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Effects of serum inflammatory factors,health index and disease activity scores on ankylosing spondylitis patients with sleep disorder
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作者 Hui Wang Jia-Ying Sun Yue Zhang 《World Journal of Psychiatry》 SCIE 2024年第6期866-875,共10页
BACKGROUND Patients with ankylosing spondylitis(AS)frequently suffer from comorbid sleep disorders,exacerbating the burden of the disease and affecting their quality of life.AIM To investigate the clinical significanc... BACKGROUND Patients with ankylosing spondylitis(AS)frequently suffer from comorbid sleep disorders,exacerbating the burden of the disease and affecting their quality of life.AIM To investigate the clinical significance of serum inflammatory factors,health index and disease activity scores in patients with AS complicated by sleep disorders.METHODS A total of 106 AS patients with comorbid sleep disorders were included in the study.The patients were grouped into the desirable and undesirable prognosis groups in accordance with their clinical outcomes.The serum levels of inflammatory factors,including C-reactive protein,erythrocyte sedimentation rate,interleukin(IL)-6,tumour necrosis factor-αand IL-1β,were measured.Disease activity scores,such as the Bath AS functional index,Bath AS disease activity index,Bath AS metrology index and AS disease activity score,were assessed.The health index was obtained through the Short Form-36 questionnaire.RESULTS The study found significant associations amongst serum inflammatory factors,health index and disease activity scores in AS patients with comorbid sleep disorders.Positive correlations were found between serum inflammatory factors and disease activity scores,indicating the influence of heightened systemic inflammation on disease severity and functional impairment.Conversely,negative correlations were found between disease activity scores and health index parameters,highlighting the effect of disease activity on various aspects of healthrelated quality of life.Logistic regression analysis further confirmed the predictive value of these factors on patient outcomes,underscoring their potential utility in risk assessment and prognostication.CONCLUSION The findings demonstrate the intricate interplay amongst disease activity,systemic inflammation and patientreported health outcomes in AS patients complicated by sleep disorders.The results emphasise the need for comprehensive care strategies that address the diverse needs and challenges faced by these patients and underscore the potential relevance of serum inflammatory factors,health index and disease activity scores as prognostic markers in this patient population. 展开更多
关键词 Inflammatory factors Disease activity scores health index Ankylosing spondylitis Sleep disorders
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Combining RUSLE model and the vegetation health index to unravel the relationship between soil erosion and droughts in southeastern Tunisia 被引量:1
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作者 Olfa TERWAYET BAYOULI ZHANG Wanchang Houssem TERWAYET BAYOULI 《Journal of Arid Land》 SCIE CSCD 2023年第11期1269-1289,共21页
Droughts and soil erosion are among the most prominent climatic driven hazards in drylands,leading to detrimental environmental impacts,such as degraded lands,deteriorated ecosystem services and biodiversity,and incre... Droughts and soil erosion are among the most prominent climatic driven hazards in drylands,leading to detrimental environmental impacts,such as degraded lands,deteriorated ecosystem services and biodiversity,and increased greenhouse gas emissions.In response to the current lack of studies combining drought conditions and soil erosion processes,in this study,we developed a comprehensive Geographic Information System(GIS)-based approach to assess soil erosion and droughts,thereby revealing the relationship between soil erosion and droughts under an arid climate.The vegetation condition index(VCI)and temperature condition index(TCI)derived respectively from the enhanced vegetation index(EVI)MOD13A2 and land surface temperature(LST)MOD11A2 products were combined to generate the vegetation health index(VHI).The VHI has been conceived as an efficient tool to monitor droughts in the Negueb watershed,southeastern Tunisia.The revised universal soil loss equation(RUSLE)model was applied to quantitatively estimate soil erosion.The relationship between soil erosion and droughts was investigated through Pearson correlation.Results exhibited that the Negueb watershed experienced recurrent mild to extreme drought during 2000–2016.The average soil erosion rate was determined to be 1.8 t/(hm2•a).The mountainous western part of the watershed was the most vulnerable not only to soil erosion but also to droughts.The slope length and steepness factor was shown to be the most significant controlling parameter driving soil erosion.The relationship between droughts and soil erosion had a positive correlation(r=0.3);however,the correlation was highly varied spatially across the watershed.Drought was linked to soil erosion in the Negueb watershed.The current study provides insight for natural disaster risk assessment,land managers,and stake-holders to apply appropriate management measures to promote sustainable development goals in fragile environments. 展开更多
关键词 DROUGHTS soil erosion vegetation health index(Vhi) revised universal soil loss equation(RUSLE)model southeastern Tunisia
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Health risk assessment of heavy metals in soils and crops in a mining area(Au-Ag-Cutrona-oil et al.) of the Nanyang Basin, Henan Province, China 被引量:2
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作者 Qiu-yao Dong Hao-tian Wen +5 位作者 Pan Wang Chao Song Shu-ya Lai Zhen-jing Yang Yuan-yi Zhao Ming-jiang Yan 《China Geology》 CAS CSCD 2023年第4期567-579,共13页
Heavy metal distribution in mining areas has always been a hot research topic due to the special environment of these areas. This study aims to explore the impact of heavy metal pollution on soils and crops in the stu... Heavy metal distribution in mining areas has always been a hot research topic due to the special environment of these areas. This study aims to explore the impact of heavy metal pollution on soils and crops in the study area, ensure the safety of local crops and the health of local residents, and provide a basis for the subsequent environmental restoration and the prevention and control of environmental pollution. Based on the analysis of the heavy metal concentrations in local soils and crops, the study investigated the spatial distribution, pollution degrees, and potential ecological risks of heavy metals in the farmland of a mining area in the southeastern Nanyang Basin, Henan province, China explored the sources of heavy metals and assessed the health risks caused by crop intake. The results of this study are as follows. The root soils of crops in the study area suffered heavy metal pollution to varying degrees. The degree of heavy metal pollution in maize fields is higher than that in wheat fields, and both types of fields suffer the most severe Cd pollution. Moreover, the root soils of different crops suffer compound pollution.The root soils in the maize fields suffer severe compound pollution at some sampling positions, whose distribution is similar to that of the mining area. Cd poses the highest potential ecological risks among all heavy metals, and the study area mainly suffers low and moderate comprehensive potential ecological risks. The principal component analysis(PCA) shows that the distribution of Zn, Cd, Pb, and As in soils of the study area is mainly affected by anthropogenic factors such as local mining activities;the distribution of Cr and Ni is primarily controlled by the local geological background;the distribution of Hg is mainly affected by local vehicle exhaust emissions, and the distribution of Cu is influenced by both human activities and the geological background. Different cereal crops in the study area are polluted with heavy metals dominated by Cd and Ni to varying degrees, especially wheat. As indicated by the health risk assessment results, the intake of maize in the study area does not pose significant human health risks;however, Cu has high risks to human health, and the compound heavy metal pollution caused by the intake of wheat in the study area poses risks to the health of both adults and children. Overall, the soils and crops in the study area suffer a high degree of heavy metal pollution, for which mining activities may be the main reason. 展开更多
关键词 Heavy metal Zn-Cd-Pb pollution Cr-Ni pollution As pollution Natural ecosystem health risk assessment Adult-children health risk Ecological risk index(ERI) Ecological geological engineering Mining activity
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Analysing the relationship between drought and soil erosion using vegetation health index and RUSLE models in Godavari middle sub-basin,India 被引量:4
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作者 Md Masroor Haroon Sajjad +5 位作者 Sufia Rehman Roshani Singh Md Hibjur Rahaman Mehebub Sahana Raihan Ahmed Ram Avtar 《Geoscience Frontiers》 SCIE CAS CSCD 2022年第2期21-33,共13页
Drought is a natural phenomenon posing severe implications for soil,groundwater and agricultural yield.It has been recognized as one of the most pervasive global change drivers to affect the soil.Soil being a weakly r... Drought is a natural phenomenon posing severe implications for soil,groundwater and agricultural yield.It has been recognized as one of the most pervasive global change drivers to affect the soil.Soil being a weakly renewable resource takes a long time to form,but it takes no time to degrade.However,the response of soil to drought conditions as soil loss is not manifested in the existing literature.Thus,this study makes a concerted effort to analyze the relationship between drought conditions and soil erosion in the middle sub-basin of the Godavari River in India.MODIS remote sensing data was utilized for driving drought indices during 2000-2019.Firstly,we constricted Temperature condition index(TCI)and Vegetation Condition Index(VCI)from Land Surface Temperature(LST)and Enhanced Vegetation Index(EVI)derived from MODIS data.TCI and VCI were then integrated to determine the Vegetation Health Index(VHI).Revised Universal Soil Loss Equation(RUSLE)was utilized for estimating soil loss.The relationship between drought condition and vegetation was ascertained using the Pearson correlation.Most of the northern and southern watersheds experienced severe drought condition in the sub-basin during2000-2019.The mean frequency of the drought occurrence was 7.95 months.The average soil erosion in the sub-basin was estimated to be 9.88 t ha^(-1)year^(-1).A positive relationship was observed between drought indices and soil erosion values(r value being 0.35).However,wide variations were observed in the distribution of spatial correlation.Among various factors,the slope length and steepness were found to be the main drivers of soil erosion in the sub-basin.Thus,the study calls for policy measures to lessen the impact of drought and soil erosion. 展开更多
关键词 Drought vulnerability Soil erosion RUSLE Vegetation health index(Vhi) Godavari middle sub-basin
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Deformation warning index for reinforced concrete dam based on structural health monitoring data and numerical simulation
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作者 Ming-qiang Zhan Bo Chen Zhong-ru Wu 《Water Science and Engineering》 EI CAS CSCD 2023年第4期408-418,共11页
The material mechanical parameters of the dam body and foundation will change when a dam is reinforced during the aging process.This causes significant changes in the structural state of the project and makes it diffi... The material mechanical parameters of the dam body and foundation will change when a dam is reinforced during the aging process.This causes significant changes in the structural state of the project and makes it difficult to ensure its structural safety.In this study,a new deformation warning index for reinforced concrete dams was developed according to the prototype monitoring data,statistical models,three-dimensional finite element model(FEM)numerical simulation,and the critical conditions of the dam structure.A statistical model was established to separate the water pressure component.Then,a three-dimensional FEM of the reinforced concrete dam was constructed to simulate the water pressure component.Furthermore,the deformation components that affected the mechanical parameters of the dam under the same amount of reservoir water level change were separated and quantified accurately.In addition,the method for inversion of comprehensive mechanical parameters after dam reinforcement was used.The influence mechanisms of the deformation behavior of concrete dams under the reservoir water level and temperature changes were investigated.A new deformation warning index was developed by combining the forward-simulated critical water pressure component and temperature component in the period of extreme temperature decrease with the aging component separated by the statistical model.The new deformation warning index considers the structural state of the dam before and after reinforcement and links the structural strength criterion and the deformation evolution mechanisms.It provides a theoretical foundation and decision support for long-term service and operation management of reinforced dams. 展开更多
关键词 Deformation warning index Structural health monitoring Finite element simulation REINFORCEMENT Multiple-arch dam Parameter inverse analysis
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Assessment of the triglyceride glucose index in adult patients with chronic diarrhea and constipation
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作者 Jing-Yi Zhu Mu-Yun Liu Chang Sun 《World Journal of Clinical Cases》 SCIE 2024年第6期1094-1103,共10页
BACKGROUND Accumulating evidence suggests that the gut microbiome is involved in the pathogenesis of insulin resistance(IR).However,the link between two of the most prevalent bowel disorders,chronic diarrhea and const... BACKGROUND Accumulating evidence suggests that the gut microbiome is involved in the pathogenesis of insulin resistance(IR).However,the link between two of the most prevalent bowel disorders,chronic diarrhea and constipation,and the triglyceride glucose(TyG)index,a marker of IR,has not yet been investigated.AIM To investigate the potential association between TyG and the incidence of chronic diarrhea and constipation.METHODS This cross-sectional study enrolled 2400 participants from the National Health and Nutrition Examination Survey database from 2009-2010.TyG was used as an exposure variable,with chronic diarrhea and constipation as determined by the Bristol Stool Form Scale used as the outcome variables.A demographic investigation based on TyG quartile subgroups was performed.The application of multivariate logistic regression models and weighted generalized additive models revealed potential correlations between TyG,chronic diarrhea,and constipation.Subgroup analyses were performed to examine the stability of any potential associations.RESULTS In the chosen sample,chronic diarrhea had a prevalence of 8.00%,while chronic constipation had a prevalence of 8.04%.In multiple logistic regression,a more prominent positive association was found between TyG and chronic diarrhea,particularly in model 1(OR=1.45;95%CI:1.17-1.79,P=0.0007)and model 2(OR=1.40;95%CI:1.12-1.76,P=0.0033).No definite association was observed between the TyG levels and chronic constipation.The weighted generalized additive model findings suggested a more substantial positive association with chronic diarrhea when TyG was less than 9.63(OR=1.89;95%CI:1.05-3.41,P=0.0344),and another positive association with chronic constipation when it was greater than 8.2(OR=1.74;95%CI:1.02-2.95,P=0.0415).The results of the subgroup analyses further strengthen the extrapolation of these results to a wide range of populations.CONCLUSION Higher TyG levels were positively associated with abnormal bowel health. 展开更多
关键词 Triglyceride glucose index National health and Nutrition Examination Survey Chronic diarrhea Chronic constipation Cross-sectional study Bowel health
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Association of Congenital Heart Defects (CHD) with Factors Related to Maternal Health and Pregnancy in Newborns in Puerto Rico
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作者 Yamixa Delgado Caliani Gaytan +3 位作者 Naydi Perez Eric Miranda Bryan Colón Morales Mónica Santos 《Congenital Heart Disease》 SCIE 2024年第1期19-31,共13页
Background:Given the pervasive issues of obesity and diabetes both in Puerto Rico and the broader United States,there is a compelling need to investigate the intricate interplay among body mass index(BMI),pregesta-tio... Background:Given the pervasive issues of obesity and diabetes both in Puerto Rico and the broader United States,there is a compelling need to investigate the intricate interplay among body mass index(BMI),pregesta-tional,and gestational maternal diabetes,and their potential impact on the occurrence of congenital heart defects(CHD)during neonatal development.Methods:Using the comprehensive System of Vigilance and Surveillance of Congenital Defects in Puerto Rico,we conducted a focused analysis on neonates diagnosed with CHD between 2016 and 2020.Our assessment encompassed a range of variables,including maternal age,gestational age,BMI,pregestational diabetes,gestational diabetes,hypertension,history of abortion,and presence of preeclampsia.Results:A cohort of 673 patients was included in our study.The average maternal age was 26 years,within a range of 22 to 32 years.The mean gestational age measured 39 weeks,with a median span of 38 to 39 weeks.Of the 673 patients,274(41%)mothers gave birth to neonates diagnosed with CHD.Within this group,22 cases were linked to pre-gestational diabetes,while 202 were not;20 instances were associated with gestational diabetes,compared to 200 without;and 148 cases exhibited an overweight or obese BMI,whereas 126 displayed a normal BMI.Conclusion:We identified a statistically significant correlation between pre-gestational diabetes mellitus and the occurrence of CHD.However,our analysis did not show a statistically significant association between maternal BMI and the likelihood of CHD.These results may aid in developing effective strategies to prevent and manage CHD in neonates. 展开更多
关键词 Congenital heart defects(CHD) obesisty maternal health DIABETES body mass index(BMI)
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Work Ability Index and Work Ability Score: A Comparation between both Scores in a Persistent COVID-19 Cohort
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作者 Carmen Muñoz-Ruiperez Diego Alvaredo Rodrigo +3 位作者 Daniel Arroyo-Sánchez Juan Francisco Álvarez Zarallo Ignacio Sánchez-Arcilla Conejo José Lorenzo Bravo Grande 《Occupational Diseases and Environmental Medicine》 2024年第1期49-57,共9页
Aims: The present study aims to compare the assessment of work ability based on the use of the Work Ability Index (WAI) with another questionnaire base only on the use of WAI’s first item, termed as the “Work Abilit... Aims: The present study aims to compare the assessment of work ability based on the use of the Work Ability Index (WAI) with another questionnaire base only on the use of WAI’s first item, termed as the “Work Ability Score” (WAS). Study design: A cohort of 384 Spanish workers included in a Post COVID-19 condition or persistent COVID-19 multicenter research was utilized. Place and Duration of Study: This cohort was enlisted in four hospitals (Hospital Universitario 12 de Octubre, Madrid;Hospital Universitario Virgen Macarena, Sevilla, Andalucía;Hospital Universitario Gregorio Marañón, Madrid and Complejo Asistencial Universitario de Salamanca, Castilla y León), since 2021 until 2022. Methodology: 384 Spanish workers (176 men and 208 women;aged 20 to 70 years) with Post COVID-19 condition or persistent COVID-19 were included. Descriptive analysis of primary scores was conducted. Given the non-normal distribution of data, the Mann-Whitney and Kruskal-Wallis tests were employed. Spearman and Kendall correlations were employed to assess the relationship between WAI and WAS, also used weighted Kappa to estimate the degree agreement between WAI and WAS. Logistic regression models were utilized to study determinants influencing WAI and WAS, categorized as poor or moderate. Results: WAI had an average score of 32.98 (SD = 10.28), whereas WAS had an average of 5.95 (SD = 2.77). Significant differences were observed in both WAI and WAS across the same variables. Strong and statistically significant correlations were evident between WAI and WAS (rs = 0.83, p < 0.001). All the variables used in the logistic regression model (gender, the sector employment, and previous chronic diseases) were statistically significant in both questionnaires. Conclusion: WAS questionnaire could be used as a tool for reliable assessment of work ability among Spanish workers with Post COVID-19 condition or Persistent CO-VID-19. 展开更多
关键词 Work Ability index Work Ability Score Post COVID-19 Condition Occupational health Occupational Medicine
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彭州市本地化环境空气质量健康指数(AQHI)构建
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作者 赖长邈 田晓刚 +3 位作者 姜涛 刘思瑶 王志凯 周美君 《四川环境》 2024年第1期1-7,共7页
为了科学评估和系统表征大气污染对人群健康的潜在风险,研究通过采用广义相加时间序列模型(Generalized Additive Models,GAM),拟合了彭州市大气污染浓度与人群呼吸系统疾病就诊人数的暴露-反应关系,获取了相应的回归系数(β),构建了彭... 为了科学评估和系统表征大气污染对人群健康的潜在风险,研究通过采用广义相加时间序列模型(Generalized Additive Models,GAM),拟合了彭州市大气污染浓度与人群呼吸系统疾病就诊人数的暴露-反应关系,获取了相应的回归系数(β),构建了彭州市环境空气健康指数(Air Quality Health Index,AQHI)的计算方法并分级分类。结果表明,NO_(2)、PM_(10)、PM_(2.5)、O_(3)与人群呼吸系统疾病之间具有统计学意义上相关性,且最佳滞后时间及其相对危险度(Relative Risk,RR)存在差异,分别为0天(1.068)、7天(1.025)、7天(1.023)、1天(1.028),相应的回归系数(β)分别为0.0038872、0.0006119、0.0009031、0.0004203;构建的AQHI根据超额风险率(Extra-risk Rate,ER)共划分为4类11级,能够对大气污染潜在的健康风险进行评估,从而指导公众健康生活和出行,符合未来环境健康管理的趋势。 展开更多
关键词 环境空气质量健康指数(AQhi) 时间序列分析 呼吸系统疾病 暴露-反应关系 大气污染
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基于HI-SVM的老年人跌倒风险评估
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作者 徐方超 韩兰侠 +3 位作者 孙凤 郭辉 周冉 张琪 《实验技术与管理》 CAS 北大核心 2023年第10期36-41,共6页
跌倒是影响老年人健康的重要潜在风险因素,准确判断老年人的跌倒风险等级对于提高老年人健康水平至关重要。该文提出了一种基于健康指数(health index,HI)和支持向量机(support vector machine,SVM)模型的新方法,用于判断老年人(60~79岁... 跌倒是影响老年人健康的重要潜在风险因素,准确判断老年人的跌倒风险等级对于提高老年人健康水平至关重要。该文提出了一种基于健康指数(health index,HI)和支持向量机(support vector machine,SVM)模型的新方法,用于判断老年人(60~79岁)的跌倒风险等级。首先,通过HI获得老年人跌倒风险等级的具体分类指标,用于训练HI-SVM模型并建立模型库;然后,利用建立的HI-SVM模型对测试样本进行识别,根据HI确定的风险等级值判断老年人的跌倒风险等级;最后,分别使用网格搜索(grid search,GS)、粒子群优化算法(particle swarm optimization,PSO)和灰狼算法(grey wolf optimizer,GWO)优化SVM参数后,模型的预测准确率可达97.1429%。该方法能够准确识别老年人的跌倒风险等级,为预防老年人跌倒提供了科学的依据。 展开更多
关键词 健康指数 支持向量机 跌倒风险 老年人 加速度传感器
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Research on the construction of precise and healtli poverty -leviation performanceindex based on Analytic Hierarchy Process. 被引量:3
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作者 李相荣 汤榕 +2 位作者 王维成 杨静 常高峰 《卫生软科学》 2018年第5期21-23,共3页
"在文献研究法、 专家咨询法的基础上, 遵循科学性、 可操作性、 定性与定量相结合的原则, 采用层次分析法构建精准健康扶贫绩效评价指标体系,最终建立1个一级指标、3个二级指标、18个三级指标,为今后评价健康扶贫工作效果提供参考.
关键词 健康扶贫 绩效指标 层析分析法
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VOR and CVOR Index for Health Evaluation of Typical Steppe in Inner Mongolia 被引量:2
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作者 SHAN Gui-lian JIANG Hua +4 位作者 YAN Wei-hong Liu Zhong-ling LUO Fu-cheng DUAN Xin-hui CHU Xiao-hui 《Animal Husbandry and Feed Science》 CAS 2012年第6期266-270,共5页
[Objective] The aim of this study was to evaluate the effect of livestock exclusion on the health of grassland ecosystem accurately and quantitatively. [Method] One open grazing site and five seasonal exclusion sites,... [Objective] The aim of this study was to evaluate the effect of livestock exclusion on the health of grassland ecosystem accurately and quantitatively. [Method] One open grazing site and five seasonal exclusion sites, which had the same vegetation composition (taking Leymus chinensis and Stipa krylovii as main species) and soil type, were chosen as research objects for the VOR and CVOR evaluation of the effect of open grazing and livestock exclusion on the health of typical steppes, and for building the calculation model for VOR and CVOR indices to evaluate the health of typical steppes with different exclusion periods. [ Result] The VOR and CVOR composite indices both could accurately evaluate the health of typical steppes, and the evaluation results from the both indices were quite consistent. Although the condition (C), vigor(V), organization (O) and resilience( R ) indices changed differently in different exclusion periods, the VOR and CVOR composite indices increased gradually with the peri- od of exclusion prolonged, and the health condition of typical steppe changed from "alert" level (in the open grazing and earlier exclusion period) to "healthy" level (after 13 to 20 years'exclusion). [ Conclusion] The application of exclusion was beneficial to the recovery of degraded grassland ecosystem. 展开更多
关键词 Typical steppe health evaluation GRAZING Seasonal exclusion VOR index CVOR index
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Joint Association of Metabolic Health and Obesity with Ten-Year Risk of Cardiovascular Disease among Chinese Adults 被引量:3
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作者 LIU Jun Ting YAO Hong Yan +4 位作者 YU Shi Cheng LIU Jian Jun ZHU Guang Jin HAN Shao Mei XU Tao 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2022年第1期13-21,共9页
Objective This study aims to investigate the association of metabolic phenotypes that are jointly determined by body mass index(BMI)or fat mass percentage and metabolic health status with the tenyear risk of cardiovas... Objective This study aims to investigate the association of metabolic phenotypes that are jointly determined by body mass index(BMI)or fat mass percentage and metabolic health status with the tenyear risk of cardiovascular disease(CVD)among Chinese adults.Methods Data were obtained from a cross-sectional study.BMI and body fat mass percentage(FMP)combined with the metabolic status were used to define metabolic phenotypes.Multiple linear regression and logistic regression were used to examine the effects of metabolic phenotypes on CVD risk.Results A total of 13,239 adults aged 34-75 years were included in this study.Compared with the metabolically healthy non-obese(MHNO)phenotype,the metabolically unhealthy non-obese(MUNO)and metabolically unhealthy obese(MUO)phenotypes defined by BMI showed a higher CVD risk[odds ratio,OR(95% confidence interval,CI):2.34(1.89-2.89),3.45(2.50-4.75),respectively],after adjusting for the covariates.The MUNO and MUO phenotypes defined by FMP showed a higher CVD risk[OR(95%CI):2.31(1.85-2.88),2.63(1.98-3.48),respectively]than the MHNO phenotype.The metabolically healthy obese phenotype,regardless of being defined by BMI or FMP,showed no CVD risk compared with the MHNO phenotype.Conclusion General obesity without central obesity does not increase CVD risk in metabolically healthy individuals.FMP might be a more meaningful factor for the evaluation of the association of obesity with CVD risk.Obesity and metabolic status have a synergistic effect on CVD risk. 展开更多
关键词 Body mass index Fat mass OBESITY Metabolic health Metabolic phenotype Cardiovascular risk
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The Establishment of a New Air Health Index Integrating the Mortality Risks Due to Ambient Air Pollution and Non-Optimum Temperature 被引量:2
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作者 Qingli Zhang Renjie Chen +5 位作者 Guanjin Yin Xihao Du Xia Meng Yang Qiu Haidong Kan Maigeng Zhou 《Engineering》 SCIE EI CAS 2022年第7期156-162,共7页
A composite Air Health Index(AHI)is helpful for separately emphasizing the health risks of multiple stimuli and communicating the overall risks of an adverse atmospheric environment to the public.We aimed to establish... A composite Air Health Index(AHI)is helpful for separately emphasizing the health risks of multiple stimuli and communicating the overall risks of an adverse atmospheric environment to the public.We aimed to establish a new AHI by integrating daily mortality risks due to air pollution with those due to non-optimum temperature in China.Based on the exposure-response(E-R)coefficients obtained from time-series models,the new AHI was constructed as the sum of excess mortality risk associated with air pollutants and non-optimum temperature in 272 Chinese cities from 2013 to 2015.We examined the association between the“total AHI”(based on total mortality)and total mortality,and further compared the ability of the“total AHI”to predict specific cardiopulmonary mortality with that of“specific AHIs”(based on specific mortalities).On average,air pollution and non-optimum temperature were associated with 28.23%of daily excess mortality,of which 23.47%was associated with non-optimum temperature while the remainder was associated with fine particulate matter(PM2.5)(1.12%),NO2(2.29%,),and O3(2.29%).The new AHI uses a 10-point scale and shows an average across all 272 cities of 6 points.The E-R curve for AHI and mortality is approximately linear,without any thresholds.Each one unit increase in“total AHI”is associated with a 0.84%increase in all-cause mortality and 1.01%,0.98%,1.02%,1.66%,and 1.71%increases in cardiovascular disease,coronary heart disease,stroke,respiratory diseases,and chronic obstructive pulmonary disease mortality,respectively.Cause-specific mortality risk estimates using the“total AHI”are similar to those predicted by“specific AHIs.”In conclusion,the“total AHI”proposed herein could be a promising tool for communicating health risks related to exposure to the ambient environment to the public. 展开更多
关键词 Air pollution TEMPERATURE Air health index MORTALITY Time-series Risk communication
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Poverty and Nutritional Health of the Child: Some Evidence from 2005 Demographic and Health Survey of Congo 被引量:1
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作者 Samuel Ambapour Jean Christophe Okandza Hylod Armel Moussana 《Health》 2015年第11期1466-1476,共11页
The objective of this study is to identify the ways in which poverty could affect the nutritional health of the child and to analyze the strength of these links. On the whole, it appears that the relationship between ... The objective of this study is to identify the ways in which poverty could affect the nutritional health of the child and to analyze the strength of these links. On the whole, it appears that the relationship between poverty (measured by the wealth index) and health of the child (measured by an anthropometric index) is positive and highly significant. 展开更多
关键词 WEALTH index NUTRITIONAL health of the ChiLD Height for Age Z-SCORE
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Occupational Heat Stress in the Floriculture Industry of Ethiopia: Health Risks and Productivity Losses 被引量:1
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作者 Belay Simane Abera Kumie +3 位作者 Kiros Berhane Jonathan Samet Tord Kjellstrom Jonathan Patz 《Health》 CAS 2022年第2期254-271,共18页
Background: The Ethiopian flower industry is growing fast with successful diversification of export products under greenhouse structures. Higher temperatures in the greenhouses pose a serious threat to the health of w... Background: The Ethiopian flower industry is growing fast with successful diversification of export products under greenhouse structures. Higher temperatures in the greenhouses pose a serious threat to the health of workers and add to the risk of occupational heat stress. Excessive heat in workplace settings also reduces work capacity and labour productivity. This study aims to investigate the level of heat exposure, and workers’ and managers’ perceptions and behavioural responses towards extreme heat exposure in a warming climate. Methods: We used the Wet Bulb Globe Temperature (WBGT) measured in representative greenhouses to capture the heat exposure during hotter and cooler seasons following ISO 7243 (generally risk of heat stress occurs when WBGT exceeds 26°C). A comparative cross-sectional study design with a stratified sampling method was used to assess occupational heat stress and workers’ perceptions of the impact of heat on their health and productivity in six different floriculture greenhouses in Ethiopia representing three different agro-ecologies and products. A questionnaire survey was conducted (30 managers/supervisors and 305 workers;76.1% female) to capture perceptions on heat exposures, symptoms of potential health impacts, productivity losses and coping mechanisms. Results: Heat exposure varied across different agroecologies, product types and greenhouse materials with a median WBGT Index of 25.5°C and a range from 18.1°C to 31.5°C. The impact of heat stress also varied across different employment sectors and geographical regions. Overall, workers in cut-flower greenhouses are exposed to higher than recommended WBGT Index (26°C) for 3 - 6 working hours daily. 65% of the managers reported that heat stress has a significant impact on the workers’ labour productivity, but do not have guidance about working in hot conditions. Workers reported more heat-related health issues and reduced productivity, especially in the mid-altitude greenhouses. About 50% of the workers reported that heat exposure decreased work productivity during hot hours. Sweating, exhaustion, heat-rashes, dehydration, crumps, nausea and headache were self-reported health issues. Labour productivity losses ranged from no loss to 19.5% in the mid- and low-altitudes. Conclusions and Recommendations: Excessive workplace heat in the greenhouses is both an occupational health hazard and detrimental to productivity in the floriculture industry. However, the level of understanding and actions on the ground regarding occupational heat stress are low. The code of conduct in place now does not consider the occupational heat stress issues. Multiple actions (engineering, management, training and policy-related recommendations) have to be implemented by Ethiopian Horticultural Producers and Exporters Association (EHPEA) and farm owners to mitigate heat stress and loss of productivity. Designing and implementing these heat prevention strategies and incorporating them into the code of conduct is in the interests of both employers and employees. 展开更多
关键词 FLORICULTURE Heat index health Impacts Occupational Heat Stress Productivity Losses
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Applications of lung clearance index in monitoring children with cystic fibrosis 被引量:1
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作者 Andrew Fretzayas Konstantinos Douros +1 位作者 Maria Moustaki Ioanna Loukou 《World Journal of Clinical Pediatrics》 2019年第2期15-22,共8页
A sensitive, reproducible and feasible measure of lung function for monitoring the respiratory health is a prerequisite for the optimization of management of the patients with cystic fibrosis(CF). Spirometry has been ... A sensitive, reproducible and feasible measure of lung function for monitoring the respiratory health is a prerequisite for the optimization of management of the patients with cystic fibrosis(CF). Spirometry has been considered the method of choice, although it is applicable only in children older than 6 years of age, as good cooperation is necessary for its proper performance. However, over the last15 years, scientific interest in gas dilution techniques and particularly in multiple breath wash out(MBW) method has been revived. The most commonly reported index of MBW is lung clearance index(LCI). The aim of this review is to present the most recent developments in the application of LCI as a monitoring index of respiratory status of CF patients. LCI is a sensitive and reproducible marker of ventilation inhomogeneity. It is more sensitive than spirometry and, unlike spirometry; it can be performed across the whole pediatric age range. Since it is dependent on body size, until at least the age of 6 years, the relative and not the absolute changes are more appropriate for providing clinically meaningful conclusion on ventilation inhomogeneity. Until now, MBW has been mainly used as a research tool. Based on the currently available data LCI cannot safely predict high-resolution computed tomography findings in children with CF, especially in infants. It can be used as an end-point measure for the assessment of beneficial effect of interventions. However, its utility as an outcome measure for the efficacy of therapeutic interventions seems to be dependent on the pathophysiologic mechanisms that underlie each intervention. It seems that more studies,especially longitudinal ones, are required in order to fully clarify the clinical usefulness of LCI, not only in the research setting, but also in every day practice of CF clinic. 展开更多
关键词 CYSTIC FIBROSIS RESPIRATORY health LUNG CLEARANCE index Ventilation INHOMOGENEITY
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Evaluation of groundwater quality using pollution index of groundwater(PIG) and non-carcinogenic health risk assessment in part of the Gangetic Basin 被引量:1
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作者 Apoorv Verma N.B.Singh 《Acta Geochimica》 EI CAS CSCD 2021年第3期419-440,共22页
The aim of this study was to evaluate groundwater fitness for domestic and irrigational use in Unnao district of Uttar Pradesh,India.For this study,block wise(n=16)groundwater samples were collected,and measured param... The aim of this study was to evaluate groundwater fitness for domestic and irrigational use in Unnao district of Uttar Pradesh,India.For this study,block wise(n=16)groundwater samples were collected,and measured parameters were analyzed using the pollution index of groundwater(PIG),various irrigational indices,and graphical techniques.The results of this study suggested that most of the parameters were within the prescribed limits of WHO and BIS,excluding F-(0.4 to 2.6 mg L^(-1))and Fe^(2+)(0.1 to 1.7 mg L^(-1)).Concentrations of total dissolved solids(TDS)were exceeded the desirable limit(>500 mg L^(-1))in 43.75%of samples at some sites.The Gibbs plot revealed that groundwater chemistry was governed by rock-water interaction in the region,especially silicate weathering.The Piper plot suggested that Ca^(2+)-HCO3-is dominant hydrochemical facies in the area followed by mixed Ca^(2+)-Na^(+)-HCO_(3)^(-)type,Na^(+)-Cl^(-)type,and Na^(+)-HCO_(3)^(-)type.PIG evaluation revealed that the contribution of F-and Fe2+in groundwater degradation is high in comparison to other elements in the region,about 18.75%samples showed low pollution,while about 6.25%samples shows moderate pollution,and 6.25%samples reflected high pollution.The human health risk(HHR)assessment finding suggested that children(mean:1.36)are more vulnerable than adults(mean:1.01).Sodium absorption ration(SAR),Residual sodium carbonate(RSC),and Permeability index(PI)indicated that most of the groundwater was suitable for irrigation,whereas,Magnesium hazard ration(MHR)and Potential salinity(PS)indices suggested that only 37.5%and 56.25%of the samples were suitable for irrigational use,respectively.This regional study would help in decision making for stakeholders and relevant authorities in the execution of groundwater management and remediation plans in the area. 展开更多
关键词 GROUNDWATER Pollution index of groundwater Irrigational indices Silicate weathering Human health risk
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Particulate Matter-Based Air Quality Index Estimate for Abuja, Nigeria: Implications for Health 被引量:1
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作者 Rogers Bariture Kanee Adewale Adeyemi +1 位作者 David Onojiede Edokpa Precious Nwobidi Ede 《Journal of Geoscience and Environment Protection》 2020年第5期313-321,共9页
In recent years, urban air quality in developing countries such as Nigeria has continued to degenerate and this has constituted a major environmental risk to human health. It has been shown that an increase in ambient... In recent years, urban air quality in developing countries such as Nigeria has continued to degenerate and this has constituted a major environmental risk to human health. It has been shown that an increase in ambient particulate matter (PM10) load of 10 μg/m3 reduces life expectancy by 0.64 years. Air Quality Index (AQI) as demonstrated in this study shows how relatively clean or polluted the boundary layer environment of any location can be. The study was designed to measure the level of suspended particulate matter (PM2.5 and PM10) for dry and wet seasons, compute the prevalent air quality index of selected locations in Abuja with possible health implications. Suspended particulate matter (PM2.5 and PM10) was assessed using handheld aerosol particulate sampler. The US Oak Ridge National AQI was adopted for the eleven (11) locations sampled and monitored. The study results showed that the air quality of the selected areas in Abuja were generally good and healthy. Dry season, assessments, showed 15 - 95 μg/m3 and 12 - 80 μg/m3 for PM2.5 and PM10, respectively. While in wet season, 09 - 75 μg/m3 and 07 - 65 μg/m3 were recorded for PM2.5 and PM10. However at Jebi Central Motor Park, there was light air contamination with AQI of 42 for dry season and 31 for wet season. Other locations had clean air with AQI ≤ 11. It is revealed that clean air exists generally during the wet season. Comparing study outcome to other cities in Nigeria, residents of Abuja are likely not to be affected with health hazards of particulate matter pollution. Nonetheless, the high range of PM2.5 and PM10 (fine and coarse particles) ratio evaluated i.e., 1.06 - 1.79 was higher than the WHO recommended standard of 0.5 - 0.8. This ratio remains a health concerns for sensitive inhabitants like pregnant women and their foetus as well as infants below age five whose respiratory airways are noted to have high surface areas and absorption capacity for fine particulate matter. Vegetation known to absorb suspended particulate matter should be planted across Abuja metropolitan areas and air quality monitoring stations installed at strategic locations for continuous monitoring and evaluations. 展开更多
关键词 AIR Pollution PARTICULATE Matter AIR Quality index Abuja health Effects
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Examining Health of Wetlands with Multiple Ecosystem Services as Targets in China’s Coastal Regions 被引量:1
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作者 ZHOU Yangming DOU Yuehan +10 位作者 YU Xiubo ZHANG Li HUANG Chong WANG Yuyu LI Xiaowei LI He JIA Yifei BAKKER Martha CARSJENS Gerrit Jan ZHOU Yan DUAN Houlang 《Chinese Geographical Science》 SCIE CSCD 2020年第4期600-613,共14页
Coastal zones are key interconnectors of terrestrial and marine ecosystems.Due to the degradation and fragmentation of coastal wetlands,there is an urgent need to develop assessment methodology to compare the health o... Coastal zones are key interconnectors of terrestrial and marine ecosystems.Due to the degradation and fragmentation of coastal wetlands,there is an urgent need to develop assessment methodology to compare the health of wetland ecosystems at different spatial scales.This will help efficiently develop and implement protections using easy-to-access ecosystem health data.This study aims to understand the spatial distribution of coastal and inland wetland health for China’s coastal regions.A Wetland Health Index(WHI)was developed to provide a basis for policy and decision making.Four utilization models—Long Term Model,Open Model,Nature Reserve Model,and Protected and Economic Model—were defined in the context of China’s coastal regions to specifically examine wetland health.Results show that the average WHI score was 63.6 with the range of 44.8–84.3 for 35 National Nature Reserves(NNRs),and the southern NNRs generally performed better than the northern NNRs.The wetlands in the southern provinces/municipalities are relatively healthier than their northern counterparts.The competent authority has slight influence on WHI scores but duration of conservation establishment does not show a clear correlation.With increasing economic activity,the differences in health conditions(WHI scores)of China’s coastal regions also increase.Gross Domestic Product(GDP)or economic intensification does not relate to WHI scores.Appropriate trade-offs between wetland management and economic development could contribute to improve health conditions,conservation and utilization of coastal and inland wetlands. 展开更多
关键词 Wetland health index(Whi) ecosystem services wetland utilization coastal zones
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