Exploring groundwater quality in semi-arid areas of Algeria:Impacts on potable water supply and agricultural sustainability

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.

Riparian habitat quality as an indicator of land use/land cover effects on riverine water quality

Riparian land use/land cover(LULC)plays a crucial role in maintaining riverine water quality by altering the transport of pollutants and nutrients.Nevertheless,establishing a direct relationship between water quality and LULC is challenging due to the multi-indicator nature of both factors.Water quality encompasses a multitude of physical,chemical,and biological parameters,while LULC represents a diverse array of land use types.Riparian habitat quality(RHQ)serves as an indicator of LULC.Yet,it remains to be seen whether RHQ can act as a proxy of LULC for assessing the impact of LULC on riverine water quality.This study examines the interplay between RHQ,LULC and water quality,and develops a comprehensive indicator to predict water quality.We measured several water quality parameters,including pH(potential of hydrogen),TN(total nitrogen),TP(total phosphorus),T_(water)(water temperature),DO(dissolved oxygen),and EC(electrical conductivity)of the Yue and Jinshui Rivers draining to the Han River during 2016,2017 and 2018.The water quality index(WQI)was further calculated.RHQ is assessed by the InVEST(Integrated Valuation of Ecosystem Services and Tradeoffs)model.Our study found noticeable seasonal differences in water quality,with a higher WQI observed in the dry season.The RHQ was strongly correlated with LULC compositions.RHQ positively correlated with WQI,and DO concentration and vegetation land were negatively correlated with T_(water),TN,TP,EC,cropland,and construction land.These correlations were stronger in the rainy season.Human-dominated land,such as construction land and cropland,significantly contributed to water quality degradation,whereas vegetation promoted water quality.Regression models showed that the RHQ explained variations in WQI better than LULC types.Our study concludes that RHQ is a new and comprehensive indicator for predicting the dynamics of riverine water quality.

Formation mechanism of hydrochemical and quality evaluation of shallow groundwater in the Upper Kebir sub-basin,Northeast Algeria

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.

Analysis of quality of life in patients after transgastric natural orifice transluminal endoscopic gallbladder-preserving surgery

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.

Assessment of Agricultural Soil Quality Indices Using Mechanistic Models

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.

Relationship between sleep quality and blood pressure level in nurses performing shift work

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.

Integrated Analysis of Water Quality in Artificial Fishponds Using WQI and GIS in South-East Sierra Leone

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, Fe2+, Mg2+, Ca2+, NH3, , 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.

Are yarn quality prediction tools useful in the breeding of high yielding and better fibre quality cotton(Gossypium hirsutum L.)?

Results The population had large variations for lint yield,fibre properties,predicted yarn properties,and composite fibre quality values.Lint yield with all fibre quality traits was not correlated.When the selection was conducted first to keep those with improved fibre quality,and followed for high yields,a large proportion in the resultant populations was the same between selections based on Cottonspec predicted yarn quality and HVI-measured fibre properties.They both exceeded the selection based on FQI and Background The approach of directly testing yarn quality to define fibre quality breeding objectives and progress the selection is attractive but difficult when considering the need for time and labour.The question remains whether yarn prediction tools from textile research can serve as an alternative.In this study,using a dataset from three seasons of field testing recombinant inbred line population,Cottonspec,a software developed by the Commonwealth Scientific and Industrial Research Organisation(CSIRO)for predicting ring spun yarn quality from fibre properties measured by High Volume Instrument(HVI),was used to select improved fibre quality and lint yield in the population.The population was derived from an advanced generation inter-crossing of four CSIRO conventional commercial varieties.The Cottonspec program was able to provide an integrated index of the fibre qualities affecting yarn properties.That was compared with selection based on HVI-measured fibre properties,and two composite fibre quality variables,namely,fibre quality index(FQI),and premium and discount(PD)points.The latter represents the net points of fibre length,strength,and micronaire based on the Premiums and Discounts Schedule used in the market while modified by the inclusion of elongation.PD points.Conclusions The population contained elite segregants with improved yield and fibre properties,and Cottonspec predicted yarn quality is useful to effectively capture these elites.There is a need to further develop yarn quality prediction tools through collaborative efforts with textile mills,to draw better connectedness between fibre and yarn quality.This connection will support the entire cotton value chain research and evolution.

Development and Application of Water Quality Index (WQI) for the Evaluation of the Physico-Chemical Quality of Groundwater in Gold Mining Areas of Southeastern Senegal

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.

Geochemical analysis and quality assessment of geothermal water in Gujarat,India

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.

Air Quality Estimation Using Nonhomogeneous Markov Chains: A Case Study Comparing Two Rules Applied to Mexico City Data

A nonhomogeneous Markov chain is applied to the study of the air quality classification in Mexico City when the so-called criterion pollutants are used. We consider the indices associated with air quality using two regulations where different ways of classification are taken into account. Parameters of the model are the initial and transition probabilities of the chain. They are estimated under the Bayesian point of view through samples generated directly from the corresponding posterior distributions. Using the estimated parameters, the probability of having an air quality index in a given hour of the day is obtained.

Unveiling the Predictive Capabilities of Machine Learning in Air Quality Data Analysis: A Comparative Evaluation of Different Regression Models

Air quality is a critical concern for public health and environmental regulation. The Air Quality Index (AQI), a widely adopted index by the US Environmental Protection Agency (EPA), serves as a crucial metric for reporting site-specific air pollution levels. Accurately predicting air quality, as measured by the AQI, is essential for effective air pollution management. In this study, we aim to identify the most reliable regression model among linear discriminant analysis (LDA), quadratic discriminant analysis (QDA), logistic regression, and K-nearest neighbors (KNN). We conducted four different regression analyses using a machine learning approach to determine the model with the best performance. By employing the confusion matrix and error percentages, we selected the best-performing model, which yielded prediction error rates of 22%, 23%, 20%, and 27%, respectively, for LDA, QDA, logistic regression, and KNN models. The logistic regression model outperformed the other three statistical models in predicting AQI. Understanding these models' performance can help address an existing gap in air quality research and contribute to the integration of regression techniques in AQI studies, ultimately benefiting stakeholders like environmental regulators, healthcare professionals, urban planners, and researchers.

Assessment of Retention Ponds and Its Impacts on Health of Residents in Mogadishu, Somalia: Mixed Methods

The purpose of this study was to evaluate the effects of retention ponds on the environment and population health by analyzing water samples from various ponds in Mogadishu, to determine the prevalence of waterborne illnesses that occur during the rainy season in Mogadishu, and to find out what experts thought about the effects of retention ponds on the environment as well as population health in Mogadishu. Methods: Mixed designs were used in the study. The first design is an exploratory study where samples are taken from different retention ponds in Mogadishu. The second design involves gathering secondary data from the online FSNAU Dashboard regarding the incidence of rainfall and waterborne illnesses including malaria and cholera. Additionally, a cross-sectional survey of expert opinions using questionnaires was the third design. The 10 water samples were taken from retention ponds in Mogadishu as part of the sample size. Data on the fourth month was also gathered using the FNSAU dashboard, and seventy sample sizes were used for the expert self-administered questionnaire for the third design. Excel was used for data analysis in the initial design. While BMI SPSS versions 22 were used to analyze the data from the Self-administered Questionnaire, additional methods were utilized to compute descriptive statistics, such as mean and standard deviation, and to analyze demographic data in a frequency table. Findings: The results show that three samples had unsatisfactory scores (Grade D): Yaqshid (Warshadda Bastada) had a WQI of 80.85, Boondheer (Bondher Pond) had a WQI of 80.64, and Wartanabad (Xamar Jadiid Pond) had a WQI of 80.89. The remaining samples were all rated as fair (grade), which indicates that they ranged from 50 to 75. The months with the largest rainfall already occurred in December, November, and October, when the prevalence of diseases during the rainy season was highest for cholera cases. Although October and December saw a significant number of malaria cases, November did not. Retention ponds’ overall effects on residential environments were evaluated, and the results showed that the standard deviation was 0.802 and the cumulative average mean scores were 4.41 overall. This indicates that the respondents were in agreement that retention ponds in Mogadishu, Somalia, had an effect on residential areas. Recommendation: The study suggested that in order to identify retention pond contamination and create treatment units for its management, the Ministry of Health forms a district-level public health committee. All districts must have a sewer system installed by the local government, and retention ponds must be made easier in order to move waste outside of the city.

基于机器感知与学习的空气颗粒物智能检测、识别与预警方法研究综述

随着空气污染问题的不断加剧,准确检测和及时预警空气颗粒物(particulate matter,PM)的重要性日益突出。传统方法依赖专业设备,不适用于实时检测。与传统方法相比,基于机器感知与学习的方法体现出技术优势,具有可实时检测、准确性高等优点。因此,对近几年的基于机器感知与学习的PM智能检测、识别与预警方法进行详细综述。首先,对PM的标准和来源进行介绍;然后,从检测、识别和预警这3个方面详细总结了各类方法,并对比各方法的特点和性能,其中,基于机器学习和深度学习的方法在各研究中取得了较大进展;最后,总结全文主要内容,并提出当前领域面临的挑战以及未来的重点研究方向。未来的研究应该继续关注技术创新和数据质量,以实现更好的空气质量监测和管理。

Assessment of groundwater suitability for different activities in Toshka district,south Egypt

Globally,groundwater has globally emerged as a crucial freshwater source for domestic,irrigation,and industrial needs.The evaluation of groundwater quality in the Toshka region is imperative to ensure its suitability for the extensive agricultural and industrial activities underway in this promising,groundwater-dependent development area.This is particularly significant as Egypt increasingly relies on groundwater reserves to address freshwater deficits and to implement mega-development projects in barren lands.In this study,fifty-two samples were collected from the recently drilled wells tapping into the Nubian Sandstone Aquifer(NSA)in the Toshka region.Groundwater quality was assessed through hydrochemical analysis,Piper diagram,and various indicators such as Na%,SAR,RSC,KR,MH and PI.The hydrochemical analysis revealed improved groundwater quality characteristics,attributed to continuous recharge from Lake Nasser.The Piper diagram categorised most of the water samples as"secondary salinity"water type.Almost all wells proved suitable for irrigation with only two wells unsuitable based on MH values and six wells based on KR values.Considering Total Hardness(TH)values,all samples were classified as"Soft",indicating their suitability for domestic and industrial purposes.Water Quality Index(WQI)results concluded that all samples met WHO and FAO guidelines for drinking and irrigation,respectively.Spatial distribution maps,constructed using GIS,facilitate the interpretation of the results.Regular monitoring of quality parameters is essential to detect any deviation from permissible limits.

Land cover change and eco-environmental quality response of different geomorphic units on the Chinese Loess Plateau

Land cover in the Chinese Loess Plateau has undergone dramatic changes since the late 1980s.Revealing the trend in land cover change and eco-environmental quality response of different geomorphic units in this stage is a realistic requirement for promoting sustainable development of the Chinese Loess Plateau.Based on the data of geomorphic units and land cover in 1990,2000,2010 and 2018 of the Chinese Loess Plateau,we studied the trend of land cover change and eco-environmental quality response of different geomorphic units by using a significance index of land cover change,a proportion index of land cover change and an eco-environmental response model.The results indicated that from 1990 to 2018,the areas of forestland and construction land substantially increased,whereas those of cropland,grassland,wetland and unused land considerably decreased.Land cover change exhibited large geomorphic differences,and the main conversion of land cover was from cropland into other land types.Unstable trend of land cover change in the loess tablelands and sandy loess hills declined,whereas the unstable trends in the other geomorphic units enhanced.Eco-environmental quality varied among different geomorphic units.The expansion of construction land and degradation of forestland,grassland and wetland resulted in the deterioration of eco-environmental quality.The conversion of cropland and unused land into forestland and grassland,and the conversion of grassland into forestland were the main factors that drove the improvement of eco-environmental quality.The findings of this study may provide theoretical reference and support decision making for the optimization of land use structure and the improvement of eco-environmental quality on the Chinese Loess Plateau.

Soil Quality Assessment of Acid Sulfate Paddy Soils with Different Productivities in Guangdong Province,China

Land conversion is considered an effective measure to ensure national food security in China, but little information is available on the quality of low productivity soils, in particular those in acid sulfate soil regions. In our study, acid sulfate paddy soils were divided into soils with high, medium and low levels based on local rice productivity, and 60 soil samples were collected for analysis. Twenty soil variables including physical, chemical and biochemical properties were determined. Those variables that were significantly different between the high, medium and low productivity soils were selected for principal component analysis, and microbial biomass carbon （MBC）, total nitrogen （TN）, available silicon （ASi）, pH and available zinc （AZn） were retained in the minimum data set （MDS）. After scoring the MDS variables, they were integrated to calculate a soil quality index （SQI）, and the high, medium and low productivity paddy soils received mean SQI scores of 0.95, 0.83 and 0.60, respectively. Low productivity paddy soils showed worse soil quality, and a large discrepancy was observed between the low and high productivity paddy soils. Lower MBC, TN, ASi, pH and available K （AK） were considered as the primary limiting factors. Additionally, all the soil samples collected were rich in available P and AZn, but deficient in AK and ASi. The results suggest that soil AK and ASi deficiencies were the main limiting factors for all the studied acid sulfate paddy soil regions. The application of K and Si on a national basis and other sustainable management approaches are suggested to improve rice productivity, especially for low productivity paddy soils. Our results indicated that there is a large potential for increasing productivity and producing more cereals in acid sulfate paddy soil regions.

Defecation function and quality of life in patients with slow-transit constipation after colectomy

BACKGROUND Although total or subtotal colectomy for slow-transit constipation(STC)has been proven to be a definite treatment,the associated defecation function and quality of life(QOL)are rarely studied.AIM To evaluate the effectiveness of surgery for STC regarding defecation function and QOL.METHODS From March 2013 to September 2017,30 patients undergoing surgery for STC in our department were analyzed.Preoperative,intra-operative,and postoperative 3-mo,6-mo,1-year,and 2-year follow-up details were recorded.Defecation function was assessed by bowel movements,abdominal pain,bloating,straining,laxative,enema use,diarrhea,and the Wexner constipation and incontinence scales.QOL was evaluated using the gastrointestinal QOL index and the 36-item short form survey.RESULTS The majority of patients(93.1%,27/29)stated that they benefited from the operation at the 2-year follow-up.At each time point of the follow-up,the number of bowel movements per week significantly increased compared with that of the preoperative conditions(P<0.05).Similarly,compared with the preoperative values,a marked decline was observed in bloating,straining,laxative,and enema use at each time point of the follow-up(P<0.05).Postoperative diarrhea could be controlled effectively and notably improved at the 2-year follow-up.The Wexner incontinence scores at 6-mo,1-year,and 2-year were notably lower than those at the 3-mo follow-up(P<0.05).Compared with those of the preoperative findings,the Wexner constipation scores significantly decreased following surgery(P<0.05).Thus,it was reasonable to find that the gastrointestinal QOL index scores clearly increase(P<0.05)and that the 36-item short form survey results displayed considerable improvements in six spheres(role physical,role emotional,physical pain,vitality,mental health,and general health)following surgery.CONCLUSION Total or subtotal colectomy for STC is not only effective in alleviating constipation-related symptoms but also in enhancing patients’QOL.

Quality of sleep and its determinants among people with type 2 diabetes mellitus in Northwest of Iran

AIM To examine sleep quality and its determinants among people with type 2 diabetes mellitus(T2DM).METHODS This is a cross-sectional study conducted among diabetic patients referring to Ardabil diabetes clinic in Northwest of Iran. Information on sleep quality was collected using Pittsburg Sleep Quality Index(PSQI). A questionnaire was used to collect data on sociodemographic lifestyle factors and psychological distress. This questionnaire was completed through an interview, and clinical information was extracted from patient's record. Data analysis was done using SPSS software version 23 and univariate andmultivariate analyses.RESULTS Study participants consist of 256 people with T2 DM the majority of whom were women(70%), and mean age of participants was 54.06 ± 9.09. The mean of total score of PSQI was 5.56 ± 3.34. Relative to younger age group, the middle-aged people with T2 DM were twice more likely to be poor sleeper; the adjusted OR was 2.03(95%CI: 1.01-4.08); and those with longer duration of diabetes were about 1.8 times more likely to report poor quality of sleep(ORadj = 1.77, 95%CI: 0.98-3.13). Participants with cholesterol level ≥ 240 mg/dL were about twice more likely to be poor sleeper(ORadj = 1.99, 95%CI: 1.01-3.94). The odds of being poor sleeper increased as the level of distress increased(1.84-4.09).CONCLUSION As indicated by the results of the present study, some factors including age, duration of disease, psychological distress and high level of cholesterol were independently associated with poor sleep quality.

Chinese quality control indices for standardized diagnosis and treatment of gastric cancer(2022 edition)

Gastric cancer is one of the most common malignancies of the digestive system,and the number of deaths continues to increase.The standardized management of the diagnosis and treatment of gastric cancer is challenging due to the great differences in the diagnosis and treatment of gastric cancer in different regions.The Gastric Cancer Expert Committee of the National Cancer Quality Control Center(NCQCC)identified a lack of authoritative quality control standards as an opportunity to utilize its multidisciplinary membership to improve the standardized diagnosis and treatment of gastric cancer.The Gastric Cancer Expert Committee of the NCQCC aims to promote quality control and national standardization,uniformity,and normalization of gastric cancer diagnosis and treatment,which ultimately improved the survival rate and quality of life of gastric cancer patients.A panel of experts with gastrointestinal cancer surgery,gastrointestinal cancer medicine,medical imaging,pathology and radiotherapy were drawn together and determined the quality control standards for the standardized diagnosis and treatment of gastric cancer.The authors then utilized a modified Delphi approach to generate consensus recommendations.