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題名:估計致癌物質安全劑量之合理劑量反應模式﹣﹣以砷為例
書刊名:中國統計學報
作者:林正祥 引用關係
出版日期:1992
卷期:30:2
頁次:頁117-131
主題關鍵詞:安全物質致癌劑量
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:1
  • 點閱點閱:14
致癌物質在高劑量告致癌是眾所周知的事實,惟並未有足夠的科學證據顯示暴露在極低劑量下會致癌,因此在高劑量所求得之劑量反應曲線模式要直接應用到低劑量的情況下是不太合理的,特別是在訂定環境中可容許之致癌物質標準時,因比如何訂定各種致癌物質之最低劑量標準使人們終其一生能免於其威脅乃一頗為棘手的問題,本研究旨在探討一合乎生理特性之劑量反應模式,此一模式考慮了(i)自然發生率(ii)生理代謝反應 (iii)疾病間競爭風險及(iv)致癌時間等特性與Weibull模式相結合。並對美國環保署訂定砷之標準所用之模式提出評論及推算環境中容許之飲用水質砷含量。
Carcinogenecity of a substance is frequently established at high doses. In the absence of hard medical evidence, some people estimate the risk of cancer at very low doses based on the “linear nonthreshold” theory which extrapolates the dose­response curve form high doses to low doses proportionally Many scientists question this theory when it is applied at levels of exposure so low that often neither the pollutant nor the health effect can be detected. The question arises as to the effects of the substance at the relatively low doses to which humans may be exposed in environment. Three classes of models (i.e. tolerance distribution models. mechanistic models, or time-to-tumor models) are usually employed as low-dose extraploation. A significant breakthrough in quantitative assesment was achieved by Gehring and Blau. (1977) who developed a simple yet pharmacokinetic model for carcinogenic process. To estimate safe dose, we attempt to pursue a plausible dose-response model which incorporates pharmacokinetic model, mechanistic model and time-to­tumor model together with considering competing risk factor. Also, the dose-response model adopted by the EPA of the United States to set a water quality standard for arsenic in America is examined.
期刊論文
1.Gehring, P. J.、Watanabe, P. G.、Park, C. N.(1978)。Resolution of dose-response toxicity data for chemicals requiring metabolic activation: example--vinyl chloride。Toxicology and Applied pharmacology,44,581-591。  new window
2.Mantel, N.、Bryan, W. R.(1961)。"Safety" testing of carcinogenic agents。Journal of the National Cancer Institute,27,455-470。  new window
3.林正祥(19890600)。致癌過程中劑量反應模式之修補作用。東海學報,30,313-322。new window  延伸查詢new window
4.董傳中(1988)。輻射致癌屬於線性無低限關係的誤解。核能彙刊,24(1),48-49。  延伸查詢new window
5.Anderson, M.、Moel, D.、Kaplan, N.(1980)。A General Scheme for the In­corperation of Pharmacokinetics in Low-Dose Risk Estimation for Chemical Carcinogenesis: Example-Vinyl Chloride。Toxicol. Appl. Pharmacol.,55,154-161。  new window
6.Berkson, J.(1944)。Application of the logistic function to boiassay。SIAM Review,39,134-167。  new window
7.Cornfield, J.(1977)。Carcinogenic risk assesment。Science,198,693-699。  new window
8.Currie, D. J.(1982)。Estimating Michaelis-Menten parameters: Bias, Variance and Experimental design。Biometrics,38,907-919。  new window
9.Gehring, P. J.、Blau, G. E.(1977)。Mechanisms of Carcinogenesis: dose-response。J. Environ. Pathol. Toxicol.,1,163-179。  new window
10.Hartley, H. O.、Sielken, R. L.(1977)。Estimation of safe doses in carcinogenic experiments。Boimetrics,33,1-30。  new window
11.Hoel, D. G.、Gaylor, D. W.、Kirschstein, R. L.、Saffiotti, U.、Schneiderman, M. A.(1975)。Estimation of risks of irreversible delayed toxicity。J. Toxicol. Environ. Health.,1,133-151。  new window
12.Hoel, D. G.、Kaplan, N. L.、Anderson, M. W.(1983)。Implications of nonlinear kinetics on risk estimation in carcinogenesis。Science,219,1032-1037。  new window
13.Mantel, N.、Bohidar, N. R.、Brown, C. C.、Ciminera, J. L.、Tukey, J. W.(1975)。All imporoved Mantel-Bryan procedure for safety testing of carcinogens。Cancer Res,35,865-872。  new window
14.Prentice, R. L.、Kalbfleisch, J. D.(1978)。The analysis of fialure times in the presence of competing risks。Boimetrics,34,541-554。  new window
15.Ruppert, D.、Cressie, N.、Carroll, R. J. A.(1989)。Transformation and weighting model for estimating Michaelis-Menten parameters。Boimetrics,45,637-656。  new window
16.Whittemore, A.、Altschuler, B.(1979)。Lung cancer incidence in cigarette smokers: Further analysis of Doll and Hill's data for British physicians。Boimetrics,32,805-816。  new window
17.Cox, D. R.(1972)。Regression models and life-tables (with discussion)。Journal of the Royal Statistical Society, Series B: Methodological,34,187-220。  new window
18.Tseng, W. P.、Chu, H. M.、How, S. W.、Fong, J. M.、Lin, C. S.、Yeh, S.(1968)。Prevalence of skin cancer in an endemic area of chronic arsenicism in Taiwan。J Natl Cancer Inst,40,453-463。  new window
會議論文
1.Armitage, P.、Doll, R.(1961)。Stochastic models for carcinogenesis。The Fourth Berkeley Symposium on Mathematical Statistics and Probability。Berkeley, California:University of California Press。19-38。  new window
圖書
1.Mayer, R. H.(1986)。Classical and modern regression with applications。Boston:Duxbury Press。  new window
2.US Environmental Protection Agency(1984)。Protection Agency Health assessment document for inorganic arsenic。Washington, DC。  new window
3.Lawless, J. F.(1982)。Statistical Models and Methods for Lifetime Data。New York:John Wiley and Sons。  new window
圖書論文
1.Chand, N.、Hoel, D. G. A.(1977)。Comparison of Models for determining safe levels of environment alagents。Reliability and Boimetry。Philadelphia:SIAM。  new window
2.Krewski, D.、Van Ryzin, J.(1981)。Dose response models for quanta1 response toxicity data。Statistics and Related Topics。Amsterdam:North Holland。  new window
 
 
 
 
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