人群的自然和社会属性分类下PM2.5对心血管疾病的影响

为了研究人群在自然属性和社会属性分类下的效应修饰作用,利用2005~2011年北京市大气PM_2.5日均浓度、气象要素及循环系统疾病每日死亡人数数据,根据不同年龄、性别及学历将人群分组,采用时间序列的半参数广义相加模型（GAM）,定量评价大气PM_2.5对居民循环系统疾病死亡人数的影响.单污染物模型和多污染物模型结果表明,PM_2.5为影响循环系统疾病每日死亡人数的主要大气污染物.北京市空气中PM_2.5的浓度每增加10μg/m³,循环系统疾病总死亡人数增加0.50%（95% CI：0.36,0.63）.不同人群的易感程度不同,各人群死亡人数的增加范围为0.23~0.71%,女性、60~74岁人群、文盲人群的健康风险相对较高.在文盲人群中,老年（60+）女性占比为66.2%,为了分离社会属性人群分类中可能存在的自然属性因素干扰,本文去除其中老年、女性这两个混杂因素的影响,文盲人群健康风险仍然大于较高学历的人群.年龄和性别因素叠加在学历因素上,可能加大低学历人群的健康风险,对于这部分叠加了自然因素和社会因素双重敏感性的人群应给与重点关注.     

The many benefits of employee well‐being in organizational research

We undertake three objectives in this Incubator. We begin with a discussion of how well‐being has been considered in organizational research. Second, we provide an overview of the relationship between employee well‐being and such workplace outcomes as job performance, employee retention, and cardiovascular health. Third, we introduce exciting research directions. Copyright © 2012 John Wiley & Sons, Ltd.     

大气污染物对兰州心脑血管疾病住院影响的病例交叉研究

为探讨兰州市大气污染对心脑血管疾病住院的急性健康效应,采用单向回顾性配对病例交叉设计,分析了兰州市2001~2005年大气污染物浓度(PM10、SO2及NO2)短期升高对人群心脑血管疾病住院的影响.结果表明,单向回顾性1:2匹配病例交叉研究的效应值(ORs)最大,在控制同期天气因素后,滞后3d PM10浓度每升高10μg/m3 ,总心脑血管疾病及心血管疾病住院的ORs分别为1.002(95%CI:1.001~1.003)和1.002(95%CI:1.001~1.003);无滞后SO2浓度每升高10μg/m3对总心脑血管疾病住院的OR值为1.005(95%CI:1.000~1.009);NO2在滞后1d浓度每升高10μg/m3对总心脑血管疾病OR值为1.022(95%CI:1.014~1.030);对心血管疾病及脑血管疾病住院影响均在滞后2d达到最大,ORs值分别为1.021(95%CI:1.011~1.030) 和1.019(95%CI:1.005~1.033).在多污染物模型中,PM10仍对心血管疾病住院人数增加有统计学意义;NO2对心脑血管疾病住院的影响均较单污染物模型中大.     

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.     

大气中黑碳的健康效应及机制研究进展

虽然人类社会不断进步发展,但大量工业和自然排放也导致了严重的空气污染。大气颗粒物是大气污染物的主要成分之一,黑碳是其中的重要组成成分,被国际癌症研究机构(IARC)归类为2B类致癌物。黑碳可以吸附其他致癌物质,会对环境和人体健康产生不利影响,因此黑碳暴露对人类的危害得到越来越多的重视。空气中黑碳的水平与心血管、呼吸和神经系统疾病的发生都有关系;黑碳主要通过引起氧化应激和炎症反应,诱发基因突变等一系列损伤。虽然现今对于黑碳健康效应的研究已取得了一些进展,但研究多数处于起步阶段,且仅针对黑碳本身进行单独研究,未来还需要加强开展对黑碳和其他污染物联合毒性效应及机制的研究。本综述主要针对近年来已开展的研究进行了总结归纳。     

西安BC、PM2.5与气温协同对心脑血管疾病死亡的影响

利用西安市2014~2015年BC、PM_2.5和气温及心脑血管疾病每日死亡人数等资料,基于时间序列的广义相加模型中的主效应模型、非参数二元响应模型和温度分层模型对其进行研究.结果表明,BC、PM_2.5对心脑血管疾病死亡人数的影响存在滞后效应,最佳滞后时间下,BC、PM_2.5浓度每增加1个IQR（BC：5.31μg/m³,PM_2.5：40.30μg/m³）,心脑血管疾病每日死亡人数ER（95% CI）分别为3.53%（95% CI：1.86,5.23）、2.01%（95% CI：1.06,2.97）.气温与心脑血管疾病每日死亡人数的暴露反应关系呈“V”型分布特征,最适温度为26℃.低温和高污染物浓度对心脑血管疾病的影响存在协同放大效应,当气温低于26℃时,BC对人群健康风险比PM_2.5更大.对于心脑血管疾病而言,不同人群的易感程度不同,女性群体对BC、PM_2.5暴露更为敏感.当BC、PM_2.5同时纳入其它一种或几种气态污染物时,对ER值无较大影响.BC仅占PM_2.5浓度的一小部分,但健康影响不容忽视,BC可作为评估大气污染物健康风险的重要空气质量指标.     

Mental Workload and Health: A Latent Threat

The aim of this study is to investigate changes in cardiovascular activity associated with a high mental workload. The reported experiments, carried out in naturalistic settings, point to information load and information processing under time pressure as main risk factors. This kind of occupational stress had to be dealt with by two of the three groups under investigation: brokers and simultaneous interpreters; it was not experienced by lecturing university professors. The pattern of cardiovascular activity of the two former groups consisted of overmobilization of cardiovascular activity at the beginning of work, and only partial normalization of task-evoked changes in cardiovascular activity at the end of work. Substantial elevations of diastolic blood pressure and tachycardia, which followed earlier overmobilization, resemble a miniature copy of changes seen in the development of cardiovascular diseases.     

Cardiovascular Load During Summer Work of Two Age Groups of Van-Rickshaw Pullers in West Bengal,India

Van-rickshaw is a popular mode of transport of people and merchandise in developing countries. The purpose of this study was to assess the effect of age on cardiovascular load of van-rickshaw pullers in the summer season (March-June) in real situations. In 142 participants, divided into 2 age groups (25-40 and 41-55 years), cardiovascular load was assessed on the basis of working and partial recovery heart rate (HR), predicted maximal HR, working maximal HR, average working HR, percentage of reserved HR, sum of recovery heart beats, percentage of recovery, relative and net cardiac cost, etc. Except for percentage of recovery, all parameters differed significantly between the groups and were significantly correlated with age. As this activity is very stressful, it places a heavy demand on the cardiovascular system. Therefore, age is an important factor for sustainability of the work, especially in a hot environment. Some ergonomic interventions are necessary to reduce cardiovascular load.     

Plasma lipid profiles and risk of cardiovascular disease on occupational exposure in Karimnagar

Occupational exposure is unregulated in developing countries like India, and becoming the most common cause of disease of environmental origin. The present study was aimed to investigate the effects of occupational exposure on plasma lipid profiles, and risk of cardiovascular diseases. A total of 79 human volunteers were included in the study. Control subjects were healthy housewives of Karimnagar, India. Occupationally exposed individuals included different occupational workers like petrol station attendants, battery chargers, drivers, welders, pesticide-exposed workers, painters, and auto mechanics. These subjects were shown to be chronic occupationally-exposed for at least three years, and neither associated with any other chronic pathological conditions like hypertension or diabetes, nor under any medication other than analgesics during the month preceding the study. Subjects with excessive high or low caloric intake were excluded from the study. Total cholesterol (TC), LDL cholesterol, triglycerides (TG), VLDL cholesterol, LDL/HDL cholesterol, and TC/HDL ratio in these subjects were significantly higher than those in control subjects, whereas HDL cholesterol was not markedly affected. Blood pressure (systolic and diastolic), and other anthropometric parameters (body mass index (BMI), body fat index (BFI), body surface area (BSA)) were not significantly different between groups. Data suggest that chronic occupational exposure increases plasma lipid levels and is thereby associated with cardiovascular complications.     

高温环境下不同体力劳动强度对心血管负荷指数影响研究

基于心率变化的心血管负荷指数作为评估人体疲劳程度的指标之一,得到国内外专家学者的广泛研究。为进一步研究高温环境下不同体力劳动强度对心血管负荷指数的影响,探讨高温作业下不同劳动强度人体疲劳程度的变化,分析出不同温度下人体可接受的体力劳动强度。通过采用实验仓模拟不同的高温环境,以心血管负荷指数(%CVL)作为人体疲劳程度的分级指标,最终得到了高温环境下从事不同体力劳动强度的心血管负荷指数回归方程,以及不同高温环境下人体可承受能力下可进行的体力劳动强度,为高温环境劳动者制定合理和健康的作业安排提供科学依据。