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1.
Environ Sci Technol ; 56(15): 10567-10576, 2022 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-35819895

RESUMO

With the rising demands on supply chain transparency and food security, the rapid outspread of the Internet of Things (IoT) to improve logistical efficiency, and the rising penetration of sensor technology into daily life, the extensive integration of the IoT in the food sector is well anticipated. A perspective on potential life cycle trade-offs in regard to the type of integration is necessary. We conduct life cycle assessment (LCA) integrated with shelf life-food loss (SL-FL) models, showing an overall 5-fold leverage on carbon reduction, which is diet dependent and a function of income. Meat presents the highest leverage, 35 ± 11-times, owing to its high carbon footprint. Two-thirds (65%) of global sensors (1 billion) engaged in monitoring fruits and vegetables can mitigate less than 7% of the total reduced carbon emissions. Despite the expected carbon emission reductions, widespread adoption of the IoT faces multiple challenges such as high costs, difficulties in social acceptance, and regional variability in technological development. Furthermore, changes in the distribution of transportation resources and dealer service models, requirements regarding the accuracy of sensor data analysis, efficient and persistent operation of devices, development of agricultural infrastructure, and farmer education and training have all increased uncertainty. Nonetheless, the research trend in smart sensors toward smaller chips and the potential integration of machine learning or blockchain as further steps make it possible to leverage these advantages to facilitate market penetration. These insights facilitate the future optimization of the application of IoT sensors for sustainability.


Assuntos
Carbono , Abastecimento de Alimentos
2.
Int J Nurs Pract ; 28(6): e13020, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34658105

RESUMO

PURPOSE: This study aimed to develop and test the psychometric properties of a Professional Nursing Support Scale for patients with cancer in mainland China. METHODS: The study was conducted in two phases from January 2017 to January 2020. Phase I involved item generation and developing a preliminary version of Professional Nursing Support Scale through literature review, qualitative interviews, content validity evaluation and a pilot study. Phase II involved psychometric properties testing of the Professional Nursing Support Scale in 700 patients with cancer recruited from four public hospitals in Anhui Province, China. RESULTS: A 49-item Professional Nursing Support Scale was finally developed. Exploratory factor analysis showed a four-factor structure of the 49-item Professional Nursing Support Scale, accounting for 56.95% of variance. Cronbach's α ranged from 0.91 to 0.94 for the four subscales. Confirmatory factor analysis further confirmed the best model fit of four-factor structure of the Professional Nursing Support Scale. The Professional Nursing Support Scale also showed an acceptable concurrent validity with Supportive Care Needs Scale short form 34 (r = 0.75, p < 0.001) and Psychological Distress Thermometer (r = 0.39, p < 0.001). CONCLUSIONS: The Professional Nursing Support Scale is a reliable and valid instrument to assess perceived needs of professional nursing support and support acquisition in relation to the care in Chinese patients with cancer.


Assuntos
Neoplasias , Humanos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Projetos Piloto , Psicometria , Neoplasias/psicologia , China
3.
J Clin Nurs ; 29(23-24): 4469-4481, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32949056

RESUMO

OBJECTIVE: To systematically review male partners' caring experience and supportive care needs when caring for women with gynaecologic cancer. METHODS: The PRISMA guidelines were used to conduct this systematic review. We performed a comprehensive literature search in nine databases and qualitative studies published in English or Chinese from inception to January 2020. The included papers were appraised, using the Critical Appraisal Skills Program tool for qualitative research. An inductive thematic analysis method was adopted to synthesise major findings to construct core concepts and themes. RESULTS: Eight studies were included in this review, and four overarching themes emerged the following: the negative experience of disease, the need for supportive care to cope, adapting to a new life and post-traumatic growth. CONCLUSIONS: This study shows that male partners had both negative and positive experiences in the caring process, and they could adjust themselves to some extent. Their perceived supportive care needs were often neglected. RELEVANCE TO CLINICAL PRACTICE: Male partners of women with gynaecologic cancer are an under-recognised group. The couple-oriented or family-oriented supportive care programmes should be implemented to meet the supportive care needs of male partners to enhance their health and well-being.


Assuntos
Neoplasias dos Genitais Femininos , Adaptação Psicológica , Feminino , Humanos , Masculino , Pesquisa Qualitativa
4.
Environ Monit Assess ; 189(1): 20, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27981466

RESUMO

One-dimensional boring presents limitations on mapping the refuse profile in old landfills owning to waste heterogeneity. Electrical imaging (EI) and multiple-analysis of surface wave (MASW) were hereby deployed at an old dumping ground in Singapore to explore the subsurface in relation to geotechnical analysis. MASW estimated the refuse boundary with a higher precision as compared to EI, due to its endurance for moisture variation. EI and MASW transection profiles suggested spots of interest, e.g., refuse pockets and leachate mounds. 3D inversion of EI and MASW data further illustrated the transformation dynamics derived by natural attenuation, for instance the preferential infiltration pathway. Comparison of geophysical surveys at different years uncovered the subterranean landfill conditions, indicating strong impacts induced by aging, precipitation, and settlement. This study may shed light on a characterization framework of old landfills via combined geophysical models, thriving landfill knowledge with a higher creditability.


Assuntos
Monitoramento Ambiental/métodos , Eliminação de Resíduos/métodos , Instalações de Eliminação de Resíduos , Eletricidade , Resíduos de Alimentos , Modelos Teóricos , Singapura , Inquéritos e Questionários
5.
Sci Total Environ ; 954: 176222, 2024 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-39299331

RESUMO

Although significant progress has been made in controlling emissions from stationary combustion sources in China over the past decade, understanding of condensable particulate matter (CPM) emissions from these sources and their impact on ambient PM2.5 remains limited. In this study, we established the source profiles and emission inventories of CPM from coal-fired industrial boilers (CFIBs), coal-fired power plants (CFPPs), and iron and steel industry (ISIs) for the Yangtze River Delta (YRD) region of China; furthermore, the air quality model (Community Multiscale Air Quality, CMAQ) was used to evaluate the impact of CPM emissions from these three types of stationary combustion sources on ambient PM2.5 during Feb. 2018, a month characterized by elevated PM2.5 concentrations. The results indicated that CPM emissions from these three sources in the YRD region before and after the implementation of the ultra-low emissions (ULE) policy amounted to 109,839 and 43,338 tons, respectively, with particularly high emission intensity along the Yangtze River. The implementation of CFPPs ULE policy was shown to reduce the impact of CPM emissions from these three stationary sources on monthly PM2.5 concentrations from 0.92 µg/m3 to 0.41 µg/m3 (with a maximum of 5.35 µg/m3). This reduction exceeded the 0.31 µg/m3 decrease in PM2.5 concentrations resulting from the emission reductions of conventional pollutants (FPM, SO2 and NOx). CPM emissions from these three stationary sources were found to increase the PM2.5 by 0.68 µg/m3 during pollution periods. The largest components of PM2.5 contributed by CPM emissions from stationary combustion sources were sulfate, organic carbon, and nitrate, accounting for 21.4 %, 21.1 %, and 18.2 %, respectively. Particularly, contributions from CPM emissions to PM2.5 varied by altitude, with a relatively large impact at altitudes between 220 and 460 m. Attention should be given to CPM emission control, with particular priority placed on implementing ULE measures for ISIs and CFIBs.

6.
Cancer Nurs ; 46(2): E91-E98, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35728010

RESUMO

BACKGROUND: Sleep disturbance is one of the symptoms with high incidence and negative influence in patients with cancer. A better understanding of the biological factors associated with sleep disturbance is critical to predict, treat, and manage this condition. OBJECTIVE: The aim of this study was to determine the correlation between sleep disturbance and proinflammatory markers in adult patients with cancer. METHODS: A systematic search was conducted in 7 databases from inception to March 1, 2020, for this meta-analysis. Two reviewers independently screened the studies, extracted data, and appraised the quality of the studies. Meta-analyses were conducted using Stata 12.0 software. RESULTS: Sixteen studies were included. Results indicated that sleep disturbance was associated with higher levels of the overall proinflammatory markers and that the effect size was small yet significant. Further subgroup analyses suggested that sleep disturbance was significantly associated with interleukin-6 and C-reactive protein, but not with interleukin-1ß or tumor necrosis factor-α. Meta-regression results indicated that only the sample source affected the association between sleep disturbance and proinflammatory markers. CONCLUSION: There was a positive relationship between sleep disturbance and selected proinflammatory markers in adult patients with cancer. IMPLICATION FOR PRACTICE: This review provides empirical support for the association between sleep disturbance and certain proinflammatory markers. Healthcare providers can further explore specific biomarkers to precisely identify the individuals at risk of sleep disturbance and develop targeted strategies for therapeutic and clinical interventions.


Assuntos
Neoplasias , Transtornos do Sono-Vigília , Adulto , Humanos , Transtornos do Sono-Vigília/epidemiologia , Neoplasias/complicações , Biomarcadores , Sono
7.
Nat Food ; 4(3): 247-256, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-37118273

RESUMO

Global greenhouse gas (GHG) emissions from food loss and waste (FLW) are not well characterized from cradle to grave. Here GHG emissions due to FLW in supply chain and waste management systems are quantified, followed by an assessment of the GHG emission reductions that could be achieved by policy and technological interventions. Global FLW emitted 9.3 Gt of CO2 equivalent from the supply chain and waste management systems in 2017, which accounted for about half of the global annual GHG emissions from the whole food system. The sources of FLW emissions are widely distributed across nine post-farming stages and vary according to country, region and food category. Income level, technology availability and prevailing dietary pattern also affect the country and regional FLW emissions. Halving FLW generation, halving meat consumption and enhancing FLW management technologies are the strategies we assess for FLW emission reductions. The region-specific and food-category-specific outcomes and the trade-off in emission reductions between supply chain and waste management are elucidated. These insights may help decision makers localize and optimize intervention strategies for sustainable FLW management.


Assuntos
Gases de Efeito Estufa , Gerenciamento de Resíduos , Gases de Efeito Estufa/análise , Efeito Estufa , Carne , Dieta
8.
Sci Total Environ ; 869: 161817, 2023 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-36708842

RESUMO

The emission and environmental impact of condensable particulate matter (CPM) from coal-fired power plants (CFPPs) are of increasing concern worldwide. Many studies on the characteristics of CPM emission have been conducted in China, but its source profile remains unclear, and its emission inventory remains high uncertainty. In this work, the latest measurements reported in the latest 33 studies for CPM inorganic and organic species emitted from CFPPs in China were summarized, and then a compositional source profile of CPM for CFPPs was developed for the first time in China, which involved 10 inorganic species and 71 organic species. In addition, the CPM emission inventory of CFPPs in Yantai of China was developed based on surveyed activity data, continuous emission monitoring system (CEMS), and the latest measurement data. The results show that: (1) Inorganic species accounted for 77.64 % of CPM emitted from CFPPs in Yantai, among which SO42- had the highest content, accounting for 23.74 % of CPM, followed by Cl-, accounting for 11.95 %; (2) Organic matter accounted for 22.36 % of CPM, among which alkanes accounted for the largest proportion of organic fraction (72.7 %); (3) Emission concentration method (EC) and CEMS-based emission ratio method (ERFPM,CEMS) were recommended to estimate CPM emissions for CFPPs; (4) The estimated CPM emission inventories of Yantai CFPPs in 2020 by the EC method and the ERFPM,CEMS method were 1231 tons and 929 tons, respectively, with uncertainties of -34 % ∼ 33 % and -27 % ∼ 57 %, respectively; (5) CPM emissions were mainly distributed in the northern coastal areas of Yantai. This developed CPM source profile and emission inventory can provide basic data for assessing the impacts of CPM on air quality and health. In addition, this study can provide an important methodology for developing CPM emission inventories and CPM emission source profiles for stationary combustion sources in other regions.

9.
Cancer Nurs ; 45(1): E59-E67, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-32541209

RESUMO

BACKGROUND: Patients with lung cancer suffer from significant psychological distress. The underlying theoretical model that may explain what predicts or mediates the degree of psychological distress has not been elucidated. OBJECTIVES: To describe the incidence of psychological distress in patients with lung cancer and to test a predictive theoretical model of psychological distress based on symptom burden, type D personality, social support, and intrusive thoughts. METHODS: Three hundred eighty-nine patients with stages I to IV lung cancer were recruited. Participants completed a battery of scales, including measures of psychological distress, symptom burden, type D personality, perceived social support, intrusive thoughts, and demographic and clinical characteristics. The predictive theoretical model was tested using structural equation modeling. RESULTS: Experiencing clinically significant psychological distress was reported by 63.75% of participants. Consistent with the social cognitive processing model, symptom burden, type D personality, social support, and intrusive thoughts all significantly and directly predicted the level of psychological distress in patients with lung cancer. Moreover, intrusive thoughts mediated the effects of type D personality and symptom burden on psychological distress; social support and symptom burden mediated the effects of type D personality on psychological distress. CONCLUSIONS: The majority of the participants experienced psychological distress at a clinically significant level. Intrusive thoughts and social support mediated the effects of type D personality and symptom burden on psychological distress. IMPLICATIONS FOR PRACTICE: Patients with type D personality and symptom burden should be identified. Interventions for targeting social support and intrusive thoughts might ultimately reduce their psychological distress.


Assuntos
Neoplasias Pulmonares , Angústia Psicológica , Ansiedade , Estudos Transversais , Humanos , Neoplasias Pulmonares/complicações , Apoio Social , Estresse Psicológico/epidemiologia
10.
Nurse Educ Pract ; 53: 103055, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33951599

RESUMO

Evaluation and cultivation of clinical competence in undergraduate nursing students are essential in nursing education. Self-efficacy and good clinical learning environments are expected to have a positive influence on the clinical competence of undergraduate nursing students, but few studies have focused on the relationships among clinical competence, self-efficacy, and clinical learning environments. This study aimed to examine clinical competence and its association with self-efficacy and clinical learning environments among Chinese undergraduate nursing students. A cross-sectional questionnaire survey was conducted with 1518 undergraduate nursing students being recruited from five medical colleges in China. The nursing students' clinical competence, self-efficacy, and clinical learning environments were assessed using a set of self-reported questionnaires, including Chinese versions of the Holistic Clinical Assessment Tool; General Self-Efficacy Scale; and Clinical Learning Environment, Supervision, and Nurse Teacher Evaluation Scale. Factors significantly associated with the clinical competence of undergraduate nursing students were professional interest, self-efficacy, and clinical learning environments, accounting for 36.1% of the total variance. Self-efficacy played a mediating role between clinical learning environments and clinical competence. The results of this study can be applied as reference for the enhancement of a nursing education program to improve the clinical competence of Chinese undergraduate nursing students.


Assuntos
Bacharelado em Enfermagem , Estudantes de Enfermagem , China , Competência Clínica , Estudos Transversais , Humanos , Autoeficácia , Inquéritos e Questionários
11.
Waste Manag ; 53: 105-15, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27165543

RESUMO

The purpose of this study was to track the long-term trends of contaminants distribution in the old landfill of Singapore through monitored natural attenuation and to explore the main parameters that rule such transition. Contaminants distribution, including dissolved organic matter (DOM), inorganic species, heavy metals, and organic compounds, was investigated via monitoring wells in the years 1997, 2004 and 2011. The data revealed that the distribution of contaminants possessed selective attention of spots associated with leachate movement. The hydrogeology of the landfill governed the fate and transportation of contaminants. More specifically, strong statistical correlations were identified between DOM and certain constituents in the leachate, suggesting enhanced mobilization potential. However, the leachate composition exhibited limited correspondence to the nearby solid waste, indicating the minor effect induced by the partitioning coefficient. The presence of sulphate unveiled air intrusion, suggesting increased stability of the landfill, where enhanced biodegradation occurred at earlier period responsible for higher BOD removal. Afterwards other parameters continued to facilitate the compounds removal resulting in overall low concentrations of the contaminants.


Assuntos
Biotransformação , Eliminação de Resíduos , Instalações de Eliminação de Resíduos , Poluentes Químicos da Água/metabolismo
12.
Bioresour Technol ; 192: 149-56, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26026292

RESUMO

The effect of temperature on carbon and nitrogen compounds during in situ aeration of aged waste was investigated in lab-scale simulated landfill bioreactors at 35, 45 and 55 °C, respectively. The bioreactor operated at 55 °C presented the highest carbon mineralization rate in the initial stage, suggesting accelerated biodegradation rates under thermophilic conditions. The nitrogen speciation study indicated that organic nitrogen was the dominant species of total N in aerobic bioreactors due to ammonia removal. Leachate organic nitrogen was further fractionated to elucidate the fate of individual constituent. Detailed investigation revealed the higher bioconversion rates of N-humic and N-fulvic compounds compared to hydrophilic compounds in thermophilic conditions. At the end, waste material in 55 °C bioreactor was richer in highly matured humic substances (HS) verifying the high bioconversion rates.


Assuntos
Carbono/química , Nitrogênio/química , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/química , Aerobiose/fisiologia , Amônia/química , Biodegradação Ambiental , Reatores Biológicos , Substâncias Húmicas/análise , Compostos de Nitrogênio/química , Eliminação de Resíduos/métodos , Temperatura , Instalações de Eliminação de Resíduos
13.
J Hazard Mater ; 287: 342-8, 2015 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-25682368

RESUMO

The presence of humic substances (HS) in landfill leachate is of great interest because of their structural stability and potential toxicity. This study examined the effects of temperature and waste age on the transformation of HS during in situ aeration of bioreactor landfills. By establishing aerobic conditions, dissolved organic carbon (DOC) rapidly accumulated in the bioreactor leachate. Fractional analysis showed that the elevated concentration of humic acids (HAs) was primarily responsible for the increment of leachate strength. Further structural characterization indicated that the molecular weight (MW) and aromacity of HS were enhanced by aeration in conjunction with thermophilic temperature. Interestingly, elevation of HAs concentration was not observed in the aeration reactor with a prolonged waste age, as the mobility of HAs was lowered by the high MW derived from extended waste age. Based on these results, aeration may be more favorable in aged landfills, since dissolution of HAs could be minimized by the evolution to larger MW compared to young landfills. Moreover, increased operation temperature during aeration likely offers benefits for the rapid maturation of HS.


Assuntos
Reatores Biológicos , Substâncias Húmicas/análise , Poluentes Químicos da Água/análise , Carbono/análise , Temperatura , Fatores de Tempo , Instalações de Eliminação de Resíduos
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