Coverage and Factors Associated with Acceptance and Satisfaction of Seasonal Malaria Chemoprevention in Six Health Zones in Benin

Introduction: Seasonal malaria chemoprevention (SMC) was adopted in 2019 in two health zones in Benin where malaria transmission is very high. Positive results led to the extension of the intervention to other zones with additional financial support. Annual SMC campaigns from 2021 to 2023 were carried out in all six health zones in the Atacora and Alibori departments. In five years of implementation, various approaches have been developed on the basis of a communication plan facilitating buy-in and acceptance by all stakeholders. The aim of this study was to assess the effective coverage and acceptance of the SMC by their beneficiary populations in 2023. Methods: It was a cross-sectional study with an analytical focus. Data collection took place from November 30 to December 13, 2023. The study population consisted of children under 5 years of age residing in the departments of Atacora and Alibori in northern Benin. A total of 3573 children under 5 years of age were included in the study, and their parents or guardians were interviewed. Results: During the 2023 campaign, 87.7% of targets were reached by SMC administration and 100.00% of children had received at least one dose of SMC by the fourth visit. Effective therapeutic coverage of SMC was 70.55%, with 99.60% in BNK, 69.40% in KGS, 16.20% in MK, 56.10% in 2KP, 92.40% in NBT and 89.60% in TMC. This coverage was statistically related to child and respondent ages (p Conclusion: SMC is a strategy accepted by the population, and the main reasons for non-participation in SMC were dominated by the absence of mothers or babysitters when the agents visited.

Acceptance and Experience of HIV-Infected Adolescents in Two Hospitals in Yaoundé

Introduction: Access to antiretroviral drugs has improved the survival of children infected with the Human Immunodeficiency Virus (HIV). As they reach adolescence, they are confronted with various constraints related to the infection and its treatment, in addition to those of the growth period they are going through. The main aim of the study was to assess the acceptance and describe the experience of HIV infection by infected adolescents but also to investigate the factors associated with good acceptance and a positive experience. Methodology: The cross-sectional analytic study concerned HIV-infected adolescents aged 15 to 19 followed up at the Chantal Biya Foundation-Mother and Child Centre (CME-FCB) and the Yaoundé University Hospital Centre (CHUY) between February 2020 and June 2020. The study saw participants complete a questionnaire containing socio-demographic data and assessing acceptance and experience with the infection. Data analysis was accomplished using Epi info software version 7.2.2.6. Results: One hundred and thirteen HIV-infected adolescents were included in the study. The sex ratio was 0.68 and the mean age was 17 years. More than half of the adolescents had a good acceptance and positive experience with the infection. Related factors were the adolescent’s perception of good health and participation in an association with other infected adolescents. Conclusion: Emphasizing the psychological and educational follow-up of infected adolescents and encouraging their participation in associations for adolescents living with HIV could reduce the consequences of poor acceptance and ensure a better transition to adulthood. .

COVID-19 Vaccine Acceptance and Hesitancy among Pregnant Women: A Knowledge, Attitude, and Perceived Risks Survey in Lusaka, Zambia

Introduction: The coronavirus disease 2019 (COVID-19) is an infectious disease of the respiratory tract caused by SARS-CoV-2. Since its emergence, there have been increased rates of transmission and spread, morbidity and mortality which led to the development of COVID-19 vaccines to address the pandemic. This study assessed acceptance, knowledge, attitude, and perceived risks regarding COVID-19 vaccines among pregnant women attending antenatal care at two First-Level Hospitals in Lusaka, Zambia. Materials and Methods: This was a cross-sectional study that was conducted among 241 pregnant women using a questionnaire from August 2023 to October 2023 in two First-Level Hospitals in Lusaka district, Zambia. The collected data were analyzed using IBM Statistical Package for Social Sciences (SPSS) version 22.0. Statistical analysis was performed using a Chi-square test. The statistical significance was set at a 95% confidence level. Results: Of the 241 participants, 107 (42.7%) were aged between 24 and 34 years. Overall, 64.3% accepted the COVID-19 vaccines, of which 122 (50.6%) were already vaccinated. Further, 203 (84.6%) of the pregnant women had good knowledge, and 199 (82.6%) had positive attitudes towards COVID-19 vaccines. However, 58.5% thought COVID-19 vaccines were not safe and could cause infertility. Alongside this, 70.1% thought that COVID-19 vaccines were harmful during pregnancy. Having good knowledge of COVID-19 vaccines was associated with age (p = 0.049), education status (p = 0.001), and employment status (p = 0.001). Having a positive attitude towards COVID-19 vaccines was associated with education status (p = 0.001) and employment status (p = 0.001). Conclusion: This study found that most pregnant women had good knowledge, and positive attitudes, and the majority accepted the COVID-19 vaccine. Encouragingly, most of the pregnant women who accepted the COVID-19 vaccines were already vaccinated. Most pregnant women thought that COVID-19 vaccines had side effects, were not safe, and could be harmful during pregnancy. Consequently, this could have contributed to the hesitancy to receive a vaccine among some participants. The findings of this study demonstrate the need to provide pregnant women with continuous educational programs on the benefits of vaccinations for themselves and their children.

Influencing Factors for Social Acceptance of Noma (Cancrum Oris) Patients in Niger: A Hospital-Based Cross-Sectional Study

Background: Noma, mostly identified in malnourished young children in the world’s low-income countries, causes severe orofacial disfigurement and significant mortality and morbidity. The majority of noma patients surviving with aesthetical effects are exposed to stigmatization and social rejection. Studies focusing on the socio-psychological impact of noma survivors have rarely been done. Our study aimed to identify the differences in social acceptance/rejection and the influencing factors associated with social acceptance in noma patients. Methods: A cross-sectional study was conducted at the NGO-Sentinelles (Niger) reception center on patients with noma from Zinder, Maradi, and Tahoua regions between 9th May 2017 and 2nd June 2017. The survey was conducted through a face-to-face interview on patients admitted to the center and those discharged from the centre after the treatment. The interview questionnaire comprised 45 questions (Cronbach’s alpha coefficient = 0.812) with pathological information, sociodemographic characteristics, and socio-psychological qualitative information. Findings: We recorded 50 noma patients (43 from Zinder and 7 from Maradi and Tahoua). The younger patients (1 - 5 years old), noma patients who stayed in school during follow-up treatment, patients who were referred by a health structure, patients enrolled into the centre in a short time (<30 days), and patients in the acute phase of noma had a significantly high social acceptance rate with 60.0%, 82.9%, 60.0%, 57.1% and 94.3% respectively;whereas single adults and cheek lesion site had the highest social rejection rate when compared to their corresponding factors with 60.0% and 86.7% respectively. There were significant differences in victims’ perception of noma [χ2 = 45.536, (P < 0.001)] and acceptance of their new faces [P = 0.023], between the social acceptance and social rejection rate, therefore all patients who accepted their new faces felt social acceptance. Social acceptance was significantly highly correlated with pathological history (admission method, phase of noma, care, and treatment received at center) with rs ranging from 0.609 to 0.810, moderately correlated with patient’s sociodemographic characteristics (age, marital status, and region) with rs ranging from 0.381 to 0.474. Lowly correlated with clinical evolution after treatment (rs = 0.293). Logistic regression results showed that the likelihood of social acceptance increased when the patient’s age was young (≤15 years), their marital status was minor, they were enrolled at the school before noma appearance, they were referred to the centre after diagnosis, the admission time to the centre was short (≤30 days), acute phase of noma, and care received at the centre was non-surgery. The location of the lesion on the cheek was a risk factor for social acceptance, indicating cheek lesions from noma increased the likelihood of social rejection in our study. Conclusion: The sociodemographic characteristics, pathological history, and psychological aspects of noma patients were correlated and were found to be important factors influencing their social acceptance/rejection rate.

Systematic Review of Literature for Smartphones Technology Acceptance Using Unified Theory of Acceptance and Use of Technology Model (UTAUT)

Systematic Review and Meta-analysis are techniques which attempt to associate the findings from similar studies and deliver quantitative summaries of the research literature [1]. The Systematic review of research literature identifies the common research methods, research design, sample size, parameters used, survey instruments, etc. used by the group of researchers. This study intends to fulfill this purpose in order to identify common research mythologies, dependent variables, sample sizes, moderators and mediators used in the field of analysing technology adoption based studies that utilizes the UTAUT2 model. This research collected over 59 published articles and conducted descriptive analytics. The results have revealed performance expectancy/perceived usefulness, trust and habit as the best predictors of consumer behavioural intentions towards the adoption of mobile application. Behavioural intention was the best predictor of use behaviour among the 57 articles selected. 274 was the mean sample size of research with 25 mean questionnaire items. SPSS and AMOS were the most common softwares used in all 57 studies, and 32 of those studies used UTAUT1 model while 14 researches incorporated the UTAUT2 model. There were also two promising predictors such as perceived risk on behavioural intention and habit on use behaviour.

Effects of Internet-Based Acceptance and Commitment Therapy (IACT) on Adolescents: A Systematic Review and Meta-Analysis

Objectives:This study reviewed published randomized controlled trials(RCTs)and evaluated the efficacy of internet-based acceptance and commitment therapy(IACT)on adolescent mental health.Methods:Searches were conducted in PubMed,ProQuest,APA(PsycNET/PsycINFO),and Web of Science from inception to Jan-uary 2022 to identify RCTs evaluating the effects of IACT on adolescents.The included studies were assessed for quality and risk of bias.This study was performed using the standard mean difference and associated 95%confidence interval of effective measures.Review Manager 5.4 software was adopted to calculate the effect size.Results:Compared to adolescents in control groups,those in the IACT groups showed some improvement in the efficacy of depression symptoms(SMD=−0.24,95%CI=[−0.44,−0.05],p=0.01)and had a small but sig-nificant effect on reducing experiential avoidance(SMD=−0.24,95%CI=[−0.46,−0.01],p=0.04).However,the effect size on anxiety did not reach the threshold(SMD=−0.18,95%CI=[−0.27,−0.09],p<0.0001).In addition,there were no significant differences in stress and well-being compared to those of the control group.Compared with universal adolescents,IACT was found to have a more significant therapeutic effect on targeted adolescents.Conclusions:IACT is effective in adolescent mental health interventions,but its clinical reliability and significant efficacy are limited,and more rigorous RCTs are needed in future studies.

Unlocking Societal Recognition and Acceptance: A Case Study of Python

This study employs Python,a high-level programming language,as a case study.By analyzing the inherent characteristics of Python within its social context,this study explores its advantages in meeting social needs,influencing social psychology,and garnering external support.The primary objective of this analysis is to disrupt the established monopoly held by older programming languages such as Java,Rust,and C++.As a result,Python has emerged as the most widely utilized and popular programming language globally.Using Python as a representative example,this study extends its focus to examine the conditions under which products across various societal domains not only gain recognition but also find widespread acceptance and application in the world.Through thorough scrutiny within the demanding landscape of society,the study contends that products meeting such conditions are well-positioned to contribute significantly to societal progress.

《平凡的世界》“经典化”的内在肌理研究

《平凡的世界》作为“经典”确立的过程,不仅与小说这种文学体裁的接受规律相关,也与中国当代的文学生产、文学接受、文学阐释、文学传播和文化环境等一系列状态密切相关。如果回顾反思这部作品经典化的历程,解析这一文本在历史与现实交互作用下所呈现出的各种面貌,进而从颠覆与重建这一普遍性的接受规律出发,揭示这部当代文学作品经典化的深层原因,对于尔后文学作品的价值判断可提供有益的借镜。

儿童攻击行为对学业成绩的影响:教师与同伴接纳的链式中介作用

目的:为了探讨儿童攻击行为对学业成绩的影响,本研究考察了教师接纳与同伴接纳在其中的链式中介作用,以及性别的调节作用。方法:通过同伴提名法测量四到六年级学生的攻击行为、教师接纳和同伴接纳,学业成绩由班主任填写,共获得有效样本656份。结果:男生攻击得分显著高于女生(t=-5.56,P<0.01),女生的同伴接纳显著高于男生(t=3.35,P<0.01);学业成绩、同伴接纳和教师接纳两两显著正相关(r=0.34~0.38,P<0.001),攻击与同伴接纳、教师接纳、学习成绩两两显著负相关(r=-0.20~-0.32,P<0.001);教师接纳、同伴接纳在攻击与学业成绩之间起着链式中介作用,总的中介效应占39.29%,其中性别未起到调节作用。结论:攻击行为对儿童学业成绩有预测效应,即包括攻击行为的直接效应,也包括教师和同伴接纳的间接效应。

生鲜电商平台消费者购菜意愿多元提升路径及适配组态研究

基于南昌市519份调查数据,运用技术接受模型3和期望确认理论模型,采用fsQCA方法对生鲜电商平台消费者购菜意愿进行组态分析,探讨消费者购菜意愿适配组态的要素构成条件及提升策略。结果表明:单一条件变量均不是生鲜电商平台消费者购菜意愿的必要条件,说明变量间可能存在替代作用;存在乐趣性与顾客认可型路径、适应性与情感导向型路径、体验感与顾客评价型路径、个性化与挑战导向型路径、影响力与便利导向型路径等5条产生高购菜意愿的路径;其中,高主观规范和高满意度作为核心条件存在于4条路径中,对生鲜电商平台消费者产生购菜意愿发挥着更普适的作用。基于此,建议整合多元路径,根据组态效应调整购菜意愿提升策略;确保产品质量,提升售后服务,重视满意度的普适性作用;建立良好口碑,发挥社交圈的积极作用,以实现平台发展的良性循环。

开关柜合格性检验的力矩奇异性特征分析方法

面向开关柜的合格性检验,提出一种基于力矩信号奇异性分析的检验算法。根据开关柜的合格性与力矩信号的奇异性特征的相关性,提出将力矩信号的12个统计学特征通过Fisher判别法压缩至5个,并将由该特征组成的样本集输入至SVM分类器中训练出能判别开关柜合格性的SVM模型。最后对所提算法进行了实验验证,结果表明所提算法对开关柜的合格性检验的识别率达100%,延迟在30ms以内,所识别点均落在设定区域内。阻尼干扰下,与小波变换理论算法相比,在兼顾快速响应的同时鲁棒性更好,且不需要大量的训练样本和训练时间。

晚清国人对机器制茶的认知与接受

晚清时期,国人对机器制茶的认知经历了由浅入深的过程,对机器制茶的接受程度也由低到高。19世纪80年代后期,华茶贸易危机初现,国人开始了对机器制茶的探讨,此时国人对这一新的生产方式认识尚浅,意见存在分歧。19世纪末,报刊媒体的介绍使国人对机器制茶的认识有所深化,对机器制茶的倡导成为中国茶业改良思想的一个重要部分,政府和商人开始了机器制茶的尝试,但不少人仍对机器制茶存有疑虑。20世纪初的清朝新政时期,对国外的考察进一步增强了国人对机器制茶的认知,机器制茶被视为振兴茶业、挽回利权的必要手段。虽然出于种种原因,晚清机器制茶的实践十分有限,但国人对机器制茶的认知与接受过程反映了其对待新的外来科技积极开放与谨慎理性的双重态度,为中国茶业的近代化发展奠定了一定的基础。

TOFD检测中的空间分辨力问题及其重要影响

TOFD检测技术存在许多局限性,如上下表面盲区以及其空间分辨力限制等,相关国内外技术标准很早就关注到了这些问题,并对TOFD检测上下表面盲区以及空间分辨力的计算方法进行了描述。但在实际应用时,相关检测标准却很少将检测技术的局限性与具体的检测工艺紧密结合。标准NB/T 47013.10—2015《承压设备无损检测第10部分:衍射时差法超声检测》中提出了针对上下表面盲区的具体要求及针对性解决方案,但是对于TOFD检测时的空间分辨力以及其对检测的重要影响的关注较少,尤其是当空间分辨力不足时,检测工艺将与验收标准之间产生矛盾的问题。文章从空间分辨力对缺陷评定的主要影响、产生原因及其影响程度等3个方面入手,证明了空间分辨力与验收标准之间的矛盾,分析了空间分辨力问题的普遍性及重要性,提出了现行标准中相关规定的一些不足。

基于接纳承诺疗法的心理治疗模型对胰腺癌患者疼痛的影响

目的 了解胰腺癌患者的疼痛、睡眠状况,探讨接纳承诺疗法对患者心理灵活性的影响,为改善患者生活质量提供思路。方法 62例胰腺癌患者随机分为对照组(30例)和观察组(32例),对照组接受常规肿瘤护理,观察组在对照组的基础上接受接纳承诺疗法。分别采用疼痛数字评分表(NRS)、匹兹堡睡眠指数量表(PSQI)、接纳与行动问卷第二版(AAQ-Ⅱ)和认知融合问卷(CFQ)进行问卷调查,比较2组患者干预前后的疼痛、睡眠状况及心理灵活性。结果 干预前,患者NRS、PSQI、AAQ-Ⅱ和CFQ评分分别为(2.3±0.7)分、(11.4±3.2)分、(20.2±7.8)分和(31.8±11.8)分,2组间差异无统计学意义(均P>0.05)。干预后,观察组各量表评分均低于干预前,且观察组低于对照组,差异有统计学意义(均P<0.05);对照组干预前后各项评分比较,差异无统计学意义(均P>0.05)。胰腺癌患者的NRS评分与PSQI、AAQ-Ⅱ、CFQ评分显著正相关(r=0.790、0.925、0.898,P<0.05)。结论 胰腺癌患者存在一定的疼痛和睡眠困扰,接纳承诺疗法可提高其心理灵活性,改善疼痛程度和睡眠质量。

NHL患者个案管理期间化疗耐受性的影响因素及其与自我接纳水平的关系

目的分析非霍奇金淋巴瘤(NHL)患者个案管理期间化疗耐受性的影响因素及其与自我接纳水平的关系。方法选择2020年7月—2022年7月赣州市人民医院收治的135例NHL患者进行前瞻性研究,所有患者均实施个案管理干预+利妥昔单抗+环磷酰胺+多柔比星+长春新碱+泼尼松(R-CHOP)方案化疗,21 d为1个治疗周期,共治疗4个周期。并在护理及化疗方案实施前评估自我接纳水平[自我接纳问卷(SAQ)]。统计4个周期内NHL患者化疗耐受情况并分组为耐受组与不耐受组,分析NHL化疗患者自我接纳对化疗耐受性的影响。结果135例NHL患者中化疗不耐受55例,占比40.74%,化疗耐受性良好80例,占比59.26%;不耐受组SAQ评分均低于耐受组,空腹血糖、白细胞计数、血小板计数高于耐受组,差异有统计学意义(P<0.05);经点二列相关检验,NHL化疗患者自我接纳水平与化疗耐受性呈正相关(r=0.584,P<0.001);建立多因素Logistic回归模型,结果显示,SAQ评分、空腹血糖水平及白细胞计数是NHL患者化疗不耐受的影响因素(P<0.05),其中SAQ评分越高,NHL化疗患者出现化疗不耐受的危险性越低;空腹血糖水平及白细胞计数水平越高,NHL化疗患者出现化疗不耐受的危险性越高。结论NHL患者个案管理期间化疗耐受性受自我接纳水平、空腹血糖及白细胞计数等因素影响,自我接纳水平与NHL患者个案管理期间化疗耐受性有关,患者的自我接纳水平越高,患者化疗耐受性越好。

脑卒中半失能患者自我接纳的潜在剖面分析及影响因素研究

目的探讨脑卒中半失能患者自我接纳的潜在类别并分析其影响因素。方法采用便利抽样法,选取河南省郑州市某2所三级甲等医院神经内科及神经康复科的308例脑卒中半失能患者为研究对象,采用一般资料调查表、自我接纳问卷、中文版事件相关性反刍性沉思问卷和慢性病自我效能量表对其进行调查。采用潜在剖面分析法分析患者自我接纳的潜在类别,采用无序多分类Logistic回归分析检验不同类别的影响因素。结果脑卒中半失能患者自我接纳分为3种类别:低接纳-低自评组(27.9%)、中等接纳-自评中庸组(43.8%)与高接纳-理性自评组(28.3%)。无序多分类Logistic回归分析结果显示,年龄、文化程度、家庭人均月收入、症状数量、侵入性沉思、目的性沉思以及慢性病自我效能是脑卒中半失能患者自我接纳潜在剖面分类的影响因素(P<0.05)。结论脑卒中半失能患者的自我接纳存在3种潜在类别,医护人员应重视年龄18~45岁、初中及以下文化程度、家庭人均月收入较低以及症状≥3个的脑卒中半失能患者,并通过减少患者的侵入性反刍、增强目的性反刍和自我效能感等干预措施来提升其自我接纳水平。

正念注意-接纳护理在支气管肺炎患儿中的应用

目的:探讨正念注意-接纳护理在支气管肺炎患儿中的应用效果。方法:选取2022年2月1日~12月31日收治的90例支气管肺炎患儿和90名照顾者,根据随机数字表法分为常规组和观察组各45例患儿和45名照顾者,常规组给予常规护理,观察组给予正念注意-接纳护理;比较两组患儿症状(发热、咳嗽、气促、精神不振)消失时间,干预前后照顾者压力[采用照顾者压力量表(CSI)]、正念水平[采用正念注意觉知量表(MAAS)]、照顾者应对方式[采用医学应对方式量表(MCMQ)]、家庭疾病管理能力[采用家庭管理测量量表(FaMM)]。结果:观察组患儿发热、咳嗽、气促、精神不振消失时间短于常规组(P<0.01);干预后,两组MAAS、MCMQ中面对维度、FaMM中疾病管理能力维度评分均高于干预前(P<0.05),CSI、MCMQ中回避维度和屈服维度、FaMM中疾病管理困难维度评分均低于干预前(P<0.05),且观察组优于常规组(P<0.01,P<0.05)。结论:正念注意-接纳护理可促进支气管肺炎患儿症状恢复,缓解照顾者的心理压力,提高照顾者正念水平,引导照顾者以积极心态应对患儿病情,提高其疾病管理能力。

接纳与承诺团体干预对维持性血液透析糖尿病肾病患者营养状况的影响

目的研究接纳与承诺团体干预对糖尿病肾病维持性血液透析患者营养状况的影响,为提高患者的生活质量、延长其生存时间提供心理干预方法。方法选取2022年7—10月在山东省某三级甲等综合医院行血液透析的糖尿病肾病63例患者为研究对象,按照组间资料具有可比性的原则分为观察组31例和对照组32例。对照组接受常规的健康教育和心理指导,观察组在对照组基础上实施接纳与承诺团体干预。比较两组患者糖尿病肾病维持性血液透析营养管理知信行评分、营养不良-炎症评分(MIS),检查两组患者血磷、血钙、白蛋白、C反应蛋白(CRP)指标。结果透析3个月后,观察组患者营养管理知信行评分均高于对照组,差异具有统计学意义(P<0.05)。透析3个月后,观察组MIS评分低于对照组,差异具有统计学意义(P<0.05)。透析3个月后,观察组患者血钙高于对照组,血磷低于对照组,白蛋白及CRP优于对照组,差异具有统计学意义(P<0.05)。结论接纳与承诺疗法通过接纳、认知解离、体验当下、以己为景、澄清价值观和承诺行动6个过程,利用正念、隐喻、知识传授及有氧运动等方法,可以提高糖尿病肾病维持性血液透析患者营养管理知信行水平和营养管理依从性,改善营养状况,维持钙磷代谢平衡。

上海市域铁路新建项目工程验收办法及安全评估方案研究

[目的]上海市域铁路已有多个项目开工建设,但目前尚无明确的市域铁路新建项目工程验收办法及安全评估管理办法。为了对市域铁路新建项目工程验收、安全评估等管理办法的制定提供合理化建议,亟需开展市域铁路项目工程验收办法及安全评估方案的研究。[方法]从主要技术标准、建设及运营特点两方面,分析了市域铁路同地铁、国家铁路的差异。阐述了地铁、国家铁路建设项目工程验收及安全评估程序,讨论了二者在项目验收组织、验收程序及验收内容等方面的差异。在此基础上,针对上海市域铁路新建项目工程验收及安全评估的具体工作流程,提出了2个备选方案(方案一、方案二),并对2个方案进行了比选,提出适用于上海市域铁路新建项目验收及安全评估工作流程的建议方案。[结果及结论]上海市域铁路新建项目的工程验收及安全评估建议采用方案二,即上海市域铁路项目工程验收的程序及组织方式基本沿用地铁模式,并参照国家铁路项目的标准设置联调联试流程。

基于CVM的城市河道改造生态环境价值评估

从城市河道改造的生态环境价值评估角度,分析了条件价值评估法(CVM)在城市河道改造生态环境价值评估中的应用原理和依据,构建了基于CVM的城市河道改造生态环境价值评估模型,并以上海市黄浦江加高堤防替代建闸方案为例对黄浦江河道改造的生态环境价值进行了评估。结果表明:期望均值法和三相定价法计算得到的总支付意愿分别为120.6亿元/a和118.5亿元/a,总受偿意愿为130.8亿元/a和151.2亿元/a,总受偿意愿与总支付意愿的比值大于1;仅从生态环境价值方面看,相对于加高堤防方案,民众更希望政府投资建闸。