Risk factors for secondary infection after liver failure and effect of comprehensive nursing intervention

BACKGROUND In patients with liver failure(LF),the high rate of secondary infections,which are associated with poor prognosis,highlights the clinical significance of understanding the underlying risk factors and implementing targeted intervention programs.AIM To investigate risk factors for secondary infections in patients with LF and evaluate the effectiveness of comprehensive nursing interventions.METHODS This retrospective study included 64 patients with LF,including 32 with and 32 without secondary infections.A questionnaire was used to collect data on age;laboratory parameters,including total and direct bilirubin,prothrombin time,blood ammonia,and other biochemical parameters;invasive procedures;and complications.Patients with secondary infections received comprehensive nursing intervention in addition to routine nursing care,whereas those without secondary infections received only routine nursing care to compare the effect of nursing intervention on outcomes.RESULTS The infection rate,which was not associated with age or complications,was significantly associated with biochemical parameters and invasive procedures(P<0.05).The infection rate was 61.6%in patients who had undergone invasive procedures and 32.1%in those who had not undergone invasive procedures during the hospital stay.The infection rate was also significantly associated with the type of LF(P<0.05),with the lowest rate observed in patients with acute LF and the highest rate observed in those with subacute LF.The nursing satisfaction rate was 58.3%in the uninfected group and 91.7%in the infected group,indicating significantly higher satisfaction in the infected group(P<0.05).CONCLUSION In patients with LF,the rate of secondary infections was high and associated with biochemical parameters and type of LF.Comprehensive nursing intervention can improve patient satisfaction.

Comprehensive ecological risk assessment for heavy metal pollutions in three phases in rivers

Literature lacked in providing a comprehensive research on heavy metal detection in aquatic, biological and sedimentary states of rivers. The present study was imparted with all these three components of the river. Heavy metal toxicity or pollution index was used as a tool for ecological risk assessment by considering the single state studies conducted by many researchers. An intensive ecological risk assessment model was constructed and heavy metals were indicated as a serious threat to the environment. The model was applied to determining five toxic heavy metals in three states of the Songhua River. According to the ecological risk index, heavy metal pollution in three phases was categorized as aquatic〉biological〉sedimentary, while the overall descending order of heavy metal ecological risk index was as Cd〉Hg〉As〉Pb〉Cr. Cd and Hg were selected as the priority pollutants of Songhua River.

A poor performance in comprehensive geriatric assessment is associated with increased fall risk in elders with hypertension： a cross-sectional study

Background Fall and serious fall injuries have become a major health concern for elders. Many factors including blood pressure and anti-hypertensive medication application were reported as hazards of fall. The purpose of this study was to determine if age related systemic functional decline related with increased fall risks in elderly patients with hypertension. Methods A total of 342 elderly hypertension patients （age 79.5 ＋ 6.7 years, male 63.8%） were recruited to the study. Comprehensive geriatric assessment （CGA）, including measurements about activity of daily living （ADL）, nutrition, cognition, depression, numbers of prescription medication and number of clinical diagnosis, was conducted to evaluate the physical and mental status of each participants. Fall risk was evaluated by Morse fall scale, Tinetti perform- ance oriented mobility assessment （POMA） and history of fall in the recent years. Participants were grouped into tertiles according to CGA score. Correlation between CGA and fall risk was analyzed through SPSS 18.0. Results Participants with higher CGA score were likely to be older, had a lower body mass index （BMI）, and a higher prevalence of cardiovascular disease, chronic obstructive pulmonary disease （COPD）, cerebrovascular disease and osteoarthropathia. Participants in higher tertile of CGA score got increased prevalence of fall risk than those in lower tertile （P 〈 0.01 T3 vs. T1, P 〈 0.01 T3 vs. T2）. Correlation analysis and regression analysis showed significant association between CGA and Morse fall scale （P 〈 0.001）, as well as CGA and POMA （P 〈 0.001）. Meanwhile, CGA components also showed co-relationships with increase fall risks. After adjusting age, BMI, benzodiazepine use, cardiovascular disease, cerebrovascular disease, COPD and osteoarthropathia, both history of fall in the recent year and rising Morse fall scale were significantly associated with ADL im- pairment （OR： 2.748, 95%CI： 1.598-4.725）, （OR： 3.310, 95%CI： 1.893-5.788）. Decreased Tinetti POMA score was associated with Mini-Mental State Examination （MMSE） （OR： 4.035, 95%CI： 2.100-7.751）, ADL （OR： 2.380, 95%CI： 1.357-4.175） and shortened MNA form （MNA-SF） impairment （OR： 2.692, 95%CI： 1.147-6.319）. Conclusions In elderly adults with hypertension, impaired physical and mental function is associated with increased fall risk. Further study is required to investigate possible mediators for the association and effec- tive interventions.

Risk analysis of extended reach wells in the Liuhua Oilfield,South China Sea,based on comprehensive fuzzy evaluation method

Drilling engineering has great uncertainty and it always involves huge investment and high risk. Risk analysis of extended reach drilling （ERD） is very important to prevent complex failures and to improve drilling efficiency. Nowadays there are few reports on how to analyze quantitatively the drilling risk for extended reach wells （ERWs）. Based on the fuzzy set theory, a comprehensive fuzzy evaluation model for analyzing risks of ERD is proposed in this paper. Well B6ERW07 is a planned 8,000-meter ERW with a high ratio of horizontal displacement （HD） to vertical depth （VD） in the Liuhua Oilfield, the South China Sea, China. On the basis of the evaluation model developed in this study, the risk for drilling Well B6ERW07 was evaluated before drilling. The evaluation result shows that the success rate of drilling this well is predicted to be 51.9%, providing important rational and scientific information for the decisionmakers.

Equipment Development Risk Evaluation Based on Fuzzy Comprehensive Evaluation

The equipment development risk evaluation refers to evaluating the equipment risks in the equipment development phase based on risk analysis,risk score calculation,and risk level identification.The results could lead the direction of future work.The risk management in equipment development phase was studied.The risk management model in equipment development phases was established on the base of basic theories in risk management and some interrelated risk management models in other fields.The application of the established model was illuminated by an instance.

Comprehensive Risk Analysis of Storm Surge Flood Based on WebGIS

The comprehensive risk analysis of storm surge flood is vital to the safety management of sea embank- ment, the scientific assessment of storm surge disaster and the improvement of emergent treatment in storm surge haz- ard. Based on the research of disaster-causing, disaster-pregnant and disaster-bearing factors, the influencing factors of storm surge risk are concluded to be flood natural risk, embankment position, embankment width and height. The membership degree of the factors of stoma surge risk is firstly determined by storm surge flood evolution based on WebGIS, and the comprehensive risk membership and risk grade of each influencing factor are obtained. Then the effects of a single factor on comprehensive risk and sensitivity analysis are discussed, and the storm surge flood risk map is obtained. Finally, the storm surge of Tianjin Binhai New Area is taken as a case. The results show that the in- fluencing degree of the factors on the comprehensive risk membership is in decreasing order of flood natural risk, em- bankment position, embankment width and height. The flood risk map of the case is drawn, which is useful to decrease losses caused by storm surge disaster.

Comprehensive Disaster Risk Prevention of "the Belt and Road Initiative":Important Significance,Catastrophe Risk,International Cooperation and Strategic Countermeasure

"The Belt and Road Initiative"is major decision proposed by the CPC Central Committee with comrade Xi Jinping as the core co-ordinating the domestic and international overall situations,and concerns peaceful rise of China and extension of the strategic opportunity period of modernization construction.It needs multi-faceted safeguards to successfully impel"the Belt and Road Initiative",in which disaster risk identification and its effective prevention and control are indispensable links.By integrating geogeographic and atmospheric environmental factors,countries along"the Belt and Road Initiative"belong to frequent occurrence region of major natural disasters.It restricts not only the economic and social development of relevant countries but also implementation effect of"the Belt and Road Initiative"construction,and is also related to the success or failure of Chinese enterprises going out to a certain extent.It should enhance disaster prevention and mitigation and ensure safety of major infrastructure construction related to interconnection of"the Belt and Road Initiative"by disaster identification and prevention,which is the key of successfully impelling strategy implementation and major need for guaranteeing the people s livelihood of the countries along the line.The work of disaster prevention and mitigation in the countries along the line is generally weak,and it is urgent to raise the level of disaster prevention as a whole by promoting the disaster prevention and mitigation cooperation in the"the Belt and Road Initiative"area;improve the coverage and level of disaster risk insurance;enhance construction in monitoring and early warning capability of natural disaster;strengthen structural adjustment of economy,industry and land use responding to climate change risks;establish a comprehensive disaster reduction forum of"the Belt and Road Initiative",and contain relevant content in"the Belt and Road Initiative"series of high-end forum topics.

Risk Assessment and Comprehensive Control of Insect and Wild Animal Vectors in the Prevalence of Related Equine Diseases in the Specific Equine Disease-free Zone of Guangzhou Asian Games

[ Objective] In order to construct the specific equine disease-free zone of of the Guangzhou Asian Games, to ensure that the equestrian events of Guangzhou Asian Games be smoothly held. [Methods] The species, quantities, distribution and seasonal variations of insects and wild animals in related zones were investigated from 2008 to 2010, and the collected samples of the insects and wild animals were tested in laboratory for related equine diseases. [Results] The investigations indicated that there were some mosquitoes, flies, horseflies, punkies, ticks, bats, wild birds and wild bears in equastrianism venue and peripheral regions of disease-free zone of the Guangzhou Asian Games, the laboratory results of Japa- nese encephalitis, vesicular stomatitis, Nipah virus disease, West Nile fever, and Trypanosomiasis evansi, were all negative. According to the in- vestigations and test results, the risk assessments of insect and wild animal vectors in the prevalence of related equine diseases were made to con- firm that the risk was relatively low or very low, and comprehensive prevention and control measures with prevention as major measures and insecti- cides application and environment managements as supplementary means were made on the basis of the risk assessment conclusions. [ Conclu- sions] This research has laid a solid foundation for the successful building of the first specific equine disease-free zone in our country, ensured the smooth holding of the 16th equastdan competition in Guangzhou Asian Games.

Planetary health risks in urban agriculture

Urban agriculture is gaining recognition for its potential contributions to environmental resilience and climate change adaptation,providing advantages such as urban greening,reduced heat island effects,and decreased air pollution.Moreover,it indirectly supports communities during weather events and natural disasters,ensuring food security and fostering community cohesion.However,concerns about planetary health risks persist in highly urbanized and climate-affected areas.Employing electronic databases such as Web of Science and PubMed and adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines,we identified 55 relevant papers to comprehend the planetary health risks associated with urban agriculture,The literature review identified five distinct health risks related to urban agriculture:(1)trace metal risks in urban farms;(2)health risks associated with wastewater irrigation;(3)zoonotic risks;(4)other health risks;and(5)social and economic risks.The study highlights that urban agriculture,while emphasizing environmental benefits,particularly raises concerns about trace metal bioaccumulation in soil and vegetables,posing health risks for populations.Other well studied risks included wastewater irrigation and backyard livestock farming.The main limitations in the available literature were in studying infectious diseases and antibiotic resistance associated with urban agriculture.

Investigation and Risk Assessment of Alien Invasive Plants in Riparian Zone of Dongjiang River

[Objective] The aim was to conduct investigation and risk assessment of the alien invasive plants in riparian zone of Dongjiang River.[Method] The field survey was carried out by the combination methods of sampling plots investigation and route survey,and the whole Dongjiang River was covered.52 sampling points were set in the main streams,and 87 sampling points in tributaries streams,624 quadrats were set in total;multi-index comprehensive evaluation method was adopted for the risk assessment with 6 first-level indexes and 25 second-level indexes.[Result] Through the investigation on the riparian zone of Dongjiang River for 2 years,51 species of alien invasive plants were found,belonging to 17 families and 38 genera.The risk level assessment results of these 51 species showed that 18 species,such as Ageratum conyzoides,belonged to high-level risk with over 60 points;26 species,such as Chenopodium ambrosioides,were between 30 and 60 points which belonged to middle-level risk;7 species,such as Paspalum dilatatum,with less than 30 points belonged to low-level risk.[Conclusion] Basic data on the protection,water environmental management and functional zoning of riparian zone of Dongjiang River were provided.

Content and Ecological Risk Assessment of Heavy Metals in Surface Sediment in Weishan Lake

[Objective] The aim was to analyze the content of heavy metals in surface sediment in Weishan Lake and further assess its ecological risk.[Method] Heavy metal pollution in surface sediment in Weishan Lake was studied,and the pollution indices and potential ecological risk indices of Cu,Zn,Pb,Cd and Cr were calculated to assess the potential ecological risk of heavy metal pollution.[Result] In surface sediment in Weishan Lake,the average contents of Cu,Zn,Pb,Cd,Cr and Ni were 64.78,185.05,78.76,0.17,37.76 and 46.84mg/kg respectively.Cr and Cd weren’t beyond standards in all stations,while Cu and Pb exceeded standards in all stations,with average super-standard multiple of 0.85 and 0.31,respectively,and Zn content wasn’t beyond standard in S2 station,with average super-standard multiple of 0.24.The average pollution indices of Cu,Zn,Pb,Cd and Cr were 1.85,1.23,1.31,0.34 and 0.47 respectively,with average comprehensive pollution index of 5.21,which showed that heavy metal pollution was light.In addition,heavy metal pollution in entryway portion and sea-route portion were more serious than that of breeding portion.Potential ecological risk assessment showed that the average potential ecological risk indices of Cu,Zn,Pb,Cd and Cr were 9.25,1.23,6.56,10.34 and 0.94 respectively,with average comprehensive potential ecological risk index of 28.33,and it revealed that potential ecological risk of heavy metals was slight.Besides,the potential ecological risk order of heavy metal pollution was sea-route portion>entryway portion>breeding portion.[Conclusion] The study could provide references for the regulation and improvement of ecological environment in Weishan Lake in the east route of south-to-north water transfer project.

Risk Early-Warning Method for Natural Disasters Based on Integration of Entropy and DEA Model

Risk early-warning of natural disasters is a very intricate non-deterministic prediction, and it was difficult to resolve the conflicts and incompatibility of the risk structure. Risk early-warning factors of natural disasters were differentiated into essential attributes and external characters, and its workflow mode was established on risk early-warning structure with integrated Entropy and DEA model, whose steps were put forward. On the basis of standard risk early-warning DEA model of natural disasters, weight coefficient of risk early-warning factors was determined with Information Entropy method, which improved standard risk early-warning DEA model with non-Archimedean infinitesimal, and established risk early-warning preference DEA model based on integrated entropy weight and DEA Model. Finally, model was applied into landslide risk early-warning case in earthquake-damaged emergency process on slope engineering, which exemplified the outcome could reflect more risk information than the method of standard DEA model, and reflected the rationality, feasibility, and impersonality, revealing its better ability on comprehensive safety and structure risk.

Study of evaluation method for the overseas oil and gas investment based on risk compensation

The overseas oil and gas investment evaluation is one of the core tasks in overseas investment of oil and gas companies,among which risk evaluation and benefit evaluation are the most important.This paper sets forth transmission paths of risk factors to the investment benefit by identifying 14 overseas oil and gas investment risks in four categories.On the basis of the concept of risk compensation,different compensation mechanisms specific to each risk are designed.The risk and benefit are integrated objectively to develop a comprehensive evaluation model by correcting the recoverable reserve,adjusting benefit evaluation parameters such as investments on exploration and development,and compensating for the changes in risk factors with time through dynamic discount rate.Moreover,two cases studies,namely the evaluations of Project A in Sudan and comparison among Blocks A–G,are used to describe usage method and applicable scope of such evaluation model,respectively.According to the results,oil price is a key influencing factor for enterprise internal risk and industrial risk.Risk compensation reduces comprehensive benefit of overseas oil and gas investment and undermines the investment feasibility and priority of blocks.The research findings of this paper are free from the effects of some subject factors and avoid multi-objective decision making,and also avoid the undesired repeated calculation of risk factors.

Risk evaluation of natural disasters based on connection function

There are many uncertain factors,such as stochastic,fuzzy and gray information in the risk analysis on natural hazard.The set pair analysis(SPA)deals effectively with the various uncertain factors contributing to evaluation of the risk level of natural disasters.The evaluation indicators and standards of natural disasters risk are analyzed by identity-discrepancycontrary(IDC).The result,the connection numbers,still has uncertainty information.Thus,yielding the risk evaluation model of natural disasters based on connection function,which construct a set pair relation between the indicators of connection numbers and comprehensive evaluation standards,and describe uncertainty of the connection numbers by using connection function.The study showed that the proposed model takes into account only the uncertainty of risk evaluation indicator identification on natural disasters,also the uncertainty of result connection numbers.This approach gives full consideration to the uncertainty of systematic evaluation process along with the actual meaning of comprehensive evaluation functions.Therefore,this means it is able to reduce the uncertainty of final evaluation results and improve the accuracy and reasonability of evaluation results.This model is capable of reflecting actual situation of the risk evaluation on natural disaster affected by various uncertain factors and has a promotional value in the natural disaster risk assessment.

AHP-FCE Based Physical Exercise Risk Evaluation Model

Exercise is a highly proven and beneficial health promotion modality, But it is very difficult to determine whether the person during exercise is safe. A unique and comprehensive approach is proposed to perform physical exercise risk evaluation （PERE）, in which personalized factors are deterrrdned basing on grey correlation analysis, analytic hierarchy process （AHP） method is used to structure the large numbers of risk factors, and fuzzy comprehensive evaluation （FCE） is applied to fuzzify the factors and compute the exercise risk level. Finally, an actual calculation example is used to verify the feasibility of the method.

Occupational Health Risk Assessment of Benzene,Toluene,and Xylene in Shanghai

Objective This study was designed to conduct a retrospective and systematic occupational health risk assessment(OHRA)of enterprises that used benzene,toluene,and xylene(BTX)in Shanghai,China.Methods All data for the study were obtained from 1,705 occupational health examination and evaluation reports from 2013 to 2017,and a semiquantitative model following Chinese OHRA guidelines(GBZ/T 298-2017)was applied for the assessment.Results The selected enterprises using BTX were mainly involved in manufacturing of products.Using the exposure level method,health risk levels associated with exposure to BTX were classified as medium,negligible,or low.However,the risk levels associated with benzene and toluene were significantly different according to job types,with gluers and inkers exhibiting greater health risks.For the same job type,the health risk levels assessed using the comprehensive index method were higher than those using the exposure level method.Conclusion Our OHRA reveals that workers who are exposed to BTX still face excessive health risk.Additionally,the risk level varied depending on job categories and exposure to specific chemicals.Therefore,additional control measures recommended by OHRA guidelines are essential to reduce worker exposure levels.

Research on the Model of Household Credit Risk Evaluation of Rural Microfinance

Since rural microfinance is a credit which grants loans without collateral and guarantees to farmers,it is considerably important to evaluate and control the household credit risk.Through establishing the evaluation index system and then using catastrophe progression theory,three common types of catastrophe system and the normalization formula,we get the comprehensive evaluation.Finally,we take the empirical test and the result shows that this method is simpler and more objective which can be used by the credit cooperatives to decide whether to authorize the loans.

Analysis and evaluation of enterprise risk management capability elements

Research on enterprise risk management capability is conducted with a view of discerning and processing risks, in which an evaluation index system and an evaluation model of enterprise risk management capabilities are constructed. The risk management capability consists of four aspects, i.e. risk identification capability, risk assessment capability, risk planning capability and risk control capability. Risk identification and assessment capabilities reflect the level of enterprises on finding and analyzing risks efficiently, while risk planning and control capabilities reflect the level of enterprises on resolving risks effectively. Each of capabilities is then further divided into more detailed elements based on the characteristics of enterprise development for a quantitative analysis of enterprise risk management capability. The approach adopted is a quantitative technique based on the use of fuzzy comprehensive evaluation. Finally, a case is pulled in to illustrate the feasibility of the method from an empirical perspective. This study is expected to be helpful for enterprises in cultivating their core capabilities.

Development and Application of Oil-Spill Risk Assessment Model for Offshore Pipeline

To the potential oil-spill risk caused by offshore pipeline more attention has been paid after the Dalian oil spill incident from oil-pipeline explosion. Since then an issue about how to prevent and control the sudden oil-spill from the offshore pipeline has been raised. In this paper, we proposed an optimized model to analyze the main causes(probability) of spill and the consequence with the fuzzy comprehensive assessment model. Considering the complicated assessment process for oil-spill, the assessment factor system involving the spill probability and consequence was established based on the operative manual and statistic leakage/damage data of offshore pipeline in order to estimate the integrated spill risk score automatically. The evaluated factors of spill probability could be grouped into five aspects: corrosion, fatigue, national damage, third party, and operational fault; the consequence evaluated factors of spill included hazard of oil and impact-controlling capability. With some modifications based on experts' opinions, each of the evaluated factors in our work was developed with a relative weight and evaluation criterion. A test example for an offshore pipeline in the Bohai waters was described to show how the model can be used for an actual case in more detail. By using the oil-spill risk assessment model, it is easy to determine the risk level associated with the ongoing activity and management level and hence to take the risk mitigation action immediately.