Development and evaluation of oral Cancer quality-of-life questionnaire (QOL-OC).

BACKGROUND: In this study scales and items for the Oral Cancer Quality-of-life Questionnaire (QOL-OC) were designed and the instrument was evaluated. METHODS: The QOL-OC was developed and modified using the international definition of quality of life (QOL) promulgated by the European Organization for Research and Treatment of Cancer (EORTC) and analysis of the precedent measuring instruments. The contents of each item were determined in the context of the specific characteristics of oral cancer. Two hundred thirteen oral cancer patients were asked to complete both the EORTC core quality of life questionnaire (EORTC QLC-C30) and the QOL-OC. Data collected was used to conduct factor analysis, test-retest reliability, internal consistency, and construct validity. RESULTS: Questionnaire compliance was relatively high. Fourteen of the 213 subjects accepted the same tests after 24 to 48 h demonstrating a high test-retest reliability for all five scales. Overall internal consistency surpasses 0.8. The outcome of the factor analysis coincides substantially with our theoretical conception. Each item shows a higher correlation coefficient within its own scale than the others which indicates high construct validity. CONCLUSIONS: QOL-OC demonstrates fairly good statistical reliability, validity, and feasibility. However, further tests and modification are needed to ensure its applicability to the quality-of-life assessment of Chinese oral cancer patients.

Leaching behavior and release mechanism of pollutants from different depths in a phosphogypsum stockpile.

Phosphogypsum (PG), a byproduct during the production of phosphoric acid and phosphate fertilizers, is predominantly stockpiled with a height greater than hundreds of meters. In this study, the leaching behavior of pollutants from PG stored at different depths was systematically investigated through batch tests, column tests, and geochemical modeling. PG samples were collected at different depths within a range of 48 m from a large-scale PG stack in China. The results showed that the pH, electrical conductivity, and elemental concentration of the leachate exhibited spatial variability in terms of the depth distribution, with evident bottom enrichment effects for metals and soluble salts. The pH-dependent leaching tests investigated the impact of pH variations on the solubility of various elements in PG, with a specific focus on elements precipitation occurring within the natural pH range. The geochemical modeling of leaching tests conducted by PHREEQC enabled the identification of the dominant phases controlling the solubilization of the elements, as well as the dynamic process of changes in element forms and concentrations with pH variation. Column leaching tests reveal the differences in pollutant properties between the unsaturated and saturated zones within the PG stack and categorize the leaching mechanisms of elements into three models including dissolution, diffusion, and wash-off. This study aims to reveal the leaching characteristics of PG at different depths, so as to provide a data foundation for the design of liner system, leachate management strategies, and remediation of heavy metal pollution of PG stack sites.