Studies on Rheological Properties of Konjac-tea Drink

Konjac black tea(sugar-free) and konjac glucomannan(KGM) solution were studied by using rheometer,refractometer etc.The relationship between their rheological properties and temperature or concentration was discussed in detail.The results showed that viscosity was significantly affected by temperature and concentration;and pH stability of Konjac-tea was related to the molecular property of KGM.

Application of Ice Pigging in a Drinking Water Distribution System:Impacts on Pipes and Bulk Water Quality

Ice pigging is an emerging technique for pipe cleaning in drinking water distribution systems.However,substantial confusion and controversy exist on the potential impacts of ice pigging on bulk water quality.This study monitored the microstructural features and composition of sediments and microbial community structures in bulk water in eight multimaterial Chinese networks.Chloride concentration analysis demonstrated that separate cleaning of pipes with different materials in complex networks could mitigate the risk of losing ice pigs and degrading water quality.The microstructural and trace element characterization results showed that ice pigs would scarcely disturb the inner surfaces of long-used pipes.The bacterial richness and diversity of bulk water decreased significantly after ice pigging.Furthermore,correlations were established between pipe service age,temperature,and chloride and total iron concentrations,and the 15 most abundant taxa in bulk water,which could be used to guide practical ice pigging operations.

Disinfection Byproducts and Their Precursors in Drinking Water Sources:Origins,Influencing Factors,and Environmental Insights

Tracing the contamination origins in water sources and identifying the impacts of natural and human processes are essential for ecological safety and public health.However,current analysis approaches are not ideal,as they tend to be laborious,time-consuming,or technically difficult.Disinfection byproducts(DBPs)are a family of well-known secondary pollutants formed by the reactions of chemical disinfectants with DBP precursors during water disinfection treatment.Since DBP precursors have various origins(e.g.,natural,domestic,industrial,and agricultural sources),and since the formation of DBPs from different precursors in the presence of specific disinfectants is distinctive,we argue that DBPs and DBP precursors can serve as alternative indicators to assess the contamination in water sources and identify pollution origins.After providing a retrospective of the origins of DBPs and DBP precursors,as well as the specific formation patterns of DBPs from different precursors,this article presents an overview of the impacts of various natural and anthropogenic factors on DBPs and DBP precursors in drinking water sources.In practice,the DBPs(i.e.,their concentration and speciation)originally present in source water and the DBP precursors determined using DBP formation potential tests—in which water samples are dosed with a stoichiometric excess of specific disinfectants in order to maximize DBP formation under certain reaction conditions—can be considered as alternative metrics.When jointly used with other water quality parameters(e.g.,dissolved organic carbon,dissolved organic nitrogen,fluorescence,and molecular weight distribution)and specific contaminants of emerging concern(e.g.,certain pharmaceuticals and personal care products),DBPs and DBP precursors in drinking water sources can provide a more comprehensive picture of water pollution for better managing water resources and ensuring human health.

Gross Alpha and Beta Activities and Related Lifetime Risks Assessment Due to Ingestion of Drinking Water from Different Sources in the District of Abidjan, Cote d’Ivoire

Drinking good quality water is essential for better health. It is therefore essential to assess the radiological quality of all water consumed in the District of Abidjan in order to prevent related hazards. Thus, the objective of this study was to assess the risk of cancer due to the ingestion of alpha and beta emitting radionuclides in the different types of water consumed in the region. A total of 63 water samples with 43 tap water samples, 5 bottled mineral water and 15 sachet water samples was collected and taken to GAEC laboratory for analysis. The low background Gas-less Automatic Alpha/Beta counting system (Canberra iMaticTM) was used to determine alpha and beta activity concentrations. Activity concentrations of both gross alpha and gross beta obtained in water sample were respectively lower than the WHO recommended limits of 0.1 Bq/l and 1 Bq/l. Also, the annual effective dose and total equivalent effective dose found in mineral bottled water samples were higher than in other types of water. The assessment of radiological lifetime risk has shown values of cancer risk due to ingestion alpha and beta emitters lower than recommended limit. These results indicate that there is no health hazard associated to consumption of water in the District of Abidjan.

Economic significance and environmental impacts of the Song Dam Drinking Water Project(SDDWP)in Garhwal Himalaya

With the population growth through natural growth and migration,coupled with the city expansion,it is the fact that Dehradun City in India faces severe water scarcity.Therefore,the Song Dam Drinking Water Project(SDDWP)is proposed to provide ample drinking water to Dehradun City and its suburban areas.This paper examined economic significance and environmental impacts of the SDDWP in Garhwal Himalaya,India.To conduct this study,we collected data from both primary and secondary sources.There are 12 villages and 3 forest divisions in the surrounding areas of the proposed dam project,of which 3 villages will be fully submerged and 50 households will be affected.For this study,50 heads of the households were interviewed in the 3 submerged villages.The questions mainly focused on economic significance,environmental impacts,and rehabilitation issues of the dam project.The findings of this study indicate that economic significance of the dam project is substantial,including providing ample water for drinking and irrigation,contributing to groundwater recharge,creating job opportunities,and promoting the development of tourism and fisheries in the Doon Valley.In terms of the rehabilitation of the affected people,there are only 50 households in need of rehabilitation.Currently,the arable land of these affected people is not sufficient to sustain their livelihoods.The entire landscape is fragile,rugged,and precipitous;therefore,the affected people are willing to rehabilitate to more suitable areas in the Doon Valley.Moreover,it is essential to provide them with sufficient compensation packages including the compensation of arable land,houses,cash,common property resources,institutions,belongingness,and cultural adaptation.On the other hand,the proposed dam project will have adverse environmental impacts including arable land degradation,forest degradation,loss of fauna and flora,soil erosion,landslides,and soil siltation.These impacts will lead to the ecological imbalances in both upstream and downstream areas.This study suggests that the affected people should be given sufficient compensation packages in all respects.Afforestation programs can be launched in the degraded areas to compensate for the loss of forest in the affected areas.

A review of physicochemical and biological contaminants in drinking water and their impacts on human health

Clean drinking water is one of the United Nations Sustainable Development Goals.Despite significant progress in the water purification technology,many regions still lack access to clean water.This paper provides a review of selected water contaminants and their impacts on human health.The World Health Organization(WHO)guidelines and regional standards for key contaminants were used to characterise water quality in the European Union and UK.The concept of safe drinking water was explained based on the non-observed adverse effect level,threshold concentrations for toxic chemicals,and their total daily intake.Various techniques for monitoring water contaminants and the drinking water standards from five different countries,including the UK,USA,Canada,Pakistan and India,were compared to WHO recommended guidelines.The literature on actual water quality in these regions and its potential health impacts was also discussed.Finally,the role of public water suppliers in identifying and monitoring drinking water contaminants in selected developed countries was presented as a potential guideline for developing countries.This review emphasised the need for a comprehensive understanding of water quality and its impacts on human health to ensure access to clean drinking water worldwide.

Assessment of Groundwater Quality for Drinking and Irrigation Uses in the Samba Dia Area, Central West Senegal

In the Sahelian zone in Africa, groundwater is the main source of drinking water for domestic, industrial, and agricultural uses. The groundwater of the Samba Dia sandy aquifer was assessed for understanding processes controlling the hydrogeochemistry and its drinking and irrigation suitability, on the basis of various water quality parameters. For the present study, thirty-three groundwater samples were collected in wells of the study area during the dry season in March 2021 and subjected to analysis for chemical characteristics (major ions), pH, electrical conductivity (EC), and total dissolved solids (TDS). Gibbs plot depicts that the process of ionic exchange is mainly due to the dissolution of water-rock interaction. The Piper diagram indicates a largely dominant sodium chloride facies with 70% of the groundwater samples followed by calcium chloride facies (18%) than calcium bicarbonate facies (12%). Analytical results of hydrogeochemical parameters of groundwater samples reveal that the majority of samples are within the World Health Organization safety range for drinking water. TDS and electrical conductivity (EC) values of groundwater indicate that 70% and 61% are safe for drinking water, respectively. Sodium percentage (% Na), Sodium Adsorption Ratio (SAR) values, and Ca/Mg ratio were calculated and compared with the standard guideline values recommended by the World Health Organization and agricultural water standards. This study shows that the groundwater in the area is mostly chemically suitable for drinking and irrigation, although some wells at the edge of the area exhibit signs of progressive salinization and traces of pollution.

The Effects of Energy Drink Consumption on Kidney and Liver Function: A Comparative Study

The current study aimed to investigate the potential health impacts associated with Energy Drink (ED) consumption and its effects on general health, liver function, and kidney function among students at Jazan University. EDs contain a variety of ingredients such as taurine, arginine, caffeine, acidity regulators, B vitamins, vitamin C, herbal extracts, and sugar. Previous studies have reported that EDs contain more caffeine content more a cup of coffee. Fifty-seven volunteer female students from the same socioeconomic background were eligible for the study based on their ED consumption habits. The students were divided into four groups: the control group (1) which did not consume EDs (19 students), group (2) which consumed 2 - 3 cans per week (19 students), group (3) which consumed 4 - 7 cans per week (14 students), and group (4) which consumed more than 7 cans per week (5 students). Five milliliters of venous blood were drawn from all subjects to determine ALT, AST, and GGT levels for liver function tests and creatinine, urea, uric acid, and BUN levels for kidney function tests. The results of the kidney function analysis showed that uric acid levels significantly increased (P 0.05) in all groups compared to the control group. The liver function analysis illustrated that, compared to the control group, only AST was significantly increased (P < 0.05) in groups 1 and 2. There was no significance in ALT and GGT in all groups. Overall, the study found that long-term ED consumption had a significant relationship to increased uric acid and AST concentrations, while urea and BUN decreased significantly. Further research is needed to understand the long-term health implications of ED consumption.

Impact of the Condition of Drinking Water Supply Networks on the Quality of Water Intended for Consumption: The Case of the Network in the Commune of Daloa (Central West of Côte d’Ivoire)

The potability of drinking water depends not only on the source and the treatment system, but also on the quality of the waterworks. In fact, the quality of drinking water is considerably degraded by the dilapidated state and lack of maintenance of drinking water networks. In Côte d’Ivoire, the majority of drinking water networks in the various towns are ageing. In Daloa, despite the efforts made by the company in charge of water treatment and distribution to make the water drinkable, the water at consumers’ taps is often colored, has an unpleasant aftertaste and settles after collection. As a result, people are concerned about the potability of tap water, and some are turning to alternative sources of drinking water of unknown quality. In order to determine the factors responsible for the deterioration in water color and taste, as well as the sectors of the network most affected, a diagnosis of the network’s equipment was carried out. Water samples taken from the network were analyzed for color and turbidity. The diagnosis revealed that most of the equipment (suction pads, valves, drains and fire hydrants) is outdated and irregularly maintained. Analyses show that the water is more colored in cast-iron and PVC pipes than in asbestos cement pipes. Coloration values in the network range from 0 to 27 UVC for asbestos cement pipes, from 15 to 56 UCV for ductile iron pipes, and from 11 to 102 UCV for PVC pipes. On the over hand, turbidity values vary from 8.02 to 3.32 NTU for ductile cast iron pipes, 8.51 to 16.98 NTU for asbestos cement pipes and 0.9 to 6.98 NTU for PVC pipes. Old cast-iron pipes release ferric ions on contact with water, degrading their color. Old cast-iron pipes release ferric ions into the water, degrading its color. The high color values observed in the vicinity of drains are thought to be due to irregular maintenance of the network. In fact, after network maintenance, a reduction rate ranging from 2% to 73% is observed for turbidity, while for color, the rate varies from 5% to 72%. In short, the network’s obsolescence and irregular maintenance contribute significantly to the deterioration of water quality.

Comparative Effect of Adding Synthetic Citric Acid to Natural Lemon Juice (Citrus aurantiifolia) on the Stability of Hibiscus Drinks Stored at 4°C and 37°C

The general objective of the work is to compare the effect of the addition of synthetic citric acid compared to the addition of natural fruit juice of Citrus aurantiifolia on the conservation of drink based on red chalice H. sabdariffa. The tests were carried out over a period of 5 weeks at 4°C and 37°C with seven batches of beverage samples prepared at the rate of a calyx/water ratio of 1/40 (kg·kg-1) and added respectively citric acid at 1, 2 and 4 g·L-1 and lemon juice at 10, 20 and 40 mL·L-1. The characterization of the different batches of beverages was carried out from day one. A follow-up of the residual anthocyanin content and the intensity of the red coloring were carried out over five weeks. The anthocyanin concentration was determined by the pH-differential method. The red color degradation index is determined based on the CIELAB color system (L*, a*, b* and L*). R and Minitab 18 software was used for data processing. The results of the monitoring of the parameters showed that the concentration of 1 g AC L-1 retains 2.7 mg more of the anthocyanins than adding 10 mL JC L-1 and longer maintains red color when stored at 4°C and 37°C/5 weeks. The 2 g AC L-1 and 4 g AC L-1 ratios have the same effects as the addition of 20 and 40 mL of lemon juice, all accelerating the degradation of anthocyanins and the red color. After 5 weeks of storage at 37°C, the effect of the temperature combined with the increase in the acidity of the samples (2 to 4 g AC L-1 and 20 to 40 ml JC L-1), have accelerated the total disappearance of the red color on all samples.

Study on the Possibility of Raw Seawater into Drinking Water—A Religious Water Literacy

This paper explores the conversion of raw seawater into drinking water from a religious water literacy (RWL) perspective. RWL is here defined as a socially just water literacy that is based on the respect for the dignity of life of all living beings on the Earth. It discusses the importance of sustainable water sources and proposes purification methods. That is, the study aims to show a brief outline of the drinking water source (inland waters;mainly river water) and their purification technologies in recent times and today and propose the purification method (Freezing-Thawing-UV method) in case of taking the seawater as the source. And, it emphasizes the need for dialogue and cooperation between countries in order to proceed. The paper also discusses the relationship among religion, culture, and civilization, and highlights the similarities between Marx’s historical materialism and Umesao’s ecological view. It further discusses the importance of water purification technology, separation methods, and the potential for seawater as an energy source. The paper concludes by discussing the importance of dialogue, communication and understanding environmental decision-making. In order to carry them forward, it is convinced that citizens in the world are nothing but people with self-awareness of “Bodhisattvas of the Earth” as identities. As a result, the new findings that suggest the possibility of raw seawater into drinking water from a religious water literacy perspective through the lens of Kawakatsu’s maritime view have been obtained.

饮酒和体力活动对社区2型糖尿病患者血糖控制的影响

目的:了解饮酒和体力活动与南京市社区糖尿病患者血糖控制之间的关系。方法:采用多阶段分层整群抽样方法,随机抽取南京市5个区5663名18岁以上社区糖尿病患者作为研究对象,采用多因素Logistic回归分析饮酒和体力活动对糖尿病患者血糖控制的联合作用。结果:5663名糖尿病患者空腹血糖控制率为39.8%(95%CI:38.5%~41.1%),调整年龄、性别、规律服药、职业、受教育水平、体质量指数(BMI)、高血压、糖尿病家族史和吸烟后,过量饮酒患者空腹血糖控制率是不饮酒/适量者的0.73倍(95%CI:0.64~0.83,P<0.001)。与不饮酒/适量且体力活动充足者相比,过量饮酒且体力活动充足者的空腹血糖控制率为其0.76倍(95%CI:0.66~0.87,P<0.001),过量饮酒且体力活动不足者为其0.58倍(95%CI:0.41~0.84,P=0.003)。结论:饮酒和体力活动对血糖控制存在联合作用,过量饮酒者如体力活动不足会进一步降低其血糖控制率。

我国城市水源水库水质风险成因及对策

我国城市水源中约40%为湖泊或水库,且大部分为水库,因此水源水库的水质状况对我国城市安全极其关键。本文综述了我国水源水库水质问题研究进展,分析了22个代表性水源水库的周年水质状况。结果发现,当前我国城市水源水库水质风险类型主要是异味问题、藻类水华、铁锰超标、有机质偏高、营养盐超标等。引发水源水库水质问题的主要原因包括流域开发强度过大、库底淤积及内源释放、生态系统结构失衡、气候与水文异常变化等。针对上述主要问题,提出了构建在线水质监测预警体系、控制流域土地开发强度、构建面源拦截及流域净化系统、疏浚底泥、优化生态系统结构、实施应急曝气与控藻工程、完善流域生态保护法律法规等多种水源水库水质安全保障技术措施。鉴于水源水库水质及水生态对暴雨、高温热浪等极端气象响应敏感而复杂,在当前极端天气事件频发、强度不断增加的气候背景下,还应加强水库生态学基础研究,以深入理解水源水库水质对气候变化的响应机制,提高水库水安全保障科技支撑能力,满足我国城市高质量发展的水资源需求。

饮用水中5种金属元素混合标准物质研制

以准确定值的铍、镍、钼、钡和铊5种单元素标准样品和二次纯化水为原料,制备饮用水中5种金属元素混合标准物质。采用单因素方差分析法检验均匀性、评价短期稳定性和长期稳定性,由6家实验室采用电感耦合等离子体质谱法联合定值,评定定值不确定度。结果表明,制备的饮用水中铍、镍、钼、钡和铊5种金属元素混合标准物质具有良好的均匀性和稳定性,在较极端温度下(40℃和-40℃)可稳定保存14 d,常温下可稳定保存至少12个月,联合定值结果铍质量浓度为(9.48±0.45) mg/L,镍质量浓度为(9.52±0.32) mg/L,钼质量浓度为(9.38±0.32) mg/L,钡质量浓度为(9.47±0.28) mg/L,铊质量浓度为(9.26±0.27) mg/L,可作为实验室水质监测内部质控品使用。

皖南农村地区需水量特征分析及预测模型研究

需水量的准确预测对于提高农村地区水资源利用率、优化农饮水厂日常调度有着重要作用,然而现有预测算法面临农村部分地区可用历史数据少、质量差等问题,同时部分预测算法的计算负荷较高,无法有效适应农饮水厂运维环境。选取2021-2022年安徽省南部不同地区3处农饮水厂日供水量数据作为研究对象。经过特征分析发现,皖南农村地区日需水量存在季节性变化趋势明显而短期内波动较大的特点。针对该数据特点及实际计算需求,选取了使用网格搜索法优化后的ARIMA模型进行预测,并与SVR、LSTM、RF等模型进行对比分析。研究结果表明,使用网格搜索法的ARIMA模型可以更好地适应农饮水厂运维环境,利用其对于周期性、季节性数据较强的学习能力,对农饮水厂供水量变化趋势和规律进行准确预测,具有一定的普适性,且计算负荷明显优于其他方法。模型对比分析显示,ARIMA模型的预测精度最高,在3处农饮水厂测试集数据上的平均绝对百分比误差(MAPE)分别为1.827、1.454、2.714。

体外循环心脏外科手术病人气管插管拔除后早期饮水的临床实践研究

目的:评价早期经口饮水在体外循环心脏外科手术后气管插管拔除病人中的安全性及可行性。方法:采用便利抽样法,选取山东省青岛市某三级甲等医院心血管外科重症监护室于2022年3月1日—5月31日行体外循环下心脏外科手术的病人123例作为对照组(常规拔管后4 h经口饮水),选取于2022年6月1日—9月30日行体外循环下心脏外科手术的病人120例作为观察组(实施拔除气管插管后早期经口饮水干预方案)。记录两组病人口渴程度、口腔黏膜湿润程度,呛咳、恶心呕吐、误吸、吸入性肺炎发生率以及病人对护理工作的满意度,同时记录两组的平均饮水时间。结果:观察组病人的口渴程度得分和口唇黏膜湿润度评分均低于对照组,差异有统计学意义(P<0.05);两组病人饮水呛咳、恶心呕吐、误吸、吸入性肺炎发生率比较,差异无统计学意义(P>0.05);观察组病人对护理工作满意度评分为(93.01±6.17)分,明显高于对照组(90.29±7.32)分,差异有统计学意义(P<0.05);观察组平均饮水时间为(18.75±14.92)min,明显短于对照组(245.06±17.56)min,差异有统计学意义(P<0.05)。结论:经过安全评估,体外循环心脏手术后气管插管拔除病人立即评估并早期经口饮水有利于缓解术后口渴程度,增加口腔黏膜湿润程度,减轻口咽部不适感,改善病人舒适度,提高病人对护理工作满意度,且未增加相关临床并发症的发生率,临床实践安全可行。

基于模糊数学的木姜叶柯玫瑰茄本草饮料制备

木姜叶柯与玫瑰茄的味觉特性限制了两种原料在食品工业中的广泛使用.为拓展木姜叶柯和玫瑰茄的应用,以木姜叶柯和玫瑰茄为主要原料,采用浸提法制备木姜叶柯及玫瑰茄浸提液,通过对饮料气味、色泽、组织状态和滋味进行权重分析,建立了木姜叶柯玫瑰茄本草饮料模糊数学感官评价方法;利用单因素试验和正交试验结合模糊数学感官评价法,确定了木姜叶柯玫瑰茄本草饮料的最佳配方,并对最佳产品的质量指标(可溶性固形物含量、总酸及总多酚质量浓度、澄清度)进行了测定.结果表明:木姜叶柯玫瑰茄本草饮料的最佳配方为木姜叶柯浸提液添加量3%,玫瑰茄浸提液添加量4%,柠檬酸添加量0.03%,复配甜味剂(甜度200)添加量0.03%.通过该配方制得的饮料质地均匀透亮、颜色呈玫红色、酸甜适宜,具有木姜叶柯和玫瑰茄特有的香味,其理化指标测定结果为:可溶性固形物含量0.16%±0.01%,总多酚质量浓度107.42±1.90 mg/L,总酸质量浓度0.30±0.01 g/L,澄清度73.62%±1.35%.

植物基乳产业的发展趋势与技术创新

植物基乳产品作为植物基食品产业的重要组成部分,其发展水平对促进植物基食品产业有着举足轻重的作用。分析了全球植物基乳产品的市场规模和我国植物乳产品的市场情况:2023年,全球规模为296亿美元,并以11.4%的速度增长;我国植物基饮品包括豆奶、椰奶、核桃乳、杏仁乳等呈稳定性增长趋势,粉体类产品市场也较稳定(达30万t)。指出植物基乳作为未来食品需要进一步完善定义,充分体现植物基乳特征和属性要求;要加大力度开发满足新消费场景和渠道的新技术、新产品,解决消费者关心的植物基乳产品口味、价格和清洁标签等关键问题,加快植物基酸奶、冷饮等技术的成熟和落地,并通过开发满足不同消费场景、特殊营养、健康需求的产品,为植物基乳产品价值和市场竞争力赋能,创立多元化的植物基乳产业发展新模式。

饮用水中胶体态污染物的研究进展

饮用水中的污染物经过迁移、吸附、团聚等行为,往往以胶体态形式存在,并作为载体吸附水中其他污染物,对饮用水质造成严重污染.聚焦于饮用水中的胶体态污染物,从胶体态污染物的概念、主要分类、迁移行为和去除效果4个方面,总结和阐述了近年来饮用水中胶体态污染物的研究进展.总结得出,饮用水中呈胶体态的无机物、有机物和微生物往往会与其他污染物吸附、团聚,可能引发胶体泵效应,影响污染物的迁移、富集和去除.在常规饮用水处理工艺中,混凝可有效去除>10μm的胶体态污染物,传统过滤不是去除胶体态污染物的主要工艺.臭氧氧化-活性炭吸附和膜分离等深度处理是去除<10μm胶体态污染物的高效工艺.最后,基于研究现状对胶体态污染物的控制进行了展望,以期为保障饮用水质提供借鉴和帮助.

2014-2021年陕西省饮水型地方性氟中毒监测结果分析

目的了解陕西省饮水型地方性氟中毒病区降氟改水工程运转情况、水氟含量现状以及氟中毒病情变化趋势,评价防治措施效果。方法2014年3月至2021年12月,以陕西省饮水型地方性氟中毒病区大荔、定边、靖边、泾阳和礼泉5个县的15个病区村为监测村,调查改水工程运转情况;并采集水样,依据《生活饮用水标准检验方法无机非金属指标》(GB/T 5750.5-2006)检测水氟含量。采用《氟斑牙诊断》(WS/T 208-2011),对监测村出生并居住的全部8~12岁儿童进行氟斑牙检查。采用《地方性氟骨症诊断标准》(WS/T 192-2008)和《尿中氟化物测定离子选择电极法》(WS/T 89-2015),分别对监测村25岁以上且在当地居住5年以上成人进行氟骨症X线检查和尿氟含量测定。结果2014-2021年共调查改水工程122个,均正常运转;水氟合格率从2014年的81.25%(13/16)上升至2021年的100.00%(11/11)。共检查8~12岁儿童5595例,检出氟斑牙儿童1790例,检出率为31.99%;儿童氟斑牙检出率从2014年的52.05%(304/584)下降至2021年的9.68%(93/961),整体呈现下降趋势(χ^(2)_(趋势)=533.76,P<0.001)。2014年检查成人791例,检出氟骨症患者256例,检出率为32.36%;2019年检查成人770例,检出氟骨症患者88例,检出率为11.43%;2019年成人氟骨症检出率低于2014年,差异有统计学意义(χ^(2)=99.54,P<0.001)。2014年采集成人尿样754份,尿氟几何均值为2.571 mg/L;2019年采集成人尿样770份,尿氟几何均值为1.292 mg/L;2019年成人尿氟几何均值低于2014年,差异有统计学意义(Z=-12.74,P<0.001)。结论2014-2021年,陕西省饮水型地方性氟中毒病区改水工程均正常运转,水氟合格率升高。儿童氟斑牙和成人氟骨症患病情况均减轻。后期应持续加强改水工程监测管理工作,防止水氟回升引起居民病情反弹。