Quality of Maternal, Neonatal and Child (MNCH) care is an important aspect in ensuring healthy outcomes and survival of mothers and children. To maintain quality in health services provided, organizations and other st...Quality of Maternal, Neonatal and Child (MNCH) care is an important aspect in ensuring healthy outcomes and survival of mothers and children. To maintain quality in health services provided, organizations and other stakeholders in maternal and child health recommend regular quality measurement. Quality indicators are the key components in the quality measurement process. However, the literature shows neither an indicator selection process nor a set of quality indicators for quality measurement that is universally accepted. The lack of a universally accepted quality indicator selection process and set of quality indicators results in the establishment of a variety of quality indicator selection processes and several sets of quality indicators whenever the need for quality measurement arises. This adds extra processes that render quality measurement process. This study, therefore, aims to establish a set of quality indicators from a broad set of quality indicators recommended by the World Health Organization (WHO). The study deployed a machine learning technique, specifically a random forest classifier to select important indicators for quality measurement. Twenty-nine indicators were identified as important features and among those, eight indicators namely maternal mortality ratio, still-birth rate, delivery at a health facility, deliveries assisted by skilled attendants, proportional breach delivery, normal delivery rate, born before arrival rate and antenatal care visit coverage were identified to be the most important indicators for quality measurement.展开更多
Japan has made remarkable achievements in the study and development of forest tourism for health care reason. Through the comprehensive investigation into the development of forest-bathing field in Japan, this paper s...Japan has made remarkable achievements in the study and development of forest tourism for health care reason. Through the comprehensive investigation into the development of forest-bathing field in Japan, this paper studied the forest tourism for health care factor in Japan and concluded the evaluation standard and construction of forest-bathing field, as well as personnel training. In the end, some suggestions were proposed for the study and development of forest tourism for health care factor in Asia.展开更多
明确城市森林环境对正负情绪状态的影响程度及影响因素,为城市森林建设提供科学依据。对Web of Science和CNKI数据库进行检索,对最终纳入的文献采用Meta分析的方法,研究城市森林环境对正负情绪状态的影响。结果表明,纳入的17篇文献中有1...明确城市森林环境对正负情绪状态的影响程度及影响因素,为城市森林建设提供科学依据。对Web of Science和CNKI数据库进行检索,对最终纳入的文献采用Meta分析的方法,研究城市森林环境对正负情绪状态的影响。结果表明,纳入的17篇文献中有13项随机对照试验,21项自身前后对照试验,文献质量一般;进入森林对积极情绪影响的总效应量SMD=0.33,I^(2)=33%,95%置信区间Cl[0.23,0.44];进入森林环境对消极情绪影响总效应量SMD=-0.35,I^(2)=0,95%置信区间Cl[-0H46,-0.25];与城市环境相比,处于城市森林对积极情绪状态总效应量SMD=0.59,I^(2)=42%,95%置信区间Cl[0.44,0.75];对消极情绪的影响总效应量SMD=-0.45,I^(2)=0,95%置信区间Cl[-0.61,-0.30],城市森林对积极情绪影响效果的异质性来源主要为心理健康程度和城市森林自然环境。综上所述,城市森林环境对人的心理健康有积极促进效果,进入森林环境后可降低人的消极情绪,心理健康状态和城市森林自然环境影响城市森林对积极情绪的提升效果。展开更多
文摘Quality of Maternal, Neonatal and Child (MNCH) care is an important aspect in ensuring healthy outcomes and survival of mothers and children. To maintain quality in health services provided, organizations and other stakeholders in maternal and child health recommend regular quality measurement. Quality indicators are the key components in the quality measurement process. However, the literature shows neither an indicator selection process nor a set of quality indicators for quality measurement that is universally accepted. The lack of a universally accepted quality indicator selection process and set of quality indicators results in the establishment of a variety of quality indicator selection processes and several sets of quality indicators whenever the need for quality measurement arises. This adds extra processes that render quality measurement process. This study, therefore, aims to establish a set of quality indicators from a broad set of quality indicators recommended by the World Health Organization (WHO). The study deployed a machine learning technique, specifically a random forest classifier to select important indicators for quality measurement. Twenty-nine indicators were identified as important features and among those, eight indicators namely maternal mortality ratio, still-birth rate, delivery at a health facility, deliveries assisted by skilled attendants, proportional breach delivery, normal delivery rate, born before arrival rate and antenatal care visit coverage were identified to be the most important indicators for quality measurement.
基金Supported by Hunan Normal University Doctor Startup Scientific Research Project(No. 2012BQ06)
文摘Japan has made remarkable achievements in the study and development of forest tourism for health care reason. Through the comprehensive investigation into the development of forest-bathing field in Japan, this paper studied the forest tourism for health care factor in Japan and concluded the evaluation standard and construction of forest-bathing field, as well as personnel training. In the end, some suggestions were proposed for the study and development of forest tourism for health care factor in Asia.
文摘明确城市森林环境对正负情绪状态的影响程度及影响因素,为城市森林建设提供科学依据。对Web of Science和CNKI数据库进行检索,对最终纳入的文献采用Meta分析的方法,研究城市森林环境对正负情绪状态的影响。结果表明,纳入的17篇文献中有13项随机对照试验,21项自身前后对照试验,文献质量一般;进入森林对积极情绪影响的总效应量SMD=0.33,I^(2)=33%,95%置信区间Cl[0.23,0.44];进入森林环境对消极情绪影响总效应量SMD=-0.35,I^(2)=0,95%置信区间Cl[-0H46,-0.25];与城市环境相比,处于城市森林对积极情绪状态总效应量SMD=0.59,I^(2)=42%,95%置信区间Cl[0.44,0.75];对消极情绪的影响总效应量SMD=-0.45,I^(2)=0,95%置信区间Cl[-0.61,-0.30],城市森林对积极情绪影响效果的异质性来源主要为心理健康程度和城市森林自然环境。综上所述,城市森林环境对人的心理健康有积极促进效果,进入森林环境后可降低人的消极情绪,心理健康状态和城市森林自然环境影响城市森林对积极情绪的提升效果。
