粤西地区气候与妇科三大常见感染相关性探

目的探讨粤西沿海地区季节气候与妇科门诊常见感染(细菌性、念珠菌性、滴虫)疾病的相关性.方法以妇科白带涂片多项检查快速染色技术(CTB)对妇科门诊就诊的7 042例患者做阴道分泌物常规检查,分春、夏、秋、冬季4组统计分析.结果春夏秋冬四季妇科门诊患者阴道分泌物的念珠菌检出率比较,差异有高度显著性(P＜0.01);细菌检出率无季节性差异(P＞0.05);滴虫检出率比较,亦无差异(P＞0.05).结论粤西地区妇科门诊病例念珠菌检出率受气候差异影响,夏秋季节明显高于冬春季节;而细菌和滴虫检出率则不受气候差异影响.     

论五季的因地划分及相应的发病规律

春、夏、长夏、秋、冬五季是根据我国大部分地区常年气候变化的特点而划分的，由于我国地域辽阔，故各地区五季的起止日期和持续天数因地而异，应根据当地的日照、气温、湿度，物候等具体参数而确定，人体五脏与自然五气相合，五腑疾病的发生，加重与五季变更之间有一下的相关性。本文根据合肥地区２８年来的气象统计资料与１７３６５例住院病人发病资料，以合肥地区为例，讨论五季的起止及与之对应的发病规律，为临床预防、诊断、治     

Japanese Cedar (Cryptomeria japonica) Pollinosis in Jeju,Korea: Is It Increasing?

Jeju is an island in South Korea located in a temperate climate zone. The Japanese cedar tree (JC) has become the dominant tree species while used widely to provide a windbreak for the tangerine orchard industry. An increase in pollen counts precedes atopic sensitization to pollen and pollinosis, but JC pollinosis in Jeju has never been studied. We investigated JC pollen counts, sensitization to JC pollen, and JC pollinosis. Participants were recruited among schoolchildren residing in Jeju City, the northern region (NR) and Seogwipo City, the southern region (SR) of the island. The JC pollen counts were monitored. Sensitization rates to common aeroallergens were evaluated by skin prick tests. Symptoms of pollinosis were surveyed. Among 1,225 schoolchildren (49.6% boys, median age 13 years), 566 (46.2%) were atopic. The rate of sensitization to Dermatophagoides pteronyssinus (35.8%) was highest, followed by D. farinae (26.2%), and JC pollen (17.6%). In the SR, 156 children (23.8%) were sensitized to JC pollen; this rate was significantly higher than that in the NR (59 children, 10.4%, P<0.001). A significant increment in the sensitization rate for JC pollen with increasing school level was observed only in the SR. JC pollen season in the SR started earlier and lasted longer than that in the NR. JC pollen season in Jeju was defined as extending from late January to mid-April. The prevalence of JC pollinosis was estimated to be 8.5%. The prevalence differed significantly between the NR and SR (5.3% vs 11.3%, P<0.001), mainly due to the difference in sensitization rates. JC pollen is the major outdoor allergen for early spring pollinosis in Jeju. JC pollen season is from late January to mid-April. Warmer weather during the flowering season scatters more JC pollen in the atmosphere, resulting in a higher sensitization rate in atopic individuals and, consequently, making JC pollinosis more prevalent.     

The Cold Weather Plan evaluation: an example of pragmatic evidence-based policy making?

Objectives

An evaluation of the Cold Weather Plan (CWP) for England 2011–2012 was undertaken in April 2012 to generate the basis for further revisions. It is widely considered good practice to formulate and revise policy on the basis of the best available evidence. This paper examines whether the evaluation is an example of pragmatic evidence-based policy-making.

Study design

A process evaluation with a formative multimethods approach.

Methods

An electronic survey and national workshop were conducted alongside the production of a number of summary reports from the Health Protection Agency surveillance systems and Met Office meteorological data. The Department of Health and the Met Office were consulted on how the evaluation recommendations shaped the revised CWP and Met Office Cold Weather Alerting System respectively.

Results

The Cold Weather Plan survey had 442 responses, a majority from Local Authorities, and from all regions of England. Thematic analysis generated qualitative data, which along with feedback from the workshop were synthesized into six main recommendations. Reviewing the new CWP and the Met Office Cold Weather Alerting System revealed significant modifications on the basis of the evaluation.

Conclusions

The evaluation sets the context for cold weather and health during the 2011–2012 winter. This study shows that the CWP 2012–2013 was revised on the basis of the national evaluation recommendations and is an example of pragmatic evidence-based policy-making.     

Studies on the Ageing of Cement Stabilized Rammed Earth Material in Different Exposure Conditions

This paper aims to test the deterioration of cement stabilized rammed earth and consider its characteristics during its lifespan in various exposure conditions. Both visual and mechanical properties were tested to determine the impact of long-term exposure to natural weather conditions. Cemented stabilized rammed earth is a variation of the traditional rammed earth building material which has been used since ancient history and is strengthened by the addition of stabilizers in the form of Portland cement. This article analyzes the long-term properties of wall panels made of this material, which were subjected to varying exposure conditions for five years. After this period, compression tests of specimens cut from panels stored in various environmental conditions were carried out. Based on the results and visual properties of the specimens, long-term changes in unconfined compressive strength were observed and primary durability attributes were described. Despite minimal visible wear to the external layers of the wall panels, the natural weather conditions proved to deteriorate material strength characteristics, especially on specimens with high cement content. No correlation between visual characteristics and compressive strength measures were found. The present study is vital in adequately describing cement stabilized rammed earth behavior in natural weather conditions typical of a humid continental climate.     

Regulated Mycotoxin Occurrence and Co-Occurrence in Croatian Cereals

A total of 209 samples of various cereal crops (maize, wheat, barley, rye and oats) grown in Croatian fields during 2016 and 2017 were collected to analyze and determine the occurrence and co-occurrence of EU regulated mycotoxins in cereals (AFB1, AFB2, AFG1, AFG2, DON, FB1, FB2, ZEA, T-2, HT-2 and OTA). The analysis, performed by a validated confirmatory LC-MS/MS method based on a dilute and shoot principle, highlighted Fusarium mycotoxins as the main contaminants, often co-occurring in samples from both years (50.0% in 2016 and 33.7% in 2017). DON was found to be the most frequent mycotoxin, present in 72.5% of the 2016 samples and 32.6% of the 2017 samples, while maize proved to be the most contaminated cereal type of both years with FUM as the most abundant mycotoxins, with an average concentration of 1180 µg/kg. Moderate temperatures with periods of high humidity favored the accumulation of DON in wheat samples instead of other Fusarium mycotoxins, while similar conditions favored maize contamination with FUM. A total of 8.3% of all the 2016 harvest samples and 7.9% of the 2017 harvest samples were assessed as non-compliant, containing mycotoxins in concentrations higher than the levels set by the EU legislation for food.     

Preventing cold-related morbidity and mortality in a changing climate

Winter weather patterns are anticipated to become more variable with increasing average global temperatures. Research shows that excess morbidity and mortality occurs during cold weather periods. We critically reviewed evidence relating temperature variability, health outcomes, and adaptation strategies to cold weather. Health outcomes included cardiovascular-, respiratory-, cerebrovascular-, and all-cause morbidity and mortality. Individual and contextual risk factors were assessed to highlight associations between individual- and neighborhood-level characteristics that contribute to a person's vulnerability to variability in cold weather events. Epidemiologic studies indicate that the populations most vulnerable to variations in cold winter weather are the elderly, rural and, generally, populations living in moderate winter climates. Fortunately, cold-related morbidity and mortality are preventable and strategies exist for protecting populations from these adverse health outcomes. We present a range of adaptation strategies that can be implemented at the individual, building, and neighborhood level to protect vulnerable populations from cold-related morbidity and mortality. The existing research justifies the need for increased outreach to individuals and communities for education on protective adaptations in cold weather. We propose that future climate change adaptation research couple building energy and thermal comfort models with epidemiological data to evaluate and quantify the impacts of adaptation strategies.     

气象及气象因素与中医时间医学

应用阴阳五行、五运六气及天人相应理论,从时间与空间角度论述了气象与中医时间医学的关系,说明辨析气象因素对人体病证的影响是临床辨证及因时、因地制宜的前提和基础。