pandemic COVID-19

大流行 COVID - 19
  • 文章类型: Journal Article
    与上一次大流行相比,在COVID-19大流行期间,印度尼西亚的家庭暴力急剧增加。本文分析了印度尼西亚的刑事司法系统在大流行期间如何应对家庭暴力。本文使用了从各种在线资源和法律出版物中收集的次要数据。这篇文章表明,在大流行期间,由于两个重大障碍,印度尼西亚的家庭暴力受害者无法诉诸司法。在向适当的官员提出正式投诉之前,受害者更愿意与亲属讨论此事。此外,由于行动限制,受害者无法向负责官员报告案件。这个案例表明,在父权制社会,刑事司法系统无法更有效地处理家庭暴力案件。因此,刑事司法系统的技术运作需要开发一种新的立案方法。本文建议印尼刑事司法系统建立基于社交媒体的投诉系统,为家庭暴力的受害者提供迅速的正义。此外,社区在协助家庭暴力受害者方面的法律宣传作用至关重要。
    Domestic violence increased dramatically in Indonesia during the COVID-19 pandemic compared to the previous pandemic. This article analyses how Indonesia\'s criminal justice system responded to domestic violence during the pandemic. This article used secondary data gathered from various online resources and legal publications. This article demonstrated that during the pandemic, victims of domestic violence in Indonesia were unable to access justice due to two significant barriers. Before filing a formal complaint with the appropriate official, victims would prefer to discuss the matter with their relatives. Furthermore, the victims could not report their cases to the responsible official due to mobility constraints. This case demonstrates that in patriarchal societies, the criminal justice system could not handle domestic violence cases more effectively. As a result, the technical operation of the criminal justice system necessitates the development of a novel method of case filing. This article proposes that the Indonesian criminal justice system establish a complaint system based on social media to provide victims of domestic violence with prompt justice. Furthermore, the legal advocacy role of the community in assisting domestic violence victims is critical.
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  • 文章类型: Journal Article
    由于许多社区调查的质量有限,因此很难量化COVID-19大流行对心理健康的影响,依靠筛查测试来衡量精神健康状况和痛苦,并经常使用方便的样品。此外,稳健的调查主要来自高收入国家。
    在一个中低收入国家(LMIC)-突尼斯的社区中,测量在大流行期间发作的抑郁症的患病率。
    在大流行期间(2021年9月至12月),医生在拉马努巴省普通人群的代表性样本中进行了临床半结构化面对面访谈,突尼斯。根据DSM-IV建立精神病诊断。
    大流行后开始或复发的重度抑郁症(MDD)的患病率为5.66%。与MDD相关的因素是由于大流行而导致的失业和收入大幅减少(OR=2.1,95%CI[1.5,2.9])以及家庭财务状况低于突尼斯平均水平(OR=2.3,95%CI[1.7,3.2])。女性性别,婚姻状况为分居/离婚,COVID-19感染仅在整个样本和城市地区与MDD相关,但不是在农村地区。年龄和因COVID-19去世的亲人与MDD无关。
    在突尼斯,大流行似乎增加了经历不稳定财务状况的人们患抑郁症的风险,也是由于先前存在的经济危机。具体的地方层面因素,比如长时间不建立严格的封锁,可能保护了年轻人,并允许在失去亲人的家庭中更好地哀悼。
    UNASSIGNED: It is difficult to quantify the impact of the COVID-19 pandemic on mental health as many community surveys have limited quality, rely on screening tests to measure mental health conditions and distress, and often use convenience samples. Moreover, robust surveys come mainly from high-income countries.
    UNASSIGNED: To measure the prevalence of depressive disorders with onset during the pandemic in a community of a Lower-Middle-income country (LMIC)-Tunisia.
    UNASSIGNED: Clinical semi-structured face-to-face interviews were carried out during the pandemic (September-December 2021) by medical doctors among a representative sample of the general population in the governorate of La Manouba, Tunisia. Psychiatric diagnoses were established according to DSM-IV.
    UNASSIGNED: The prevalence of Major Depressive Disorder (MDD) started or recurred after the pandemic was 5.66%. The factors associated with MDD were loss of job and considerably diminished income due to the pandemic (OR = 2.1, 95% CI [1.5, 2.9]) and the perception of having the family\'s financial situation below the Tunisian average (OR = 2.3, 95% CI [1.7, 3.2]). Female sex, marital status as separated/divorced, and having a COVID-19 infection were associated with MDD only in the overall sample and urban areas, but not in rural areas. Age and having loved ones who passed away due to COVID-19 were not associated with MDD.
    UNASSIGNED: In Tunisia, the pandemic seems to have increased the risk of depression in people experiencing a precarious financial situation, also due to the pre-existing economic crisis. Specific local level factors, such as not establishing a rigid lockdown for an extended period, may have protected young people and allowed for better mourning in families suffering the loss of a loved one.
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  • 文章类型: Journal Article
    背景和目的:高海拔地区COVID-19患者的部分氧饱和度(PO2S)水平可能会降低。目的是评估高海拔地区COVID-19患者PO2S与重症监护病房(ICU)住院时间之间的关系。材料与方法:对69例COVID-19患者(36%为女性)入住ICU的临床资料进行分析。考虑组内类别(ICU中的“≤11天”和“>11天”)和PO2S身高类别(“<90%”和“≥90%”)的中值。使用针对混杂变量调整的逻辑回归和线性回归模型。结果:在ICU中>11天的患者PO2S≥90%的几率降低了84%(OR:0.16[CI:0.02,0.69],p=0.005)与ICU中≤11天的患者相比。PO2S增加1%,ICU停留时间减少0.22天(β:-0.22[CI:-0.33,-0.11],p<0.001),可能导致减少1.44天。结论:PO2S是评估高海拔地区COVID-19患者ICU住院时间的关键因素,是一种可获得且具有成本效益的措施。应将其用于感染患者,以补充大流行后ICU住院的预后。
    Background and Objectives: Patients at high altitudes with COVID-19 may experience a decrease in their partial oxygen saturation (PO2S) levels. The objective was to assess the association between PO2S and intensive care unit (ICU) stay in patients at high altitudes with COVID-19. Materials and Methods: Clinical records of 69 COVID-19 patients (36% women) admitted to the ICU were analyzed. Median values were considered for intra-group categories (\"≤11 days\" and \">11 days\" in the ICU) and for PO2S height categories (\"<90%\" and \"≥90%\"). Logistic regression and linear regression models adjusted for confounding variables were used. Results: Patients with >11 days in the ICU had 84% lower odds of having a PO2S ≥ 90% (OR: 0.16 [CI: 0.02, 0.69], p = 0.005) compared to those with ≤11 days in the ICU. An increase in PO2S by 1% reduced ICU stay by 0.22 days (β: -0.22 [CI: -0.33, -0.11], p < 0.001), potentially leading to a reduction of up to 1.44 days. Conclusions: PO2S is a crucial factor in estimating ICU stays for COVID-19 patients at high altitudes and serves as an accessible and cost-effective measure. It should be used in infected patients to complement the prognosis of post-pandemic ICU stay.
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  • 文章类型: Journal Article
    背景:COVID-19大流行与世界上大多数人口的体力活动(PA)有限有关。这项横断面前瞻性研究旨在评估波兰大学生的PA水平,捷克共和国和斯洛伐克在COVID-19后使用国际身体活动问卷简表(IPAQ-SF)。
    方法:在2022年9月至12月之间,共有2635名学生使用IPAQ-SF完成了有关其PA水平的问卷调查。
    结果:通过代谢任务当量(MET)评分测量的PA,三个国家之间的差异:斯洛伐克中位数MET分钟/周得分4459.9;捷克共和国3838.8波兰3567.1。事后分析的结果显示,捷克共和国和波兰(p<0.035)以及捷克共和国和斯洛伐克(p<0.037)之间的MET分钟/周值存在显着差异。步行过程中的精力支出分析显示,来自捷克共和国和斯洛伐克的学生的MET-min/weeks中值(捷克2284.1;斯洛伐克2467.1)高于波兰(1536.1)同龄人(p<0.001)。波兰队列的体重指数(BMI)(p<0.001)明显高于捷克和斯洛伐克组(BMI捷克:22.3;斯洛伐克22.8;波兰23.8)。
    结论:捷克共和国之间的PA水平存在显着差异,波兰,和斯洛伐克的大学生被确认。斯洛伐克以MET评分衡量的PA中位数最高,波兰表现最低。与现有的COVID前研究相比,观察到的队列中的PA总水平似乎没有恢复到COVID前的水平,学生仍然不那么活跃。
    BACKGROUND: The COVID-19 pandemic was associated with limited physical activity (PA) of most of the world\'s population. This cross-sectional prospective study aimed to assess the levels of PA of university students in Poland, Czech Republic and Slovakia after COVID-19 using the International Physical Activity Questionnaire Short Form (IPAQ-SF).
    METHODS: A total of 2635 students completed questionnaires regarding their PA levels using the IPAQ-SF between September and December 2022.
    RESULTS: PA measured by metabolic equivalent of task (MET) scores, varied between the three countries: Slovakia median MET-minutes/week score 4459.9; Czech Republic 3838.8 Poland 3567.1. The results of the post hoc analysis revealed there were significant differences in MET-minutes/week values between the Czech Republic and Poland (p < 0.035) as well as between the Czech Republic and Slovakia (p < 0.037). The analysis of energetic expenditure during walking revealed that students from the Czech Republic and Slovakia had higher median MET-min/weeks values (Czech 2284.1; Slovak 2467.1) compared to their Polish (1536.1) peers (p < 0.001). Polish cohort presented with significantly higher body mass index (BMI) (p < 0.001) than Czech and Slovak groups (BMI Czech: 22.3; Slovak 22.8; Polish 23.8).
    CONCLUSIONS: Significant differences in PA levels between the Czech Republic, Poland, and Slovakia university students were identified. Slovakia showed the highest median PA measured as a MET score, and Poland showed the lowest. Compared to available pre-COVID studies it seems the total level of PA in the observed cohorts has not returned to the pre-COVID levels and students remain less active.
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  • 文章类型: Journal Article
    背景:在COVID-19大流行期间,医疗保健需求急剧增加。资源被重定向到COVID-19的护理患者。因此,手术治疗受到影响,包括血管疾病。没有研究评估COVID-19大流行的整体影响,考虑到所有类型的血管手术,选修和紧急,在一个大国。本研究的目的是分析COVID-19大流行期间对巴西公立医院进行的所有类型血管手术的影响。
    方法:对涉及血管手术的公开数据进行基于人群的横断面分析。包括大流行发作前两年(2018年至2019年)和大流行期间两年(2020年至2021年)的手术。
    结果:我们共观察到521,069例手术。在选择性腹主动脉瘤修复术中观察到开放手术(p=0.001)和血管内手术(p<0.001)的减少,紧急开放式腹部AAA修复(p=0.005),选择性胸主动脉瘤修复术(p=0.007),选择性开放周围动脉瘤修复术(p=0.038),颈动脉内膜切除术(p<0.001)和血管成形术(p=0.001),周围动脉疾病的开放血运重建(p<0.001),慢性静脉疾病的手术治疗(p<0.001)和多汗症的交感神经切除术(p<0.001)。然而,下肢截肢(p=0.027)和腔静脉滤器位置(p=0.005)增加.金融投资减少了近1700万美元。
    结论:卫生系统的重组导致血管手术的显著减少和金融投资的减少。另一方面,下肢截肢和腔静脉滤器放置次数显著增加.
    BACKGROUND: During the COVID-19 pandemic, there was a dramatic increase in healthcare demand. Resources were redirected to care patients with COVID-19. Therefore, surgical treatments were affected, including those of vascular diseases. There are no studies evaluating the whole impact of the COVID-19 pandemic, considering all types of vascular procedures, both elective and urgent, in a large country. The aim of the present study was to analyze the impact on all types of vascular procedures performed in Brazilian public hospitals during the COVID-19 pandemic.
    METHODS: Cross-sectional population-based analysis of publicly available data referring to vascular procedures. Surgeries 2 years before the pandemic onset (2018-2019) and 2 years during pandemic (2020-2021) were included.
    RESULTS: We observed a total of 521,069 procedures. Decrease was observed in elective abdominal aortic aneurysm repairs both open surgery (P = 0.001) and endovascular surgery (P < 0.001), emergency open abdominal repairs (P = 0.005), elective thoracic aortic aneurysm repairs (P = 0.007), elective open peripheral aneurysm repairs (P = 0.038), carotid endarterectomies (P < 0.001) and angioplasties (P = 0.001), open revascularizations for peripheral arterial disease (P < 0.001), surgical treatment of chronic venous disease (P < 0.001) and sympathectomies for hyperhidrosis (P < 0.001). However, there was an increase of lower limb amputations (P = 0.027) and vena cava filter placements (P = 0.005). There was a reduction of almost US$17 million in financial investments.
    CONCLUSIONS: The reorganization of health systems led to a significant reduction in vascular procedures and decrease in financial investments. On the other hand, there was a significant increase in the number of lower limb amputations and vena cava filter placements.
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  • 文章类型: Journal Article
    了解COVID-19大流行导致的家庭监禁在多大程度上影响了医疗实习居民计划(MIR)考试的结果,以及是否因此出现了性别差距。
    对在MIR考试中获得的最终结果进行计量经济学建模,并确定确定其及其相关性的解释因素,效果和意义。
    从2019年,2020年和2021年通话的MIR测试中获得的结果来看,可以看出,考试和学术记录以及人口统计和日历因素是解释最终结果的观察行为的决定因素。关于性别因素,显示出有利于女性的不同固定效应的存在,尽管与考试的互动显示出相反的结果。国籍变量使我们能够可视化学术同质性的情景。与COVID-19大流行直接相关的日历的影响使得量化对最终结果的负面影响成为可能。
    (1)该作品反映了性别,在西班牙获得专门健康培训的国籍或COVID-19大流行。(2)与以前的研究相比,我们发现男性和女性的行为有显著差异,与女性有良好的联系。然而,检测到与男性相关的所谓冲刺效应。(3)可视化了COVID-19大流行对最终得分的负面影响。量化了相对于控制类别的现有差异,并可视化了时间组件在解释因素集中的分层位置的优势。
    To know to what extent home confinement resulting from the COVID-19 pandemic has affected the results of the Medical Intern Resident Program (MIR) exam and whether or not a gender gap has occurred as a consequence.
    Econometric modeling of the final result obtained in the MIR exam and identification of the explanatory factors that determine it and its relevance, effect and meaning.
    From the results obtained in the MIR test of the 2019, 2020 and 2021 calls, it can be seen that examinations and academic records together with demographic and calendar factors are determinants to explain the observed behavior of the final result. In relation to the gender factor, the existence of a differential fixed effect in favor of women is shown, although the interaction with the exam shows the opposite result. The nationality variable allows us to visualize a scenario of academic homogeneity. The effect of the calendar directly linked to the COVID-19 pandemic makes it possible to quantify the negative impact exerted on the final result.
    (1) The work reflects the impact of factors such as sex, nationality or the COVID-19 pandemic on access to specialized health training in Spain. (2) In contrast to previous studies, we found a significant difference in behavior between men and women, favorably linked to the female sex. However, the so-called sprint effect associated with the male sex was detected. (3) The negative effects of the COVID-19 pandemic on the final score are visualized. The existing differential with respect to the control category is quantified and the dominance of the hierarchical position of the temporal component within the set of explanatory factors is visualized.
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    文章类型: Journal Article
    本文介绍了世卫组织欧洲区域研究项目的成果,捷克共和国卫生部和第一医学院,查尔斯大学关注COVID-19大流行期间捷克人口行为。在捷克共和国,使用问卷调查的方法,对具有代表性的受访者样本进行了三波研究。结果表明,在捷克环境中,与大流行有关的风险感知较低,不管越来越多的感染者和死者。对个人感染易感性和自我效能感的看法仍然乐观。在成功应对第一波浪潮后,总体幸福感高于平均水平,但随着大流行形势的恶化,这一数字略有下降。长期以来,对预防措施的遵守率一直相对较低,而且趋势一直在下降。到那时,越来越难以理解国家当局关于正在实施的措施的沟通,对媒体的信任度下降。一个积极的发现是,试图改善与大流行有关的生活方式的人的比例有所增加。
    The paper presents the outcomes of the WHO European Region research project, Ministry of Health of the Czech Republic and the First Faculty of Medicine, Charles University which concerned Czech population behaviour during the COVID-19 pandemic. In the Czech Republic the research was carried out in three waves on a representative sample of respondents using methodology of a questionnaire survey. The results showed that the risk perception in connection with the pandemic was low in the Czech environment, regardless of the growing number of infected and deceased. Optimism persisted about the perception of personal susceptibility to infection and self-efficacy. General wellbeing was above average after successfully coping with the first wave, but it decreased slightly in connection with the worsening of the pandemic situation. Compliance with preventive measures has been relatively low for a long time and the trend has been rather declining. By the time, it became increasingly difficult to understand the communication of state authorities regarding the measures being implemented, and trust in the media decreased. A positive finding was the increase in the proportion of those who tried to improve the lifestyle in connection with the pandemic.
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  • 文章类型: Journal Article
    在破坏性事件期间,由于物流带来的限制,供应链难以满足需求,运输和供应方面的故障。在本研究中,一个灵活的个人防护设备(PPE)供应商网络,比如口罩,洗手液,手套,和脸的盾牌,已使用广泛的风险支持数据驱动的决策来解决供应链中的中断进行建模。本文研究了PPE供应链中存在的各种风险,并根据这些风险评估了供应商的总风险。此外,本文提出了一种多目标混合整数线性规划(MOMILP),用于在各种风险下优化选择供应商和可持续分配订单,即中断,延迟,应收账款,库存,和能力。拟议的MOMILP模型还扩展到在中断情况下及时修改其他供应商的订单,从而实现有效的响应,从而最大程度地减少缺货。标准风险矩阵是在行业和学术界的供应链专家的帮助下开发的。最后,对经销商提供的PPE数据进行了数值案例研究及其计算分析,以证明所提出模型的适用性。研究结果表明,拟议的灵活的MOMILP可以在中断期间最佳地修改分配,以大大减少库存并最大程度地减少PPE供应网络中的总体采购成本。
    During disruptive events, supply chains struggle to meet the demand due to limitations posed by logistics, transportation and supply side failures. In the present study, a flexible supplier network of personal protective equipment (PPEs), such as face masks, hand sanitizers, gloves, and face shields, has been modelled using an extensive risk enabled data driven decision making for addressing disruptions in the supply chain. This paper studies various risks which exists in PPE supply chain and evaluates the total supplier risk based on them. Furthermore, the paper proposes a Multi-objective Mixed Integer Linear Program (MOMILP) to optimally select suppliers and the sustainable allocation of orders under various risks, namely disruption, delay, receivables, inventory, and capacity. The proposed MOMILP model is also extended to promptly revise the orders to other suppliers under a disruption scenario enabling an effective response resulting in minimization of stockouts. The criteria-risk matrix is developed with the help of supply chain experts from industry and academia. Conclusively, the numerical case study and its computational analysis is conducted on the PPE data received from distributors to demonstrate the applicability of the proposed model. The findings suggest that the proposed flexible MOMILP can optimally revise allocations during disruptions to drastically reduce the stockouts and minimize overall cost of procurement in the PPE supply network.
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    文章类型: English Abstract
    The article highlights social factors of mental health and well-being of older Russians based on the results of wave sociological studies of the perceived quality of life for 2002-2019 and the author\'s representative survey of older Russians in 2022. Age, gender and employment are the most significant determinants not only of social activity, but also of mental health and emotional well-being. At the same time, the study shows that the pandemic had a multidirectional impact on perceived quality of life among older Russians. Compared to the pre-pandemic situation, after the relaxation of restrictive measures, the parameter of social activity increased significantly, the parameter of mental health remained virtually unchanged, but the emotional problems of elderly Russians became more acute. Due to the severe restrictions for older people, the long period of isolation, and for working pensioners - also due to the need to restructure their work remotely - stress, anxiety and worry have affected everyday life.
    В статье на основе результатов волновых социологических исследований ощущаемого качества жизни за 2002–2019 гг. и авторского репрезентативного обследования пожилых россиян в 2022 г. выделены социальные факторы ментального здоровья и благополучия пожилых россиян. Возраст, гендер и занятость выступают наиболее значимыми детерминантами не только социальной активности, но ментального здоровья и эмоционального благополучия. При этом в ходе исследования показано, что пандемия оказала разнонаправленное влияние на ощущаемое качество жизни у пожилых россиян. В сравнении с допандемийной ситуацией, после смягчения ограничительных мер, параметр социальной активности существенно вырос, параметр ментального здоровья практически не изменился, а вот эмоциональные проблемы пожилые россияне стали чувствовать острее. Жесткие ограничения для старшего возраста, длительный период изоляции, необходимость работающим пенсионерам перестраивать свою работу в дистанционном формате, стрессы, тревога, беспокойство — все это сказывалось на повседневной жизни пожилых.
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  • 文章类型: Journal Article
    缺乏与COVID-19相关的人口流动和货运限制对土壤环境影响的研究。这项研究的目的是根据大流行前(2017-2019年)获得的结果与大流行期(2020-2021年)的数据,评估汽车污染对描述作物土壤质量和健康状况的选定参数的影响。该研究包括位于波兰东部沿国道的六个耕地的土壤(DK编号74和82)和省道(DW编号761和835)。从距离道路边缘5、20、50和100m的距离采集土壤样品。确定了以下土壤特性:pHKCl,总有机碳(TOC)含量,总氮(TN),和三种酶脱氢酶(ADh)的活性,中性磷酸酶(APh),和脲酶(AU)。通过确定样品的总镉和铅水平(Cd和Pb)以及14种多环芳烃(Σ14PAHs)的总含量来评估交通造成的土壤污染程度。对耕地的监测表明,耕地的参数主要根据距巷道边缘的距离而变化。土壤酸度和TOC和TN含量增加,Cd减少,Pb,和Σ14PAHs作为一个移动远离道路的边缘。在距道路边缘100m的土壤中发现了最高的ADh和APh值。距离路面边缘5m和20m处的AU明显高于100m处。与大流行相关的车辆交通减少并不影响所研究土壤及其TOC的反应变化,TN,和Pb含量。Σ14PAHs的最低含量是在2020年发现的。在土壤中Cd含量的情况下,2020年也出现了下降效应。然而,没有注意到显著差异,除了Skorzeszyce和VaultuszczówKolonia的土壤。外源生物进入土壤环境的减少刺激了ADh和APh。在接下来的一年(2021年),土壤中测得的异源生物和酶活性与2019年的水平相似。结果表明,大流行对减少运输路线沿线土壤的污染具有积极但短期的影响。
    There is a lack of studies on the impact of COVID-19-related population mobility and freight transport restrictions on the soil environment. The purpose of this study was to evaluate the impact of automotive pollution on selected parameters describing the quality and healthiness of crop soils based on results obtained before the pandemic (2017-2019) in relation to data from the pandemic period (2020-2021). The study included soils from six cultivated fields located in eastern Poland along national roads (DK No. 74 and 82) and provincial roads (DW No. 761 and 835). Soil samples were taken from distances of 5, 20, 50, and 100 m from the edge of the roadway. The following soil characteristics were determined: pHKCl, content of total organic carbon (TOC), total nitrogen (TN), and activity of the three enzymes dehydrogenases (ADh), neutral phosphatase (APh), and urease (AU). The degree of traffic-generated soil pollution was assessed by determining the samples\' total cadmium and lead levels (Cd and Pb) and total content of 14 polycyclic aromatic hydrocarbons (Σ14PAHs). The monitoring of cultivated soils showed that the parameters of cultivated soils varied primarily according to the distance from the edge of the roadway. There was an increase in soil acidity and TOC and TN content and a decrease in Cd, Pb, and Σ14PAHs as one moved away from the edge of the roadway. The highest ADh and APh values were found in soils located 100 m from the edge of the road. AU at 5 m and 20 m from the edge of the pavement was significantly higher than at 100 m away. The reduction in vehicular traffic associated with the pandemic did not affect the changes in the reaction of the studied soils and their TOC, TN, and Pb contents. The lowest content of Σ14PAHs was found in 2020. In the case of the amount of Cd in soils, a downward effect was also observed in 2020. However, no significant differences were noted, except for the soils in Skorzeszyce and Łuszczów Kolonia. The reduced influx of xenobiotics into the soil environment stimulated ADh and APh. In the following year (2021), the amounts of tested xenobiotics and enzyme activities in the soils were at a similar level to those in 2019. The results indicate a positive but short-term effect of the pandemic on reducing the contamination of soils located along transportation routes.
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