Reevaluating health metrics:Unraveling the limitations of disabilityadjusted life years as an indicator in disease burden assessment

In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and qualitative data,is grounded in preferences regarding disability status.This review delineates the algorithm used to calculate the value of the proposed DALY synthetic indicator and elucidates key methodological challenges associated with its application.In contrast to the quality-adjusted life years approach,derived from multi-attribute utility theory,the DALY stands as an independent synthetic indicator that adopts the assumptions of the Time Trade Off utility technique to define Disability Weights.Claiming to rely on no mathematical or economic theory,DALY users appear to have exempted themselves from verifying whether this indicator meets the classical properties required of all indicators,notably content validity,reliability,specificity,and sensitivity.The DALY concept emerged primarily to facilitate comparisons of the health impacts of various diseases globally within the framework of the Global Burden of Disease initiative,leading to numerous publications in international literature.Despite widespread adoption,the DALY synthetic indicator has prompted significant methodological concerns since its inception,manifesting in inconsistent and non-reproducible results.Given the substantial diffusion of the DALY indicator and its critical role in health impact assessments,a reassessment is warranted.This reconsideration is imperative for enhancing the robustness and reliability of public health decisionmaking processes.

Analysis on Influential Factors of Peasants' Willingness to Exit Homestead in Regions with Different Economy Development Levels——Taihe Village,Chaohu County-Level City,and Ancang Village,Taihu County as Examples

The research concluded peasants＇ willingness on homestead exiting and influential factors by questionnaire survey and interviewing in two villages with varied levels of economic development in Anhui Province.Comparisons were performed on subjective factors and objective factors were explored by Logistic regression.The results showed that both of education background and homestead use have positive correlation with peasants＇ willingness on homestead exit;the number of family members has negative effects on peasants in advanced village but the number of migrant workers or members living in cities has positive effects;the area of homestead has positive effects on peasants in underdeveloped village.Therefore,the emphasis should be varied on homestead exit upon village economy and it is necessary to reinforce homestead exit promotion at improving immigrants＇ reception work,social security,employment,and education.

A Prediction Model of Peasants’ Income in China Based on BP Neural Network

According to the related data affecting the peasants’ income in China in the years 1978-2008,a total of 13 indices are selected,such as agricultural population,output value of primary industry,and rural employees.Based on the standardized method and BP neural network method,the peasants’ income and the artificial neural network model are established and analyzed.Results show that the simulation value agrees well with the real value;the neural network model with improved BP algorithm has high prediction accuracy,rapid convergence rate and good generalization ability.Finally,suggestions are put forward to increase the peasants’ income,such as promoting the process of urbanization,developing small and medium-sized enterprises in rural areas,encouraging intensive operation,and strengthening the rural infrastructure and agricultural science and technology input.

Childlife干预在儿童隐匿阴茎围术期护理中的应用

分析儿童隐匿阴茎围术期护理中采取Child life干预的效果。方法 选取2022年1月-2023年2月纳入的隐匿性阴茎儿童60例作为观察对象,经随机抽签法分组,对照组、观察组各有30例。两组分别采取常规护理、Child life干预,观察围术期患儿的心理状态,并评估患儿术后疼痛评分及护理满意度、护理依从性。结果 护理前,组间SAS及SDS评分相比,p>0.05;护理后,观察组SAS及SDS评分比对照组低,p<0.05;观察组Wong-Baker分值低于对照组,p<0.05;观察组依从性及护理满意度高于对照组,p<0.05。结论 在隐匿性阴茎儿童围术期护理中采取Child life护理模式可提升患儿的依从性、护理满意度,并改善患儿心理状态,减轻其疼痛感。

Impact of organophosphorous pesticide exposure on semen quality of Chinese peasants

Aim: To investigate the impact of organophosphorous pesticide exposure and other risk factors on the semen quality of Chinese peasants. Method: Questionnaire investigation, external genital examination and laboratory examination were conducted on 322 male peasants, including the exposed and the control groups of 161 subjects each. Results: Multivariate analysis showed that the educational level and the years of alcohol drinking influenced the semen volume. Compared with subjects of primary school education or lower, those with junior high school education had a higher semen volume (OR=1.961). Proportion of subjects with higher semen volume decreased with increased years of alcohol drinking (OR=0.962). Organophosphorous pesticide exposure decreased the number of forward progression sperm (OR=0.528), the sperm density (OR=0.266), the sperm viability (OR=0.398) and the percentage of normal morphology sperm (OR=0.281). A possible relationship was present between the season of semen collection and the number of forward progression sperm, sperm viability and percentage of normal morphology sperm. Compared with the summer data, the above three indices were higher in winter (OR being 2. 272, 4.060 and 5.249, respectively). Conclusion: Exposure to organophosphorous pesticide could damage the semen quality of the peasants. Education and alcohol drinking also affect the semen quality.

Strategies for Cultivating New Peasants Based on Modern Agricultural Development

Development of modern agriculture has higher and higher requirements on quality of peasants.This study,on the basis of connotations of modern agriculture,current situation and problems of Chinese peasants,and contradictions between modern agricultural development and peasants' quality,specifies requirements of modern agriculture on new peasants,proposes corresponding suggestions to promote the cultivation of new Chinese peasants.

Different Characteristics of Peasant Issues from the Connections between Peasants and Land

The paper analyzes the different characteristics of peasant issues formed by connections between peasants and land at different historical stages,and offers a reference for us to look squarely at peasant issues in the reality.The characteristics of peasant issues with land as the inherent feature are:the degree of connection decides the classification and policies of peasants;the private ownership of land decides the political status and influences of peasants;the inherence of private connections with land determines the future of peasants.The characteristics of peasant issues with land as the core value are:the peasant issues with land as the core is the key to victory of new-democratic revolution;the peasant issues with land as the core is the basis of establishment of socialist system;the characteristics of peasant issues with land as the guarantee are:carriers of peasants interests change from unicity to diversity;peasants change from identity certification to vocational certification;the economic influence of peasants changes and penetrates from part to entirety.

Reflections on the Peasants＇ Subjectivity in the Development of Rural Deliberative Democracy

The subjectivity of China's people deliberative democracy is essentially different from Western capital deliberative democracy. And the people's subjectivity naturally manifests as peasant's subjectivity in the deliberative democracy in rural areas. Combined with normative analysis of the whole process of rural deliberation practice,peasants' subjectivity can be summarized as broad equality of participation,completeness of the program,as well as final benefit of the result. However,there are some hidden dangers which may give rise to alienation development of deliberative politics in the current dilemma of rural deliberation practice.The fundamental way to solve the problem lies in combining subjectivity and institutionalization together to develop the rural deliberative democracy.

Aesthetic Utopia,Revolution in Daily Life and Identity Construction of Peasant Paintings

Peasant painting is a kind of painting created by farmers as creative subject,bearing rich significance.According to the historical development of peasant painting in reality,the types of meaning it carried could be divided into three types in chronological order:political ideological significance,folk life significance,and creative fashion significance.These three types of meaning gave rise to three types of aesthetic utopia,namely political aesthetic utopia,folk aesthetic utopia and fashion aesthetic utopia.The three types of aesthetic utopia reflected three forms of negation and revolution of daily life.What the political aesthetic utopia resisted was the alienation force of material desire.What folk aesthetic utopia resisted was the desire for material and the binding of political ideology.The fashion aesthetic utopia opposed the relatively narrow localism.Through these three forms of resistance,the public also constructed three identities:the interpreter of their own aesthetic interpretation of political ideology,the interpreter of their own aesthetic interpretation of real life from perspective of local feelings,and the interpreter of their own aesthetic interpretation of real life from perspective of the relationship between themselves and the world.

Approaches of Realizing Cultural Value of Red Revolutionary Site in Jiangxi Province:A Case Study of Chinese Workers' and Peasants' Red Army in Xiushui County

Red revolutionary site is a significant carrier for inheriting and spreading red culture,a witness of revolutionary history and stones,and also the best place to show connotations and value of red culture.Taking the regiment headquarter and the division headquarter of the First Division of the First Army in Xiushui County,Jiangxi Province for example,this paper explored cultural value of red site,analyzed the existing problems,tried to figure out scientific approaches of realizing cultural value of red site,so as to promote the sharing and inheritance of cultural value of red revolutionary site.

Investigation of the quality of life,mental status in patients with gynecological cancer and its influencing factors

BACKGROUND Having a gynecological tumor or undergoing treatment can be a traumatic experience for women,as it affects their self-image and sexual relationships and can lead to psychological reactions.Psychological adjustment following cancer occurrence remains a key issue among the survivors.AIM To examine the current status of quality of life(QoL),anxiety,and depression in patients with gynecological cancer and to analyze the factors associated with it.METHODS Data for 160 patients with gynecological malignancies treated at Shanxi Bethune Hospital from June 2020 to June 2023 were collected and analyzed retrospectively.Patients’QoL was assessed using the European Organization for Research on Treatment of Cancer Quality of Life Questionnaire Core 30 and the Functional Assessment of Cancer Therapy-General Questionnaire.Their emotional status was evaluated using the Self-Rating Anxiety/Depression Scale.The associated factors of anxiety and depression were analyzed.RESULTS The overall QoL score of the patients 6 months after surgery was 76.39±3.63 points.This included low levels of social and emotional function and severe fatigue and pain.The scores for physiological,functional,emotional,social,and family well-being exhibited an upward trend following surgery compared with those before surgery.One month after surgery,some patients experienced anxiety and depression,with an incidence of 18.75%and 18.13%,respectively.Logistic analysis revealed that good sleep was a protective factor against anxiety and depression in patients with gynecological tumors,whereas physical pain was a risk factor.CONCLUSION Patients with gynecological malignancies often experience anxiety and depression.By analyzing the factors that affect patients’QoL,effective nursing measures can be administered.

Accurate and efficient remaining useful life prediction of batteries enabled by physics-informed machine learning

The safe and reliable operation of lithium-ion batteries necessitates the accurate prediction of remaining useful life(RUL).However,this task is challenging due to the diverse ageing mechanisms,various operating conditions,and limited measured signals.Although data-driven methods are perceived as a promising solution,they ignore intrinsic battery physics,leading to compromised accuracy,low efficiency,and low interpretability.In response,this study integrates domain knowledge into deep learning to enhance the RUL prediction performance.We demonstrate accurate RUL prediction using only a single charging curve.First,a generalisable physics-based model is developed to extract ageing-correlated parameters that can describe and explain battery degradation from battery charging data.The parameters inform a deep neural network(DNN)to predict RUL with high accuracy and efficiency.The trained model is validated under 3 types of batteries working under 7 conditions,considering fully charged and partially charged cases.Using data from one cycle only,the proposed method achieves a root mean squared error(RMSE)of 11.42 cycles and a mean absolute relative error(MARE)of 3.19%on average,which are over45%and 44%lower compared to the two state-of-the-art data-driven methods,respectively.Besides its accuracy,the proposed method also outperforms existing methods in terms of efficiency,input burden,and robustness.The inherent relationship between the model parameters and the battery degradation mechanism is further revealed,substantiating the intrinsic superiority of the proposed method.

Foreign Ducks Help Peasants to Shake Off Poverty

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Remaining Useful Life Prediction Method for Multi-Component System Considering Maintenance:Subsea Christmas Tree System as A Case Study

Maintenance is an important technical measure to maintain and restore the performance status of equipment and ensure the safety of the production process in industrial production,and is an indispensable part of prediction and health management.However,most of the existing remaining useful life(RUL)prediction methods assume that there is no maintenance or only perfect maintenance during the whole life cycle;thus,the predicted RUL value of the system is obviously lower than its actual operating value.The complex environment of the system further increases the difficulty of maintenance,and its maintenance nodes and maintenance degree are limited by the construction period and working conditions,which increases the difficulty of RUL prediction.An RUL prediction method for a multi-omponent system based on the Wiener process considering maintenance is proposed.The performance degradation model of components is established by a dynamic Bayesian network as the initial model,which solves the uncertainty of insufficient data problems.Based on the experience of experts,the degree of degradation is divided according to Poisson process simulation random failure,and different maintenance strategies are used to estimate a variety of condition maintenance factors.An example of a subsea tree system is given to verify the effectiveness of the proposed method.

Effect of lens surgery on health-related quality of life in preschool children with congenital ectopia lentis

AIM:To evaluate the effect of lens surgery on health-related quality of life(HRQoL)of preschool children with congenital ectopia lentis(CEL).METHODS:A prospective self-controlled study was conducted in Zhongshan Ophthalmic Center.Children aged from 5 to 7y whom were diagnosed with CEL and underwent phacoemulsification with scleral-fixated posterior chamber intraocular lens implantation and their parents were enrolled in this study.All of them completed the child and proxy(parental)PedsQL™4.0 before and after the surgery.Their preoperative scores were compared to their postoperative ones.Subgroup analyses were performed based on gender and preoperative bilateral presenting visual acuity of the children.RESULTS:Thirty-two children with CEL successfully underwent surgery without any complications,among whom 8 had monocular surgery and 24 had binocular surgery.Preoperative and postoperative questionnaires were completed by 32 child-parent pairs.Surgical intervention could significantly improve the vision of affected children(P<0.001).The medians of physical,psychosocial and total health scores self-reported by the children were 68.75(62.50,81.25),65.00(60.00,80.00)and 67.39(60.87,78.26)preoperatively and were 93.75(87.50,100.00),90.00(83.33,96.67)and 89.13(85.32,95.65)postoperatively.The preoperative scores of the affected children were significantly lower in all scales than age-matched healthy children(P<0.001).All the postoperative scores were significantly higher than the preoperative scores in affected children and their parents(P<0.001).In the physical functioning evaluation,the preoperative score reported by parents of girls was higher than parents of boys(P=0.041),and the postoperative score of girls was higher than that of boys(P=0.036).CONCLUSION:CEL is associated with significantly worse quality of life in preschool children.Surgical intervention can significantly improve the HRQoL in affected children from both personal and family perspective.

Shifting the Paradigm:A Fresh Look at Physical Activity Frequency and Its Impact on Mental Health,Life Satisfaction,and Self-Rated Health in Adolescents

As adolescent mental health problems are becoming a more serious issue globally,this paper explores the relationship of physical activity in adolescents and its frequency on mental health as well as examines the mediating effects of life satisfaction and self-rated health in order to provide a reference for the promotion of mental health in adolescents.A sample of 3578 Chinese high school students completed questionnaires assessing their mental health,physical activity frequency,life satisfaction,and self-rated health.The mean SCL-90 value for adolescents was found to be 1.629%,and 24.73%of adolescents had varying degrees of mental health issue.Increased physical activity frequency is positively associated with improved mental health(p<0.001).Additionally,life satisfaction and self-rated health were found to play significant mediating roles in the relationship between physical activity frequency and mental health.Specifically,low-frequency physical activity had the most pronounced mediating effect on mental health through life satisfaction,while high-frequency physical activity exerted the most significant mediating effect on mental health through self-rated health.These findings underscore the importance of promoting physical activity among adolescents and highlight the distinct pathways through which physical activity frequency can influence mental health outcomes.Further research is needed to explore these relationships in diverse populations and settings,as well as to develop targeted intervention.

Effect of comprehensive nursing on the quality of life and swallowing function in individuals diagnosed with ischemic stroke

BACKGROUND Ischemic stroke(IS)is a widely recognized disease characterized by high preva-lence,mortality,morbidity,disability,and recurrence rates.It ranks prominently in terms of mortality,constituting 60%-80%of stroke cases.AIM To explore the impact of comprehensive nursing care on the quality of life and swallowing function in individuals diagnosed with IS.METHODS This study comprised 172 patients with IS admitted to our hospital between February 2018 to March 2021.The participants were divided into two groups,namely the control group(n=80)receiving routine care and the research group(n=92)receiving comprehensive care.Various assessment scales,including the standard swallowing function assessment scale(SSA),National Institutes of Health Stroke scale(NIHSS),European stroke scale(ESS),self-rating anxiety scale(SAS),self-rating depression scale(SDS),Barthel index(BI),and the motor func-tion assessment scale(MAS),were employed to evaluate the improvement in swallowing function,neurological deficits,clinical outcomes,anxiety,depression,daily living activities,and motor function before and after care.Furthermore,the study compared the occurrence of adverse reactions during the nursing period,life quality before and after the intervention,rehabilitation compliance,and nursing satisfaction between the two groups.RESULTS After the nursing intervention,the research group exhibited significantly improved SSA and NIHSS scores compared to the control group(P<0.05).Moreover,both groups demonstrated significant reductions in SAS and SDS scores(P<0.05),with the research group showing more obvious advantages(P<0.05).Compared to the control group,the research group displayed significantly better ESS,BI,and MAS scores(P<0.05),coupled with a lower incidence of adverse reactions(P<0.05).Additionally,the research group demonstrated markedly higher levels of life quality,rehabilitation compliance,and nursing satisfaction compared to the control group(P<0.05).CONCLUSION Comprehensive nursing effectively improved swallowing function,quality of life,and patient satisfaction,high-lighting its clinical significance.

Differentiation of Peasants and Its Impact on Farmland Function

The implementation of the field responsibility system liberated peasants from the land and started the differentiation of peasants＇ occupation. With the differentiation of peasants＇ occupation and income differentiation, the functions of farmland also change accordingly. Based on the analysis of statistical data. the study found that over the past 30 years, the degree of occupational differentiation of peasants has become more and more complete, and income differentiation has also expanded. At the same time, the security function of traditional farmland is declining, but peasants pay more and more attention to the property function of farmland.

Empirical Analysis on the Peasants＇ Cultivated Land Abandonment Decision-making Behaviors in Central China and the Subjective Factors of the Peasants --Jiangxi Province Is Taken as an Example

Following China＇s rapid advance the process of industrialization and urbanization, a large number of rural labor into cities, abandoned land becomes a universal phenomenon and shows an enlarge spread trend. Therefore, the food security of our country is threatened. This article will according to the farmers＇ angle of view, from the farmers owned their own labor, land and capital three aspects, uses field survey data to analyze the relationship between the situation of human capital, employment policy, farmland status and management decision, income and investment decision-making this five aspects and land reclamation. The result shows that age, education, arable area, whether the land transfer, engaged in non-agricultural sector employment time, work area, per capita income, non-agricultural income and investment has a significant impact on arable land abandonment, and reflect the development potential of the family of peasants and a tendency of development having a positive correlation with arable land abandonment, this phenomenon reflects in our nation, the rural residents are divorced from the original rural living environment and integrate into cities, a gradual process of get rid of the original way of life in the new way.

Effect of Interface Form on Creep Failure and Life of Dissimilar Metal Welds Involving Nickel-Based Weld Metal and Ferritic Base Metal

For dissimilar metal welds(DMWs)involving nickel-based weld metal(WM)and ferritic heat resistant steel base metal(BM)in power plants,there must be an interface between WM and BM,and this interface suffers mechanical and microstructure mismatches and is often the rupture location of premature failure.In this study,a new form of WM/BM interface form,namely double Y-type interface was designed for the DMWs.Creep behaviors and life of DMWs containing double Y-type interface and conventional I-type interface were compared by finite element analysis and creep tests,and creep failure mechanisms were investigated by stress-strain analysis and microstructure characterization.By applying double Y-type interface instead of conventional I-type interface,failure location of DMW could be shifted from the WM/ferritic heat-affected zone(HAZ)interface into the ferritic HAZ or even the ferritic BM,and the failure mode change improved the creep life of DMW.The interface premature failure of I-type interface DMW was related to the coupling effect of microstructure degradation,stress and strain concentrations,and oxide notch on the WM/HAZ interface.The creep failure of double Y-type interface DMW was the result of Type IV fracture due to the creep voids and micro-cracks on fine-grain boundaries in HAZ,which was a result of the matrix softening of HAZ and lack of precipitate pinning at fine-grain boundaries.The double Y-type interface form separated the stress and strain concentrations in DMW from the WM/HAZ interface,preventing the trigger effect of oxide notch on interface failure and inhibiting the interfacial microstructure cracking.It is a novel scheme to prolong creep life and enhance reliability of DMW,by means of optimizing the interface form,decoupling the damage factors from WM/HAZ interface,and then changing the failure mechanism and shifting the failure location.