巢湖水体和水产品中多环芳烃的含量与健康风险

利用GC-MS测定了巢湖水体15个样品及9种主要水产品中16种优控多环芳烃(PAHs)的含量,并用美国环保局(USEPA)推荐的健康风险评价模型估算了巢湖地区居民由于饮水、洗澡及食用水产品造成的PAHs暴露量.在此基础上,利用概率风险评价和蒙特卡罗模拟方法分析了巢湖水体与水产品中PAHs的健康风险及其不确定性.研究结果表明,巢湖水体中16种优控PAHs总含量(PAH16)范围为95.63～370.13ng·L-1,平均为(170.72 ±70.79) ng·L-1,BaP当量浓度(Bapeq)为(1.43±0.79) ng·L-1;水产品中PAH16的干重含量范围为129.33 ～575.31 ng·g-1,均值为(320.93±147.50) ng·g-1,BaP当量浓度为(4.67±6.68) ng·g-1.巢湖地区居民由于饮水和洗浴造成的PAH16暴露量分别为(5.76±2.39)×10-3 ng·kg-1·d-1和(25.08±10.40)×10-3 ng·kg-1·d-1,城镇与农村居民食用水产品造成的PAH16暴露量分别为(190.86±84.17) ng· kg-1· d-1和(75.88±33.47) ng·kg-1·d-1;水产品食用是巢湖地区居民PAHs暴露的主要途径.洗浴和饮水造成的PAH16暴露风险分别为(6.33±4.70)×10-9 a-1和(4.32±2.47) ×10-7 a-1,城镇与农村居民食用水产品造成的PAH16暴露风险分别为(3.17±3.79)×10-5 a-1和(1.25±1.50) ×10-5 a-1;居民食用水产的PAH16暴露风险高于USEPA建议的可接受风险(1.0×10-6 a-1),存在一定的致癌风险.水产品食用风险的不确定度较高,Bap当量浓度是影响风险评估不确定性的主要因素.     

Preventing falls among seniors: the way forward

There is a growing body of research about the etiology and prevention of falls. However, the persistently high incidence of falls among seniors calls for renewed efforts to develop, test, implement, and scale-up fall prevention strategies for older adults. This paper considers advances in the field and describes three priority areas for generating research and translating knowledge on fall prevention. Clinical practice guidelines, systems change approaches and environmental risk factors are discussed. Recommendations include transcending our health sector view of the fall prevention problem, supporting comparative research on system-oriented approaches to fall prevention, and examining ways to sustain and scale-up fall prevention efforts.     

个体防护行业创建“标准化良好行为企业”探讨

本文主要介绍了个体防护行业创建“标准化良好行为企业”的重要性以及与其他管理体系的整合,同时详细介绍了创建“标准化良好行为企业”的程序以及标准体系建立的依据、原则、方式等,以促进个体防护行业管理水平、产品质量水平的提升,使人们的安全与健康得到有效保护。     

肉桂在防治老年病中的应用前景

肉桂是常用的中药和调味剂,药理作用广泛.临床应用情况与对机体多系统疾病的研究结果表明,肉桂在老年病方面具有防治作用,结合老年病的现状探讨其在老年病防治中的应用前景.     

Dissecting the drivers of population cycles: Interactions between parasites and mountain hare demography

There is a growing awareness that cyclic population dynamics in vertebrate species are driven by a complex set of interactions rather than a single causal factor. While theory suggests that direct host-parasite interactions may destabilise population dynamics, the interaction between host and parasite may also influence population dynamics through indirect effects that result in delayed responses to either density or to life-history traits. Using empirical data on mountain hares (Lepus timidus) infected with a nematode parasite (Trichostrongylus retortaeformis), we developed an individual-based model (IBM) that incorporated direct effects and delayed life-history effects (DLHEs) of a macroparasite, alternative transmission mechanisms and seasonality in host population dynamics. The full model describes mean characteristics of observed mountain hare time series and parasite abundance, but by systematically removing model structure we dissect out dynamic influences of DLHEs. The DLHEs were weakly destabilising, increasing the propensity for cyclic dynamics and suggesting DLHEs could be important processes in host-parasite systems. Further, by modifying model structure we identify a strong influence of parasite transmission mechanism on host population stability, and discuss the implications for parasite aggregation mechanisms, host movement and natural geographical variation in host population dynamics. The effect of T. retortaeformis on mountain hares likely forms part of a complex set of interactions that lead to population cycles.     

A multiple additive regression tree analysis of three exposure measures during Hurricane Katrina

This paper analyses structural and personal exposure to Hurricane Katrina. Structural exposure is measured by flood height and building damage; personal exposure is measured by the locations of 911 calls made during the response. Using these variables, this paper characterises the geography of exposure and also demonstrates the utility of a robust analytical approach in understanding health‐related challenges to disadvantaged populations during recovery. Analysis is conducted using a contemporary statistical approach, a multiple additive regression tree (MART), which displays considerable improvement over traditional regression analysis. By using MART, the percentage of improvement in R‐squares over standard multiple linear regression ranges from about 62 to more than 100 per cent. The most revealing finding is the modelled verification that African Americans experienced disproportionate exposure in both structural and personal contexts. Given the impact of exposure to health outcomes, this finding has implications for understanding the long‐term health challenges facing this population.     

Rebuilding and strengthening health systems and providing basic health services in fragile states

The international community has compelling humanitarian, political, security and economic reasons to engage in rebuilding and strengthening health systems in fragile states. Improvements in health services and systems help to strengthen civil society and to restore legitimacy to governments. Effective engagement with fragile states to inform the design of health programmes and selection of interventions depends on donor coordination and an understanding of health system challenges. Planning requires consideration of allocation (services to be delivered), production (organisation of services), distribution (beneficiaries of services) and financing. The criteria for selecting interventions are: their impact on major health problems; effectiveness; the possibility of scale-up; equity; and sustainability. There are various options for financing and models of engagement, but support should always combine short-term relief with longer-term development. Stakeholders should aim not only to save lives and protect health but also to bolster nations' ability to deliver good-quality services in the long run.     

肾移植患者社会支持对其心理健康影响的研究进展

综述了影响肾移植患者心理健康的原因以及社会支持与心理健康的相关性,并探讨通过社会支持提高肾移植患者心理健康水平的途径.从而提示护理工作者在工作中应尽可能调动肾移植患者本人、家庭成员及社会的主观能动性,以提高肾移植患者的心理健康水平.     

冷排水中余氯对鱼类毒理效应和资源损失量估算方法的研究

在实验室条件下模拟某液化天然气(liquefied natural gas,简称LNG)工程冷排水中余氯排放,并通过毒理实验研究海洋中余氯对大黄鱼(Larimichthys crocea)仔鱼和幼鱼的毒理效应.结果表明:在余氯浓度为0.14和0.20 mg·L-1时,仔鱼出现死亡现象,其他3个低浓度条件下仔鱼无死亡率;...     

High‐performer turnover and firm performance: The moderating role of human capital investment and firm reputation

Research has shown a complex relationship between turnover and firm performance. Not only does it matter who leaves (e.g., high‐performing versus low‐performing employees), but the context also stands to influence this effect in complex ways. We apply human capital theory, social capital theory, and the cost–benefit perspective to propose two boundary conditions to the high‐performer turnover and firm performance relationship. Specifically, we predict that the negative impact of high‐performer turnover on firm performance will be the strongest for reputable firms and for firms who invest less in human capital (e.g., selection, training, and incentive‐based pay). We present data from 155 South Korean firms that support the hypothesized model. We discuss findings in terms of current and future theory, practical implications, and subsequent research needs. Copyright © 2012 John Wiley & Sons, Ltd.