Since scarce knowledge of soil mercury(Hg)concentrations and risks in the vulnerable Xinjiang,topsoils(0-15 cm)from its typical landscapes were extensively sampled.Topsoil total mercury(THg)concentrations varied broad...Since scarce knowledge of soil mercury(Hg)concentrations and risks in the vulnerable Xinjiang,topsoils(0-15 cm)from its typical landscapes were extensively sampled.Topsoil total mercury(THg)concentrations varied broadly between 0.9 and 35.3 ng/g,of which16.8%exceeded the background value of soil Hg for Xinjiang.Topsoil THg concentrations across various landscapes exhibited a declining order:farmland(11.7±6.0 ng/g)>grassland(10.5±8.5 ng/g)>woodland(10.2±8.2 ng/g)>desert(7.0±5.8 ng/g).The average topsoil THg concentration was higher in northwestern Xinjiang(11.3±7.2 ng/g)than that in southeastern Xinjiang(6.3±6.1 ng/g).Relatively high topsoil THg concentrations were observed near the cities with intensive human activities,followed by a gradual decline to the surroundings.The concentrations of topsoil THg were strongly correlated with the contents of total organic carbon(TOC),clay,silty,and sandy,and the distance from each sampling site to its nearest city,suggesting that the variation of topsoil Hg was significantly influenced by TOC content,soil granularity,and anthropogenic Hg emissions.Silty and TOC were the principal affecting factors,explaining 48.7%and 7.9%of the THg variation,respectively.The contamination and potential ecological risk evaluations revealed that topsoils in regions with dense populations were polluted with Hg and contained higher potential ecological risks.The health risk evaluations indicated that exposure risks of topsoil Hg were higher for children than those for adults.Fortunately,topsoil Hg posed acceptable risks to human health.展开更多
BACKGROUND Cirrhotic patients face heightened energy demands,leading to rapid glycogen depletion,protein degradation,oxidative stress,and inflammation,which drive disease progression and complications.These disruption...BACKGROUND Cirrhotic patients face heightened energy demands,leading to rapid glycogen depletion,protein degradation,oxidative stress,and inflammation,which drive disease progression and complications.These disruptions cause cellular damage and parenchymal changes,resulting in vascular alterations,portal hypertension,and liver dysfunction,significantly affecting patient prognosis.AIM To analyze the association between Child–Turcotte–Pugh(CTP)scores and di-fferent nutritional indicators with survival in a 15-year follow-up cohort.METHODS This was a retrospective cohort study with 129 cirrhotic patients of both sexes aged>18 years.Diagnosis of cirrhosis was made by liver biopsy.The first year of data collection was 2007,and data regarding outcomes were collected in 2023.Data were gathered from medical records,and grouped by different methods,including CTP,handgrip strength,and triceps skinfold cutoffs.The prognostic values for mortality were assessed using Kaplan–Meier curves and multivariate binary logistic regression models.RESULTS The coefficient for CTP was the only statistically significant variable(Wald=5.193,P=0.023).This suggests that with a negative change in CTP classification score,the odds of survival decrease 52.6%.The other evaluated variables did not significantly predict survival outcomes in the model.Kaplan–Meier survival curves also indicated that CTP classification was the only significant predictor.CONCLUSION Although different classifications showed specific differences in stratification,only CTP showed significant predictive potential.CTP score remains a simple and effective predictive tool for cirrhotic patients even after longer follow-up.展开更多
This paper provides an overview of the global wave resource for energy exploration.The most popular metrics and estimators for wave energy resource characterization have been compiled and classified by levels of energ...This paper provides an overview of the global wave resource for energy exploration.The most popular metrics and estimators for wave energy resource characterization have been compiled and classified by levels of energy exploration.A review of existing prospective wave energy resource assessments worldwide is also given,and those studies have been collated and classified by continent.Finally,information about forty existing open sea wave energy test sites worldwide and their characteristics is depicted and displayed on a newly created global map.It has been found that wave power density is still the most consensual metric used for wave energy resource assessment purposes among researchers.Nonetheless,to accomplish a comprehensive wave resource assessment for exploitation,the computation of other metrics at the practicable,technical,and socio-economic levels has also been performed at both spatial and temporal domains.Overall,regions in latitudes between 40°and 60°of both hemispheres are those where the highest wave power density is concentrated.Some areas where the most significant wave power density occurs are in offshore regions of southern Australia,New Zealand,South Africa,Chile,the British Isles,Iceland,and Greenland.However,Europe has been the continent where most research efforts have been done targeting wave energy characterisation for exploitation.展开更多
AIM: To evaluate the prevalence of preoperative and postoperative malnutrition and the relationships between objective and subjective nutritional assessment of gastric cancer patients. METHODS: From October 2005 to Ju...AIM: To evaluate the prevalence of preoperative and postoperative malnutrition and the relationships between objective and subjective nutritional assessment of gastric cancer patients. METHODS: From October 2005 to July 2006, we studied 80 patients with no evidence of recurrent disease and no loss to follow-up after curative surgery for gastric cancer. In this group, 9 patients underwent total gastrectomy and 71 patients subtotal gastrectomy. At admission, 6 and 12 mo after surgery, the patients were assessed on the subjective global assessment (SGA), nutritional risk screening (NRS-2002), nutritional risk index (NRI) and by anthropometric measurements and laboratory data. Differences between the independent groups were assessed with the Student's t test and oneway analysis of variance. Spearman's rank correlation coefficients were calculated to evaluate the association between the scores and variables. RESULTS: The prevalence of malnutrition at admissionwas 31% by SGA and 43% by NRS-2002. At admission, the anthropometric data were lower in the malnourished groups defined by the SGA and NRS-2002 assessments, but did not differ between the groups using the NRI assessment. Body weight (BW), body mass index (BMI), triceps skin fold and midarm circumference were significantly reduced, but the total lymphocyte count, albumin, protein, cholesterol and serum iron levels did not decrease during the postoperative period. Six months after surgery, there was a good correlation between the nutritional assessment tools (SGA and NRS-2002) and the other nutritional measurement tools (BW, BMI, and anthropometric measurements). However, 12 mo after surgery, most patients who were assessed as malnourished by SGA and NRS-2002 had returned to their preoperative status, although their BW, BMI, and anthropometric measurements still indicated a malnourished status. CONCLUSION: A combination of objective and subjective assessments is needed for the early detection of the nutritional status in case of gastric cancer patients after gastrectomy.展开更多
In this study, 15 mycotoxins were detected in 233 nut and dried fruit samples from China. The 15 mycotoxins included aflatoxins （AFs： AFB1, AFB2, AFG1 and AFG2）, trichothecene toxins （TCs： T-2, ZEA, ENA, ENA1, EN...In this study, 15 mycotoxins were detected in 233 nut and dried fruit samples from China. The 15 mycotoxins included aflatoxins （AFs： AFB1, AFB2, AFG1 and AFG2）, trichothecene toxins （TCs： T-2, ZEA, ENA, ENA1, ENB, ENB1 and BEA）, Alternaria toxins （ATs： TEN, AOH and AME） and ochratoxin A （OTA）. The mycotoxins were detected in 47.6% of the samples and all 15 of the mycotoxins were found. Two samples were positive for AFB1 and exceeded the maximum tolerable levels allowed in China. The contamination levels of the mycotoxins found in nuts, dried jujubes, raisins, dried figs and dried Iongans were in the ranges of 0.1-462.7, 0.2-247.3, 0.8-10.1,0.2-384.1 and 0.1-89.2 μg kg^-1, respectively. Dried figs （80.0%） had the highest incidence of mycotoxins, followed by dried Iongans （60.0%）, dried jujubes （57.1%）, nuts （43.6%） and raisins （26.7%）. The estimated daily intake （EDI） values of each individual mycotoxin and all of the mycotoxins collectively were calculated by both the deterministic approach （DA） and the probability approach （PA）. For risk characterization, dietary exposure to TCs, ATs and OTA through consumption of nuts and dried fruits according to both approaches, showed no health risk to Chinese adults by exposure to either individual mycotoxins or in combination. To the best of our knowledge, this is the first work in which risk assessment of multimycotoxins is performed, specifically including the emerging ENNs and BEA, in nuts and dried fruits of China.展开更多
Purpose:To evaluate the effect of competency-based management in improving nurse and patient satisfaction.Methods:According to the competency-based management objectives and principles,821 nurses were classified into ...Purpose:To evaluate the effect of competency-based management in improving nurse and patient satisfaction.Methods:According to the competency-based management objectives and principles,821 nurses were classified into different levels based on clear nurse qualifications and post responsibilities.According to the different levels of nursing staff and training plans with different emphases,the goal was for the nursing staff to gradually achieve the corresponding level.Targeted training programs for different levels of nurses were formulated to enable nurses to gradually increase their competency levels.Results:After implementation of competency-based management,nurse job satisfaction and patient satisfaction increased significantly(P<0.01).Additionally,the reported nurse job burnout decreased(P<0.01).Conclusion:Competency-based management can promote nurses’enthusiasm,reduce job burnout,improve job satisfaction,as well as improve patient satisfaction.展开更多
The Changsha-Xiangtan-Zhuzhou City Group is a heavy industrial district and accepted as the serious pollution area in the Xiangjiang River basin.In this study,7 metals(Pb,Hg,Cd,As,Zn,Cu and Se)and the river water qual...The Changsha-Xiangtan-Zhuzhou City Group is a heavy industrial district and accepted as the serious pollution area in the Xiangjiang River basin.In this study,7 metals(Pb,Hg,Cd,As,Zn,Cu and Se)and the river water quality parameters including pH,dissolved oxygen(DO),Escherichia coli(E.coli),potassium permanganate index(CODMn),dichromate oxidizability(CODCr),five-day biochemical oxygen demand(BOD5),ammonia nitrogen(NH4+-N),total nitrogen(TN),total phosphorus(TP)and fluoride(F)in 18 sampling sites of the Changsha-Xiangtan-Zhuzhou section are monthly monitored in 2016,which is the year to step into the second stage of the“Xiangjiang River Heavy Metal Pollution Control Implementation Plan”.It is found that E.coli,TN and TP are the main pollutants in the Changsha-Zhuzhou-Xiangtan section,and the pollution of heavy metal is not serious but As with potential risk to local people especially children should be concerned.In addition,Xiangtan city is mainly featured with heavy metal pollution,while Zhuzhou and Changsha city are both featured with other pollutants from municipal domestic sewage.展开更多
China is prone to disasters and escalating disaster losses. Effective disaster mitigation is the foundation for efficient disaster response and rescue and for reducing the degree of hazardous impacts on the population...China is prone to disasters and escalating disaster losses. Effective disaster mitigation is the foundation for efficient disaster response and rescue and for reducing the degree of hazardous impacts on the population. Vulnerability refers to the population's capacity to anticipate, cope with, and recover from the impact of a hazardous event. A hazard vulnerability assessment(HVA) systematically evaluates the damage that could be caused by a potential disaster, the severity of the impact, and the available medical resources during a disaster to reduce population vulnerability and increase the capacity to cope with disasters. In this article, we summarized HVA team membership, content(disaster identification, probability and consequences), and methods and procedures for an HVA that can be tailored to China's needs. We further discussed the role of epidemiology in an HVA. Disaster epidemiology studies the underlying causes of disasters to achieve effective disaster prevention and reduction. In addition, we made several recommendations that are already in practice in developed countries, such as the U.S., for future implementation in China and other developing countries. An effective HVA plan is crucial for successful disaster preparedness, response, and recovery.展开更多
This work examines the environmental and geochemical impact of recycled aggregate concrete production with properties representative for structural applications.The environmental influence of cement content,aggregate ...This work examines the environmental and geochemical impact of recycled aggregate concrete production with properties representative for structural applications.The environmental influence of cement content,aggregate production,transportation,and waste landfilling is analysed by undertaking a life cycle assessment and considering a life cycle inventory largely specific for the region.To obtain a detailed insight into the optimum life cycle parameters,a sensitivity study is carried out in which supplementary cementitious materials,different values of natural-to-recycled aggregate content ratio and case-specific transportation distances were considered.The results show that carbon emissions were between 323 and 332 kgCO_(2)e per cubic metre of cement only natural aggregate concrete.These values can be reduced by up to 17%by replacing 25%of the cement with fly ash.By contrast,carbon emissions can increase when natural coarse aggregates are replaced by recycled aggregates in proportions of 50%and 100%,and transportation is not included in analysis.However,the concrete with 50%recycled aggregate presented lower increase,only 0.3%and 3.4%for normal and high strength concrete,respectively.In some cases,the relative contribution of transportation to the total carbon emissions increased when cement was replaced by fly ash in proportions of 25%,and case-specific transportation distances were considered.In absolute values,the concrete mixes with 100%recycled aggregates and 25%fly ash had lower carbon emissions than concrete with cement and natural aggregates only.Higher environmental benefits can be obtained when the transportation distances of fly ash are relatively short(15–25 km)and the cement replacement by fly ash is equal or higher than 25%,considering that the mechanical properties are adequate for practical application.The observations from this paper show that recycled aggregate concrete with strength characteristics representative for structural members can have lower carbon emissions than conventional concrete,recommending them as an alternative to achieving global sustainability standards in construction.展开更多
A 2-yr field study was conducted to assess the effects of transgenic japonica rice（KMD1 and KMD2） with a synthetic cry1 Ab gene from Bacillus thuingiensis Berliner on population dynamics and seasonal average densiti...A 2-yr field study was conducted to assess the effects of transgenic japonica rice（KMD1 and KMD2） with a synthetic cry1 Ab gene from Bacillus thuingiensis Berliner on population dynamics and seasonal average densities of five thrips species including Stenchaetothrips biformis（Bagnall）,Frankliniella intonsa（Trybom）,F.tenuicornis（Uzel）,Haplothrips aculeatus（Fabricius）,Haplothrips tritici（Kurd） and their general predatory flower bug,Orius similis Zheng as compared to the parental control rice line using the white,blue and yellow sticky card traps.Population dynamics and seasonal average densities of these five thrips species and their general predatory flower bug were not significantly affected by rice type.Additionally,the white sticky card trap was suggested to be the most suitable for monitoring the population of these five thrips species and their general predator.These results show that our tested Bt rice lines do not interrupt the population of non-target thrips species and their general predatory flower bug in the field,and also cannot result in more occurrence of these thrips species in the rice ecosystem.展开更多
We evaluated the effect of various error sources in fishery harvest/effort data on the maximum sustainable yield （MSY） and corresponding fishing effort （EMsv） using Monte Carlo simulation analyses. A high coeffici...We evaluated the effect of various error sources in fishery harvest/effort data on the maximum sustainable yield （MSY） and corresponding fishing effort （EMsv） using Monte Carlo simulation analyses. A high coefficient of variation （CV） of the catch and effort values biased the estimates of MSY and EMsv. Thus, the state of the fisheries resource and its exploitation was overestimated. We compared the effect using three surplus production models, Hilborn-Waters （H-W）, Schnute, and Prager models. The estimates generated using the H-W model were significantly affected by the CV. The Schnute model was least affected by errors in the underlying data. The CVof the catch data had a greater impact on the assessment than the CV of the fishing effort. Similarly, the changes in CV had a greater impact on the estimated maximum sustainable yield （MSY） than on the corresponding estimate of fishing effort （EMsY）. We discuss the likely effect of these biases on management efforts and provide suggestions for the improvement of fishery evaluations.展开更多
Requirements for research assessments There are huge differences in mission, emphasis, inherent capability, and targeted utilization of research among scientific institutions. Hence, when it comes to assessments, a on...Requirements for research assessments There are huge differences in mission, emphasis, inherent capability, and targeted utilization of research among scientific institutions. Hence, when it comes to assessments, a one-size-fits-all approach cannot meet the goal(s) of these assessments. Probably even larger differences exist between individuals, research teams and departments.展开更多
Purpose: To standardize the methods to measure Ki-67, there is an interest in automating the assessment of Ki-67. Therefore, we reviewed the possibility of introducing an automated analyzer to standardize the Ki-67 ev...Purpose: To standardize the methods to measure Ki-67, there is an interest in automating the assessment of Ki-67. Therefore, we reviewed the possibility of introducing an automated analyzer to standardize the Ki-67 evaluation method. Methods: We retrospectively reviewed a clinical database of patients who underwent surgery for early breast cancer at Tokyo-West Tokushukai Hospital. Among them, those who underwent preoperative core needle biopsy (CNB) were enrolled. The concordance rates of estrogen receptor (ER), progesterone receptor (PgR), human epidermal growth factor receptor 2 (HER2), and Ki-67 by local pathologists were reviewed (valuations made by local pathologists), and nonmatching cases (from August 2008 to October 2011) were reassessed both by central review and using an automated analyzer with virtual slides. The results were compared with the evaluations made by local pathologists, and we reexamined the concordance rate by using central review and the automated analyzer. Results: The concordance rate of Ki-67 evaluations made by local pathologists in the preoperative CNB and surgical specimens was 78.7% in 287 cases pathologically assessed from October 2008 to March 2013. This rate was significantly lower (p < 0.01) than that of ER (95.6%), PgR (88.5%), and HER2 (91.6%). Reassessment of the 37 cases of nonmatching Ki-67 values from 2008 to October 2011 using central review and an automated analyzer resulted in clear improvement in matching of 22 (92.1%) and 24 (93.1%) of 37 cases, respectively. Conclusion: The concordance rate of Ki-67 in preoperative CNB and surgical specimens was lower than that of other biological markers;however, they were nearly equal by reassessment using central review and an automated analyzer.展开更多
Farmers'assessments of risk management strategies and how the assessments influence their willingness to adopt these strategies are poorly understood.This study conducts a structured survey of 469 farmers to inves...Farmers'assessments of risk management strategies and how the assessments influence their willingness to adopt these strategies are poorly understood.This study conducts a structured survey of 469 farmers to investigate how farmers assess both crop insurance and crop price insurance,the impact of the assessments on their adoption willingness,and in particular,the differences in assessments and adoption willingness between crop insurance and crop price insurance.Empirical results show that farmers’assessments on crop insurance can be significantly improved through communication and experience.The most effective way to improve farmers'assessments on crop price insurance is providing adequate information about the insurance products.Furthermore,farmers'adoption willingness would be enhanced by improved assessment of both crop yield and crop price insurance.This study provides the first empirical evidence that farmers have limited information to assess insurance,which significantly influences their willingness to adopt.This finding reflects that the dissemination of insurance policies,the effectiveness of insurance,and the availability of insurance services significantly enable farmers'ability to assess risk management strategies,which potentially increases farmers'willingness to adopt insurance.展开更多
A probability assessment framework is outlined that enables decision-makers to determine a probability distribution over possible events or scenarios they could face in the future.The methodology of the analytic hiera...A probability assessment framework is outlined that enables decision-makers to determine a probability distribution over possible events or scenarios they could face in the future.The methodology of the analytic hierarchy process can be utilized in the procedures.Bayesian revision accounting for new developments can be used to calculate posterior probabilities using the same procedures.展开更多
Collaborative research causes problems for research assessments because of the difficulty in fairly crediting its authors.Whilst splitting the rewards for an article amongst its authors has the greatest surface-level ...Collaborative research causes problems for research assessments because of the difficulty in fairly crediting its authors.Whilst splitting the rewards for an article amongst its authors has the greatest surface-level fairness,many important evaluations assign full credit to each author,irrespective of team size.The underlying rationales for this are labour reduction and the need to incentivise collaborative work because it is necessary to solve many important societal problems.This article assesses whether full counting changes results compared to fractional counting in the case of the UK’s Research Excellence Framework(REF)2021.For this assessment,fractional counting reduces the number of journal articles to as little as 10%of the full counting value,depending on the Unit of Assessment(UoA).Despite this large difference,allocating an overall grade point average(GPA)based on full counting or fractional counting gives results with a median Pearson correlation within UoAs of 0.98.The largest changes are for Archaeology(r=0.84)and Physics(r=0.88).There is a weak tendency for higher scoring institutions to lose from fractional counting,with the loss being statistically significant in 5 of the 34 UoAs.Thus,whilst the apparent over-weighting of contributions to collaboratively authored outputs does not seem too problematic from a fairness perspective overall,it may be worth examining in the few UoAs in which it makes the most difference.展开更多
This review presents a comprehensive techno-economic and life-cycle assessment of sustainable aviation fuel(SAF)production from biomass.The critical need for transitioning towards environmentally sustainable alternati...This review presents a comprehensive techno-economic and life-cycle assessment of sustainable aviation fuel(SAF)production from biomass.The critical need for transitioning towards environmentally sustainable alternatives for liquid fuel and aviation industry is first discussed.Key insights encompass the evolutionary progression of biofuel production from first-generation to second-generation biofuels,with a focus on utilizing non-food sources like woody biomass for enhanced sustainability.Available data from the literature on techno-economic assessments of various SAF production pathways are analyzed including production costs,conversion efficiency,and scalability.Moreover,results of lifecycle assessments associated with different SAF production pathways are presented,providing essential insights for decision-making processes.The challenges of scaling up woody biomass-based SAF production are discussed based on the assessment results,and recommendations are proposed to steer stakeholders towards a greener and more sustainable trajectory for aviation operations.展开更多
In order to evaluate the danger of debris flow properly, eight factors were selected as the risk assess- ment indexes of the debris flow, namely the vertical slope, valley relative difference, hillside slope, area of ...In order to evaluate the danger of debris flow properly, eight factors were selected as the risk assess- ment indexes of the debris flow, namely the vertical slope, valley relative difference, hillside slope, area of ba- sin, loose solid material reserves, the path length of sediment supply probability, silting and scouring derrieking and vegetation coverage. The improved Analytic Hierarchy Process （ AHP ） method was used to obtain the weights of the factors; and the efficacy coefficient method was adopted to evaluate the risks of six typical debris flow gullies. According to the research, the improved AHP method not only avoids the subjectivity in the indi- vidual factor valuation by comparing two factors of each layer, but also makes the subsequent consistency check unnecessary.展开更多
Environmental Impact Assessments (EIAs) are designed to evaluate all reasonably foreseeable environmental consequences of human activities. Appropriate governmental scientists traditionally produced EIAs for managemen...Environmental Impact Assessments (EIAs) are designed to evaluate all reasonably foreseeable environmental consequences of human activities. Appropriate governmental scientists traditionally produced EIAs for management agencies in many countries. However, many EIAs are now contracted out, often to the lowest bidder without due consideration of expertise. Others suffer from limited agency resources. Consequently, many EIAs have become insufficiently researched documents that draw heavily from previous EIAs while being rushed to completion to meet legislative deadlines or avoid delaying projects. Habitual treatment of topics often ignores recent scientific literature, perpetuating previous misconceptions and analytical flaws. Common problems in EIAs discussing wildlife include: a focus on lethal takes, with little consideration of non-lethal impacts or habitat degradation;a general dismissal of the possibility that non-significant (to the resource) impacts can, when combined, become significant;and the assumption that behavioral habituation in animals represents an end of impact. Incentive to break the cycle is somewhat lacking in this now often commercially competitive environment, where contracts are increasingly awarded by industry, generating potential conflict of interest. We believe investment in thorough, impartially written, scientifically-based and up-to-date EIAs is important for appropriately representing and managing ecosystems and their resources and avoiding potentially expensive litigation.展开更多
基金supported by the Second Tibetan Plateau Scientific Expedition and Research Program(STEP)(No.2019QZKK0605)the National Natural Science Foundation of China(No.42201161)the Startup Foundation for Introducing Talent of NUIST(No.2022r024)。
文摘Since scarce knowledge of soil mercury(Hg)concentrations and risks in the vulnerable Xinjiang,topsoils(0-15 cm)from its typical landscapes were extensively sampled.Topsoil total mercury(THg)concentrations varied broadly between 0.9 and 35.3 ng/g,of which16.8%exceeded the background value of soil Hg for Xinjiang.Topsoil THg concentrations across various landscapes exhibited a declining order:farmland(11.7±6.0 ng/g)>grassland(10.5±8.5 ng/g)>woodland(10.2±8.2 ng/g)>desert(7.0±5.8 ng/g).The average topsoil THg concentration was higher in northwestern Xinjiang(11.3±7.2 ng/g)than that in southeastern Xinjiang(6.3±6.1 ng/g).Relatively high topsoil THg concentrations were observed near the cities with intensive human activities,followed by a gradual decline to the surroundings.The concentrations of topsoil THg were strongly correlated with the contents of total organic carbon(TOC),clay,silty,and sandy,and the distance from each sampling site to its nearest city,suggesting that the variation of topsoil Hg was significantly influenced by TOC content,soil granularity,and anthropogenic Hg emissions.Silty and TOC were the principal affecting factors,explaining 48.7%and 7.9%of the THg variation,respectively.The contamination and potential ecological risk evaluations revealed that topsoils in regions with dense populations were polluted with Hg and contained higher potential ecological risks.The health risk evaluations indicated that exposure risks of topsoil Hg were higher for children than those for adults.Fortunately,topsoil Hg posed acceptable risks to human health.
文摘BACKGROUND Cirrhotic patients face heightened energy demands,leading to rapid glycogen depletion,protein degradation,oxidative stress,and inflammation,which drive disease progression and complications.These disruptions cause cellular damage and parenchymal changes,resulting in vascular alterations,portal hypertension,and liver dysfunction,significantly affecting patient prognosis.AIM To analyze the association between Child–Turcotte–Pugh(CTP)scores and di-fferent nutritional indicators with survival in a 15-year follow-up cohort.METHODS This was a retrospective cohort study with 129 cirrhotic patients of both sexes aged>18 years.Diagnosis of cirrhosis was made by liver biopsy.The first year of data collection was 2007,and data regarding outcomes were collected in 2023.Data were gathered from medical records,and grouped by different methods,including CTP,handgrip strength,and triceps skinfold cutoffs.The prognostic values for mortality were assessed using Kaplan–Meier curves and multivariate binary logistic regression models.RESULTS The coefficient for CTP was the only statistically significant variable(Wald=5.193,P=0.023).This suggests that with a negative change in CTP classification score,the odds of survival decrease 52.6%.The other evaluated variables did not significantly predict survival outcomes in the model.Kaplan–Meier survival curves also indicated that CTP classification was the only significant predictor.CONCLUSION Although different classifications showed specific differences in stratification,only CTP showed significant predictive potential.CTP score remains a simple and effective predictive tool for cirrhotic patients even after longer follow-up.
文摘This paper provides an overview of the global wave resource for energy exploration.The most popular metrics and estimators for wave energy resource characterization have been compiled and classified by levels of energy exploration.A review of existing prospective wave energy resource assessments worldwide is also given,and those studies have been collated and classified by continent.Finally,information about forty existing open sea wave energy test sites worldwide and their characteristics is depicted and displayed on a newly created global map.It has been found that wave power density is still the most consensual metric used for wave energy resource assessment purposes among researchers.Nonetheless,to accomplish a comprehensive wave resource assessment for exploitation,the computation of other metrics at the practicable,technical,and socio-economic levels has also been performed at both spatial and temporal domains.Overall,regions in latitudes between 40°and 60°of both hemispheres are those where the highest wave power density is concentrated.Some areas where the most significant wave power density occurs are in offshore regions of southern Australia,New Zealand,South Africa,Chile,the British Isles,Iceland,and Greenland.However,Europe has been the continent where most research efforts have been done targeting wave energy characterisation for exploitation.
基金Supported by The Bisa Research Grant of Keimyung University in 2006
文摘AIM: To evaluate the prevalence of preoperative and postoperative malnutrition and the relationships between objective and subjective nutritional assessment of gastric cancer patients. METHODS: From October 2005 to July 2006, we studied 80 patients with no evidence of recurrent disease and no loss to follow-up after curative surgery for gastric cancer. In this group, 9 patients underwent total gastrectomy and 71 patients subtotal gastrectomy. At admission, 6 and 12 mo after surgery, the patients were assessed on the subjective global assessment (SGA), nutritional risk screening (NRS-2002), nutritional risk index (NRI) and by anthropometric measurements and laboratory data. Differences between the independent groups were assessed with the Student's t test and oneway analysis of variance. Spearman's rank correlation coefficients were calculated to evaluate the association between the scores and variables. RESULTS: The prevalence of malnutrition at admissionwas 31% by SGA and 43% by NRS-2002. At admission, the anthropometric data were lower in the malnourished groups defined by the SGA and NRS-2002 assessments, but did not differ between the groups using the NRI assessment. Body weight (BW), body mass index (BMI), triceps skin fold and midarm circumference were significantly reduced, but the total lymphocyte count, albumin, protein, cholesterol and serum iron levels did not decrease during the postoperative period. Six months after surgery, there was a good correlation between the nutritional assessment tools (SGA and NRS-2002) and the other nutritional measurement tools (BW, BMI, and anthropometric measurements). However, 12 mo after surgery, most patients who were assessed as malnourished by SGA and NRS-2002 had returned to their preoperative status, although their BW, BMI, and anthropometric measurements still indicated a malnourished status. CONCLUSION: A combination of objective and subjective assessments is needed for the early detection of the nutritional status in case of gastric cancer patients after gastrectomy.
基金supported by the National Program for Quality and Safety Risk Assessment of Agricultural Products of China (GJFP2016003 and GJFP2017003)the Scientific and Technological Innovation Project of the Chinese Academy of Agricultural Sciences (CAAS-ASTIP)
文摘In this study, 15 mycotoxins were detected in 233 nut and dried fruit samples from China. The 15 mycotoxins included aflatoxins （AFs： AFB1, AFB2, AFG1 and AFG2）, trichothecene toxins （TCs： T-2, ZEA, ENA, ENA1, ENB, ENB1 and BEA）, Alternaria toxins （ATs： TEN, AOH and AME） and ochratoxin A （OTA）. The mycotoxins were detected in 47.6% of the samples and all 15 of the mycotoxins were found. Two samples were positive for AFB1 and exceeded the maximum tolerable levels allowed in China. The contamination levels of the mycotoxins found in nuts, dried jujubes, raisins, dried figs and dried Iongans were in the ranges of 0.1-462.7, 0.2-247.3, 0.8-10.1,0.2-384.1 and 0.1-89.2 μg kg^-1, respectively. Dried figs （80.0%） had the highest incidence of mycotoxins, followed by dried Iongans （60.0%）, dried jujubes （57.1%）, nuts （43.6%） and raisins （26.7%）. The estimated daily intake （EDI） values of each individual mycotoxin and all of the mycotoxins collectively were calculated by both the deterministic approach （DA） and the probability approach （PA）. For risk characterization, dietary exposure to TCs, ATs and OTA through consumption of nuts and dried fruits according to both approaches, showed no health risk to Chinese adults by exposure to either individual mycotoxins or in combination. To the best of our knowledge, this is the first work in which risk assessment of multimycotoxins is performed, specifically including the emerging ENNs and BEA, in nuts and dried fruits of China.
基金funded by a grant from the Liaocheng Science and Technology Development Plans(No.2012-193).
文摘Purpose:To evaluate the effect of competency-based management in improving nurse and patient satisfaction.Methods:According to the competency-based management objectives and principles,821 nurses were classified into different levels based on clear nurse qualifications and post responsibilities.According to the different levels of nursing staff and training plans with different emphases,the goal was for the nursing staff to gradually achieve the corresponding level.Targeted training programs for different levels of nurses were formulated to enable nurses to gradually increase their competency levels.Results:After implementation of competency-based management,nurse job satisfaction and patient satisfaction increased significantly(P<0.01).Additionally,the reported nurse job burnout decreased(P<0.01).Conclusion:Competency-based management can promote nurses’enthusiasm,reduce job burnout,improve job satisfaction,as well as improve patient satisfaction.
基金Projects(2018YFC1903301,2018YFC1801805)supported by the National Key R&D Program of China
文摘The Changsha-Xiangtan-Zhuzhou City Group is a heavy industrial district and accepted as the serious pollution area in the Xiangjiang River basin.In this study,7 metals(Pb,Hg,Cd,As,Zn,Cu and Se)and the river water quality parameters including pH,dissolved oxygen(DO),Escherichia coli(E.coli),potassium permanganate index(CODMn),dichromate oxidizability(CODCr),five-day biochemical oxygen demand(BOD5),ammonia nitrogen(NH4+-N),total nitrogen(TN),total phosphorus(TP)and fluoride(F)in 18 sampling sites of the Changsha-Xiangtan-Zhuzhou section are monthly monitored in 2016,which is the year to step into the second stage of the“Xiangjiang River Heavy Metal Pollution Control Implementation Plan”.It is found that E.coli,TN and TP are the main pollutants in the Changsha-Zhuzhou-Xiangtan section,and the pollution of heavy metal is not serious but As with potential risk to local people especially children should be concerned.In addition,Xiangtan city is mainly featured with heavy metal pollution,while Zhuzhou and Changsha city are both featured with other pollutants from municipal domestic sewage.
基金supported by the General Logistics of PLA in China (Grant No. AWS11L009)
文摘China is prone to disasters and escalating disaster losses. Effective disaster mitigation is the foundation for efficient disaster response and rescue and for reducing the degree of hazardous impacts on the population. Vulnerability refers to the population's capacity to anticipate, cope with, and recover from the impact of a hazardous event. A hazard vulnerability assessment(HVA) systematically evaluates the damage that could be caused by a potential disaster, the severity of the impact, and the available medical resources during a disaster to reduce population vulnerability and increase the capacity to cope with disasters. In this article, we summarized HVA team membership, content(disaster identification, probability and consequences), and methods and procedures for an HVA that can be tailored to China's needs. We further discussed the role of epidemiology in an HVA. Disaster epidemiology studies the underlying causes of disasters to achieve effective disaster prevention and reduction. In addition, we made several recommendations that are already in practice in developed countries, such as the U.S., for future implementation in China and other developing countries. An effective HVA plan is crucial for successful disaster preparedness, response, and recovery.
文摘This work examines the environmental and geochemical impact of recycled aggregate concrete production with properties representative for structural applications.The environmental influence of cement content,aggregate production,transportation,and waste landfilling is analysed by undertaking a life cycle assessment and considering a life cycle inventory largely specific for the region.To obtain a detailed insight into the optimum life cycle parameters,a sensitivity study is carried out in which supplementary cementitious materials,different values of natural-to-recycled aggregate content ratio and case-specific transportation distances were considered.The results show that carbon emissions were between 323 and 332 kgCO_(2)e per cubic metre of cement only natural aggregate concrete.These values can be reduced by up to 17%by replacing 25%of the cement with fly ash.By contrast,carbon emissions can increase when natural coarse aggregates are replaced by recycled aggregates in proportions of 50%and 100%,and transportation is not included in analysis.However,the concrete with 50%recycled aggregate presented lower increase,only 0.3%and 3.4%for normal and high strength concrete,respectively.In some cases,the relative contribution of transportation to the total carbon emissions increased when cement was replaced by fly ash in proportions of 25%,and case-specific transportation distances were considered.In absolute values,the concrete mixes with 100%recycled aggregates and 25%fly ash had lower carbon emissions than concrete with cement and natural aggregates only.Higher environmental benefits can be obtained when the transportation distances of fly ash are relatively short(15–25 km)and the cement replacement by fly ash is equal or higher than 25%,considering that the mechanical properties are adequate for practical application.The observations from this paper show that recycled aggregate concrete with strength characteristics representative for structural members can have lower carbon emissions than conventional concrete,recommending them as an alternative to achieving global sustainability standards in construction.
基金Financial supports were provided from the Special Research Projects for Developing Transgenic Plants,China(2013ZX08011-001)the China National Science Fund for Innovative Research Groups of Biological Control(31021003)the National 973 Program of China(2007CB109202)
文摘A 2-yr field study was conducted to assess the effects of transgenic japonica rice（KMD1 and KMD2） with a synthetic cry1 Ab gene from Bacillus thuingiensis Berliner on population dynamics and seasonal average densities of five thrips species including Stenchaetothrips biformis（Bagnall）,Frankliniella intonsa（Trybom）,F.tenuicornis（Uzel）,Haplothrips aculeatus（Fabricius）,Haplothrips tritici（Kurd） and their general predatory flower bug,Orius similis Zheng as compared to the parental control rice line using the white,blue and yellow sticky card traps.Population dynamics and seasonal average densities of these five thrips species and their general predatory flower bug were not significantly affected by rice type.Additionally,the white sticky card trap was suggested to be the most suitable for monitoring the population of these five thrips species and their general predator.These results show that our tested Bt rice lines do not interrupt the population of non-target thrips species and their general predatory flower bug in the field,and also cannot result in more occurrence of these thrips species in the rice ecosystem.
基金Supported by the National Natural Science Foundation for Young Scientists of China (No. 40801225)the Natural Science Foundation of Zhejiang Province (No. Y3090038)
文摘We evaluated the effect of various error sources in fishery harvest/effort data on the maximum sustainable yield （MSY） and corresponding fishing effort （EMsv） using Monte Carlo simulation analyses. A high coefficient of variation （CV） of the catch and effort values biased the estimates of MSY and EMsv. Thus, the state of the fisheries resource and its exploitation was overestimated. We compared the effect using three surplus production models, Hilborn-Waters （H-W）, Schnute, and Prager models. The estimates generated using the H-W model were significantly affected by the CV. The Schnute model was least affected by errors in the underlying data. The CVof the catch data had a greater impact on the assessment than the CV of the fishing effort. Similarly, the changes in CV had a greater impact on the estimated maximum sustainable yield （MSY） than on the corresponding estimate of fishing effort （EMsY）. We discuss the likely effect of these biases on management efforts and provide suggestions for the improvement of fishery evaluations.
文摘Requirements for research assessments There are huge differences in mission, emphasis, inherent capability, and targeted utilization of research among scientific institutions. Hence, when it comes to assessments, a one-size-fits-all approach cannot meet the goal(s) of these assessments. Probably even larger differences exist between individuals, research teams and departments.
文摘Purpose: To standardize the methods to measure Ki-67, there is an interest in automating the assessment of Ki-67. Therefore, we reviewed the possibility of introducing an automated analyzer to standardize the Ki-67 evaluation method. Methods: We retrospectively reviewed a clinical database of patients who underwent surgery for early breast cancer at Tokyo-West Tokushukai Hospital. Among them, those who underwent preoperative core needle biopsy (CNB) were enrolled. The concordance rates of estrogen receptor (ER), progesterone receptor (PgR), human epidermal growth factor receptor 2 (HER2), and Ki-67 by local pathologists were reviewed (valuations made by local pathologists), and nonmatching cases (from August 2008 to October 2011) were reassessed both by central review and using an automated analyzer with virtual slides. The results were compared with the evaluations made by local pathologists, and we reexamined the concordance rate by using central review and the automated analyzer. Results: The concordance rate of Ki-67 evaluations made by local pathologists in the preoperative CNB and surgical specimens was 78.7% in 287 cases pathologically assessed from October 2008 to March 2013. This rate was significantly lower (p < 0.01) than that of ER (95.6%), PgR (88.5%), and HER2 (91.6%). Reassessment of the 37 cases of nonmatching Ki-67 values from 2008 to October 2011 using central review and an automated analyzer resulted in clear improvement in matching of 22 (92.1%) and 24 (93.1%) of 37 cases, respectively. Conclusion: The concordance rate of Ki-67 in preoperative CNB and surgical specimens was lower than that of other biological markers;however, they were nearly equal by reassessment using central review and an automated analyzer.
基金the National Natural Science Foundation of China(72171099,71771101 and 71673103)the Fundamental Research Funds for the Central Universities,China(2662020JGPYR04).
文摘Farmers'assessments of risk management strategies and how the assessments influence their willingness to adopt these strategies are poorly understood.This study conducts a structured survey of 469 farmers to investigate how farmers assess both crop insurance and crop price insurance,the impact of the assessments on their adoption willingness,and in particular,the differences in assessments and adoption willingness between crop insurance and crop price insurance.Empirical results show that farmers’assessments on crop insurance can be significantly improved through communication and experience.The most effective way to improve farmers'assessments on crop price insurance is providing adequate information about the insurance products.Furthermore,farmers'adoption willingness would be enhanced by improved assessment of both crop yield and crop price insurance.This study provides the first empirical evidence that farmers have limited information to assess insurance,which significantly influences their willingness to adopt.This finding reflects that the dissemination of insurance policies,the effectiveness of insurance,and the availability of insurance services significantly enable farmers'ability to assess risk management strategies,which potentially increases farmers'willingness to adopt insurance.
文摘A probability assessment framework is outlined that enables decision-makers to determine a probability distribution over possible events or scenarios they could face in the future.The methodology of the analytic hierarchy process can be utilized in the procedures.Bayesian revision accounting for new developments can be used to calculate posterior probabilities using the same procedures.
基金This study was funded by Research England,Scottish Funding Council,Higher Education Funding Council for Wales,and Department for the Economy,Northern Ireland as part of the Future Research Assessment Programme(https://www.jisc.ac.uk/future-research-assessment-programme).
文摘Collaborative research causes problems for research assessments because of the difficulty in fairly crediting its authors.Whilst splitting the rewards for an article amongst its authors has the greatest surface-level fairness,many important evaluations assign full credit to each author,irrespective of team size.The underlying rationales for this are labour reduction and the need to incentivise collaborative work because it is necessary to solve many important societal problems.This article assesses whether full counting changes results compared to fractional counting in the case of the UK’s Research Excellence Framework(REF)2021.For this assessment,fractional counting reduces the number of journal articles to as little as 10%of the full counting value,depending on the Unit of Assessment(UoA).Despite this large difference,allocating an overall grade point average(GPA)based on full counting or fractional counting gives results with a median Pearson correlation within UoAs of 0.98.The largest changes are for Archaeology(r=0.84)and Physics(r=0.88).There is a weak tendency for higher scoring institutions to lose from fractional counting,with the loss being statistically significant in 5 of the 34 UoAs.Thus,whilst the apparent over-weighting of contributions to collaboratively authored outputs does not seem too problematic from a fairness perspective overall,it may be worth examining in the few UoAs in which it makes the most difference.
文摘This review presents a comprehensive techno-economic and life-cycle assessment of sustainable aviation fuel(SAF)production from biomass.The critical need for transitioning towards environmentally sustainable alternatives for liquid fuel and aviation industry is first discussed.Key insights encompass the evolutionary progression of biofuel production from first-generation to second-generation biofuels,with a focus on utilizing non-food sources like woody biomass for enhanced sustainability.Available data from the literature on techno-economic assessments of various SAF production pathways are analyzed including production costs,conversion efficiency,and scalability.Moreover,results of lifecycle assessments associated with different SAF production pathways are presented,providing essential insights for decision-making processes.The challenges of scaling up woody biomass-based SAF production are discussed based on the assessment results,and recommendations are proposed to steer stakeholders towards a greener and more sustainable trajectory for aviation operations.
文摘In order to evaluate the danger of debris flow properly, eight factors were selected as the risk assess- ment indexes of the debris flow, namely the vertical slope, valley relative difference, hillside slope, area of ba- sin, loose solid material reserves, the path length of sediment supply probability, silting and scouring derrieking and vegetation coverage. The improved Analytic Hierarchy Process （ AHP ） method was used to obtain the weights of the factors; and the efficacy coefficient method was adopted to evaluate the risks of six typical debris flow gullies. According to the research, the improved AHP method not only avoids the subjectivity in the indi- vidual factor valuation by comparing two factors of each layer, but also makes the subsequent consistency check unnecessary.
文摘Environmental Impact Assessments (EIAs) are designed to evaluate all reasonably foreseeable environmental consequences of human activities. Appropriate governmental scientists traditionally produced EIAs for management agencies in many countries. However, many EIAs are now contracted out, often to the lowest bidder without due consideration of expertise. Others suffer from limited agency resources. Consequently, many EIAs have become insufficiently researched documents that draw heavily from previous EIAs while being rushed to completion to meet legislative deadlines or avoid delaying projects. Habitual treatment of topics often ignores recent scientific literature, perpetuating previous misconceptions and analytical flaws. Common problems in EIAs discussing wildlife include: a focus on lethal takes, with little consideration of non-lethal impacts or habitat degradation;a general dismissal of the possibility that non-significant (to the resource) impacts can, when combined, become significant;and the assumption that behavioral habituation in animals represents an end of impact. Incentive to break the cycle is somewhat lacking in this now often commercially competitive environment, where contracts are increasingly awarded by industry, generating potential conflict of interest. We believe investment in thorough, impartially written, scientifically-based and up-to-date EIAs is important for appropriately representing and managing ecosystems and their resources and avoiding potentially expensive litigation.
