Design and validation of a practical index for trauma assessment

In the past 20 years a variety of indices have been suggested for measuring the severity of trauma, however none of them meets the requirement of being a simple and objective instrument that can be utilized efficiently by lay persons and providers of health services without previous experience in triaging. A new system has been proposed which meets this requirement and which has been validated with 197 injured persons at the emergency ward of the Valle University Hospital in Call, Colombia. The instrument showed a high level of concordance with the conventional triaging method and classifies victims into four categories: critical with recovery unlikely, critical but recoverable, moderately serious, and ambulatory. There is discussion on the reliability of this instrument and it is recommended that it be validated with victims from larger disasters. Regardless, it has the advantage of being specific and free of the subjectivity that characterizes other indices.     

Inorganic nitrogen metabolism inUlva rigida illuminated with blue light

Inorganic nitrogen metabolism in blue light was studied for the green algaUlva rigida C. Agardh collected in the south of Spain (Punta Carnero, Algeciras) in the winter of 1987. NH₄ ⁺ has been reported to inhibit NO₃ ^- uptake; however,U. rigida showed a net NO₃ ^- uptake even when the NH₄ ⁺ concentration of the external medium was three or four times greater than the concentration of NO₃ ^-. NO₃ ^- uptake rates were similar in both darkness and in blue light of various photon fluence rates (PFR) ranging from 17 to 160 mol m^-2 s^-1. Since NO₃ ^- uptake is an active mechanism involving the consumption of ATP, respiratory metabolism can provide enough ATP to maintain the energetic requirement of NO₃ ^- transport even in darkness. In contrast, NO₃ ^- reduction inU. rigida was highly dependent on the net photosynthetic rate. After 7 h in blue light, intracellular NO₃ ^- concentrations ([NO₃ ^-] _i ) were higher in specimens exposed to intensities below the light compensation point (LCP) than in those incubated at a PFR above the LCP. When PFR is below the light compensation point, NO₃ ^- reduction is low, probably because all the NADH produced by the cells is oxidized in the respiratory chain in order to produce ATP to maintain a steady NO₃ ^- transport rate. The total nitrogen (TN) and carbon (TC) contents decreased from darkness to 33 mol m^-2 s^-1 in blue light. In this range, catabolic processes prevailed over anabolic ones. In contrast, increases in TN and TC contents were observed above the light compensation point. The C : N ratio increased with light intensity, reaching a stable value of 17 at 78 mol m^-2 s^-1 in blue light. Intracellular NO₃ ^- concentration and NO₃ ^- reduction appear to be directly controlled by light intensity. This external control of [NO₃ ^-]_i and the small capacity ofU. rigida to retain incorporated NO₃ ^-, NO₂ ^- and NH₄ ⁺ ions may explain its nitrophilic character.     

Contribution of canopy leaching to sulphate deposition in a Scots pine forest

Radioactive sulphate (35SO4) was applied to the soil below a Scots pine forest on 23 June 1989, and its movement into the canopy and into throughfall and stemflow was measured over 4 months. The specific activity, Bq (mg S)(-1), of the canopy increased monotonically; uptake by current-year (1989) expanding needles was initially twice as fast as by older needles or live twigs. By 10 October the canopy average specific activity was 62 Bq (mg S)(-1). The specific activity of net throughfall (throughfall + stemflow - rain), deduced from measurements from six throughfall collectors, six stemflow collectors and two rain collectors, fell rapidly from 12.6 Bq (mg S)(-1) in late July to <1 Bq (mg S)(-1) in mid-August. The results suggest (assuming rapid equilibration of 35S with sulphate in soil) that root-derived sulphate contributed c. 3% of sulphate in net throughfall and that dry deposition of SO2 and sulphate particles contributed c. 97% of the 0.56 g S m(-2) measured in net throughfall over the period. Simultaneous measurements of SO2 at canopy height and of NH3 above and within the canopy gave mean concentrations of 5.9 and 0.86 microg m(-3), respectively, sufficient to account for the sulphate measured in net throughfall only if codeposition of NH3 and SO2 occurred to canopy surfaces. The large values of specific activity observed in July, however, indicate that throughfall composition may be closely related to recent soil input of sulphate, and that equilibrium cannot be safely assumed. The possibility of a significant contribution of soil-derived sulphate to sulphate deposition in net throughfall cannot be ruled out on the basis of this experiment.     

Training refugees as primary health care workers: Past imperfect, future conditional

Many problems have been encountered in the planning and implementation of health care in refugee camps, and more specifically in the training of refugees as primary health care workers. A review of the published literature and a "survey" of the opinions and experiences of refugee, national and international health personnel regarding training has therefore been undertaken to provide an overview of what has been done and to make recommendations for future work.
The review highlights the need to reallocate resources away from high visibility emergency aid to development activities, such as training, that will create an infrastructure for primary health care and promote self-reliance.     

Evaluation and analysis of heavy metals in iron and steel industrial area

Environment, Development and Sustainability - Heavy metal pollution has attracted more attention due to the toxicity and migration characteristics, which has close relationship with soil...     

基于稳定氢同位素的太原市大气单环芳烃来源

采集太原市城北和城南区域环境空气和5类污染源挥发性有机物样品,测定样品中典型单环芳烃稳定氢同位素（δD）组成,基于同位素质量平衡原理计算单环芳烃从源到环境空气受体的δD初始混合值,探讨单环芳烃来源.结果表明,柴油挥发源、溶剂挥发源、汽油挥发源（97^#）、汽油挥发源（95^#）、机动车尾气（97^#）、机动车尾气（95^#）和民用燃煤源中单环芳烃δD范围依次为：（-138.7‰~-115.5‰）、（-147.0‰~-121.0‰）、（-150.8‰~-117.6‰）、（-131.8‰~-113.8‰）、（-171.2‰~-120.0‰）、（-138.9‰~-102.7‰）和（-168.3‰~-142.3‰）,民用燃煤源中单环芳烃δD显著贫重氢同位素（D）组成,机动车尾气源与汽油挥发源中苯的δD相比显著贫D,可用于探索污染物转化过程;城北和城南环境空气中δD范围为（-131.7‰~-115.1‰）和（-131.9‰~-74.9‰）,δD初始混合值为-138.4‰和-173.9‰,体现了其来源差异.     

对低影响开发与海绵城市的再认识

海绵城市建设是在继承我国古代先贤智慧和参考国外经验,系统总结我国雨洪管理领域长期研究和实践经验的基础上,结合我国城市水系统实际问题提出的城市发展方式,其核心是构建基于绿灰结合的现代城市雨洪控制系统,通过"渗、滞、蓄、净、用、排"综合措施,实现"治涝"与"治黑"等多重目标。低影响开发是海绵城市建设的重要指导思想,也是海绵城市核心技术体系的重要组成部分。正确认识低影响开发与海绵城市的内涵与联系,对于进一步在全国范围内落实低影响开发建设模式,科学推进海绵城市建设具有重要意义。     

基于洪涝风险分析的纽约市城市绿地规划设计及其对中国的启示

1968年美国开始推行洪涝保险计划,不断完善对洪涝风险的研究,并逐步形成了一套相对完善的洪泛区管理体系,而洪涝风险分析在洪涝保险、城市规划、土地开发、应急管理等领域广泛应用。纽约市在经历了多次飓风侵害,尤其是2012年飓风桑迪（Sandy）之后,意识到城市绿地在极端暴雨事件时对雨洪调蓄的重要作用,经过持续的研究实践,提出了基于洪涝风险分析的城市绿地规划设计要求。基于总结美国纽约市在飓风桑迪影响下对洪涝风险图的调整,及其对城市绿地规划设计相关要求,提出其对我国洪涝风险管控及城市绿地规划设计的启示。