福州市公园外来入侵植物初步调查与分析

[目的] 了解福州市公园的外来入侵植物种类组成,分析其原产地及入侵等级等情况,能够为福州外来入侵植物的扩散、防控以及生物多样性保护提供参考依据。[方法] 对福州市4个区49个公园的外来入侵植物种类、原产地、生活型、入侵频度、危害程度（入侵等级）等进行调查和分析。[结果] 在调查的福州市所有公园内均有入侵植物分布,目前有入侵植物66种,隶属25科,其中菊科、豆科、苋科3个科为优势科,共计33种（占50.00%）;从来源上看,大多数原产于美洲,其次是非洲、欧洲、亚洲;以草本植物为主,共有55种（占83.30%）;从入侵频度看,入侵频度超过50%的入侵植物有7种,其中小蓬草的频度最高,为87.76%;从入侵等级来看,其中恶性（1级）入侵植物16种,严重（2级）入侵植物14种,局部（3级）入侵植物12种,一般（4级）入侵植物11种,有待观察类（5级）13种。[结论] 当前福州市公园内的外来植物入侵现象比较严重,应当加强该区域的入侵植物监测与预警,防止入侵植物扩散从而造成重大生态危害。     

煤炭资源型城市生态安全评价——以锡林浩特市为例

煤炭资源型城市生态安全评价能够协调人口、资源和环境之间的矛盾,保障城市可持续发展。基于PSR模型,以煤炭资源型城市锡林浩特市为研究区域,从生态环境和社会经济方面共选取了33个指标因子,构建了煤炭资源型城市的生态安全评价指标体系,运用熵权TOPSIS法进行了城市生态安全综合评价,并通过障碍度模型对城市生态安全的主要障碍因子进行了研究。研究结果表明:(1)2008—2017年锡林浩特市生态安全水平总体呈缓慢上升趋势。生态安全综合评价指数从0.464上升到0.553,安全等级由较不安全转为临界安全状态;(2)10年间PSR三大指数表现出不同变化特征。压力指数呈下降后上升再小幅下降的变化趋势,状态指数呈波动上升趋势,响应指数呈快速上升趋势;(3)子系统的障碍度分析表明压力系统的障碍度最大,是影响煤炭资源型城市生态安全的首要因素。子系统的障碍度变化趋势表现为:压力系统和状态系统的障碍度均不同程度增大,响应系统的障碍度越来越小;(4)单项指标的障碍度分析表明影响该资源型城市生态安全的主要障碍因子集中在压力系统和状态系统,10年间最大障碍因子经历了从城镇化率到矿区面积的演变。     

基于三温模型的南宁市蒸散量估算及其影响因素

蒸散发是水文能量循环和气候系统的关键要素。研究蒸散发的时空变化特征及其响应气候、土地利用的变化规律,对理解城市流域水循环和生态过程效应具有重要意义。本研究基于三温模型和MODIS影像,估算并分析2001—2018年南宁市的蒸散量时空演变特征,并探讨了主要气候要素、土地利用类型对蒸散量的影响规律和驱动模式。结果表明: 2001—2018年,南宁市年均蒸散量在495.7～781.1 mm,年际相对变化率为-22.5%～23.1%,整体呈上升趋势;区域蒸散量呈南北高、中间低的分布格局,市区蒸散量显著低于郊区。南宁市蒸散量与气候因子呈显著的复相关性,气温对蒸散量的影响大于降水,在郊区呈气温驱动型,而市区则存在多种驱动类型复合现象。南宁市各土地利用类型的平均蒸散量大小依次为:林地(823.4 mm)>草地(675.6 mm)>耕地(582.9 mm)>建设用地(346.6 mm)。土地利用类型的转变是导致区域蒸散量发生显著变化的主要下垫面因素。     

福州市生态系统生产总值核算

开展生态系统生产总值(GEP)核算是推进生态文明制度建设的必要措施,也是将生态效益纳入经济社会发展评价体系的重要举措。本研究以福州市为研究对象,通过构建具有“山、海、城”特色的生态系统价值核算体系,对2015和2018年福州市GEP进行核算,从时空变化角度对福州市GEP进行对比。结果表明: 2015、2018年福州市GEP分别为9205.92、10472.42亿元,人均GEP分别为13.02、14.39万元,生态产品供给服务价值分别为941.81、1102.61亿元,生态调节服务价值分别为6364.20、5988.51亿元,生态文化服务价值分别为1899.91、3381.3亿元。与2015年相比,2018年福州市GEP增加1266.50亿元,增幅为13.8%,主要得益于生态产品供给服务价值和生态文化服务价值的增加。然而,生态调节服务价值减少375.69亿元,降幅为5.9%,主要源于气候调节、水流动调节和水质净化服务价值的减少。福州率先探索建立一套具有山、海、城特色的核算体系,可以为福建省其他城市及我国其他地区的核算工作提供“福州样板”,同时助推建立生态价值实现的长效机制。     

Development of unit cost for the health services offered at King FAHD Central hospital Jazan,Saudi Arabia

BackgroundEfficiency remains one of the most important drivers of decision making in health care system. Fund allocators need to receive structured information about the cost healthcare services from hospitals for better decisions related to resource allocation and budgeting. The objective of the study was to estimate the unit cost for health services offered to inpatients in King Fahd Central hospital (KFCH) Jazan during the financial year 2018.MethodsWe applied a retrospective approach using a top-down costing method to estimate the cost of health care services. Clinical and Administrative departments divided into cost centres, and the unit cost was calculated by dividing the total cost of final care cost centres into the total number of patients discharged in one year. The average cost of inpatient services was calculated based on the average cost of each ward and the number of patients treated.ResultsThe average cost per patient stayed in KFCH was SAR 19,034, with the highest cost of SAR 108,561 for patients in the Orthopedic ward. The average cost of the patient in the Surgery ward, Plastic surgery, Neurosurgery, Medical ward, Pediatric ward and Gynecology ward was SAR 33,033, SAR 29,425, SAR 23,444, SAR 20,450, SAR 9579 and SAR 8636 respectively.ConclusionThis study provides necessary information about the cost of health care services in a tertiary care setting. This information can be used as a primary tool and reference for further studies in other regions of the country. Hence, this data can help to provide a better understanding of tertiary hospital costing in the region to achieve the privatization objective.     

Effects of Age,Sex, Index Admission,and Predominant Polarity on the Seasonality of Acute Admissions For Bipolar Disorder: A Population-Based Study

Bipolar disorder seasonality has been documented previously, though information on the effect of demographic and clinical variables on seasonal patterns is scant. This study examined effects of age, sex, index admission, and predominant polarity on bipolar disorder seasonality in a nationwide population. An inpatient cohort admitted to hospital exclusively for mental illness was derived from the Taiwan National Health Insurance Research Database for 2002–2007. The authors identified 9619 inpatients with bipolar disorder, who had generated 15 078 acute admission records. An empirical mode decomposition method was used to identify seasonal oscillations in bipolar admission data, and regression and cross-correlation analyses were used to quantify the degree and timing of bipolar admission seasonality. Results for seasonality timing found that manic or mixed episodes peak in spring or summer, and depressive episodes peak in winter. Analysis for degree of seasonality revealed that (1) the polarity of patients' index admission predicted the seasonality of relapse admissions; (2) seasonality was significant in female admissions for depressive episodes and in male admissions for manic episodes; (3) young adults displayed a higher degree of seasonality for acute admissions than middle-aged adults; and (4) patients with predominantly depressive admissions displayed a higher degree of seasonality than patients with predominantly manic admissions. Demographic and clinical variables were found to affect the seasonality of acute admissions for bipolar disorders. These findings highlight the need for research on identification and management of seasonal features in bipolar patients. (Author correspondence: ccyang@physionet.org)     

Ethnic conflict and the United Nations

The United Nations [UN] is an organization of states. As such it can be expected to represent the interests of its members and uphold a state‐centric view of international politics. For this reason it has been suggested that the organization cannot respond positively to ethnic conflicts within states, or across state borders. However, since such ethnic conflicts can be a threat to international peace and security and to internationally accepted norms of behaviour, the UN cannot always remain indifferent. In fact, it has become involved in ethnic conflicts in several ways. It has dispatched peace‐keeping operations to Cyprus and Lebanon, which try to keep apart the warring factions. The UN has been involved in peace‐making in ethnic conflicts through mediation and Security Council and General Assembly resolutions. It has also engaged in peace‐building, which involves efforts to change both socio‐economic conditions and the mutually hostile attitudes of the parties to violent ethnic conflict. Finally, even though the UN, unlike the League of Nations, has not been prepared to adopt a system of minority‐rights protection, it has been involved in the issue of group rights in at least three areas. These are the Genocide Convention, the work of the Sub‐Commission for the Prevention of Discrimination and the Protection of Minorities, and the issue of the right of national self‐determination.     

基于多种方法的景观格局动态变化综合分析——以辽宁省铁岭市为例

景观格局变化一直是景观生态学研究的核心问题之一,也是相关生态和环境过程研究的基础.本文应用3S技术,综合传统的空间统计分析、转移矩阵、景观指数和景观动态指数、Kappa指数系列,并引入模糊Kappa指数方法,以铁岭市2002-2011年间景观格局变化为例进行了综合研究.结果表明:铁岭市景观空间格局在研究时段内发生一定程度的变化.旱地面积大幅增加,水田面积明显减少,各景观类型之间均有相互转化.景观格局总体的变化趋势是形状趋于复杂、异质性增加、破碎化加剧,人为干扰的影响较明显.研究区域2002-2007年综合景观动态度指数明显高于2007-2011年,景观动态总体呈现放缓趋势.通过Kappa指数系列可知,研究时段内研究区景观变化由景观类型之间变化为主逐渐转变为各类斑块位置上的变化为主.应用多种方法进行综合分析更能全面有效地反映景观格局变化.     

医院感染病原菌分布及药物敏感性分析

【摘 要】 目的 探讨医院感染病原菌的分布及其药物敏感性,以指导临床合理用药。方法 对金华市中心医院2009年至2011年临床分离的1 693株病原菌及药物敏感性进行回顾性分析。结果 医院感染病原菌主要是G-菌,占60.7%,G+菌占23.8%;感染部位以呼吸道、泌尿道为主,易感人群主要是血液系统疾病、肝病肝硬化患者,科室主要分布于重症监护病房、放疗科、血液科。G+菌对常用抗菌药耐药严重,但对利福平、呋喃妥因、万古霉素敏感率相对高;常见G-菌对氨基糖甙类、碳青酶烯类、β-内酰胺酶抑制剂敏感率较高。结论 医院感染监控应从感染科室、感染部位、易感人群等多方面进行,及时动态了解医院感染病原菌分布及其药物敏感性,利于指导合理用药。     

住院患者多重耐药菌感染临床研究

目的 探讨住院患者多重耐药菌感染情况与病原学特点,为临床制定医院感染控制措施提供参考依据.方法 对住院患者中的多重耐药菌感染及病原特点情况进行统计分析.结果 住院患者多重耐药菌感染发生率为3.5％,主要为革兰阴性菌(71.5％),多重耐药菌居前7位的依次是大肠埃希菌、肺炎克雷伯菌、鲍曼不动杆菌、铜绿假单胞菌、凝固酶阴性葡萄球菌、肠球菌属、金黄色葡萄球菌等.多重耐药菌感染的患者主要来自于重症监护室、神经外科、呼吸内科等.多重耐药菌对选用的抗生素均有较高的耐药性.结论 多重耐药菌耐药率普遍较高,临床医师应重视病原学检查及药敏监测,合理选择使用抗菌药物.