张掖盆地地下水硝酸盐污染与人体健康风险评价

地下水是张掖盆地的重要水资源，其硝酸盐污染尚未得到足够重视。对张掖盆地2004、2015年地下水硝酸盐浓度进行了系统分析，并采用美国环境保护署（USEPA）推荐的健康风险评价模型评估了地下水硝酸盐的健康风险。结果表明：自2004年以来张掖盆地地下水硝酸盐污染日趋严重。2015年硝酸盐浓度最高已达到283.32 mg·L^-1，17.61%的采样点硝酸盐氮浓度超过GB5749-2006《生活饮用水卫生标准》中饮用地下水限量值（20 mg·L^-1）。研究区人群经皮肤接触途径摄入硝酸盐的健康风险在可接受水平，而饮水摄入硝酸盐的健康风险较高，总风险中饮水途径引起健康风险的贡献率占99.40%，远大于皮肤接触途径。儿童经饮水摄入和皮肤接触两种途径的健康风险均显著高于成人，分别为成人的1.544倍和1.039倍。32.39%的采样点地下水硝酸盐对儿童的健康风险超出了可接受水平，14.79%的采样点地下水硝酸盐对成人的健康风险不可接受。甘州区城区、临泽县北部边缘及高台县城区周围硝酸盐浓度最高，这些区域内所有人群都面临硝酸盐引发的高健康风险，其余区域硝酸盐引发的健康风险相对较低。     

游客-环境互动视角下旅游者目的地环境恢复性效应

日常生活环境和旅游目的地环境都可以为个体提供恢复的机会，不同环境的属性特征导致不同程度的恢复。为了探究环境类型与恢复性效应之间的关系及停留时间的调节作用，文章采用问卷调查方式，利用配对样本t检验和混合设计方差分析相结合的方法，探讨游客在不同环境中的恢复性效应，并对这一现象提供心理上的解释。结果表明：1）恢复体验的4个维度（放松体验、心理脱离、掌握体验、控制体验）在旅游目的地环境中的得分均高于日常生活环境。2）掌握和控制体验维度在城市旅游目的地中的变化程度高于乡村旅游目的地，两种类型目的地的放松和心理脱离维度差异较小。3）随着在目的地停留时间的延长，乡村旅游目的地放松体验和心理脱离维度变化程度高于城市旅游目的地，两种类型目的地环境恢复性效应会相互靠近。因此，游客的环境恢复性效应不仅受到环境和目的地类型的影响，同时还与游客的适应程度有关，且受到其停留时间的调节作用。     

城市公共卫生安全应急管理系统技术集成研究

从国内城市公共卫生安全应急管理系统的研究和应用现状出发,指出城市公共卫生安全应急管理系统建设的核心要务是集成现有的卫生信息系统、消除卫生信息孤岛、实现数据共享与交换;并提出了城市公共卫生安全应急管理系统数据采集类型和业务支持部门。在此基础上,构建了一个基于数据仓库、以GIS为应急响应支持平台、能统一管理信息、可与其他电子政务系统互连互通的城市公共卫生安全应急管理系统框架结构,并详细阐述了各业务模块的基本功能和系统实现的关键技术方法。     

Environmental geohydrochemistry and health of the high altitude population in Ladakh

Background： Radiographic signs of Pneumoconiosis found in farming Ladakhi despite absences of mines and industries were believed to be due to exposure to frequent dust storms and domestic fire pollutions. Seasonal Koilonychia （spoon nail） occurring predominantly in farming women in absences of iron deficiency anaemia was thought to arise from exposure to water made alkaline by weathering of hornblende minerals. The relation of these health conditions to environmental geohydrochemistry is postulated as the source of irrigation water in the affected population originates from glaciers in trans-Himalaya range of sedimentary geology and steep landscape favouring flushing of silica/silicate containing silts. Methods and results： Survey in two central Ladakh villages revealed radiographic evidence of silicosis in all middle aged women and half in middle aged men. In a large-scale study of 3105 subjects aged over 30 years from three villages; 101 （22.5%） of the 449 radiographed showed signs of pneumoconiosis （ILO 1980 criteria） including eggshell calcification of hilar gland and progressive massive fibrosis. Indoor dust analyzed using Philips 400T electron microscope with energy dispersive analysis system attached showed SiO2 levels upto 53.27% with particle size of 0.5 to 5.0 microns and the concentration during cooking period in the worst affected area was 7.495 mg/m^3. Microscopy and histopathology from the subject was characteristic of pneumoconiosis. Analysis of the inorganic dust in the lung showed 40.2% muscovite, 37.3% quartz with the extracted dust wt 147.9 mg/gm of dry tissue. Prevalence of chronic cough with chronic phlegm and percentage of villagers with FEV1/FVC ratio of less than 65% rose with age. Of 70 subjects studied 19 women and 2 men had Koilonychia with incidence being highest in summer. Absence of seasonal Koilonychia in villages fed by water derived from northern mountain range glaciers with mainly igneous geology supports our hypothesis.     

Natural siliceous dust and human health： Pathways, toxicity, and impact

Fine atmospheric dust includes mineral particles and aggregates, fibrous minerals and fibrous organic material. Generation, dislodgement and transport （deflation） of natural dust with the finer （〈4 microns） components suspended as silt-size aggregates, is widespread in and adjacent to the world＇s drylands, as well as deriving from volcanic vents. Silica is a highly fibrogenic agent in lung tissue. Long-term inhaling of siliceous dusts can lead to a number of fibrotic lung diseases, including natural （non-occupational） pneumoconioses （notably silicosis, but including asbestosis and others）. Different polymorphs of silica show different levels of toxicity in interaction with lung tissue. Particles with highly active surfaces may release radicals, causing cell damage. Some types of inhaled particulates are degraded by macrophages, but many are highly resistant and persist in the lungs, some stimulating fibroblastic cells to deposit collagen. Silicosis is an inflammation of the lung commonly caused by silicate mineral particles, leading to fibrosis. Three types are recognized： nodular pulmonary fibrosis （simple or chronic silicosis）, acute silicosis, and accelerated silicosis. Generally, finer particulates have greater oxidative capacity than the coarser fractions. They contain more reactive oxygen species, their greater bioreactivity making them more toxic to pulmonary tissue. Nevertheless, inhalation of large dust particles （〉 10μm） may constitute a health risk if the mineralogy is toxic, regardless of where the grains lodge in the respiratory system. Dust may absorb harmful gases, disease-generating bacteria and carcinogenic hydrocarbon compounds. Silica-related respiratory disease may also an exacerbate cardiac problem, and epidemiology suggests a link with tuberculosis. Quantification of dust loading and exposure requires study of spatial and temporal patterns, supported by meteorological analysis, airflow modeling and satellite-borne imagery. Some acute, short-term health impacts have been assessed using atmospheric and health records both before and after a dust storm or by comparison of populations within and outside such events. Analysis of the size, shape, mineralogy and geochemistry of ambient dust particulates provides information on natural dust sources, dust concentrations, and potential particulate toxicity, as well as providing a datum for assessment of human exposure levels.     

Methylmercury and human biomarkers： Questioning the evidence

Methylmercury （MeHg） is a powerful neurotoxicant in humans. In terms of biomarkers of MeHg exposure, hair and blood have long been used in epidemiological studies as the biomarkers of choice. In fact, total hair mercury （Hg） content as well as organic blood Hg concentrations reflects exposure to organic Hg from food consumption. Extensive studies, establishing a constant and linear relation between MeHg intake versus Hg levels in hair and blood, were conducted by governmental officials to establish guidelines on safe levels of MeHg exposure, which were translated into threshold daily fish consumption rates （usually expressed as μg MeHg per kg bodyweight）. Nowadays, in most epidemiologic studies blood or hair mercury （Hg） level is commonly used as a valid proxy to estimate human exposure to methylmercury （MeHg） through fish consumption without relating this signal to actual fish consumption patterns among populations. Human variability in mercury toxicokinetics was identified and measurement error has been pointed out to be a substantial contributor to observed variability, particularly where dietary information is retrospective and self-reported. However, experimental evidence indicates that significant variability among individuals may exist in the biokinetics of mercury. Also recent findings from previous population-based studies through COMERN initiative also revealed that MeHg metabolic processes might greatly vary across populations. In fact, it is unlikely that the magnitude of the difference measured between observed and expected levels of mercury, given the reported intake, can be entirely explained by laboratory measurement errors or reporting bias.     

Placing sexuality in health policies: feminist geographies and public health nursing

Despite the increasing public profile of same-sex issues, health policies are often shaped by heteronormative assumptions. The health concerns of lesbian, gay, bisexual, transsexual/transgender, two-spirit, intersex, queer and questioning (LGBTTTIQQ) people are complex and require broadening from an often exclusively sexual health and risk focus to a more holistic approach. In this context, this paper illustrates how a critical feminist geography of health, with its focus on the mutual construction of gender relations, space and place, potentially enhances and extends current understandings of public health policy and practice. Moreover, the use of a policy lens foregrounding gender and other power relations suggests that feminist research and coalitions facilitate participatory processes that address “the politics of discourse.” In particular, public health nursing practice can enhance the construction of spaces of resistance that challenge heteronormative discourse through research strategies focused on sexual minority communities’ health experiences and their visions for supportive care. In this respect, two strategies consistent with public health priorities to increase knowledge and participate in alliances are described. Ethnographic research with childbearing lesbians demonstrates that attention to institutional dynamics that foster safe spaces can facilitate access to public health services. Public health nurses’ involvement in community coalitions can enhance dissemination of community knowledges. The implications for gender inclusive and place-sensitive public health nursing practice include the development of sensitive educators, meaningful educational curriculum and related program planning, explicit policies, community partnerships and political leadership in institutional and research venues.     

Soil quality changes in land degradation as indicated by soil chemical, biochemical and microbiological properties in a karst area of southwest Guizhou, China

Not only the nutritional status and biological activity but also the soil ecological functioning or soil health has been impacted profoundly by land degradation in the karst area of southwest China where the karst ecosystems are generally considered as extremely vulnerable to land degradation under intensified land-use changes. The objectives of this study are to elucidate the changes in overall soil quality by a holistic approach of soil nutritional, biological activity, and soil health indicators in the karst area as impacted by intense cultivation and vegetation degradation. Topsoil samples were collected on selected eco-tesserae in a sequence of land degradation in a karst area of southwest Guizhou in 2004. The soil nutrient pools of organic carbon (C_org), extractable extracellular carbon (C_ext), total soil nitrogen (N_t), alkali-hydrolyzable nitrogen (N_ah), total phosphorus (P_t), available phosphorus (P_a) were analyzed by wet soil chemistry. The soil biological properties were studied by means of measurements of microbial biomass carbon (both by fumigation–extraction, FE-C_mic, and by calculation from substrate-incubation respiration, SIR-C_mic) of respiration [respiration without addition of substrates, basal respiration (BR), and potential respiration (PR) with substrate-incubation] and of soil enzyme activities (invertase, urease, and alkaline phosphatase). Soil health status was assessed by simple indices of C_mic/C_org and BR/C_mic in conjunction with bacterial community structures determined by polymerase chain reaction and denaturing gradient gel electrophoresis. While the nutritional pool parameters, such as C_org and C_ext, described basically the changes in soil life-supporting capacity with cultivation interference and vegetation declined, those parameters of biological activity such as FE-C_mic, SIR, and SIR-C_mic as well as bacterial community structures measured by molecular method evidenced well the changes in soil functioning for ecosystem health with the land degradation.     

Land-Parcel Land-Use History as a Key to Site Selection for Documenting Soil Contamination Risk： a Case Study from Australian Suburbia

In that orcharding in early-to-mid twentieth century southeastern Australia involved use of certain heavy metal and As compounds in regular pest-control spray procedures, some interest attaches to the possibility that these landparcels are underlain by soils with above-background Cu, Pb and As levels. Interpreta- tion of Land-cover changes allowed land parcels previously occupied by orchards to be identified in the 1950s through time-series air-photos. A comparison of soil analysis results referring to soil samples from control sites, and from land parcels formerly occupied by orchardists, shows that contamination （above-background） levels of cations in the pesticides can be found in the top 6 cm of former orchard soils. It is clear that digital spatial data handling and culturally-informed air photo interpretation has a place in soil contamination studies, land-use planning （with particular reference to re-development） and in administration of public health.     

成都市生态环境地球化学特点

成都平原多目标地球化学调查表明，成都市区土壤Hg、Ag、Pb、Cu、Zn、Sb、P、S、Se、C、Sr、Mo、Na2O等13种元素和河流水系沉积物P、Hg、S、Zn、Pb、Cu、Mo等有机质、N、Cd、Cr等11种高含量元素，土壤中主要污染元素Hg、Pb、Zn、Cu的含量，在浅层样中较高，其污染状况市区内及工厂区比城郊严重，府河，南河的污染比沙河严重，但其污泥可以综合利用，研究表明，东部龙泉山区深层样丰富的农业有益元素为水果生长提供了有利条件。