The public health implications of maternal care trade-offs

The socioeconomic and ethnic characteristics of parents are some of the most important correlates of adverse health outcomes in childhood. However, the relationships between ethnic, economic, and behavioral factors and the health outcomes responsible for this pervasive finding have not been specified in child health epidemiology. The general objective of this paper is to propose a theoretical approach to the study of maternal behaviors and child health in diverse ethnic and socioeconomic environments. The specific aims are: (a) to describe a causal pathway between the utility that women obtain through work outside the home and through child care and disease hazard rates in childhood using an optimization model; (b) to specify the influence of ethnic and socioeconomic factors on model constraints; (c) to use the model as a tool to learn about how different combinations of maternal wage labor and child care time might influence child health outcomes in diverse social contexts; (d) to identify parameters that will require measurement in future research; (e) to discuss research strategies that will enable us to obtain these measurements; and (f) to discuss the implications of the model for biostatistical modeling and public health intervention. Optimization models are powerful heuristic tools for understanding how ethnic, environmental, family, and personal characteristics can place important constraints on both the quality and quantity of care that women can provide to their children. They provide a quantitative appreciation for the difficult trade-offs that most women face between working in order to purchase basic goods that children cannot do without (e.g., food, clothing, shelter, health insurance), and increasing offspring well-being through child care (e.g., training in social skills, affection, protection from environmental hazards, help with homework). The research was funded by a Faculty Scholars Award from the William T. Grant Foundation to A. Magdalena Hurtado. A. Magdalena Hurtado, Ph.D., is an associate professor in the Department of Anthropology, University of New Mexico. Her research interests include the origins of the sexual division of labor, epidemiology of indigenous peoples, disease susceptibility, the development and intergenerational transmission of antigens and immune defense, immune function and allergic sensitization, and trauma. She also works on public health interventions, biological capital and poverty, and land tenure and human rights in native communities of South America. Carol Lambourne, M.Sc., is a doctoral candidate in the Department of Anthropology, University of New Mexico. Her research interests are evolutionary models of child and adolescent development, life history theory, family composition and investment patterns, pubertal timing and psychosexual maturation, juvenile stress, and infanticide. Kim Hill, Ph.D., is a professor in the Department of Anthropology, University of New Mexico. His research interests are modern hunter-gatherers, including extensive fieldwork in lowland South America. Current topics of interest include human evolution, economic strategies, life history theory, the evolution of cooperation, and the emergence of social norms enforced by punishment. He is also involved in economic development, health and education projects with lowland South American native populations. Karen Kessler received her M.S. in Anthropology from the University of New Mexico in 1996. Her research interests are the application of mathematical modeling to the prevention of diabetes and other causes of morbidity and mortality in historical populations.     

基于土地利用空间格局的区域生态系统健康评价——以舟山岛为例

土地利用空间格局是影响区域生态系统健康状态的重要因素。构建适用于舟山岛生态系统健康诊断的"活力-组织结构-恢复力-生态系统服务功能"评价指标体系,其活力以植被相对密度指数表征、组织结构以蔓延度等4个景观格局指数表征。选择镇、乡或街道等行政区作为评价单元,以遥感数据和土地利用调查数据为基础,采用G IS和RS技术,提取舟山岛17个乡镇1970-2005年间5个时期的土地利用空间格局和指标信息,采用综合参数评价模型对研究区生态系统健康进行时空动态评价。研究结果表明:(1)35 a来舟山岛生态系统健康整体状况呈下降趋势,相对较好的区域面积下降了18%,相对一般的下降了8%,而相对较差的上升了26%;(2)城市化、滩涂围垦与沿海工业的发展是舟山岛生态系统健康状态下降的主要原因。     

《全国医疗服务价格项目规范》与地方标准的对接 ——以B型钠尿肽实验室检查的定价为例

2012年,国家发展改革委、原卫生部、国家中医药管理局联合颁布了《全国医疗服务价格项目规范(2012年版)》,其中对实验室检查项目的定价规定,不得区分试剂或方法,并要充分考虑当地医疗机构主流检验方法和社会承受能力等因素。为了探讨将上海地区现行实验室检查的项目与2012年版《规范》对接的方法,以B型钠尿肽的试验室检测为例,通过对国内外指南、专家共识及其他相关文献的回顾,以及上海地区BNP检测开展情况的分析,确定将化学发光法作为BNP检测的适宜技术及定价标准,同时提出了关于实验室检查项目地方与国家标准对接实践的建议。     

区域农业生态系统健康定量评价

鉴于农业生态系统健康与人类、社会、经济、环境等具有密切的关系 ,从区域尺度出发 ,提出区域农业生态系统健康的概念、评价指标体系及其相应度量方法 ,并采用专家评判标准赋值法对各指标进行了标准量化。认为农业生态系统存在不健康、亚健康和健康 3种状态 ,在这 3种状态下各指标的属性判断值分别是 1、5和 10 ,并以山东省禹城市为例进行了实证分析应用。结果表明 :从 1980年到 2 0 0 0年 ,禹城市农业生态系统总体上表现为由不健康状态经过亚健康状态 ,目前处在向健康状态的过渡阶段 ,综合健康指数由 4上升为 6。其中 ,结构特征在由亚健康状态向健康状态过渡中又转变为亚健康状态 ,是因为资源可供性和结构多样性向不健康状态转变所致 ;生产功能特征表现为由不健康过渡为亚健康进一步向健康状态过渡 ,其中生态效率有向不健康转变的趋势 ;抗逆特征表现为由亚健康向健康过渡的趋势 ,而其中自生产力已表现为不健康状态。评价结果与实际情况基本相符     

Evaluation of a modified selective differential medium for the isolation of Stenotrophomonas maltophilia

VIA medium for Stenotrophomonas maltophilia was modified by substituting meropenem (16 mg/L) for imipenem. S. maltophilia grew from 40% of drains sampled within a hospital and surrounding locations in Perth, Western Australia. The specificity of the new medium for S. maltophilia was 62%, and all contaminating bacteria were easily distinguishable by phenotypic tests and PCR.     

Descriptive urological record of chimpanzees (Pan troglodytes) in the wild and limitations associated with using multi-reagent dipstick test strips

Ten urine chemistry parameters were measured on 74 voided urine samples from 34 wild chimpanzees (Pan troglodytes). Multi-reagent urine dipstick tests were performed and results determined using colorimetric scales. Urine pH measured between 8 and 9 units in 91% of the chimpanzees. Test pads detected protein, erythrocytes, leukocyte esterase activity, and nitrites, ketones and bilirubin in 47, 32, 29, and <10% of the chimpanzees, respectively. No apparent association between positive test results for blood in adult females and reproductive status was found. Overall, 17 of the 34 chimpanzees had positive urine test results for protein, hemoglobin, erythrocytes, leukocytes, nitrites, ketones, and/or bilirubin. Dipstick urinalysis alone is an unreliable method for assessing health and physiological status of wild chimpanzees. However, if combined with other diagnostics it could prove to be a valuable health-monitoring tool. Limitations associated with this methodology need to be considered when interpreting urinary dipstick test results.     

Risk of Disease Transmission between Conservation Personnel and the Mountain Gorillas: Results from an Employee Health Program in Rwanda

Humans and gorillas share 97% of their genetic makeup which means the risk of disease transmission between the two is potentially high. Humans with high exposure and whose exposure-related activity can most easily be managed are park conservation personnel. In June 2001, the Morris Animal Foundations Mountain Gorilla Veterinary Project initiated a health program for all employees working in Rwandas Parc National des Volcans in collaboration with in-country government and nongovernmental agencies. The goal is to improve the health of conservation personnel and reduce the risk of zoonotic disease transmission between employees and the parks mountain gorillas. Employees annually receive a clinical examination and laboratory testing, and provide a clinical history, In 2002, analyses were performed on the dataset of 127 employees to identify potential risk factors associated with positive laboratory tests. Considering all fecal tests combined, 70.1% were positive for one or more pathogenic organisms. A high percentage (> 80%) tested positive on viral antibody titer testing for various communicable diseases including measles, chickenpox, and hepatitis. On multivariate analysis, the main risk factor for testing positive for any pathogenic organism was use of a pit latrine at home. Vaccination against childhood communicable diseases and improved human waste disposal could be critical control points for preventing disease transmission to mountain gorillas. Program results have been shared with local health officials to aid in their efforts to improve village health and sanitation standards, and with park employers as a basis for ongoing employee health education.The Mountain Gorilla Veterinary Project 2002 Employee Health Group members are listed in Appendix 1. by area of contribution.     

陆军青年军人心理素质与人格、心理健康的相关研究

目的：探讨陆军青年军人心理素质与人格、心理健康的关系。方法：整群抽取陆军青年官兵881名,采用军人心理素质量袁、艾森克人格问卷（EPQ）、症状自评量表（SCL-90）进行测评,进行方差分析和相关分析。结果：（1）陆军青年军人心理素质各因子分及总分与EPQ人格问卷中的E分呈显著正相关（p〈0．01）;与N分、P分呈显著负相关（p〈0．01）。高、中、低心理素质水平军人E、P、N得分比较有显著差异（p〈0．05）,表现为在E量表得分上高心理素质组〉中等心理素质组〉低心理素质组;而在P、N量表得分上则反之。（2）陆军青年军人心理素质各因子分及总分均与SCL-90各因子分和总均分呈显著负相关（p〈0．01）。高、中、低心理素质水平军人SCL-90各因子得分比较有显著差异（p〈0．05）,表现为低心理素质组〉中等心理素质组〉高心理素质组。结论：陆军青年军人心理素质与心理健康密切相关,心理素质越高,其心理健康水平也越高。     

A Technique to Identify Changes in Hemlock Forest Health over Space and Time Using Satellite Image Data

The objective of this study was to develop a technique to classify health of eastern hemlock stands using historical satellite images. While remote sensing and geographic information systems have been used successfully to classify forest health using recent images, applying this process to older images is problematic because contemporaneous field data are not available to measure the accuracy of the classification of historical images. Data ranges were established for each hemlock health class using a contemporary image and field data. These ranges were used to level-slice archived images to create a series of health-class maps that show changes in forest health over time. By applying cross-tabulation procedures to pairs of classified images, it is possible to construct a transition map that indicates how the hemlock health class of each pixel in the images of the study area has changed over time. The resulting maps provide a look back at forest conditions of the past and can be used to identify areas of special interest.