seasonal variation

季节变化
  • 文章类型: Journal Article
    对柳江流域沉积物中重金属的来源和健康风险变化进行了季节性调查,以明确岩溶河流HMs污染的控制。结果表明,HMs的外源输入在雨季应该更加突出,由于较高的浓度和EF值。PMF鉴定的HMs主要来自天然,采矿和工业来源。在雨季,外源HMs的输入受到采矿和工业来源的影响,但主要是旱季的工业来源。HI值总体低于1,表明非致癌风险相对较低。HMs的TCR值一般超过10-6,特别是儿童的As和Cr的TCR值甚至超过10-4,表达了很高的致癌风险。砷和铬的来源成分表明,防止采矿污染物的迁移和限制工业排放对柳江流域至关重要。
    The sources and health risk variation of heavy metals (HMs) in sediments of Liujiang River Basin were investigated seasonally to clear the control of HMs contamination in karst rivers. The results revealed the exogenous input of HMs should be more prominent in wet season, due to the higher concentration and EF values. PMF identified HMs were mainly from natural, mining and industrial sources. The input of exogenous HMs were influenced by mining and industrial sources in wet season, but primarily by industrial sources in dry season. HI values were overall below 1, suggesting the relatively low non-carcinogenic risk. The TCR values of HMs were generally beyond 10-6, particularly those of As and Cr even exceeded 10-4 for children, which expressed a high carcinogenic risk. The sources components of As and Cr suggested preventing the migration of mining contaminants and limiting industrial emission should be essential to Liujiang River Basin.
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  • 文章类型: Journal Article
    本研究旨在评估人类活动对HammamBoughrara大坝水质的影响。它还强调,面对与各种形式的污染有关的持续挑战,水资源的可持续管理至关重要。该研究基于一个详尽的数据库,涵盖了超过16年的时间,每月测量有机污染指标参数,即BOD5,COD,[公式:见正文],[公式:见正文],[公式:见正文],[公式:见正文],有机物(OM),TDS,溶解氧(DO)和pH。箱图显示了几乎所有参数的不对称分布,四分位数(IQR)范围具有显著的季节性变化。[公式:见正文]的IQR范围从0.575mg/l(夏季)扩展到4.445mg/l(春季),和[公式:见文本]从1.3075mg/l(秋季)到1.8625mg/l(春季)。这导致使用Spearman方法来分析不同参数之间的相关性。五类水质的季节性研究,根据有机污染指数(OPI),显示出相当大的有机污染。在1%的显著性水平,OPI与[公式:见正文]之间的季节性相关性在-0.71和-0.85之间变化,而与[公式:见正文]之间的季节性相关性在-0.69和-0.86之间波动。在分析期间,COD/BOD比(CBR)揭示了两个具有季节性变化的主要类别,即中等生物降解废水(MBE),96例,秋天达到29,春天达到20。难生物降解或不可生物降解废水(DBE或NBE)类别记录94例,冬季的最大频率为26,秋季的最小频率为21。因此,这些结果表明有机污染的持久性,这对四个季节和整个研究期间的水质都有影响。结果表明,持久性有机污染会影响水质。因此,迅速采取行动和可持续战略被认为是必要的,以减轻这些有害影响,并确保水资源的可持续性。
    The present study aims to assess the impact of human activities on the water quality of the Hammam Boughrara dam. It also highlights the crucial importance of sustainable management of water resources in the face of persistent challenges related to various forms of pollution. The study is based on an exhaustive database covering a period spread over 16 years, with monthly measurements of organic pollution indicator parameters, namely BOD5, COD, [Formula: see text],[Formula: see text], [Formula: see text], [Formula: see text], Organic Matter (OM), TDS, Dissolved Oxygen (DO) and pH. The box plots showed an asymmetric distribution of almost all the parameters, with significant seasonal variations in the interquartile (IQR) range. The IQR ranges for [Formula: see text] extends from 0.575 mg/l (summer) to 4.445 mg/l (spring), and for [Formula: see text] from 1.3075 mg/l (autumn) to 1.8625 mg/l (spring). This led to the use of the Spearman method for the analysis of correlations between different parameters. The seasonal study of the five categories of water quality, according to the Organic Pollution Index (OPI), revealed considerable organic pollution. At the 1% significance level, the seasonal correlation between OPI and [Formula: see text] varies between -0.71 and -0.85, while that with [Formula: see text] fluctuates between -0.69 and -0.86. During the period analyzed, the COD/BOD Ratio (CBR) reveals two dominant categories with seasonal variations, i.e. the Moderately Biodegradable Effluents (MBE), with 96 cases, reaching 29 in autumn and 20 in spring. The Difficult to Biodegrade or Non-Biodegradable Effluents (DBE or NBE) category records 94 cases, with a maximum frequency of 26 in winter and minimum of 21 in autumn. These results therefore show the persistence of organic pollution, which had an impact on water quality over the four seasons and throughout the period studied. The results indicate persistent organic pollution affecting water quality. Therefore, prompt actions and sustainable strategies are deemed necessary to mitigate these harmful impacts and to ensure the sustainability of the water resource.
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  • 文章类型: Journal Article
    药品和个人护理产品(PPCPs)是新兴的污染物,已经引起了紧迫的环境问题。溶解性有机质(DOM)在PPCPs的迁移和转化中起着关键作用。为了全面了解PPCPs的发生和分布,针对沿海地区河流系统的季节性采样,天津,环渤海进行。研究了33个PPCPs的分布和转化及其与DOM的相互作用,并对其来源和生态风险进行了进一步评价。PPCPs的总浓度范围为0.01至197.20μg/L,这个值受到区域温度的影响,DOM和土地利用类型。PPCPs在土水界面的迁移受温度控制,阳光,水流和DOM。PPCPs对类似蛋白质的DOM有很高的亲和力,而类似腐殖质的DOM起着负面影响,并促进了PPCP的退化。还发现类蛋白质DOM可以代表点源污染,而腐殖质样物质表示非点源(NPS)发射。特定的PPCP可用作标记以追踪家庭放电的来源。此外,日常使用PPCP,如酮洛芬,咖啡因和碘普罗胺估计是主要的危险物质,它们的生态风险因太空而异,季节和河流水力状况。
    Pharmaceuticals and personal care products (PPCPs) are emerging contaminants that have raised urgent environmental issues. The dissolved organic matter (DOM) plays a pivotal role on PPCPs\' migration and transformation. To obtain a comprehensive understanding of the occurrence and distribution of PPCPs, a seasonal sampling focused on the riverine system in coastal zone, Tianjin, Bohai Rim was conducted. The distribution and transformation of thirty-three PPCPs and their interaction with DOM were investigated, and their sources and ecological risks were further evaluated. The total concentration of PPCPs ranges from 0.01 to 197.20 μg/L, and such value is affected by regional temperature, DOM and land use types. PPCPs migration at soil-water interface is controlled by temperature, sunlight, water flow and DOM. PPCPs have a high affinity to the protein-like DOM, while the humus-like DOM plays a negative influence and facilitates PPCPs\' degradation. It is also found that protein-like DOM can represent point source pollution, while humus-like substances indicate non-point source (NPS) emission. Specific PPCPs can be used as markers to trace the source of domestic discharge. Additionally, daily use PPCPs such as ketoprofen, caffeine and iopromide are estimated to be the main risk substances, and their ecological risk varies on space, season and river hydraulic condition.
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  • 文章类型: Journal Article
    微塑料(MPs)是一种新兴的污染物,可以在所有生态系统中检测到,尤其是水生生态系统。废水处理厂(WWTP)是MP释放入海的重要点源。在这项研究中,研究了Bursa-Gemlik区污水处理厂不同单位12个月的废水和污泥样品中的MPs特征。从7个不同点收集的废水和污泥样品被分类为大小,形状,颜色,和计数。污水处理厂进水和出水中的MP量,分别为107.1±40.2MP/L和4.1±1.1MP/L。虽然污水处理厂的MP去除效率为96.17%,每天约有74,825,000MP排入马尔马拉海。污泥中MP的量为14.3±7.1MP/g。污水处理厂每天形成的22吨废污泥中累积的MP量为314,600,000MP,年累计金额约为1.15×1011MP。污水处理厂中的MP主要大小为1-0.5mm。在废水和污泥样品中,纤维是主要的MP形状。黑色和透明是MP的主要颜色。检测到七种不同聚合物类型的MPs,主要是聚乙烯,聚丙烯,和聚对苯二甲酸乙二醇酯。尽管所研究的污水处理厂的去除效率高,研究表明,由于排放率高,它是海洋生态系统中MP的重要来源。
    Microplastics (MPs) are an emerging pollutant that can be detected in all ecosystems, especially aquatic ecosystems. Wastewater treatment plants (WWTPs) are important point sources of MP release into the sea. In this study, the characteristics of MPs in wastewater and sludge samples taken from different units of WWTP in Bursa-Gemlik district for 12 months were investigated. Wastewater and sludge samples collected from 7 different points were classified as size, shape, color, and counted. The amount of MP in the influent and effluent of the WWTP, respectively; 107.1 ± 40.2 MP/L and 4.1 ± 1.1 MP/L. Although the MP removal efficiency of the WWTP is 96.17 %, approximately 74,825,000 MP is discharged into the Marmara Sea every day. The amount of MP in the sludge is 14.3 ± 7.1 MP/g. The amount of MP accumulated in 22tons of waste sludge formed daily in WWTP was calculated as 314,600,000 MP, and the annual accumulated amount was calculated as approximately 1.15 × 1011 MP. The MPs in the WWTP were mainly 1-0.5 mm in size. Fibers were the dominant MP shape in both the wastewater and sludge samples. Black and transparent were the dominant MP colors. Seven different polymer types of MPs were detected, which were mainly types of polyethylene, polypropylene, and polyethylene terephthalate. Despite the high removal efficiency in the investigated WWTP, it has been shown that it acts as an important source of MPs to the sea ecosystem due to the high discharge rates.
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  • 文章类型: Journal Article
    浮游动物在水生食物网中发挥着自上而下和自下而上的关键调节作用,并且在海洋生态系统中也具有生态指示性。然而,关于环境变化对自然浮游动物群落的影响的数据相对有限,尤其是沿海生态系统。在本研究中,我们系统地评估了各种环境变量的潜在影响,如温度,盐度,和营养,在春季黄海沿岸的浮游动物群落上,夏天,和下降。结果表明,从春季到秋季,浮游动物的平均丰度总体上下降,但生物量表现出不同的季节变化趋势,夏季最高,秋季最低。在整个三个季节中,co足类是浮游动物群落中最主要的物种,其次是Pelagic幼虫和Hydromedusae。然而,春季浮游动物的数量占很大比例。此外,应用相关分析探讨了环境因子对浮游动物群落季节变化的潜在影响。结果表明,春季浮游动物的叶绿素a(Chla)和盐度与浮游动物的丰度和生物量显着相关。这意味着高浮游植物生物量(以Chla表示)和盐度将有利于春季浮游动物的生长。在夏季和秋季,溶解无机磷酸盐(DIP)对浮游动物丰度和生物量的影响呈显著正相关,这表明浮游动物在夏季和秋季能够更好地耐受高DIP。一起来看,Chla,盐度,和DIP可能是控制黄海沿海浮游动物群落季节动态的关键决定因素。
    Zooplankton play key top-down and bottom-up regulatory roles in aquatic food webs, and are also ecologically indicative in marine ecosystems. However, there are relatively limited data on the effects of environmental changes on natural zooplankton communities, especially in coastal ecosystems. In the present study, we systematically evaluated the potential effects of various environmental variables, such as temperature, salinity, and nutrients, on the zooplankton communities along the coastal Yellow Sea during spring, summer, and fall. The results showed that the average abundance of zooplankton decreased in general from spring to autumn, but the biomass exhibited a different seasonal variation trend, with the highest in summer and the lowest in fall. Throughout the three seasons, copepods were the most dominant species within the zooplankton communities, followed by Pelagic larvae and Hydromedusae. However, Noctiluca miliaris accounted for a large proportion of zooplankton abundance during spring. Moreover, the correlation analysis was applied to explore the potential effects of environmental factors on the seasonal variation of zooplankton communities. The results showed that chlorophyll a (Chl a) and salinity were significantly correlated with zooplankton abundance and biomass during spring. The implication is that high phytoplankton biomass (expressed as Chl a) and salinity would benefit the growth of zooplankton in spring. During summer and fall, the effects of dissolved inorganic phosphate (DIP) on the zooplankton abundance and biomass showed a significant positive correlation, indicating that zooplankton were better able to tolerate high DIP during summer and fall. Taken together, Chl a, salinity, and DIP may be the key determinants controlling the seasonal dynamics of zooplankton communities in the coastal Yellow Sea.
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  • 文章类型: Journal Article
    .在这项研究中,我们评估了基于卫星的地表温度(LST)和气温(AT)对covid-19的影响。首先,我们在时空上对LST进行了克里,并应用了偏差校正。流行病的形状,定时,和大小在调整预测因子之后和之前进行了比较。鉴于大流行的非线性行为,使用半参数回归模型。此外,评估了预测因子与季节之间的交互效应.在调整预测因子之前,高峰发生在炎热的季节结束时。调整后,它被衰减并稍微向前移动。此外,归因分数(AF)和峰值相对于沟槽(PTR)分别为%23(95%CI;15,32)和1.62(95CI;1.34,1.97),分别。我们发现温度可能改变了covid-19的季节性变化。然而,考虑到变量调整后的较大不确定性,在我们研究的地区很难提供确凿的证据。
    .In this study, we assessed the impact of satellite-based Land Surface Temperature (LST) and Air Temperature (AT) on covid-19. First, we spatio-temporally kriged the LST and applied bias correction. The epidemic shape, timing, and size were compared after and before adjusting for the predictors. Given the non-linear behavior of a pandemic, a semi-parametric regression model was used. In addition, the interaction effect between the predictors and season was assessed. Before adjusting for the predictors, the peak happened at the end of hot season. After adjusting, it was attenuated and slightly moved forward. Moreover, the Attributable Fraction (AF) and Peak to Trough Relative (PTR) were % 23 (95% CI; 15, 32) and 1.62 (95%CI; 1.34, 1.97), respectively. We found that temperature might have changed the seasonal variation of covid-19. However, given the large uncertainty after adjusting for the variables, it was hard to provide conclusive evidence in the region we studied.
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  • 文章类型: Journal Article
    工业衍生的锑(Sb)的污染目前受到极大关注。进行这项研究是为了确定中国典型工业区中Sb与其他潜在有毒元素(PTE)的来源,并强调Sb对当地水生环境中生态风险的贡献。通过调查吴江县干湿季地表水中9种PTE的分布,这项研究表明,纺织废水是锑的主要来源。在9种元素中,Sb的分布(0.48〜21.4μg/L)的季节变化最小。因子分析表明,控制Sb分布的因素是独特的。总的来说,Sb更集中在研究区域的东南部,那里有大量的纺织工业,并且受到比电导率和水中总溶解固体的影响(p<0.01)。从排水出口收集的35.71%的样品中的Sb浓度超过10μg/L的标准限值。三种污染评估方法的结果表明,>5%的采样点受到轻度污染,而Sb的贡献最大。因此,要加强对地方纺织企业的行政监管,提高地方纺织废水排放标准。
    Contamination of industry-derived antimony (Sb) is currently of great concern. This study was conducted to identify the source of Sb together with other potential toxic elements (PTEs) in a typical industrial area in China and emphasize the contribution of Sb to ecological risk in the local aquatic environment. By investigating the distribution of nine PTEs in surface water in Wujiang County in dry and wet seasons, this study revealed that textile wastewater was the main source of Sb. The distribution of Sb (0.48~21.4 μg/L) showed the least seasonal variation among the nine elements. Factor analysis revealed that the factor that controlled Sb distribution is unique. In general, Sb was more concentrated in the southeastern part of the study area where there was a large number of textile industries, and was affected by the specific conductivity and total dissolved solids in water (p < 0.01). Sb concentration in 35.71% of samples collected from the drainage outlet exceeded the standard limit of 10 μg/L. Results from three pollution assessment methods suggested that >5% of the sampling sites were slightly too heavily polluted and Sb contributed the most. Therefore, it is necessary to strengthen the administrative supervision of local textile enterprises and elevate the local standard of textile wastewater emission.
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  • 文章类型: Journal Article
    通过在亚热带中等城市泉州市区和郊区的水厂预处理和转移过程中存在的地球化学特征,研究了家用自来水中邻苯二甲酸酯(PAEs)的存在,中国东南部。从11月起从家庭厨房的6个采样站收集的所有约300个自来水样本的结果30,2017,至12月6,2018,显示邻苯二甲酸二甲酯(DMP),邻苯二甲酸二乙酯(DEP),邻苯二甲酸二异丁酯(DIBP),邻苯二甲酸二正丁酯(DBP),和邻苯二甲酸二(2-乙基己基)酯(DEHP)可以通过开发的气相色谱质谱方法在16种PAE同源物中进行鉴定和定量。所有自来水的5种PAE同源物(Σ5PAEs)的总和水平范围为780.0ng/L至9180ng/L,而DIBP和DEHP是最丰富的同源物,旱季占82.2%,正常季节为89.9%,雨季为89.3%。转移过程的因素,例如从采样站到水厂的空间距离,管道的材料,以及自来水在管道中的储存时间,根据层次聚类分析,从Σ5PAEs水平和转移距离的相关性影响自来水中PAE同源物的水平。Σ5PAEs和每个同源物的季节变化与温度有很好的一致性,表明自来水中的PAEs主要来自原水,这应该在今后的工作中进一步探索。HQ法对自来水中PAEs的健康风险评估表明,DEP和DBP的发生对成人和儿童没有非致癌风险。虽然DEHP的浓度可能对成人和儿童造成潜在的非致癌风险,这应该得到更多的关注。
    The occurrence of phthalate esters (PAEs) in household tap water has been investigated via the presence of their geochemical characteristics in the pretreatment and transfer processes of water plants in the urban and suburban areas of the subtropical medium-sized city of Quanzhou, southeast China. The results for all approximately 300 tap water samples collected from 6 sampling stations at household kitchens from Nov. 30, 2017, to Dec. 6, 2018, showed that dimethyl phthalate (DMP), diethyl phthalate (DEP), diisobutylphthaate (DIBP), di-n-butyl phthalate (DBP), and di(2-ethylhexyl) phthalate (DEHP) could be identified and quantified among the 16 PAE congeners with the developed gas chromatographymass spectrometry method. The levels of the sum of 5 PAE congeners (Σ5PAEs) for all tap water ranged from 780.0 ng/L to 9180 ng/L, while DIBP and DEHP were the most abundant congeners, accounting for 82.2% in the dry season, 89.9% in the normal season, and 89.3% in the wet season. Factors of the transferring process, such as the spatial distance from the sampling station to the water plant, the material of pipelines, and the storage time of tap water in the pipeline, affected the levels of PAE congeners in tap water from the correlation of Σ5PAEs levels and transferring distance according to hierarchical cluster analysis. The seasonal variations in Σ5PAEs and each congener had good agreement with the temperature, suggesting that PAEs in tap water mainly come from raw water, which should be further explored in future work. Health risk assessment of PAEs in tap water with the HQ method showed that the occurrence of DEP and DBP has no noncarcinogenic risk for adults and children, while the concentration of DEHP might cause potential noncarcinogenic risk for adults and children, which should be given considerably more attention.
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  • 文章类型: Journal Article
    塑料垃圾在各地大量产生,通常被安置在垃圾填埋场。因此,垃圾渗滤液似乎是微塑料(MPs)和邻苯二甲酸酯(PAEs)的明显来源,因为它作为塑料添加剂和增塑剂的大量使用。但是这个问题仍然缺乏关注,本研究提供了有关布什尔港口不同季节新鲜垃圾渗滤液中MP和PAEs水平的初步信息。各季节新鲜渗滤液中MPs和PAEs的平均水平分别为79.16项/L和3.27mg/L,分别。此外,MPs中PAEs的平均水平为48.33μg/g。在不同季节中,MPs和PAEs的水平存在统计学上的显着差异,其中夏季和秋季的值最高。大小>1000μm的MP在所有季节中都具有最高的丰度。最突出的形状,颜色,渗滤液中的MP类型是黑色纤维,和尼龙,分别。邻苯二甲酸二丁酯(DBP)和邻苯二甲酸二(2-乙基己基)酯(DEHP)是渗滤液样品中存在的最主要的PAEs。这项研究的结果表明,在所有季节中,MP的危害指数(HI)和污染负荷指数(PLI)都很高。邻苯二甲酸二辛酯(DOP),DEHP,DBP,邻苯二甲酸二异丁酯(DiBP),邻苯二甲酸丁基苄酯(BBP),邻苯二甲酸二乙酯(DEP)对敏感生物具有很高的风险。这项研究的结果表明,在没有足够保护的情况下,大量的MP和PAEs可能会从垃圾填埋场释放到周围环境中。特别是当垃圾填埋场位于海洋环境附近时,这个问题更加严重,例如位于波斯湾附近的布什尔垃圾填埋场,这可能导致严重的环境问题。因此,永久控制和监测垃圾填埋场,特别是在沿海地区,非常需要防止进一步的污染。
    Plastic wastes are produced in a large amount everywhere, and are commonly disposed in landfills. So landfill leachate seems an obvious source of microplastics (MPs) and phthalate esters (PAEs) due to a huge usage as plastic additives and plasticizers. But this issue still lacks attention and the present study provides the first information on the levels of MPs and PAEs in the fresh landfill leachate of Bushehr port during different seasons. The mean levels of MPs and PAEs in the fresh leachate in all seasons were 79.16 items/L and 3.27 mg/L, respectively. Also, the mean levels of PAEs in MPs were 48.33 μg/g. A statistically significant difference was detected in the levels of MPs and PAEs among different seasons with the highest values in summer and fall. MPs with a size of >1000 μm had the highest abundance in all seasons. The most prominent shape, color, and type of MPs in the leachate were fibers black, and nylon, respectively. Dibutyl phthalate (DBP) and Di(2-ethylhexyl) phthalate (DEHP) were the most dominant PAEs present in the leachate samples. The results of this study revealed high hazard index (HI) and pollution load index (PLI) of MPs in all seasons. Dioctyl phthalate (DOP), DEHP, DBP, diisobutyl phthalate (DiBP), butyl benzyl phthalate (BBP), and diethyl phthalate (DEP) represented a high risk to the sensitive organisms. The results of this study showed that significant levels of MPs and PAEs may release into the surrounding environment from the landfill sites without sufficient protection. This issue is more critical when the landfill sites in particular are located near the marine environments like the Bushehr landfill that is located near the Persian Gulf, which can lead to serious environmental problems. Thus permanent control and monitor of landfills, especially in the coastal areas are highly needed to prevent further pollution.
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  • 文章类型: Journal Article
    背景:在糖尿病普通人群中已经报道了急性血糖并发症与季节和环境温度的关系。然而,鲜为人知的急性血糖并发症的风险与季节和环境温度有关的孕妇,他们可能会更加脆弱。这项工作旨在研究季节和环境温度与妊娠合并高血糖急诊或严重低血糖的关系。
    方法:在2009年至2014年期间,台湾有150,153例1型、2型或妊娠期糖尿病妇女怀孕期间,进行了两项独立的病例对照研究。77例和153例糖尿病妊娠发生高血糖症(主要是糖尿病酮症酸中毒和高渗性高血糖状态)和严重低血糖,分别。通过将每个病例的妊娠与糖尿病类型相匹配,为每个病例随机选择了十个对照妊娠(即,T1DM,T2DM,或GDM),急性血糖并发症发生日期的产妇年龄(即,索引日期),和“危险妊娠的长度”(即,概念和索引日期之间的时间段)。2008-2014年期间,从台湾542个气象监测站检索了气象参数。分别进行具有广义估计方程的条件逻辑回归分析,以估计指标日期前30天内与季节和环境温度相关的两种急性血糖并发症的协变量调整比值比(OR)。
    结果:与夏季相比,冬季与严重低血糖风险显著升高相关,OR为1.74(95%置信区间(CI)1.08~2.79).冬季高血糖急症的OR也升高,OR为1.88,但意义仅微不足道(95%CI0.97-3.64,p=0.0598)。亚组分析进一步指出,在孕前1型糖尿病和妊娠期糖尿病的妊娠中也观察到这种季节性变化。另一方面,环境温度与两种急性血糖并发症无显著相关性。
    结论:在冬季有糖尿病的孕妇中发现中度但显著升高的严重低血糖风险,这种增加的风险在T1DM妊娠中更为明显.
    Associations of acute glycemic complications with season and ambient temperature have been reported in general population with diabetes. However, little is known about the risks of acute glycemic complications in relation to season and ambient temperature in pregnant women, who are likely to be even more vulnerable. This work aimed to investigate the associations of season and ambient temperature with pregnancies complicated with hyperglycemia emergency or severe hypoglycemia.
    Two separate case-control studies were nested within 150,153 pregnancies by women with type 1, type 2, or gestational diabetes between 2009 and 2014 in Taiwan. Hyperglycemia emergency (mainly diabetic ketoacidosis and hyperosmolar hyperglycemic state) and severe hypoglycemia occurred in 77 and 153 diabetic pregnancies (cases), respectively. Ten control pregnancies were randomly selected for each case by matching each case pregnancy on type of diabetes (i.e., T1DM, T2DM, or GDM), maternal age on the date of acute glycemic complication occurrence (i.e., index date), and \"length of gestation at risk\" (i.e., period between conception and index date). Meteorological parameters were retrieved from 542 meteorological monitoring stations across Taiwan during 2008-2014. Conditional logistic regression analysis with generalized estimation equation was separately performed to estimate the covariate adjusted odds ratios (ORs) of each of the two acute glycemic complications in association with season and ambient temperature within 30 days prior to the index date.
    Compared to summer, winter season was associated with a significantly elevated risk of severe hypoglycemia with an OR of 1.74 (95% confidence interval (CI) 1.08-2.79). The OR of hyperglycemic emergency was also elevated in winter season at OR of 1.88, but the significance is only marginal (95% CI 0.97-3.64, p = 0.0598). Subgroup analyses further noted that such seasonal variation was also observed in pregnancies with pre-pregnancy type 1 diabetes and gestational diabetes. On the other hand, ambient temperature was not significantly associated with the two acute glycemic complications.
    A moderately but significantly elevated risk of severe hypoglycemia was found in pregnant women with diabetes during winter season, and such increased risk was more evident in pregnancies with T1DM.
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