the work of the Water Research Centre on the problems encountered in quantifying groundwater pollution where static contamination may occur. (author)

  11. Nutrition and health status assessment of community-residing elderly in New York City: a pilot study.

    Science.gov (United States)

    Gilbride, J A; Amella, E J; Breines, E B; Mariano, C; Mezey, M

    1998-05-01

    Ninety-five percent of persons over the age of 65 years live in the community and benefit from community-based health and nutrition services. The purpose of this project was to evaluate diet, function, and mental health in 40 men and women aged 65 years and older who were residing in a large metropolitan community. Nutritional status was assessed using two 24-hour recalls, 5 days of food records, a food frequency, and anthropometric measurements. Participants responded to standardized activities of daily living and instrumental activities of daily living instruments and an investigator-developed, performance-based appraisal of food preparation and management. Cognition and mood were assessed using the Folstein Mini-Mental Examination and the Yesavage Depression Scale. The nutrient intakes for individuals were compared with the Recommended Dietary Allowances (RDAs) and the Food Guide Pyramid. Mean energy intake was 1,625 kcal (range = 787 to 2,910 kcal); 7 persons consumed more than 2,000 kcal. The mean vitamin and mineral intake for participants met the RDAs except for calcium, vitamin D, zinc, and magnesium intakes. The average percentages of carbohydrate, protein, and fat were 53%, 16%, and 30%, respectively. Nutritional assessments of subjects with and without congregate meals were contrasted. Six of the 13 congregate-meal participants were at nutritional risk, compared with 6 of 27 not receiving congregate meals. The interrelationships of diet, functional status, and mental health factors were examined along with recommendations for future data collection in similar studies.

  12. Vulnerability to air pollution: a building block in assessing vulnerability to multiple stressors

    CSIR Research Space (South Africa)

    Matooane, M

    2010-08-30

    Full Text Available security Mental conditions Some practical examples Many people: • dependent on grants •illiterate •jobless •with HIV/AIDS, TB •AIDS orphans •affected by crime and violence •use dirty fuels Many sewage plants don’t function properly... and the overall quality of the assessment Exposure to Air Pollution © CSIR 2009 www.csir.co.za Air pollution PM, SOx, NOx, O3, VOCs,etc. Measured/Modelled Urban development Land use distribution Meteorology Cultural practices...

  13. Nutritional assessment: comparison of clinical assessment and objective variables for the prediction of length of hospital stay and readmission.

    Science.gov (United States)

    Jeejeebhoy, Khursheed N; Keller, Heather; Gramlich, Leah; Allard, Johane P; Laporte, Manon; Duerksen, Donald R; Payette, Helene; Bernier, Paule; Vesnaver, Elisabeth; Davidson, Bridget; Teterina, Anastasia; Lou, Wendy

    2015-05-01

    Nutritional assessment commonly includes multiple nutrition indicators (NIs). To promote efficiency, a minimum set is needed for the diagnosis of malnutrition in the acute care setting. The objective was to compare the ability of different NIs to predict outcomes of length of hospital stay and readmission to refine the detection of malnutrition in acute care. This was a prospective cohort study of 1022 patients recruited from 18 acute care hospitals (academic and community), from 8 provinces across Canada, between 1 July 2010 and 28 February 2013. Participants were patients aged ≥18 y admitted to medical and surgical wards. NIs measured at admission were subjective global assessment (SGA; SGA A = well nourished, SGA B = mild or moderate malnutrition, and SGA C = severe malnutrition), Nutrition Risk Screening (2002), body weight, midarm and calf circumference, serum albumin, handgrip strength (HGS), and patient-self assessment of food intake. Logistic regression determined the independent effect of NIs on the outcomes of length of hospital stay (available for analysis. After we controlled for age, sex, and diagnosis, only SGA C (OR: 2.19; 95% CI: 1.28, 3.75), HGS (OR: 0.98; 95% CI: 0.96, 0.99 per kg of increase), and reduced food intake during the first week of hospitalization (OR: 1.51; 95% CI: 1.08, 2.11) were independent predictors of length of stay. SGA C (OR: 2.12; 95% CI: 1.24, 3.93) and HGS (OR: 0.96; 95% CI: 0.94, 0.98) but not food intake were independent predictors of 30-d readmission. SGA, HGS, and food intake were independent predictors of outcomes for malnutrition. Because food intake in this study was judged days after admission and HGS has a wide range of normal values, SGA is the single best predictor and should be advocated as the primary measure for diagnosis of malnutrition. This study was registered at clinicaltrials.gov as NCT02351661. © 2015 American Society for Nutrition.

  14. The interactions of composting and biochar and their implications for soil amendment and pollution remediation: a review.

    Science.gov (United States)

    Wu, Haipeng; Lai, Cui; Zeng, Guangming; Liang, Jie; Chen, Jin; Xu, Jijun; Dai, Juan; Li, Xiaodong; Liu, Junfeng; Chen, Ming; Lu, Lunhui; Hu, Liang; Wan, Jia

    2017-09-01

    Compost and biochar, used for the remediation of soil, are seen as attractive waste management options for the increasing volume of organic wastes being produced. This paper reviews the interaction of biochar and composting and its implication for soil amendment and pollution remediation. The interaction of biochar and composting affect each other's properties. Biochar could change the physico-chemical properties, microorganisms, degradation, humification and gas emission of composting, such as the increase of nutrients, cation exchange capacity (CEC), organic matter and microbial activities. The composting could also change the physico-chemical properties and facial functional groups of biochar, such as the improvement of nutrients, CEC, functional groups and organic matter. These changes would potentially improve the efficiency of the biochar and composting for soil amendment and pollution remediation. Based on the above review, this paper also discusses the future research required in this field.

  15. New perspective for nutritional support of cancer patients: Enteral/parenteral nutrition

    OpenAIRE

    AKBULUT, GAMZE

    2011-01-01

    Cancer and its treatment result in severe biochemical and physiological alterations associated with a deterioration of quality of life (QoL). Cancer-related malnutrition may evolve into cancer cachexia due to complex interactions between pro-inflammatory cytokines and the host metabolism. Depending on the type of cancer treatment (either curative or palliative), the clinical condition of the patient and nutritional status, adequate and patient-tailored nutritional intervention should be presc...

  16. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition.

    Science.gov (United States)

    Mehta, Nilesh M; Skillman, Heather E; Irving, Sharon Y; Coss-Bu, Jorge A; Vermilyea, Sarah; Farrington, Elizabeth Anne; McKeever, Liam; Hall, Amber M; Goday, Praveen S; Braunschweig, Carol

    2017-07-01

    This document represents the first collaboration between 2 organizations-the American Society for Parenteral and Enteral Nutrition and the Society of Critical Care Medicine-to describe best practices in nutrition therapy in critically ill children. The target of these guidelines is intended to be the pediatric critically ill patient (>1 month and 2-3 days in a PICU admitting medical, surgical, and cardiac patients. In total, 2032 citations were scanned for relevance. The PubMed/MEDLINE search resulted in 960 citations for clinical trials and 925 citations for cohort studies. The EMBASE search for clinical trials culled 1661 citations. In total, the search for clinical trials yielded 1107 citations, whereas the cohort search yielded 925. After careful review, 16 randomized controlled trials and 37 cohort studies appeared to answer 1 of the 8 preidentified question groups for this guideline. We used the GRADE criteria (Grading of Recommendations, Assessment, Development, and Evaluation) to adjust the evidence grade based on assessment of the quality of study design and execution. These guidelines are not intended for neonates or adult patients. The guidelines reiterate the importance of nutrition assessment-particularly, the detection of malnourished patients who are most vulnerable and therefore may benefit from timely intervention. There is a need for renewed focus on accurate estimation of energy needs and attention to optimizing protein intake. Indirect calorimetry, where feasible, and cautious use of estimating equations and increased surveillance for unintended caloric underfeeding and overfeeding are recommended. Optimal protein intake and its correlation with clinical outcomes are areas of great interest. The optimal route and timing of nutrient delivery are areas of intense debate and investigations. Enteral nutrition remains the preferred route for nutrient delivery. Several strategies to optimize enteral nutrition during critical illness have emerged. The

  17. Do European consumers use nutrition labels?

    DEFF Research Database (Denmark)

    Wills, Josephine M.; Grunert, Klaus G.; Celemín, Laura Fernández

    2009-01-01

    Nutrition labelling on food packages becomes more and more widespread in the European Union. Such information is not compulsory, unless a nutrition or health claim is made. However, how do consumers use nutrition information? Two European studies are currently assessing whether nutrition...... knowledge about nutrition and are able to use nutrition labels to identify healthier products within a category....

  18. Individual and Neighborhood Stressors, Air Pollution and Cardiovascular Disease

    Science.gov (United States)

    Hazlehurst, Marnie F.; Nurius, Paula S.; Hajat, Anjum

    2018-01-01

    Psychosocial and environmental stress exposures across the life course have been shown to be relevant in the development of cardiovascular disease (CVD). Assessing more than one stressor from different domains (e.g., individual and neighborhood) and across the life course moves us towards a more integrated picture of how stress affects health and well-being. Furthermore, these individual and neighborhood psychosocial stressors act on biologic pathways, including immune function and inflammatory response, which are also impacted by ubiquitous environmental exposures such as air pollution. The objective of this study is to evaluate the interaction between psychosocial stressors, at both the individual and neighborhood level, and air pollution on CVD. This study used data from the 2009–2011 Behavioral Risk Factor Surveillance System (BRFSS) from Washington State. Adverse childhood experiences (ACEs) measured at the individual level, and neighborhood deprivation index (NDI) measured at the zip code level, were the psychosocial stressors of interest. Exposures to three air pollutants—particulate matter (both PM2.5 and PM10) and nitrogen dioxide (NO2)—were also calculated at the zip code level. Outcome measures included several self-reported CVD-related health conditions. Both multiplicative and additive interaction quantified using the relative excess risk due to interaction (RERI), were evaluated. This study included 32,151 participants in 502 unique zip codes. Multiplicative and positive additive interactions were observed between ACEs and PM10 for diabetes, in models adjusted for NDI. The prevalence of diabetes was 1.58 (95% CI: 1.40, 1.79) times higher among those with both high ACEs and high PM10 compared to those with low ACEs and low PM10 (p-value = 0.04 for interaction on the multiplicative scale). Interaction was also observed between neighborhood-level stressors (NDI) and air pollution (NO2) for the stroke and diabetes outcomes on both multiplicative and

  19. Anthropogenic flank attack on polar bears: Interacting consequences of climate warming and pollutant exposure

    Directory of Open Access Journals (Sweden)

    Bjørn Munro Jenssen

    2015-02-01

    Full Text Available Polar bears (Ursus maritimus are subjected to several anthropogenic threats, climate warming and exposure to pollutants being two of these. For polar bears, one of the main effects of climate warming is limited access to prey, due to loss of their sea ice habitat. This will result in prolonged fasting periods and emaciation and condition related negative effects on survival and reproduction success. Prolonged fasting will result in increases of the tissue concentrations of persistent organic pollutants (POPs in polar bears, and thus increase the probability for POP levels to exceed threshold levels for effects on health, and thus on reproductive success and survival. There are clear potentials for interactions between impacts of climate warming and impacts of pollutant exposure on polar bears. It is likely that that fasting-induced increases of POPs will add to mortality rates and decrease reproductive success beyond effects caused by loss of habitat alone. However, there is a lack of studies that have addressed this. Thus, there is a need to focus on population effects of POP exposure in polar bears, and to consider such effects in relation to the effects of climate induced habitat loss.

  20. Spatial analysis of concentrations of multiple air pollutants using NASA DISCOVER-AQ aircraft measurements: Implications for exposure assessment.

    Science.gov (United States)

    Lee, Hyung Joo; Chatfield, Robert B; Bell, Michelle L

    2018-01-01

    In recent years, multipollutant approaches have been employed to investigate the association with health outcomes to better represent real-world conditions than more traditional analysis that considers a single pollutant. With regard to the exposure assessment of a mixture of air pollutants, it is critical to understand the spatial variability in multipollutant relations in order to assess their potential health implications. In this study, we investigated the spatial relations of multiple pollutant concentrations (i.e., NO x , NO y , black carbon, carbon monoxide, acetaldehyde, formaldehyde, toluene, xylenes/ethylbenzene, ozone, water-soluble organic carbon, and aerosol extinction) observed from the P-3B aircraft in the 2011 NASA field campaign in Baltimore/Washington D.C. areas during July 2011. The between-pollutant Pearson correlations and Z-scores (calculated from log-transformed concentrations) between near-highways and non-highways and between near-urban centers and non-urban centers varied by pollutant pair and space. We found generally lower correlations between NO x and other pollutants for near-highways (average r = 0.36) than for non-highways (average r = 0.41) and also for non-urban centers (average r = 0.37) than for near-urban centers (average r = 0.41). This indicated that the temporal associations between NO x and health outcomes might be less affected by other pollutants, which were also related to same health outcomes, for near-highways and non-urban centers. The analysis of between-pollutant Z-scores showed varying spatial relations for popular traffic-related pollutants with the Z-score differences of 0.43 (NO x -carbon monoxide), 0.29 (NO x -black carbon), and 0.17 (black carbon-carbon monoxide) between near-highways and non-highways. This result exhibited heterogeneous traffic-related pollutant mixtures with the proximity to highways, potentially leading to the diverse extent of health associations. Furthermore, a mixed effects model

  1. [Chrono-nutrition and chrono-exercise].

    Science.gov (United States)

    Shibata, Shigenobu; Sasaki, Hiroyuki; Ikeda, Yuko

    2013-12-01

    The circadian rhythm controls many physiological functions, such as feeding, motor activity, endocrine secretion and autonomic nerve. Regular feeding pattern can entrain the peripheral circadian clock, whereas peripheral clock systems can control the absorption distribution, metabolism and excretion of nutrients, suggesting mutual interactions between circadian clocks and nutrition/food. The interactions were so-called by "chrono-nutrition", and bigger meals for breakfast were good for entrainment of peripheral clock and protection of obesity. Similar to chrono-nutrition the timing of exercise ("chrono-exercise") is important for both entrainment signals and energy expenditure. Evening exercise and/or feeding then exercise was good timing exercise for protection of obesity. Taken all, it is suggested that timing of feeding and exercise is now one of key factors for metabolic syndrome.

  2. Pilot study of the Mini Nutritional Assessment on predicting outcomes in older adults with type 2 diabetes.

    Science.gov (United States)

    Liu, Gong-Xiang; Chen, Yan; Yang, Ying-Xue; Yang, Kun; Liang, Jin; Wang, Shuang; Gan, Hua-Tian

    2017-12-01

    To date, few studies have focused on the nutritional status of elderly hospitalized patients with diabetes. Our aims were to explore the prevalence of malnutrition among elderly diabetes patients admitted to the hospital, and to explore the relationships between malnutrition and geriatric syndromes, diabetic complications, and clinical outcomes. A prospective, observational study including diabetes patients aged ≥65 years was carried out in a central hospital in Western China. Nutritional status was assessed using the Mini Nutritional Assessment incorporated into a comprehensive geriatric assessment. Follow up was carried out for ≤2.8 years. Of 302 participants, the prevalence of malnutrition, risk of malnutrition, and normal nutrition was 18.5%, 33.1% and 48.3%, respectively. In multivariate analysis, incontinence (odds ratio [OR] 3.17, 95% confidence interval [CI] 1.08-9.36), diabetic microvascular complications (OR 2.22, 95% CI 1.06-4.61) and activities of daily living (ADL) dependence (OR 11.6, 95% CI 5.10-26.5) were independently associated with malnutrition. Malnourished patients had longer hospital stays (P = 0.003) and higher mortality rates (P 1) than patients either at risk of malnutrition or with a normal nutritional status. Multivariate analysis also showed that malnutrition was independently associated with an increased risk of death (OR 2.86, 95% CI 1.30-6.28). The present study showed a high prevalence of malnutrition among elderly diabetes patients hospitalized for geriatric care. Considering the negative impact of malnutrition on hospital stay and mortality, adequate nutritional care should be emphasized for each elderly patient with diabetes, regardless of body mass index. Geriatr Gerontol Int 2017; 17: 2485-2492. © 2017 Japan Geriatrics Society.

  3. THE ASSESSMENT MODELS OF AIR POLLUTION DURING TRANSPORTATION OF BULK CARGO

    Directory of Open Access Journals (Sweden)

    M. M. Biliaiev

    2016-10-01

    Full Text Available Purpose. The scientific work is concentrated on development of 3D, 2D numerical models for the prediction of atmospheric pollution during transport of bulk cargo in the railway car. Methodology. To solve this problem numerical models were developed, based on the use of the motion equations of inviscid incompressible fluid and mass transfer, to determine the field of wind velocity near the cars and dispersion of dust in the atmosphere. For the numerical integration of the pollutant transport equation implicit alternating-triangular difference scheme was used. When constructing a difference scheme splitting of the transport equation is carried out that allows us to construct an efficient algorithm for solving a differential problem. Unknown value of the pollutant concentration at every step of splitting is determined by the explicit scheme – the method of point-to-point computation, which provides a simple numerical implementation of splitting equations. For numerical integration of the 3D equation for the velocity potential method of Richardson is applied. For numerical integration of the 2D equation for the velocity potential the method of total approximation is applied. The developed numerical models are the basis of established software package. On the basis of the constructed numerical models a computational experiment to assess the level of air pollution when demolition of coal dust from the gondola car was carried out. Findings. 3D, 2D numerical models that belong to the class «diagnostic models» were developed. These models take into account the main physical factors affecting the process of dust pollution dispersion in the atmosphere during transportation of bulk cargo, but require small costs of the computer time in the practice at the low and medium power machines. These models are used for serial calculations of various situations of scenarios related to issues of environmental protection and pollution intensity diagnostics for

  4. Advances in environmental radiation protection: re-thinking animal-environment interaction modelling for wildlife dose assessment

    Energy Technology Data Exchange (ETDEWEB)

    Wood, Michael D. [School of Environment and Life Sciences, University of Salford, Manchester, M4 4WT (United Kingdom); Beresford, Nicholas A. [School of Environment and Life Sciences, University of Salford, Manchester, M4 4WT (United Kingdom); Centre for Ecology and Hydrology, Bailrigg, Lancaster, LA1 4AP (United Kingdom); Bradshaw, Clare [Department of Ecology, Environment and Plant Sciences, Stockholm University, 10691 Stockholm (Sweden); Gashchak, Sergey [Chornobyl Centre for Nuclear Safety, Radioactive Waste and Radioecology, 07100 Slavutych (Ukraine); Hinton, Thomas G. [Institut de Radioprotection et de Surete Nucleaire (IRSN), Centre de Cadarache, 13115 Saint Paul-lez-Durance (France)

    2014-07-01

    Current wildlife dose assessment models adopt simplistic approaches to the representation of animal-environment interaction. The simplest approaches are to assume either that environmental media (e.g. soil, sediment or water) are uniformly contaminated or relating organism exposure to activity concentrations in media collected at the point of sampling of the animal. The external exposure of a reference organism is then estimated by defining the geometric relationship between the organism and the medium. For example, a reference organism within the soil would have a 4p exposure geometry and a reference organism on the soil would have a 2p exposure geometry. At best, the current modelling approaches recognise differences in media activity concentrations by calculating exposure for different areas of contamination and then estimating the fraction of time that an organism spends in each area. In other fields of pollution ecology, for example wildlife risk assessment for chemical pollution, more advanced approaches are being implemented to model animal-environment interaction and estimate exposure. These approaches include individual-based movement modelling and random walk modelling and a variety of software tools have been developed to facilitate the implementation of these models. Although there are more advanced animal-environment interaction modelling approaches that are available, it is questionable whether these should be adopted for use in environmental radiation protection. Would their adoption significantly reduce uncertainty within the assessment process and, if so, by how much? These questions are being addressed within the new TREE (TRansfer - Exposure - Effects) research programme funded by the United Kingdom Natural Environment Research Council (NERC) and within Working Group (WG) 8 of the International Atomic Energy Agency's MODARIA programme. MODARIA WG8 is reviewing some of the alternative approaches that have been developed for animal

  5. Room chamber assessment of the pollutant emission properties of (nominally) low-emission unflued gas heaters

    Energy Technology Data Exchange (ETDEWEB)

    Brown, S.K.; Mahoney, K.J., Min Cheng [CSIRO Manufacturing and Infrastructure Technology, Victoria (Australia)

    2004-07-01

    Pollutant emissions from unflued gas heaters were assessed in CSIRO'a Room Dynamic Environmental Chamber. This paper describes the chamber assessment procedure and presents findings for major commercial heaters that are nominally 'low-emission'. The chamber was operated at controlled conditions of temperature, humidity, ventilation and air mixing, representative of those encountered in typical indoor environments. A fixed rate of heat removal from the chamber air ensured that the heaters operated at constant heating rates, typically {approx}6 MJ/h which simulated operation of a heater after warm-up in an insulated dwelling in south-east Australia. The pollutants assessed were nitrogen dioxide, carbon monoxide, formaldehyde, VOCs and respirable suspended particulates. One type of heater was lower emitting for nigroen dioxide, but emitted greater amounts of carbon monoxide and formaldehyde (the latter becoming significant to indoor air quality). When operated with low line pressure of slight misalignment of the gas burner, this heater became a hazardous source of these pollutants. Emissions from the heates changed little after continous operation for up to 2 months. (au)

  6. Urban planning and interactions with atmospheric pollution in Arve valley

    Science.gov (United States)

    Langlois de Septenville, William; Cossart, Étienne

    2017-04-01

    Atmospheric pollution is a major concern of urbanised areas and territory managers have to conduct efficient policies to decrease population exposure and vulnerability. Even if pollution peaks are subject to an important mediatisation and to a large part of preventive actions, background pollution remains responsible of the largest sanitary effects. They depend on (1) the concentration and the duration of the exposure and (2) to the kind of pollutants considered. Many sources of pollutants can be identified in urban areas as heating, industry or traffic; and each of them generates specific particles. Currently, the major part of pollution risk studies focuses on modelling particle emissions and their dissemination in the environment. These kinds of studies highlight the hazard intensity and its spatiality, commonly named the hazard exposure. Another part of risk studies, less frequent, considers the vulnerability. Vulnerability is a complex concept that involves a wide range of scales and objects ranging from biophysical parameters to social characteristics. They notably concern accessibility to information, knowledge and perceptions about the risk. The Arve valley (south-east of France) is subject to heavy pollution concentrations. High levels recording in this area have imposed the implementation of an Atmosphere Protection Plan. This type of plan is triggered if a peak occurs and enforces provisional binding measures for polluters, such as highway speed limitation for traffic emissions. These measures are only focused on emissions and have no effect for reducing vulnerability and exposition, for a long- and short-term time scales. An opportunity to ensure this objective is to consider how local urban morphologies can combine exposition and vulnerability situations. Indeed, cities have been planned without taking into account atmospheric pollution and morphologies. This context may conduct to the increase in both of these two risk components and producing

  7. Optimising preterm nutrition: present and future

    LENUS (Irish Health Repository)

    Brennan, Ann-Marie

    2016-04-01

    The goal of preterm nutrition in achieving growth and body composition approximating that of the fetus of the same postmenstrual age is difficult to achieve. Current nutrition recommendations depend largely on expert opinion, due to lack of evidence, and are primarily birth weight based, with no consideration given to gestational age and\\/or need for catch-up growth. Assessment of growth is based predominately on anthropometry, which gives insufficient attention to the quality of growth. The present paper provides a review of the current literature on the nutritional management and assessment of growth in preterm infants. It explores several approaches that may be required to optimise nutrient intakes in preterm infants, such as personalising nutritional support, collection of nutrient intake data in real-time, and measurement of body composition. In clinical practice, the response to inappropriate nutrient intakes is delayed as the effects of under- or overnutrition are not immediate, and there is limited nutritional feedback at the cot-side. The accurate and non-invasive measurement of infant body composition, assessed by means of air displacement plethysmography, has been shown to be useful in assessing quality of growth. The development and implementation of personalised, responsive nutritional management of preterm infants, utilising real-time nutrient intake data collection, with ongoing nutritional assessments that include measurement of body composition is required to help meet the individual needs of preterm infants.

  8. A proposed framework for conducting pollution prevention design assessments (P2DAs) on U.S. Department of Energy design projects

    International Nuclear Information System (INIS)

    Dorsey, J.A.

    1995-03-01

    The purpose of this manual is to provide a framework for project managers, engineers, and designers to integrate pollution prevention principles and features into DOE design projects. The framework suggested is referred to as the pollution prevention design assessment (P2DA). The P2DA is based on DOE's method for conducting pollution prevention opportunity assessments (PPOAs) on existing waste-generating operations, but the P2DA is modified because the facility or process it assesses does not physically exist during design. Before the P2DA framework is introduced in the manual, recommendations for establishing the P2DA team and budget are provided. Specific pollution prevention requirements and opportunities for each design stage as delineated in DOE Order 4700.1 Project Management System are also discussed and a sample format for drafting a P2DA report is provided in the appendix. The scope of this manual includes not only the P2DA framework, but also a background discussion of pollution prevention and related topics; the regulatory requirements mandating design for pollution prevention; the benefits and barriers of designing for pollution prevention; and the impact that pollution prevention and related environmental avoidance concepts have had on the engineering profession

  9. Nutrition Education and Training Needs in Texas. Nutrition Education and Training Needs Assessment for Federal Fiscal Year 1995. Final Annual Report.

    Science.gov (United States)

    Martin, Ruth E.; Ahmad, Mahassen

    A 3-year needs assessment study examined nutrition knowledge, attitudes, and food practices. Subjects were 135 preschool children ages 3-5 years, 610 parents, 118 day care teachers and providers, 35 food service personnel, and 76 administrators throughout Texas. Registered family day care homes, group day care homes, and day care centers from 11…

  10. Assessment of an air pollution monitoring network to generate urban air pollution maps using Shannon information index, fuzzy overlay, and Dempster-Shafer theory, A case study: Tehran, Iran

    Science.gov (United States)

    Pahlavani, Parham; Sheikhian, Hossein; Bigdeli, Behnaz

    2017-10-01

    Air pollution assessment is an imperative part of megacities planning and control. Hence, a new comprehensive approach for air pollution monitoring and assessment was introduced in this research. It comprises of three main sections: optimizing the existing air pollutant monitoring network, locating new stations to complete the coverage of the existing network, and finally, generating an air pollution map. In the first section, Shannon information index was used to find less informative stations to be candidate for removal. Then, a methodology was proposed to determine the areas which are not sufficiently covered by the current network. These areas are candidates for establishing new monitoring stations. The current air pollution monitoring network of Tehran was used as a case study, where the air pollution issue has been worsened due to the huge population, considerable commuters' absorption and topographic barriers. In this regard, O3, NO, NO2, NOx, CO, PM10, and PM2.5 were considered as the main pollutants of Tehran. Optimization step concluded that all the 16 active monitoring stations should be preserved. Analysis showed that about 35% of the Tehran's area is not properly covered by monitoring stations and about 30% of the area needs additional stations. The winter period in Tehran always faces the most severe air pollution in the year. Hence, to produce the air pollution map of Tehran, three-month of winter measurements of the mentioned pollutants, repeated for five years in the same period, were selected and extended to the entire area using the kriging method. Experts specified the contribution of each pollutant in overall air pollution. Experts' rankings aggregated by a fuzzy-overlay process. Resulted maps characterized the study area with crucial air pollution situation. According to the maps, more than 45% of the city area faced high pollution in the study period, while only less than 10% of the area showed low pollution. This situation confirms the need

  11. Assessment of regional air pollution variability in Istanbul

    International Nuclear Information System (INIS)

    Sen, Z.; Oztopal, A.

    2001-01-01

    Air pollution concentrations have temporal and spatial variations depending on the prevailing weather conditions, topographic features, city building heights and locations. When the measurements of air pollutants are available at set measurement sites, the regional variability degree of air pollutants is quantified using the point cumulative semi-variogram (PCSV). This technique provides a systematic method for calculating the changes in the concentrations of air pollutants with distance from a specific site. Regional variations of sulphur dioxide (SO 2 ) and total suspended particulate (TSP) matter concentrations in Istanbul city were evaluated using the PCSV concept. The data were available from 16 different air pollution measurement stations scattered all over the city for a period from 1988 to 1994. Monthly regional variation maps were drawn in and around the city at different radii of influence. These maps provide a reference for measuring future changes of air pollution in the city. (author)

  12. Association between an inflammatory-nutritional index and nutritional status in cancer patients.

    Science.gov (United States)

    Alberici Pastore, Carla; Paiva Orlandi, Silvana; González, María Cristina

    2013-01-01

    Cachexia is a multifatorial syndrome characterized by loss of body weight, fat and muscle, increasing morbidity and mortality. The use of an index accounting for both serum albumin and C Reactive Protein levels could make early identification of cachexia easier. To evaluate the variation of an inflammatory nutritional index related to nutritional status in cancer patients. Cross sectional study including patients with gastrointestinal and lung cancer of a public chemotherapy service in Brazil. Serum albumin and C Reactive Protein were measured and the nutritional status was defined by Subjective Global Assessment. Statistical analyses were performed using Stata 9.2(TM). A total of 74 patients were evaluated, 58.1% of them were male, mean age 63.4 ± 11.9 years old. Gastrointestinal cancer was the most prevalent type (71.6%). Only 13.7% of the patients were well nourished and 21.9% were severely malnourished. C Reactive Protein significantly increased according to nutritional status decline (p=0.03). When the albumin from patients with systemic inflammation was evaluated, there was no significant variation in relation to nutritional status (p=0.06). The Inflammatory Nutritional Index significantly varied in relation to nutritional status independent of the systemic inflammation (p=0.02). Inflammatory Nutritional Index can be an adjuvant way for biochemical nutritional assessment and follow up in cancer patients with systemic inflammation. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

  13. Metal pollution assessment in the surface sediment of Lake Nasser, Egypt

    Directory of Open Access Journals (Sweden)

    Mohamed E. Goher

    2014-01-01

    Full Text Available Eight heavy metals were measured seasonally in the sediment of Lake Nasser during 2013. 27 sites were chosen through 9 sectors across the main channel of the lake from Abu-Simbel to Aswan High Dam to assess the levels of the selected metals. The abundance of these metals was in the order of Fe > Mn > Zn > Cr > Ni > Cu > Pb > Cd, with mean concentrations of 12.41 mg/g, 279.56, 35.38, 30.79, 27.56, 21.78, 11.21 and 0.183 μg/g, respectively. Heavy metals are positively correlated with fine particles (mud fractions and organic matter accumulation. The results showed perspicuous spatial high significant differences (P < 0.01 for all the measured metals. Fe, Cr, Ni, Pb and Cd exhibited temporally high significant differences (P < 0.01 before and after the flood period. Four Pollution Indices were used for the environmental assessment of Lake Nasser sediment. The indices included three single indices, Enrichment Factor (EF, Index of Geo-accumulation (Igeo and Contamination Factor (CF. While the fourth, Pollution Load Index (PLI was an integrated index. The pollution indexes confirmed that the Lake Nasser sediment was not contaminated with these elements. Sediments of Lake Nasser may be represented as a reference for the pre-industrial background of River Nile Sediments downstream Aswan High Dam.

  14. An Assessment of Nutrition Education in Selected Counties in New York State Elementary Schools (Kindergarten through Fifth Grade)

    Science.gov (United States)

    Watts, Sheldon O.; Pinero, Domingo J.; Alter, Mark M.; Lancaster, Kristie J.

    2012-01-01

    Objective: To assess the extent to which nutrition education is implemented in selected counties in New York State elementary schools (kindergarten through fifth grade) and explore how nutrition knowledge is presented in the classroom and what factors support it. Design: Cross-sectional, self-administered survey. Setting: New York State elementary…

  15. How Nutrition Sensitive Are the Nutrition Policies of New Zealand Food Manufacturers? A Benchmarking Study

    Directory of Open Access Journals (Sweden)

    Rebecca Doonan

    2017-12-01

    Full Text Available Nutrition sensitive policy addresses the underlying determinants of nutrition-related disease and is a powerful tool in reducing the incidence of non-communicable disease. Some members of the food industry have long standing commitments to health-oriented nutrition policies. The aim of this study was to develop and apply a balanced scorecard of nutrition sensitive indicators to the policies of influential New Zealand food and beverage manufacturers and explore factors affecting policy processes. Results: The average nutrition sensitivity score of the twenty influential manufacturers policies was 42 against a benchmark of 75. Some manufacturers performed well whilst others had substantial scope for improvement, the largest variation was in policy development and implementation, whereas nutrition quality was relatively consistent. Manufacturers with written policy (n = 11 scored on average three times higher than their counterparts with verbal policy. The value a manufacturer placed on nutrition influenced whether formal nutrition policies were developed. The reputational risk of failing to deliver on publicly declared nutrition commitments acted as an informal accountability mechanism. We conclude the balanced scorecard offers a useful tool for assessing the nutrition sensitivity of influential food and beverage manufacturers’ policies. Our results provide a baseline for repeat assessments of the nutrition sensitivity of food manufacturers’ policies.

  16. How Nutrition Sensitive Are the Nutrition Policies of New Zealand Food Manufacturers? A Benchmarking Study.

    Science.gov (United States)

    Doonan, Rebecca; Field, Penny

    2017-12-19

    Nutrition sensitive policy addresses the underlying determinants of nutrition-related disease and is a powerful tool in reducing the incidence of non-communicable disease. Some members of the food industry have long standing commitments to health-oriented nutrition policies. The aim of this study was to develop and apply a balanced scorecard of nutrition sensitive indicators to the policies of influential New Zealand food and beverage manufacturers and explore factors affecting policy processes. The average nutrition sensitivity score of the twenty influential manufacturers policies was 42 against a benchmark of 75. Some manufacturers performed well whilst others had substantial scope for improvement, the largest variation was in policy development and implementation, whereas nutrition quality was relatively consistent. Manufacturers with written policy ( n = 11) scored on average three times higher than their counterparts with verbal policy. The value a manufacturer placed on nutrition influenced whether formal nutrition policies were developed. The reputational risk of failing to deliver on publicly declared nutrition commitments acted as an informal accountability mechanism. We conclude the balanced scorecard offers a useful tool for assessing the nutrition sensitivity of influential food and beverage manufacturers' policies. Our results provide a baseline for repeat assessments of the nutrition sensitivity of food manufacturers' policies.

  17. How Nutrition Sensitive Are the Nutrition Policies of New Zealand Food Manufacturers? A Benchmarking Study

    Science.gov (United States)

    Doonan, Rebecca

    2017-01-01

    Nutrition sensitive policy addresses the underlying determinants of nutrition-related disease and is a powerful tool in reducing the incidence of non-communicable disease. Some members of the food industry have long standing commitments to health-oriented nutrition policies. The aim of this study was to develop and apply a balanced scorecard of nutrition sensitive indicators to the policies of influential New Zealand food and beverage manufacturers and explore factors affecting policy processes. Results: The average nutrition sensitivity score of the twenty influential manufacturers policies was 42 against a benchmark of 75. Some manufacturers performed well whilst others had substantial scope for improvement, the largest variation was in policy development and implementation, whereas nutrition quality was relatively consistent. Manufacturers with written policy (n = 11) scored on average three times higher than their counterparts with verbal policy. The value a manufacturer placed on nutrition influenced whether formal nutrition policies were developed. The reputational risk of failing to deliver on publicly declared nutrition commitments acted as an informal accountability mechanism. We conclude the balanced scorecard offers a useful tool for assessing the nutrition sensitivity of influential food and beverage manufacturers’ policies. Our results provide a baseline for repeat assessments of the nutrition sensitivity of food manufacturers’ policies. PMID:29257049

  18. New perspective for nutritional support of cancer patients: Enteral/parenteral nutrition

    Science.gov (United States)

    AKBULUT, GAMZE

    2011-01-01

    Cancer and its treatment result in severe biochemical and physiological alterations associated with a deterioration of quality of life (QoL). Cancer-related malnutrition may evolve into cancer cachexia due to complex interactions between pro-inflammatory cytokines and the host metabolism. Depending on the type of cancer treatment (either curative or palliative), the clinical condition of the patient and nutritional status, adequate and patient-tailored nutritional intervention should be prescribed (diet counseling, oral supplementation, enteral or total parenteral nutrition). Nutritional support has been widely advocated as adjunctive therapy for a variety of underlying illnesses, including surgery and medical oncotherapy (radiation or chemotherapy for cancer). Glutamine, n-3 fatty acids and probiotics/prebiotics are therapeutic factors that potentially modulate gastrointestinal toxicity related to cancer treatments. Enteral and parenteral nutrition may help improve patient survival, functional status and QoL, yet the benefits appear to be primarily limited to patients with good functional status and with gastrointestinal disease affecting nutritional intake. Parenteral nutrition offers the possibility of increased or maintenance of the nutrient intake in patients for whom normal food intake is inadequate and for whom enteral nutrition is not feasible, is contraindicated or is not accepted by the patient. This article reviews evidence on issues relevant to enteral and parenteral nutrition in patients with cancer. PMID:22977559

  19. Air pollution in moderately polluted urban areas: How does the definition of “neighborhood” impact exposure assessment?

    International Nuclear Information System (INIS)

    Tenailleau, Quentin M.; Mauny, Frédéric; Joly, Daniel; François, Stéphane; Bernard, Nadine

    2015-01-01

    Environmental health studies commonly quantify subjects' pollution exposure in their neighborhood. How this neighborhood is defined can vary, however, leading to different approaches to quantification whose impacts on exposure levels remain unclear. We explore the relationship between neighborhood definition and exposure assessment. NO 2 , benzene, PM 10 and PM 2.5 exposure estimates were computed in the vicinity of 10,825 buildings using twelve exposure assessment techniques reflecting different definitions of “neighborhood”. At the city scale, its definition does not significantly influence exposure estimates. It does impact levels at the building scale, however: at least a quarter of the buildings' exposure estimates for a 400 m buffer differ from the estimated 50 m buffer value (±1.0 μg/m 3 for NO 2 , PM 10 and PM 2.5 ; and ±0.05 μg/m 3 for benzene). This variation is significantly related to the definition of neighborhood. It is vitally important for investigators to understand the impact of chosen assessment techniques on exposure estimates. - Highlights: • Residential building air pollution was calculated using 12 assessment techniques. • These techniques refer to common epidemiological definitions of neighborhood. • At the city scale, neighborhood definition does not impact exposure estimates. • At the building scale, neighborhood definition does impact exposure estimates. • The impact of neighborhood definition varies with physical/deprivation variables. - Ignoring the impact of the neighborhood's definition on exposure estimates could lead to exposure quantification errors that impact resulting health studies, health risk evaluation, and consequently all the decision-making process.

  20. Measuring combined exposure to environmental pressures in urban areas: an air quality and noise pollution assessment approach.

    Science.gov (United States)

    Vlachokostas, Ch; Achillas, Ch; Michailidou, A V; Moussiopoulos, Nu

    2012-02-01

    This study presents a methodological scheme developed to provide a combined air and noise pollution exposure assessment based on measurements from personal portable monitors. Provided that air and noise pollution are considered in a co-exposure approach, they represent a significant environmental hazard to public health. The methodology is demonstrated for the city of Thessaloniki, Greece. The results of an extensive field campaign are presented and the variations in personal exposure between modes of transport, routes, streets and transport microenvironments are evaluated. Air pollution and noise measurements were performed simultaneously along several commuting routes, during the morning and evening rush hours. Combined exposure to environmental pollutants is highlighted based on the Combined Exposure Factor (CEF) and Combined Dose and Exposure Factor (CDEF). The CDEF takes into account the potential relative uptake of each pollutant by considering the physical activities of each citizen. Rather than viewing environmental pollutants separately for planning and environmental sustainability considerations, the possibility of an easy-to-comprehend co-exposure approach based on these two indices is demonstrated. Furthermore, they provide for the first time a combined exposure assessment to these environmental pollutants for Thessaloniki and in this sense they could be of importance for local public authorities and decision makers. A considerable environmental burden for the citizens of Thessaloniki, especially for VOCs and noise pollution levels is observed. The material herein points out the importance of measuring public health stressors and the necessity of considering urban environmental pollution in a holistic way. Copyright © 2011 Elsevier Ltd. All rights reserved.

  1. Description of Multimedia Environment Pollutant Assessment System (MEPAS) version 3.2 modification for the Nuclear Regulatory Commission

    International Nuclear Information System (INIS)

    Buck, J.W.; Strenge, D.L.; Hoopes, B.L.

    1997-11-01

    The Multimedia Environmental Pollutant Assessment System (MEPAS) is a software tool developed by Pacific Northwest National Laboratory (PNNL) for the U.S. Department of Energy (DOE) to allow DOE to conduct human health risk analyses nation-wide. This report describes modifications to the MEPAS to meet the requirements of the U.S. Nuclear Regulatory Commission (NRC) staff in their analyses of Site Decommissioning Management Plan sites. In general, these modifications provide the MEPAS, Version 3.2, with the capability of calculating and reporting annual dose/risk information. Modifications were made to the exposure pathway and health impact modules and the water and atmospheric transport modules. Several example cases used to test the MEPAS, Version 3.2, are also presented. The MEPAS, Version 3.2, also contains a new source-term release component that includes models for estimating contaminant loss from three different types of source zones (contaminated aquifer, contaminated pond/surface impoundment, and contaminated vadose zone) due to decay/degradation, leaching, wind suspension, water erosion, overland flow, and/or volatilization. When multiple loss routes are assumed to occur simultaneously, the models account for their interaction and calculate an appropriate pollutant mass budget to each loss route over time

  2. Evaluation of Handgrip Strength and Nutritional Risk of Congregate Nutrition Program Participants in Florida.

    Science.gov (United States)

    Springstroh, Kelly A; Gal, Nancy J; Ford, Amanda L; Whiting, Susan J; Dahl, Wendy J

    2016-01-01

    The aim of this study was to determine if handgrip strength (HGS) is a predictor of nutritional risk in community-dwelling older adults. A cross-sectional study was carried out to determine the relationship between HGS and nutritional risk using SCREEN 1. The setting was Congregate Nutrition program meal sites (n = 10) in North Central Florida and included community-dwelling older adults participating in the Congregate Nutrition program. Older adults (n = 136; 77.1 ± 8.9 y; 45 M, 91 F) participated in the study. Nutritional risk was identified in 68% of participants, with 10% exhibiting clinically relevant weakness (men, HGS nutritional risk as assessed by SCREEN 1 (AUC = 0.59), but alternate cutpoints, 33 kg for men (mean of both hands) and 22 kg for women (highest of either hand), provided the best comparison to nutritional risk. In community-dwelling older adults, HGS was weakly associated with nutritional risk assessed using traditional screening. However, as existing research supports the inclusion of HGS in malnutrition screening in acute care, further research into the usefulness of HGS and possibly other measures of functional status in nutrition risk screening of community-dwelling older adults may be warranted.

  3. Initial Nutritional Assessment of Infants With Cleft Lip and/or Palate: Interventions and Return to Birth Weight.

    Science.gov (United States)

    Kaye, Alison; Thaete, Kristi; Snell, Audrey; Chesser, Connie; Goldak, Claudia; Huff, Helen

    2017-03-01

      To assess and quantify cleft team practices with regard to nutritional support in the neonatal period Design :  Retrospective review.   Tertiary pediatric hospital.   One hundred consecutive newborn patients with a diagnosis of cleft lip and/or cleft palate between 2009 and 2012.   Birth weight, cleft type, initial cleft team weight measurements, initial feeding practices, recommended nutritional interventions, and follow-up nutritional assessments.   All patients in the study were evaluated by a registered dietitian and an occupational feeding therapist. Average birth weight and average age at the first cleft team visit were similar for each cleft type: cleft lip (CL), cleft lip and palate (CLP), and cleft palate (CP). The calculated age (in days) for return to birth weight was significantly different between cleft types: CL = 13.58 days, CLP = 15.88 days, and CP = 21.93 days. Exclusive use of breast milk was 50% for patients with CL, 30.3% for patients with CLP, and 21.4% for patients with CP. Detailed nutritional interventions were made for 31 patients at the first visit: two with CL, 14 with CLP, and 15 with CP.   Distinct differences were seen in neonatal weight gain between cleft types. There was significantly greater total weight gain for patients with CL at their first visit and significantly slower return to birth weight for patients with isolated CP. Patients with CL required far fewer interventions at the initial assessment and were more likely to be provided breast milk exclusively or in combination with formula. Infants with CP were far less likely to receive any breast milk. Patients with CLP and CP required frequent nutritional interventions.

  4. Purification of polluted water with spent mushroom (Agaricus bisporus) substrate: from agricultural waste to biosorbent of phenanthrene, Cd and Pb.

    Science.gov (United States)

    García-Delgado, C; Alonso-Izquierdo, M; González-Izquierdo, M; Yunta, F; Eymar, E

    2017-07-01

    The present research was aimed to (i) report the recycling of spent A. bisporus substrate (SAS) to remove heavy metals (Cd and Pb) and phenanthrene (Phe) from polluted water and (ii) assess the possibility to use the treated water for irrigation. Batch experiments were carried out to assess, firstly, the effect of interaction time between pollutants with SAS and, secondly, the pH of the polluted water. Then a biofilter was designed by using pressurized glass columns. Chemical parameters such as pH, electrical conductivity and content of Pb, Cd, Phe, nutrients (NPK) and Cl - were determined. Equilibrium for contaminants was quickly reached (1-2 h). The pH of the polluted water was the key factor for pollutants' adsorption. The polluted water's pH was increased after biofilter interaction. Phe was not detected in any fraction. Pb and Cd sorption rates were higher than 99%. The pollutant concentrations were within the permitted range to be used for agriculture purposes. Purified water showed significant concentrations of NPK, indicating its potential use as fertilizer. The SAS shows potential to be used as Phe, Pb and Cd biosorbent and the resulting treated water can be used for irrigation according to pollutant contents and agronomical evaluation.

  5. Interactions between industrial organic pollutants and rhizosphere components and documentation of material streams in plant-based wastewater treatment plants - laboratory experiments; Wechselwirkungen industrieller organischer Schadstoffe mit Rhizosphaerenkomponenten und Bilanzierung von Stoffstroemen in Pflanzenklaeranlagen - Laborversuche

    Energy Technology Data Exchange (ETDEWEB)

    Plugge, J.

    2001-07-01

    The purpose of the present study was to examine the suitability of plant/soil systems for cleaning organically polluted effluents and to assess the influence of plant growth and dissolved humic substances on processes leading to the elimination of organic pollutants. This involved an examination of sorption interactions between selected pollutants on the one hand and sand and root material on the other, use of vertically irrigated plant-bearing sand columns for simulating real plant-based wastewater treatment plants, assessment of the cleaning efficiency of these systems with respect to the employed model pollutants and determination of the contamination of the filter material and plants with pollutants. Radiotracer techniques were used to determine pollution paths of phenanthrene and its microbial degradation in the model system. [German] In der vorliegenden Arbeit wurde die Eignung von Pflanze/Boden-Systemen zur Reinigung carbochemisch belasteter Abwaesser untersucht und der Einfluss eines Pflanzenbewuchses sowie geloester Huminstoffe auf die Prozesse, die zur Entfernung organischer Schadstoffe fuehren, bewertet. Die Bearbeitung dieses Themas umfasste Untersuchungen zu Sorptionswechselwirkungen ausgewaehlter Schadstoffe mit Sand- und Wurzelmaterial, die Anwendung vertikal durchstroemter, bepflanzter Sandsaeulen zur Nachbildung realer Pflanzenklaeranlagen, die Erfassung der Reinigungseffizienz dieser Systeme fuer die Modellschadstoffe sowie die Bestimmung der Schadstoffkontamination des Filtermaterials und der Pflanzen. Unter Anwendung der Radiotracertechnik erfolgte darueber hinaus die Bestimmung der Schadstoffpfade von Phenanthren einschliesslich des mikrobiellen Abbaus im Modellsystem. (orig.)

  6. Evaluation methods on the nutritional status of stroke patients.

    Science.gov (United States)

    Wang, J; Luo, B; Xie, Y; Hu, H-Y; Feng, L; Li, Z-N

    2014-01-01

    This study was designed to assess the effect of particular tools on the nutritional status of patients with stroke risk factors; to analyze these risk factors; to construct an assessment table; and to enable nurses to conduct fast and accurate assessment of the nutritional status of patients with stroke. Various nutritional assessment tools were employed to assess the nutritional status of stroke patients [(Nutritional Risk Screening 2002, NRS2002); (mini nutritional assessment, MNA), (subjective global assessment SGA), (malnutrition universal screening, MUST); (body composition, BCA)]. The leading disease-related factors of cerebral apoplexy were observed in patients with malnutrition. And a statistical analysis was conducted. The significant risk factors of cerebral apoplexy in malnourished patients older than 70 years were swallowing dysfunctions, disturbance of consciousness and reliance or half-reliance on feeding practices. The significant risk factors of malnutrition in patients with cerebral apoplexy were the decline in upper limb muscle strength, decline in the performance of various activities, loss of appetite and gastrointestinal symptoms. Disorders that affect the nutritional status of stroke patients can be used as evaluation tools, as described in the evaluation table. The clinical relevance of this study includes the following: to enable the clinical nursing staff to easily assess the patient's nutritional status in a timely manner; to improve compliance with nutritional evaluation; to provide clinical nutrition support to patients with stroke; and to provide a scientific basis for the improvement of the clinical outcomes of patients with cerebral apoplexy.

  7. Environmental pollution

    International Nuclear Information System (INIS)

    Hanif, J.; Hanif, M.I.

    1997-01-01

    The third proceedings of National Symposium on Modern Trends in Contemporary Chemistry was held in Islamabad, Pakistan from February 24-26, 1997. In this symposium more than 220 scientists, engineers and technologist were registered from 11 universities, 17 research organisations and 8 non-governmental organisation including some commercial establishments. The symposium was divided into five technical sessions on hydro spheric pollution, atmospheric pollution, bio spheric pollution, lithospheric pollution and impact assessment and environmental education. Environmental and ecology are so interdependent that any change in the balance due to natural and man made cause may result in a disaster, flood, fire, earthquake, epidemic, population explosion etc. are the natural ways of unbalancing our ecosystem. The scope of this symposium includes: 1) Review the chemistry and the chemical techniques like polarography, coulometry, HPLC, GC-MS, NAA, XRF, AAS, AES etc. involved in the assessment monitoring and control of various pollutions. 2) Propose sampling, transportation, measurement and standardization procedures. 3) Collaboration in scientific data collection. 4) Mutual consultation for management of the pollution problem in a cost effective manner. 5) sharing knowledge and experience with various environmental protection groups both in public and private sector. (A.B.)

  8. Screening for malnutrition among nursing home residents - a comparative analysis of the mini nutritional assessment, the nutritional risk screening, and the malnutrition universal screening tool.

    Science.gov (United States)

    Diekmann, R; Winning, K; Uter, W; Kaiser, M J; Sieber, C C; Volkert, D; Bauer, J M

    2013-04-01

    The European Society for Clinical Nutrition and Metabolism (ESPEN) has recommended the Mini Nutritional Assessment (MNA®), the Nutritional Risk Screening 2002 (NRS), and the Malnutrition Universal Screening Tool (MUST) for nutritional screening in various settings and age groups. While in recent years all three tools have been applied to nursing home residents, there is still no consensus on the most appropriate screening tool in this specific setting. The present study aims at comparing the MNA, the NRS, and the MUST with regard to applicability, categorization of nutritional status, and predictive value in the nursing home setting. MNA, NRS, and MUST were performed on 200 residents from two municipal nursing homes in Nuremberg, Germany. Follow-up data on infection, hospitalization, and mortality were collected after six and again after twelve months. Among 200 residents (mean age 85.5 ± 7.8 years) the MNA could be completed in 188 (94.0%) and the NRS and MUST in 198 (99.0%) residents. The prevalence of 'malnutrition' according to the MNA was 15.4%. The prevalence of 'risk of malnutrition' (NRS) and 'high risk of malnutrition' (MUST), respectively, was 8.6% for both tools. The individual categorization of nutritional status showed poor agreement between NRS and MUST on the one hand and MNA on the other. For all tools a significant association between nutritional status and mortality was demonstrated during follow-up as classification in 'malnourished', respectively 'high risk of malnutrition' or 'nutritional risk', was significantly associated with increased hazard ratios. However, the MNA showed the best predictive value for survival among well-nourished residents. The evaluation of nutritional status in nursing home residents by MNA, NRS, and MUST shows significant differences. This observation may be of clinical relevance as nutritional intervention is usually based on screening results. As the items of the MNA reflect particularities of the nursing home

  9. Comparison of four bioindication methods for assessing the degree of environmental lead and cadmium pollution

    International Nuclear Information System (INIS)

    Dmuchowski, Wojciech; Gozdowski, Dariusz; Baczewska, Aneta Helena

    2011-01-01

    Highlights: ► In this study we examined level of contamination in extremely heavy polluted area. ► We examined four various bioindication methods. ► Results were presented in pollution maps. ► We evaluated relationships between examined bioindication methods. - Abstract: The purpose of this study was to assess the application of several bioindication methods for the monitoring of environmental pollution from Pb and Cd. The study area centered on the town of Olkusz, Poland, which is one of the oldest centers for the metallurgical industry in Europe. The assessment of environmental pollution due to metals was performed using four frequently used bioindication methods: moss-bag (Sphagnum fallax), determination of metal accumulation in Pleurozium schreberi, silver birch foliage, and Scots pine needles. The region of Olkusz, and especially the area surrounding the mining and metallurgical Bolesław complex, was extremely contaminated with Pb and Cd. The results of the investigations are presented as contamination deposition maps. Despite the application of various methods and the resulting diversity of the specific exposure periods for different biomonitors, the spatial distribution of contamination shown on the maps was similar, as confirmed by the statistical analysis of the results.

  10. [Assessment of Soil Fluorine Pollution in Jinhua Fluorite Ore Areas].

    Science.gov (United States)

    Ye, Qun-feng; Zhou, Xiao-ling

    2015-07-01

    The contents of. soil total fluorine (TF) and water-soluble fluorine (WF) were measured in fluorite ore areas located in Jinhua City. The single factor index, geoaccumulation index and health risk assessment were used to evaluate fluorine pollution in soil in four fluorite ore areas and one non-ore area, respectively. The results showed that the TF contents in soils were 28. 36-56 052. 39 mg.kg-1 with an arithmetic mean value of 8 325.90 mg.kg-1, a geometric mean of 1 555. 94 mg.kg-1, and a median of 812. 98 mg.kg-1. The variation coefficient of TF was 172. 07% . The soil WF contents ranged from 0. 83 to 74. 63 mg.kg-1 with an arithmetic mean value of 16. 94 mg.kg-1, a geometric mean of 10. 59 mg.kg-1, and a median of 10. 17 mg.kg-1. The variation coefficient of WF was 100. 10%. The soil TF and WF contents were far higher than the national average level of the local fluorine epidemic occurrence area. The fluoride pollution in soil was significantly affected by human factors. Soil fluorine pollution in Yangjia, Lengshuikeng and Huajie fluorite ore areas was the most serious, followed by Daren fluorite ore area, and in non-ore area there was almost no fluorine pollution. Oral ingestion of soils was the main exposure route. Sensitivity analysis of model parameters showed that children's weight exerted the largest influence over hazard quotient. Furthermore, a significant positive correlation was found among the three kinds of evaluation methods.

  11. The assessment of traffic emissions impacts on crops pollution and contamination

    OpenAIRE

    Scientific Committee on Phytosanitary and Environment

    2009-01-01

    Impact of traffic emissions on contamination of soils and consequently of crops is usualy mentioned, but not many studies providing real and valid data were published in the CR. This is a pilot study for specific area. The aim of it is to assess potential influence of the Prague Airport on fruits and crops pollution grown around it.

  12. Application Of Nuclear Techniques In Environmental Studies And Pollution Control

    Energy Technology Data Exchange (ETDEWEB)

    EI-Motaium, R A [Plant Research Department, Nuclear Research Ceter, Atomic Energy Authority, Inshas P.O. Box 13759, Cairo (Egypt)

    2007-07-01

    Environmental pollution has become a world wide concern. One of the main sources of such pollution is sewage wastewater and sludge. Their utilization without proper treatment can pollute the ecosystem (plant, soil, surface and ground water). Sewage wastewater and sludge contains several pollutants such as: pathogens, toxic organic compounds, heavy metals, high level of BOD and COD, seed weed. The reuse of sewage water and sludge in agriculture can lead to the transfer of some of these pollutants into the food chain causing health hazard. In addition, most of these contaminants are not biodegradable, becoming dangerous to plant and human health. Nuclear techniques has recently been used to control environmental pollution. Ionizing radiation provide a fast and reliable means of sewage water and sludge treatment than the conventional methods. Gamma radiation ( {sup 60}Co) and electron beam (accelerator) has been successfully used for alleviation of environmental pollution. Such alleviation includes: disinfection of harmful pathogens, degradation of toxic organic pollutants, destruction of seed weed and reduction of soluble heavy metals, odor and BOD and COD. The use of radioactive and stable isotopes are a useful tools to investigate the contribution of sludge nutrients to plant nutrition. Nitrogen, using {sup 15}N-ammonium sulfate, uptake and translocation by plant from soil amended with sewage sludge was studied under field condition. The contribution of sludge to phosphorus nutrition of plants was quantified using {sup 32}p as tracer. In both cases the principal of isotopic dilution technique was applied. The information generated from these experiments could help preserve the environment. It could help optimize the application rate of sludge to meet plant requirements while avoiding the accumulation of N and P in the soil or leaching to the aquifer. Isotope exchange kinetic technique is used to evaluate nutrients availability from sludge. Neutron moisture meter is

  13. Application Of Nuclear Techniques In Environmental Studies And Pollution Control

    International Nuclear Information System (INIS)

    EI-Motaium, R.A.

    2007-01-01

    Environmental pollution has become a world wide concern. One of the main sources of such pollution is sewage wastewater and sludge. Their utilization without proper treatment can pollute the ecosystem (plant, soil, surface and ground water). Sewage wastewater and sludge contains several pollutants such as: pathogens, toxic organic compounds, heavy metals, high level of BOD and COD, seed weed. The reuse of sewage water and sludge in agriculture can lead to the transfer of some of these pollutants into the food chain causing health hazard. In addition, most of these contaminants are not biodegradable, becoming dangerous to plant and human health. Nuclear techniques has recently been used to control environmental pollution. Ionizing radiation provide a fast and reliable means of sewage water and sludge treatment than the conventional methods. Gamma radiation ( 60 Co) and electron beam (accelerator) has been successfully used for alleviation of environmental pollution. Such alleviation includes: disinfection of harmful pathogens, degradation of toxic organic pollutants, destruction of seed weed and reduction of soluble heavy metals, odor and BOD and COD. The use of radioactive and stable isotopes are a useful tools to investigate the contribution of sludge nutrients to plant nutrition. Nitrogen, using 15 N-ammonium sulfate, uptake and translocation by plant from soil amended with sewage sludge was studied under field condition. The contribution of sludge to phosphorus nutrition of plants was quantified using 32 p as tracer. In both cases the principal of isotopic dilution technique was applied. The information generated from these experiments could help preserve the environment. It could help optimize the application rate of sludge to meet plant requirements while avoiding the accumulation of N and P in the soil or leaching to the aquifer. Isotope exchange kinetic technique is used to evaluate nutrients availability from sludge. Neutron moisture meter is used to

  14. Assessment of Nutritional Practices of Pregnant Mothers on ...

    African Journals Online (AJOL)

    Nutrition is a fundamental pillar of human life, health and development throughout the entire life span. The nutrition requirement varies with respect to age, gender and during physiological changes such as pregnancy. Pregnancy is a critical phase in a woman's life, when the expectant mother needs optimal nutrients of ...

  15. A prospective observational study assessing home parenteral nutrition in patients with gastrointestinal cancer: benefits for quality of life.

    Science.gov (United States)

    Senesse, Pierre; Tadmouri, Abir; Culine, Stéphane; Dufour, Patrick R; Seys, Patrick; Radji, Abderraouf; Rotarski, Maciej; Balian, Axel; Chambrier, Cecile

    2015-02-01

    Patients with gastrointestinal cancer are at high risk for deterioration of nutrition. Home parenteral nutrition (HPN) could improve nutritional status and quality of life (QoL). The purpose of this study was 1) to evaluate the impact of HPN on QoL, 2) to assess changes in nutritional status, and 3) to assess proxy perception of patient well-being. We conducted a prospective, observational, and a multicenter study. Inclusion criteria were adult patients with gastrointestinal cancer, for whom HPN was indicated and prescribed for at least 14 days. The physician, the patient, and a family member completed questionnaires at inclusion and 28 days later. The QoL was assessed by the patients using the Functional Assessment of Cancer Therapy-General questionnaire, at inclusion and 28 days later. The study included 370 patients with gastrointestinal cancer. The HPN was indicated for cancer-related undernutrition in 89% of the patients and was used as a complement to oral intake in 84%. After 28 days of parenteral intake, global QoL was significantly increased (48.9 at inclusion vs. 50.3, P=0.007). The patients' weight improved significantly by 2.7% (Pnutrition risk screening also decreased significantly (3.2±1.1 vs. 2.8±1.3, P=0.003). HPN could provide benefit for malnourished patients with gastrointestinal cancer. However, randomized controlled studies are required to confirm this benefit and the safety profile. Copyright © 2015. Published by Elsevier Inc.

  16. Nutritional status of maintenance dialysis patients

    DEFF Research Database (Denmark)

    Koefoed, Mette Juul; Kromann, Charles Boy; Juliussen, Sophie Ryberg

    2016-01-01

    Background and Aims Maintenance dialysis patients are at increased risk of abnormal nutritional status due to numerous causative factors, both nutritional and non-nutritional. The present study assessed the current prevalence of protein-energy wasting, low lean bodymass index and obesity...... protein catabolic rate in order to assess the prevalence of protein-energy wasting, low lean body mass index and obesity in these patients. Results Seventy-nine eligible maintenance dialysis patients participated. The prevalence of proteinenergy wasted patients was 4%(95%CI: 2-12) as assessed......-energy wasting and obesity varied considerably, depending on nutritional assessment methodology. Conclusions Our data indicate that protein-energy wasting is uncommon, whereas low lean body mass index and obesity are frequent conditions among patients in maintenance dialysis. A focus on how to increase...

  17. Nutritional assessment and its role in evaluation and prescription of exercise training

    Directory of Open Access Journals (Sweden)

    Loredana Meşină

    2010-06-01

    Full Text Available Introduction:Nutritional assessment gives accurate and reproducible information as regards the existence of an optimal energy metabolism: resting metabolic rate (RMR, the proportion of nutritional principles (fat, carbohydrate, protein used by the body in the basal metabolism, the intensity of effort during exercise where the maximum fat oxidation rate (MFOR is achieved. These information are used for the individualization of physical training programs and for the calorie intake adjustment in accordance with the body needs. The aim of this study is to underline once again the importance of physical activity in the weight management and to demonstrate the importance of nutritional assessment in the prescription of physical training in obese subjects.Material and methods:We investigated 43 young obese, with a mean age of 21.2 ± 3.1 years old, of which 93% were females. The subject’s evaluations consisted in: nutritional assessment (using indirect calorimetry method, maximal exercise test at baseline and the end of the study (after 6 months. After the exercise test, the subjects performed an individualized physical training with a minimum frequency of three times a week. Subject’s heart rate was monitorized during exercise by a physical therapist using a heart rate monitor (Polar F3, Finland. The dropout rate from the physical training program as part of the study was 35%, in the end remaining only 28 subjects.Results:After 6 months of individualized exercise training, we noticed a statistically significant increase of the following parameters: maximum fat oxidation rate (MFOR from 16.96±7.75 to 22.07±8.4 g/h, p=0.0043; resting metabolic rate (RMR from 2007±300.3 to 2105±290.4 kcal/day, p = 0.0026; along with the resting oxygen uptake (VO2 rest from 0.29±0.04 to 0.3±0.04 l / min, p = 0, 0035. The only parameter that has improved, but not reaching statistical significance was heart rate average at MFOR (HR_MFOR which increased from 127.1

  18. Integrated Assessment of Air Pollution Control Measures for Megacities

    Science.gov (United States)

    Friedrich, R.; Theloke, J.; Denier-van-der-Gon, H.; Kugler, U.; Kampffmeyer, T.; Roos, J.; Torras, S.

    2012-04-01

    Air pollution in large cities is still a matter of concern. Especially the concentration of fine particles (PM10 and PM2.5) is largest in large cities leading to severe health impacts. Furthermore the PM10 thresholds of the EU Air Quality Directive are frequently exceeded. Thus the question arises, whether the initiated policies and measures for mitigating air pollution are sufficient to meet the air quality targets and - if not - which efficient further pollution mitigation measures exist. These questions have been addressed in the EU research project MEGAPOLI for the four European megacities respectively agglomerations London, Paris, Rhine-Ruhr area and Po valley. Firstly, a reference scenario of future activities and emissions has been compiled for the megacities for the years 2020, 2030 and 2050 for all relevant air pollutants (CO, NH3, NMVOC, NOx, PM10, PM2.5 and SO2) and greenhouse gases (CO2, CH4 and N2O). The reference scenario takes into account as well population changes as technical progress and economic growth. As pollution flowing in from outside the city is about as important as pollution caused by emissions in the city, the analysis covers the whole of Europe and not only the city area. Emissions are then transformed into concentrations using atmospheric models. The higher concentrations in cities were estimated with a newly developed 'urban increment' model. Results show, that in the megacities the limits of the Air Quality Directive (2008/50/EC) will be exceeded. Thus additional efforts are necessary to reduce emissions further. Thus, a number of further measures (not implemented in current legislation) were selected and assessed. These included mitigation options for road transport, other mobile sources, large combustion plants, small and medium combustion plants and industry. For each measure and in addition for various bundles of measures a cost-benefit analysis has been carried out. Benefits (avoided health risks and climate change risks) have

  19. Assessment of policy options with regard to air pollution from international shipping

    International Nuclear Information System (INIS)

    Deutsch, F.; Veldeman, N.; Lodewijks, P.; Duuerinck, J.; Janssen, L.; Campling, P.; Janssen, S.; Vanherle, K.

    2011-01-01

    Recently, a study has been carried out for DG Environment of the European Commission titled 'Market-based instruments for Reducing Air Pollution. Assessment of Policy Options to reducing air pollution from shipping'. Within this study it was decided to study the environmental impact of two legally possible trading systems: a voluntary emissions trading system for all sea areas belonging to the European Union and a mandatory emissions trading system for the ports and territorial waters of EU Member States. If the emissions in ports and coastal waters will be made part of such a trading system it can result in lower environmental exposure for the population. [nl

  20. Geochemical speciation and pollution assessment of heavy metals in surface sediments from Nansi Lake, China.

    Science.gov (United States)

    Yang, Liyuan; Wang, Longfeng; Wang, Yunqian; Zhang, Wei

    2015-05-01

    Sixteen surface sediment samples were collected from Nansi Lake to analyze geochemical speciation of heavy metals including Cd, As, Pb, Cr, and Zn, assess their pollution level, and determine the spatial distribution of the non-residual fraction. Results showed that Cd had higher concentrations in water-soluble and exchangeable fractions. As and Pb were mainly observed as humic acid and reducible fractions among the non-residual fractions, while Cr and Zn were mostly locked up in a residual fraction. The mean pollution index (P i) values revealed that the lower lake generally had a higher enrichment degree than the upper lake. Cd (2.73) and As (2.05) were in moderate level of pollution, while the pollution of Pb (1.80), Cr (1.27), and Zn (1.02) appeared at low-level pollution. The calculated pollution load index (PLI) suggested the upper lake suffered from borderline moderate pollution, while the lower lake showed moderate to heavy pollution. Spatial principle component analysis showed that the first principal component (PC1) including Cd, As, and Pb could explain 56.18 % of the non-residual fraction. High values of PC1 were observed mostly in the southern part of Weishan Lake, which indicated greater bioavailability and toxicity of Cd, As, and Pb in this area.