TY - JOUR A1 - Greiser, Eberhard M. A1 - Greiser, Karin Halina A1 - Ahrens, Wolfgang A1 - Hagen, Rudolf A1 - Lazszig, Roland A1 - Maier, Heinz A1 - Schick, Bernhard A1 - Zenner, Hans Peter T1 - Risk factors for nasal malignancies in German men: the South-German Nasal cancer study JF - BMC Cancer N2 - Background: There are few studies of the effects of nasal snuff and environmental factors on the risk of nasal cancer. This study aimed to investigate the impact of using nasal snuff and of other risk factors on the risk of nasal cancer in German men. Methods: A population-based case-control study was conducted in the German Federal States of Bavaria and Baden-Wurttemberg. Tumor registries and ear, nose and throat departments provided access to patients born in 1926 or later. Results: Telephone interviews were conducted with 427 cases (mean age 62.1 years) and 2.401 population-based controls (mean age 60.8 years). Ever-use of nasal snuff was associated with an odds ratio (OR) for nasal cancer of 1.45 (95% confidence interval [CI] 0.88-2.38) in the total study population, whereas OR in smokers was 2.01 (95% CI 1.00-4.02) and in never smokers was 1.10 (95% CI 0.43-2.80). The OR in ever-smokers vs. never-smokers was 1.60 (95% CI 1.24-2.07), with an OR of 1.06 (95% CI 1.05-1.07) per pack-year smoked, and the risk was significantly decreased after quitting smoking. Exposure to hardwood dust for at least 1 year resulted in an OR of 2.33 (95% CI 1.40-3.91) in the total population, which was further increased in never-smokers (OR 4.89, 95% CI 1.92-12.49) in analyses stratified by smoking status. The OR for nasal cancer after exposure to organic solvents for at least 1 year was 1.53 (1.17-2.01). Ever-use of nasal sprays/nasal lavage for at least 1 month rendered an OR of 1.59 (1.04-2.44). The OR after use of insecticides in homes was 1.48 (95% CI 1.04-2.11). Conclusions: Smoking and exposure to hardwood dust were confirmed as risk factors for nasal carcinoma. There is evidence that exposure to organic solvents, and in-house use of insecticides could represent novel risk factors. Exposure to asbestos and use of nasal snuff were risk factors in smokers only. KW - paranasal sinuses KW - case-control study KW - nasal snuff KW - nasopharyngeal carcinoma KW - sinonasal cancer KW - occupational exposures KW - cigarette smoking KW - Univted-States KW - maxillary sinus KW - wood dust KW - formaldehyde KW - cavity KW - nasal cancer KW - smoking KW - hardwood dust KW - asbestos KW - organic solvents KW - insecticides KW - nasal spray KW - nasal lavage Y1 - 2012 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-133365 VL - 12 IS - 506 ER - TY - JOUR A1 - Zhao, De-Wei A1 - Yu, Mang A1 - Hu, Kai A1 - Wang, Wei A1 - Yang, Lei A1 - Wang, Ben-Jie A1 - Gao, Xiao-Hong A1 - Guo, Yong-Ming A1 - Xu, Yong-Qing A1 - Wei, Yu-Shan A1 - Tian, Si-Miao A1 - Yang, Fan A1 - Wang, Nan A1 - Huang, Shi-Bo A1 - Xie, Hui A1 - Wei, Xiao-Wei A1 - Jiang, Hai-Shen A1 - Zang, Yu-Qiang A1 - Ai, Jun A1 - Chen, Yuan-Liang A1 - Lei, Guang-Hua A1 - Li, Yu-Jin A1 - Tian, Geng A1 - Li, Zong-Sheng A1 - Cao, Yong A1 - Ma, Li T1 - Prevalence of Nontraumatic Osteonecrosis of the Femoral Head and its Associated Risk Factors in the Chinese Population: Results from a Nationally Representative Survey JF - Chinese Medical Journal N2 - Background: Nontraumatic osteonecrosis of the femoral head (NONFH) is a debilitating disease that represents a significant financial burden for both individuals and healthcare systems. Despite its significance, however, its prevalence in the Chinese general population remains unknown. This study aimed to investigate the prevalence of NONFH and its associated risk factors in the Chinese population. Methods: A nationally representative survey of 30,030 respondents was undertaken from June 2012 to August 2013. All participants underwent a questionnaire investigation, physical examination of hip, and bilateral hip joint X-ray and/or magnetic resonance imaging examination. Blood samples were taken after overnight fasting to test serum total cholesterol, triglyceride, and high-density lipoprotein (HDL) and low-density lipoprotein (LDL) levels. We then used multivariate logistic regression analysis to investigate the associations between various metabolic, demographic, and lifestyle-related variables and NONFH. Results: NONFH was diagnosed in 218 subjects (0.725%) and the estimated NONFH cases were 8.12 million among Chinese people aged 15 years and over. The prevalence of NONFH was significantly higher in males than in females (1.02% vs. 0.51%, \(\chi^2\) = 24.997, P < 0.001). Among NONFH patients, North residents were subjected to higher prevalence of NONFH than that of South residents (0.85% vs. 0.61%, \(\chi^2\) = 5.847, P = 0.016). Our multivariate regression analysis showed that high blood levels of triglycerides, total cholesterol, LDL-cholesterol, and non-HDL-cholesterol, male, urban residence, family history of osteonecrosis of the femoral head, heavy smoking, alcohol abuse and glucocorticoid intake, overweight, and obesity were all significantly associated with an increased risk of NONFH. Conclusions: Our findings highlight that NONFH is a significant public health challenge in China and underscore the need for policy measures on the national level. Furthermore, NONFH shares a number of risk factors with atherosclerosis. KW - nontraumatic osteonecrosis of the femoral head KW - risk factors KW - idiopathic osteonecrosis KW - early-stage osteonecrosis KW - implantation KW - bone KW - marrow KW - follow-up KW - intake KW - avascular necrosis KW - occupational-status KW - cigarette smoking KW - alcohol KW - prevalence Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-138482 VL - 128 IS - 21 ER -