Reliability and validity of the quality of life-Alzheimer disease Chinese version.

OBJECTIVES: To evaluate the psychometric properties of the quality of life-Alzheimer disease (QOL-AD) Chinese version in patients with dementia in mainland, China and to compare patient and caregiver reports of patient QOL. METHODS: The QOL-AD Chinese version was established following standard guidelines for cross-cultural adaptation of measures. The reliability was assessed by internal consistency and test-retest reliability. The validity included construct and convergent validity. A paired Student t test was performed to determine differences between patient reports and caregiver reports. RESULTS: The reliability for both patient and caregiver reports on the QOL-AD was good (Cronbach α values of 0.66 and 0.87; intraclass correlation coefficients of 0.84 and 0.90 for patient and caregiver reports, respectively). The validity of patient and caregiver reports was supported by correlation with domain measures. All of the multitrait-multimethod correlations demonstrated a high relationship between patient reports and caregiver reports, ranging from 0.26 to 0.55. The caregivers rated patient QOL significantly higher than did the patients. CONCLUSION: The findings support the use of the Chinese version of the QOL-AD as a generic instrument to measure QOL of AD in mainland China. Further research is needed to clarify the relationship between patient and caregiver reports of patient QOL.

[Relationships between stoichiometric characteristics of soil enzymatic activities and environmental factors in parallel valleys of western Yunnan, China.] / æ»‡è¥¿å¹¶æµæ²³è°·åŒºåœŸå£¤é ¶æ´»æ€§åŒ–å­¦è®¡é‡å­¦ç‰¹å¾ä¸ŽçŽ¯å¢ƒå› å­çš„å ³ç³».

The valleyes of Hengduan Mountains contain the landscapes with high heterogeneity as well as high diversity of climate and vegetation types. To explore the soil cycling of four elements (C, N, P, S) across the parallel valleys of Nujiang River, Lancang River, Jinsha River and Yuanjiang River in western Yunnan, we collected top soils (0-10 cm) in forests, grasslands, and croplands. The activities of soil enzymes, including ß-glucosidase (BG), ß-N-acetylglucosaminidase (NAG), acid phosphatase (AP), and sulfatase (SU), which drive the soil C, N, P and S cycling, were determined. We analyzed the relationships of soil enzymatic activities and their stoichiometric characteristics with environmental factors. The activities of both AP and NAG had significant difference among different basins and different land types. The activities of AP, BG, NAG and SU were significantly positively related with each other. From southeast to northwest, the activities of BG, NAG, and SU increased with the altitude. Across all basins, the ecoenzymatic ratios of soils always ranked as AP:SU > BG:SU > NAG:SU > BG:NAG > BG:AP > NAG:AP. Compared with forest and grassland soil, cropland soils in each watershed had a higher BG:NAG and a lower NAG:AP (except Yuanjiang River basin). Moreover, AP:SU, BG:SU and NAG:SU of cropland soils were lower than those of forest and grassland in Yuanjiang River basin. However, they were higher than forest and lower than grassland in both Lancang River basin and Jinsha River basin. Soil enzyme activities and enzymatic stoichiometry were affected by physicochemical properties of soil, climate, and location, with the most contribution from soil physicochemical properties. Agricultural land use significantly affected the stoichiometry of C:N:P acquiring enzymes in soils by reducing the activity of N-degrading enzymes relative, resulting in the increases of BG:NAG and the decreases of NAG:AP. Agricultural activities had limited effects on other enzymatic stoichiometries.

[Contribution of soil fauna to litter decomposition of Abies faxoniana and Rhododendron lapponicum across an alpine timberline ecotone in Western Sichuan, China.] / 川西高山林线交错带土壤动物对岷江冷杉和高山杜鹃凋落物分解的贡献.

Soil fauna is an important biological factor in regulation litter decomposition. In order to quantify the contributions of soil fauna to the mass losses of litter of two dominant species fir (Abies faxoniana) and rhododendron (Rhododendron lapponicum) in the alpine timberline ecotone (coniferous forest-timberline-alpine meadow) of western Sichuan, China, a field litterbag experiment was conducted from May 2013 to November 2014. Samples of air-dried leaf litter were placed in nylon litterbags of two different mesh sizes, i.e. 3.00 mm (with the soil animals) and 0.04 mm (excluded the soil animals). The results showed that the decomposition rate of A. faxoniana (k: 0.209-0.243) was higher than that of R. lapponicum (k: 0.173-0.189) across the timberline ecotone. Soil fauna had significant contributions to litter decomposition of two species, the contributions of soil fauna to mass loss showed a decreasing trend with increasing altitude. From the coniferous forest to the alpine meadow, the mass losses caused by soil fauna for the fir litter accounted for 15.2%, 13.2% and 9.8%, respectively and that for the rhododendron litter accounted for 20.1%, 17.5% and 12.4%, respectively. Meanwhile, the daily average contributions caused by soil fauna for the fir and rhododendron litter decomposition accounted for 0.17%, 0.13%, 0.12% and 0.26%, 0.25%, 0.23%, respectively. Relatively, soil fauna had more influence on alpine rhododendron decomposition. Two-way ANOVA showed that species, altitude and their interaction had significant impact on the litter mass loss and decomposition rate caused by soil fauna. The daily average contribution caused by soil fauna for the fir and rhododendron litter decomposition accounted for 0.25% and 0.44% in the first growing season, then 0.10% and 0.19% in the second growing season, both were higher than that of snow-covered season (0.07% and 0.12%). Regression analysis showed that the environmental factors (daily average temperature, freezing and thawing cycles and snow thickness) explained 42.7% and 50.9% in the mass loss as well as 43.2% and 55.6% in the contribution rate of fir and rhododendron litter decomposition. These results suggest that soil fauna contributes strongly to litter decomposition in the alpine ecosystem, and it is of great significance to thorough understanding and recognizing material cycle through the role of soil fauna in the litter decomposition.

[Responses of soil microbial community structure and function to simulated warming in alpine forest.] / 高山森林土壤微生物群落结构和功能对模拟增温的响应.

Soil samples were collected from an alpine coniferous forest. Soil cores with soil organic layer above and mineral soil layer below were incubated in plant growth chambers during 10 weeks. Taking the annual average soil temperature in the alpine forest as the control, and other two levels of temperature were increased 2 and 4 ℃, respectively, to investigate the responses of soil microbial community and soil enzyme activity to warming. The results showed that warming significantly reduced PLFAs content of bacteria in soil organic layer and PLFAs content of G- in the mineral soil layer, whereas soil fungi was slightly influenced by warming. Warming caused the G+/G- increasing and changed the microbial community structure, but had no significant effect on soil enzymes activity, i.e., laccase (Lac), ß-1,4-glucoside (BG), acid phosphate (AP), ß-1,4-N-acetylglucosaminidase (NAG). There were significantly positive correlations between fungi, bacteria, G+ and G-, showing the coordinated growth trend between soil microbial communities. There was significantly negative correlation between BG and bacteria, showing the BG competing for carbon source utilization with soil microbial community. In consequence, the soil microbe types responded differently to warming. Bacteria were more sensitive to temperature than fungi, and fungi had stronger ability to tolerate warming in the alpine forest.

[Relationships between decomposition rate of leaf litter and initial quality across the alpine timberline ecotone in Western Sichuan, China].

The relationships between litter decomposition rate and their initial quality of 14 representative plants in the alpine forest ecotone of western Sichuan were investigated in this paper. The decomposition rate k of the litter ranged from 0.16 to 1.70. Woody leaf litter and moss litter decomposed much slower, and shrubby litter decomposed a little faster. Then, herbaceous litters decomposed fastest among all plant forms. There were significant linear regression relationships between the litter decomposition rate and the N content, lignin content, phenolics content, C/N, C/P and lignin/N. Lignin/N and hemicellulose content could explain 78.4% variation of the litter decomposition rate (k) by path analysis. The lignin/N could explain 69.5% variation of k alone, and the direct path coefficient of lignin/N on k was -0.913. Principal component analysis (PCA) showed that the contribution rate of the first sort axis to k and the decomposition time (t) reached 99.2%. Significant positive correlations existed between lignin/N, lignin content, C/N, C/P and the first sort axis, and the closest relationship existed between lignin/N and the first sort axis (r = 0.923). Lignin/N was the key quality factor affecting plant litter decomposition rate across the alpine timberline ecotone, with the higher the initial lignin/N, the lower the decomposition rate of leaf litter.

[Litter decomposition and soil faunal diversity of two understory plant debris in the alpine timberline ecotone of western Sichuan in a snow cover season].

In order to understand the relationship between litter decomposition and soil fauna diversity during snow cover season, litterbags with plant debris of Actinothuidium hookeri, Cystopteris montana, two representative understory plants in the alpine timberline ecotone, and their mixed litter were incubated in the dark coniferous forest, timberline and alpine meadow, respectively. After a snow cover season, the mass loss and soil fauna in litterbags were investigated. After decomposition with a snow cover season, alpine meadow showed the highest mass loss of plant debris in comparison with coniferous forest and timberline, and the mass loss of A. hookeri was more significant. The mixture of two plants debris accelerated the mass loss, especially in the timberline. A total of 968 soil invertebrates, which belonged to 5 classes, 10 orders and 35 families, were captured in litterbags. Acarina and Collembola were the dominant groups in plant debris. The numbers of individuals and groups of soil faunal communities in litter of timberline were higher than those of alpine meadow and dark coniferous forest. Canonical correspondence analysis (CCA) indicated that the groups of soil animals were related closely with the average temperature, and endemic species such as Isoptera and Geophilomorpha were observed only in coniferous forest, while Hemiptera and Psocoptera only in.the alpine meadow. The diversity of soil faunal community was more affected by plant debris varieties in the timberline than in the coniferous forest and alpine meadow. Multiple regression analysis indicated that the average temperature and snow depth explained 30.8% of the variation of litter mass loss rate, soil animals explained 8.3%, and altogether explained 34.1%. Snow was one of the most critical factors impacting the decomposition of A. hookeri and C. montana debris in the alpine timberline ecotone.

[Litter decomposition and lignocellulose enzyme activities of Actinothuidium hookeri and Cys- topteris montana in alpine timberline ecotone of western Sichuan, China].

The mass loss and lignocellulose enzyme activities of Actinothuidium hookeri residues and Cystopteris montana leaf litter in coniferous forest and timberline of western Sichuan, China were investigated. The results showed that both the mass loss rates of A. hookeri and C. Montana in timberline were higher than those in coniferous forest, while enzyme activities in timberline were lower than those in coniferous forest which was contrast with the hypothesis. The mass loss of two ground covers had significant differences in different seasons. The mass loss rate of A. hookeri in snow-covered season accounted for 69.8% and 83.0% of the whole year' s in timberline and coniferous forest, while that of C. montana in the growing season accounted for 82.6% and 83.4% of the whole year' s in timberline and coniferous forest, respectively. C. montana leaf litter decayed faster in the growing season, which was consistent with its higher cellulase activity in the growing season. The result illustrated that the enzymatic hydrolysis of cellulose and hemicellulose might be the main driving force for the early stage of litter decomposition. Multiple linear regression analysis showed that environmental factors and initial litter quality could explain 45.8%-85.1% variation of enzyme activity. The enzyme activities of A. hookeri and C. montana in the process of decomposition were mainly affected by the freeze-thaw cycle in snow-covered season.

[Item function analysis on the Quality of Life-Alzheimer's Disease(QOL-AD)Chinese version, based on the Item Response Theory(IRT)].

OBJECTIVE: To introduce the Item Function Analysis(IFA) of Quality of Life- Alzheimer's disease(QOL-AD)Chinese version and to explore the feasibility of its application on Chinese patients with AD. METHODS: Two hundred AD patients were interviewed and assessed by QOL-AD, through the stratified cluster sampling method. Multilog 7.03. was used for Item Function Analysis. Difference scale(a), difficulty scale(b)and Item Characteristic Curve(ICC) of each item of QOL-AD were provided. RESULTS: Different scales of the item 1, 7 were below 0.6, while all the others were above 0.6. As for ICC. The first and last lines for the other items were monotonic in which the two in between were in inverted V-shape, with very steep slopes, except for the item 1 and 7. CONCLUSION: Results form the IFA showed that QOL-AD was applicable to be used in the Chinese patients with AD.

[Current status and influencing factors regarding quality of life among patients with Alzheimer's disease].

OBJECTIVE: To investigate the current status and influencing factors regarding quality of life among patients with Alzheimer's disease (AD). METHODS: Through stratified cluster sampling method, two hundred patients with AD and their caregivers were chosen and interviewed. AD patients were assessed by questionnaires, Montreal Cognitive Assessment, and Quality of Life-Alzheimer's Disease (QOL-AD), in order to compare the reports from patients and caregivers on QOL-AD and to analyze related influencing factors. Descriptive analysis, paired t-test, analysis of variance (ANOVA), Pearson's correlation and multiple linear regression were performed using the Statistical Package for Social Science (SPSS). RESULTS: The scores of reports from patients (28.78 ± 4.30) were lower than that from the caregivers' (30.05 ± 6.05). The difference was statistically significant (t = 2.122, P < 0.05) and was positively correlated (r = 0.312, P < 0.001). Data from multivariate analysis showed that cognitive level (t = 3.465, P = 0.001), marriage relationship (t = 3.062, P = 0.003), having public activities (t = 2.581, P = 0.011), personal characters (t = 2.254, P = 0.026), restricted diet pattern (t = 3.614, P < 0.001), regularly drinking tea (t = 2.652, P = 0.009) and doing housework (t = 3.180, P = 0.002) were predictive factors. CONCLUSION: Scores from the caregiver's report on QOL-AD were higher than that from the patients'. Many factors influenced the quality of life on AD patients. Strategies on improving the quality of life among AD patients can be developed based on the findings of this study.