Effects of three-dimensional quality assessment nursing intervention on efficacy and disease management of patients undergoing esophageal cancer surgery

BACKGROUND Esophageal cancer is one of the most common malignant tumors.The three-dimensional quality structure model is a quality assessment theory that includes three dimensions:Structure,process,and results.AIM To investigate the effects of nursing interventions with three-dimensional quality assessment on the efficacy and disease management ability of patients undergoing esophageal cancer surgery.METHODS In this prospective study,the control group received routine nursing,and the intervention group additionally received a three-dimensional quality assessment intervention based on the above routine care.Self-efficacy and patient disease management abilities were evaluated using the General Self-Efficacy Scale(GSES)and Exercise of Self-Care Agency scale,respectively.IBM SPSS Statistics for Windows,version 17.0,was used for the data processing.RESULTS This study recruited 112 patients who were assigned to the control and experi-mental groups(n=56 per group).Before the intervention,there was no significant difference in GSES scores between the two groups(P>0.05).After the inter-vention,the GSES scores of both groups increased,with the experimental group showing higher values(P<0.05).At the time of discharge and three months after discharge,the scores for positive attitudes,self-stress reduction,and total score of health promotion in the experimental group were higher than those in the control group(P<0.05).CONCLUSION The implementation of a three-dimensional quality structure model for postoperative patients with esophageal cancer can effectively improve their self-management ability and self-efficacy of postoperative patients.

Three-Dimensional Tidal Model and Its Application to Numerical Simulation of Water Quality in Coastal Waters

The turbulence mechanism plays an important part in the mixing process and momentum transfer of turbulence. A three-dimensional Prandtl mixing length tidal model has been developed to simulate tidal flows and water quality. The eddy viscosities and diffusivities are computed from the Prandtl mixing length model. In order to model the water quality of an estuary or coastal area many interdependent processes need to be simulated. These may be conveniently separated into three main groups: transport and mixing processes, biochemical interaction of water quality variables and the utilization and re-cycling of nutrients by living matter. The model simulates full oxygen and nutrient balance, primary productivity and the transport, reaction mechanism and fate of pollutants over tidal time-scales. The model is applied to numerical simulation of tidal flows and water quality in Dalian Bay. The model has been calibrated against a limited data set of historical water quality observations and in general demonstrates excellent agreement with all available data.

A Three-Dimensional Water Quality Model and Its Application to Jiaozhou Bay, China

A three-dimensional coupled physical and water quality model was developed and applied to the Jiaozhou Bay to study water quality involving nutrients, biochemical oxygen demand, dissolved oxygen, and phytoplankton that are closely related to eutrophication process. The physical model is a modified ECOM-si version with inclusion of flooding/draining processes over the intertidal zone. The water quality model is based on WASP5 which quantifies processes governing internal nutrients cycling, dissolved oxygen balance and phytoplankton growth. The model was used to simulate the spatial distribution and the temporal variation of water quality in the Jiaozhou Bay for the period of May 2005 to May 2006. In addition, the effect of reduction of riverine nutrients load was simulated and evaluated. The simulated results show that under the influence of nutrients discharged from river, the concentrations of nutrients and phytoplankton were higher in the northwest and northeast of the bay, and decreased from the inner bay to the outer. Affected by strong tidal mixing, the concentrations of all state variables were vertically homogeneous except in the deeper regions where a small gradient was found. Obvious seasonal variation of phytoplankton biomass was found, which exhibited two peaks in March and July, respectively. The variation of riverine waste loads had remarkable impact on nutrients concentration in coastal areas, but slightly altered the distribution in the center of the bay.

Three-Dimensional Water Quality Model Based on FVCOM for Total Load Control Management in Guan River Estuary,Northern Jiangsu Province

Guan River Estuary and adjacent coastal area(GREC) suffer from serious pollution and eutrophicational problems over the recent years.Thus,reducing the land-based load through the national pollutant total load control program and developing hydrodynamic and water quality models that can simulate the complex circulation and water quality kinetics within the system,including longitudinal and lateral variations in nutrient and COD concentrations,is a matter of urgency.In this study,a three-dimensional,hydrodynamic,water quality model was developed in GREC,Northern Jiangsu Province.The complex three-dimensional hydrodynamics of GREC were modeled using the unstructured-grid,finite-volume,free-surface,primitive equation coastal ocean circulation model(FVCOM).The water quality model was adapted from the mesocosm nutrients dynamic model in the south Yellow Sea and considers eight compartments:dissolved inorganic nitrogen,soluble reactive phosphorus(SRP),phytoplankton,zooplankton,detritus,dissolved organic nitrogen(DON),dissolved organic phosphorus(DOP),and chemical oxygen demand.The hydrodynamic and water quality models were calibrated and confirmed for 2012 and 2013.A comparison of the model simulations with extensive dataset shows that the models accurately simulate the longitudinal distribution of the hydrodynamics and water quality.The model can be used for total load control management to improve water quality in this area.

Three-dimensional refined modeling of water quality in Victoria Harbour

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A three-dimensional prediction system for water quality polluction in coastal waters

The hydrodynamics and water quality in Hakata Bay, Japan are strongly affected by the seasonal variations in both the gravitational circulation and the stratification in the bay. The three\|dimensional hydrodynamics and water quality model has been developed to simulate the long\|term transport and fate of pollutants in the system. The model is unique in that it completely integrates the refined modelling of the hydrodynamics, biochemical reactions and the ecosystem in the coastal waters. It is a 3\|dimensional segmented model which is capable of resolving mean daily variations in all the parameters relevant to pollution control. It predicts daily fluctuations in the oxygen content at different depths in water throughout the year. It takes into account transport and settling of pollutant particles. It predicts light penetration from computed turbidity variations. It includes interactions between the ecosystem and water quality through nutrient cycling and photosynthesis. The model has been calibrated well against the data set of historical water quality observations in Hakata Bay.

Three-Dimensional Water-Quality Simulation for River Based on VOF Method

In the present study, considering the transport and transformation processes of variables, a threedimensional water quality model for the river system was established, which coupled the volume of fluid(VOF) method with the k-ε turbulence mathematical model. Then, the water hydrodynamic characteristics and transport processes for BOD_5, NH_(3^-)N and TP were analyzed. The results showed that the water surface of convex bank was a little lower than that of concave bank due to the centrifugal force near the bend, and most concentrations were inferior to the type Ⅴ standard indexes of surface water environmental quality. The model validation indicated that the errors between the simulated and monitored values were comparatively small, satisfying the application demands and providing scientific basis and decision support for the restoration and protection of water quality.

Modelling of water quality of Minjiang estuary

In order to establish economic development region at Mawei districtwhich is nearby downstream of Minjiang river and to answer the question of impact of economic development on water quality of Minjiang estuary, the analyses of hydrologic and hydraulic characteristics of Mawei reach of Minjiang tidal river, a two-dimensional mathematical model has been established and simulation of water quality was studied. The results show that the flushing time of a conservative pollutant during dry and raining period are 12 and 7 days respectively from Mawei to Minjiang mouth, the decay rate constants of BOD and NH3-N are 0.1 to 0.4 and 0.18 to 0.45 d-1 respectively. The capacity of dilution and assimilation for pollutants is larger.

Projection pursuit cluster model and its application in water quality assessment

One of the difficulties frequently encountered in water quality assessment is that there are many factors and they cannot be assessed according to one factor, all the effect factors associated with water quality must be used. In order to overcome this issues the projection pursuit principle is introduced into water quality assessment, and projection pursuit cluster(PPC) model is developed in this study. The PPC model makes the transition from high dimension to one-dimension. In other words, based on the PPC model, multifactor problem can be converted to one factor problem. The application of PPC model can be divided into four parts: (1) to estimate projection index function Q(); (2) to find the right projection direction ; (3) to calculate projection characteristic value of the i th sample z-i, and (4) to draw comprehensive analysis on the basis of z-i. On the other hand, the empirical formula of cutoff radius R is developed, which is benefit for the model to be used in practice. Finally, a case study of water quality assessment is proposed in this paper. The results showed that the PPC model is reasonable, and it is more objective and less subjective in water quality assessment. It is a new method for multivariate problem comprehensive analysis.

Development and application of a two-dimensional water quality model for the Daqinghe River Mouth of the Dianchi Lake

Water quality models are important tools to support the optimization of aquatic ecosystem rehabilitation programs and assess their efficiency. Basing on the flow conditions of the Daqinghe River Mouth of the Dianchi Lake, China, a two-dimensional water quality model was developed in the research. The hydrodynamics module was numerically solved by the alternating direction iteration （ADI） method. The parameters of the water quality module were obtained through the in situ experiments and the laboratory analyses that were conducted from 2006 to 2007. The model was calibrated and verified by the observation data in 2007. Among the four modelled key variables, i.e., water level, COD （in CODcr）, NH4＋-N and PO43-P the minimum value of the coefficient of determination （COD） was 0.69, indicating the model performed reasonably well. The developed model was then applied to simulate the water quality changes at a downstream cross-section assuming that the designed restoration programs were implemented. According to the simulated results, the restoration programs could cut down the loads of COD and PO43-P about 15%. Such a load reduction, unfortunately, would have very little effect on the NH4^＋-N removal. Moreover, the water quality at the outlet cross-section would be still in class V （3838-02）, indicating more measures should be taken to further reduce the loads. The study demonstrated the capability of water quality models to support aquatic ecosystem restorations.

Assessment of Point and Nonpoint Sources Pollution in Songhua River Basin,Northeast China by Using Revised Water Quality Model

Individual participation of pollutants in the pollution load should be estimated even if roughly for the appropriate environmental management of a river basin.It is difficult to identify the sources and to quantify the load, especially in modeling nonpoint source.In this study a revised model was established by integrating point and nonpoint sources into one-dimensional Streeter-Phelps(S-P) model on the basis of real-time hydrologic data and surface water quality monitoring data in the Jilin Reach of the Songhua River Basin.Chemical oxygen demand(COD) and ammonia nitrogen(NH 3-N) loads were estimated.Results showed that COD loads of point source and nonpoint source were 134 958 t/yr and 86 209 t/yr, accounting for 61.02% and 38.98% of total loads, respectively.NH 3-N loads of point source and nonpoint source were 16 739 t/yr and 14 272 t/yr, accounting for 53.98% and 46.02%, respectively.Point source pollution was stronger than nonpoint source pollution in the study area at present.The water quality of upstream was better than that of downstream of the rivers and cities.It is indispensable to treat industrial wastewater and municipal sewage out of point sources, to adopt the best management practices to control diffuse pollutants from agricultural land and urban surface runoff in improving water quality of the Songhua River Basin.The revised S-P model can be successfully used to identify pollution source and quantify point source and nonpoint source loads by calibrating and validating.

Artificial neural network modeling of water quality of the Yangtze River system:a case study in reaches crossing the city of Chongqing

An effective approach for describing complicated water quality processes is very important for river water quality management. We built two artificial neural network(ANN) models,a feed-forward back-propagation(BP) model and a radial basis function(RBF) model,to simulate the water quality of the Yangtze and Jialing Rivers in reaches crossing the city of Chongqing,P. R. China. Our models used the historical monitoring data of biological oxygen demand,dissolved oxygen,ammonia,oil and volatile phenolic compounds. Comparison with the one-dimensional traditional water quality model suggest that both BP and RBF models are superior; their higher accuracy and better goodness-of-fit indicate that the ANN calculation of water quality agrees better with measurement. It is demonstrated that ANN modeling can be a tool for estimating the water quality of the Yangtze River. Of the two ANN models,the RBF model calculates with a smaller mean error,but a larger root mean square error. More effort to identify out the causes of these differences would help optimize the structures of neural network water-quality models.

Water Quality Model Establishment for Middle and Lower Reaches of Hanshui River,China

With the development of industry and agriculture,nitrogen,phosphorus and other nutrients in the Hanshui River greatly increase and eutrophication has become an important threat to the water quality of the Hanshui River,especially in the middle and lower reaches.The primary objective of this study was to establish the water quality model for the middle and lower reaches of the Hanshui River based on the model of MIKE 11.The main pollutants migration and transformation process could be simulated using the water quality model.The rainfall-runoff model,hy-drodynamic model and water quality model were established using MIKE 11.The pollutants,such as chemical oxygen demand(COD),biochemical oxygen demand(BOD),ammonia nitrogen,nitrate nitrogen,phosphorus,dissolved oxy-gen(DO),were simulated and predicted using the above three models.A set of methods computing non-point source pollution load of the Hanshui River Basin was proposed in this study.The simulated and observed values of COD,BOD5,ammonia,nitrate,DO,and total phosphorus were compared after the parameter calibration of the water quality model.The simulated and observed results match better,thus the model can be used to predict water quality in the fu-ture for the Hanshui River.The pollution trend could be predicted using the water quality model according pollution load generation.It is helpful for government to take effective measures to prevent the water bloom and protect water quality in the river.

An attribute recognition model based on entropy weight for evaluating the quality of groundwater sources

In our study, entropy weight coefficients, based on Shannon entropy, were determined for an attribute recognition model to model the quality of groundwater sources. The model follows the theory previously proposed by Chen Q S. In the model, firstly, the author establishes the attribute space matrix and determines the weight based on Shannon entropy theory; secondly, calculates attribute measure; thirdly, evaluates that with confidence criterion and score criterion; finally, an application example is given. The results show that the water quality of the groundwater sources for the city comes up to the grade II or III standard. There is no pollution that obviously exceeds the standard and the water can meet people’s needs .The results from an evaluation of this model are in basic agreement with the observed situation and with a set pair analysis (SPA) model.

Application of a water quality model for determining instream aeration station location and operational rules:A case study

Instream aeration has been used as a supplement to secondary treatment or a substitute for tertiary treatment for meeting dissolved oxygen （DO） standards in rivers. Many studies have used water quality models to determine the number, location, and capacity of instream aeration stations （IASs） needed to meet DO standards in combination with other pollution control measures. DO concentrations have been improved in the North Shore Channel and North Branch Chicago River by the Devon Avenue IAS for more than 35 years. A study was initiated to determine whether it was better to rehabilitate or relocate this station and to determine appropriate operational guidance for the IAS at the selected location. A water quality model capable of simulating DO concentrations during unsteady flow was used to evaluate the proper location for an IAS and operational guidance for this IAS. Three test years, a dry year, a wet year, and an extreme year, were considered in the evaluation. The study found that the Devon Avenue IAS should be rehabilitated as this location performed as well as or better than any of 10 alternative locations. According to the new operational guidance for this IAS, the amount of time with blowers operating could be substantially reduced compared to traditional operations while at the same time the attainment of the DO standards could be increased. This study shows that a carefully designed modeling study is key to effective selection, location, and operation of IASs such that attainment of DO standards can be maximized while operation hours of blowers can be minimized.

Three-dimensional physical simulation and optimization of water injection of a multi-well fractured-vuggy unit

With complex fractured-vuggy heterogeneous structures, water has to be injected to facilitate oil pro- duction. However, the effect of different water injection modes on oil recovery varies. The limitation of existing numerical simulation methods in representing fractured- vuggy carbonate reservoirs makes numerical simulation difficult to characterize the fluid flow in these reservoirs. In this paper, based on a geological example unit in the Tahe Oilfield, a three-dimensional physical model was designed and constructed to simulate fluid flow in a fractured-vuggy reservoir according to similarity criteria. The model was validated by simulating a bottom water drive reservoir, and then subsequent water injection modes were optimized. These were continuous （constant rate）, intermittent, and pulsed injection of water. Experimental results reveal that due to the unbalanced formation pressure caused by pulsed water injection, the swept volume was expanded and consequently the highest oil recovery increment was achieved. Similar to continuous water injection, intermit- tent injection was influenced by factors including the connectivity of the fractured-vuggy reservoir, well depth, and the injection-production relationship, which led to a relative low oil recovery. This study may provide a constructive guide to field production and for the devel- opment of the commercial numerical models specialized for fractured-vuggy carbonate reservoirs.

Water Quality Evaluation in Tidal River Reaches of Liaohe River Estuary, China Using a Revised QUAL2K Model

Rivers in the Liaohe River Estuary area have been seriously polluted by discharges of wastewater containing petroleum pol- lutants and nutrients. In this paper, The Enhanced Stream Water Quality Model （QUAL2K） and its revised model as well as One-dimensional Tide Mean Model （1D model） were applied to predict and assess the water quality of the tidal fiver reach of the Liaohe River Estuary. Dissolved oxygen （DO）, biochemical oxygen demand （BODs）, ammonia nitrogen （NH3-N） and total phosphorus （TP） were chosen as water quality indices in the two model simulations. The modelled results show that the major reasons for degraded rivers remain petroleum and non-point source pollution. Tidal water also has a critical effect on the variation of water quality. The sensitivity analysis identifies that flow rate, point load and diffuse load are the most sensitive parameters for the four water quality indices in the revised QUAL2K simulation. Uncertainty analysis based on a Monte Carlo simulation gives the probability distribution of the four wa- ter quality indices at two locations （6.50 km and 44.84 km from the river mouth）. The statistical outcomes indicate that the observed data fall within the 90% confidence intervals at all sites measured, and show that the revised QUAL2K gives better results in simulating the water quality of a tidal fiver.

Semi-supervised Support Vector Regression Model for Remote Sensing Water Quality Retrieving

This paper proposed a semi-supervised regression model with co-training algorithm based on support vector machine, which was used for retrieving water quality variables from SPOT 5 remote sensing data. The model consisted of two support vector regressors (SVRs). Nonlinear relationship between water quality variables and SPOT 5 spectrum was described by the two SVRs, and semi-supervised co-training algorithm for the SVRs was es-tablished. The model was used for retrieving concentrations of four representative pollution indicators―permangan- ate index (CODmn), ammonia nitrogen (NH3-N), chemical oxygen demand (COD) and dissolved oxygen (DO) of the Weihe River in Shaanxi Province, China. The spatial distribution map for those variables over a part of the Weihe River was also produced. SVR can be used to implement any nonlinear mapping readily, and semi-supervis- ed learning can make use of both labeled and unlabeled samples. By integrating the two SVRs and using semi-supervised learning, we provide an operational method when paired samples are limited. The results show that it is much better than the multiple statistical regression method, and can provide the whole water pollution condi-tions for management fast and can be extended to hyperspectral remote sensing applications.

A study of groundwater irrigation water quality in south-central Bangladesh: a geo-statistical model approach using GIS and multivariate statistics

Southern Bangladesh＇s irrigation and drinking water is threatened by saline intrusion. This study aimed to establish an irrigation water quality index （IWQI） using a geostatistical model and multivariate indices in Gopalganj district, south-central Bangladesh. Groundwater samples were taken randomly （different depths） in two seasons （wet-monsoon and dry-monsoon）. Hydrochemical analysis revealed groundwater in this area was neutral to slightly alkaline and dominating cations were Na^＋, Mg^2＋, and Ca^2＋ along with major anions Cl^- and HCO3^-. Principal component analysis and Gibbs plot helped explain possible geochemical processes in the aquifer. The irrigation water evaluation indices showed： electrical conductivity （EC） 〉750 μS/cm, moderate to extreme saline; sodium adsorption ratio （SAR）, excellent to doubtful; total hardness （TH）, moderate to very hard; residual sodium bicarbonate, safe to marginal; Kelly＇s ratio 〉1; soluble sodium percentage （SSP）, fair to poor; magnesium adsorption ratio, harmful for soil; and IWQI, moderate to suitable. In addition, the best fitted semivariogram for IWQI, EC, SAR, SSP, and TH confirmed that most parameters had strong spatial dependence and others had moderate to weak spatial dependence. This variation might be due to the different origin/sources of major contributing ions along with the influence of variable river flow and small anthropogenic contributions. Furthermore, the spatial distribution maps for IWQI, EC, SSP, and TH during both seasons confirmed the influence of salinity from the sea; low-flow in the major river system was the driving factor of overall groundwater quality in the study area. These findings may contribute to management of irrigation and/or drinking water in regions with similar groundwater problems.

Hyper-spectrum models for monitoring water quality in Dianshan Lake,China

The correlation between water quality parameters and hyper-spectral reflectance is studied with models established for each parameter and applied in Dianshan Lake, in the upstream of the Huangpu River running through Shanghai, China. Models are for dissolved oxygen (DO in mg/L): R720/R680 = 20.362×(R720/R680)2?31.438×(R720/R680)+19.156; for turbidity (NTU): R*714.5 = 206.07× (R*714.5)2?582.5×R*714.5 + 423.24; and for total phosphorus (TP in mg/L): R*509.5 = 16.661× (R*509.5)2?32.646×R*509.5+16.116. The R2 values are 0.770 8, 0.660 4 and 0.738 7, respectively, showing strong positive relationships. The models were then applied to assess water quality of different times. Results are quite satisfactory for some samples.