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Post-operative morbidity after neoadjuvant chemotherapy and resection for gallbladder cancer: A national surgical quality improvement program analysis 被引量:1
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作者 Minha Kim Stephanie Stroever +3 位作者 Krist Aploks Alexander Ostapenko Xiang Da Dong Ramanathan Seshadri 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第1期95-102,共8页
BACKGROUND Gallbladder cancer is the most common malignancy of the biliary tract.Neo-adjuvant chemotherapy(NACT)has improved overall survival by enabling R0 resection.Currently,there is no consensus of guidelines for ... BACKGROUND Gallbladder cancer is the most common malignancy of the biliary tract.Neo-adjuvant chemotherapy(NACT)has improved overall survival by enabling R0 resection.Currently,there is no consensus of guidelines for neoadjuvant therapy in gallbladder cancer.As investigations continue to analyze the regimen and benefit of NACT for ongoing care of gallbladder cancer patients,we examined American College of Surgeons National Surgical Quality Improvement Program(NSQIP)database to determine if there was higher morbidity among the neo-adjuvant group within the 30-day post-operative period.We hypothesized patients who underwent NACT were more likely to have higher post-operative morbidity.AIM To investigate the 30-day post-operative morbidity outcomes between patients who received NACT and underwent surgery and patients who only had surgery.METHODS A retrospective analysis of the targeted hepatectomy NSQIP data between 2015 and 2019 was performed to determine if NACT in gallbladder cancer increased the risk for post-operative morbidity(bile leak,infection rate,rate of converting to open surgery,etc.)compared to the group who only had surgery.To calculate the odds ratio for the primary and secondary outcomes,a crude logistic regression was performed.RESULTS Of the 452 patients,52 patients received NACT prior to surgery.There were no statistically significant differences in the odds of morbidity between the two groups,including bile leak[odds ratio(OR),0.69;95%confidence interval(95%CI):0.16-2.10;P=0.55],superficial wound infection(OR,0.58;95%CI:0.03-3.02;P=0.61),and organ space wound infection(OR,0.63;95%CI:0.18-1.63;P=0.61).CONCLUSION There was no significant difference in the risk of 30-day post-operative morbidity between the NACT and surgery group and the surgery only group. 展开更多
关键词 Gallbladder cancer Neoadjuvant chemotherapy Radical cholecystectomy National Surgery quality improvement Program Postoperative outcome
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Stroke nurse-led intravenous thrombolytic therapy strategy for ischemic stroke based on timeline process:A quality improvement program from China
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作者 Baiyu Li Zhufeng Zhang +2 位作者 Keye Li Lingdie Zhao Rong Niu 《International Journal of Nursing Sciences》 CSCD 2024年第5期521-527,I0001,共8页
Objective:Early thrombolytic therapy for ischemic stroke within the therapeutic window is associated with improved clinical outcomes.This study investigated whether optimizing intravenous thrombolytic(IVT)therapy stra... Objective:Early thrombolytic therapy for ischemic stroke within the therapeutic window is associated with improved clinical outcomes.This study investigated whether optimizing intravenous thrombolytic(IVT)therapy strategies for stroke could reduce treatment delays.Methods:To reduce delays in IVT therapy for ischemic stroke,a series of quality improvement measures were implemented at a tertiary hospital in Hangzhou,Zhejiang Province,from June 2021 to August 2023,which included developing a timeline process management system,forming a nurse-led stroke process management team,providing homogeneous training,standardizing the IVT therapy process for ischemic stroke,and introducing an incentive policy.During the pre-(from June 2021 to February 2022,group A)and post-(from March to November 2022,group B1;from December 2022 to August 2023,group B2[implementation of an additional incentive policy])of the implementation the strategy,the door-tocomputed tomographic angiography(CTA)time(DCT),CTA time,neurology consultation to consent for IVT,CTA-to-needle time(CNT),and door-to-needle time(DNT),the percentage of people who underwent CTA within 20 min,15 min,and 10 min and DNT within 60 min,45 min,and 30 min were collected and compared.Results:Following the implementation of the standardized IVT process management strategy for stroke,the DNT for group B1 and group B2 were 30(24,44)min and 31(24,41)min,respectively,both significantly lower than the 46(38,58)min in group A(P<0.001);the median DCT were both 13 min in group B1 and B2 lower than 17min in group A(P<0.001);the median CTA were 12 min in Group B1 and 9 min in Group B2 lower than 14 min in group A(P<0.001);similar results were observed during the neurology consultation to obtain consent for IVT and CNT.Compared with group A,the proportion of DCT20 min,15 min,and 10 min was higher in groups B1 and B2(P<0.05),and the same result was observed at DNT60 min,45 min,and 30 min(P<0.05).However,the additional incentive policy did not significantly differ between Group B2 and Group B1.Conclusions:Optimizing IVT therapy for ischemic stroke is a feasible approach to limit the DNT to 30 min in ischemic stroke,significantly reducing delays within the therapeutic window and increasing the number of patients meeting target time segments.Additionally,generating a timeline for the IVT therapy process by scanning positioning quick response codes was a significant breakthrough in achieving the informatization of IVT quality management for stroke. 展开更多
关键词 Ischemic stroke Intravenous thrombolytic therapy Nurses Stroke process quality improvement
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Empowerment Mechanisms and Empirical Evidence of Payment Technology in Capacity Expansion and Quality Improvement of Residents’Consumption
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作者 LI Yilin GAO Changchun GAO Han 《Journal of Donghua University(English Edition)》 CAS 2024年第6期662-676,共15页
The time-varying difference-in-difference model is used to identify the impact of payment technology on residents’consumption,and the moderation effect analysis method is used to identify its mechanism.It is found th... The time-varying difference-in-difference model is used to identify the impact of payment technology on residents’consumption,and the moderation effect analysis method is used to identify its mechanism.It is found that payment technology promotes consumption capacity expansion and quality improvement(CEQI)through three pathways of alleviating liquidity constraints,reducing transaction costs and weakening the payment of pain.The parallel and serial mechanisms of the three are further explored.The effect of payment technology on the CEQI of residents’consumption shows obvious heterogeneity due to differences in urban and rural household registration and financial literacy.Based on the empirical research results and the national conditions of China,targeted policy recommendations are proposed from the demand side,the supply side and the technological side. 展开更多
关键词 payment technology capacity expansion and quality improvement residents’consumption new quality productive force time-varying difference-in-difference moderating effect
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Enhancing Private Healthcare Effectiveness in Lagos State, Nigeria: An Overview of the Effect of Quality Improvement Initiatives and Implications for Sustainable Healthcare Delivery
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作者 Nnenna Mba-Oduwusi Ifesinachi Eze +11 位作者 Tochukwu Osuji Maxwell Obubu Tolulope Oyekanmi Oluwatosin Kolade Ozioma Oguguah Jane Martins Nkata Chuku Alozie Ananaba Rodio Diallo Firdausi Umar Sadiq Emmanuella Zamba Abiola Idowu 《Health》 2024年第2期93-104,共12页
Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge... Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge of ensuring quality healthcare access. The overview of the effect of quality improvement initiatives in this paper focuses on private healthcare providers in Lagos State, Nigeria. The study assesses the impact of donor-funded quality improvement projects on these private healthcare facilities. It explores the level of participation, perceived support, and tangible effects of the initiatives on healthcare delivery within private healthcare facilities. It also examines how these initiatives influence patient inflow and facility ratings, and bring about additional benefits and improvements, provides insights into the challenges faced by private healthcare providers in implementing quality improvement projects and elicits recommendations for improving the effectiveness of such initiatives. Methods: Qualitative research design was employed for in-depth exploration, utilizing semi-structured interviews. Private healthcare providers in Lagos involved in the SP4FP Quality Improvement Project were purposively sampled for diversity. Face-to-face interviews elicited insights into participation, perceived support, and project effects. Questions covered participation levels, support perception, changes observed, challenges faced, and recommendations. Thematic analysis identified recurring themes from interview transcripts. Adherence to ethical guidelines ensured participant confidentiality and informed consent. Results: Respondents affirmed active involvement in the SP4FP Quality Improvement Project, echoing literature emphasizing private-sector collaboration with the public sector. While acknowledging positive influences on facility ratings, respondents highlighted challenges within the broader Nigerian healthcare landscape affecting patient numbers. Respondents cited tangible improvements, particularly in staff management and patient care processes, validating the positive influence of quality improvement projects. Financial constraints emerged as a significant challenge, aligning with existing literature emphasizing the pragmatic difficulties faced by private healthcare providers. Conclusions: This study illuminates the complex landscape of private healthcare provision in Lagos State, emphasizing the positive impact of donor-funded quality improvement projects. The findings provide nuanced insights, guiding policymakers, healthcare managers, and practitioners toward collaborative, sustainable improvements. As Nigeria progresses, these lessons will be crucial in shaping healthcare policies prioritizing population well-being. 展开更多
关键词 Private Healthcare quality improvement Projects Donor-Funded Initiatives Healthcare Delivery Lagos State NIGERIA
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Quieting the neonatal intensive care unit:A quality improvement initiative
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作者 Darshan Rajatadri Rangaswamy Niranjan Kamble Amulya Veeramachaneni 《World Journal of Clinical Pediatrics》 2024年第3期53-60,共8页
BACKGROUND The neonatal intensive care unit(NICU)is vital for preterm infants but is often plagued by harmful noise levels.Excessive noise,ranging from medical equipment to conversations,poses significant health risks... BACKGROUND The neonatal intensive care unit(NICU)is vital for preterm infants but is often plagued by harmful noise levels.Excessive noise,ranging from medical equipment to conversations,poses significant health risks,including hearing impairment and neurodevelopmental issues.The American Academy of Pediatrics recommends strict sound limits to safeguard neonatal well-being.Strategies such as education,environmental modifications,and quiet hours have shown to reduce noise levels.However,up to 60%of the noises remain avoidable.High noise exposure exacerbates physiological disturbances,impacting vital functions and long-term neurological outcomes.Effective noise reduction in the NICU is crucial for promoting optimal neonatal development.AIM To measure the sound levels in a NICU and reduce ambient sound levels by at least 10%from baseline.METHODS A quasi-experimental quality improvement project was conducted over 4 mo in a 20-bed level 3 NICU in a tertiary care medical college.Baseline noise levels were recorded continuously using a sound level meter.The interventions included targeted education,environmental modifications,and organizational changes,and were implemented through three rapid Plan-Do-Study-Act(PDSA)cycles.Weekly feedback and monitoring were conducted,and statistical process control charts were used for analysis.The mean noise values were compared using the paired t-test.RESULTS The baseline mean ambient noise level in the NICU was 67.8 dB,which decreased to 50.5 dB after the first cycle,and further decreased to 47.4 dB and 51.2 dB after subsequent cycles.The reduction in noise levels was 21%during the day and 28%PDSA cycle(mean difference of−17.3 dB,P<0.01).Peak noise levels decreased from 110 dB to 88.24 dB after the intervention.CONCLUSION A multifaceted intervention strategy reduced noise in the NICU by 25%over 4 months.The success of this initiative emphasizes the significance of comprehensive interventions for noise reduction. 展开更多
关键词 quality improvement Noise pollution Preterm care Sound measurement Plan-Do-Study-Act
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In situ digital testing method for quality assessment of soft soil improvement with polyurethane
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作者 X.F.Wang C.J.Wang +2 位作者 W.V.Yue Z.J.Zhang Z.Q.Yue 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第5期1732-1748,共17页
This study purposes an in situ testing method on quality assessment of soil improvement.Factual drilling data includes the spatial distribution and in situ strength of untreated and treated soil along three different ... This study purposes an in situ testing method on quality assessment of soil improvement.Factual drilling data includes the spatial distribution and in situ strength of untreated and treated soil along three different drillholes measured by on-site drilling monitoring method.These factual drilling data can characterize the degree of soil improvement by penetration injection with permeable polyurethane.Result from on-site drilling monitoring shows that the linear zones represent constant drilling speeds shown in the plot of drill bit advancement vs.net drilling time,which indicates the spatial distributions of soil profile.The soil profile at the study site is composed of four layers,which includes fill,untreated silty clay,treated silty clay,and mucky soil.The results of soil profile are verified by the parallel site loggings.The constant drilling speeds profile the coring-resistant strength of drilled soils.By comparing with the untreated silty clay,the constant drilling speeds of the treated silty clay have been decreased by 13.0-62.8%.Two drilling-speed-based indices of 61.2%and 65.6%are proposed to assess the decreased average drilling speed and the increased in situ strength of treated silty clay.Laboratory tests,i.e.uniaxial compressive strength(UCS)test,have been performed with core sample to investigate and characterize in situ strength by comparing that with drilling speeds.Results show that the average predicted strengths of treated silty clay are 2.4-6.9 times higher than the average measured strength of untreated silty clay.The UCS-based indices of 374.5%and 344.2%verified the quality assessment(QA)results by this new in situ method.This method provides a cost-effective tool for quality assessment of soil improvement by utilizing the digital drilling data. 展开更多
关键词 Drilling process monitoring system Hydraulic rotary drilling process Constant drilling speed Soil improvement quality assessment
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Analysis of the Ideological and Political Concepts and Teaching Strategies for Quality Improvement in Physical Education Courses in Colleges and Universities
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作者 Chenglin Li Hui Cai 《Journal of Contemporary Educational Research》 2024年第7期240-245,共6页
In today’s higher education system,the physical education program is not only for teaching sports skills and exercising physical fitness but also an important position for cultivating students’character,emotions,and... In today’s higher education system,the physical education program is not only for teaching sports skills and exercising physical fitness but also an important position for cultivating students’character,emotions,and values.With the in-depth development of the concept of ideological education,the ideology of college physical education courses has become an important direction of educational reform.In this paper,we will discuss the connotation of the concept of ideology and politics in college physical education courses,analyze the methods to effectively integrate the ideology and politics elements while guaranteeing the quality of teaching,and put forward the corresponding strategies to improve the quality,with a view to providing new ideas and methods for the construction of ideology and politics in college physical education courses. 展开更多
关键词 College physical education Course ideology and politics Teaching quality improvement
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Patterns of alteration in boar semen quality from 9 to 37 months old and improvement by protocatechuic acid
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作者 Ruizhi Hu Xizi Yang +10 位作者 Jiatai Gong Jing Lv Xupeng Yuan Mingkun Shi Chenxing Fu Bie Tan Zhiyong Fan Liang Chen Hongfu Zhang Jianhua He Shusong Wu 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2024年第5期1881-1893,共13页
Background Comprehending the patterns of alteration in boar semen quality and identifying effective nutritional interventions are crucial for enhancing the productivity of commercial pig systems.This study aimed to ex... Background Comprehending the patterns of alteration in boar semen quality and identifying effective nutritional interventions are crucial for enhancing the productivity of commercial pig systems.This study aimed to examine the alteration in semen quality in boars,and assess the impact of protocatechuic acid(PCA)on semen quality during the phase of declining semen quality.Methods In Exp.1,a total of 38 Pig Improvement Company(PIC)boars were selected and their semen quality data were recorded from the age of 9 to 37 months.In Exp.2,18 PIC boars(28 months old)were randomly assigned into three groups(n=6)and fed a basal diet,a basal diet containing 500 or 1,000 mg/kg PCA,respectively.The experiment lasted for 12 weeks.Results The semen volume,concentration,and total number of spermatozoa in boars exhibited an increase from 9 to 19 months old and showed a significant linear decreased trend in 28,24,and 22 months old.Sperm motility displayed an upward trajectory,reaching its peak at 20 months of age,and showed a significant linear decreased trend at 20 months old.Dietary supplementation of PCA demonstrated an effect to mitigate the decrease in semen volume,concentration of spermatozoa,total number of spermatozoa(P>0.05),and significantly increased the sperm motility(P<0.05).Moreover,supplementation of 1,000 mg/kg PCA significantly increased the sperm viability(P<0.05).Analysis on cellular signaling pathways revealed that PCA restored serum testosterone levels and alleviated oxidative damage by upregulating the expression of HO-1,SOD2,and NQO1 in testicular stromal cells.Notably,PCA can enhance phosphorylation by selectively binding to AMP-activated protein kinase(AMPK)protein,thereby improving sperm mitochondrial function and augmenting sperm motility via PGC-1/Nrf1.Conclusions These data elucidated the pattern of semen quality variation in boars within the age range of 9 to 37 months old,and PCA has the potential to be a natural antioxidant to enhance sperm quality through modulation of the AMPK/PGC-1/Nrf1 signaling pathway. 展开更多
关键词 ANTIOXIDANTS BOARS Protocatechuic acid Semen quality Signaling pathway
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Improvement of Wolfberry(Lycium barbarum L.)Fruit Yield and Quality and Enhancement of Soil Fertility by Nitrogen Reduction Combined with Organic Fertilizers
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作者 Yajun Xin Congcong Li +7 位作者 Tingting Xu Youliang Wang Rong Fu Tahir Shah Shouzhong Xie Rong Zhang Haiyan Sheng Yajun Gao 《Journal of Agricultural Science and Technology(A)》 2024年第1期1-18,共18页
Excessive amounts of nitrogen(N)fertilizers are applied during wolfberry production,resulting in some soil problems as well as potential environmental risks in the Qinghai-Tibet Plateau.In this study,organic fertilize... Excessive amounts of nitrogen(N)fertilizers are applied during wolfberry production,resulting in some soil problems as well as potential environmental risks in the Qinghai-Tibet Plateau.In this study,organic fertilizers were used to replace part of the N fertilizer in wolfberry fields with different fertility levels.N fertilizer rates had 0,50,100,150,200,and 250 g N/plant.Organic fertilizer rates had 0,2,4,6,8,and 10 kg organic fertilizer/plant.The experimental treatments included 6 combinations of N0M10,N50M8,N100M6,N150M4,N200M2,and control was N250M0.The results showed that in the high-fertility soils,combinations of N150M4,N100M6 and N50M8 treatments were increased in yields,fruit shape index,flavonoid content,total phenol content,mineral nutrient content,and antioxidant activity of wolfberry fruits.Also they were improved in soil fertility and decreased in residual nitrate through the soil depth of 0-300 cm.In the soil with less fertility,fruit yield,amino acid contents,flavonoids,total phenols,mineral nutrients and antioxidant activity of fruits were increased by the N200M2,N150M4 and N100M6 treatments and soil fertility was improved as well.Also more residual nitrate was found in the depth of 0-100 cm of soil with both chemical and organic fertilizer compared with the control.Therefore,in the Qinghai-Tibet Plateau,combining decreased N fertilizer with organic fertilizer rather than chemical fertilizer alone could help farmers achieve satisfactory yields and quality of wolfberry fruits and reduce the risk of nitrate leaching.In conclusion,50-150 g/plant of N fertilizer combined with 4-8 kg/plant of organic fertilizer in high-fertility gardens and 100-200 g/plant of N fertilizer combined with 2-6 kg/plant of organic fertilizer in low-fertility gardens are recommended for wolfberry cultivation. 展开更多
关键词 WOLFBERRY fruit quality antioxidant activity organic fertilizer nitrogen fertilizer
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Research on the Improvement and Innovation Paths of Teaching Quality in Private Universities in Zhejiang Province in the Digital Era
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作者 Xiangjiang Li 《Journal of Contemporary Educational Research》 2024年第3期227-231,共5页
In the digital era,the education and teaching of private undergraduate universities in China are undergoing innovative reform.This article uses the literature review method to conduct a survey and research on the qual... In the digital era,the education and teaching of private undergraduate universities in China are undergoing innovative reform.This article uses the literature review method to conduct a survey and research on the quality of teaching resources,teaching platforms,and literature reserves,and proposes a series of strategies and innovative paths to improve the teaching quality of private undergraduate universities.The research results show that the rational use of digital technology can improve the quality of education and teaching,and achieve innovative development in education and teaching.The research results have certain theoretical value and guiding significance for the teaching reform of private undergraduate universities under the background of digital teaching. 展开更多
关键词 Teaching quality Digital technology Undergraduate universities Innovation path
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Based on non-targeted metabolomics for differential components screening of Rosae Chinensis Flos and Rosae Rugosae Flos and their quality evaluation
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作者 Xu Liang Ni-Hui Zhang +4 位作者 Zhi-Lai Zhan Guang-Lu Chang Yan Gao Xia Li Wen-Yuan Gao 《Traditional Medicine Research》 2025年第2期1-15,共15页
Background:Rosa chinensis Jacq.and Rosa rugosa Thunb.are not only of ornamental value,but also edible flowers and the flower buds have been listed in the Chinese Pharmacopoeia as traditional medicines.The two plants h... Background:Rosa chinensis Jacq.and Rosa rugosa Thunb.are not only of ornamental value,but also edible flowers and the flower buds have been listed in the Chinese Pharmacopoeia as traditional medicines.The two plants have some differences in efficacy,but the flower buds are easily confused for similar traits.In addition,large-scale cultivation of ornamental rose flowers may lead to a decrease in the effective components of medicinal roses.Therefore,it is necessary to study the chemical composition and make quality evaluation of Rosae Chinensis Flos(Yueji)and Rosae Rugosae Flos(Meigui).Methods:In this study,40 batches of samples including Meigui and Yueji from different regions in China were collected to establish high-performance liquid chromatography fingerprints.Then,the fingerprints data was analyzed using principal component analysis,hierarchical cluster analysis,and partial least squares discriminant analysis analysis chemometrics to obtain information on intergroup differences,and non-targeted metabolomic techniques were applied to identify and compare chemical compositions of samples which were chosen from groups with large differences.Differential compounds were screened by orthogonal partial least-squares discriminant analysis and S-plot,and finally multi-component quantification was performed to comprehensively evaluate the quality of Yueji and Meigui.Results:The similarity between the fingerprints of 40 batches roses and the reference print R was 0.73 to 0.93,indicating that there were similarities and differences between the samples.Through principal component analysis and hierarchical cluster analysis of fingerprints data,the samples from different origins and varieties were intuitively divided into four groups.Partial least-squares discriminant analysis analysis showed that Meigui and Yueji cluster into two categories and the model was reliable.A total of 89 compounds were identified by high resolution mass spectrometry,mainly were flavonoids and flavonoid glycosides,as well as phenolic acids.Eight differential components were screened out by orthogonal partial least-squares discriminant analysis and S-plot analysis.Quantitative analyses of the eight compounds,including gallic acid,ellagic acid,hyperoside,isoquercitrin,etc.,showed that Yueji was generally richer in phenolic acids and flavonoids than Meigui,and the quality of Yueji from Shandong and Hebei was better.It is worth noting that Xinjiang rose is rich in various components,which is worth focusing on more in-depth research.Conclusion:In this study,the fingerprints of Meigui and Yueji were established.The chemical components information of roses was further improved based on non-targeted metabolomics and mass spectrometry technology.At the same time,eight differential components of Meigui and Yueji were screened out and quantitatively analyzed.The research results provided a scientific basis for the quality control and rational development and utilization of Rosae Chinensis Flos and Rosae Rugosae Flos,and also laid a foundation for the study of their pharmacodynamic material basis. 展开更多
关键词 Rosa chinensis Jacq. Rosa rugosa Thunb. metabolomics CHEMOMETRICS multiple component quantification quality evaluation
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Water Quality,Influential Factors,and Management Strategies from 2016 to 2020 in the Yangtze River Economic Belt,China
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作者 LIN Lanyu GUO Congrong +6 位作者 CHEN Yanan HE Lihuan YAN Luyu FANG Dekun MA Guangwen ZHANG Fengying LI Mingsheng 《Chinese Geographical Science》 2025年第1期175-186,共12页
The Yangtze River economic belt(YREB),China is important to the Chinese economy and for supporting sustainable development.Clarifying the relationship between water quality indices and socioeconomic indicators could h... The Yangtze River economic belt(YREB),China is important to the Chinese economy and for supporting sustainable development.Clarifying the relationship between water quality indices and socioeconomic indicators could help improve aquatic environment management in the YREB and our understanding of the causes and effects of water quality variations in other large river basins.In this study,river water quality,factors affecting water quality,and management strategies,and correlations between water quality indices and socioeconomic indicators in the YREB during the 13th Five-Year Plan period(2016-2020)were assessed.The single-factor evaluation method,constant price for GDP,and correlation analyses were adopted.The results showed that:1)water quality in the YREB improved during the 13th Five-Year Plan period.The number of aquatic environment sections meeting GradeⅠ-Ⅲwater quality standards increased by 13.1%and the number below Grade V decreased by 2.9%.2)The values of 12 indicators in the YREB exceeded relevant standards.The indicators with highest concentreation were the total phosphorus,chemical oxygen demand,ammonia nitrogen,and permanganate index,which were relatively high in downstream regions in Anhui Province,Jiangsu Province,and Shanghai Municipality.3)Ammonia nitrogen,chemical oxygen demand,and total phosphorus emissions per unit area and water extraction per unit area are relatively high in the three downstream regions mentioned above.4)Increased domestic sewage discharges have increased total wastewater discharges in the YREB.5)River water quality in the YREB strongly correlated with population,economic,and water resource indices and less strongly correlated with government investment,agriculture,meteorology,energy,and forestry indices.This confirmed the need to decrease wastewater discharges and non-point-source pollutant emissions.The aquatic environment could be improved by taking reasonable measures to control population growth,adjusting the industrial structure to accelerate industrial transformation and increase the proportion of tertiary industries,and investing in technological innovations to protect the environment. 展开更多
关键词 water quality FACTORS coping strategies Yangtze River economic belt(YREB) China
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Effects of Biochar on Tobacco-planting Soil Improvement and Tobacco Quality in Mudanjiang Area 被引量:2
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作者 王欢欢 任天宝 +5 位作者 张志浩 元野 王博 匡岗 刘德玉 刘国顺 《Agricultural Science & Technology》 CAS 2017年第5期820-826,共7页
This study was conducted to study the feasibility of biochar in soil im- provement and tobacco quality. The black soil in NinganCountry of Mudanjiang was used as the material in this study, and the effects of biochar ... This study was conducted to study the feasibility of biochar in soil im- provement and tobacco quality. The black soil in NinganCountry of Mudanjiang was used as the material in this study, and the effects of biochar on tobacco-planting soil C/N, soil microorganisms, the development of tobacco, and chemical compo- nents and neutral aroma components in flue-cured tobacco werestudied. The results showed that the application of biochar at a rate of 1 800 kg/hm2 could increase soil C/N by 31.79%, and the quantity of actinomycetes in the soil was 3.8 times as much as that in control. The growth wasobviously better after biochar application, plant height and effective leaf number were significantly higher than those ofcontrol, but total sugar and nicotine were not significantly different. The application of biochar at a rate of 1 200 kg/hm2 increased the potassium content by 11%, the application of biochar at a rate of 2 400 kg/hm2 improved total sugar content by 5.40%, and the application of biochar at a rate of 1 800 kg/hm2 made the tobacco solanone content 1.97 times as that of control. Comprehensive studies showed that the application of biochar 1 200-1 800 kg/hm2 could improvesoilenvironment, and promote tobacco growth and quality. 展开更多
关键词 Flue-cured tobacco BIOCHAR Soil improvement quality
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Study on Quality Improvement of Flue-cured Tobacco by Threshing and Pneumatic Separation 被引量:2
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作者 邱承宇 张新龙 +2 位作者 褚智国 杨明峰 刘江 《Agricultural Science & Technology》 CAS 2017年第12期2603-2605,共3页
This study was conducted to further classify threshed strips, so as to broaden the usable range of raw material and facilitate the effective utilization of to- bacco resource. During the threshing and redwing process,... This study was conducted to further classify threshed strips, so as to broaden the usable range of raw material and facilitate the effective utilization of to- bacco resource. During the threshing and redwing process, various process param- eters including the rotating speeds of threshing drums of threshing machioe, draught fans and fling drums were scientifically and rationally set according to the actual quality of the raw material. According to the characteristic that strips with close in- herent quality have basically the same specific gravity and leaf thickness, the strips from each discharge hole were accurately evaluated, and classified, followed by redrying and packaging. The results showed that the threshing and separating pro- cedure could improve the separating effect and precision according to tobacco qual- ity, so as to satisfy the separation and classification requirements for tobacco. 展开更多
关键词 Threshing and redrying Pneumatic separation quality
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Phytosynthetic bacteria (PSB) as a water quality improvement mechanism in saline-alkali wetland ponds 被引量:11
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作者 LiuFJ HuWY 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2002年第3期339-344,共6页
The efficiency of phytosynthetic bacteria (PSB) to improve the water quality in saline alkali ponds was studied, the result showed that (1) PSB application could increase the content of DO, NO\+-\-3\|N and effective ... The efficiency of phytosynthetic bacteria (PSB) to improve the water quality in saline alkali ponds was studied, the result showed that (1) PSB application could increase the content of DO, NO\+-\-3\|N and effective phosphorus (EP) in ponds; (2) the changes of COD were not evident, just effective in later period after PSB application; (3) PSB application could decrease the contents of NH\+-\-4\|N (NH\-3\|N), NO\+-\-2\|N ; (4) PSB application could improve the structure of the effective nitrogen (EN) and EP, stimulate the growth of phytoplankton, and increase primary productivity, and finally increase the commercial profits of ponds because of the increase of EP and the decrease of EN contents; (5) the effect exerting speed of PSB was slower, but the effect sustaining time was longer; (6) the appropriate concentration of PSB application in saline alkali wetland ponds was 10×10 -6 mg/L, one time effective period was more than 15 days. So PSB was an efficient water quality improver in saline alkali ponds. 展开更多
关键词 phytosynthetic bacteria (PSB) saline alkali wetland fishpond water quality improving
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Targeted mutagenesis of amino acid transporter genes for rice quality improvement using the CRISPR/Cas9 system 被引量:15
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作者 Shiyu Wang Yihao Yang +3 位作者 Min Guo Chongyuan Zhong Changjie Yan Shengyuan Sun 《The Crop Journal》 SCIE CAS CSCD 2020年第3期457-464,共8页
High grain protein content(GPC) reduces rice eating and cooking quality(ECQ). We generated OsAAP6 and OsAAP10 knockout mutants in three high-yielding japonica varieties and one japonica line using the CRISPR/Cas9 syst... High grain protein content(GPC) reduces rice eating and cooking quality(ECQ). We generated OsAAP6 and OsAAP10 knockout mutants in three high-yielding japonica varieties and one japonica line using the CRISPR/Cas9 system. Mutation efficiency varied with genetic background in the T_0 generation, and GPC in the T_1 generation decreased significantly,owing mainly to a reduction in glutelin content. Amylose content was down-regulated significantly in some Osaap6 and all Osaap10 mutants. The increased taste value of these mutants was supported by Rapid Visco Analysis(RVA) profiles, which showed higher peak viscosity and breakdown viscosity and lower setback viscosity than the wild type. There were no significant deficiencies in agronomic traits of the mutants. Targeted mutagenesis of OsAAP6 and OsAAP10, especially OsAAP10, using the CRISPR/Cas9 system can rapidly reduce GPC and improve ECQ of rice, providing a new strategy for the breeding cultivars with desired ECQ. 展开更多
关键词 AAP RVA Targeted mutagenesis of amino acid transporter genes for rice quality improvement using the CRISPR/Cas9 system CRISPR
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Discussion on strategy of grain quality improvement for super high yielding japonica rice in Northeast China 被引量:6
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作者 MAO Ting LI Xu +4 位作者 JIANG Shu-kun TANG Liang WANG Jia-yu XU Hai XU Zheng-jin 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2017年第5期1075-1083,共9页
japonica rice is mainly distributed in Northeast China and accounts for 44.6% of the total cultivated area of japonica rice in China. The comprehensive using of inter-subspecies heterosis is the main breeding mode of ... japonica rice is mainly distributed in Northeast China and accounts for 44.6% of the total cultivated area of japonica rice in China. The comprehensive using of inter-subspecies heterosis is the main breeding mode of super japonica rice varieties in this region. Improving rice quality at relative high yielding level is the current research focus. Performing crosses between indica and japonica lines allows for the recombination of regulatory genes and genetic backgrounds, leading to complicated genetic rice quality characteristics, which can be used to explore patterns of quality improvement. In the present study, we utilize recombinant inbred lines (RILs) derived from indica-japonica hybridization to analyze the effect factors of rice quality derived from genetic factors, which contain both regulatory genes concerning rice quality and genetic backgrounds' random introduction frequency coming from indica (Di value), and the improvement strategy was further discussed. The regulatory genes involved in amylase content (Wx) and nitrogen utilization efficiency (NRT1.1B) were the major factors affecting the amylose content (AC) and protein content (PC) in RILs, respectively. Both the Di value and the major grain width gene (GS5) had regulatory effects on milled rice width (MRW) in RILs, and their interaction explained the major variance of MRW in the RILs. With the mediation of MRW and chalkiness degree (C), Di value had a further impact on head rice rate (HR), which was relatively poor when the Di value was over 40%. In Northeast China, the Di value should be lowered by backcrossing or multiple crosses during the breeding of indica-japonica hybridization to maintain the whole better HR and further to emphasize the use of favorable genes in individual selection. 展开更多
关键词 super rice indica-japonica hybridization genetic dissection quality improvement
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Study on Quality Improvement Effect and Separate Character of Soybean Male Sterile (MS1) Recurrent Selection Population 被引量:2
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作者 ZHAO Shuang-jin ZHANG Meng-chen JIANG Chun-zhi YANG Chun-yan LIU Bing-qiang CUI Jue 《Agricultural Sciences in China》 CAS CSCD 2007年第5期545-551,共7页
To solve the problem that soybean has narrow genetic base, we constructed a series of male sterile recurrent selection populations, and studied the effects of quality improvement and practical value. An LD-base popula... To solve the problem that soybean has narrow genetic base, we constructed a series of male sterile recurrent selection populations, and studied the effects of quality improvement and practical value. An LD-base population, which fits to our ecology type was constructed by 6 years' gene enrichment through the introduction of new genes from 23 local varieties and recurrent selection. The LD-base populations were then improved by making crosses with high protein and high oil genotypes. As a result we obtained a high protein sub-population (db) and a high oil sub-population (gy), For the db sub-population, the protein content is 1.18% higher than the base population, 22.38% of the individuals contain 45% or more of protein, which is 10.99% higher than the base population. For the gy sub-population, oil content is 0.24% higher than the base population. Individuals with oil content of 20% or more are 11.05% higher than the base population. The quantitative characters such as flowering date, mature date, pod habit, and hilum color, etc., all showed wide range of separation, and the segregation ratio approached balance. The c.v. of branch number of ms1 recurrent population (72.8%) is higher than general cross-population (57.3%), and the c.v. of 100 seed weight of ms1 (18.1%) is higher than general cross population (16.5%), the coefficient of variation of plant height, pods per plant, and seeds per pod were not significantly different. It was demonstrated in this paper that the quality character of ms 1 male sterile recurrent selection population was improved by adding new genes. And the segregation of other characters widened, making the populations suitable for the objective of soybean breeding. In this paper, we also discussed the breeding method, key technology, and selection effect of soybean ms 1 population. 展开更多
关键词 SOYBEAN recurrent selection population ms 1 gene quality improvement segregating characteristics
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Developing an evidence-based and theory informed intervention to involve families in patients care after surgery: A quality improvement project 被引量:1
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作者 Anne Maria Eskes Anne Marthe Schreuder +2 位作者 Hester Vermeulen Els Jacqueline Maria Nieveen van Dijkum Wendy Chaboyer 《International Journal of Nursing Sciences》 CSCD 2019年第4期352-361,共10页
Objectives: In the post-surgical setting,active involvement of family caregivers has the potential to improve patient outcomes by prevention of surgical complications that are sensitive to fundamental care.This paper ... Objectives: In the post-surgical setting,active involvement of family caregivers has the potential to improve patient outcomes by prevention of surgical complications that are sensitive to fundamental care.This paper describes the development of a theoretically grounded program to enhance the active involvement of family caregivers in fundamental care for post-surgical patients.Methods: We used a quality improvement project following a multi-phase design.In Phase 1,an iterative method was used to combine evidence from a narrative review and professionals' preferences.In Phase 2,the logic model underlying the program was developed guided by four steps: (1) confirm situation,intervention aim,and target population;(2) documented expected outcomes,and outputs of the intervention;(3) identify and describe assumptions,external factors and inputs;and (4) confirm intervention components.Results: Phase 1 identified a minimum set of family involvement activities that were both supported by staff and the narrative review.In Phase 2,the logic model was developed and includes (1) the inputs (e.g.educational-and environmental support),(2) the ultimate outcomes (e.g.reduction of postoperative complications),(3) the intermediate outcomes (e.g.behavioural changes),and (4) immediate outcomes (e.g.improved knowledge,skills and attitude).Conclusions: We demonstrated how we aimed to change our practice to an environment in which family caregivers were stimulated to be actively involved in postoperative care on surgical wards,and how we took different factors into account.The description of this program may provide a solid basis for professionals to implement the family involvement program in their own setting. 展开更多
关键词 Family caregivers Hospital surgery department Nursing care Nursing models quality improvement
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Genetic Improvement of Japonica Rice Variety Wuyujing 3 for Stripe Disease Resistance and Eating Quality by Pyramiding Stv-b^i and Wx-mq 被引量:4
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作者 CHEN Tao WU Hao +8 位作者 ZHANG Ya-dong ZHU Zhen ZHAO Qi-yong ZHOU Li-hui YAO Shu ZHAO Ling YU Xin ZHAO Chun-fang WANG Cai-lin 《Rice science》 SCIE CSCD 2016年第2期69-77,共9页
Japonica rice variety Kanto 194 as the donor of resistance gene Stv-b^i and Iow-amylose content gene Wx-mq was used to improve the resistance and eating quality of Wuyujing 3 by the breeding strategy of backcross. In ... Japonica rice variety Kanto 194 as the donor of resistance gene Stv-b^i and Iow-amylose content gene Wx-mq was used to improve the resistance and eating quality of Wuyujing 3 by the breeding strategy of backcross. In continuous backcross and selfcross generations, the related molecular markers with Stvobi and Wx-mq genes were utilized for genotypic detection by associated with resistance identification of rice stripe disease and agronomic traits selection. Finally, 10 improved lines with homozygous genotype Stv-b^i Stv-b^iWx-mqWx-mq were obtained from BC3F4 generation. The results of comparative analysis indicated that most characters of these lines were consistent with those of recipient parent Wuyujing 3, except for the improved resistance, appearance and eating quality. By evaluation of the comprehensive performance of them, two excellent lines K01 and K04 were selected for further experiments. 展开更多
关键词 rice stripe disease resistance eating quality marker-assisted pyramiding selection genetic improvement
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