Health Assessment of Typical Reservoirs in Eastern Jilin: A Case Study of Niligou Reservoir

Niligou Reservoir,a typical reservoir in the eastern region of Jilin Province,is subordinate to Niligou River,which is located in the Changbai Mountains in eastern Jilin,with abundant plant and animal resources and well protected biodiversity in the basin,but there are also some related problems such as fragile ecosystem of forest wetland.This paper carried out a health assessment of Niligou River,including water quality monitoring,aquatic organism monitoring,and riparian zone investigation.According to the requirements of the Technical Guidelines for River and Lake Health Assessment,13 assessment indexes were selected to build a river and lake health assessment index system.By sorting and analyzing the monitoring and investigation data,we got a clear picture of the ecological environment status and existing problems of Niligou Res-ervoir.Based on the actual situation of Niligou River,we evaluated the hydrologic integrity,chemical integrity,morphological and structural integrity,biological integrity and sustainability of social service function,and put forward corresponding countermeasures according to the re-sults,in order to provide a technical support for the health treatment of rivers and lakes in Jilin Province.

Intelligent Student Mental Health Assessment Model on Learning Management System

A learning management system(LMS)is a software or web based application,commonly utilized for planning,designing,and assessing a particular learning procedure.Generally,the LMS offers a method of creating and delivering content to the instructor,monitoring students’involvement,and validating their outcomes.Since mental health issues become common among studies in higher education globally,it is needed to properly determine it to improve mental stabi-lity.This article develops a new seven spot lady bird feature selection with opti-mal sparse autoencoder(SSLBFS-OSAE)model to assess students’mental health on LMS.The major aim of the SSLBFS-OSAE model is to determine the proper health status of the students with respect to depression,anxiety,and stress(DAS).The SSLBFS-OSAE model involves a new SSLBFS model to elect a useful set of features.In addition,OSAE model is applied for the classification of mental health conditions and the performance can be improved by the use of cuckoo search optimization(CSO)based parameter tuning process.The design of CSO algorithm for optimally tuning the SAE parameters results in enhanced classifica-tion outcomes.For examining the improved classifier results of the SSLBFS-OSAE model,a comprehensive results analysis is done and the obtained values highlighted the supremacy of the SSLBFS model over its recent methods interms of different measures.

Investigation on Plant Species and Health Assessment in Roof Garden in East Area of Zhengzhou City

Using the plant of roof garden as an object, the effect of application of plant species, growth status, and health evaluation on the construction of roof garden in east area of Zhengzhou were investigated through the investigation and analysis in order to put forward the main problems of each plant species and select the suitable plant species and configuration. The results indicated that there was no significant difference between the roof garden greening plants and ground greening plant species, however, there was a big problem in terms of plant disease and root aeration. And so the root shallow, barren resistance, wind resistance, drought-tolerant plants were appropriately chosen in the construction of roof garden, in which low small trees, shrubs, ground cover, and climbing plants was given priority to.

Comprehensive health assessment of shield tunnel structure based on prototype experiment

Health state of shield tunnels is one of the most important parameters for structure maintenance.Usually,the shield tunnel is extremely long in longitude direction and composed by many segments.It is difficult to quantify the relationship between the structure damage state and shield tunnel structure deformation by the model test because of unpredictable effects of different scales between model test and prototype tunnel structure.Here,an in-situ monitoring project was conducted to study the excavation induced shield tunnel structure damage,which could be considered a prototype test on the tunnel deformation.The disaster performance of tunnel leakage,segment crack,segment dislocation and segment block drop-off during longitude deformation and cross-section ovality developments was analyzed.The results indicate that instead of the longitude deformation,the ovality value has the strongest correlation to the rest disease performance,which could be used as the assessment index of the tunnel health.For this tunnel,it is in health state when the ovality is less than 0.5%,and the serious damage could be found when the ovality value is higher than 0.77%.The research results provide valuable reference to shield tunnel health assessment and help complete the standard of shield tunnel construction.

Readability Assessment of Textbooks in Low Resource Languages

Readability is a fundamental problem in textbooks assessment.For low resources languages(LRL),however,little investigation has been done on the readability of textbook.In this paper,we proposed a readability assessment method for Tibetan textbook(a low resource language).We extract features based on the information that are gotten by Tibetan segmentation and named entity recognition.Then,we calculate the correlation of different features using Pearson Correlation Coefficient and select some feature sets to design the readability formula.Fit detection,F test and T test are applied on these selected features to generate a new readability assessment formula.Experiment shows that this new formula is capable of assessing the readability of Tibetan textbooks.

A Method of Catchments Health Assessment under Value-pressure Model and Its Application in Urbanized River Network Area:A Case Study in Shanghai,China

Catchments health assessment is fundamental to effective catchments management. Generally, an assessment method should be selected to reflect both the purpose of assessment and local characteristics. A trial in Shanghai was conducted to test the method for catchments health assessment in urbanized fiver network area. Seven indicators that described four dimensions of river, river network, land use and function, and local feature were used to assess catchments values; while possible change rate of urbanization and industrialization in the next 3 years were chosen for catchments pressure assessment in the value-pressure model. Factors related to catchments classification, indicators measurement and protection priority have been considered in the development strategies for catchments health management. The results showed that value-pressure assessment was applicable in urbanized catchments health management, particularly when both human and catchments had multiple demands. As a result of over 30-year rapid urbanization, more than 70% of Shanghai fiver network area was still in a healthy condition with high catchments values, among them, 39.3% was under high pressure. Poor water quality, simplified river system and weakened local feature of fiver pattern had largely affected catchments health in Shanghai. Lack of long-term monitoring data would seriously restrict the development and validity of catchments health assessment.

AHP-based System for the Health Assessment of Ancient and Famous Trees in Dongguan

By establishing an AHP-based assessment index system and assessment model,and applying detection technology that is convenient and harmless for ancient and famous trees,this paper is significant for investigating and assessing the health state of ancient and famous trees,and protecting the limited resources. Fourteen indexes such as growth vigor,disease and pest were selected from the perspectives of overall situation,canopy,trunk and root,and AHP(applied analytic hierarchy process) was applied to define weights of these indexes. According to the results,top 3 indexes in terms of weight are tree vigor,treetop death,internal decay and hole,while the indexes with lower weight are parasitism,root damage,ventilation and permeability. On the basis of assessment model and method as well as field investigation,health grade of ancient and famous trees(A) can be obtained. By grading the health of ancient and famous trees into 3 levels,each level indicates a certain health state,so managers can take corresponding maintenance measures to develop the best ecological and social value of these trees.

Forest ecosystem health assessment and analysis in China

Based on more than 300 forest sample plots surveying data and forestry statistical data, remote sensing information from the NOAA AVHRR database and the daily meteorological data of 300 stations, we selected vigor, organization and resilience as the indicators to assess large-scale forest ecosystem health in China and analyzed the spatial pattern of forest ecosystem health and influencing factors. The results of assessment indicated that the spatial pattern of forest ecosystem health showed a decreasing trend along latitude gradients and longitude gradients. The healthy forests are mainly distributed in natural forests, tropical rainforests and seasonal rainforests; secondarily orderly in northeast national forest zone, subtropical forest zonation and southwest forest zonation; while the unhealthy forests were mainly located in warm temperate zone and Xinjiang-Mongolia forest zone. The coefficient of correction between Forest Ecosystem Health Index (FEHI) and annual average precipitation was 0.58 (p<0.01), while the coefficient of correlation between FEHI and annual mean temperatures was 0.49 (p<0.01), which identified that the precipitation and temperatures affect the pattern of FEHI, and the precipitation’s effect was stronger than the temperature’s. We also measured the correlation coefficient between FEHI and NPP, biodiversity and resistance, which were 0.64, 0.76 and 0.81 (p<0.01) respectively. The order of effect on forest ecosystem health was vigor, organization and resistance.

Ecosystem Health Assessment of the Egong Bay Fisheries Area in Shenzhen Based on Index of Biological Integrity of Fish

[Objective] The ecosystem health of the Egong Bay fisheries area in Shenzhen was assessed,based on the index of biological integrity of fish( F-IBI),for the reference of ecological restoration in typical fisheries area in the coast of South China Sea. [Method]Based on four seasons survey from August( summer) and November( autumn) in 2012 to February( winter) and May( spring) in 2013,six indicators including total species number of fish,percentage of Sciaenidae species,percentage of Sparidae species,percentage of planktivorous species,percentage of benthic-feeding species and percentage of benthic-feeding and piscivorous species,were used in computing F-IBI of Egong Bay. The suitability of F-IBI was tested by principal component analysis( PCA) and Pearson correlation analysis. [Result]Total species number of fish,percentage of Sciaenidae species,percentage of Sparidae species,percentage of planktivorous species and percentage of benthic-feeding species were major assessment indicators for Egong Bay fisheries area. F-IBI of Egong Bay fisheries area was correlated with water temperature,salinity,chemical oxygen demand( COD) and petroleum,and was negative correlation to p H,dissolved oxygen( DO),dissolved inorganic nitrogen( DIN),reactive phosphate( PO_4^(3-)-P),and suspended matters. There were significant correction between the F-IBI with the salinity,COD,and suspended matters.[Conclusion]F-IBI system,based on total species number of fish,percentage of Sciaenidae species,percentage of Sparidae species,percentage of planktivorous species,percentage of benthic-feeding species and percentage of benthic-feeding and piscivorous species was feasible in Egong Bay fisheries area.

Ecosystem Health Assessment in Wuli Lake

Using the method of trophic state-composite index (TSI-CI ) and the 12 months of monitoring data in 2010,we carry out initial exploration of the status of ecosystem health in Wuli Lake. First,we select four indicators,Chla,SD,TP and TN,to conduct trophic state assessment using weighted index method; then after selecting physical,chemical and biological indicators to conduct nondimensionalization processing,we calculate the composite index and conduct comprehensive assessment. The results show that in 2010,the status of ecosystem health in Wuli Lake was the best in July,worst in August; when the composite trophic state indicators with Chla as the representative increase or decrease significantly and cross different nutritional grades,TSI will significantly deviate from CI,and the relationship between the two in the other time is not prominent.

River Health Assessment Based on Fuzzy Matter-element Model

[Objective] The study aimed to assess the health state of rivers by using fuzzy matter-element model.[Method] Based on fuzzy matter-element analysis theory,the assessment model of river health was established,then a modified method to calculate the superior subordinate degree was put forward according to Hamming distance.Afterwards,a multi-level evaluation model,which contained the assessment indicators about hydrological features,ecological characteristics,environmental traits and service function,was set up based on this method above.Finally,the model was applied in the health assessment of Qinhuai River.[Result] The health state of Qinhuai River was at medium level.This assessment result was consistent with that of comprehensive index method,and it showed that the multi-level fuzzy matter-element model was effective in the assessment of river health.[Conclusion] The research provided an effective method to evaluate the state of river health.

Development of the Diabetes Oral Health Assessment Tool ©for Nurses

Although some studies had suggested a bidirectional relationship between diabetes and periodontal disease, there were no appropriate tools for nurses to evaluate oral status and oral health behaviors in patients with diabetes. Therefore, the Diabetes Oral Health Assessment Tool (DiO-HAT ?) was developed with items contributed by health care professionals (diabetologists, periodontal specialists, a preventive dentist, a Certified Nurse in Diabetes Nursing, a national registered dietitian, registered nurses, a dental hygienist, and nursing researchers) who were involved in the medical care of patients with diabetes. Subsequently, a survey of 700 Diabetes Nurse Specialists (DNS) was conducted to determine their score of recognition and implementation of the DiOHAT ?, however, 304 participants (43.4%) responded. Constructive concept validation and the Cronbach’s alpha coefficient for all assessment items were 0.931, indicating high reliability: Factor 1, Patient’s oral health status (α = 0.831);Factor 2, Implementation of oral health behaviors (α = 0.890);Factor 3, Information transmission regarding dental visits (α = 0.862);and Factor 4, Perceptions and knowledge of oral health behaviors (α = 0.793). Although the mean score of recognition of DiOHAT ? was 3.5 ± 0.4 points, the mean value of the implementation score was 1.5 ± 0.5 points (obtained using a 4-grade scale). The implementation scores were significantly lower than the recognition scores for all items (p < 0.001). The findings suggested that the DNS were not inclined to implement all items of DiOHAT ?, despite recognizing their importance.

Mental Health Assessment of Elderly People Attending Geriatric Clinic in Medical City

Background: Worldwide elderly population and their life expectancy are increasing gradually. Longevity in most cases brings down poorer health as well as functional status. Thus, it is necessary to understand the problems as well as social, psychological, and medical needs of elderly people in order to plan their optimal care. Objectives: To assess the mental health status (depression and memory state) of elderly people attending Geriatric clinic in medical city, and to determine the influence of some sociodemographic factors on elderly mental health status. Subjects and Method: A cross-sectional study was conducted among elderly people aged 60 years and more who attended geriatric clinic of medical city in Baghdad, from 1st of April to the end of June 2015. Special questionnaire form had been used for data collection via direct interview. The evaluation of the mental state was performed by using modified version of Wechsler Memory Scale and geriatric depression scale. Results: A total of 400 elderly persons were enrolled in the study, 109 (27.3%) of them had impaired memory. The analysis of data revealed that the age and marital status had statistical significant association with memory state. Nearly three quarter (72.8%) of study group had depression according to geriatric depression scale. The majority of studied women had depression (90%), and the same percentage was observed among widowed elders joining in the study.

Health Risk Assessment of Employees Exposed to Chlorination By-products of Recreational Water in Large Amusement Parks in Shanghai

Objective Chlorination is often used to disinfect recreational water in large amusement parks;however,the health hazards of chlorination disinfection by-products(DBPs)to occupational populations are unknown.This study aimed to assess the exposure status of chlorinated DBPs in recreational water and the health risks to employees of large amusement parks.Methods Exposure parameters of employees of three large amusement parks in Shanghai were investigated using a questionnaire.Seven typical chlorinated DBPs in recreational water and spray samples were quantified by gas chromatography,and the health risks to amusement park employees exposed to chlorinated DBPs were evaluated according to the WHO's risk assessment framework.Results Trichloroacetic acid,dibromochloromethane,bromodichloromethane,and dichloroacetic acid were detected predominantly in recreational water.The carcinogenic and non-carcinogenic risks of the five DBPs did not exceed the risk thresholds.In addition,the carcinogenic and non-carcinogenic risks of mixed exposure to DBPs were within the acceptable risk limits.Conclusion Typical DBPs were widely detected in recreational water collected from three large amusement parks in Shanghai;however,the health risks of DBPs and their mixtures were within acceptable limits.

Assessment of Breast Cancer Prevention Practices among Women Attending Primary Health Care in Abha City, Aseer Region, Saudi Arabia

Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for 15.9% of all cancers reported among Saudi nationals and 28.7% of all cancers reported among females of all ages. Early detection of breast cancer could decrease the risks, have a better prognosis, and have better outcomes/more successful treatments. Prevalence of breast cancer reached more than 25% of all diagnosed cancer in the kingdom among women. Aim: This study aims to assess the knowledge and performance of women attending primary care centers about breast self-examination and mammogram screening for prevention and early detection of breast cancer in Abha city primary healthcare centers, Kingdom of Saudi Arabia. Research Method: cross sectional design was conducted by using questionnaire, which was distributed to primary care center nurses. The collected data was statistically analyzed using the Statistical Package for Social Sciences, version 25. Results: The study found that participants had poor awareness and knowledge about breast self-examination, risk factors for breast cancer, and trends and practices in early diagnosis of breast cancer. Conclusion and Recommendations: It recommends increasing awareness campaigns and providing educational programs to improve knowledge and practices.

Health risk assessment of trace metal(loid)s in agricultural soils based on Monte Carlo simulation coupled with positive matrix factorization model in Chongqing, southwest China

This study aimed to investigate the pollution characteristics, source apportionment, and health risks associated with trace metal(loid)s(TMs) in the major agricultural producing areas in Chongqing, China. We analyzed the source apportionment and assessed the health risk of TMs in agricultural soils by using positive matrix factorization(PMF) model and health risk assessment(HRA) model based on Monte Carlo simulation. Meanwhile, we combined PMF and HRA models to explore the health risks of TMs in agricultural soils by different pollution sources to determine the priority control factors. Results showed that the average contents of cadmium(Cd), arsenic (As), lead(Pb), chromium(Cr), copper(Cu), nickel(Ni), and zinc(Zn) in the soil were found to be 0.26, 5.93, 27.14, 61.32, 23.81, 32.45, and 78.65 mg/kg, respectively. Spatial analysis and source apportionment analysis revealed that urban and industrial sources, agricultural sources, and natural sources accounted for 33.0%, 27.7%, and 39.3% of TM accumulation in the soil, respectively. In the HRA model based on Monte Carlo simulation, noncarcinogenic risks were deemed negligible(hazard index <1), the carcinogenic risks were at acceptable level(10^(-6)<total carcinogenic risk ≤ 10^(-4)), with higher risks observed for children compared to adults. The relationship between TMs, their sources, and health risks indicated that urban and industrial sources were primarily associated with As, contributing to 75.1% of carcinogenic risks and 55.7% of non-carcinogenic risks, making them the primary control factors. Meanwhile, agricultural sources were primarily linked to Cd and Pb, contributing to 13.1% of carcinogenic risks and 21.8% of non-carcinogenic risks, designating them as secondary control factors.

Assessment of Satisfaction in the Reception and Emergency Department of a Health Center

Introduction The main objective of any healthcare establishment must be to ensure the quality of patient care and customer satisfaction. It is necessary to regularly assess patient satisfaction. The aim of this study was to assess the level of satisfaction of customers aged over 18 years attending the emergency department of the health center. Methodology This was a descriptive and analytical cross-sectional study of patients aged 18 years and over, who attended the Samu Municipal emergency department between 02 and 30 May 2023. The satisfaction index was determined using the adapted 2009 SAPHORA-MCO questionnaire and the Likert satisfaction scale. Results A total of 400 patients were surveyed. The average age was 35 years, with a standard deviation of 14.7. Of those surveyed, 51% were women, 87% were educated, 50% lived in Grand Yoff and 59.5% were unemployed. Satisfaction levels linked to perception of the cost of care (72%), waiting time (64.3%), information given to patients (69.1%) and pain management (74 .5%) are fair. On the other hand, the levels of satisfaction linked to administrative procedures (82.5%), staff attitudes towards patients (84%), staff availability (86.4%), patient privacy (89.2%), general atmosphere (87.2%), staff competence (87.3%), and the effectiveness of care (89.4%) were satisfactory. The average waiting time was 38 minutes. However, 32% of patients waited less than 30 minutes and 92% less than an hour. The satisfaction index linked to administration and reception was 72.9% and 79.85%, respectively. The satisfaction index linked to the administration and technical quality of care is equal to 85.8% and 83.7%, respectively. The overall satisfaction index is equal to 80.6%;the level of satisfaction of users of the health structure is satisfactory. Conclusion Patient satisfaction is an essential part of quality care. Patient satisfaction must be based on effective communication from the healthcare team and the creation of a patient-caregiver relationship.

Dermatology Resident Generated Textbook Questions as a Resident-Centered Educational Strategy

Background: Textbook conferences are widely used by dermatology residency programs in the United States to provide educational exposure to the specialty. Typically an entire textbook is reviewed each academic year. However, residents may be uncertain about mastery of the assigned readings. Since most dermatology textbooks do not provide questions about the material presented at the end of each chapter, an innovative senior resident from our program wrote questions about each chapter and offered them to the other residents prior to scheduled discussions of the assigned materials. Methods: A pilot study for resident generated quizzes about assigned textbook reading in general dermatology was developed, implemented, and assessed by anonymous completion of a Likert Scale by participants. Results: Participants indicated that quizzes better prepared them for the annual dermatology in-service examination and they thought that the additional creation of quiz materials in the subspecialty areas of dermatopathology and dermatologic surgery would be useful. Conclusion: Resident generated quizzes are a novel approach to the learning environment during dermatology residency for residency programs and may be useful for other residency programs that utilize textbook conferences. Additional research is needed.

Development of a phytoplankton-based index of biotic integrity for ecological health assessment in the Yangtze River

Background The application of index of biotic integrity(IBI)to evaluate river health can be an essential method for river ecosystem management.However,these types of methods were developed in small,low-order streams,and are therefore,infrequently applied to large rivers.To that end,phytoplankton communities and environmental variables were monitored in 30 sampling segments of the middle and lower reaches of the Yangtze River,China during the wet(July-August)and dry(November-December)seasons in 2017-2018.We developed a phytoplankton-based index of biotic integrity(P-IBI)and used the index to assess the ecological health of the Yangtze River.Relationships among P-IBI,its component metrics,and environmental factors were analyzed across different seasons.Results Results obtained from the P-IBI indicated that the phytoplankton-based ecological health of the Yangtze River was rated as“good”during both seasons,with an overall better condition in the dry season.During the wet season,there were scattered river segments with P-IBI ratings of“fair”or below.Water quality and land use appeared to shape the patterns of P-IBI.In the wet season,P-IBI negatively correlated with total phosphorus,nitrate,total suspended solids,turbidity,conductivity,and dissolved oxygen.In the dry season,P-IBI positively correlated with total nitrogen,ammonium,and nitrite,and negatively correlated with water temperature.Conclusions The ecological health of the Yangtze River as reflected by the P-IBI exhibited spatial and temporal variability,with the effect of water quality being greater than that of local land use.This study indicated the importance of considering seasonal effects in detecting large river ecological health.These findings enhanced our understanding of the ecological health and characterized potential benchmarks for management of the Yangtze River.These findings also may be applicable to other large rivers elsewhere.

Health risk assessment of heavy metals in soils and crops in a mining area(Au-Ag-Cutrona-oil et al.) of the Nanyang Basin, Henan Province, China

Heavy metal distribution in mining areas has always been a hot research topic due to the special environment of these areas. This study aims to explore the impact of heavy metal pollution on soils and crops in the study area, ensure the safety of local crops and the health of local residents, and provide a basis for the subsequent environmental restoration and the prevention and control of environmental pollution. Based on the analysis of the heavy metal concentrations in local soils and crops, the study investigated the spatial distribution, pollution degrees, and potential ecological risks of heavy metals in the farmland of a mining area in the southeastern Nanyang Basin, Henan province, China explored the sources of heavy metals and assessed the health risks caused by crop intake. The results of this study are as follows. The root soils of crops in the study area suffered heavy metal pollution to varying degrees. The degree of heavy metal pollution in maize fields is higher than that in wheat fields, and both types of fields suffer the most severe Cd pollution. Moreover, the root soils of different crops suffer compound pollution.The root soils in the maize fields suffer severe compound pollution at some sampling positions, whose distribution is similar to that of the mining area. Cd poses the highest potential ecological risks among all heavy metals, and the study area mainly suffers low and moderate comprehensive potential ecological risks. The principal component analysis(PCA) shows that the distribution of Zn, Cd, Pb, and As in soils of the study area is mainly affected by anthropogenic factors such as local mining activities;the distribution of Cr and Ni is primarily controlled by the local geological background;the distribution of Hg is mainly affected by local vehicle exhaust emissions, and the distribution of Cu is influenced by both human activities and the geological background. Different cereal crops in the study area are polluted with heavy metals dominated by Cd and Ni to varying degrees, especially wheat. As indicated by the health risk assessment results, the intake of maize in the study area does not pose significant human health risks;however, Cu has high risks to human health, and the compound heavy metal pollution caused by the intake of wheat in the study area poses risks to the health of both adults and children. Overall, the soils and crops in the study area suffer a high degree of heavy metal pollution, for which mining activities may be the main reason.