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Ecosystem Health Disorders-Changing Perspectives in Clinical Medicine and Nutrition

衛生生態系統失調-改變臨床醫學及營養的觀點

摘要


在沒有生物學變化下,人類與其生態系統不可分性,日益明顯。當所有有生命及無生命的事物,相互關聯性日趨明顯時,分立物種變成只是一個近似概念。有證據指出,即使是人類早期的祖先,他們從一個地區狩獵及採集到另一個地區,甚至在整個地球遷徙。在相對短暫的150-200,000年間人類歷史,我們毫不猶豫的改變了億萬年的星球和生態。當我們改變我們所屬的生態系統,以取得居所、休息、活動、交談、食物、娛樂及感覺輸入機會的同時,我們也改變了我們共享的生物學及我們的健康前景。生態系統改變的速率已呈現量性及質性的增加,因此我們的健康型態,將取決於我們的應變能力,以及線性、非線性或不規則的關連性。我們的衛生相關生態系統的軌跡是不確定的。我們和我們的環境之間的介面是模糊的,包括時間,生物節律,原核微生物,感官(聽覺,視覺,觸覺,味覺和嗅覺),關聯運動,透過食物和污染物內分泌與各種外部荷爾蒙,微生物,植物,昆蟲和我們吃的動物(我們的生物地質學)等等,反映土壤和岩石成分。我們透過高度的人類中心主義的手段,尋求優化我們的健康的途徑,但已被證明是不夠的。生態系統累積的變化,現在可能壓倒我們的健康。據此,健康照護實踐需要更加統合的方法和夥伴關係。

並列摘要


The inseparability of people from their ecosystem without biological change is increasingly clear. The discrete species concept is becoming more an approximation as the interconnectedness of all things, animate and inanimate, becomes more apparent. Yet this was evident even to our earliest Homo Sapiens sapiens ancestors as they hunted and gathered from one locality to another and migrated across the globe. During a rather short 150-200,000 years of ancestral history, we have changed the aeons-old planet and our ecology with dubious sustainability. As we have changed the ecosystems of which we are a part, with their opportunities for shelter, rest, ambulation, discourse, food, recreation and their sensory inputs, we have changed our shared biology and our health prospects. The rate of ecosystem change has increased quantitatively and qualitatively and so will that of our health patterns, depending on our resilience and how linear, non-linear or fractal-like the linkage. Our health-associated ecosystem trajectories are uncertain. The interfaces between us and our environment are blurred, but comprise time, biorhythms, prokaryotic organisms, sensory (auditory, visual, tactile, taste and smell), conjoint movement, endocrine with various external hormonal through food and contaminants, the reflection of soil and rock composition in the microbes, plants, insects and animals that we eat (our biogeology) and much more. We have sought ways to optimise our health through highly anthropocentric means, which have proven inadequate. Accumulated ecosystem change may now overwhelm our health. On these accounts, more integrative approaches and partnerships for health care practice are required.

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