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评估密西西比州和俄亥俄州接触甲基对硫磷儿童神经行为发育的方法。

Methods of assessing neurobehavioral development in children exposed to methyl parathion in Mississippi and Ohio.

作者信息

Zeitz Perri, Kakolewski Kirsten, Imtiaz Rubina, Kaye Wendy

机构信息

Epidemiology and Surveillance Branch, Division of Health Studies, Agency for Toxic Substances and Disease Registry, Atlanta Georgia, USA.

出版信息

Environ Health Perspect. 2002 Dec;110 Suppl 6(Suppl 6):1079-83. doi: 10.1289/ehp.02110s61079.

Abstract

Methyl parathion (MP), an organophosphate pesticide, was sprayed illegally for pest control in U.S. residences and businesses in Mississippi and Ohio. To evaluate the association between MP exposure and neurobehavioral development, children 6 years of age or younger at the time of the spraying and local comparison groups of unexposed children were assessed using the pediatric environmental neurobehavioral test battery (PENTB). The PENTB is composed of informant-based procedures (parent interview and questionnaires) and performance-based procedures (neurobehavioral tests for children 4 years of age or older) that evaluate each of the four broad domains (cognitive, motor, sensory, and affect) essential to neurobehavioral assessment. Children were classified as exposed or unexposed using urinary p-nitrophenol (PNP) levels and environmental wipe samples for MP. Exposure was defined as a urinary PNP level of greater than or equal to 100 ppb for the child or any other individual living in the household. Environmental wipe sample levels of greater than or equal to 150 g MP/100 cm2 and greater than or equal to 132.9 g MP/100 cm2 were used to define MP exposure for children living in Mississippi and Ohio, respectively. The PENTB was first administered in summer 1999 (year 1). The PENTB was readministered in summer 2000 (year 2) to children who participated in year 1 of the study. A description of the methods used in the study are presented. Results of data analyses for both years of the study will be presented in a separate publication.

摘要

甲基对硫磷(MP)是一种有机磷农药,曾在美国密西西比州和俄亥俄州的住宅和企业中被非法喷洒用于害虫防治。为了评估MP暴露与神经行为发育之间的关联,对喷洒时年龄在6岁及以下的儿童以及未暴露儿童的当地对照组,使用儿科环境神经行为测试组合(PENTB)进行了评估。PENTB由基于信息提供者的程序(家长访谈和问卷)和基于表现的程序(针对4岁及以上儿童的神经行为测试)组成,这些程序评估神经行为评估至关重要的四个广泛领域(认知、运动、感觉和情感)中的每一个领域。根据儿童尿液对硝基苯酚(PNP)水平和MP的环境擦拭样本,将儿童分为暴露组或未暴露组。暴露的定义为儿童或居住在该家庭中的任何其他个体尿液PNP水平大于或等于100 ppb。环境擦拭样本水平分别大于或等于150μg MP/100 cm²和大于或等于132.9μg MP/100 cm²,用于定义居住在密西西比州和俄亥俄州的儿童的MP暴露情况。PENTB于1999年夏季(第1年)首次施用。对于参与该研究第1年的儿童,于2000年夏季(第2年)再次施用PENTB。介绍了该研究中使用的方法。该研究两年的数据分析结果将在另一篇出版物中呈现。

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