循证之证与康复之途*—— CCRC社区中的康复花园循证设计探索

疫情下医养机构封闭化管理已经步入 常态化，老年居民的心理健康受到了抑郁、焦虑 等问题的挑战。康复花园作为养老社区中重要 的心理生理康复空间，需以循证设计为原则， 为新形势下的养老社区提供切实可行的康复空 间。本文以西南地区某持续照护型（CCRC）养 老社区项目实践为载体，梳理阐述循证设计在 康复花园中完整的运用实践路径，总结我国循 证设计流程模型，为风景园林的循证实践提供 全链条式的解析和验证。本文尝试提出基于系 统医学评估指标的证据收集创新体系，为康复 花园循证设计提供运用实例，对康复花园的康 复绩效提出基于证据的定量评估模式。     

ACCUGRAM: A novel approach based on classification to frequency band selection for rotating machinery fault diagnosis

Frequency band selection (FBS) in rotating machinery fault diagnosis aims to recognize frequency band location including a fault transient out of a full band spectrum, and thus fault diagnosis can suppress noise influence from other frequency components. Impulsiveness and cyclostationarity have been recently recognized as two distinctive signatures of a transient. Thus, many studies have focused on developing quantification metrics of the two signatures and using them as indicators to guide FBS. However, most previous studies almost ignore another aspect of FBS, i.e. health reference, which significantly affect FBS performance. To address this issue, this paper investigates importance of a health reference and recognize it as the third critical aspect in FBS. With help of the health reference, the frequency band where the fault transient exists could be located. A novel approach based on classification is proposed to integrate all three aspects (impulsiveness, cyclostationarity, and health reference) for FBS. Classification accuracy is developed as a novel indicator to select the most sensitive frequency band for rotating machinery fault diagnosis. The proposed method (coined by accugram) has been validated on benchmark and experiment datasets. Comparison results show its effectiveness and robustness over conventional envelope analysis, the kurtogram, and the infogram.     

Health risk assessment of chlorpyrifos inhalation exposure among chilli-growing farmers in Na-Krasaeng Sub-District,Det Udom District,Ubon Ratchathani Province,Thailand

The paper reports a health risk assessment of pesticide exposure among chilli-growing farmers living in Na-Krasaeng Sub-District, Det Udom District, Ubon Ratchathani Province, Thailand. Personal air samples were collected from 46 participants spraying pesticide. These samples were analysed to investigate the farmers’ exposure by inhalation of the organophosphate, chlorpyrifos, which is the predominant pesticide used in the study area. The potential health risk of the farmers through inhalation was estimated by calculating the Hazard Quotient (HQ). The results showed that chlorpyrifos concentrations in inhaled air samples from the farmers ranged from less than the limit of detection, <LOD, to 0.041 mg/m3 with an average of 0.0072 mg/m3. Average daily doses (ADD) of exposure were calculated to be in the range 0–0.007 mg/kg/day with a mean value of 0.0014 mg/kg/day. The estimated risk quotient was 0 to 2.35 and the mean value was 0.84. Accordingly, the chilli-growing farmers were not considered to be a population at risk (mean value of HQ ≤ 1). But, the estimated risk of 17.38% of the study population was higher than the acceptable level (HQ > 1). This indicated that some participants were considered as an individual risk which should be of concern.     

生态健康旅游袜产品的创意设计与开发

介绍生态健康旅游袜产品的创意设计思路及工艺设计,包括产品定位设计、功能设计、品质设计、外观设计、包装设计。阐述生态健康旅游袜产品的生产工艺流程,包括纤维生产工艺、短流程快速纺纱生产工艺、生态健康旅游袜生产工艺。详细分析生态健康旅游袜产品主体纤维材料的选择,并以生态健康旅途袜产品开发为例,介绍袜品研发过程,并对袜品进行性能测试。总结生态健康旅游袜的产品定位原则、创意设计思想及研发关键技术,对功能性袜品的设计开发具有借鉴意义。     

Technological performance of formaldehyde-free adhesive alternatives for particleboard industry

Due to their high reactivity, chemical versatility and economic competitiveness, formaldehyde-based poly-condensation adhesives are used in huge amounts - in 2010 in the order of 20 million metric tons - around the globe, primarily in the wood-processing industry. Since the 1970s formaldehyde emissions from products made thereof came under pressure and were reduced continuously. The discussion intensified again initiated by the latest European CLP (classification, labelling and packaging) regulation, which came into force in 2016, classifying formaldehyde as a Carcinogen Category 1B compound. In view of potential and even stronger future restrictions of formaldehyde use, appropriate alternatives to substitute formaldehyde-based adhesive systems such as urea formaldehyde would have to be developed and implemented in the wood processing industry. The present review represents a critical appraisal of formaldehyde-free adhesive systems for particulate wood composites production proposed in literature so far. Adhesive systems analyzed here include both synthetic and renewable-based adhesives. The core of the review is an assessment of the individual adhesive systems based on selected technological (product and process) parameters relevant for wood-particleboard production. Based on this data we evaluated their potential to identify suitable alternative adhesives having a certain probability to meet the requirements of a large-scale processing industry sector. As an overall conclusion, there are still many challenges to overcome to replace formaldehyde. Except for pMDI-based systems, most of the alternative adhesives are considerably less reactive, which would result in dramatically higher production costs. Furthermore, the availability of most components proposed to produce alternative adhesives are currently not available in the necessary quantities. Moreover, toxicological investigations on alternative systems are still missing. As several components replacing formaldehyde are also toxic or hazardous to different extents, it cannot be guaranteed that the individual proposed alternative adhesives are safer during processing and service life compared to conventional systems. Due to the nature of the organic material wood, particleboards will always release a certain amount of formaldehyde, even when produced with formaldehyde-free adhesives.     

Trans fatty acids in commercial cookies and biscuits: An update of Portuguese market

Cookies and biscuits are a recognized source of trans fatty acids (TFA). Aware of its consumption worldwide, an update on TFA content was taken in 2012, in a total of 50 samples commercialized in Portugal. Despite the absence of specific Portuguese legislation, TFA amounts in cookies and biscuits are generally low, with TFA amounts lower than 0.1 g per 100 g, and an average of 0.6% in the extracted fat in 49 of the 50 samples analyzed. Unfortunately, one sample presented 27% of TFA in the lipids, highlighting that the problem is still present. Also, a high prevalence of saturated fatty acids was observed, as high as 92.4% in the fat (53.0% on average). This fact is also a major health concern, particularly when the reformulation of these products in the last years (2006–2012) was effective regarding TFA reduction but seemed to have occurred at expenses of increasing SFA, thus reducing the potential beneficial effect achievable by replacing with cis-unsaturated fats, as generally recommended.     

Micro- and macroergonomic changes in mental workload and medication safety following the implementation of new health IT

Health information technology (IT) is a promising way to achieve safer medication management in the delivery of healthcare. However, human factors/ergonomics dictates that in order to make the complex, cognitive work of healthcare delivery safer, health IT must properly support human cognition. This means, for example, that new health IT must reduce, not increase, workload during safety-critical tasks. The present study was the first to quantitatively assess the short- and long-term impact of bar coded medication administration (BCMA) IT on nurses' mental workload as well as on perceived medication safety. One-hundred seventy registered nurses across 3 dissimilar clinical units at an academic, freestanding pediatric hospital in the Midwest US participated in surveys administered before, 3 months after, and 12 months after the hospital implemented BCMA. Nurses rated their external mental workload (interruptions, divided attention, being rushed) and internal mental workload (concentration, mental effort) during medication administration tasks as well as the likelihood of each of three medication safety events: medication administration errors, medication errors on the clinical unit, and clinical unit-level adverse drug events. Clinical unit differences were assessed. Findings generally confirmed the hypothesis that external but not internal mental workload was associated with the perceived likelihood of a medication safety event. Comparisons of mental workload from pre- to post-BCMA revealed statistically significant changes in the critical care unit only. Medication safety appeared to improve over the long term in the hematology/oncology unit only. In the critical care and medical/surgical units, medication safety exhibited short-term improvements that were eliminated over time. Changes in mental workload and medication safety, two classically microergonomic constructs, were deeply embedded in macroergonomic phenomena. These included the fit between the BCMA system and the nature of nursing work, the process of BCMA implementation, and BCMA interactions with concurrent changes occurring in the hospital. Findings raise questions about achieving sustainable performance improvement with health IT as well as the balance between micro- and macroergonomic approaches to studying technology change.Relevance to industryDesigners must consider how technology changes cognitive work, including mental workload. Hospitals and other implementers of technology must ensure that new technology fits its users, their tasks, and the context of use, which may entail tailoring implementation, for example, to specific clinical units. Evaluators must look over time to assess both changes in cognitive work and implementation issues. Healthcare practitioners must also recognize that new technology means a complex transformation to an already complex sociotechnical system, which calls for a macroergonomic approach to design and analysis.     

Symptoms and risks for musculoskeletal disorders among male and female footwear industry workers

BackgroundConsidering the growing participation of woman in the labor market and the high prevalence of the musculoskeletal disorders (MSD) in the footwear industry workers, the aim of this study was to evaluate and compare female and male footwear industry workers in relation to their demographics, occupational characteristics, stress levels, MSD symptoms prevalence, physical activity levels, alcohol and tobacco use.MethodsThe study included 175 female and 182 male footwear industry workers. Data was collected using the Perceived Stress Scale – 10, the Standardized Nordic Questionnaire, the International Physical Activity Questionnaire, the Alcohol Use Disorders Identification Test, and the Fagerstrom test for Nicotine Dependence.ResultsThe female workers were younger, had less time in the company and in the current job. They reported more stress (p = 0.001), had less time for physical activity (p = 0.004), higher prevalence of MSD symptoms in the last 12 months (p = 0.003), and consumed less alcohol (p = 0.006) than the male workers.ConclusionsFemale and male footwear industry workers presented significant differences in their demographics, occupational characteristics, stress levels, MSD prevalence, physical activity levels, alcohol and tobacco use. These differences should be taken into consideration in the implementation of intervention programs for optimum outcomes.Relevance to industryFemale footwear industry workers were more stressed, presented higher prevalence of MSD symptoms, and reported less time for physical activity than male footwear industry workers. The differences between male and female workers should be taken into consideration in the implementation of MSD prevention programs.     

高效液相色谱法测定保健品益生菌粉中三氯蔗糖的不确定度评估

目的 按照食品安全国家标准GB 22255-2014规定的高效液相色谱法对保健品益生菌粉中三氯蔗糖含量进行测定。根据CNAS-GL006：2019要求以及JJF1059.1-2012对测定过程中影响检验结果的各个分量进行评估。方法 通过对测量重复性、标准品溶液配制、样品溶液的配制、高效液相色谱仪以及标准曲线拟合测量偏差这5个方面引入的不确定度进行分析,并确定各个不确定度分量,得到扩展不确定度。结果 经测定,保健品益生菌粉中三氯蔗糖含量为(0.78±0.046)g/kg,P=95%,(k=2)结论 高效液相色谱法因素对测量不确定度影响显著,由检验方法重复测量和标准品溶液配制体现。     

2016~2018年甘肃省市售蔬菜中铅汞污染状况及人体健康风险分析

目的 对甘肃省14个市州蔬菜中铅汞进行三年的采样监测,掌握铅汞重金属污染的基本情况并对人体健康风险进行了分析。方法 在全省14个市州共采集样品1213份,依据国标方法进行铅汞含量的测定,采用尼梅罗综合污染指数法对蔬菜中铅和汞污染程度进行评价,用目标危害指数法(THQ)和危害指数(HI)评价蔬菜中铅汞对成人和儿童的健康风险。结果 各类蔬菜中均检出了铅和汞,其中鳞茎类中的铅和茎类蔬菜中的汞检出率均达到了100%；块根和块茎类蔬菜铅的超标率为3.76%；汞含量除在茎类蔬菜中超标率为1.34%外,在其余种类中均未有超标。从铅汞的综合污染指数来看,除茎类蔬菜以外,其他都表现为Pb＞Hg,铅对蔬菜重金属污染贡献较大,其中瓜菜类和鳞茎类的铅含量综合污染指数分别为0.61和0.52,属于轻度污染；茄果类和块根块茎类蔬菜的铅含量综合污染指数分别达到了4.68和4.40,污染较严重。居民通过蔬菜摄入的铅汞的暴露风险儿童高于成人,但THQ和HI均小于1,对人体健康造成的影响不明显。结论 本次研究中甘肃省市售蔬菜中少数受到重金属铅的污染,其余蔬菜中铅汞含量对健康影响均在安全范围内。