Water is the most essential requirement for life. It provides a variety of purposes such as a source of water supply for drinking, domestic and industrial use, irrigated agriculture, livestock, and mining activities. ...Water is the most essential requirement for life. It provides a variety of purposes such as a source of water supply for drinking, domestic and industrial use, irrigated agriculture, livestock, and mining activities. Evaluating the status of water quality from traditional approaches does not guarantee the whole overview of the water quality situation. Therefore, developing a tool that can convert multiple parameters data into information that is understandable by both technical and non-technical personnel is vital. In this context, the purpose of this paper was to develop, calculate, and apply a water quality index for assessing the suitability (for drinking purposes) of groundwater in the gold mining areas in south-eastern Senegal. The development of this index based on WHO water quality guidelines followed the five standards steps i.e., parameters selection, sub-index formation, parameters weighting and sub-index aggregation and evaluation. Finally, the WQI summarized twelve key water quality parameters into 05 simple terms (excellent, good, medium, poor, and very poor) which is more relevant for reporting to managers and the public in a consistent manner. Thus, it was observed in the study area, that the water quality indexes in artisanal and industrial mining areas are either poor or very poor while in the reference stations (where there are no mining activities) WQI are either good or excellent. This situation was attributed to the effects of mining activities in such zones which contribute to the pollution of groundwater with heavy metals, nitrates, and suspended solids.展开更多
BACKGROUND:Cardiopulmonary resuscitation(CPR) is a kind of emergency treatment for cardiopulmonary arrest,and chest compression is the most important and necessary part of CPR.The American Heart Association published ...BACKGROUND:Cardiopulmonary resuscitation(CPR) is a kind of emergency treatment for cardiopulmonary arrest,and chest compression is the most important and necessary part of CPR.The American Heart Association published the new Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care in 2010 and demanded for better performance of chest compression practice,especially in compression depth and rate.The current study was to explore the relationship of quality indexes of chest compression and to identify the key points in chest compression training and practice.METHODS:Totally 219 healthcare workers accepted chest compression training by using Laerdal ACLS advanced life support resuscitation model.The quality indexes of chest compression,including compression hands placement,compression rate,compression depth,and chest wall recoil as well as self-reported fatigue time were monitored by the Laerdal Computer Skills and Reporting System.RESULTS:The quality of chest compression was related to the gender of the compressor.The indexes in males,including self-reported fatigue time,the accuracy of compression depth and the compression rate,the accuracy of compression rate,were higher than those in females.However,the accuracy of chest recoil was higher in females than in males.The quality indexes of chest compression were correlated with each other.The self-reported fatigue time was related to all the indexes except the compression rate.CONCLUSION:It is necessary to offer CPR training courses regularly.In clinical practice,it might be better to change the practitioner before fatigue,especially for females or weak practitioners.In training projects,more attention should be paid to the control of compression rate,in order to delay the fatigue,guarantee enough compression depth and improve the quality of chest compression.展开更多
The purpose of this study is to investigate the effect of using Bicarbonate and Calcium parameters as alternatives to the lithostratigraphic units covered the catchment area, on water quality index (WQI) values that h...The purpose of this study is to investigate the effect of using Bicarbonate and Calcium parameters as alternatives to the lithostratigraphic units covered the catchment area, on water quality index (WQI) values that have been implemented with GIS technique at Wadi Al-Arab Dam. The analyzed results (by WQI method) have been used to depict water quality for the two approaches. Based on physico-chemical parameters, the calculated values for WQI over the 3-year for study period were 169, 168, and 157, respectively. While the WQI values were 184, 183 and 172, respectively, as a result of incorporated Bicarbonate and Calcium parameters in WQI calculations that significantly contributed to increasing the WQI. The elevated values may be attributed to the influence of carbonate stone dissolution and mechanical erosion under weathering conditions that are prevalent during winter season in the catchment area. As a consequence of lithostratigraphic unites product and GIS technique integration and normalization processes, most of water quality ranks are good and only autumn season has poor water quality in the 2012 and 2013, while in 2014 it has good water quality in the same season. The WQI values increase in general trend from winter to autumn seasons during the study period that may be referred to outflow by daily consumption, evaporation rising, and seepage water. The analysis shows that the modified water quality values of the Wadi Al-Arab Dam Reservoir (WADR) vary after using Bicarbonate and Calcium parameters by constant value. Generally, the results signify that the WADR is not polluted based on the physical and chemical characteristics of water.展开更多
In Central Europe, a large portion of post-mining sites were afforested with Scots pine, which is characterized by good adaptability and a tolerance for poor habitat at the beginning of forest ecosystem development. C...In Central Europe, a large portion of post-mining sites were afforested with Scots pine, which is characterized by good adaptability and a tolerance for poor habitat at the beginning of forest ecosystem development. Conversion of monoculture on mine sites into more biodi- verse mixed hardwood forests, especially on more fertile deposits, can be an emerging need in this part of Europe in next decades. The ability to classify the forests at these post-mining sites will facilitate proper species selection as well as the management and formation of the developed ecosystem's stability. This work describes the guidelines that can be followed to assess reclaimed mine soil (RMS) quality, using the mine soil quality index (MSQI) and a classification of developed forest sites as a basis of tree-stand species selection and conversion of pine monocul- tures. The research was conducted on four post-mining facilities (lignite, hard coal, sulphur, and sand pit mining areas) on different RMS sub- strates dominant in Central Europe. Soil quality assessment takes into account the following features of the soil: texture soil nutrients (Ca, Mg, K, Na, P); acidity (pH KC1); and Corg-to-Nt ratio in the initial organic horizon. An analysis was conducted of classification systems using the MSQI validation correlation (at p =0.05) with vegetation features af- fected by succession: aboveground biomass of forest floor and ecological indicators of vascular plants (calculated on the basis of EUenberg's (2009) system). Eventually, in the analysed data set, the MSQI ranged from 0.270 for soils on quaternary sands to 0.720 for a mix of quaternary loamy sands with neogene clays. Potential forest habitat types and the role of the pine in the next generation of tree stands on different RMS parent rock substrate were proposed.展开更多
BACKGROUND Sleep disturbance on the first postoperative night commonly develops for patients after day surgeries. The choice of either total intravenous anesthesia by propofol or total inhalation anesthesia with sevof...BACKGROUND Sleep disturbance on the first postoperative night commonly develops for patients after day surgeries. The choice of either total intravenous anesthesia by propofol or total inhalation anesthesia with sevoflurane has become an issue for preventing sleep disturbance.AIM To compare sleep quality on the first postoperative night for female patients after total intravenous anesthesia by propofol and total inhalation anesthesia with sevoflurane.METHODS We enrolled 61 American Society of Anesthesia(ASA) class Ⅰ-Ⅱ outpatients who underwent minor gynecologic surgeries by either propofol or sevoflurane anesthesia. Sleep quality of the very night was assessed by the Pittsburgh Sleep Quality Index(PSQI) on the next day, and PSQI scores were compared by the Wilcoxon signed-rank test and paired t-test pre-operatively and postoperatively.RESULTS For the propofol group, the mean postoperative global PSQI score(3.3 ± 1.3) was lower than the mean preoperative global PSQI score(4.9 ± 2.3)(P < 0.001);for the sevoflurane group, the mean postoperative global PSQI score(6.5 ± 2.8) was higher than the mean preoperative global PSQI score(5.5 ± 3.2)(P = 0.02). Eighty percent of patients receiving propofol anesthesia subjectively reported improved sleep quality, but only 17% of patients receiving sevoflurane anesthesia reported improved sleep quality.CONCLUSION Sleep quality assessed by the PSQI is better improved in ASA class Ⅰ-Ⅱ female patients receiving propofol anesthesia other than sevoflurane anesthesia for undergoing minor gynecologic surgeries.展开更多
Sagardari union is facing groundwater crisis because of contaminations from agriculture and urban sewage,which bring a considerable change in water quality.In view of this,hydro-chemical analyses were undertaken on 35...Sagardari union is facing groundwater crisis because of contaminations from agriculture and urban sewage,which bring a considerable change in water quality.In view of this,hydro-chemical analyses were undertaken on 35 groundwater samples and the following hydro-geochemical parameters,pH,total dissolved solids(TDS),total hardness(TH),electrical conductivity(EC),cations and anions,were analyzed.From the analytical results,it is found that pH value was lower than WHO drinking water standard and the middledownstream portions of the investigation region show higher EC.The piper plot indicates that the groundwater in Sagardari falls in the categories of NaClHCO3 hydro-chemical facies.Higher TH in groundwater was detected,but still in an acceptable range.In addition,salinity and arsenic ratio are higher and moderately higher,respectively.The spatial distribution of Groundwater Quality Index(GWQI)was determined by geo-statistical modelling of Sagardari union.The study provides information and supports the administration which to make better groundwater utilization and quality control in the Sagardari union.展开更多
A regional groundwater quality evaluation was conducted in the deep Maastrichtian aquifer of Senegal through multivariate statistical analysis and a GIS-based water quality index using physicochemical data from 232 bo...A regional groundwater quality evaluation was conducted in the deep Maastrichtian aquifer of Senegal through multivariate statistical analysis and a GIS-based water quality index using physicochemical data from 232 boreholes distributed over the whole country. The aim was to 1) identify the water types and likely factors influencing the hydrochemistry, and 2) determine the suitability of groundwater for drinking and irrigation. Results showed that sodium, chloride, and fluoride are highly correlated with electrical conductivity (EC) reflecting the significant contribution of these elements to groundwater mineralization. The principal component analysis evidenced: 1) salinization processes (loaded by Na<sup>+</sup>, K<sup>+</sup>, EC, Cl<sup>-</sup>, F<sup>-</sup> and HCO<sub>3</sub>-</sup>) controlled by water/rock interaction, seawater intrusion and cation exchange reactions;2) dolomite dissolution loaded by the couple Ca<sup>2+</sup> and Mg<sup>2+</sup> and 3) localized mixing with upper aquifers and gypsum dissolution respectively loaded by NO<sub>3</sub>-</sup> and SO<sub>4</sub>2-</sup>. The hierarchical clustering analysis distinguished four clusters: 1) freshwater (EC = 594 μs/cm) with mixed-HCO<sub>3</sub> water type and ionic contents below WHO standard;2) brackish (Na-mixed) water type with moderate mineralization content (1310 μs/cm), 3) brackish (Na-Cl) water type depicted by high EC values (3292 μs/cm) and ionic contents above WHO and 4) saline water with Na-Cl water type and very high mineralization contents (5953 μs/cm). The mapping of the groundwater quality index indicated suitable zones for drinking accounting for 54% of the entire area. The occurrence of a central brackish band and its vicinity, which were characterized by high mineralization, yielded unsuitable groundwater for drinking and agricultural uses. The approach used in this study was valuable for assessing groundwater quality for drinking and irrigation, and it can be used for regional studies in other locations, particularly in shallow and vulnerable aquifers.展开更多
Nowadays the human activity has increased the pressure on surface water quality. The purpose of this study is to assess the environmental quality of the Seman River water (in Southern part of Albania) through a 5-year...Nowadays the human activity has increased the pressure on surface water quality. The purpose of this study is to assess the environmental quality of the Seman River water (in Southern part of Albania) through a 5-year monitoring program of 14 parameters (pH, DO, EC, TSS, Cl<sup>-</sup>, <span style="white-space:nowrap;">NO<sup>-</sup><sub style="margin-left:-7px;">3</sub></span>, Total-N, Total-P, BOD<sub>5</sub>, Cu<sup>2+</sup>, Ni<sup>2+</sup>, Pb<sup>2+</sup>, Cd<sup>2+</sup> and Temp. <span style="white-space:nowrap;">°</span>C), that determine the environmental status of this waterbody, as well as the application of WQI (CCME) through a multivariable approach. Based on the cluster dendogram results, it can be concluded that during wet seasons such as winter-spring, there are more sediments which influence other physic-chemical parameters, while during dry seasons (summer-autumn) there are more decomposition reactions of elements released by sediments and influenced by temperature. PCA analysis determines whether the groups of factors correlate strongly or not, depending on the internal structures of the groups and variables “heavy” or latent and vary from season to season with differentiated contributions to the water quality. All three factors influence WQI to the extent of 56% in the summer and spring season and 64% and 40% in the autumn and winter season, respectively.展开更多
During the last decades, air pollution has become a serious environmental hazard. Its impact on public health and safety, as well as on the ecosystem, has been dramatic. Forecasting the levels of air pollution to main...During the last decades, air pollution has become a serious environmental hazard. Its impact on public health and safety, as well as on the ecosystem, has been dramatic. Forecasting the levels of air pollution to maintain the climatic conditions and environmental protection becomes crucial for government authorities to develop strategies for the prevention of pollution. This study aims to evaluate the atmospheric air pollution of the city of Zahleh located in the geographic zone of Bekaa. The study aims to determine a relationship between variations in ambient particulate concentrations during a short time. The data was collected from June 2017 to June 2018. In order to predict the Air Quality Index (AQI), Naïve, Exponential Smoothing, TBATS (a forecasting method to model time series data), and Seasonal Autoregressive Integrated Moving Average (SARIMA) models were implemented. The performance of these models for predicting air quality is measured using the Mean Absolute Error (MAE), the Root Mean Square Error (RMSE), and the Relative Error (RE). SARIMA model is the most accurate in prediction of AQI (RMSE = 38.04, MAE = 22.52 and RE = 0.16). The results reveal that SARIMA can be applied to cities like Zahleh to assess the level of air pollution and to prevent harmful impacts on health. Furthermore, the authorities responsible for controlling the air quality may use this model to measure the level of air pollution in the nearest future and establish a mechanism to identify the high peaks of air pollution.展开更多
Yunnan province in China is a high background area of soil heavy metals, and agricultural planting and industrial and mining activities are relatively frequent, which aggravate soil heavy metal pollution. However, at ...Yunnan province in China is a high background area of soil heavy metals, and agricultural planting and industrial and mining activities are relatively frequent, which aggravate soil heavy metal pollution. However, at present, there are few reports on the overall or large-scale soil-crop pollution and risk assessment of heavy metals in Yunnan Province. This study through 11 cities in Yunnan province of China farmland soil-crop systems of heavy metal lead, cadmium content, enrichment coefficient is analyzed, and using the method of potential ecological harm index, index of compressive quality to evaluate heavy metal pollution soil-crop system risk. Results showed that the average content of soil heavy metal Cd and Pb were 1.31 mg/kg, 64.17 mg/kg, which are higher than the background value of Yunnan province. The average contents of Pb and Cd in the edible parts of crops were 0.20 mg/kg, 0.08 mg/kg. The average content of heavy metals in crops in Diqing (Pb) and Nujiang (Cd) was 0.72 mg/kg and 0.148 mg/kg. The enrichment coefficients of heavy metals in edible parts of crops were the largest in Diqing (Pb) and Zhaotong (Cd). The average value of ecological risk index of Pb element in soil is 2.79, which indicates that the study area is in a slight ecological hazard, the average value of the ecological risk index of Cd in soil is 126.43. The average value of the comprehensive quality impact index (IICQ) is 4.27, which indicates that the study area is moderately polluted. In this study, the contents of heavy metals Cd and Pb in soils and crops in different administrative regions were determined, and the heavy metals Pb and Cd in soil-crop system of Yunnan province, China were evaluated, it is expected to have important scientific and theoretical significance for the safe use of cultivated land to export safe agricultural products and promote the sustainable development of agriculture in Yunnan Plateau.展开更多
Assessing soil quality is a critical strategy for diagnosing soil status and anticipating concerns in land use systems for agricultural sustainability. In this study, two soil quality assessment indices, the Integrate...Assessing soil quality is a critical strategy for diagnosing soil status and anticipating concerns in land use systems for agricultural sustainability. In this study, two soil quality assessment indices, the Integrated Quality Index (IQI) and Nemoro Quality Index (NQI), were employed using two indicator selection methods: Total Data Set (TDS) and Minimum Data Set (MDS), focusing on agricultural fields in Golestan province, Iran. A total of 89 soil samples were collected and analyzed for particle size distribution, organic carbon, calcium carbonate equivalent (CCE), electrical conductivity (EC), pH, and plant-essential nutrients, including nitrogen, phosphorus, potassium, zinc, copper, manganese, and iron. Principal component analysis (PCA) was used to extract MDS from TDS, and geostatistical adaptation and correlation analyses were performed to determine the optimal soil quality evaluation index. Our results show that the exponential model better suits the spatial structure of soil quality indicators (IQIMDS: 0.955). Conformity and correlation analyses indicate that the IQI index outperformed the NQI index in estimating soil quality. The superiority of the TDS technique over the MDS technique in terms of accuracy (IQITDSs kappa: 0.155). Linear relationships between different methods showed a higher correlation coefficient (R2 = 0.43) through the application of IQI. This study suggests the use of IQIMDS to provide a reliable measurement that is particularly useful in assessing the quality of agricultural soil.展开更多
Groundwater quality assessment is important to assure safe and durable water use.In semi-arid areas of Algeria,groundwater represents the main water resource for drinking water supply of the rural population as well a...Groundwater quality assessment is important to assure safe and durable water use.In semi-arid areas of Algeria,groundwater represents the main water resource for drinking water supply of the rural population as well as for irrigation of agricultural lands.Groundwater samples from wells and springs were collected from the Gargaat Tarf and Annk Djemel sub-watersheds of the Oum El Bouaghi,Algeria,and were analyzed and compared with the World Health Organization(WHO)standards.Results showed that most of the measured physical and chemical parameters exceeded the quality limits according to the WHO standards.Groundwater had a slightly alkaline water pH(7.00-7.79),electrical conductivity>1500μS/cm,chloride>500 mg/L,calcium>250 mg/L,and magnesium>155 mg/L.Water quality index(WQI)results showed that 68%of the area had excellent water quality,24%of the samples fell into good category,and only 8%were of poor quality and unsuitable for human consumption.Six wells in the area showed bacterial contamination.Total coliforms(453.9(±180.3)CFU(colony-forming units)/100 mL),fecal coliforms(243.2(±99.2)CFU/100 mL),and fecal streptococci(77.9(±32.0)CFU/100 mL)loads were above the standard limits set by the WHO.These results confirmed that water resources in the study area were strongly influenced by anthropogenic activities and were not recommended for consumption as drinking water.展开更多
BACKGROUND Poor sleep quality is common among hemodialysis patients and can significantly impact their well-being.This study aimed to evaluate the effectiveness of a structured nursing intervention program in improvin...BACKGROUND Poor sleep quality is common among hemodialysis patients and can significantly impact their well-being.This study aimed to evaluate the effectiveness of a structured nursing intervention program in improving sleep quality in middleaged and elderly hemodialysis patients.AIM To evaluate the impact of nursing intervention on sleep quality in hemodialysis patients.METHODS This cross-sectional study was conducted in a tertiary hospital,the First Affiliated Hospital of Nanchang University,in 2023.This study included 105 middle-aged and elderly hemodialysis patients aged≥45 years who underwent maintenance hemodialysis for at least 3 mo,utilizing the Pittsburgh Sleep Quality Index(PSQI)to identify poor sleepers.Those identified underwent a 12-wk nursing intervention program focusing on education,relaxation techniques,and counseling.Post-intervention,sleep quality was reassessed using the PSQI.RESULTS The study found that 68.6%of hemodialysis patients were poor sleepers.Following the 12-wk nursing intervention program,there was a significant decrease in the mean global PSQI score from 8.9±3.2 to 5.1±2.7(P<0.001),indicating improved sleep quality.This demonstrated the effectiveness of the structured nursing intervention in enhancing sleep quality for middle-aged and elderly hemodialysis patients.CONCLUSION The structured nursing intervention program focusing on sleep hygiene education,relaxation techniques,and counseling effectively improved sleep quality among middle-aged and elderly hemodialysis patients.The significant decrease in the mean global PSQI score post-intervention indicates the positive impact of tailored nursing interventions in addressing poor sleep quality in this patient population.These findings emphasize the importance of implementing targeted nursing interventions to enhance the quality of life for hemodialysis patients by addressing the prevalent issue of poor sleep quality.展开更多
This study investigates the hydrochemical formation mechanism of shallow groundwater in the Upper Kebir upstream sub-basin(Northeastern Algeria).The objective is to evaluate water quality suitability for domestic purp...This study investigates the hydrochemical formation mechanism of shallow groundwater in the Upper Kebir upstream sub-basin(Northeastern Algeria).The objective is to evaluate water quality suitability for domestic purposes through the application of water quality index(WQI).A total of 24 water points(wells and borewells)evenly distributed in the basin were collected and analyzed in the laboratory for determining the major ions and other geochemical parameters in the groundwater.The groundwater hydrochemical types were identified as Cl–Na and Cl–HCO_(3)^(–)Na,with the dominant major ions were found in the order of Na^(+)>Ca^(2+)>Mg^(2+)for cations,and Cl^(−)>SO_(4)^(2−)>HCO_(3)^(–)>NO_(3)^(−)for anions.Results suggest that weathering,dissolution of carbonate,sulfate,salt rocks,and anthropogenic activities were the major contributors to ion content in the groundwater.The Water Quality Index(WQI)was calculated to assess the water quality of potable water.Approximately 50%of the sampled sites exhibited good water quality.However,the study highlights significant NO_(3)contamination in the study area,with 50%of samples exceeding permissible limits.Therefore,effective treatment measures are crucial for the safe consumption of groundwater.展开更多
Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)a...Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)and quality of sleep.Methods:A total of 20 nurses of the therapeutic depar tments and 20 nurses of the surgical depar tments were enrolled in the study.Sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI).BP was measured according to the standard protocol using the Korotkoff method;a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m.and 10:30 a.m.The average value for the 2 indicators was calculated.The diagnosis of essential ar terial hyper tension(AH)was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension(2018).Results:The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality;this was true in respondents of both the surgical and therapeutic profiles.However,it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments.Moreover,poor sleep quality was associated with AH,which was diagnosed in 65%of the nurses of the therapeutic departments and 45%of the nurses of the surgical departments,that is,in almost all of the subjects.Herewith,in the nurses of the therapeutic departments,the level of systolic BP exceeded that of the nurses of the surgical departments.Conclusions:Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work.Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.展开更多
Artificial fishponds play a pivotal role in global aquaculture, serving as a source of livelihood and nourishment for many communities. Ensuring the sustained health and productivity of Fishes in these environments re...Artificial fishponds play a pivotal role in global aquaculture, serving as a source of livelihood and nourishment for many communities. Ensuring the sustained health and productivity of Fishes in these environments relies heavily on water quality management. This assessment was done to determine the water quality of ten artificial fishponds in the south-eastern part of Sierra Leone using twelve physicochemical factors (pH, BOD, EC, TDS, turbidity, COD, Fe<sup>2+</sup>, Mg<sup>2+</sup>, Ca<sup>2+</sup>, NH<sub>3</sub>, , and alkalinity) to find out the Water Quality Index (WQI) and spatial distribution of respective parameters. The assessment of artificial fishponds using WQI and Inverse Distant Weighting (IDW) integration represents a relatively underexplored area within the domain of environmental water resources. The WQI was determined using the “Weighted Arithmetic Water Quality Index’’ method. The results of WQI in the study area range from 65.05 to 147.26. Several locations have water quality deemed unsuitable for consumption, while others range from good to very poor. It is essential to address and improve water quality in locations categorized as unsuitable for consumption and very poor to ensure safe and healthy water sources. It was also clear from the calculation that the smaller the mean concentration value of the pH as compared to the ideal value (7), the smaller the WQI value and the better the water quality. To keep the artificial fishpond water in good condition, mass domestic use should be controlled, and draining of surrounding organic matter should be stopped in ponds Bo_001, Kenema_001, and Kenema_002.展开更多
BACKGROUND At present,laparoscopic cholecystectomy(LC)is the main surgical treatment for gallstones.But,after gallbladder removal,there are many complications.Therefore,it is hoped to remove stones while preserving th...BACKGROUND At present,laparoscopic cholecystectomy(LC)is the main surgical treatment for gallstones.But,after gallbladder removal,there are many complications.Therefore,it is hoped to remove stones while preserving the function of the gallbladder,and with the development of endoscopic technology,natural orifice transluminal endoscopic surgery came into being.AIM To compare the quality of life,perioperative indicators,adverse events after LC and transgastric natural orifice transluminal endoscopic gallbladder-preserving surgery(EGPS)in patients with gallstones.METHODS Patients who were admitted to The First Affiliated Hospital of Xinjiang Medical University from 2020 to 2022 were retrospectively collected.We adopted propen-sity score matching(1:1)to compare EGPS and LC patients.RESULTS A total of 662 cases were collected,of which 589 cases underwent LC,and 73 cases underwent EGPS.Propensity score matching was performed,and 40 patients were included in each of the groups.In the EGPS group,except the gastr-ointestinal defecation(P=0.603),the total score,physical well-being,mental well-being,and gastrointestinal digestion were statistically significant compared with the preoperative score after surgery(P<0.05).In the LC group,except the mental well-being,the total score,physical well-being,gastrointestinal digestion,the gastrointestinal defecation was statistically significant compared with the preoperative score after surgery(P<0.05).When comparing between groups,gastrointestinal defecation had significantly difference(P=0.002)between the two groups,there was no statistically significant difference in the total postoperative score and the other three subscales.In the surgery duration,hospital stay and cost,LC group were lower than EGPS group.The recurrence factors of gallstones after EGPS were analyzed:and recurrence was not correlated with gender,age,body mass index,number of stones,and preoperative score.CONCLUSION Whether EGPS or LC,it can improve the patient’s symptoms,and the EGPS has less impact on the patient’s defecation.It needed to,prospective,multicenter,long-term follow-up,large-sample related studies to prove.展开更多
Geothermal water can have a wide range of direct applications,including drinking,domestic use,irrigation and industrial use.This study analyses geothermal water from Dholera,Diu,Gandhar,Kutch,Porbandar,Tulsishyam,and ...Geothermal water can have a wide range of direct applications,including drinking,domestic use,irrigation and industrial use.This study analyses geothermal water from Dholera,Diu,Gandhar,Kutch,Porbandar,Tulsishyam,and Unai regions located in Gujarat,India,to determine the hydrochemistry for establishing the water's suitability for drinking and irrigation purposes.From each region,three different water samples were collected.For drinking purpose,total eleven water quality parameters such as pH,electrical conductivity,total dissolved solids,calcium,magnesium,sodium,potassium,chloride,sulphate,carbonate and bicarbonate were evaluated.Piper and Durov plots were used to understand the ionic composition and evolution of water.Whereas for irrigation,the parameters such as total dissolved solids,sodium absorption ration,electrical conductivity,and potential salinity were used for water quality check.Wilcox Plot was plotted to understand the sodium and salinity hazard of water.Water quality index and irrigation water quality index were used to assess the water quality for making the analytical procedure easy.The findings indicate that the water samples from the Dholera and Diu areas had extremely high values for both the water quality index and total dissolved solids content.Water in these places may be appropriate for making salt.All the other samples show adequacy for utilization in irrigation purpose.展开更多
The significance of patient-reported outcomes(PROs) is increasingly being acknowledged and quality of life(QOL) has become an integral element of the assessment of overall burden of disease.Psoriasis has been know...The significance of patient-reported outcomes(PROs) is increasingly being acknowledged and quality of life(QOL) has become an integral element of the assessment of overall burden of disease.Psoriasis has been known for its major impact on patients' QOL and various generic,dermatology-specific and psoriasis-specific self- administered psychometric instruments have been used over the years to assess the QOL of psoriasis patients.However,the Dermatology Life Quality Index(DLQI) is the most widely used QOL measure among these measures in psoriasis-related clinical trials. A number of topical and systemic treatments have been used in the management of psoriasis and lately biologics have emerged as a new and promising treatment modality for difficuIt-to-treat psoriasis.The evidence on the efficacy of these agents has been growing dramatically with QOL being used as one of the primary outcome measures in many clinical trials.The aim of this paper is to give an overview of the use of the DLQI as an outcome measure for assessing the QOL impact of biologies on psoriasis patients.Furthermore,the efficacy of five commonly used biologics has been compared in terms of their ability to improve the QOL assessed by the DLQI.This review has revealed that there is a variation in the efficacy of various biologies in terms of QOL improvement with the mean reduction in the DLQI scores being highest for ustekinumab 90 mg(mean DLQI score reduction=9.5),followed by infliximab(8.5),etanercept 50 mg,twice a week(7.7),adalimumab(6.3),and alefacept(4.0).展开更多
Background:Shifting cultivation is a major agriculture practice in the Nagaland state of India.This study examines the effect of shifting cultivation and the length of the fallow period on soil quality index(SQI).Four...Background:Shifting cultivation is a major agriculture practice in the Nagaland state of India.This study examines the effect of shifting cultivation and the length of the fallow period on soil quality index(SQI).Four sites were selected for the study,viz.,a shifting cultivation site(SCS),a 3-year-old fallow land(FL-3),a 7-year-old fallow land(FL-7),and a 12-year-old fallow land(FL-12).Soil parameters were recorded seasonally and SQI was calculated from the minimum data set.Results:With the increase in the fallow period,the values of conductivity,soil organic carbon,available nitrogen,available phosphorus,exchangeable potassium,moisture,clay,and cation exchange capacity of soil increased.Meanwhile,soil pH and bulk density decreased with fallow duration.The additive SQI_(a)values were in the order SCS<FL-3<FL-12<FL-7;meanwhile,the weighted SQI_(w)values were in the order SCS<FL-3<FL-7<FL-12.It is also observed that the SQI value decreases with the increase in soil depth under both the weighted and additive indexes.SCS with the lowest SQI value reflects the reduced soil organic carbon(SOC)and macronutrients.Increased SOC levels in site FL-12(2.88–3.94%)may be one reason for its higher SQI value.Conclusions:Our study highlights that unsustainable practices of shifting cultivation and reduction in the fallow period negatively affect soil quality.Furthermore,the study also recommends the use of the weighted method of SQI as it agrees with the reports of land use causing alteration in the soil quality.Our findings may be utilized to quickly access and disseminate information to the stakeholders and aid in constructing local soil quality index maps of the region.There is an urgent need for a rapid,cost and resource-efficient soil quality assessment and SQI may be one tool that achieves this goal.展开更多
文摘Water is the most essential requirement for life. It provides a variety of purposes such as a source of water supply for drinking, domestic and industrial use, irrigated agriculture, livestock, and mining activities. Evaluating the status of water quality from traditional approaches does not guarantee the whole overview of the water quality situation. Therefore, developing a tool that can convert multiple parameters data into information that is understandable by both technical and non-technical personnel is vital. In this context, the purpose of this paper was to develop, calculate, and apply a water quality index for assessing the suitability (for drinking purposes) of groundwater in the gold mining areas in south-eastern Senegal. The development of this index based on WHO water quality guidelines followed the five standards steps i.e., parameters selection, sub-index formation, parameters weighting and sub-index aggregation and evaluation. Finally, the WQI summarized twelve key water quality parameters into 05 simple terms (excellent, good, medium, poor, and very poor) which is more relevant for reporting to managers and the public in a consistent manner. Thus, it was observed in the study area, that the water quality indexes in artisanal and industrial mining areas are either poor or very poor while in the reference stations (where there are no mining activities) WQI are either good or excellent. This situation was attributed to the effects of mining activities in such zones which contribute to the pollution of groundwater with heavy metals, nitrates, and suspended solids.
基金supported by a grant from the Natural Science Fund of Hubei Province(2011CDB195)
文摘BACKGROUND:Cardiopulmonary resuscitation(CPR) is a kind of emergency treatment for cardiopulmonary arrest,and chest compression is the most important and necessary part of CPR.The American Heart Association published the new Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care in 2010 and demanded for better performance of chest compression practice,especially in compression depth and rate.The current study was to explore the relationship of quality indexes of chest compression and to identify the key points in chest compression training and practice.METHODS:Totally 219 healthcare workers accepted chest compression training by using Laerdal ACLS advanced life support resuscitation model.The quality indexes of chest compression,including compression hands placement,compression rate,compression depth,and chest wall recoil as well as self-reported fatigue time were monitored by the Laerdal Computer Skills and Reporting System.RESULTS:The quality of chest compression was related to the gender of the compressor.The indexes in males,including self-reported fatigue time,the accuracy of compression depth and the compression rate,the accuracy of compression rate,were higher than those in females.However,the accuracy of chest recoil was higher in females than in males.The quality indexes of chest compression were correlated with each other.The self-reported fatigue time was related to all the indexes except the compression rate.CONCLUSION:It is necessary to offer CPR training courses regularly.In clinical practice,it might be better to change the practitioner before fatigue,especially for females or weak practitioners.In training projects,more attention should be paid to the control of compression rate,in order to delay the fatigue,guarantee enough compression depth and improve the quality of chest compression.
文摘The purpose of this study is to investigate the effect of using Bicarbonate and Calcium parameters as alternatives to the lithostratigraphic units covered the catchment area, on water quality index (WQI) values that have been implemented with GIS technique at Wadi Al-Arab Dam. The analyzed results (by WQI method) have been used to depict water quality for the two approaches. Based on physico-chemical parameters, the calculated values for WQI over the 3-year for study period were 169, 168, and 157, respectively. While the WQI values were 184, 183 and 172, respectively, as a result of incorporated Bicarbonate and Calcium parameters in WQI calculations that significantly contributed to increasing the WQI. The elevated values may be attributed to the influence of carbonate stone dissolution and mechanical erosion under weathering conditions that are prevalent during winter season in the catchment area. As a consequence of lithostratigraphic unites product and GIS technique integration and normalization processes, most of water quality ranks are good and only autumn season has poor water quality in the 2012 and 2013, while in 2014 it has good water quality in the same season. The WQI values increase in general trend from winter to autumn seasons during the study period that may be referred to outflow by daily consumption, evaporation rising, and seepage water. The analysis shows that the modified water quality values of the Wadi Al-Arab Dam Reservoir (WADR) vary after using Bicarbonate and Calcium parameters by constant value. Generally, the results signify that the WADR is not polluted based on the physical and chemical characteristics of water.
基金financially supported by the Polish Ministry of Science and Higher Education Grant N 309 013 32/2076partly by statutory financial support of the Ministry of Science and Higher Education RP(DS-3420 in 2012 and 2013,Department of Forest Ecology University of Agriculture in Krakow
文摘In Central Europe, a large portion of post-mining sites were afforested with Scots pine, which is characterized by good adaptability and a tolerance for poor habitat at the beginning of forest ecosystem development. Conversion of monoculture on mine sites into more biodi- verse mixed hardwood forests, especially on more fertile deposits, can be an emerging need in this part of Europe in next decades. The ability to classify the forests at these post-mining sites will facilitate proper species selection as well as the management and formation of the developed ecosystem's stability. This work describes the guidelines that can be followed to assess reclaimed mine soil (RMS) quality, using the mine soil quality index (MSQI) and a classification of developed forest sites as a basis of tree-stand species selection and conversion of pine monocul- tures. The research was conducted on four post-mining facilities (lignite, hard coal, sulphur, and sand pit mining areas) on different RMS sub- strates dominant in Central Europe. Soil quality assessment takes into account the following features of the soil: texture soil nutrients (Ca, Mg, K, Na, P); acidity (pH KC1); and Corg-to-Nt ratio in the initial organic horizon. An analysis was conducted of classification systems using the MSQI validation correlation (at p =0.05) with vegetation features af- fected by succession: aboveground biomass of forest floor and ecological indicators of vascular plants (calculated on the basis of EUenberg's (2009) system). Eventually, in the analysed data set, the MSQI ranged from 0.270 for soils on quaternary sands to 0.720 for a mix of quaternary loamy sands with neogene clays. Potential forest habitat types and the role of the pine in the next generation of tree stands on different RMS parent rock substrate were proposed.
文摘BACKGROUND Sleep disturbance on the first postoperative night commonly develops for patients after day surgeries. The choice of either total intravenous anesthesia by propofol or total inhalation anesthesia with sevoflurane has become an issue for preventing sleep disturbance.AIM To compare sleep quality on the first postoperative night for female patients after total intravenous anesthesia by propofol and total inhalation anesthesia with sevoflurane.METHODS We enrolled 61 American Society of Anesthesia(ASA) class Ⅰ-Ⅱ outpatients who underwent minor gynecologic surgeries by either propofol or sevoflurane anesthesia. Sleep quality of the very night was assessed by the Pittsburgh Sleep Quality Index(PSQI) on the next day, and PSQI scores were compared by the Wilcoxon signed-rank test and paired t-test pre-operatively and postoperatively.RESULTS For the propofol group, the mean postoperative global PSQI score(3.3 ± 1.3) was lower than the mean preoperative global PSQI score(4.9 ± 2.3)(P < 0.001);for the sevoflurane group, the mean postoperative global PSQI score(6.5 ± 2.8) was higher than the mean preoperative global PSQI score(5.5 ± 3.2)(P = 0.02). Eighty percent of patients receiving propofol anesthesia subjectively reported improved sleep quality, but only 17% of patients receiving sevoflurane anesthesia reported improved sleep quality.CONCLUSION Sleep quality assessed by the PSQI is better improved in ASA class Ⅰ-Ⅱ female patients receiving propofol anesthesia other than sevoflurane anesthesia for undergoing minor gynecologic surgeries.
文摘Sagardari union is facing groundwater crisis because of contaminations from agriculture and urban sewage,which bring a considerable change in water quality.In view of this,hydro-chemical analyses were undertaken on 35 groundwater samples and the following hydro-geochemical parameters,pH,total dissolved solids(TDS),total hardness(TH),electrical conductivity(EC),cations and anions,were analyzed.From the analytical results,it is found that pH value was lower than WHO drinking water standard and the middledownstream portions of the investigation region show higher EC.The piper plot indicates that the groundwater in Sagardari falls in the categories of NaClHCO3 hydro-chemical facies.Higher TH in groundwater was detected,but still in an acceptable range.In addition,salinity and arsenic ratio are higher and moderately higher,respectively.The spatial distribution of Groundwater Quality Index(GWQI)was determined by geo-statistical modelling of Sagardari union.The study provides information and supports the administration which to make better groundwater utilization and quality control in the Sagardari union.
文摘A regional groundwater quality evaluation was conducted in the deep Maastrichtian aquifer of Senegal through multivariate statistical analysis and a GIS-based water quality index using physicochemical data from 232 boreholes distributed over the whole country. The aim was to 1) identify the water types and likely factors influencing the hydrochemistry, and 2) determine the suitability of groundwater for drinking and irrigation. Results showed that sodium, chloride, and fluoride are highly correlated with electrical conductivity (EC) reflecting the significant contribution of these elements to groundwater mineralization. The principal component analysis evidenced: 1) salinization processes (loaded by Na<sup>+</sup>, K<sup>+</sup>, EC, Cl<sup>-</sup>, F<sup>-</sup> and HCO<sub>3</sub>-</sup>) controlled by water/rock interaction, seawater intrusion and cation exchange reactions;2) dolomite dissolution loaded by the couple Ca<sup>2+</sup> and Mg<sup>2+</sup> and 3) localized mixing with upper aquifers and gypsum dissolution respectively loaded by NO<sub>3</sub>-</sup> and SO<sub>4</sub>2-</sup>. The hierarchical clustering analysis distinguished four clusters: 1) freshwater (EC = 594 μs/cm) with mixed-HCO<sub>3</sub> water type and ionic contents below WHO standard;2) brackish (Na-mixed) water type with moderate mineralization content (1310 μs/cm), 3) brackish (Na-Cl) water type depicted by high EC values (3292 μs/cm) and ionic contents above WHO and 4) saline water with Na-Cl water type and very high mineralization contents (5953 μs/cm). The mapping of the groundwater quality index indicated suitable zones for drinking accounting for 54% of the entire area. The occurrence of a central brackish band and its vicinity, which were characterized by high mineralization, yielded unsuitable groundwater for drinking and agricultural uses. The approach used in this study was valuable for assessing groundwater quality for drinking and irrigation, and it can be used for regional studies in other locations, particularly in shallow and vulnerable aquifers.
文摘Nowadays the human activity has increased the pressure on surface water quality. The purpose of this study is to assess the environmental quality of the Seman River water (in Southern part of Albania) through a 5-year monitoring program of 14 parameters (pH, DO, EC, TSS, Cl<sup>-</sup>, <span style="white-space:nowrap;">NO<sup>-</sup><sub style="margin-left:-7px;">3</sub></span>, Total-N, Total-P, BOD<sub>5</sub>, Cu<sup>2+</sup>, Ni<sup>2+</sup>, Pb<sup>2+</sup>, Cd<sup>2+</sup> and Temp. <span style="white-space:nowrap;">°</span>C), that determine the environmental status of this waterbody, as well as the application of WQI (CCME) through a multivariable approach. Based on the cluster dendogram results, it can be concluded that during wet seasons such as winter-spring, there are more sediments which influence other physic-chemical parameters, while during dry seasons (summer-autumn) there are more decomposition reactions of elements released by sediments and influenced by temperature. PCA analysis determines whether the groups of factors correlate strongly or not, depending on the internal structures of the groups and variables “heavy” or latent and vary from season to season with differentiated contributions to the water quality. All three factors influence WQI to the extent of 56% in the summer and spring season and 64% and 40% in the autumn and winter season, respectively.
文摘During the last decades, air pollution has become a serious environmental hazard. Its impact on public health and safety, as well as on the ecosystem, has been dramatic. Forecasting the levels of air pollution to maintain the climatic conditions and environmental protection becomes crucial for government authorities to develop strategies for the prevention of pollution. This study aims to evaluate the atmospheric air pollution of the city of Zahleh located in the geographic zone of Bekaa. The study aims to determine a relationship between variations in ambient particulate concentrations during a short time. The data was collected from June 2017 to June 2018. In order to predict the Air Quality Index (AQI), Naïve, Exponential Smoothing, TBATS (a forecasting method to model time series data), and Seasonal Autoregressive Integrated Moving Average (SARIMA) models were implemented. The performance of these models for predicting air quality is measured using the Mean Absolute Error (MAE), the Root Mean Square Error (RMSE), and the Relative Error (RE). SARIMA model is the most accurate in prediction of AQI (RMSE = 38.04, MAE = 22.52 and RE = 0.16). The results reveal that SARIMA can be applied to cities like Zahleh to assess the level of air pollution and to prevent harmful impacts on health. Furthermore, the authorities responsible for controlling the air quality may use this model to measure the level of air pollution in the nearest future and establish a mechanism to identify the high peaks of air pollution.
文摘Yunnan province in China is a high background area of soil heavy metals, and agricultural planting and industrial and mining activities are relatively frequent, which aggravate soil heavy metal pollution. However, at present, there are few reports on the overall or large-scale soil-crop pollution and risk assessment of heavy metals in Yunnan Province. This study through 11 cities in Yunnan province of China farmland soil-crop systems of heavy metal lead, cadmium content, enrichment coefficient is analyzed, and using the method of potential ecological harm index, index of compressive quality to evaluate heavy metal pollution soil-crop system risk. Results showed that the average content of soil heavy metal Cd and Pb were 1.31 mg/kg, 64.17 mg/kg, which are higher than the background value of Yunnan province. The average contents of Pb and Cd in the edible parts of crops were 0.20 mg/kg, 0.08 mg/kg. The average content of heavy metals in crops in Diqing (Pb) and Nujiang (Cd) was 0.72 mg/kg and 0.148 mg/kg. The enrichment coefficients of heavy metals in edible parts of crops were the largest in Diqing (Pb) and Zhaotong (Cd). The average value of ecological risk index of Pb element in soil is 2.79, which indicates that the study area is in a slight ecological hazard, the average value of the ecological risk index of Cd in soil is 126.43. The average value of the comprehensive quality impact index (IICQ) is 4.27, which indicates that the study area is moderately polluted. In this study, the contents of heavy metals Cd and Pb in soils and crops in different administrative regions were determined, and the heavy metals Pb and Cd in soil-crop system of Yunnan province, China were evaluated, it is expected to have important scientific and theoretical significance for the safe use of cultivated land to export safe agricultural products and promote the sustainable development of agriculture in Yunnan Plateau.
文摘Assessing soil quality is a critical strategy for diagnosing soil status and anticipating concerns in land use systems for agricultural sustainability. In this study, two soil quality assessment indices, the Integrated Quality Index (IQI) and Nemoro Quality Index (NQI), were employed using two indicator selection methods: Total Data Set (TDS) and Minimum Data Set (MDS), focusing on agricultural fields in Golestan province, Iran. A total of 89 soil samples were collected and analyzed for particle size distribution, organic carbon, calcium carbonate equivalent (CCE), electrical conductivity (EC), pH, and plant-essential nutrients, including nitrogen, phosphorus, potassium, zinc, copper, manganese, and iron. Principal component analysis (PCA) was used to extract MDS from TDS, and geostatistical adaptation and correlation analyses were performed to determine the optimal soil quality evaluation index. Our results show that the exponential model better suits the spatial structure of soil quality indicators (IQIMDS: 0.955). Conformity and correlation analyses indicate that the IQI index outperformed the NQI index in estimating soil quality. The superiority of the TDS technique over the MDS technique in terms of accuracy (IQITDSs kappa: 0.155). Linear relationships between different methods showed a higher correlation coefficient (R2 = 0.43) through the application of IQI. This study suggests the use of IQIMDS to provide a reliable measurement that is particularly useful in assessing the quality of agricultural soil.
基金funding from the European Union’s Horizon 2020 Research&Innovation Programme(2211)under the Partnership for Research and Innovation in the Mediterranean Area(PRIMA)Project"SHARInG-MeD"from the Directorate-General for Scientific Research and Technological Development(DGRSDT)under the Projets de Recherche Formation-Universitaire(PRFU)Projects(D00L02UN120120230002,D01N01UN120120230005)。
文摘Groundwater quality assessment is important to assure safe and durable water use.In semi-arid areas of Algeria,groundwater represents the main water resource for drinking water supply of the rural population as well as for irrigation of agricultural lands.Groundwater samples from wells and springs were collected from the Gargaat Tarf and Annk Djemel sub-watersheds of the Oum El Bouaghi,Algeria,and were analyzed and compared with the World Health Organization(WHO)standards.Results showed that most of the measured physical and chemical parameters exceeded the quality limits according to the WHO standards.Groundwater had a slightly alkaline water pH(7.00-7.79),electrical conductivity>1500μS/cm,chloride>500 mg/L,calcium>250 mg/L,and magnesium>155 mg/L.Water quality index(WQI)results showed that 68%of the area had excellent water quality,24%of the samples fell into good category,and only 8%were of poor quality and unsuitable for human consumption.Six wells in the area showed bacterial contamination.Total coliforms(453.9(±180.3)CFU(colony-forming units)/100 mL),fecal coliforms(243.2(±99.2)CFU/100 mL),and fecal streptococci(77.9(±32.0)CFU/100 mL)loads were above the standard limits set by the WHO.These results confirmed that water resources in the study area were strongly influenced by anthropogenic activities and were not recommended for consumption as drinking water.
文摘BACKGROUND Poor sleep quality is common among hemodialysis patients and can significantly impact their well-being.This study aimed to evaluate the effectiveness of a structured nursing intervention program in improving sleep quality in middleaged and elderly hemodialysis patients.AIM To evaluate the impact of nursing intervention on sleep quality in hemodialysis patients.METHODS This cross-sectional study was conducted in a tertiary hospital,the First Affiliated Hospital of Nanchang University,in 2023.This study included 105 middle-aged and elderly hemodialysis patients aged≥45 years who underwent maintenance hemodialysis for at least 3 mo,utilizing the Pittsburgh Sleep Quality Index(PSQI)to identify poor sleepers.Those identified underwent a 12-wk nursing intervention program focusing on education,relaxation techniques,and counseling.Post-intervention,sleep quality was reassessed using the PSQI.RESULTS The study found that 68.6%of hemodialysis patients were poor sleepers.Following the 12-wk nursing intervention program,there was a significant decrease in the mean global PSQI score from 8.9±3.2 to 5.1±2.7(P<0.001),indicating improved sleep quality.This demonstrated the effectiveness of the structured nursing intervention in enhancing sleep quality for middle-aged and elderly hemodialysis patients.CONCLUSION The structured nursing intervention program focusing on sleep hygiene education,relaxation techniques,and counseling effectively improved sleep quality among middle-aged and elderly hemodialysis patients.The significant decrease in the mean global PSQI score post-intervention indicates the positive impact of tailored nursing interventions in addressing poor sleep quality in this patient population.These findings emphasize the importance of implementing targeted nursing interventions to enhance the quality of life for hemodialysis patients by addressing the prevalent issue of poor sleep quality.
文摘This study investigates the hydrochemical formation mechanism of shallow groundwater in the Upper Kebir upstream sub-basin(Northeastern Algeria).The objective is to evaluate water quality suitability for domestic purposes through the application of water quality index(WQI).A total of 24 water points(wells and borewells)evenly distributed in the basin were collected and analyzed in the laboratory for determining the major ions and other geochemical parameters in the groundwater.The groundwater hydrochemical types were identified as Cl–Na and Cl–HCO_(3)^(–)Na,with the dominant major ions were found in the order of Na^(+)>Ca^(2+)>Mg^(2+)for cations,and Cl^(−)>SO_(4)^(2−)>HCO_(3)^(–)>NO_(3)^(−)for anions.Results suggest that weathering,dissolution of carbonate,sulfate,salt rocks,and anthropogenic activities were the major contributors to ion content in the groundwater.The Water Quality Index(WQI)was calculated to assess the water quality of potable water.Approximately 50%of the sampled sites exhibited good water quality.However,the study highlights significant NO_(3)contamination in the study area,with 50%of samples exceeding permissible limits.Therefore,effective treatment measures are crucial for the safe consumption of groundwater.
文摘Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)and quality of sleep.Methods:A total of 20 nurses of the therapeutic depar tments and 20 nurses of the surgical depar tments were enrolled in the study.Sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI).BP was measured according to the standard protocol using the Korotkoff method;a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m.and 10:30 a.m.The average value for the 2 indicators was calculated.The diagnosis of essential ar terial hyper tension(AH)was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension(2018).Results:The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality;this was true in respondents of both the surgical and therapeutic profiles.However,it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments.Moreover,poor sleep quality was associated with AH,which was diagnosed in 65%of the nurses of the therapeutic departments and 45%of the nurses of the surgical departments,that is,in almost all of the subjects.Herewith,in the nurses of the therapeutic departments,the level of systolic BP exceeded that of the nurses of the surgical departments.Conclusions:Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work.Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.
文摘Artificial fishponds play a pivotal role in global aquaculture, serving as a source of livelihood and nourishment for many communities. Ensuring the sustained health and productivity of Fishes in these environments relies heavily on water quality management. This assessment was done to determine the water quality of ten artificial fishponds in the south-eastern part of Sierra Leone using twelve physicochemical factors (pH, BOD, EC, TDS, turbidity, COD, Fe<sup>2+</sup>, Mg<sup>2+</sup>, Ca<sup>2+</sup>, NH<sub>3</sub>, , and alkalinity) to find out the Water Quality Index (WQI) and spatial distribution of respective parameters. The assessment of artificial fishponds using WQI and Inverse Distant Weighting (IDW) integration represents a relatively underexplored area within the domain of environmental water resources. The WQI was determined using the “Weighted Arithmetic Water Quality Index’’ method. The results of WQI in the study area range from 65.05 to 147.26. Several locations have water quality deemed unsuitable for consumption, while others range from good to very poor. It is essential to address and improve water quality in locations categorized as unsuitable for consumption and very poor to ensure safe and healthy water sources. It was also clear from the calculation that the smaller the mean concentration value of the pH as compared to the ideal value (7), the smaller the WQI value and the better the water quality. To keep the artificial fishpond water in good condition, mass domestic use should be controlled, and draining of surrounding organic matter should be stopped in ponds Bo_001, Kenema_001, and Kenema_002.
基金The study was reviewed and approved by The First Affiliated Hospital of Xinjiang Medical University Institutional Review Board(No.K202311-33).
文摘BACKGROUND At present,laparoscopic cholecystectomy(LC)is the main surgical treatment for gallstones.But,after gallbladder removal,there are many complications.Therefore,it is hoped to remove stones while preserving the function of the gallbladder,and with the development of endoscopic technology,natural orifice transluminal endoscopic surgery came into being.AIM To compare the quality of life,perioperative indicators,adverse events after LC and transgastric natural orifice transluminal endoscopic gallbladder-preserving surgery(EGPS)in patients with gallstones.METHODS Patients who were admitted to The First Affiliated Hospital of Xinjiang Medical University from 2020 to 2022 were retrospectively collected.We adopted propen-sity score matching(1:1)to compare EGPS and LC patients.RESULTS A total of 662 cases were collected,of which 589 cases underwent LC,and 73 cases underwent EGPS.Propensity score matching was performed,and 40 patients were included in each of the groups.In the EGPS group,except the gastr-ointestinal defecation(P=0.603),the total score,physical well-being,mental well-being,and gastrointestinal digestion were statistically significant compared with the preoperative score after surgery(P<0.05).In the LC group,except the mental well-being,the total score,physical well-being,gastrointestinal digestion,the gastrointestinal defecation was statistically significant compared with the preoperative score after surgery(P<0.05).When comparing between groups,gastrointestinal defecation had significantly difference(P=0.002)between the two groups,there was no statistically significant difference in the total postoperative score and the other three subscales.In the surgery duration,hospital stay and cost,LC group were lower than EGPS group.The recurrence factors of gallstones after EGPS were analyzed:and recurrence was not correlated with gender,age,body mass index,number of stones,and preoperative score.CONCLUSION Whether EGPS or LC,it can improve the patient’s symptoms,and the EGPS has less impact on the patient’s defecation.It needed to,prospective,multicenter,long-term follow-up,large-sample related studies to prove.
文摘Geothermal water can have a wide range of direct applications,including drinking,domestic use,irrigation and industrial use.This study analyses geothermal water from Dholera,Diu,Gandhar,Kutch,Porbandar,Tulsishyam,and Unai regions located in Gujarat,India,to determine the hydrochemistry for establishing the water's suitability for drinking and irrigation purposes.From each region,three different water samples were collected.For drinking purpose,total eleven water quality parameters such as pH,electrical conductivity,total dissolved solids,calcium,magnesium,sodium,potassium,chloride,sulphate,carbonate and bicarbonate were evaluated.Piper and Durov plots were used to understand the ionic composition and evolution of water.Whereas for irrigation,the parameters such as total dissolved solids,sodium absorption ration,electrical conductivity,and potential salinity were used for water quality check.Wilcox Plot was plotted to understand the sodium and salinity hazard of water.Water quality index and irrigation water quality index were used to assess the water quality for making the analytical procedure easy.The findings indicate that the water samples from the Dholera and Diu areas had extremely high values for both the water quality index and total dissolved solids content.Water in these places may be appropriate for making salt.All the other samples show adequacy for utilization in irrigation purpose.
文摘The significance of patient-reported outcomes(PROs) is increasingly being acknowledged and quality of life(QOL) has become an integral element of the assessment of overall burden of disease.Psoriasis has been known for its major impact on patients' QOL and various generic,dermatology-specific and psoriasis-specific self- administered psychometric instruments have been used over the years to assess the QOL of psoriasis patients.However,the Dermatology Life Quality Index(DLQI) is the most widely used QOL measure among these measures in psoriasis-related clinical trials. A number of topical and systemic treatments have been used in the management of psoriasis and lately biologics have emerged as a new and promising treatment modality for difficuIt-to-treat psoriasis.The evidence on the efficacy of these agents has been growing dramatically with QOL being used as one of the primary outcome measures in many clinical trials.The aim of this paper is to give an overview of the use of the DLQI as an outcome measure for assessing the QOL impact of biologies on psoriasis patients.Furthermore,the efficacy of five commonly used biologics has been compared in terms of their ability to improve the QOL assessed by the DLQI.This review has revealed that there is a variation in the efficacy of various biologies in terms of QOL improvement with the mean reduction in the DLQI scores being highest for ustekinumab 90 mg(mean DLQI score reduction=9.5),followed by infliximab(8.5),etanercept 50 mg,twice a week(7.7),adalimumab(6.3),and alefacept(4.0).
基金File no.16-6(Dec 2018)/2019(NET/CSIR)provided by the CSIR-UGC,Government of India,Nationality Eligibility Test.
文摘Background:Shifting cultivation is a major agriculture practice in the Nagaland state of India.This study examines the effect of shifting cultivation and the length of the fallow period on soil quality index(SQI).Four sites were selected for the study,viz.,a shifting cultivation site(SCS),a 3-year-old fallow land(FL-3),a 7-year-old fallow land(FL-7),and a 12-year-old fallow land(FL-12).Soil parameters were recorded seasonally and SQI was calculated from the minimum data set.Results:With the increase in the fallow period,the values of conductivity,soil organic carbon,available nitrogen,available phosphorus,exchangeable potassium,moisture,clay,and cation exchange capacity of soil increased.Meanwhile,soil pH and bulk density decreased with fallow duration.The additive SQI_(a)values were in the order SCS<FL-3<FL-12<FL-7;meanwhile,the weighted SQI_(w)values were in the order SCS<FL-3<FL-7<FL-12.It is also observed that the SQI value decreases with the increase in soil depth under both the weighted and additive indexes.SCS with the lowest SQI value reflects the reduced soil organic carbon(SOC)and macronutrients.Increased SOC levels in site FL-12(2.88–3.94%)may be one reason for its higher SQI value.Conclusions:Our study highlights that unsustainable practices of shifting cultivation and reduction in the fallow period negatively affect soil quality.Furthermore,the study also recommends the use of the weighted method of SQI as it agrees with the reports of land use causing alteration in the soil quality.Our findings may be utilized to quickly access and disseminate information to the stakeholders and aid in constructing local soil quality index maps of the region.There is an urgent need for a rapid,cost and resource-efficient soil quality assessment and SQI may be one tool that achieves this goal.