Fluoride removal and its impact on oral health in Sri Lanka's dry zone: Discussion and recommendation

Fifty percent of the dry zone areas in Sri Lanka have fluoride levels above 1 ppm. This paper discusses the ground conditions and recommends an appropriate range of fluoride in drinking water which can support preventive practices for improving the oral health of children 8-years old and younger. In efforts to address the Chronic Kidney Disease of Unknown etiology (CKDU), water treatment to reduce contaminant level in potable water has been implemented. Such treatment would also remove fluoride and has resulted in potable water with various fluoride levels, depending on concentrations in the raw water. While it is important to reduce fluoride levels, it is important to have appropriate residual levels for prevention of dental caries. It needs, however, to be noted fluoride in excess can cause dental fluorosis. In Sri Lanka's dry zone areas increasing prevalence of dental fluorosis with decreasing prevalence of dental caries has been noted. Consumption of tea and powdered milk could increase total intake of fluoride. Fluoridated toothpaste, when used properly, may, however, result in negligible intake of fluoride. Sri Lanka's hot tropical climate which results in substantial intake of fluids reinforces the need to consider reduction in water fluoride. Consideration of local studies and international standards indicate fluoride levels should be in the range of 0.225–0.500 ppm. In the range of 0.225–0.500 ppm, the prevalence of dental fluorosis and caries was only 14% and 8%, respectively, in an endemic district. When fluoride levels are above 0.500 ppm, the issue of dental fluorosis shall need to be addressed. When levels are below 0.225 ppm, oral health care services shall need to be directed at preventing dental caries.     

Prenatal ultrasound diagnosis of Toriello–Carey syndrome

Toriello–Carey syndrome is a rare malformative complex, described for the first time in 1988, characterized by agenesis of the corpus callosum, facial anomalies, cardiac defects and hypotonia. Relatively few neonatal cases have been reported. We describe here the first prenatal ultrasound diagnosis of the syndrome based on the detection of agenesis of the corpus callosum and spongious cardiomyopathy in a 22-week-old fetus of a couple with positive family history. The first sib of the couple was diagnosed with Toriello–Carey syndrome at 1 year of age, and had, in addition to the typical facial anomalies not detectable by ultrasound, agenesis of the corpus callosum and the same heart lesion (spongious cardiomyopathy). This report demonstrates that prenatal diagnosis of Toriello–Carey syndrome is feasible in the second trimester of pregnancy. Copyright © 2002 John Wiley & Sons, Ltd.     

南宁城市大气污染对人体健康的危害及治理对策

南宁市大气属煤烟型污染 ,大气的主要污染物为SO2 、NOx、TSP、降尘 ,虽然随着环境管理和污染治理工作的加强 ,污染物浓度逐年下降 ,但是工业区大气污染仍然较重。污染物流行病学调查显示 :工业区癌症和呼吸系统疾病死亡率均高于全市平均水平 2倍左右 ,城区又高于郊区 2倍 ,大气污染综合指数与呼吸内科门诊就诊人数呈正相关。用邓聚龙的灰色系统理论分析得知污染物对癌症和呼吸系统疾病死亡率有关联 ,关联度从大到小排序为 :TSP >降尘 >SO2 >NOx ,最后提出了大气污染治理的对策。     

Prenatal diagnosis for huntington's disease: A molecular and psychological study

Two linked probes were used to determine the Huntington's disease status of the fetus conceived by a woman affected with the condition. The fetus was found to be unaffected with a certainty of 97 per cent. The ethical issues associated with presymptomatic testing were avoided since the mother presented with initial symptoms of Huntington's disease, but other psychological and ethical issues arose. The concerns of an affected woman planning a pregnancy, and the dilemmas involved in decision-making regarding prenatal diagnosis and possible selective abortion were exposed and explored with the patient and her husband.     

中国臭氧短期暴露与人群死亡之间关系的Meta分析研究

为探讨中国臭氧短期暴露与死亡率之间的关系，更新适用于中国本地化的暴露-反应系数，本研究全面检索了1990年1月1日-2020年1月1日在Web of Science数据库、PubMed、中国期刊全文数据库（CNKI）、万方医学数据库和维普数据库上发表的文献，以"O₃/臭氧（ozone）"、"空气污染（air pollution）"、"死亡率（mortality）"、"时间序列（time-series）"，"病例交叉（case-crossover）"、"中国（China）"为关键词，对符合纳入标准的文献进行质量评价后提取相关数据，通过Meta分析方法合并估计值.结果显示，大气中臭氧浓度每增加10 μg·m^-3，人群总死亡率、心血管系统疾病和呼吸系统疾病死亡率分别增加0.40%（95% CI：0.28%~0.52%）、0.67%（95% CI：0.46%~0.88%）、0.23%（95% CI：-0.20%~0.66%）.亚组分析结果表明，除季节外，温度、年龄、性别均不存在显著的修饰作用.本文结论可为开展城市大气污染健康风险精细化评估提供依据.     

劳动者个人职业健康监护档案管理平台的开发与应用

通过档案室改造和纸质档案整理,采用新设计的档案号和档案架号编码技术,开展一人一档纸质档案平台建设;采用NET Framework4. 0框架、C#语言、三层B/S架构技术和PDF格式文件信息传输方式,开发电子档案平台。该档案管理平台在实践中得到了较好应用,推动了档案信息资源的规范、共享和流通,对于搞好职业病防治工作具有借鉴意义。     

职业安全健康管理体系在冶金建筑施工企业中的应用

通过对冶金建筑施工企业伤亡事故现状的分析，提出建立职业安全健康管理体系的意义和重要性，最后指出冶金建筑施工企业在建立职业安全健康管理体系时存在的问题及建议。     

Prenatal exclusion of Hurler's disease by leucocyte α-L-iduronidase assay

Hurler's disease was excluded in a fetus at 23 weeks' gestation by demonstrating normal iduronidase activity in fetal leucocytes following failure of amniotic cell culture after amnic-centesis at 16 and 19 weeks' gestation. The diagnosis was confirmed in the neonate.     

煤沥青烟气对大鼠肺损伤及免疫功能的影响

采用自然吸入的暴露方法，通过分析肺灌洗液成分及脾脏淋巴细胞的转化功能，观察碳素厂冷压车间空气对大鼠肺损伤及免疫功能的影响，结果表明，在自然吸入染毒期间，引起大鼠肺灌洗液中乳酸氢酶、酸性磷酸酶和唾液含量或高，肺巨噬细胞及其Ｆｃ受体数降低，并且还引起脾脏淋巴细胞的转化能力下降。     

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.