Objective: To assess comprehensive care in the elderly population, as well as the quality of care in Primary Health Care. Methods: This is an exploratory descriptive study with a quantitative approach, conducted from ...Objective: To assess comprehensive care in the elderly population, as well as the quality of care in Primary Health Care. Methods: This is an exploratory descriptive study with a quantitative approach, conducted from July to December 2012, in the city of Santa Cruz, Rio Grande do Norte, Brazil. A sample of 130 subjects chosen by drawn was calculated, and data collection was performed at their homes. Results: There were interviewed 130 people, 92 (70.8%) women and 38 men (29.2%), with a minimum age of 60 and maximum of 96 years, with a mean of 72.8, median of 72.0 and a standard deviation of 8.3. Regarding the quality of care ratings of the PHC team, 48.5% (n = 63) of respondents stated this to be good, while 32.3% (n = 42) rated this as fair. Conclusions: In this perspective, one of the most appreciated meanings that were given to comprehensive care by health care professionals refers to holistic knowledge of each patient, resulting in the non-fragmentation of care. Thus, it is noticed that comprehensiveness has some weaknesses that need to be corrected, which shows the need for education and training of professionals assigned to primary health care services.展开更多
The Dajiu Lake is an important subtropical alpine wetland in central China.In May of 2019,an ecological investigation was conducted on water quality and aquatic organisms(phytoplankton,zooplankton and zoobenthos)of th...The Dajiu Lake is an important subtropical alpine wetland in central China.In May of 2019,an ecological investigation was conducted on water quality and aquatic organisms(phytoplankton,zooplankton and zoobenthos)of the Dajiu Lake in Shennongjia forest region.The results showed that parameters of water quality in No.5 and No.9 sub lakes of the Dajiu Lake corresponded with standard of class II water of the Environmental Quality Standards for Surface Water(GB 3838-2002),while other sub lakes corresponded with standard of class III water.Diversity indexes of phytoplankton and zooplankton ranged from 2.0 to 3.0,and there were two families(Chironomidae and Libellulidae Rambur)of one phylum(Arthropoda)in zoobenthos.Comprehensive health index of entropy weight was used to evaluate water ecological status of the Dajiu Lake,and water quality of No.5,No.8 and No.9 sub lakes was in a healthy status,while other sub lakes were in sub-health status.Finally,corresponding countermeasures were proposed according to protection needs of the Dajiu Lake.展开更多
Background Examining the health outcomes of veterans who have completed the United States Veterans Health Administration’s(VHA’s)Traumatic Brain Injury(TBI)Screening and Evaluation Program may aid in the refinement ...Background Examining the health outcomes of veterans who have completed the United States Veterans Health Administration’s(VHA’s)Traumatic Brain Injury(TBI)Screening and Evaluation Program may aid in the refinement and improvement of clinical care initiatives within the VHA.This study compared self-reported physical functioning,cardiometabolic health conditions,and health care utilization patterns in Million Veteran Program enrollees with TBI Screening and Evaluation Program data(collected between 2007 and 2019),with the goal of enhancing understanding of potentially modifiable health conditions in this population.Methods In this observational cohort study,veterans(n=16,452)were grouped based on the diagnostic outcome of the TBI Screening and Evaluation Program:1)negative TBI screen(Screen^(-));2)positive TBI screen but no confirmed TBI diagnosis[Screen^(+)/Comprehensive TBI Evaluation(CTBIE)^(-)];or 3)positive TBI screen and confirmed TBI diagnosis(Screen^(+)/CTBIE^(+)).Chi-square tests and analysis of covariance were used to explore group differences in physical functioning,cardiometabolic health conditions,and health care utilization patterns,and logistic regressions were used to examine predictors of Screen^(+/-)and CTBIE^(+/-)group status.Results The results showed that veterans in the Screen^(+)/CTBIE^(-)and Screen^(+)/CTBIE^(+)groups generally reported poorer levels of physical functioning(P’s<0.001,np2=0.02 to 0.03),higher rates of cardiometabolic health conditions(P’s<0.001,φ=0.14 to 0.52),and increased health care utilization(P’s<0.001,φ=0.14 to>0.5)compared with the Screen-group;however,health outcomes were generally comparable between the Screen^(+)/CTBIE^(-)and Screen^(+)/CTBIE^(+)groups.Follow-up analyses confirmed that while physical functioning,hypertension,stroke,healthcare utilization,and prescription medication use reliably distinguished between the Screen-and Screen^(+)groups(P’s<0.02,OR’s 0.78 to 3.38),only physical functioning distinguished between the Screen^(+)/CTBIE^(-)and Screen^(+)/CTBIE^(+)groups(P<0.001,OR 0.99).Conclusions The findings suggest that veterans who screen positive for TBI,regardless of whether they are ultimately diagnosed with TBI,are at greater risk for negative health outcomes,signifying that these veterans represent a vulnerable group that may benefit from increased clinical care and prevention efforts.展开更多
该研究设计以罗汉果为核心的具有清咽润喉和润肠通便双功能的保健食品配方,并对其进行综合评价。通过收集整理含罗汉果的保健食品批文、专利和中成药信息建立数据库,使用关联规则算法(Apriori)、层次分析法(analytic hierarchy process,...该研究设计以罗汉果为核心的具有清咽润喉和润肠通便双功能的保健食品配方,并对其进行综合评价。通过收集整理含罗汉果的保健食品批文、专利和中成药信息建立数据库,使用关联规则算法(Apriori)、层次分析法(analytic hierarchy process,AHP)、熵权法、逼近理想解排序法(technique for order preference by similarity to solution,TOPSIS)等机器学习算法挖掘其中原料药味配方规律。围绕药味类别、归经和现有处方类型构建AHP评价体系计算原料功效得分,同时对原料口感、频率赋值,以此为依据筛选药味并结合中医药理论进行配方。利用AHP计算“君臣佐使”权重向量,配方中所选原料的3项得分分别按君臣佐使加权后求和,得到“配方功效-配方频率-配方口感”矩阵,利用熵权法处理矩阵后使用TOPSIS法进行综合评价,实现配方设计。收集数据建立清咽通便双功能原料数据库,得到的40味原料以补虚药与清热药居多。其中经AHP评价功效得分较高(>1.0)的共有16种不同原料,除罗汉果外排名前5的分别为甘草、蜂蜜、玉竹、陈皮和西洋参。在此基础上,结合药对组合情况与原料口感得分,筛选得到包括罗汉果在内的11味候选原料,组成10个可能配方。对其进行熵权-TOPSIS分析评价后,由罗汉果、胖大海、麦冬、蜂蜜、甘草组成的配方排名第1位且与其他配方评分相差较大。该研究以罗汉果为例探究保健食品配方设计方法并实现配方多维度立体评价,为后续保健食品研发提供新的思路和方向。展开更多
韧性供应链能够抵御供应链中断造成的影响,并且快速恢复供应。结合指标体系构建原则及城市应对突发公共卫生事件处理流程,构建了突发公共卫生事件下城市生活保障供应链韧性评价指标体系,运用改进的熵值法、变异系数法和指标信息贡献率...韧性供应链能够抵御供应链中断造成的影响,并且快速恢复供应。结合指标体系构建原则及城市应对突发公共卫生事件处理流程,构建了突发公共卫生事件下城市生活保障供应链韧性评价指标体系,运用改进的熵值法、变异系数法和指标信息贡献率等方法对原始指标进行筛选及合理性检验,最后通过熵权-逼近理想解法(Technique for Order Preference by Similarity to an Ideal Solution,TOPSIS)对供应链韧性水平进行综合评价并提出发展建议。以兰州市为实例,验证了指标筛选方法的有效性。展开更多
文摘Objective: To assess comprehensive care in the elderly population, as well as the quality of care in Primary Health Care. Methods: This is an exploratory descriptive study with a quantitative approach, conducted from July to December 2012, in the city of Santa Cruz, Rio Grande do Norte, Brazil. A sample of 130 subjects chosen by drawn was calculated, and data collection was performed at their homes. Results: There were interviewed 130 people, 92 (70.8%) women and 38 men (29.2%), with a minimum age of 60 and maximum of 96 years, with a mean of 72.8, median of 72.0 and a standard deviation of 8.3. Regarding the quality of care ratings of the PHC team, 48.5% (n = 63) of respondents stated this to be good, while 32.3% (n = 42) rated this as fair. Conclusions: In this perspective, one of the most appreciated meanings that were given to comprehensive care by health care professionals refers to holistic knowledge of each patient, resulting in the non-fragmentation of care. Thus, it is noticed that comprehensiveness has some weaknesses that need to be corrected, which shows the need for education and training of professionals assigned to primary health care services.
基金Supported by Key Scientific Research Project of Hubei Department of Water Resources in 2017(HBSLKY201719).
文摘The Dajiu Lake is an important subtropical alpine wetland in central China.In May of 2019,an ecological investigation was conducted on water quality and aquatic organisms(phytoplankton,zooplankton and zoobenthos)of the Dajiu Lake in Shennongjia forest region.The results showed that parameters of water quality in No.5 and No.9 sub lakes of the Dajiu Lake corresponded with standard of class II water of the Environmental Quality Standards for Surface Water(GB 3838-2002),while other sub lakes corresponded with standard of class III water.Diversity indexes of phytoplankton and zooplankton ranged from 2.0 to 3.0,and there were two families(Chironomidae and Libellulidae Rambur)of one phylum(Arthropoda)in zoobenthos.Comprehensive health index of entropy weight was used to evaluate water ecological status of the Dajiu Lake,and water quality of No.5,No.8 and No.9 sub lakes was in a healthy status,while other sub lakes were in sub-health status.Finally,corresponding countermeasures were proposed according to protection needs of the Dajiu Lake.
基金supported by a Career Development Award awarded to Dr. Merritt from the VA Clinical Science Research&Development Service (IK2 CX001952)Dr. Clark received start-up funds from the University of Texas at Austin that further supported this work。
文摘Background Examining the health outcomes of veterans who have completed the United States Veterans Health Administration’s(VHA’s)Traumatic Brain Injury(TBI)Screening and Evaluation Program may aid in the refinement and improvement of clinical care initiatives within the VHA.This study compared self-reported physical functioning,cardiometabolic health conditions,and health care utilization patterns in Million Veteran Program enrollees with TBI Screening and Evaluation Program data(collected between 2007 and 2019),with the goal of enhancing understanding of potentially modifiable health conditions in this population.Methods In this observational cohort study,veterans(n=16,452)were grouped based on the diagnostic outcome of the TBI Screening and Evaluation Program:1)negative TBI screen(Screen^(-));2)positive TBI screen but no confirmed TBI diagnosis[Screen^(+)/Comprehensive TBI Evaluation(CTBIE)^(-)];or 3)positive TBI screen and confirmed TBI diagnosis(Screen^(+)/CTBIE^(+)).Chi-square tests and analysis of covariance were used to explore group differences in physical functioning,cardiometabolic health conditions,and health care utilization patterns,and logistic regressions were used to examine predictors of Screen^(+/-)and CTBIE^(+/-)group status.Results The results showed that veterans in the Screen^(+)/CTBIE^(-)and Screen^(+)/CTBIE^(+)groups generally reported poorer levels of physical functioning(P’s<0.001,np2=0.02 to 0.03),higher rates of cardiometabolic health conditions(P’s<0.001,φ=0.14 to 0.52),and increased health care utilization(P’s<0.001,φ=0.14 to>0.5)compared with the Screen-group;however,health outcomes were generally comparable between the Screen^(+)/CTBIE^(-)and Screen^(+)/CTBIE^(+)groups.Follow-up analyses confirmed that while physical functioning,hypertension,stroke,healthcare utilization,and prescription medication use reliably distinguished between the Screen-and Screen^(+)groups(P’s<0.02,OR’s 0.78 to 3.38),only physical functioning distinguished between the Screen^(+)/CTBIE^(-)and Screen^(+)/CTBIE^(+)groups(P<0.001,OR 0.99).Conclusions The findings suggest that veterans who screen positive for TBI,regardless of whether they are ultimately diagnosed with TBI,are at greater risk for negative health outcomes,signifying that these veterans represent a vulnerable group that may benefit from increased clinical care and prevention efforts.
文摘该研究设计以罗汉果为核心的具有清咽润喉和润肠通便双功能的保健食品配方,并对其进行综合评价。通过收集整理含罗汉果的保健食品批文、专利和中成药信息建立数据库,使用关联规则算法(Apriori)、层次分析法(analytic hierarchy process,AHP)、熵权法、逼近理想解排序法(technique for order preference by similarity to solution,TOPSIS)等机器学习算法挖掘其中原料药味配方规律。围绕药味类别、归经和现有处方类型构建AHP评价体系计算原料功效得分,同时对原料口感、频率赋值,以此为依据筛选药味并结合中医药理论进行配方。利用AHP计算“君臣佐使”权重向量,配方中所选原料的3项得分分别按君臣佐使加权后求和,得到“配方功效-配方频率-配方口感”矩阵,利用熵权法处理矩阵后使用TOPSIS法进行综合评价,实现配方设计。收集数据建立清咽通便双功能原料数据库,得到的40味原料以补虚药与清热药居多。其中经AHP评价功效得分较高(>1.0)的共有16种不同原料,除罗汉果外排名前5的分别为甘草、蜂蜜、玉竹、陈皮和西洋参。在此基础上,结合药对组合情况与原料口感得分,筛选得到包括罗汉果在内的11味候选原料,组成10个可能配方。对其进行熵权-TOPSIS分析评价后,由罗汉果、胖大海、麦冬、蜂蜜、甘草组成的配方排名第1位且与其他配方评分相差较大。该研究以罗汉果为例探究保健食品配方设计方法并实现配方多维度立体评价,为后续保健食品研发提供新的思路和方向。
文摘韧性供应链能够抵御供应链中断造成的影响,并且快速恢复供应。结合指标体系构建原则及城市应对突发公共卫生事件处理流程,构建了突发公共卫生事件下城市生活保障供应链韧性评价指标体系,运用改进的熵值法、变异系数法和指标信息贡献率等方法对原始指标进行筛选及合理性检验,最后通过熵权-逼近理想解法(Technique for Order Preference by Similarity to an Ideal Solution,TOPSIS)对供应链韧性水平进行综合评价并提出发展建议。以兰州市为实例,验证了指标筛选方法的有效性。
