Toxicology of Lead: Primer for Analytical Chemists

1982 ◽  
Vol 65 (4) ◽  
pp. 947-952
Author(s):  
Garfield N Biddle

Abstract Through the years, considerable amounts of Pb have been mobilized into our environment, and Pb may represent one of the most ubiquitous of all toxic metal contaminants. Excluding occupational exposure, the general population receives almost 70% of its total exposure to Pb from food. Other important sources of exposure include drinking water and air; minor sources include tobacco products, decorative glassware, and other types of food utensils. For young children, ingestion of Pb-containing soil or dust via normal hand-to-mouth activity or, in extreme cases, pica (the abnormal intake of soil, paint chips, etc.) may represent a significant source of exposure. The severity of clinical manifestations of Pb toxicity depends on both duration and intensity of exposure. Infants and young children are more susceptible to the effects of Pb than are adults. Although there is little debate over the serious consequences of acute, high-level Pb exposure, both controversy and concern have been expressed about the degree of risk that may be associated with chronic exposure to Pb levels that are closer to contemporary levels in the general environment. This concern is particularly high with regard to infants and young children, who may undergo Pb-induced changes that have long-term neurological impact (e.g., learning deficits, gross and/or fine motor dysfunction, impaired cognitive abilities).

2021 ◽  
Vol 9 ◽  
Author(s):  
Sainan Chen ◽  
Yuqing Wang ◽  
Anrong Li ◽  
Wujun Jiang ◽  
Qiuyan Xu ◽  
...  

Objective: In recent years, the incidence of Bordetella pertussis infection in infants and young children has been increasing. Multiple studies have suggested that B. pertussis may be one of the pathogens of bronchiolitis in infants and young children. However, the prevalence and clinic characteristic of B. pertussis in bronchiolitis is controversial. This prospective descriptive study evaluated the prevalence and clinical manifestations of infants and young children hospitalized for bronchiolitis with B. pertussis.Methods: Children hospitalized with bronchiolitis were eligible for a prospective study for 36 months from January 1, 2017, to December 31, 2019. Besides B. pertussis, 10 common respiratory viruses and Mycoplasma pneumoniae (MP) were confirmed by laboratory tests. Medical records of patients were reviewed for demographic, clinical characteristics, and laboratory examination.Results: A total of 1,092 patients with bronchiolitis were admitted. B. pertussis was detected in 78/1,092 (7.1%) patients. Of the 78 patients with B. pertussis bronchiolitis, coinfections occurred in 45 (57.7%) patients, most frequently with human rhinovirus (28/78, 35.9%), followed by MP (9/78, 11.4%), and human bocavirus (6/78, 7.7%). The peak incidence of B. pertussis infection was in May. A high leukocyte count could help distinguish B. pertussis–associated acute bronchiolitis from other acute bronchiolitis etiologies. After excluding coinfections, children with B. pertussis–only bronchiolitis exhibited a milder clinical presentation than those with RSV-only infection; also, children with MP-only and other pathogen infections revealed similar severity. The morbidity of B. pertussis was common (31/78, 39.7%) in infants with bronchiolitis under 3 months.Conclusion: In summary, B. pertussis is one of the pathogens in children with bronchiolitis, and coinfection of B. pertussis with other viruses is common in bronchiolitis. B. pertussis should be considered when patients hospitalized with bronchiolitis present a longer course and have an elevated leukocyte count. Patients with B. pertussis–associated bronchiolitis present a milder clinical presentation.


2017 ◽  
Vol 26 (5) ◽  
pp. 451-457 ◽  
Author(s):  
Lucy C. Erickson ◽  
Rochelle S. Newman

The goal of this review is to provide a high-level, selected overview of the consequences of background noise on health, perception, cognition, and learning during early development, with a specific focus on how noise may impair speech comprehension and language learning (e.g., via masking). Although much of the existing literature has focused on adults, research shows that infants and young children are relatively disadvantaged at listening in noise. Consequently, a major goal is to consider how background noise may affect young children, who must learn and develop language in noisy environments despite being simultaneously less equipped to do so.


Author(s):  
A. S. Botkinа ◽  
M. I. Dubrovskaya ◽  
A. B. Moiseev ◽  
E. E. Vartapetova

Atopic dermatitis is one of the most common dermatological diseases in infants and young children. The disease is characterized by a chronic recurrent course with itching, erythema, lichenification and desquamation. Typical cases are diagnosed on the clinically available diagnostic criteria. However, similar clinical manifestations are found in a number of other diseases that can simulate, accompany or complicate the course of atopic dermatitis. They include inflammatory skin conditions, infections, parasitic diseases, genodermatoses, immunodeficiencies and malignancies, as well as nutritional disorders, graft-versus-host disease, and drug disease. Knowledge of the spectrum of these diseases and their distinctive features is crucial for the correct and timely diagnosis of atopic dermatitis, the selection of the optimal treatment.


Author(s):  
Jacek Postupolski ◽  
Andrzej Starski ◽  
Ewa Ledzion ◽  
Jolanta Kurpińska-Jaworska ◽  
Małgorzata Szczęsna

ABSTRACT Background. Mycotoxins belong to substances harmful to human health. They are found mainly in cereal products and their preparations. In particular, infants and young children who consume cereal products, including porridge and gruel, are exposed to these substances. Objective. The aim of the study is to assess the exposure of infants and young children in Poland to micotoxins (ochratoxin A. deoxynivalenol, nivalenol, fumonisins B1 and B1, T-2 and HT-2 toxins) derived from cereal products intended for infants and children. Material and methods. Samples of products (302) were taken from all over the country in the following three years (2011, 2012 and 2013). HPLC-MS / MS method was used to determine the test compounds. Results. Using the HPLC-MS / MS method, the assessment of population exposure in Poland to mikototoxins (ochratoxin A, deoxynivalenol, nivalenol, fumonisins B1 and B1, T-2 and HT-2 toxins) derived from cereal products (porridge, gruel) intended for infants and small children. Samples (302) were taken from across the country over the next three years. The exposure values obtained in the average exposure scenario range from 0.2 to 3% compared to the reference toxicological parameters. Considering that in the case of infants and young children, the tested products constitute a quantitatively significant part of the balanced diet of these consumers, and the remaining groups of foodstuffs, including vegetable products. fruit and meat and dairy products do not contribute significant amounts of mycotoxins to the diet can be accepted. that the level of contamination of cereal products does not pose a significant risk to the health of consumers. In the case of high exposure, it did not exceed 10% of the reference values for deoxynivalenol and the sum of fumonisins B1 and B2. These values were assessed as not relevant for the exposure of infants and young children. In contrast, in the case of zearalenone, the high level of exposure corresponded to 36% of the value of tolerable daily intake (TDI), and for the sum of T-2 and HT-2 toxins, the value of 48% of tolerable daily intake. In both cases, the contribution of pollutants to the diet was significant, but still remained 2-3 times less than the tolerable daily intake. Given, that cereal products are the main source of these contaminants, it can be estimated that exceeding the TDI value in relation to the total diet of infants and young children is unlikely. Conclusions. The exposure values obtained in the average exposure scenario range from 0.2 to 3% compared to the reference toxicological parameters. In the case of zearalenone, the high level of exposure corresponded to 36% of the TDI value. and for the sum of T-2 and HT-2 toxins, 48% TDI. The contribution of pollutants to the diet in both cases was significant. however, it still remained 2-3 times less than the tolerable daily intake. Considering, that cereal products are the main source of these pollutants can be assessed. that exceeding the TDI value for the total diet of infants and young children is unlikely.


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