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Weekend and nighttime effect on the prognosis of peptic ulcer bleeding 被引量:6
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作者 Young Hoon Youn Yong Jin Park +3 位作者 Jae Hak Kim Tae Joo Jeon Jae Hee Cho Hyojin Park 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第27期3578-3584,共7页
AIM:To evaluate whether weekend or nighttime admission affects prognosis of peptic ulcer bleeding despite early endoscopy.METHODS:Retrospective data collection from four referral centers,all of which had a formal out-... AIM:To evaluate whether weekend or nighttime admission affects prognosis of peptic ulcer bleeding despite early endoscopy.METHODS:Retrospective data collection from four referral centers,all of which had a formal out-of-hours emergency endoscopy service,even at weekends.A total of 388 patients with bleeding peptic ulcers who were admitted via the emergency room between January 2007 and December 2009 were enrolled.Analyzed parameters included time from patients' arrival until endoscopy,mortality,rebleeding,need for surgery and length of hospital stay.RESULTS:The weekday and weekend admission groups comprised 326 and 62 patients,respectively.There were no significant differences in baseline characteristics between the two groups,except for younger age in the weekend group.Most patients (97%) had undergone early endoscopy,which resulted in a low mortality rate regardless of point of presentation (1.8% overall vs 1.6% on the weekend).The only outcome that was worse in the weekend group was a higher rate of rebleeding (12% vs 21%,P = 0.030).However,multivariate analysis revealed nighttime admission and a high Rockall score (≥ 6) as significant independent risk factors for rebleeding,rather than weekend admission.CONCLUSION:Early endoscopy for peptic ulcer bleeding can prevent the weekend effect,and nighttime admission was identified as a novel risk factor for rebleeding,namely the nighttime effect. 展开更多
关键词 Early endoscopy Nighttime effect Pepticulcer bleeding REBLEEDING weekend effect
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Is there a weekend effect in hip fracture patients presenting to a United Kingdom teaching hospital? 被引量:3
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作者 John Abraham Mathews Madhavi Vindlacheruvu Vikas Khanduja 《World Journal of Orthopedics》 2016年第10期678-686,共9页
AIM To compare mortality and time-to-surgery of patients admitted with hip fracture to our teaching hospital on weekdays vs weekends. METHODS Data was prospectively collected and retrospectively analysed for 816 hip f... AIM To compare mortality and time-to-surgery of patients admitted with hip fracture to our teaching hospital on weekdays vs weekends. METHODS Data was prospectively collected and retrospectively analysed for 816 hip fracture patients. Multivariate logistic regression was carried out on 3 binary outcomes(timeto-surgery < 36 h; 30-d mortality; 120-d mortality), using the explanatory variables time-of-admission; age; gender; American Society of Anesthesiologist(ASA) grade; abbreviated mental test score(AMTS); fracture type; accommodation admitted from; walking ability outdoors; accompaniment outdoors and season. RESULTS Baseline characteristics were not statistically different between those admitted on weekdays vs weekends. Weekend admission was not associated with an increased time-to-surgery(P = 0.975), 30-d mortality(P = 0.842) or 120-d mortality(P = 0.425). Gender(P = 0.028), ASA grade(P < 0.001), AMTS(P = 0.041) and accompaniment outdoors(P = 0.033) were significant covariates for 30-d mortality. Furthermore, age(P < 0.001),gender(P = 0.011), ASA grade(P < 0.001), AMTS(P < 0.001) and accompaniment outdoors(P = 0.033) all significantly influenced mortality at 120 d. ASA(P < 0.001) and season(P = 0.014) had significant effect on the odds of undergoing surgery in under 36 h.CONCLUSION Weekend admission was not associated with increased time-to-surgery or mortality in hip fracture patients. Demographic factors affect mortality in accordance with previous published reports. 展开更多
关键词 weekend HIP Fracture MORTALITY SEASON
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Effect of Chinese national holidays and weekends versus weekday admission on clinical outcomes in patients with STEMI undergoing primary PCI 被引量:3
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作者 Liang TANG Peng-Fei CHEN +4 位作者 Xin-Qun HU Xiang-Qian SHEN Yan-Shu ZHAO Zhen-Fei FANG Sheng-Hua ZHOU 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第10期604-613,共10页
Background Data regarding the influence of weekends and Chinese national holiday's admission on the outcomes of patients with ST-elevated myocardial infarction (STEMI) is lacking. This study sought to investigate t... Background Data regarding the influence of weekends and Chinese national holiday's admission on the outcomes of patients with ST-elevated myocardial infarction (STEMI) is lacking. This study sought to investigate the effect of Chinese national holidays and weekend admission on outcomes in patients with STEMI undergoing primary percutaneous coronary intervention (PPCI). Methods Patients pre- senting with STEMI within 12 h of symptom onset who underwent PPCI were retrospectively enrolled. The primary outcome of in-hospital mortality and major adverse cardiovascular events in patients presenting Chinese national holiday's and weekends versus weekdays was evaluated. Results A total of 441 STEMI patients were enrolled in this study. Of these, 129 (29.3%) patients were admitted during Chinese national holidays and weekends and 312 (70.7%) during weekdays. Patients admitted during holidays and weekends were more likely to present with Killip class Ⅲ-Ⅳ. Patients admitted during holidays and weekends experienced a significantly longer door-to-baUoon time, symptom onset-to-door time as well as symptom onset-to-balloon time. The in-hospital mortality between patients presenting holidays and weekends versus weekdays was comparable. However, patients admitted during holidays and weekends have a signitieantly higher rate of in-hospital major adverse cardiovascular events. Multivariate analysis demonstrated that holidays and weekends admission was independ- ently associated with adverse outcomes. Conclusions In China, STEMI patients undergoing PPCI during national holidays and weekends have worse in-hospital outcomes compared to those admitted during weekdays. These findings suggest that continuous efforts should be undertaken to enhance the Chinese healthcare system and to ensure that comparable outcomes are achieved for all STEMI patients regardless of time of presentation. 展开更多
关键词 HOLIDAYS Myocardial infarction Percutaneous coronary intervention weekends
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Effect of weekend admission on geriatric hip fractures 被引量:2
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作者 Jordan B Pasternack Matthew L Ciminero +3 位作者 Michael Silver Joseph Chang Ronald J Simon Kevin K Kang 《World Journal of Orthopedics》 2020年第9期391-399,共9页
BACKGROUND The care discrepancy for patients presenting to a hospital on the weekend relative to the work week is well documented.With respect to hip fractures,however,there is no consensus about the presence of a so-... BACKGROUND The care discrepancy for patients presenting to a hospital on the weekend relative to the work week is well documented.With respect to hip fractures,however,there is no consensus about the presence of a so-called“weekend effect”.This study sought to determine the effects,if any,of weekend admission on care of geriatric hip fractures admitted to a large tertiary care hospital.It was hypothesized that geriatric hip fracture patients admitted on a weekend would have longer times to medical optimization and surgery and increased complication and mortality rates relative to those admitted on a weekday.AIM To determine if weekend admission of geriatric hip fractures is associated with poor outcome measures and surgical delay.METHODS A retrospective chart review of operative geriatric hip fractures treated from 2015-2017 at a large tertiary care hospital was conducted.Two cohorts were compared:patients who arrived at the emergency department on a weekend,and those that arrived at the emergency department on a weekday.Primary outcome measures included mortality rate,complication rate,transfusion rate,and length of stay.Secondary outcome measures included time from emergency department arrival to surgery,time from emergency department arrival to medical optimization,and time from medical optimization to surgery.RESULTS There were no statistically significant differences in length of stay(P=0.2734),transfusion rate(P=0.9325),or mortality rate(P=0.3460)between the weekend and weekday cohorts.Complication rate was higher in patients who presented on a weekend compared to patients who presented on a weekday(13.3%vs 8.3%;P=0.044).Time from emergency department arrival to medical optimization(22.7 h vs 20.0 h;P=0.0015),time from medical optimization to surgery(13.9 h vs 10.8 h;P=0.0172),and time from emergency department arrival to surgery(42.7 h vs 32.5 h;P<0.0001)were all significantly longer in patients who presented to the hospital on a weekend compared to patients who presented to the hospital on a weekday.CONCLUSION This study provided insight into the“weekend effect”for geriatric hip fractures and found that day of presentation has a clinically significant impact on delivered care. 展开更多
关键词 Hip fracture weekend admission Time to surgery MORBIDITY MORTALITY COMPLICATION
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EMISSIVENESS AND DESTINATION CHOICE BEHAVIOR OF SHANGHAINESE IN THEIR WEEKEND RECREATION
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作者 吴必虎 方芳 殷文娣 《Chinese Geographical Science》 SCIE CSCD 1996年第3期259-271,共13页
Based on questionnaire survey and cross--tabulation analysis, the authors discussed relationships between emissiveness and socio--economic elements ofShanghainese in their weekend trips, including emissivenesses of di... Based on questionnaire survey and cross--tabulation analysis, the authors discussed relationships between emissiveness and socio--economic elements ofShanghainese in their weekend trips, including emissivenesses of different age group,income per month, occupations, education and family structure. Visiting rates ofrecreationists to destinations demonstrated different levels even being under a same emissiveness. In the second part of the paper, the authors described three differentspatial scales of destination choice behavior of Shanghainese to tourist sites fromwhich situated in urban area, to which located in suburb area and in neighboringprovinces. The authors also observed the perceptive evaluation of Shanghainese tothose sites they had visited or would visit in the future. Some proposals abollt sustainable urban tourism development were put forward at the end of this paper. 展开更多
关键词 Shanghainese weekend RECREATION emissiveness DESTINATION choicesbehavior
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Morphological and biochemical effects of weekend alcohol consumption in rats: Role of concentration and gender
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作者 José A Morales-González María de Lourdes Sernas-Morales +8 位作者 ángel Morales-González Laura Ligía González-López Eduardo Osiris Madrigal-Santillán Nancy Vargas-Mendoza Tomás Alejandro Fregoso-Aguilar Liliana Anguiano-Robledo Eduardo Madrigal-Bujaidar Isela álvarez-González Germán Chamorro-Cevallos 《World Journal of Hepatology》 CAS 2018年第2期297-307,共11页
AIM To examine the association between weekend alcohol consumption and the biochemical and histological alterations at two different concentrations of alcohol in both genders in rats.METHODS Wistar rats weighing 170-2... AIM To examine the association between weekend alcohol consumption and the biochemical and histological alterations at two different concentrations of alcohol in both genders in rats.METHODS Wistar rats weighing 170-200 g were divided into groups as follows:(1) Control groups; and(2) weekend alcohol-consumption group: 2 d/weekly per 12 wk, at two different concentrations:(1) Group of males or females with a consumption of a solution of alcohol at 40%; and(2) group of males or females with a consumption of a solution of alcohol at 5%. At the end of the experiment, serum and liver samples were obtained. The following enzymes and metabolites were determined in serum: Alanine Aminotransferase(ALT), Aspartate Aminotransferase(AST), Lactate Dehydrogenase, and Gamma-Glutamyltransferase, and glucose, triglycerides, cholesterol, bilirubin, and albumin. Liver samples from each group were employed to analyze morphological abnormalities by light microscopy.RESULTS In all of the weekend alcohol-consumption groups, AST activity presented a significant, 10-fold rise. Regarding ALT activity, the groups with weekend alcohol consumption presented a significant increase that was six times greater. Bilirubin levels increased significantly in both groups of females. We observed a significant increase in the parameters of fatty change and inflammation due to weekend alcohol consumption. Only the group of females that consumed alcohol at 40% presented slight hepatocel ular disorganization CONCLUSION The results obtained herein provide solid evidence that weekend alcohol consumption gives rise to liver damage, demonstrated by biochemical and histological alterations, first manifested acutely, and prolonged weekend alcohol consumption can cause greater, irreversible damage. 展开更多
关键词 weekend ALCOHOL CONSUMPTION Liver morphology TRANSAMINASES Damage
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Preventing physician quality of life from impinging on patient quality of care: Weakening the weekend effect
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作者 Marc D Basson 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第27期3667-3670,共4页
Imprecise or delayed care can reflect many factors, including straightforward difficulties in physician judgment and false negative tests. However, the movement toward decreasing physician work hours also leads to del... Imprecise or delayed care can reflect many factors, including straightforward difficulties in physician judgment and false negative tests. However, the movement toward decreasing physician work hours also leads to delays in care caused by inadequate staffing or inadequate communication between staffing, which must be addressed if quality of care is to remain high. The demonstration of delays in the management of anastomotic leaks over weekends or in association with false positive radiologic studies exemplifies this challenge. 展开更多
关键词 ANASTOMOSIS Communication Contrast Delay Hand-off Intestine STAFFING weekend
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Unit 9 HOW WAS YOUR WEEKEND?
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作者 申牧 《中学生英语(初一版)》 2007年第5期11-13,45,共4页
关键词 WAS 过关测试 Unit 9 HOW WAS YOUR weekend
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Weekday vs weekend endoscopy: Is there a true difference in patient outcomes? A meta-analysis
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作者 Alisha M Hinds Dina Ahmad +2 位作者 Kristi T Lopez Michelle L Matteson-Kome Matthew L Bechtold 《World Journal of Meta-Analysis》 2014年第2期29-35,共7页
AIM:To evaluate the"weekend effect"on outcomes in patient admitted on the weekend for upper gastrointestinal bleeding(UGIB).METHODS:A comprehensive search was performed(March 2014).Studies comparing weekend ... AIM:To evaluate the"weekend effect"on outcomes in patient admitted on the weekend for upper gastrointestinal bleeding(UGIB).METHODS:A comprehensive search was performed(March 2014).Studies comparing weekend and weekday endoscopy in patients with UGIB were included.All studies had at least 2 of 3 primary outcomes which included:mortality,need for surgery,time to endoscopy,endoscopy on admission day,and length of hospital stay.Three authors individually extracted data.Metaanalysis was performed using pooled estimates with odds ratio or mean difference by fixed and random effects models.RESULTS:Eleven studies met the inclusion criteria.Patients admitted with UGIB on the weekend exhibited a statistically significant increase in mortality(OR=1.13;95%CI:1.06-1.20;P<0.01),need for surgery(OR=2.46;95%CI:1.51-3.99;P<0.01),and time to endoscopy(MD 2.68;95%CI:0.17-5.20;P=0.04)as compared to patients admitted with UGIB on a weekday.Furthermore,patients with UGIB admitted on weekend experienced statistically significant less endoscopy on day of admission(OR=0.72;95%CI:0.62-0.85;P<0.01).No difference was noted between the two groups for length of hospital stay(MD-1.29;95%CI:-3.03-0.45;P=0.15).CONCLUSION:A weekend effect seems to be apparent in patients with UGIB with significantly poorer outcomes. 展开更多
关键词 weekend WEEKDAY Upper GASTROINTESTINAL BLEEDING ENDOSCOPY META-ANALYSIS
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Noodles at Coffee Garden——Weekend Life Picks for as little as RMB68
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《China Today》 2002年第4期76-77,共2页
关键词 Office weekend Life Picks for as little as RMB68 Noodles at Coffee Garden
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Weekend Balle──A look at a purveyor of the fine arts
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《China Today》 1998年第8期29-30,共2页
WeekendBalletAlookatapurveyorofthefineartsAlookatapurveyorofthefineartsBystaffreporterZHANGXUEYINGINaspaciou... WeekendBalletAlookatapurveyorofthefineartsAlookatapurveyorofthefineartsBystaffreporterZHANGXUEYINGINaspacious,brightly-litcla... 展开更多
关键词 purveyor the at weekend Balle
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Benelli Weekend 精彩刚刚开始
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作者 杜启弘(文/摄) 《摩托车》 2019年第8期92-95,共4页
点燃激情29日早上,雨过天晴。9点17分,本届活动大幕开启。Benelli Weekend潍坊站活动得到了峡山经济开发区的大力支持,区领导坐镇活动现场并在开幕式上发表了热情洋溢的讲话。企业也对活动表示出了足够的重视—钱江摩托股份有限公司副... 点燃激情29日早上,雨过天晴。9点17分,本届活动大幕开启。Benelli Weekend潍坊站活动得到了峡山经济开发区的大力支持,区领导坐镇活动现场并在开幕式上发表了热情洋溢的讲话。企业也对活动表示出了足够的重视—钱江摩托股份有限公司副总经理周西平先生、贝纳利公司营销总监张超先生、BK2机车总经理张超先生(同名)等各级领导亲临现场,周西平先生在致辞中表达了公司在服务用户、服务车迷、打造机车文化圈等方面的决心和举措,而钱江与哈雷合作后的首款新车的上市计划则勾起了现场车迷的浓厚兴趣…… 展开更多
关键词 峡山水库 BENELLI weekend 潍坊站
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How to Spend the Two-day Weekend
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作者 吴士玉 《大学英语》 2000年第9期53-,共1页
关键词 How to Spend the Two-day weekend
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Palio Weekend剑造生活新主张
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作者 王家建 《中国汽车市场》 2003年第7期52-53,共2页
南京菲亚特Palio Weekend旅行轿车6月22日在六朝古都南京城首次亮相,并即将投放市场,它的市场投放必将成为方兴未艾的中国旅行轿车市场的一支极具冲击力的新生力量。
关键词 南京菲亚特Palio weekend旅行轿车 品牌理念 中国 汽车市场 企业管理
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Leisure Weekend Life in Urumqi, Hope Overwelming Fear
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《The Journal of Human Rights》 2009年第5期36-38,共3页
Doctor Wang Hongbo made his rounds in the hospital on July 19, when he should have been enjoying his first day off over the past two weeks.
关键词 over Hope Overwelming Fear Leisure weekend Life in Urumqi
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周末旅行家——菲亚特Palio Weekend旅行轿车
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《汽车时代》 2003年第8期15-15,共1页
南京菲亚特的新品投放总是突发奇兵,带给消费者意想不到的惊喜。来自南京菲亚特的一款Palio weekend旅行轿车将推向市场。这将是继派力奥、西耶那之后,南京菲亚特投放市场的第三款车型,标志着其正式进入极具潜力的旅行轿车细分领域。 ... 南京菲亚特的新品投放总是突发奇兵,带给消费者意想不到的惊喜。来自南京菲亚特的一款Palio weekend旅行轿车将推向市场。这将是继派力奥、西耶那之后,南京菲亚特投放市场的第三款车型,标志着其正式进入极具潜力的旅行轿车细分领域。 旅行轿车在四五十年前就已出现在美国,最开始是作为工具车使用。 展开更多
关键词 菲亚特 旅行轿车 Palio weekend
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My Nice Weekend
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作者 朱丹妮 陈传光 《中学生英语》 2018年第41期7-7,共1页
It was a little windy last Saturday, so I went to fly a kite with my cousins in the morning.It was interesting. In the afternoon, I went to Fred’s house with some classmates. It was his11th birthday and he had a birt... It was a little windy last Saturday, so I went to fly a kite with my cousins in the morning.It was interesting. In the afternoon, I went to Fred’s house with some classmates. It was his11th birthday and he had a birthday party. On Sunday, I went to the forest with the girls in my neighbourhood.We made a.fire and cooked food on the fire.It was delicious What a nice weekend I had! 展开更多
关键词 weekend SATURDAY
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Benelli Weekend来了!
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作者 Asan 《摩托车信息》 2019年第7期78-79,共2页
6月15日,在成都温江金马试驾体验中心,来自全国各地的贝纳利车友聚集一起,享受一场由机车带来的盛大狂欢。由此,一个专属于中国贝粉的节日应运而生——全新的Benelli Weekend来了.其实在贝纳利百年的历史中,就有一个专为贝粉而生的节日... 6月15日,在成都温江金马试驾体验中心,来自全国各地的贝纳利车友聚集一起,享受一场由机车带来的盛大狂欢。由此,一个专属于中国贝粉的节日应运而生——全新的Benelli Weekend来了.其实在贝纳利百年的历史中,就有一个专为贝粉而生的节日——Benelli Week,如今,贝纳利中国秉承初心,将这属于贝纳利车友的节日带到中国。 展开更多
关键词 BENELLI weekend
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How Do People in Shanghai Spend Their Weekends and Holidays?
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作者 贺云 《英语自学》 2000年第10期16-19,共4页
学口语就是学习怎样用英文表达自己的观点。由于中文与英文的表述习惯不同,因而我们在用英文表达自己的观点时不免会带有某些中文表达法的痕迹,这是自然的,避免不了的。不过,我们在平时的学习和训练中却仍需去留意,并通过不断地模仿一... 学口语就是学习怎样用英文表达自己的观点。由于中文与英文的表述习惯不同,因而我们在用英文表达自己的观点时不免会带有某些中文表达法的痕迹,这是自然的,避免不了的。不过,我们在平时的学习和训练中却仍需去留意,并通过不断地模仿一些现成的说法。 展开更多
关键词 英文表达 How Do People in Shanghai Spend Their weekends and Holidays
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Study of ozone “weekend effect” in Shanghai 被引量:24
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作者 TANG WenYuan1↑, ZHAO ChunSheng1, GENG FuHai1,2, PENG Li2, ZHOU GuangQiang2, GAO Wei2, XU JianMing2 & TIE XueXi2,3 1 Department of Atmospheric Science, School of Physics, Peking University, Beijing 100871, China 2 Atmospheric Chemistry Laboratory of Shanghai Meteorological Bureau, Shanghai 200030, China 3 Atmospheric Chemistry Division, NCAR, Boulder CO 80301, USA 《Science China Earth Sciences》 SCIE EI CAS 2008年第9期1354-1360,共7页
Analysis of observed ozone data in 2006 from five monitoring sites (Xujiahui, Chongming, Baoshan, Pudong, Jinshan) in Shanghai reveals that ozone (O_3) concentrations in Xujiahui are higher at week-ends than those on ... Analysis of observed ozone data in 2006 from five monitoring sites (Xujiahui, Chongming, Baoshan, Pudong, Jinshan) in Shanghai reveals that ozone (O_3) concentrations in Xujiahui are higher at week-ends than those on weekdays, despite the fact that emissions of ozone precursor substances, such as oxides of nitrogen (NOx), carbon monoxide (CO) and volatile organic compounds (VOCs) are lower at weekends than those on weekdays. The possible chemical cause of ozone "weekend effect" is that NO_2/NO ratio increases at weekends by 25.61% compared with those on weekdays. In addition, because of an average 12.13% reduction in NOx (NO + NO_2) in the early morning (05:00-09:00) at weekends compared with that on weekdays, the ozone inhibition period ends 0.5 h earlier at weekends resulting in the longer duration of ozone accumulation and the higher ozone production rate. The rate of ozone production is a function of VOCs and NOx in the atmosphere. VOCs/NOx ratio in Xujiahui is 4.55 at weekends, and 4.37 on weekdays, belonging to the "NOx-limited". The increasing VOCs/NOx ratio at weekends leads to ozone enhancement from 73 ppbv to 80 ppbv, which are consistent with ozone "weekend effect" in Xujiahui. Furthermore, combining with MICAPS cloud amount data, the fact that ozone "weekend effect" in Xujiahui weakens gradually along with the increasing of cloud amount indicates that ozone photochemical production leads to ozone "weekend effect" in Xujiahui of Shanghai. 展开更多
关键词 SHANGHAI OZONE PHOTOCHEMICAL POLLUTION "weekend effect"
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