康复运动对冠脉支架植入术后患者相关因素的影响

目的：研究心脏康复运动对冠脉支架植入术后患者血脂、血糖、体重指数及生活质量的影响。方法：对实施冠脉支架植入术的 146例患者进行比较分析，根据随机原则分为试验组76 例及对照组70 例。对照组患者给予常规的健康教育及冠心病二级预防指 导，给予定期随访。试验组患者在此基础上给予规律的康复运动指导。经过6 个月随访，比较两组患者血脂、HbA1C、体重指数及 生活质量情况。结果：试验组患者通过为期6 个月的规律的心脏康复运动指导，其血脂、HbA1C等冠心病危险因素控制情况优于 对照组，差异有统计学意义(P<0.05)。同时，6个月后，试验组康复运动六月后sF 量表各项评分与对照组同期比较，差异均有统计 学意义(P<0.05)。结论：规范的心脏康复运动指导能够有效改善冠脉支架植入术后患者血脂、血糖情况，提高患者生活质量。     

Habitat quality of estuarine nursery grounds: Integrating non-biological indicators and multilevel biological responses in Solea senegalensis

Estuaries are highly valuable ecosystems that provide various goods and services to society, such as food provision and supporting nursery habitats for various aquatic species. Estuarine habitat quality assessment is thus critical in managing both ecological and economic value. In this work, various biological and non-biological indicators of habitat quality in estuarine nursery areas were determined, encompassing local environmental conditions, chemical contamination, anthropogenic pressures, juvenile Solea senegalensis condition, biomarkers response to contamination and juvenile density. The various indicators provided an integrated view on habitat quality and their responses were broadly concordant. Nursery quality assessment based on anthropogenic pressure indicators and fish biomarker responses were very similar, signaling nursery areas with higher anthropogenic pressure in Tejo and Ria de Aveiro estuaries. Yet, favorable environmental conditions across all sites could have contributed to lessen the potential hazardous biological effects of exposure to anthropogenic stressors, resulting in soles’ fairly good condition and generally high juvenile density. Nevertheless, a mismatch between high juvenile density and high estuarine contribution to adult coastal populations was observed in areas with higher anthropogenic pressures. Although a causal relationship cannot be established, the results emphasize the need to fully understand how the estuarine period spent in estuaries and local processes determine the quantity and quality of juveniles exported to marine adult populations, which is critical to achieve the full potential of the fish production service of estuaries and coastal stock replenishment.     

Evaluating the performance of benthic multi-metric indices across broad-scale environmental gradients

The usefulness of benthic multi-metric indices when assessing seafloor integrity across broad environmental gradients should be deliberated, as their lack of transparency might hide important sources of variation and fail to identify environmental change. This study compares the performance of two multi-metric indices; the Benthic Quality Index (BQI) and the Brackish water Benthic Index (BBI) between three sub-basins in the Baltic Sea. Both indices reflect the salinity-driven gradient in macroinvertebrate diversity and composition as well as changes in bottom water oxygen concentrations. The relative contribution of predictor variables for explaining index variation does, however, differ between sub-basins, resulting in the indices representing different aspects of the benthic community along the environmental gradient. This context-dependency is caused by inherent differences in benthic community characteristics between the sub-basins of the Baltic Sea, and how the communities are portrayed by the indices. An increased transparency of the importance of the different predictors for directing index values is needed for coherent classifications over broad environmental gradients, such as those occurring in large estuarine water bodies. Use of a weight of evidence table to combine multiple indicators would preserve transparency and be more likely to provide a robust assessment method that would detect seafloor degradation at an early stage.     

Beyond “beyond GDP indicators:” The need for reflexivity in science for governance

“Beyond GDP” initiatives flag the limits of the quantitative indicators of progress currently used for governance. Focusing on the quality assessment of quantitative information used for governance, we use some of the conceptual tools of theoretical ecology and evolutionary biology in order to identify the pre-analytical choices that determine the usefulness and pertinence of a model. Starting from the definition of a model as a formal representation of a specific and necessarily subjective observation, we show that the production of indicators is the final result of a series of decisions on what to observe and how. These choices, in turn, depend on the narrative, or set of narratives, adopted. Narratives provide causality and context to knowledge claims and are needed to select the indicators to be used for policy. Moving beyond the GDP debate requires reflexivity, that is, awareness of the key role that pre-analytical choices play in the definition of both the relevance of the chosen perceptions and narratives (determined by the normative stands of different actors – who defines wellbeing?), and the usefulness of the chosen models and data (determined by the pertinence of the resulting representation – how to measure wellbeing?). Reflexivity is essential in order to take into account the purposes for which different indicators were created and to define new purposes for the “beyond GDP” indicators.     

When the Background Matters: Using Scenarios from Integrated Assessment Models in Prospective Life Cycle Assessment

Prospective life cycle assessment (LCA) needs to deal with the large epistemological uncertainty about the future to support more robust future environmental impact assessments of technologies. This study proposes a novel approach that systematically changes the background processes in a prospective LCA based on scenarios of an integrated assessment model (IAM), the IMAGE model. Consistent worldwide scenarios from IMAGE are evaluated in the life cycle inventory using ecoinvent v3.3. To test the approach, only the electricity sector was changed in a prospective LCA of an internal combustion engine vehicle (ICEV) and an electric vehicle (EV) using six baseline and mitigation climate scenarios until 2050. This case study shows that changes in the electricity background can be very important for the environmental impacts of EV. Also, the approach demonstrates that the relative environmental performance of EV and ICEV over time is more complex and multifaceted than previously assumed. Uncertainty due to future developments manifests in different impacts depending on the product (EV or ICEV), the impact category, and the scenario and year considered. More robust prospective LCAs can be achieved, particularly for emerging technologies, by expanding this approach to other economic sectors beyond electricity background changes and mobility applications as well as by including uncertainty and changes in foreground parameters. A more systematic and structured composition of future inventory databases driven by IAM scenarios helps to acknowledge epistemological uncertainty and to increase the temporal consistency of foreground and background systems in LCAs of emerging technologies.     

Dosimetric evaluation of Gafchromic EBT2 film for breast intraoperative electron radiotherapy verification

PurposeQuality assurance (QA) is one of the most important issues that should be addressed for intraoperative electron radiotherapy (IOERT), which is not benefiting from image-based treatment planning system. The aim of this study is to evaluate the dosimetric characteristics of Gafchromic EBT2 film for breast IOERT QA procedure.MethodsDue to the fact that some dedicated accelerators are being used for IOERT, dependence of the film response to energy, field size, dose rate and incidence angle of electron beam from the LIAC IOERT accelerator was studied. Then, film response curve to breast IOERT doses was obtained and its accuracy was evaluated and justified through comparison to the results of ionometric dosimetry.ResultsThe results of this study indicated that there are no significant differences between the film responses at different energies of 6, 8, 10 and 12 MeV (P-value = 0.99). Similarly, no field size dependency was found when evaluating the response of the film to different field sizes ranging from 4 to 10 cm (P-value = 0.94). Film response was found to be independent of the dose rate of intraoperative electron beam (P-value = 0.12). Film response variations with changing the beam incidence angle were not significant (P-value > 0.8). Calibration curve at the dose range of 8–24 Gy had an acceptable accuracy. The difference between the results of film dosimetry and ionometric dosimetry was around 5% which was in agreement with the results of dose uncertainty estimation.ConclusionThe EBT2 film was found to be a potentially appropriate tool for breast IOERT verification.     

Health risk assessment via consumption of Pb and Cd contaminated vegetables collected from fresh markets in the lower north of Thailand

This study aimed to investigate the Pb and Cd contamination and health risk assessment for population via consumption of vegetables sold in fresh markets around the lower north of Thailand. The concentrations of Pb and Cd in various vegetables such as root/tuber, stem, inflorescence, fruit, and leaf vegetables were analyzed using an atomic absorption spec-trophotometer. Human health risks of these metals in vegetables were assessed based on target hazard quotient (THQ). The results indicated that more than 80% of the Pb and Cd in almost all vegetable samples exceeded the maximum allowable concentration by National Food Institute criteria with an average range of 0.96–3.39 and 0.48–1.40 mg/kg, respectively. The estimated daily intakes (EDI) of Pb and Cd via dietary consumption of vegetables were between 0.001–0.010 and 0.002–0.008 mg/kg/d, respectively. All EDIs of Pb contaminated vegetables were higher than the reference dose recommended by the USEPA except for leaf edible vegetables, while all EDIs of Cd contaminated vegetables were higher than the reference dose recommended by the USEPA. THQ indicated that the consumption of Pb contaminated root/tuber, stem, inflorescence, and fruit edible vegetables and Cd contaminated leaf vegetable for the local population in the lower north of Thailand could be a severe health risk problem.     

Patch assessment in foraging flocks of European starlings: evidence for the use of public information

A field experiment was carried out to determine whether group-foragingstarlings (Sturnus vulgaris) use public information to helpthem estimate the quality of an artificial resource patch anddepart accordingly. Three kinds of information are potentiallyavailable in a group: patch-sample information, pre-harvestinformation, and public information. These three types of informationcan be combined into four patch assessment strategies: (1) patch-samplealone; (2) patch-sample and pre-harvest; (3) patch-sample andpublic; and (4) patch-sample, pre-harvest, and public. Dependingon the foraging environment we presented to the starlings, eachassessment strategy made a unique set of predictions concerningthe patch departure decisions of pairs of birds based on differencesin their foraging success. The environment was manipulated intwo ways: by altering the variability in patch quality and bychanging compatibility, the ease with which individual birdscould simultaneously acquire both patch-sample and public information.Our observations on patch persistence and departure order demonstratethat the starlings used a combination of patch-sample and publicinformation, but not pre-harvest information, to estimate thequality of the experimental patch. Moreover, our results suggestthat starlings use public information only when it is easilyavailable and ignore it under incompatible conditions. Thisstudy provides the first evidence of public information usein a patch assessment problem.     

Field assessment of numerical impacts of coastal sewage disposal on fish larvae relative to natural variability

Sewage disposal in aquatic environments can have significant impacts on assemblages of organisms. There have been few field investigations on effects of sewage disposal on fish larvae. Data on abundances of larvae, current velocities and the size and shape of sewage plumes from point-source shoreline outfalls off Sydney (Australia) indicated that alongshore currents could transport large numbers of fish larvae into plumes, potentially affecting their health. Assemblages of fish larvae in surface sewage plumes differed to those in distant shelf (control) waters, but no such impacts were detected for assemblages in subsurface (20 m depth) waters beneath plumes. No predictable negative or positive numerical responses of fish larvae to sewage disposal were detected. Abundances of fish larvae fluctuated greatly in space and throughout time, and responses appeared to vary between taxa, outfalls and sampling periods. However, the large inherent level of natural spatial and temporal variability in abundances of larvae confounded the detection of possible impacts. Future field investigations need to focus on effects of sewage disposal on the health and condition of fish larvae. Designs for future field-based studies are discussed.