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China has achieved impressive rapid economic growth over the past 30 years but accompanied by significant extreme weather events and environmental changes caused by global change and overfast urbanization. Using the absolute hazards index (AHI), we assessed the spatial distribution patterns and related health effects of 4 major extreme natural disasters, including drought, floods (landslides, mudslides), hails, and typhoons from 2000 to 2011 at the provincial level in China. The results showed that (1) central and south China were the most affected by the 4 natural disasters, and north China suffered less; (2) the provinces with higher AHI suffered most from total death, missing people, collapse, and emergently relocated population; (3) the present health emergency response system to disasters in China mainly lacks a multidisciplinary approach. In the concluding section of this article, suggestions on preparedness and rapid response to extreme health events from environmental changes are proposed.

Abstract Electrolyte-separator-free fuel cell (EFFC) is a new emerging energy conversion technology. The EFFC consists of a single-component of nanocomposite material which works as a one-layer fuel cell device contrary to the traditional three-layer anode–electrolyte–cathode structure, in which an electrolyte layer plays a critical role. The nanocomposite of a single homogenous layer consists of a mixture of semiconducting and ionic materials that provides the necessary electrochemical reaction sites and charge transport paths for a fuel cell. These can be accomplished through tailoring ionic and electronic (n, p) conductivities and catalyst activities, which enable redox reactions to occur on nano-particles and finally accomplish a fuel cell function.

Abstract Electrolyte-free fuel cell (EFFC) which holds the similar function with the traditional solid oxide fuel cell (SOFC) but possesses a completely different structure, has draw much attention during these years. Herein, we report a complex of MZSDC–LNCS (Mg 0.4 Zn 0.6 O/Ce 0.8 Sm 0.2 O 2− δ –Li 0.3 Ni 0.6 Cu 0.07 Sr 0.03 O 2− δ ) for EFFC that demonstrates a high electrochemical power output of about 600 mW cm −2 at 630 °C. The co-doped MZSDC is synthesized by a co-precipitation method. Semiconductor material of LNCS is synthesized by direct solid state reaction. The microstructure and morphology of the composite materials are characterized by X-ray diffraction (XRD), scanning electron microscope (SEM) and energy-dispersive X-ray spectrometer (EDS). The performance of the cell with a large size (6 × 6 cm 2 ) is comparable or even better than that of the conventional solid oxide fuel cells with large sizes. The maximum power output of 9.28 W is obtained from the large-size cell at 600 °C. This paper develops a new functional nanocomposite for EFFC which is conducive to its commercial use.

In the last ten years, the research of solid oxide fuel cells (SOFCs) or ceramic fuel cells (CFC) had focused on reducing the working temperature through the development of novel materials, especially the high ionic conductive electrolyte materials. Many progresses on single-phase electrolyte materials with the enhanced ionic conductivity have been made, but they are still far from the criteria of commercialization. The studies of ceria oxide based composite electrolytes give an alternative solution to these problems because of their impressive ionic conductivities and tunable ionic conduction behaviors. Significant advances in the understanding the ceria based composite material and construction of efficient fuel cell systems have been achieved within a short period. This report reviews recent developments of ceria-based composite from different aspects: materials, fundamentals, technologies, fabrication/construction parameters, electrochemistry and theoretical studies. Particular attention is given to ceria-carbonate (nano)composite, including its fuel cell performance, multi-ionic transport properties, advanced applications, corresponding electrode material and stability concerning. Besides, several novel fuel cell (FC) concepts like nanowire FC, all-nanocomposite FC and single-component/electrolyte-free fuel cell (SC-EFFC) are presented. This mini-review emphasizes the promise of ceria-based composites for advanced FC application and highlights the breakthrough of SC-EFFC research for high efficient energy conversion.

Bioavailability has been used as a key indicator in chemical risk assessment yet poorly quantified risk factor. Worldwide, the framework used to assess potentially contaminated sites is similar, and the decisions are based on threshold contaminant concentration. The uncertainty in the definition and measurement of bioavailability had limited its application to environment risk assessment and remediation. Last ten years have seen major developments in bioavailability research and acceptance. The use of bioavailability in the decision making process as one of the key variables has led to a gradual shift towards a more sophisticated risk-based approach. Now a days, many decision makers and regulatory organisations 'more readily accept' this concept. Bioavailability should be the underlying basis for risk assessment and setting remediation goals of those contaminated sites that pose risk to environmental and human health. This paper summarises the potential application of contaminant bioavailability and bioaccessibility to the assessment of sites affected by different contaminants, and the potential for this to be the underlying basis for sustainable risk assessment and remediation in Europe, North America and Australia over the coming decade.

Abstract This ‘10 Questions’ contribution provides an overview of thermal comfort in relation to ageing and the way the indoor environment can contribute to and improve well-being and health of older adults to age-in-place. The number of older people is increasing rapidly and these demographical changes put a large stress on the health care system. Furthermore, as most older people wish to age-in-place, adequate ageing-in-place strategies become significantly important. Housing impacts health, therefore appropriate and comfortable housing is a key determinant to facilitate older people to age-in-place. One of the aspects of concern is thermal comfort; however, the thermal requirements of older people differ from those of young adults. They are also relatively vulnerable to thermal conditions outside the generally accepted range. This ’10 Questions' contribution addresses issues related to thermal comfort and ageing and argues that the current models for assessing thermal comfort are not sufficiently accurate to be used for older adults. It also discusses approaches to facilitate ageing-in-place including the use of smart home technologies. The paper is based on extensive literature review of numerous relevant studies relating to thermal comfort, physiological differences between older and younger people, the relationship between thermal environment, comfort and health, as well as housing design and smart home technologies for older people.

In recent years, ceria-based composites (CBCs) have been developed as electrolytes for low-temperature solid oxide fuel cells. These materials exhibit extremely high ionic conductivities at 400–600°C. It has also been found that both oxide ion and proton can be conducted in the CBC electrolytes, which makes such co-ionic conducting fuel cell distinct from any other types of fuel cells. In this study, a model involving three charge carriers (oxide ion, proton, and electron) is developed to describe the fuel cell with CBC electrolytes. Various operating characteristics of the fuel cell with CBC electrolytes are investigated, compared to those of the fuel cell with doped ceria electrolytes. The results indicate that the CBC electrolyte behaves as a pure ionic conductor, the cell is more efficient, and a higher output is expected at low temperatures under the same pressure operation than that of the cell with doped ceria electrolytes.

Patellar tendinopathy is a common overuse injury for which no evidence-based treatment guidelines exist. Extracorporeal Shock Wave Therapy (ESWT) seems to be an effective treatment for patellar tendinopathy but the most beneficial treatment strategies still need to be ascertained. Aim of this pilot study was to investigate if patient guided Piezo-electric, focused ESWT, without local anesthesia is a safe and well tolerated treatment which improves pain and function in patients with patellar tendinopathy.Nineteen male athletes with severe chronic patellar tendinopathy received 3 patient guided focused medium to high energy ESWT treatments at a weekly interval. Before and after 3 months VISA-P and VAS (pain) scores were recorded. Data on side effects and complications of treatment were also collected.No serious complications were reported and patients tolerated the treatment well. Mean VISA-P score improved from 36.1 to 50.1 (p < 0.05), VAS decreased from to 7.2 to 3.7 (p < 0.05).Patient guided Piezo-electric ESWT without local anesthesia is a safe and well tolerated treatment which should be considered as a treatment for patients with patellar tendinopathy.

Atmospheric aerosol particles (also known as particulate matter) are central to the cause of the two greatest threats to human security: air pollution (~5 million premature deaths per year) and climate change (~0.5 million per year). Addressing these threats requires an understanding of particulate matter sources responsible for both extreme air pollution immediately affect- ing human health and less extreme levels affecting climate over longer timescales. Here, extraordinary levels of air pollution, with submicrometre aerosol (PM 1 ) mass concentration surpassing 300 µ g m -3 , were observed in a moderately sized European city and are attributed to emissions from residential solid fuel--specifically peat and wood, often promoted as 'slow-renew- able', 'low-carbon' or 'carbon-neutral' biomass. Using sophisticated fingerprinting techniques, we find that consumption of peat and wood in up to 12% and 1% of households, respectively, contributed up to 70% of PM 1 . The results from this approach can better inform emissions reduction policies and help to ensure the most appropriate air pollution sources are targeted. Given the far greater abundance of solid fuels and concomitant emissions required to match the calorific benefit of liquid fuels, even modest increases in the consumption of 'green'-marketed solid fuels will disproportionally increase the frequency of extreme pollution events.

Physical inactivity and obesity are major public health problems. Our objective was to investigate the effectiveness of an individual counseling intervention at the workplace on physical activity fitness and health. Counseling content derived from the Patient-centered Assessment and Counseling for Exercise and Nutrition (PACE) program.A total of 299 employees of three municipal services in the Dutch town of Enschede were randomly allocated into intervention (n =131) and control group (n =168). Over a 9-month period, intervention group subjects were offered seven counseling sessions. Counseling was based on the individual's stage of behavioral change using PACE physical activity and nutrition protocols. Subjects in both the intervention and control group received written information about several lifestyle factors. Primary outcome measures were physical activity (total energy expenditure, during sports activities, during physical activity leisure time other than sports, and meeting the moderate-intensity public health recommendations); cardiorespiratory fitness; and prevalence of musculoskeletal symptoms. Secondary outcome measures were body composition (body mass index [BMI], and percentage of body fat measured via skinfold thicknesses); blood pressure; and blood cholesterol.There were significant positive effects on total energy expenditure, physical activity during sports, cardiorespiratory fitness, percentage of body fat, and blood cholesterol. No effects were found for the proportion of subjects meeting the public health recommendation of moderate-intensity physical activity, physical activity during leisure time other than sports, prevalence of musculoskeletal symptoms, body mass index, and blood pressure.Individual face-to-face counseling at the workplace based on PACE protocols positively influenced physical activity levels and some components of physical fitness. The implementation of workplace counseling programs for individuals should therefore be promoted.