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1.
BMC Med Educ ; 24(1): 1100, 2024 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-39375768

RESUMO

BACKGROUND: Based on the perspective of social network theory, this study explored the network indicator system that facilitated optimal knowledge sharing effect in Medication Therapy Management Services (MTMS) training teams. The aim was to provide a reference for optimizing MTMS training and improving training quality. METHODS: Utilizing social network analysis combined with a questionnaire survey, a knowledge sharing matrix for MTMS training teams was constructed. Knowledge sharing behavior was assessed from three perspectives: individual networks, whole networks, and cohesive subgroups. RESULTS: Individual network analysis showed that the knowledge sharing effect within the training team reached its peak when the out-degree centrality was ≥ 3.5, in-degree centrality was ≥ 2.5, eigenvector centrality was ≥ 0.065, and closeness centrality was ≥ 7.86. Whole network analysis indicated that the optimal knowledge sharing effect occurred when the network density of the training team was higher than 0.0343 and the training size was less than 117 participants. Cohesion subgroups analysis demonstrated that knowledge sharing was more effective when members with similar working years participated in training together. CONCLUSIONS: The knowledge sharing indicator system developed for MTMS training teams, based on social network analysis, can assist in optimizing the MTMS training model and improving training effectiveness.


Assuntos
Conduta do Tratamento Medicamentoso , Análise de Rede Social , Humanos , Inquéritos e Questionários , Disseminação de Informação , Masculino , Feminino , Adulto
2.
Sci Rep ; 14(1): 20359, 2024 09 02.
Artigo em Inglês | MEDLINE | ID: mdl-39223269

RESUMO

Lifestyle is an important factor affecting people's health. Evaluating and promoting healthy lifestyles among occupational population can not only improve work ability and efficiency, but also contribute to the prevention a variety of potential diseases. This study developed a preliminary index system based on literature review and group discussion. Two rounds of expert consultation were conducted on 12 experts using Delphi method. The questionnaire recovery rate of the two rounds of Delphi survey was over 85%, the expert authority coefficient was over 0.70, and Kendall W was 0.450 and 0.446, which were significant (P < 0.001). The weighting coefficient of each indicator was calculated using the hierarchical analysis method. Among them, the weighting coefficients of physical health lifestyle, mental health lifestyle, social adaptation lifestyle and occupational health lifestyle were 0.4133, 0.2922, 0.1078 and 0.1867, respectively. The consistency index CI = 0.024 and the consistency ratio CR = 0.027 of the first-level index judgment matrix. The weighting coefficient is acceptable and the indicators do not cause logical confusion. The healthy lifestyle assessment tool of the occupational population constructed in this study consists of 4 primary indicators, 13 secondary indicators and 45 tertiary indicators, which can provide a standardized and operable assessment tool for monitoring and evaluating the healthy lifestyle of the Chinese occupational population. At the same time, the weight analysis of various indicators through the analytic hierarchy process can also provide reference for the key areas of occupational health intervention.


Assuntos
Técnica Delphi , Estilo de Vida Saudável , Saúde Ocupacional , Humanos , China/epidemiologia , Inquéritos e Questionários , Feminino , Masculino , Adulto , Saúde Mental
3.
Entropy (Basel) ; 26(9)2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39330088

RESUMO

In recent years, urban floods have occurred frequently in China. Therefore, there is an urgent need to strengthen urban flood resilience. This paper proposed a hybrid multi-criteria group decision-making method to assess urban flood resilience based on heterogeneous data, group decision-making methodologies, the pressure-state-response model, and social-economic-natural complex ecosystem theory (PSR-SENCE model). A qualitative and quantitative indicator system is formulated using the PSR-SENCE model. Additionally, a new weighting method for indicators, called the synthesis weighting-group analytic hierarchy process (SW-GAHP), is proposed by considering both intrapersonal consistency and interpersonal consistency of decision-makers. Furthermore, an extensional group decision-making technology (EGDMT) based on heterogeneous data is proposed to evaluate qualitative indicators. The flexible parameterized mapping function (FPMF) is introduced for the evaluation of quantitative indicators. The normal cloud model is employed to handle various uncertainties associated with heterogeneous data. The evaluations for Beijing from 2017 to 2021 reveal a consistent annual improvement in urban flood resilience, with a 14.1% increase. Subsequently, optimization recommendations are presented not only for favorable indicators such as regional economic status, drainability, and public transportation service capacity but also for unfavorable indicators like flood risk and population density. This provides a theoretical foundation and a guide for making decisions about the improvement of urban flood resilience. Finally, our proposed method shows superiority and robustness through comparative and sensitivity analyses.

4.
J Med Internet Res ; 26: e60773, 2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39226103

RESUMO

BACKGROUND: Hypertension management apps (HMAs) can be effective in controlling blood pressure, but their actual impact is often suboptimal. Establishing a user satisfaction evaluation indicator system for HMAs can assist app developers in enhancing app design and functionality, while also helping users identify apps that best meet their needs. This approach aims to improve the overall effectiveness of app usage. OBJECTIVE: This study aims to systematically collect data on HMAs and their user reviews in the United States and China. It analyzes app usage patterns and functional characteristics, identifies factors influencing user satisfaction from existing research, and develops a satisfaction evaluation indicator system to provide more accurate recommendations for improving user satisfaction. METHODS: We conducted a descriptive statistical analysis to assess the development status of HMAs in both countries and applied the task-technology fit model to evaluate whether the app functionalities align with business needs. We separately summarized the factors influencing user satisfaction in both countries from previous research, utilized the analytic hierarchy process to develop an evaluation indicator system for HMA user satisfaction, and calculated satisfaction levels. Based on these findings, we propose improvements to enhance app functionality and user satisfaction. RESULTS: In terms of current development status, there were fewer HMAs and user reviews in China compared with the United States. Regarding app functional availability, fewer than 5% (4/91) of the apps achieved a demand fulfillment rate exceeding 80% (8/10). Overall, user satisfaction in both countries was low. CONCLUSIONS: In the United States, user satisfaction was lowest for advertising distribution, data synchronization, and reliability. By contrast, Chinese apps need improvements in cost efficiency and compatibility.


Assuntos
Hipertensão , Aplicativos Móveis , Humanos , Hipertensão/terapia , China , Estados Unidos , Comportamento do Consumidor/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos
5.
Sci Total Environ ; 949: 175255, 2024 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-39102956

RESUMO

The acceleration of water cycle processes in the context of global warming will exacerbate the frequency and intensity of extreme events and predispose to drought and flood disasters (DFD). The Yellow River Basin (YRB) is one of the basins with significant and sensitive impacts of climate change, comprehensive assessment and prediction of its DFD risk are of great significance for ecological protection and high-quality development. This study first constructed an evaluation index system for drought disaster risk and flood disaster risk based on hazard, vulnerability, exposure and the role of large reservoirs. Secondly, the weights of each evaluation index are established by the analytic hierarchy process. Finally, based on the four-factor theory of disasters, an evaluation model of DFD risk indicators is established. The impact of large reservoirs on DFD risk in the YRB is analyzed with emphasis. The results show that from 1990 to 2020, the drought disaster risk in the YRB is mainly distributed in the source area of the Yellow River and the northwest region (11.26-15.79 %), and the flood disaster risk is mainly distributed in the middle and lower reaches (30.04-31.29 %). Compared to scenarios without considering large reservoirs, the area at risk of high drought and high flood is reduced by 45.45 %, 44.22 % and 31.29 % in 2000, 2010 and 2020, respectively. Large reservoirs in the YRB play an important role in mitigating DFD risk, but their role is weakened with the enhancement of the emission scenario. Under the influence of different scenario models, the DFD risk in the YRB in 2030 and 2060 will increase, and the area of high drought and high flood risk in the middle and upper reaches of the basin will increase by 0.26-25.15 %. Therefore, the YRB should play the role of large reservoirs in DFD risk defense in its actions to cope with future climate change, while improving non-engineering measures such as early warning and emergency management systems to mitigate the impacts of disasters.

6.
Skin Res Technol ; 30(7): e13824, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38978223

RESUMO

BACKGROUND: Methods available at home for capturing facial images to track changes in skin quality and evaluate skincare treatments are limited. In this study, we developed a smartphone camera application (app) for personalized facial aesthetic monitoring. MATERIALS AND METHODS: A face alignment indicators (FAIN) system utilizing facial landmark detection, an artificial intelligence technique, to estimate key facial parts, was implemented into the app to maintain a consistent facial appearance during image capture. The FAIN system is composed of a fixed target indicator and an alignment indicator that dynamically changes its shape according to the user's face position, size, and orientation. Users align their faces to match the alignment indicator with the fixed target indicator, and the image is automatically captured when alignment is achieved. RESULTS: We investigated the app's effectiveness in ensuring a consistent facial appearance by analyzing both geometric and colorimetric data. Geometric information from captured faces and colorimetric data from stickers applied to the faces were utilized. The coefficients of variation (CVs) for the L*, a*, and b* values of the stickers were higher compared to those measured by a colorimeter, with CVs of 14.9 times, 8.14 times, and 4.41 times for L*, a*, and b*, respectively. To assess the feasibility of the app for facial aesthetic monitoring, we tracked changes in pseudo-skin color on the cheek of a participant using skin-colored stickers. As a result, we observed the smallest color difference ∆Eab of 1.901, which can be considered as the experimentally validated detection limit using images acquired by the app. CONCLUSION: While the current monitoring method is a relative quantification approach, it contributes to evidence-based evaluations of skincare treatments.


Assuntos
Estética , Face , Aplicativos Móveis , Smartphone , Humanos , Face/anatomia & histologia , Face/diagnóstico por imagem , Feminino , Colorimetria/instrumentação , Colorimetria/métodos , Fotografação , Adulto , Masculino , Inteligência Artificial
7.
Health Expect ; 27(4): e14127, 2024 08.
Artigo em Inglês | MEDLINE | ID: mdl-38940704

RESUMO

BACKGROUND: The safety of medication use among older adults is a growing concern, given the aging population. Despite widespread attention, the exploration of medication literacy in older adults, particularly from the perspective of information literacy, is in its nascent stages. METHODS: This study utilized the existing literature to define medication information literacy (MIL) as a theoretical framework. A two-round Delphi survey was conducted to identify the essential components of a MIL indicator system for older adults. The analytic hierarchy process (AHP) was then used to assign weights to each indicator. RESULTS: The study observed relatively high response rates in both rounds of the questionnaire, which, along with expert authority coefficients (Cr) of 0.86 and 0.89, underscores the credibility and expertise of the panellists. Additionally, Kendall's coefficient of concordance (Kendall's W) ranging from 0.157 to 0.33 (p < 0.05) indicates a consensus among experts on the identified indicators. Utilizing the Delphi process, a MIL indicator system for older adults was developed, comprising five primary and 23 secondary indicators. These indicators were weighted, with medication information cognition and acquisition emerging as pivotal factors in enhancing medication literacy among older adults. CONCLUSIONS: This study developed a MIL indicator system tailored for older adults using the Delphi approach. The findings can inform healthcare professionals in providing customized medication guidance and assist policymakers in crafting policies to enhance medication safety among older adults. PATIENT OR PUBLIC CONTRIBUTION: Patient and public engagement played a pivotal role in the development of our medication information literacy indicator system for older adults. Their involvement contributed to shaping research questions, facilitating study participation, and enriching evidence interpretation. Collaborations with experts in geriatric nursing, medicine, and public health, along with discussions with caregivers and individuals with lived experience, provided invaluable insights into medication management among older adults. Their input guided our research direction and ensured the relevance and comprehensiveness of our findings.


Assuntos
Técnica Delphi , Letramento em Saúde , Humanos , Idoso , Inquéritos e Questionários , Feminino , Masculino , Competência em Informação
8.
J Environ Manage ; 361: 121267, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38815427

RESUMO

The establishment of river water quality monitoring network is crucial for watershed protection. However, the evaluation process of monitoring network layout involves significant subjectivity and has not yet to form a complete indicator system. This study constructed an indicator system based on the DPSR (Driving-Pressure-State-Response) framework in the Liao River Basin, China. SWAT model and ArcGIS were used to quantify the indicators. And the entropy weight-TOPSIS method was employed to rank monitoring points. The results showed that pressure and state indicators had a greater impact on the network layout, with the indicator for proportion of land use in residential areas carrying the largest weight of 0.136. It suggested that the risk of river pollution remained high, and the governance strategies needed to be improved. Priority monitoring points were mainly located in the east and middle of the basin, consistent with the distribution of human activities such as urban areas and farmland. In addition, the redundancy of points should be avoided, and evaluation results should be adjusted based on the actual situation. The study provided an evaluation method for the layout of monitoring points.


Assuntos
Monitoramento Ambiental , Rios , Qualidade da Água , China , Monitoramento Ambiental/métodos , Entropia , Modelos Teóricos
9.
Heliyon ; 10(8): e29880, 2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-38699725

RESUMO

It is crucial to scientifically assess China's rural revitalization and grasp its evolution laws. This paper constructs an indicator system to measure the level of rural revitalization in China from 2011 to 2021 using the entropy weight method. Then, we explore the spatial and temporal divergence and dynamic evolutionary characteristics of rural revitalization using the Dagum Gini coefficient and Kernel density. We found that the level of rural revitalization in China is low but fluctuating and increasing. Regionally, eastern China scores higher than central, western and northeastern China. In terms of dimensions, ecological livability scores are higher than prosperous industry, effective governance, affluent living and civilized countryside in that order. The regional differences in the level of rural revitalization are mainly reflected between regions, especially between eastern and western China, but the gap between regions is narrowing year by year. And the results of the Kernel density show that the level of rural revitalization in China shows a slow and balanced growth, but the eastern China shows a polarization growth. These findings can provide a comprehensive and objective outline of the advantages and shortcomings of rural revitalization development in China, and provide a policy reference for the comprehensive and stable promotion of rural revitalization construction.

10.
Heliyon ; 10(9): e30316, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38774107

RESUMO

In the post-epidemic era, public panic has emerged as a highly significant secondary disaster, necessitating an urgent enhancement of emergency management capabilities by governments at all levels. In order to ensure a robust assessment of the government's ability to manage public panic, it is crucial to effectively address the influence of uncertain and ambiguous factors associated with such scenarios. This paper proposes a governmental public panic emergency management capability assessment method based on fuzzy Petri nets. By analyzing the factors influencing public panic across the four evolutionary stages, namely gestation, outbreak, diffusion, and fading, we establish a hierarchical evaluation index system for assessing emergency management capabilities. Additionally, we develop a range of multi-scenario emergency management strategies. To address the challenges posed by uncertainty, randomness, fuzziness, and insufficient statistical data within the assessment index system, we introduce fuzzy Petri nets and fuzzy reasoning rules to evaluate the emergency management capability of the assessment system and derive the optimal emergency management strategy. According to example simulations, the effectiveness and practicality of models and rules constructed using fuzzy Petri nets are demonstrated, highlighting their superiority over traditional assessment methods. This comprehensive approach equips the government with a versatile toolkit for effectively managing public panic emergencies.

11.
Eval Program Plann ; 104: 102433, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38583279

RESUMO

Townships (towns, streets) represent the foundational layer of China's administrative structure, and the quality of their credit environment is crucial for underpinning the development of a primary-level social credit system. This initiative aims to accelerate the establishment of the social credit system and cultivate a trustworthy economic and social environment. Starting from the three major fields of government, business and society, and focusing on integrity culture and credit innovation, the article proposes an innovative evaluation framework for primary-level credit environment and it can become a point of reference as a policy tool in international evaluation programs. Using clustering and the coefficient of variation methods, we quantitatively refine our indicator system, establishing a set of criteria to assess the primary-level credit environment. We incorporate hierarchical analysis, the entropy weight method, and machine learning models to conduct a comprehensive evaluation of the credit environments within 24 townships (towns, streets) of Fuyang District in Hangzhou City for the year 2023. The findings underscore the need for a realistic appraisal of the current state and deficiencies of the primary-level credit environment. We advocate for the bolstering of credit development within governmental, business, and societal realms. It's imperative to leverage the normative influence of honesty and integrity culture, enhance the breadth and application of credit innovations, and thereby foster the high-quality growth of the primary-level social credit system.


Assuntos
Avaliação de Programas e Projetos de Saúde , China , Humanos , Avaliação de Programas e Projetos de Saúde/métodos , Meio Social , Aprendizado de Máquina , Estudos de Casos Organizacionais
12.
Artigo em Inglês | MEDLINE | ID: mdl-38654145

RESUMO

BACKGROUND: Geographical and meteorological factors have been reported to influence the prevalence of echinococcosis, but there's a lack of indicator system and model. OBJECTIVE: To provide further insight into the impact of geographical and meteorological factors on AE prevalence and establish a theoretical basis for prevention and control. METHODS: Principal component and regression analysis were used to screen and establish a three-level indicator system. Relative weights were examined to determine the impact of each indicator, and five mathematical models were compared to identify the best predictive model for AE epidemic levels. RESULTS: By analyzing the data downloaded from the China Meteorological Data Service Center and Geospatial Data Cloud, we established the KCBIS, including 50 basic indicators which could be directly obtained online, 15 characteristic indicators which were linear combination of the basic indicators and showed a linear relationship with AE epidemic, and 8 key indicators which were characteristic indicators with a clearer relationships and fewer mixed effects. The relative weight analysis revealed that monthly precipitation, monthly cold days, the difference between negative and positive temperature anomalies, basic air temperature conditions, altitude, the difference between positive and negative atmospheric pressure anomalies, monthy extremely hot days, and monthly fresh breeze days were correlated with the natural logarithm of AE prevalence, with sequential decreases in their relative weights. The multinomial logistic regression model was the best predictor at epidemic levels 1, 3, 5, and 6, whereas the CART model was the best predictor at epidemic levels 2, 4, and 5.

13.
Heliyon ; 10(5): e27248, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38468960

RESUMO

Green development of agriculture and rural areas (GDARA) is an essential part of rural revitalization and high-quality development. Based on 2011 to 2020 provincial panel data from China, the entropy-based Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS) model is constructed to measure the level of GDARA, finding that the overall level during the sample period was positive. Then the regional differences mainly from intra-regional were revealed by the methods of Dagum Gini coefficient and Kernel density estimation and were shrinking overall. Besides, the results of Markov chain transfer matrix show the dynamic characteristics clearly, which the low-level regions shift to the middle and high levels with a greater probability. The results of the spatial autocorrelation test display that GDARA has a spatial clustering effect. Finally, the industrial upgrading and the business income of leisure agriculture are respectively proven to hinder GDARA at most by the Obstacle degree model empirically. Based on a series of empirical tests, a few relevant policy recommendations are proposed to promote the road to strong agriculture and rural areas in China.

14.
Environ Sci Pollut Res Int ; 31(17): 25014-25032, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38460035

RESUMO

Food security is a vital material foundation for a nation's development and has been a topic of significant concern on the international stage in recent years. With a population exceeding 1.4 billion, China is not only a major producer but also a substantial consumer of food. Ensuring food security in China is not only a top priority for its socio-economic development but also a driving force in maintaining the stability of the global food supply chain and reducing the number of hungry people worldwide. However, a lack of comprehensive research into the Chinese food security system remains. This study addresses this gap by constructing a comprehensive evaluation framework encompassing four dimensions: food supply, accessibility, production stability, and sustainability. Utilizing the Moran's Index and generating LISA (Local Indicators of Spatial Association) maps, we analyze the spatial correlations of food security. The Dagum Gini coefficient and kernel density estimation are applied to assess heterogeneity and spatial disparities. Furthermore, this research employs the Exponential Smoothing (ETS) model to forecast food security trends. The findings reveal that the overall composite food security score exhibited fluctuations, initially increasing and reaching its peak of 0.407 in 2003, followed by a subsequent sharp decline after 2019. Spatially, food security exhibits correlations, with the Huang-Huai-Hai Plain and Northeast regions consistently showing high-high clustering. In contrast, the Western and Southern regions exhibit low-low clustering at specific periods. The Dagum Gini coefficient indicates that overall food security disparities are relatively small. However, these disparities have gradually expanded in recent years, with inter-group differences becoming predominant after 2005. As indicated by the kernel density estimation, the dynamic distribution of food security initially widens and then narrows, suggesting a shift from dispersed to concentrated data distribution. This phenomenon is accompanied by polarization and convergence trends, particularly evident after 2015. According to the ETS model, the study forecasts a substantial risk of declining food security in China over the next decade, largely influenced by the ongoing pandemic. In conclusion, this research provides a comprehensive assessment of the changing status of food security in China. It offers early warnings through predictive analysis, addressing the existing research gaps in the field of food security.


Assuntos
Desenvolvimento Econômico , Alimentos , Humanos , China , Análise por Conglomerados , Segurança Alimentar
15.
J Psycholinguist Res ; 53(2): 17, 2024 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-38413545

RESUMO

With the development of the economy and the improvement of living standards, people's needs have gradually changed, and sports has received increasing attention. At the same time, due to the significant efforts of all countries in sports, sports governance has also attracted considerable attention from scholars. However, the evaluation of global sports governance has rarely been discussed. This paper analyzes the principles for selecting indicators of global sports governance and develops a global sports governance evaluation indicator system consisting of 3 first-level indicators, 6 s-level indicators, and 14 third-level indicators. Additionally, this paper conducted an empirical study of the indicator system using the deep trust network model, and the results showed that the research on the evaluation index system of global sports governance based on the deep trust network model is feasible. Compared with the actual scores, the evaluation gaps for sports facility satisfaction, sports information satisfaction, and sports activity satisfaction were only 0.05, 0.09, and 0.05, respectively. Overall, this method is more accurate in analyzing the evaluation index system of global sports governance and can more directly and objectively reflect the shortcomings of current global sports governance, providing specific analysis of particular problems. The paper suggests that current global sports governance should focus on the coverage of sports facilities, attention to mass sports, satisfaction of sports activities, and promote in-depth development through both hard and soft governance measures.


Assuntos
Confiança , Humanos
16.
Sci Total Environ ; 921: 171094, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38387575

RESUMO

Integrated management and synergistic improvement of the water system is a topic of widespread concern. This study innovatively integrates three functions of quality assessment, synergy evaluation, and driving influence determination to establish a systematic framework assessing water system harmony. A case study of 336 Chinese cities is further performed by combining multi-scale and multi-source datasets. The results show China's water system quality has improved from 2015 to 2022. Development in the water resource, environment, and ecology subsystems have been differentiated, with 0.05 %, 4.33 %, and -1.64 % changes, respectively. The degradation of water ecology and the weak synergy with the other two subsystems have limited China's water system harmony. Water environment improvement played a contributive role in improving the water system quality. The contribution structure of water resources, environment, and ecology has shifted towards equilibrium in recent years. We found and highlighted the north-south differentiation of water system harmony in Chinese cities. The Beijing-Tianjin-Hebei and its surroundings, the Yangtze River Delta, and the middle reaches of the Yangtze River are identified as priority regions for water system harmony improvement. The primary contribution of this study is to propose an assessing concept of water resource-environment-ecology system harmony, establish well-structured assessment methods, and integrate the multiple data sources. The novel methods and findings, including the indicator system, application of data mining and decomposing methods, and the city-level water system harmony map, deconstruct and quantify the complex and diverse water system, supporting clearer and more efficient water management policymaking.

17.
Environ Sci Pollut Res Int ; 31(5): 7889-7901, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38170351

RESUMO

Stream ecosystem health assessments are crucial for the effective management of aquatic ecosystem service functions and the assessment of anthropogenic and climatic impacts on aquatic ecosystems. However, there is still a lack of comprehensive assessment methods based on complete ecosystem structures. This study improved an ecological health assessment system, which consists of 13 indicators based on ecosystem structure. The assessment system was applied to 30 streams on Changbai Mountain. The results showed that the comprehensive index of stream health (ISH) in Changbai Mountain was relatively high, and the ISH increased with the elevation gradient. The dominant factors controlling the ecosystem health level were water pH, water flow, vegetation coverage, total phosphorus (TP), and vegetation diversity index. All these results indicated that the damage caused by excessive deforestation and farmland occupation in recent years has not been fully reversed and that human disturbance from tourism may be the main reason for the low stream health at lower elevations. Our results suggest that the key to future work is to increase quantitative research on disturbance sensitivity and to develop economically viable restoration measures.


Assuntos
Ecossistema , Rios , Humanos , China , Fósforo , Água
18.
Sci Total Environ ; 913: 169632, 2024 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-38171459

RESUMO

The contradiction between the rapid textile expansion and intensive energy consumption, highly environmental pollution calls for the adoption of cleaner production (CP). However, current evaluation system mainly targeted on CP at production stage, guidance and support on the life cycle assessment is still in its infancy. Meanwhile few studies brought the combination of water conservation and carbon reduction into considerations. This study compared the existing CP evaluation systems including guidelines for the whole industry, standards for textile industry and indicators for the dyeing and finishing sector by quantifying the differences of indicator score compositions. Comparisons analysis from six aspects suggested that all the evaluation systems had relevant indicators regarding "pollutant emissions". "Management", "process equipment and techniques" and "resource and energy consumption" have also been well concerned while "product characteristic" seemed to be overlooked at current stage. From the perspective of whole life cycle, the key of textile processing is the "printing and dyeing" (44.23 %) followed by "fabric manufacturing"(28.85 %) and setting (15.38 %). With regards to the environmental impacts, resources depletion gained the highest attention since their indicator scores reached up to 25.71 %, 18.47 % and 20.62 % for EMAS, ERG 2018 and HJ-1852006. Cleaner production awareness and social impact also played significant roles in ISO 14031:2021 and WMG. Subsequently, a set of new comprehensive CP evaluation indicator system was established, including 3 scopes and 7 goals. The newly-built indicator system incorporated with life cycle perspectives gave a powerful tool to measure the CP level in textile industry and of CP will benefit from water reuse and energy utilization with high efficiency.

19.
Modern Hospital ; (6): 409-412, 2024.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-1022292

RESUMO

This paper introduces the construction and application of the medical quality evaluation indicator system in clinical departments of a large general hospital.It describes the indicator system's constitution and score setting,summarize the characteristics and application practice of the assessment system,and proposes some ideas for the following improvement,which in order to provide some reference for other hospitals.

20.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-1024989

RESUMO

【Objective】 To establish a blood quality monitoring indicator system, in order to continuously improve blood quality and standardized management. 【Methods】 Based on the research of literature and standards, and guided by the key control points of blood collection and supply process, the blood quality monitoring indicator system was developed. Through two rounds of Delphi expert consultation, the indicator content was further revised and improved according to expert opinions after six months of trial implementation. The indicator weight was calculated by questionnaire and analytic hierarchy process. 【Results】 A blood quality monitoring indicator system covering the whole process of blood collection and supply was constructed, including five primary indicators, namely blood donation service, blood component preparation, blood testing, blood supply and quality control, as well as 72 secondary indicators, including definitions, calculation formulas, etc. Two rounds of expert consultation and two rounds of feasibility study meeting were held to revise 17 items and the weight of each indicator was obtained through the analytic hierarchy process. After partial adjustments, a blood quality monitoring indicator system was formed. 【Conclusion】 A blood quality monitoring indicator system covering the whole process of blood collection and supply has been established for the first time, which can effectively evaluate the quality management level of blood banks and coordinate blood quality control activities of blood banks in Shandong like pieces in a chess game, thus improving the standardized management level

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