高原地区672例尘肺患者死因分析

为了探讨高原地区尘肺患者死因特点及其规律,对青海省1955—2005年间诊断的2 942例尘肺患者有关资料进行了回顾性收集,并采用SPSS10.0软件进行统计分析。结果显示,青海省共有7种尘肺,其中矽肺和煤工尘肺占尘肺总数的93.88%。至2005年底,共有672例已死亡,尘肺病死率为22.84%。尘肺患者死亡年龄集中在40~49岁、50~59岁、60~岁组,占整个死亡总数的92.26%。平均死亡年龄为60.24岁,并且随着年代的推移而延长。尘肺患者平均寿命损失为15年。对死因分析后发现,前3位死因依次为:肺心病、尘肺和肺结核。探讨、分析及研究的结果表明,高原地区尘肺患者的首位死因为肺心病,提示在今后高原地区尘肺病防治工作中应加以重视。     

对用近因原则处理工伤认定的思考

近因原则是商业保险中用于区分保险责任和非保险责任的一个被普遍认可的工作原则,工伤认定是确认是否进行工伤保险金给付的前提。针对目前中国工伤认定相关法律不健全的现状,笔者首次提出在工伤认定有关规定的列举法空白处,使用近因原则的建议。有益于完善工伤认定工作。通过分析我国工伤认定有关规定的历史沿革与现行做法,指出现行工伤认定规定不合理之处,如列举未尽的弹性处理不利于员工、严苛的免责条款不利于雇主、雇员野蛮操作零成本降低社会福利,应用近因原则处理过劳死、未经归类的职业病两个案例,弥补现行工伤认定立法缺陷,实践证明,工伤认定中使用近因原则是可行的、合理的、实用的。     

Prenatal diagnosis of Niemann–Pick diseases types A,B and C

Prenatal diagnosis of Niemann–Pick disease types A and B is routinely accomplished by sphingomyelinase assay. For Niemann–Pick type C disease, demonstration of an abnormal intracellular cholesterol trafficking is a complex procedure, and mutational analysis (NPC1 or NPC2/HE1 gene), whenever feasible, represents a major advance. Copyright © 2002 John Wiley & Sons, Ltd.     

Human Population Numbers as a Function of Food Supply

Human population growth has typically been seen as the primary causative factor of other ecologically destructive phenomena. Current human disease epidemics are explored as a function of population size. That human population growth is itself a phenomenon with clearly identifiable ecological/biological causes has been overlooked. Here, human population growth is discussed as being subject to the same dynamic processes as the population growth of other species. Contrary to the widely held belief that food production must be increased to feed the growing population, experimental and correlational data indicate that human population growth varies as a function of food availability. By increasing food production for humans, at the expense of other species, the biologically determined effect has been, and continues to be, an increase in the human population. Understanding the relationship between food increases and population increases is proposed as a necessary first step in addressing this global problem. Resistance to this perspective is briefly discussed in terms of cultural bias in science.     

新冠肺炎疫情下的高校复课综合风险评估

为评估新冠肺炎疫情下的高校复课综合风险,辅助高校进行复课组织决策,探讨一种高校复课风险评估方法。首先,引入压力-状态-响应(PSR)模型,分析各要素互相影响机制,并建立高校复课新冠肺炎疫情综合风险评估指标体系;然后,利用风险的致灾因子与受灾体的脆弱性衡量疫情综合风险度,提出一种高校复课新冠疫情风险的评估方法;最后,以西安市某高校为例,验证风险评估模型的可行性和有效性。结果表明:本模型能准确评估高校复课新冠肺炎疫情综合风险;学校所在地疫情风险等级、人员管控措施、学校应急演练与评估开展状况分别是P、S、R系统的主要影响因素,应重点关注。     

Prospective spatial prediction of infectious disease: experience of New York State (USA) with West Nile Virus and proposed directions for improved surveillance

Infectious disease surveillance has become an international top priority due to the perceived risk of bioterrorism. This is driving the improvement of real-time geo-spatial surveillance systems for monitoring disease indicators, which is expected to have many benefits beyond detecting a bioterror event. West Nile Virus surveillance in New York State (USA) is highlighted as a working system that uses dead American Crows (Corvus brachyrhynchos) to prospectively indicate viral activity prior to human onset. A cross-disciplinary review is then presented to argue that this system, and infectious disease surveillance in general, can be improved by complementing spatial cluster detection of an outcome variable with predictive “risk mapping” that incorporates spatiotemporal data on the environment, climate and human population through the flexible class of generalized linear mixed models.