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。     

左炔诺孕酮对稀有鮈鲫脂质代谢的干扰效应

为探究孕激素左炔诺孕酮（LNG）对鱼类脂质代谢的影响,将刚孵化的稀有鮈鲫仔鱼置于0.8和6.5ng/L LNG暴露6个月至性成熟,考察其生长指标、肝脏组织病理学变化、脂质和脂蛋白含量及脂质代谢相关基因的表达情况.结果显示：（1）0.8,6.5ng/L LNG暴露显著降低70dph稀有鮈鲫的体重和肥满度,且6.5ng/L LNG暴露显著降低180dph雌、雄鱼的体长或体重;（2）0.8,6.5ng/L LNG暴露导致180dph成鱼肝脏出现细胞空泡、肝细胞肿胀等损伤;（3）0.8,6.5ng/L LNG暴露显著降低180dph雌鱼肝脏中甘油三酯、胆固醇的含量,且6.5ng/L LNG暴露显著降低雌鱼血浆中甘油三酯的含量,但对雄鱼肝脏及血浆的脂质含量无显著影响;（4）0.8,6.5ng/L LNG暴露显著降低180dph雌鱼肝脏中脂肪酸合成酶基因（fasn） mRNA的表达水平,且6.5ng/L LNG暴露显著降低180dph雄鱼肝脏中fasn及乙酰辅酶A羧化酶基因（acaca） mRNA的表达水平.由此可见,LNG长期低剂量暴露可抑制稀有鮈鲫的生长、诱导肝细胞损伤、引起肝脏和血浆脂质含量发生性别差异性变化,并影响肝脏中脂质代谢相关基因的表达,表明LNG在低浓度下可干扰稀有鮈鲫的脂质代谢,提示LNG对鱼类种群具有较高的潜在生态风险.     

江西定南县离子型稀土尾矿周边水体氮污染状况与分布特征

为探究"稀土王国"江西省赣南地区离子型稀土矿对周边水体环境的影响,以离子型稀土矿分布密集区定南县濂江月子河流域和龙迳河龙头流域为研究对象,综合分析研究区特征污染物ρ（NH₄+-N）空间分布特征,采用相关性分析和主成分分析揭示其主要污染来源及影响因素.结果表明:①离子型稀土矿停产整顿半年后,濂江月子河流域和龙迳河龙头流域ρ（NH₄+-N）超过1.00和2.00 mg/L的采样点分别达72%和68%;pH范围为2.95~7.66,平均值分别为6.23和5.53,水体总体上偏酸性;ρ（TN）、ρ（NH₄+-N）、EC与ρ（NO₃--N）变异系数较大,均介于0.80~1.50之间.②相关性分析结果显示,ρ（NH₄+-N）与ρ（TN）、EC均呈极显著正相关（P < 0.01）;ρ（NH₄+-N）与pH呈显著负相关（P < 0.05）.③流经稀土尾矿区的水体中ρ（NH₄+-N）随距离增加呈现明显的空间梯度分布特征,即距稀土矿区边界200 m处水体中ρ（NH₄+-N）最高（12.20~200.00 mg/L）,其次为1.15 km内（3.69~11.80 mg/L）及3.5 km以上水体（0.80~1.51 mg/L）,矿区周边未受到采矿活动影响的水体中ρ（NH₄+-N）最低（0.03~0.15 mg/L）.④PCA结果表明,2条河流的主要环境影响因子为ρ（TN）、ρ（NH₄+-N）、pH和EC,主要受到周边稀土矿山尾矿的强烈影响.研究显示,离子型稀土矿原位浸矿开采停产半年后,重点小流域水体中ρ（NH₄+-N）高概率超标的现状仍然存在,受稀土开采活动影响较大.建议进一步开展重点小流域NH₄+-N剩余"库容"精算和矿山周边地表水定期监测.      

萃取-催化氧化光度法测定生物体中H2O2含量研究

提出萃取-催化氧化光度法测定生物体中H2O2含量的新方法.用稀土催化H2O2产生羟基自由基以氧化二苯基碳酰二肼,生成红色二苯基碳酰腙,其最大吸收波长为563.0nm;当二苯基碳酰二肼浓度一定时,△A563与H2O2含量呈量效关系.在0～30μmol/L H2O2 含量范围内,该法能简单、快速、精确地测定生物样品中H2O2实际含量.     

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.     

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。