北京市空气污染物对呼吸系统疾病门诊人数的影响

为评价北京市大气污染对居民呼吸系统疾病门诊人数的影响,采用时间序列半参广义相加模型(GAM),在控制了长期趋势、“星期几效应”及气象因素的影响后,分析2009~2011年北京市空气污染物与呼吸系统疾病门诊人数的暴露-反应关系,并按性别和年龄层建立模型.结果表明,3种污染物有一定的滞后效应,PM10在滞后0~3d(avg03)或0~5d(avg05)的移动平均值,SO2和NO2均在滞后0~2d(avg02)的移动平均值使呼吸系统疾病门诊人数的增加百分比(PI%)值达到最大,其中PM10、SO2和NO2浓度每增加10μg/m3,对应的呼吸系统疾病全人群的PI%分别为1.72%、1.34%和2.57%.年龄365岁的老年人群对北京市空气污染物最为敏感,其次为年龄￡14岁的人群;空气污染对女性的影响较男性明显.     

沈阳市PM2.5离子成分对呼吸疾病门诊数影响研究

采用时间序列的半参数广义相加模型,在控制了长期趋势、"星期几效应"和气象因素等混杂因素的基础上,分析沈阳市大气污染物及PM_2.5中水溶性离子对呼吸系统疾病门诊就诊人数的影响,并按性别和年龄分层建模.结果表明：PM_2.5及其各离子成分与呼吸系统疾病门诊人数之间存在关联,并有明显的滞后效应.受冬季供暖燃煤排放影响,PM_2.5、NO₃^-和NH₄⁺呈显著关联,在滞后累积2d后风险最大.最佳滞后时间下,PM_2.5的浓度每增加10µg/m³,对应呼吸系统疾病日门诊就诊人数增加百分比（ER）为1.31%（95% CI：1.2%~1.43%）;离子成分SO₄^2-、NO₃^-、NH₄⁺、Cl^-、K⁺、Mg²⁺、Ca²⁺和Na⁺的浓度每增加1个4分位间距（IQR）,对应的呼吸系统疾病日门诊就诊人数增加百分比（ER）分别为3.22%（95% CI：2.81%~3.62%）、4.67%（95% CI：4.13%~5.22%）、5.41%（95% CI：4.49%~6.33%）、7.38%（95% CI：3.91%~10.96%）、0.14%（95% CI：-6.34%~7.07%）、7.64%（95% CI：-11.87%~31.47%）、3.57%（95% CI：-2.83%~10.39%）和0.46%（95% CI：-16.64%~21.06%）.PM_2.5、Cl^-、Mg²⁺、Ca²⁺和Na⁺对女性呼吸疾病门诊人数的影响比对男性的影响大.PM_2.5、SO₄^2-、Cl^-、Ca²⁺和Na⁺对≥65岁的老人门诊人数的影响比对15~65岁劳动年龄人群的影响大.表明不同性别、不同年龄由于生理结构和环境因素的不同而引起的差异不同.     

Evaluation of a healthcare safety climate measurement tool

Problem

Psychometrically validated measurement tools are needed to evaluate an organization's safety climate. In 2000, Gershon and colleagues published a new healthcare safety climate measurement tool to determine its relationship to safe work behavior (Gershon, R., Karkashian, C., Grosch, J., Murphy, L., Escamilla-Cejudo, A., Flanagan, P., et al. (2000). Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. American Journal of Infection Control, 28, 211-21). The present study evaluated the psychometric properties of the Gershon tool when modified to address respiratory rather than bloodborne pathogen exposures.

Method

Medical practitioners, nurses, and nurse aides (n = 460) were surveyed using the modified Gershon tool. Data were analyzed by factor analysis and psychometric properties of the tool evaluated.

Results

Eight safety climate dimensions were extracted from 25 items (Cronbach's alpha range: 0.62 - 0.88). Factor extractions and psychometric properties were reasonably consistent with those of the Gershon tool.

Impact on Industry

The Gershon safety climate tool appears to have sufficient reliability and validity for use by healthcare decision makers as an indicator of employee perceptions of safety in their institution.     

矿山呼吸性粉尘危害程度评价法研究

矿山呼吸性粉尘危害程度评价法研究侯祺棕（武汉工业大学资源与环境工程系）［摘要］通过对矿山呼吸性粉尘实际危害程度评价法的研究，并经实例检验，推荐两种具有可操作性和足够准确的评价法，这对矿山呼吸性粉尘监测新技术的推广具有重要意义。［关键词］呼吸性粉尘，危...     

江苏省环保信访演变趋势与对策研究

以江苏省为例,着重分析环保信访演变的特点和发展趋势以及产生的主要原因,提出了今后进一步加强环保信访工作的对策措施。     

Neonatal lung function following mid-trimester amniocentesis

Three hundred and fifty-four women who underwent midtrimester genetic amniocentesis were matched for age, parity, indication, and smoking history, with an equivalent number of women who had declined the procedure, for the purpose of comparing the neonatal respiratory status of their offspring. There was no evidence that the infants exposed to genetic amniocentesis were compromised.     

机动车排出物对人体健康危害的研究

运用基因、ＤＮＡ、染色体，细胞和整个动物为终点的远期危害测试系统，对各类机动车排出尾气的有机提取物的致突变性及潜在致癌性进行了评估，同时运用流行病学方法对接触人群进行调查，结果表明：（１）柴油车，助动车的颗粒有机提取物包含１００多种化学物，（２）Ａｍｅｓ、ＵＤＳ微核及ＳＨＥ细胞恶性转化试验为阳性结果，具有突变性及致癌性。（３）它们能使人胚细胞形成转化灶并发现其中的ｃ－ｍｙｃ，ｐ２１及ｂｃｌ－２表达     

重庆酸沉降物对小学生肺通气功能影响的探讨

本文选择重庆市酸沉降物不同污染水平的三个地区,7～12岁小学生共计1081人,进行肺通气功能测定,共9项指标(FVC、FEV_1、FEV_1％、PEFR、MMEF、FVC％、V_(75)、V_(50)和V_(25))。结果发现10岁女小学生全部指标均显示出污染地区明显低于相对清洁区。尤以V_(50)和V_(25)更敏感(P<0.001)。本调查与攀枝花和辽宁两地区10岁女小学生部分肺通气功能进行比较,发现FVC、FEV_1和PEFR值重庆相对清洁区和污染区均比两地区低。特别是V_(50)和V_(25)的值低1～2倍。     

Estimates of health benefits due to reductions in ambient NO2 levels

A method is presented here by which the actual numbers of individuals in the U.S. population who would be expected to suffer respiratory illness as a result of exposure to ambient nitrogen dioxide (NO₂) concentrations in excess of the Federally-designated ambient air quality standard can be estimated. At the same time we have attempted to quantify how these adverse health effects would be alleviated by various degrees of reductions in current ambient concentrations. In addition, the health benefit expected to be derived by various NO_x emission control strategies will be examined utilizing the health benefit estimation method presented.It is estimated that there were approximately 33.2×10⁶ excess cases of respiratory illnesses in the U.S. in 1973 associated with ambient NO₂ concentrations in excess of the national ambient standard. A reduction of approximately 50 to 60 percent below 1973 NO₂ levels is needed to essentially eliminate excess respiratory illness associated with ambient NO₂ concentration.     

环境信访案件产生原因及对策探讨

以朝阳市为例,分析了环境信访投诉案件产生的主要原因,主要包括城市规划布局不尽合理、环保前置审批制度落实不到位、相关部门执法尚未形成合力等,并针对朝阳市环境信访与投诉案件的形式和特点,提出了将环保工作纳入城市规划全过程、控制源头审批、建立完善信访制度等建议。