气温与湿度的交互作用对呼吸系统疾病的影响

为评价平均气温、相对湿度及其交互作用对呼吸系统疾病急诊就诊人数的影响,采用广义相加模型(GAM),在控制了时间长期趋势、"星期几效应"、节假日效应、空气污染等因素的影响后,分析2009~2011年北京市平均气温、相对湿度及其交互作用对呼吸系统疾病急诊就诊人数影响的暴露反应关系.结果显示,平均气温与呼吸系统疾病急诊就诊人数呈现近似U型的非线性关系,其作用临界点为12℃,当平均气温低于12℃时,气温每升高1℃,呼吸系统疾病急诊就诊人数减少2.26%(95%CI-2.43,-2.09);当气温高于12℃时,气温每升高1℃,呼吸系统疾病急诊就诊人数增加0.92%(95%CI 0.72, 1.11).相对湿度与呼吸系统疾病的效应也呈现U型的分布特征,作用阈值为51%,当相对湿度≤51%时,相对湿度每增加10%,呼吸系统疾病急诊就诊人数减少3.43%(95%CI -3.47%,-3.38%);当相对湿度>51%时,其每增加10%呼吸系统疾病急诊就诊人数增加1.80%(95%CI 1.76%,1.85%).平均气温对呼吸系统疾病的影响受相对湿度水平的调节.在低温环境下,相对湿度越小,气温对呼吸系统疾病的影响越显著,气温每升高1℃,呼吸系统疾病急诊就诊人数减少2.71%(95%CI -2.88,-2.53);;而高温环境下,当相对湿度较大时气温健康效应较强,即气温每升高1℃,呼吸系统疾病急诊就诊人数增加1.37%(95%CI 1.13, 1.61).     

Sodium cyanide-induced modulations in the activities of some oxidative enzymes and metabolites in the fingerlings of Cyprinus carpio (Linnaeus)

Carp fingerlings exposed to a sublethal concentration (0.5?mg?L^?1) of sodium cyanide showed a steady decrement over a 7-day period in respiratory rate, rise in lactate dehydrogenase (LDH), and fall in succinate dehydrogenase (SDH) activities followed by variations in lactic and pyruvate levels. Changes in these enzyme activities might be due to impaired oxidative metabolism and severe cellular damage leading to the release of these enzymes. Decline in the activities of SDH and LDH clearly represents a shift from aerobic to anaerobic metabolism as evidenced by elevated lactate and decline in pyruvate levels. The shift to anaerobic metabolism is also reflected by severe drop in the respiratory rate of the fish. This may be a consequence of the blockage of electron transfer from cytochrome c oxidase to molecular oxygen, thus ceasing cellular respiration and it can lead to cellular hypoxia even in the presence of normal hemoglobin oxygenation. Hence, we indirectly reconfirm the inhibition of oxidative metabolism by sodium cyanide. Alterations in behavioral pattern induced by sublethal sodium cyanide exposure may be due to the combination of cytotoxic hypoxia with lactate acidosis, which depresses the central nervous system (CNS); as the brain is the most sensitive site to anoxia, it results in impaired CNS function.     

COPD合并Ⅱ型呼吸衰竭患者无创通气的护理体会

探讨COPD合并Ⅱ型呼吸衰竭神志清楚患者无创通气的护理体会.方法:南华大学附属第一医院呼吸内科2009年1月-2012年2月收治的98例COPD合并Ⅱ型呼吸衰竭应用无创正压通气治疗的清醒患者,随机分为护理干预组(观察组)与对照组各49例,其中观察组给予系统的护理干预;对照组仅采取一般护理措施.比较两组患者治疗后呼吸参数.结果:护理干预组的pH、PaO2、SaO2等参数明显高于对照组,而PaCO2明显低于对照组.表1,参5.     

毒气泄漏事故应急用个体呼吸防护用品防护效果研究

本文对毒气泄漏事故应急过程中公众常用的个体呼吸防护用品的防护效果进行了研究.针对硫化氢气体,利用无机气体防护时间检测系统,测试研究了滤毒盒、简易防护口罩、毛巾等个体防护用品在不同工况下的防护性能,试验结果表明,有毒气体浓度及温湿度两种工况条件均对个体防护用品的防护时间有较大影响,滤毒盒的防护效果远好于简易防护口罩,毛巾的防护效果较差,在此基础上进一步分析了毒气泄漏事故应急过程中个体呼吸防护用品的选择策略.本研究可为建立个体防护对策的选择方法提供基础数据和参考.     

沙尘暴源区土壤盐碱扬尘对大鼠呼吸系统的免疫损伤

为研究沙尘暴源区土壤盐碱扬尘对大鼠呼吸系统的免疫损伤,采集距北京200多公里的张家口张北地区的安固里诺尔干盐湖(N41.316°,E114.350°)0~5 cm的盐碱表土,过200目(75μm)筛,测试土壤盐碱扬尘中水溶性离子。将32只雄性7周龄Wistar大鼠随机分为4组,即生理盐水对照组、低浓度组(1.5 mg·kg~(-1))、中浓度组(7.5 mg·kg~(-1))、高浓度组(37.5 mg·kg~(-1)),配制颗粒物悬液,采用气管滴注急性染毒方式,24 h后处死动物,检测血常规及血浆和肺泡灌洗液(BALF)的总抗氧化能力(T-AOC)、白介素-6(IL-6)、肿瘤坏死因子(TNF-α)、乳酸脱氢酶(LDH)、转化生长因子(TGF-β1)等氧化炎症因子,并制作肺组织和气管病理切片。结果表明,沙尘暴源区土壤盐碱扬尘中含有大量的SO_4~(2-)、NO_3~-和NH_4~+等离子;土壤盐碱扬尘急性染毒会对大鼠气管和肺组织造成明显的炎症病变,并随着染毒试剂浓度的升高而加重;但对大鼠血常规的影响较小。中、高浓度染毒使血浆中T-AOC显著下降(P0.05);染毒促使血浆TGF-β1分泌显著增加(P0.05),但不存在剂量-效应关系,其他氧化炎症指标分泌无显著变化。中、高浓度组BALF的TGF-β1因子分泌量显著高于生理盐水对照组(P0.05),高浓度组BALF中IL-6含量显著低于生理盐水对照组(P0.05),其他氧化炎症指标分泌无显著变化。这些研究显示土壤盐碱扬尘粒径大小及化学成分可能是造成大鼠氧化炎症差异的原因。     

三八河河口潮滩有机碳、油类、硫化物及微生物分布特征

为了评价烟台市牟平区三八河河口潮滩中主要污染物的分布及土著微生物的修复潜力,研究了潮滩沉积物中w(TOC),w(油类),w(硫化物)和微生物的水平及垂直分布规律. 利用单因子污染指数法对污染状况进行了分析. 结果表明:各因子污染指数由大到小为有机碳(TOC)>硫化物>油类,河口区域w(TOC),w(油类)和w(硫化物)明显高于对照点,越靠近河口表层(0～≤20 cm)沉积物污染越重,说明潮滩污染主要由河流排污引起. 垂直深度上污染物主要集中在亚表层(5～≤20 cm),0～≤50 cm深度范围内w(TOC),w(油类)和w(硫化物)随深度的增加呈先增大后减小的趋势. 微生物分布规律显示,外源有机物的输入可提高沉积物中异养菌总数和呼吸强度,潮滩微生物可通过呼吸过程实现有机碳的矿化和输出,具有一定的修复潜力.      

Time series modelling of respiratory hospital admissions and geometrically weighted distributed lag effects from ambient particulate air pollution within Kathmandu Valley,Nepal

The distributed lag effects of ambient particulate air pollution exposure on respiratory hospital admissions in Kathmandu Valley are modelled using daily time series data. The extended exposure to PM₁₀ is accounted for by assigning weights to daily average PM₁₀ which decline geometrically as the lag period increases in days. Results show that the percent increase in chronic obstructive pulmonary disease (COPD) hospital admissions and respiratory admissions including COPD, asthma, pneumonia, and bronchitis per 10 μg/m³ rise in PM₁₀ are found to be 4.85% for 30 days lag effect, about 15.9% higher than that observed for same-day lag effect and 3.52% for 40 days lag effect, about 28.9% higher than the observed value for same-day lag effect, respectively.     

Respiratory health of road-side vendors in a large industrialized city

GOAL, SCOPE AND BACKGROUND: The literature reports a high prevalence of respiratory symptoms associated with exposure to motor vehicle exhaust emissions and people exposed to vehicle emissions are at risk of reduced lung function and cardiovascular performance. Although the effect of traffic emissions is a known risk to respiratory health, retailers are often situated along major roads in a busy urban environment to maximise customers. Shop assistants in an air-conditioned environment should be less exposed to traffic fumes and their lung function should be better preserved compared to 'unprotected' vendors exposed directly to vehicle emissions. The lung function of these two groups of workers has not previously been compared. The aims of this study are to determine if there is a difference in the concentration of respirable particles of diameter less than 10 micrometers (PM10) inside and outside air-conditioned shops along a busy major road; and to compare the lung function parameters, blood lead levels and respiratory symptoms between road-side vendors directly 'exposed' to traffic fumes and vendors working in 'protected' air-conditioned shops along the same road. METHODS: Roadside vendors (n=33) and adjacent shop assistants (n=31) were recruited for the study in a district known to have high emissions and pollution measures. All subjects were asked to complete a questionnaire providing the frequency of their respiratory symptoms. Spirometry pulmonary function tests were conducted and exhaled carbon monoxide levels (ECO), oxygen saturation and blood lead levels (BLL) were measured. PM10 level was concurrently measured in the subject's working environment. Pulmonary function data and ECO levels collected from a cohort of university staff aged > or = 30 years (n=92) at a university campus were included for comparison. RESULTS: The concentration of particulate matter (PM10) at the roadside (210 +/- 70 microg/m3) was significantly higher than inside the shops (130 +/- 40 microg/m3). There was no difference in lung function parameters or BLL between the groups, however the forced vital capacity of both groups of vendors was significantly lower than a 'control' cohort of academic institution personnel (n=92). DISCUSSION: This study illustrated that while the level of pollution improved with air conditioning, this may not be sufficient to prevent respiratory consequences. Our data suggests that a reduction in occupational exposure is not enough to protect these workers. CONCLUSIONS: Air-conditioned work environment is insufficient to protect the respiratory system against the adverse effects of exposure to vehicle emissions. RECOMMENDATIONS: The overwhelming effect of exposure during travel to and from work and at home cannot be underestimated. More stringent guidelines to control pollution appear necessary to protect the respiratory health of both shop-keepers and road-side vendors and further studies to explore the effect on respiratory health of the exposure to pollutants associated with commuting to and from work are warranted.     

内源呼吸过程溶解性代谢产物的光谱特性分析

微生物内源呼吸期对污水处理过程具有重要意义.为了更清晰地了解微生物内源呼吸过程,采用三维荧光光谱、紫外光谱结合呼吸图谱对微生物内源呼吸过程进行解析.结果表明,三维荧光光谱和紫外光谱在内源呼吸各个阶段有明显的不同:1内源呼吸快速下降期(第1 d):腐殖酸峰的激发波长(Ex)和发射波长(Em)分别出现5 nm、6 nm的蓝移,荧光指数f450/500和HIX(humification index)分别减小了9.3%、0.2%,UV253/203和UV254分别增加了37.5%、200%,预示着混合液中可生物降解有机物的存在;2内源呼吸慢速下降期(第2 d):f450/500增加了0.5%,HIX减小0.2%,UV253/203减小了20%,UV254增加了16.7%,预示着细胞可能出现了水解或自溶;3内源呼吸稳定期(第3~5 d):腐殖酸峰基本保持不变预示了微生物适应了饥饿环境.本研究从代谢产物的角度解析了内源呼吸过程,为污水处理过程控制提供了新的思路.     

宜昌市大气微塑料的分布、呼吸暴露及溯源

微塑料作为一种新兴环境污染物备受关注,但大气微塑料的来源和健康危害尚不明晰.为探究宜昌市不同功能区微塑料的分布特征和人体呼吸暴露风险,分析不同地区大气微塑料的可能来源,于2019年10～12月,采集和分析宜昌市16个观测点的大气微塑料样品,并利用HYSPLIT模型模拟大气后向轨迹.结果表明,宜昌市大气微塑料有纤维状、碎片状和薄膜状这3种形状;透明、红色、黑色、绿色、黄色和紫色这6种颜色;尺寸最小的为10.42μm,最大的为4 761.42μm;平均沉降通量为(4 400±474)n·(m²·d)^-1;种类有：聚酯纤维(PET)、丙烯腈-丁二烯-苯乙烯共聚合物(ABS)、聚酰胺(PA)、橡胶(Rubber)、聚乙烯(PE)、醋酸纤维素(CA)和聚丙烯腈(PAN)这7种.各功能区沉降通量依次为：城市居民区>农业生产区>垃圾填埋场>化工园区>城镇居民区.人体呼吸暴露风险评估模型表明,城市居民区成人和儿童每天大气微塑料摄入量(EDI)高于城镇居民区.大气后向轨迹模拟表明,宜昌市各区县大气主要受周边地区影响,部分大气微塑料可能来...