Health impacts

健康影响
  • 文章类型: Journal Article
    研究表明,普遍基本收入(UBI)有能力在全国范围内对整个人口产生实质性的健康益处。最近已对多种影响途径进行了理论化,并呼吁进行试验以凭经验探索这些途径。然而,在地方层面进行了非常有限的研究,以探索潜在的特定环境影响,或者这些影响如何在经济中发挥作用,社会,和行为变化。为了检查这些影响并思考潜在的问题和意想不到的后果,我们在Jarrow召集了公民参与团体,南泰恩赛德,在英格兰东北部,探索当地人对UBI政策制定的期望和立场,并在实施之前进行试点。我们发现,人们对UBI对其社区的潜在有益健康影响的期望强烈地映射到学术理论影响途径上。他们还以有意义的方式扩展了对这些途径的理解。我们的发现增加了关于UBI和健康的文献,并为实证的未来发展提供了重要的见解,注重健康,UBI研究。
    Studies have suggested that universal basic income (UBI) has the capacity to have substantial health benefits across the population at national level. Multiple impact pathways have recently been theorized and there are calls for trials to explore these pathways empirically. However, very limited research has taken place at local levels to explore potential context-specific effects, or how these effects could play out in economic, social, and behavioral changes. In order to examine these effects and to think through potential issues and unintended consequences, we brought together citizen engagement groups in Jarrow, South Tyneside, in the northeast of England to explore local people\'s expectations and positions on the development of UBI policies and pilots prior to their implementation. We found that people\'s expectations regarding the potential beneficial health impacts of UBI on their communities mapped strongly onto academically theorized impact pathways. They also extended understanding of these pathways in meaningful ways. Our findings add to the literature about UBI and health and provide important insights for the future development of empirical, health focused, UBI research.
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  • 文章类型: Journal Article
    位于美国(USA)的21,000多个集中动物饲养业务(CAFO)每年产生高达160万吨的废物。这些操作产生了外部性,包括CAFO废物排放对当地和全球健康的不利影响,这可能会超过他们的经济可行性。然而,缺乏专门针对美国CAFO废物排放影响的证据综合研究可能会阻碍有效的政策制定。这项范围审查(ScR)研究,遵守乔安娜·布里格斯研究所的指导方针,在包括Scopus在内的数据库中进行了搜索,WebofScience,PubMed,和Embase于2020年5月发布,导致十份出版物符合纳入标准。结果表明,CAFO工人可能暴露于耐多药金黄色葡萄球菌(MDRSA),弯曲杆菌病,和隐孢子虫病.与非CAFO地区相比,CAFO附近的社区遭受了更高的不良健康影响,模式表明,接近可能与有害健康影响的几率增加有关。潜在的全球健康威胁包括耐甲氧西林金黄色葡萄球菌(MRSA),MDRSA,弯曲杆菌病,结核病,和隐孢子虫病.这些研究提供了对CAFO接近度的基本见解,密度模式,以及对公众健康的不良影响,这表明需要制定有证据的环境卫生政策,以最大限度地减少地方和全球风险。
    Up to 1.6 million tons of waste is produced annually by each of more than 21,000 concentrated animal feeding operations (CAFOs) located in the United States (USA). These operations give rise to externalities, including adverse local and global health impacts from CAFO waste emissions, which can potentially outweigh their economic viability. However, a shortage of evidence synthesis research exclusively on the impacts of USA-based CAFO waste emissions may hinder effective policy development. This scoping review (ScR) study, adhering to the guidelines from the Joanna Briggs Institute, conducted a search in databases including Scopus, Web of Science, PubMed, and Embase in May 2020, resulting in ten publications that met the inclusion criteria. The results suggest possible exposure of CAFO workers to multidrug-resistant Staphylococcus aureus (MDRSA), campylobacteriosis, and cryptosporidiosis. Communities near CAFOs experienced higher rates of adverse health impacts compared to those in non-CAFO areas, with patterns suggesting that proximity may correlate with increased odds of detrimental health effects. Implicit global health threats include methicillin-resistant Staphylococcus aureus (MRSA), MDRSA, campylobacteriosis, tuberculosis, and cryptosporidiosis. These studies provide foundational insights into CAFO proximity, density patterns, and adverse public health effects, indicating a need for evidence-informed environmental health policies to minimize local and global risks.
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  • 文章类型: Journal Article
    加纳人口的很大一部分,特别是在农村地区,缺乏可靠的安全管理的水。这些社区中的许多社区都依赖地下水作为其主要的饮用水源。对加纳发生的F-事件进行了彻底的审查,这项研究通过仔细分析地下水-土壤和植物动力学来补充以前的研究,全球影响,和特定地区的见解,尤其是在高风险的邦戈地区。研究表明,加纳的氟化物污染在各个地区都很明显,主要数据显示浓度范围从0.05mg/L-1到13.29mg/L-1。北部的邦戈区氟化物含量升高,超过世卫组织1.5mg/L-1的安全限值[62]。SekyereSouth和Nalerigu的其他研究显示,浓度分别为0.3mg/L-1至4.0mg/L-1和0.35mg/L-1至3.95mg/L-1。北部和东北部的污染概率范围为50%至90%。虽然南部地区缺乏广泛的数据,确定的热点需要进一步调查。地质因素显著影响氟化物含量,强调迫切需要全面监测,缓解,和公众意识。已确定的污染对公众健康构成风险,敦促立即采取行动,采取可持续的解决方案,并确保受影响地区的安全饮用水。氟化物毒性对容易接触氟化物的地区居民的健康影响值得注意。因此,可以预见,牙齿和骨骼氟中毒的情况不可避免地激增。尽管面临挑战,研究表明,减轻饮用水中氟化物污染的前景乐观。利用“骨炭”和“接触降水”方法等技术为补救提供了希望。这些方法可以在家庭层面实施,有些方法在经济上是可行的,使它们适合在加纳易发氟化物的地区采用。
    A large portion of Ghana\'s population, particularly in rural areas, lack reliable access to safely managed water. Many of these communities rely on groundwater as their primary drinking water source. Distinguished by its thorough examination of F- occurrences in Ghana, this study complements previous studies by meticulously analyzing groundwater-soil and -plant dynamics, global implications, and region-specific insights, notably in the high-risk Bongo area. The study showed that Fluoride contamination in Ghana is evident in various regions, with primary data showcasing concentrations ranging from 0.05 mg/L-1 to 13.29 mg/L-1. The Bongo District in the north exhibits elevated fluoride levels, surpassing WHO safety limits of 1.5 mg/L-1 [62]. Additional studies in Sekyere South and Nalerigu disclose concentrations from 0.3 mg/L-1 to 4.0 mg/L-1 and 0.35 mg/L-1 to 3.95 mg/L-1, respectively. Contamination probabilities range from 50 % to 90 % in the north and northeast. While southern areas lack extensive data, the identified hotspots necessitate further investigation. Geological factors significantly influence fluoride levels, emphasizing the urgent need for comprehensive monitoring, mitigation, and public awareness. The identified contamination poses risks to public health, urging immediate action for sustainable solutions and ensuring safe drinking water in affected regions. The health implications of fluoride toxicity on the residents of regions prone to fluoride exposure are noteworthy. As a result, an inevitable surge in instances of dental and skeletal fluorosis can be anticipated. Notwithstanding the challenges, research indicates optimistic prospects for mitigating fluoride pollution in drinking water. Techniques like the utilization of \"Bone Charcoal\" and the \"Contact Precipitation\" approach offer promise for remediation. These methods can be implemented at a household level and some are economically viable, making them advisable for adoption in fluoride-prone areas of Ghana.
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  • 文章类型: Journal Article
    微电网正在出现,以减轻由于电网中断频率增加而导致的电网弹性和可靠性下降。因为微电网包含了当地的发电来源,电力生产正在从集中式拓扑向分布式拓扑转变,从而将发电资源和随之而来的排放安装到人口稠密的城市防空洞和住宅社区。在本文中,评估了在城市空气棚中大规模部署微电网对空气质量和公共卫生的影响。为近期和长期部署确定了成为微电网的候选人,并考虑了两种微电网场景,与24/7主要电源不同:(1)基于燃烧燃气轮机(CGT)的微电网和(2)基于零排放FC的微电网,由太阳能光伏和电池储能补充。微电网在空间和时间上解析的排放被输入到空气质量模型并评估对健康的影响。结果表明:(1)在近期和长期大规模部署基于CGT或FC的微电网对空气质量的影响相对较小,(2)由于该地区人口众多,人口稠密,因此对基于CGT的微电网的健康影响仍然很大,(3)基于CTG的微电网的部署对弱势社区的影响不成比例。例如,基于CGT的微电网的近期部署导致过早死亡的发生率增加(每月1至5例),医疗费用每月增加33至5600万美元。部署基于FC的零排放微电网减轻了对健康的不利影响。防止一些过早死亡的发生,并导致每月节省约3600万美元,而不是每月节省约5000万美元的成本。
    Microgrids are emerging to mitigate the degradation in grid resiliency and reliability resulting from an increasing frequency of grid outages. Because microgrids incorporate a local source of power generation, the production of electricity is shifting from a centralized to distributed topology, thereby installing power generation resources and the concomitant emissions into heavily populated urban air sheds and residential communities. In this paper, the air quality and public health impacts of a mass deployment of microgrids in an urban air shed are assessed. Candidates to become microgrids are identified for both the near- and long-term deployment, and two microgrid scenarios are considered, differing by the 24/7 prime source of power: (1) combustion gas turbine (CGT)-based microgrids and (2) zero-emission fuel cell (FC)-based microgrids complemented by solar PV and battery energy storage. Spatially and temporally resolved emissions from the microgrids are input to an air quality model and assessed for health impacts. The results show that (1) a mass deployment of CGT-based or FC-based microgrids in both the near- and long-term has a relatively small impact on air quality, (2) the health impacts are nonetheless significant for CGT-based microgrids due to the large and dense population of the area, and (3) disadvantaged communities are disproportionately impacted with the deployment of CTG-based microgrids. For example, near-term deployment of CGT-based microgrids results in an increase in the incidence of premature mortality (1 to 5 incidences per month) and an increase of $33 to $56 million per month in health costs. Deploying zero-emission FC-based microgrids mitigates the adverse health impact, prevents several incidences of premature mortality, and results in saving of ~$36M per month rather than a cost per month of ~$50M.
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  • 文章类型: Journal Article
    随着人类引起的气候变化使地球变暖,它的健康影响将影响所有人群,但是某些群体将更容易受到其影响。鉴于其作为医疗保健安全网的作用,急救医学将在解决这些健康状况方面发挥关键作用。此外,凭借其在灾难医学方面的专业知识,跨学科合作,和医疗保健系统知识,急救医学有可能引领医疗保健部门应对气候变化。
    As human-induced climate change warms the planet, its health impacts will affect all populations, but certain groups will be more vulnerable to its impacts. Given its role as a health care safety net, emergency medicine will play a crucial role in addressing these health conditions. Additionally, with its expertise in disaster medicine, interdisciplinary collaboration, and health care systems knowledge, emergency medicine has the potential to lead the health care sector\'s response to climate change.
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  • 文章类型: Journal Article
    燃烧生物质燃料引起的室内空气污染对巴基斯坦农村地区的儿童健康构成了重大威胁。这项横断面研究旨在评估旁遮普省农村12岁以下儿童因生物质燃烧而导致的室内空气污染对健康的影响。在旁遮普省随机选择的六个农村地区进行了问卷调查,其特点是主要依赖生物质燃料。研究结果表明,几个特点,比如家庭月收入,客厅的数量,固体燃料的二次使用,厨房类型,烹饪炉的类型,孩子和他们的母亲在厨房里,在儿童中表现出与负面健康影响的显著关联(p<0.05)。报告的儿童健康影响包括咳嗽(18.7%),水汪汪的眼睛(17.7%),眼睛刺激(12.3%),流鼻涕(11.8%),呼吸困难(8.5%),痰(38%),头痛(25%)恶心(20.1%),头晕(6.7%),哮喘(6.4%),肺结核(1.8%),和肺炎(1.5%)。
    Indoor air pollution arising from burning of biomass fuels poses a significant threat to child health in rural areas of Pakistan. This cross-sectional study aimed to assess health implications associated with indoor air pollution resulting from biomass burning among children under 12 years of age in rural Punjab. A questionnaire-based survey was conducted in six randomly selected rural districts of Punjab, characterized by their primary reliance on biomass fuels. The findings revealed that several characteristics, such as monthly household income, number of living rooms, secondary use of solid fuels, kitchen type, type of cooking stove, and presence of child in the kitchen with their mother, exhibited significant associations (p < 0.05) with negative health impacts among children. Reported health effects among the children included coughing (18.7%), watery eyes (17.7%), eye irritation (12.3%), runny nose (11.8%), breathing difficulties (8.5%), phlegm (38%), headache (25%), nausea (20.1%), dizziness (6.7%), asthma (6.4%), tuberculosis (1.8%), and pneumonia (1.5%).
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  • 文章类型: Journal Article
    为了充分了解植物性肉类类似物和真肉的营养异质性,这篇综述总结了它们在成分方面的异同,营养成分,生物利用度和健康影响。基于植物的肉类似物与真正的肉有一些相似之处。然而,植物性肉类类似物的蛋白质含量较低,胆固醇和VB12,但膳食纤维含量较高,碳水化合物,糖,盐和各种食品添加剂比真正的肉类。此外,植物性肉类类似物中的一些营养素,比如蛋白质和铁,生物可利用性较低。没有足够的证据表明植物性肉类类似物更健康,这可能与这些产品的特定属性有关,例如配方和加工程度。就目前情况而言,有必要提供有关植物性肉类产品的全面营养信息,以便消费者可以根据其营养需求做出明智的选择。
    In order to fully understand the nutritional heterogeneity of plant-based meat analogues and real meat, this review summarized their similarities and differences in terms of ingredients, nutrient contents, bioavailability and health impacts. Plant-based meat analogues have some similarities to real meat. However, plant-based meat analogues are lower in protein, cholesterol and VB12 but higher in dietary fiber, carbohydrates, sugar, salt and various food additives than real meat. Moreover, some nutrients in plant-based meat analogues, such as protein and iron, are less bioavailable. There is insufficient evidence that plant-based meat analogues are healthier, which may be related to the specific attributes of these products such as formulation and degree of processing. As things stand, it is necessary to provide comprehensive nutrition information on plant-based meat products so that consumers can make informed choices based on their nutritional needs.
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  • 文章类型: Journal Article
    与气候变化有关的极端天气事件(EWE)的发生率和幅度增加,导致了更多的人类暴露和对天气相关健康影响的脆弱性。EWE的发生增加,包括暴风雨,洪水,极端高温和野火,将影响全球健康,穷人和弱势群体受到不成比例的影响。易损件易损件,以及适应这些天气冲击的能力,受到现有身体的影响,特定地区的社会和政治限制。因此,制定针对具体情况的健康脆弱性指数,为决策者和公民的规划和决策提供信息,应该优先考虑。南非卫生脆弱性指数的存在和发展是有限的,因此,这项研究为未来指数的建立提供了基础。包括证据和数据分析/综合和焦点小组在内的混合方法用于了解极端天气事件与人类健康之间的相互联系,包括公民对与这些事件相关的紧急漏洞的理解。本研究中采用的方法包括:•快速证据审查(RER),包括识别健康影响和指标的数据提取。•制定健康脆弱性指数(HVI)框架草案。•焦点小组和个人访谈测试HVI草案,以促进公民投入和框架完善。
    An increase in incidence and amplitude of extreme weather events (EWEs) linked to climate change, has resulted in greater human exposure and vulnerability to weather-related health effects. Increases in the occurrence of EWEs, including storms, flooding, extreme heat and wildfires, will impact health globally, with poor and vulnerable populations disproportionately affected. Vulnerability to EWEs, and the ability to adapt to these weather shocks, are influenced by existing physical, social and political limitations of a given region. As such, developing context-specific health vulnerability indices to inform planning and decision-making for policy makers and citizens alike, should be prioritized. The existence and development of health vulnerability indices in South Africa are limited, therefore, this study provides a foundation from which future indices can build. Mixed methods approaches including evidence and data analysis/synthesis and focus groups are used to understand the interconnections between extreme weather events and human health, including citizens\' understanding of emergent vulnerabilities linked to these events. The methods employed in this study include: •A rapid evidence review (RER) including data extraction identifying health impacts and indicators.•Development of a draft health vulnerability index (HVI) framework.•Focus groups and individual interviews testing the draft HVI for citizen input and framework refinement.
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  • 文章类型: Journal Article
    PM2.5对人体健康的影响在不同年龄段之间波动很大,受一系列生理和免疫反应的影响。本文比较了PM2.5引起的疾病在不同年龄段人群中的发病机制,专注于儿童,成年人,老年人由于身体的差异而容易受到影响。关于儿童,暴露于PM2.5与许多负面影响有关。这些因素包括炎症,氧化应激,和呼吸问题,这可能会使先前存在的疾病恶化,并可能导致神经毒性和发育问题。表观遗传变化会影响免疫系统,使人们更容易患上呼吸道疾病。另一方面,怀孕期间的暴露会改变心血管和中枢神经系统的发育方式。在成年人中,PM2.5的吸入与广泛的健康问题有关。这些包括呼吸困难,肺功能降低,对哮喘等疾病的易感性增加,慢性阻塞性肺疾病(COPD),还有肺癌.此外,暴露于PM2.5会引起全身炎症,心血管疾病,胰岛素抵抗,和神经毒性后果。免疫系统和认知功能的明显紊乱证明了PM2.5的广泛影响。老年人容易出现呼吸和心血管困难,这加剧了他们先前存在的健康问题,并增加了认知能力下降和神经系统疾病的风险。有额外的医疗条件,比如消化性溃疡,大大增加了入院的可能性。
    The effects of PM2.5 on human health fluctuate greatly among various age groups, influenced by a range of physiological and immunological reactions. This paper compares the pathogenesis of the disease caused by PM2.5 in people of different ages, focusing on how children, adults, and the elderly are each susceptible to it because of differences in their bodies. Regarding children, exposure to PM2.5 is linked to many negative consequences. These factors consist of inflammation, oxidative stress, and respiratory problems, which might worsen pre-existing conditions and potentially cause neurotoxicity and developmental issues. Epigenetic changes can affect the immune system and make people more likely to get respiratory diseases. On the other hand, exposures during pregnancy can change how the cardiovascular and central nervous systems develop. In adults, the inhalation of PM2.5 is associated with a wide range of health problems. These include respiratory difficulties, reduced pulmonary function, and an increased susceptibility to illnesses such as asthma, chronic obstructive pulmonary disease (COPD), and lung cancer. In addition, exposure to PM2.5 induces systemic inflammation, cardiovascular diseases, insulin resistance, and neurotoxic consequences. Evident disturbances in the immune system and cognitive function demonstrate the broad impact of PM2.5. The elderly population is prone to developing respiratory and cardiovascular difficulties, which worsen their pre-existing health issues and raise the risk of cognitive decline and neurological illnesses. Having additional medical conditions, such as peptic ulcer disease, significantly increases the likelihood of being admitted to hospital.
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  • 文章类型: Journal Article
    该项目研究了COVID-19大流行对祖父母照顾者的影响,孙子们,孙子们家庭动态,以及缓解和驾驭危机的资源。使用半结构化采访指南对24名祖父母照顾者进行了电话采访。看护者解释说,大流行通过增加情绪困扰来影响他们和他们的孙子,社会孤立,财政困难,以及教育方面的挑战。有用的资源包括财政支持,喘息护理,支持孙子孙女。因此,有必要为祖父母照顾者提供与寄养提供者相同的资源-特别是在面临COVID-19大流行等挑战时。
    This project examined the impacts of the COVID-19 pandemic on grandparent caregivers, grandchildren, family dynamics, and resources to mitigate and navigate crises. Phone interviews were conducted with 24 grandparent caregivers using a semi-structured interview guide. Caregivers explained that the pandemic had impacted them and their grandchildren by increasing emotional distress, social isolation, financial difficulties, and challenges with education. Helpful resources consisted of financial support, respite care, and support for grandchildren. Thus, there is a need to provide grandparent caregivers with the same resources that foster care providers receive - particularly when faced with challenges such as the COVID-19 pandemic.
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