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Comparison of Beer Quality Produced Using Malt from Kosovo and Other Countries
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作者 Mybeshir Pajaziti Renata Kongoli 《Journal of Environmental Science and Engineering(A)》 2013年第2期106-110,共5页
关键词 啤酒质量 麦芽生产 科索沃 克罗地亚 阿尔巴尼亚 斯洛文尼亚 生产过程 生产成本
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基于Beers标准的某院高血压并脑梗死老年患者潜在不适当用药分析
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作者 宦娣 叶根深 +1 位作者 李佳会 刘忠明 《中国药业》 CAS 2024年第2期128-128,I0001-I0004,共5页
目的保障高血压并脑梗死老年患者的用药安全。方法使用医院信息系统提取医院2020年高血压并脑梗死老年(≥65岁)患者的用药医嘱,采用老年患者潜在不适当用药(PIM)Beers标准(2019版)分析患者PIM发生情况,通过多因素Logistic回归法分析患者... 目的保障高血压并脑梗死老年患者的用药安全。方法使用医院信息系统提取医院2020年高血压并脑梗死老年(≥65岁)患者的用药医嘱,采用老年患者潜在不适当用药(PIM)Beers标准(2019版)分析患者PIM发生情况,通过多因素Logistic回归法分析患者(PIM)发生的独立危险因素。结果纳入患者115例,发生PIM 109例(94.78%)、334例次。PIM分类以使用老年患者应慎用药物的发生例次最高(180例次,53.89%),其次为与药物相关(121例次,36.23%);发生PIM频次较高的药品主要有阿司匹林肠溶片(78例,23.35%)、呋塞米(31例,9.28%)、螺内酯片(29例,8.68%)等;21例次PIM与疾病或症状有关,其中95.23%有肾功能不全病史;12例次PIM涉及药物相互作用,主要包括非甾体抗炎药与皮质类固醇联用,2种肾素-血管紧张素系统(RAS)抑制剂联用,以及1种RAS抑制剂与保钾利尿剂联用。多因素Logistic回归分析显示,仅用药种类>9种是患者PIM发生的独立危险因素[OR=10.056,95%CI(3.053,33.117),P<0.001]。结论高血压并脑梗死患者PIM较多,建议药师开展临床药学工作时,将Beers标准与临床实际相结合以判断用药安全风险。 展开更多
关键词 beers标准 高血压 脑梗死 老年患者 潜在不适当用药 药学服务
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基于Beers标准和全医嘱审核的多院区老年住院患者合理用药调研
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作者 朱玲玲 周权 《中国当代医药》 CAS 2024年第4期32-35,41,共5页
目的基于Beers标准和全医嘱审核机制,了解效率医疗背景下多院区≥65岁老年住院患者潜在不适当用药(PIM)情况。方法对2023年6月15日浙江大学医学院附属第二医院解放路院区和博奥院区≥65岁老年患者的医嘱进行全处方点评。记录PIM医嘱以... 目的基于Beers标准和全医嘱审核机制,了解效率医疗背景下多院区≥65岁老年住院患者潜在不适当用药(PIM)情况。方法对2023年6月15日浙江大学医学院附属第二医院解放路院区和博奥院区≥65岁老年患者的医嘱进行全处方点评。记录PIM医嘱以及存在用药风险、需要加强药物治疗监测的医嘱。观察PIM类型、内科系统的PIM发生率、外科系统的PIM发生率以及两个不同院区的PIM发生率。结果共调查2050例住院患者的住院医嘱,≥65岁的老年患者共888例(43.32%),其中存在PIM的患者213例(23.99%)。解放路院区和博奥院区PIM发生率比较,差异无统计学意义(P>0.05)。内科系统和外科系统的PIM发生率比较,差异无统计学意义(P>0.05)。≥65岁的老年患者的PIM类型包括不良反应预防措施不足、疾病状态下选药不适宜、同类药品选择不适宜、用法用量不适宜、存在药物相互作用风险。结论关注老年住院患者合理用药,不仅可以提高疗效,缩短平均住院日,对于降低整体治疗费用和不良事件发生也有益。通过调研,医院可明确基线水平,拟着手进行集束缚化管理的对症干预。 展开更多
关键词 老年患者 合理用药 潜在不恰当用药 beers标准 医嘱审核
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Beers标准(2019)评估老年多重用药患者潜在不适当用药的价值
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作者 樊萍萍 陆蕾 刘小燕 《实用药物与临床》 2024年第1期5-9,共5页
目的 探讨Beers标准(2019)对老年多重用药患者潜在不适当用药(PIM)的评估价值。方法 收集2021年4月-2023年4月南京市中心医院门诊收治的312例老年多重用药患者的临床资料,分析Beers标准(2019)的评价结果,并将患者分为PIM暴露组和非PIM... 目的 探讨Beers标准(2019)对老年多重用药患者潜在不适当用药(PIM)的评估价值。方法 收集2021年4月-2023年4月南京市中心医院门诊收治的312例老年多重用药患者的临床资料,分析Beers标准(2019)的评价结果,并将患者分为PIM暴露组和非PIM暴露组;Kappa法分析Beers标准(2019)与中国PIM标准识别PIM的一致性;比较两组患者的临床资料;多因素Logistic回归分析患者PIM的风险因素。结果 312例老年多重用药患者发生1~5种PIM的概率为32.37%(101/312),累计发生PIM共165例次;2种标准识别PIM的一致性系数为0.359;多因素Logistic回归分析结果显示,高龄、用药种类多、临床疾病诊断数多是患者发生PIM的危险因素(P<0.05)。结论 Beers标准(2019)评估老年多重用药患者PIM具有重要意义,可与中国PIM标准联合应用,以促进老年患者安全、合理用药。 展开更多
关键词 多重用药 潜在不适当用药 beers标准(2019) 影响因素
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The impact of Internet access on household dietary quality:Evidence from rural China 被引量:1
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作者 Yi Cui Qiran Zhao +1 位作者 Thomas Glauben Wei Si 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第2期374-383,共10页
Over the past few decades,the Internet has rapidly diffused across China.The spread of the Internet has had a profound economic and social impact on Chinese rural areas.Existing research shows that Internet access sig... Over the past few decades,the Internet has rapidly diffused across China.The spread of the Internet has had a profound economic and social impact on Chinese rural areas.Existing research shows that Internet access significantly impacts agricultural production and improves smallholder farmers’income.Beyond these,the Internet can affect other dimensions of social welfare.However,research about the impact of Internet access on dietary quality in rural China remains scarce.This study utilizes multi-period panel data from Fixed Observation Point in rural China from 2009 to 2015 to estimate the impact of Internet access on dietary quality and food consumption of rural households and conducts a causal analysis.Regression models with time and household fixed effects allow robust estimation while reducing potential issues of unobserved heterogeneity.The estimates show that Internet access has significantly increased rural household dietary quality(measured by the Chinese Diet Balance Index).Further research finds that Internet access has increased the consumption of animal products,such as aquatic and dairy products.We also examine the underlying mechanisms.Internet access improves dietary quality and food consumption mainly through increasing household income and food expenditure.These results encourage the promotion of Internet access as a valuable tool for nutritional improvements,especially in rural areas. 展开更多
关键词 dietary quality fixed effect model Internet access rural China
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Investigating the Influence of Glaucoma on the Quality of Life among Adult Patients
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作者 Paul Mwale Karen Tabalasa +1 位作者 Abdishakur A. Muse Ke Min 《International Journal of Clinical Medicine》 CAS 2024年第2期88-100,共13页
Background: Research exploring the influence of glaucoma on quality of life has gained momentum in recent years. Numerous studies have investigated the multifaceted aspects of quality of life in glaucoma patients, uti... Background: Research exploring the influence of glaucoma on quality of life has gained momentum in recent years. Numerous studies have investigated the multifaceted aspects of quality of life in glaucoma patients, utilizing various assessment tools and methodologies. Objective: To determine the influence that glaucoma has on the quality of life among adult patients. Study site: kitwe teaching eye hospital, Zambia. Method: It was a cross-sectional study that was conducted from 30<sup>th</sup> June 2022 to 17<sup>th</sup> April 2023. The study included 106 diagnosed glaucoma patients who were above the age of 55 years. Data was collected using validated 25-item national eye institute visual function Questionnaire (NEI VFQ-25). The data was analyzed using SPSS version 26 and Microsoft excel to present frequencies and percentages that generated graphical presentation. Results: 62% of the participants worry about their eye sight most of the time, 26% sometimes and 12% a little time. 9% of the participants had little difficulty to read ordinary prints, 14% moderate difficulties and 58% extremely difficult. 40% of the participants could drive despite glaucoma damaging their eyes while 60% could not. Majority of the patients said it was difficult noticing things around them while walking or sitted in one place. There was a significant difference between effects of glaucoma on patients and the existing relationship between glaucoma and quality of life (ANOVA, p = 0.019 and ANOVA, p = 0.023). Conclusion: This study has demonstrated the magnitude of impact that glaucoma has on the Quality of Life (QoL) in diagnosed patients and the relationship between glaucoma and the Quality of Life. Due to the progressive visual loss, the amount of activities these patients would perform is negatively affected especially where social and economic activities are concerned which also affects their monthly earnings for those living in middle to low-income countries. Therefore, social welfare and psycho-social institutions need to increase their support for these glaucoma patients. 展开更多
关键词 GLAUCOMA quality of Life Glaucoma Patients
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Remote sensing of quality traits in cereal and arable production systems:A review
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作者 Zhenhai Li Chengzhi Fan +8 位作者 Yu Zhao Xiuliang Jin Raffaele Casa Wenjiang Huang Xiaoyu Song Gerald Blasch Guijun Yang James Taylor Zhenhong Li 《The Crop Journal》 SCIE CSCD 2024年第1期45-57,共13页
Cereal is an essential source of calories and protein for the global population.Accurately predicting cereal quality before harvest is highly desirable in order to optimise management for farmers,grading harvest and c... Cereal is an essential source of calories and protein for the global population.Accurately predicting cereal quality before harvest is highly desirable in order to optimise management for farmers,grading harvest and categorised storage for enterprises,future trading prices,and policy planning.The use of remote sensing data with extensive spatial coverage demonstrates some potential in predicting crop quality traits.Many studies have also proposed models and methods for predicting such traits based on multiplatform remote sensing data.In this paper,the key quality traits that are of interest to producers and consumers are introduced.The literature related to grain quality prediction was analyzed in detail,and a review was conducted on remote sensing platforms,commonly used methods,potential gaps,and future trends in crop quality prediction.This review recommends new research directions that go beyond the traditional methods and discusses grain quality retrieval and the associated challenges from the perspective of remote sensing data. 展开更多
关键词 Remote sensing quality traits Grain protein CEREAL
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Reservoir Quality Controlling Factor of the Asmari Reservoir in an Oil Field in Dezful Embayment, SW Iran
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作者 Katayoon Rezaeeparto Leila Fazli Somayeh Parham 《Open Journal of Geology》 CAS 2024年第2期259-278,共20页
The Asmari Formation Oligo-Miocene in age is one of the most important reservoir rocks in SW Iran and Zagros basin and composed of carbonate rocks and locally sandstones and evaporates. In this research, reservoir qua... The Asmari Formation Oligo-Miocene in age is one of the most important reservoir rocks in SW Iran and Zagros basin and composed of carbonate rocks and locally sandstones and evaporates. In this research, reservoir quality controlling factors have been investigated in a well in one of the oil fields in Dezful Embayment, SW Iran. Based on this research, depositional environment, diagenesis and fracturing have been affected on reservoir quality. 3 distinct depositional settings can be recognized in the studied interval including tidal flat, lagoon, and shoal. Among these depositional setting, shoal environment with ooid grainstone microfacies along with interparticle porosity shows good reservoir characteristics. Diagenetic processes also play an important role on reservoir quality;dolomitization and dissolution have positive effects on porosity and enhances reservoir quality, while cementation, anhydritization and compaction have negative effect on it. Fracturing is another important factor affected on the carbonate reservoirs especially in the Asmari Formation. 展开更多
关键词 Asmari Formation Dezful Embayment Reservoir quality DIAGENESIS Depositional Environment
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Exploring groundwater quality in semi-arid areas of Algeria:Impacts on potable water supply and agricultural sustainability
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作者 Noua ALLAOUA Hinda HAFID Haroun CHENCHOUNI 《Journal of Arid Land》 SCIE CSCD 2024年第2期147-167,共21页
Groundwater quality assessment is important to assure safe and durable water use.In semi-arid areas of Algeria,groundwater represents the main water resource for drinking water supply of the rural population as well a... Groundwater quality assessment is important to assure safe and durable water use.In semi-arid areas of Algeria,groundwater represents the main water resource for drinking water supply of the rural population as well as for irrigation of agricultural lands.Groundwater samples from wells and springs were collected from the Gargaat Tarf and Annk Djemel sub-watersheds of the Oum El Bouaghi,Algeria,and were analyzed and compared with the World Health Organization(WHO)standards.Results showed that most of the measured physical and chemical parameters exceeded the quality limits according to the WHO standards.Groundwater had a slightly alkaline water pH(7.00-7.79),electrical conductivity>1500μS/cm,chloride>500 mg/L,calcium>250 mg/L,and magnesium>155 mg/L.Water quality index(WQI)results showed that 68%of the area had excellent water quality,24%of the samples fell into good category,and only 8%were of poor quality and unsuitable for human consumption.Six wells in the area showed bacterial contamination.Total coliforms(453.9(±180.3)CFU(colony-forming units)/100 mL),fecal coliforms(243.2(±99.2)CFU/100 mL),and fecal streptococci(77.9(±32.0)CFU/100 mL)loads were above the standard limits set by the WHO.These results confirmed that water resources in the study area were strongly influenced by anthropogenic activities and were not recommended for consumption as drinking water. 展开更多
关键词 bacteriological indicator GROUNDWATER WATERSHED physical-chemical parameter water quality index
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Comparison of vergence mechanisms between university students with good and poor sleep quality
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作者 Pui Juan Woi Joyce Yi Ling Lu +1 位作者 Mohd Izzuddin Hairol Wan Nur Amirah Ibrahim 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第2期353-358,共6页
AIM:To compare the vergence mechanisms between good and poor sleepers in university students.METHODS:A total of 64 university students were recruited in this study.The validated Malay version of Pittsburgh Sleep Quali... AIM:To compare the vergence mechanisms between good and poor sleepers in university students.METHODS:A total of 64 university students were recruited in this study.The validated Malay version of Pittsburgh Sleep Quality Index questionnaire(PSQI-M)was used to measure the participants’sleep quality over the past month.Participants were categorized as good sleepers(n=32)and poor sleepers(n=32)based on the PSQI-M scores.Heterophoria and fusional vergences were measured at distance and near.Mann-Whitney U test was used to compare heterophoria,negative fusional vergence(NFV),and positive fusional vergence(PFV)at distance and near between good and poor sleepers.Spearman correlation analysis was used to study the relationship between PSQI-M score and PFV at distance.RESULTS:Both distance and near heterophorias were not significantly different between good and poor sleepers(P>0.05).There was a difference in distance PFV(P<0.05)between good and poor sleepers,but not in distance NFV,near NFV,and near PFV(P>0.05).Distance PFV was negatively correlated with PSQI-M score(rs=-0.33,P<0.05).CONCLUSION:University students with poor sleep quality demonstrates a reduced ability to maintain fusion with increasing convergence demand at distance.Sleep quality assessment during binocular vision examination in university students is recommended. 展开更多
关键词 binocular vision VERGENCE sleep quality university students
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Resveratrol combats chronic diseases through enhancing mitochondrial quality
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作者 Weichu Tao Hu Zhang +1 位作者 Xia Jiang Ning Chen 《Food Science and Human Wellness》 SCIE CSCD 2024年第2期597-610,共14页
Resveratrol(RSV),as a functional food component extracted from natural plants,has been widely studied and recognized in preventing and treating various diseases,with major mechanisms including executing anti-inflammat... Resveratrol(RSV),as a functional food component extracted from natural plants,has been widely studied and recognized in preventing and treating various diseases,with major mechanisms including executing anti-inflammation and anti-oxidation functions,and improving mitochondrial quality.Chronic diseases as non-communicable diseases are mainly caused by multiple factors,such as physiological decline and dysfunction in the body,and have become a significant challenge on public health worldwide.It is worth noting that chronic diseases such as Alzheimer's disease(AD),Parkinson's disease(PD),muscle atrophy,cardiovascular disease,obesity,and cancer are accompanied by abnormal mitochondrial function.Therefore,targeted regulation of mitochondria may be a meaningful way to prevent and treat chronic diseases.Increasing evidence has confirmed that RSV is actively involved in regulating mitochondria,and it has become an essential consideration to prevent and treat chronic diseases through targeting mitochondria and improving corresponding functions.In this article,current studies on RSV to optimize mitochondrial quality for preventing and alleviating chronic disease are systematically summarized,which can provide a theoretical reference for the development of functional foods or drugs to combat chronic diseases. 展开更多
关键词 RESVERATROL Functional food Mitochondrial quality Chronic disease ANTI-INFLAMMATION ANTI-OXIDATION
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Fasting and Cancer: Practice and Patients’ Quality of Life during Ramadan
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作者 Oumaima Talbi Zineb Benbrahim +6 位作者 Khadija Hinaje Imad Chakri Kaoutar Maadin Lamiae Amaadour Karima Oualla Samia Arifi Nawfel Mellas 《Journal of Cancer Therapy》 2024年第3期49-56,共8页
Introduction: Ramadan is the ninth lunar month of the Muslim calendar, and fasting during Ramadan is one of the five pillars of Islam. Muslim cancer patients and health professionals are faced with a dilemma between t... Introduction: Ramadan is the ninth lunar month of the Muslim calendar, and fasting during Ramadan is one of the five pillars of Islam. Muslim cancer patients and health professionals are faced with a dilemma between the necessity of fasting and its possible adverse effects during Ramadan on the health status of cancer patients. We believe that addressing the issue of fasting in cancer patients is of global interest. Objectives: Prevalence of fasting in cancer patients during Ramadan;Predictive factors of Ramadan fasting in cancer patients;The effect of fasting during Ramadan on the quality of life of cancer patients. Materials and Methods: A structured questionnaire was used to interview adult cancer patients who received chemotherapy IV—or oral treatment at the medical oncology department at the Hassan II University Hospital in Fez during the month of Ramadan 1443 Hijri (April to May 2022). The quality of cancer patients’ lives during their fasting practice in Ramadan was evaluated via the QLQ-C30 questionnaires. Results: 48% of patients did not fast during Ramadan, 22% and 30% were partial and complete fasters respectively. Patients, with OMS 0 to 1, who receive outpatient treatment, non-metastatic patients and patients on oral treatment were more frequent in the completely fasted group. All these factors showed statistically significant values (p < 0.05). 44% of patients sought advice from the treating oncologist if they could fast, while only 15% of patients during Ramadan asked an imam if they could be excused from fasting. A comparison of the QLQ-C30 data showed a significant improvement in emotional functioning with fasting, however, patients had clinically more but not significantly fatigue after fasting. Conclusion: Female gender, good WHO, non-metastatic disease, and oral or outpatient treatment were more likely to be fasting. This study argues that fasting did not influence the quality of life, and appears to significantly improve emotional functioning in cancer patients during Ramadan. 展开更多
关键词 RAMADAN FASTING quality of Life PRACTICE
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Exploring the relationship between ambient sulfur dioxide and semen quality parameters:A systematic review and meta-analysis
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作者 Seyed Sobhan Bahreiny Mojtaba Aghaei +3 位作者 Mohammad Reza Dabbagh Hamid Ghorbani Moslem Javidan Reza Mohammadpour Fard 《Asian pacific Journal of Reproduction》 CAS 2024年第1期12-21,共10页
Objective:To investigate the relationship between ambient sulfur dioxide(SO2)exposure and semen quality parameters.Methods:A systematic literature search was conducted to identify relevant studies investigating the as... Objective:To investigate the relationship between ambient sulfur dioxide(SO2)exposure and semen quality parameters.Methods:A systematic literature search was conducted to identify relevant studies investigating the association between SO2 exposure and semen quality parameters.This search encompassed the timeframe from January 2000 to May 2023 and included electronic databases such as Web of Science,Google Scholar,PubMed,Cochrane,and Scopus.Pooled effect estimates with 95%confidence intervals(CI)were calculated using percent changes(PC).The meta-analysis included seven studies with 6711 participants and 15087 semen samples.Results:The results revealed a significant negative association between ambient SO2 exposure and certain semen quality parameters.In particular,SO2 exposure was associated with a significant decrease in progressive motility(PC=0.032;95%CI:-0.063 to-0.001;P=0.044)and sperm concentration(PC=-0.020;95%CI:-0.036 to-0.005;P=0.012).However,no statistically significant associations were observed for total sperm count(PC=-0.038;95%CI:-0.079 to 0.003;P=0.070),seminal fluid volume(PC=-0.009;95%CI:-0.048 to-0.030;P=0.662)and sperm motility(PC=-0.17;95%CI:-0.363 to 0.022;P=0.830).In addition,the results of the subgroup analysis revealed specific variables that were associated with the decrease in relevant sperm parameters.Conclusions:This systematic review and meta-analysis provides compelling evidence supporting a consistent negative association between exposure to ambient SO2 and semen quality parameters. 展开更多
关键词 Semen quality Sulfur dioxide Ambient air pollution META-ANALYSIS
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Correlation and Pathway Analysis of the Carbon,Nitrogen,and Phosphorus in Soil-Microorganism-Plant with Main Quality Components of Tea(Camellia sinensis)
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作者 Chun Mao Ji He +3 位作者 Xuefeng Wen Yangzhou Xiang Jihong Feng Yingge Shu 《Phyton-International Journal of Experimental Botany》 SCIE 2024年第3期487-502,共16页
The contents of carbon(C),nitrogen(N),and phosphorus(P)in soil-microorganisms-plant significantly affect tea quality by altering the main quality components of tea,such as tea polyphenols,amino acids,and caffeine.Howev... The contents of carbon(C),nitrogen(N),and phosphorus(P)in soil-microorganisms-plant significantly affect tea quality by altering the main quality components of tea,such as tea polyphenols,amino acids,and caffeine.However,few studies have quantified the effects of these factors on the main quality components of tea.The study aimed to explore the interactions of C,N,and P in soil-microorganisms-plants and the effects of these factors on the main quality components of tea by using the path analysis method.The results indicated that(1)The contents of C,N,and P in soil,microorganisms,and tea plants were highly correlated and collinear,and showed significant correlations with the main quality components of tea.(2)Optimal regression equations were established to esti-mate tea polyphenol,amino acid,catechin,caffeine,and water extract content based on C,N,and P contents in soil,microorganisms,and tea plants(R^(2)=0.923,0.726,0.954,0.848,and 0.883,respectively).(3)Pathway analysis showed that microbial biomass phosphorus(MBP),root phosphorus,branch nitrogen,and microbial biomass carbon(MBC)were the largest direct impact factors on tea polyphenol,catechin,water extracts,amino acid,and caffeine content,respectively.Leaf carbon,root phosphorus,and leaf nitrogen were the largest indirect impact factors on tea polyphenol,catechin,and water extract content,respectively.Leaf carbon indirectly affected tea polyphenol content mainly by altering MBP content.Root phosphorus indirectly affected catechin content mainly by altering soil organic carbon content.Leaf nitrogen indirectly affected water extract content mainly by altering branch nitrogen content.The research results provide the scientific basis for reasonable fertilization in tea gardens and tea quality improvement. 展开更多
关键词 Soil-microorganisms-plant system CARBON NITROGEN PHOSPHORUS tea quality path analysis
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Enhancing Private Healthcare Effectiveness in Lagos State, Nigeria: An Overview of the Effect of Quality Improvement Initiatives and Implications for Sustainable Healthcare Delivery
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作者 Nnenna Mba-Oduwusi Ifesinachi Eze +11 位作者 Tochukwu Osuji Maxwell Obubu Tolulope Oyekanmi Oluwatosin Kolade Ozioma Oguguah Jane Martins Nkata Chuku Alozie Ananaba Rodio Diallo Firdausi Umar Sadiq Emmanuella Zamba Abiola Idowu 《Health》 2024年第2期93-104,共12页
Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge... Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge of ensuring quality healthcare access. The overview of the effect of quality improvement initiatives in this paper focuses on private healthcare providers in Lagos State, Nigeria. The study assesses the impact of donor-funded quality improvement projects on these private healthcare facilities. It explores the level of participation, perceived support, and tangible effects of the initiatives on healthcare delivery within private healthcare facilities. It also examines how these initiatives influence patient inflow and facility ratings, and bring about additional benefits and improvements, provides insights into the challenges faced by private healthcare providers in implementing quality improvement projects and elicits recommendations for improving the effectiveness of such initiatives. Methods: Qualitative research design was employed for in-depth exploration, utilizing semi-structured interviews. Private healthcare providers in Lagos involved in the SP4FP Quality Improvement Project were purposively sampled for diversity. Face-to-face interviews elicited insights into participation, perceived support, and project effects. Questions covered participation levels, support perception, changes observed, challenges faced, and recommendations. Thematic analysis identified recurring themes from interview transcripts. Adherence to ethical guidelines ensured participant confidentiality and informed consent. Results: Respondents affirmed active involvement in the SP4FP Quality Improvement Project, echoing literature emphasizing private-sector collaboration with the public sector. While acknowledging positive influences on facility ratings, respondents highlighted challenges within the broader Nigerian healthcare landscape affecting patient numbers. Respondents cited tangible improvements, particularly in staff management and patient care processes, validating the positive influence of quality improvement projects. Financial constraints emerged as a significant challenge, aligning with existing literature emphasizing the pragmatic difficulties faced by private healthcare providers. Conclusions: This study illuminates the complex landscape of private healthcare provision in Lagos State, emphasizing the positive impact of donor-funded quality improvement projects. The findings provide nuanced insights, guiding policymakers, healthcare managers, and practitioners toward collaborative, sustainable improvements. As Nigeria progresses, these lessons will be crucial in shaping healthcare policies prioritizing population well-being. 展开更多
关键词 Private Healthcare quality Improvement Projects Donor-Funded Initiatives Healthcare Delivery Lagos State NIGERIA
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Does Green Food Certification promote agri-food export quality?Evidence from China
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作者 Ping Wei Hongman Liu +1 位作者 Chaokai Xu Shibin Wen 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第3期1061-1074,共14页
The construction of a food certification system plays a vital role in upgrading export quality, which previous studies have largely overlooked. We match China's industry-level data of Green Food Certification with... The construction of a food certification system plays a vital role in upgrading export quality, which previous studies have largely overlooked. We match China's industry-level data of Green Food Certification with its HS6-digit export data of agri-food products to quantify the impact of Green Food Certification on export quality. We identify the significant and positive effect of Green Food Certification on export quality. The 2SLS estimation based on instrumental variables and a range of robustness checks confirm the validity and robustness of the benchmark conclusions. Further analysis discloses that Green Food Certification improves export quality by raising agricultural production efficiency and brand premiums. Heterogeneity analysis shows that the effect of Green Food Certification varies across regions, notably improving the quality of agri-food products exported to developed regions and regions with high levels of import supervision. Furthermore, among various product types, Green Food Certification significantly improves the export quality of primary products and products vulnerable to non-tariff measures. The above findings could guide the future development of agri-food quality certification systems, potentially leading to a transformation and promotion of the agri-food trade. 展开更多
关键词 Green Food Certification agri-food products green transformation export quality food labeling
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Effects of dietary Clostridium butyricum and rumen protected fat on meat quality,oxidative stability,and chemical composition of finishing goats
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作者 Meimei Zhang Zhiyue Zhang +9 位作者 Xinlong Zhang Changming Lu Wenzhu Yang Xiaolai Xie Hangshu Xin Xiaotan Lu Mingbo Ni Xinyue Yang Xiaoyang Lv Peixin Jiao 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2024年第2期911-924,共14页
Background Clostridium butyricum(CB)is a probiotic that can regulate intestinal microbial composition and improve meat quality.Rumen protected fat(RPF)has been shown to increase the dietary energy density and provide ... Background Clostridium butyricum(CB)is a probiotic that can regulate intestinal microbial composition and improve meat quality.Rumen protected fat(RPF)has been shown to increase the dietary energy density and provide essential fatty acids.However,it is still unknown whether dietary supplementation with CB and RPF exerts beneficial effects on growth performance and nutritional value of goat meat.This study aimed to investigate the effects of dietary CB and RPF supplementation on growth performance,meat quality,oxidative stability,and meat nutritional value of finishing goats.Thirty-two goats(initial body weight,20.5±0.82 kg)were used in a completely randomized block design with a 2 RPF supplementation(0 vs.30 g/d)×2 CB supplementation(0 vs.1.0 g/d)factorial treatment arrangement.The experiment included a 14-d adaptation and 70-d data and sample collection period.The goats were fed a diet consisted of 400 g/kg peanut seedling and 600 g/kg corn-based concentrate(dry matter basis).Result Interaction between CB and RPF was rarely observed on the variables measured,except that shear force was reduced(P<0.05)by adding CB or RPF alone or their combination;the increased intramuscular fat(IMF)content with adding RPF was more pronounced(P<0.05)with CB than without CB addition.The pH24h(P=0.009),a*values(P=0.007),total antioxidant capacity(P=0.050),glutathione peroxidase activities(P=0.006),concentrations of 18:3(P<0.001),20:5(P=0.003)and total polyunsaturated fatty acids(P=0.048)were increased,whereas the L*values(P<0.001),shear force(P=0.050)and malondialdehyde content(P=0.044)were decreased by adding CB.Furthermore,CB supplementation increased essential amino acid(P=0.027),flavor amino acid(P=0.010)and total amino acid contents(P=0.024)as well as upregulated the expression of lipoprotein lipase(P=0.034)and peroxisome proliferator-activated receptorγ(PPARγ)(P=0.012),and downregulated the expression of stearoyl-CoA desaturase(SCD)(P=0.034).The RPF supplementation increased dry matter intake(P=0.005),averaged daily gain(trend,P=0.058),hot carcass weight(P=0.046),backfat thickness(P=0.006),concentrations of 16:0(P<0.001)and c9-18:1(P=0.002),and decreased the shear force(P<0.001),isoleucine(P=0.049)and lysine content(P=0.003)of meat.In addition,the expressions of acetyl-CoA carboxylase(P=0.003),fatty acid synthase(P=0.038),SCD(P<0.001)and PPARγ(P=0.022)were upregulated due to RPF supplementation,resulting in higher(P<0.001)content of IMF.Conclusions CB and RPF could be fed to goats for improving the growth performance,carcass traits and meat quality,and promote fat deposition by upregulating the expression of lipogenic genes of Longissimus thoracis muscle. 展开更多
关键词 Chemical composition Clostridium butyricum Goats Meat quality Oxidative stability Rumen protected fat
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Data Quality Control Method of a New Drifting Observation Technology Named Drifting Air-Sea Interface Buoy
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作者 LI Shuo WANG Bin +3 位作者 DENG Zeng’an WU Baoqin ZHU Xiande CHEN Zhaohui 《Journal of Ocean University of China》 CAS CSCD 2024年第1期11-22,共12页
An integral quality control(QC)procedure that integrates various QC methods and considers the design indexes and operational status of the instruments for the observations of drifting air-sea interface buoy was develo... An integral quality control(QC)procedure that integrates various QC methods and considers the design indexes and operational status of the instruments for the observations of drifting air-sea interface buoy was developed in the order of basic in-spection followed by targeted QC.The innovative method of combining a moving Hampel filter and local anomaly detection com-plies with statistical laws and physical processes,which guarantees the QC performance of meteorological variables.Two sets of observation data were used to verify the applicability and effectiveness of the QC procedure,and the effect was evaluated using the observations of the Kuroshio Extension Observatory buoy as the reference.The results showed that the outliers in the time series can be correctly identified and processed,and the quality of data improved significantly.The linear correlation between the quality-controlled observations and the reference increased,and the difference decreased.The correlation coefficient of wind speed before and after QC increased from 0.77 to 0.82,and the maximum absolute error decreased by approximately 2.8ms^(-1).In addition,air pressure and relative humidity were optimized by 10^(-3)–10^(-2) orders of magnitude.For the sea surface temperature,the weight of coefficients of the continuity test algorithm was optimized based on the sea area of data acquisition,which effectively expanded the applicability of the algorithm. 展开更多
关键词 drifting air-sea interface buoy quality control oceanic variables meteorological variables continuity test
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Current status of magnetic resonance imaging radiomics in hepatocellular carcinoma:A quantitative review with Radiomics Quality Score
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作者 Valentina Brancato Marco Cerrone +2 位作者 Nunzia Garbino Marco Salvatore Carlo Cavaliere 《World Journal of Gastroenterology》 SCIE CAS 2024年第4期381-417,共37页
BACKGROUND Radiomics is a promising tool that may increase the value of magnetic resonance imaging(MRI)for different tasks related to the management of patients with hepatocellular carcinoma(HCC).However,its implement... BACKGROUND Radiomics is a promising tool that may increase the value of magnetic resonance imaging(MRI)for different tasks related to the management of patients with hepatocellular carcinoma(HCC).However,its implementation in clinical practice is still far,with many issues related to the methodological quality of radiomic studies.AIM To systematically review the current status of MRI radiomic studies concerning HCC using the Radiomics Quality Score(RQS).METHODS A systematic literature search of PubMed,Google Scholar,and Web of Science databases was performed to identify original articles focusing on the use of MRI radiomics for HCC management published between 2017 and 2023.The methodological quality of radiomic studies was assessed using the RQS tool.Spearman’s correlation(ρ)analysis was performed to explore if RQS was correlated with journal metrics and characteristics of the studies.The level of statistical significance was set at P<0.05.RESULTS One hundred and twenty-seven articles were included,of which 43 focused on HCC prognosis,39 on prediction of pathological findings,16 on prediction of the expression of molecular markers outcomes,18 had a diagnostic purpose,and 11 had multiple purposes.The mean RQS was 8±6.22,and the corresponding percentage was 24.15%±15.25%(ranging from 0.0% to 58.33%).RQS was positively correlated with journal impact factor(IF;ρ=0.36,P=2.98×10^(-5)),5-years IF(ρ=0.33,P=1.56×10^(-4)),number of patients included in the study(ρ=0.51,P<9.37×10^(-10))and number of radiomics features extracted in the study(ρ=0.59,P<4.59×10^(-13)),and time of publication(ρ=-0.23,P<0.0072).CONCLUSION Although MRI radiomics in HCC represents a promising tool to develop adequate personalized treatment as a noninvasive approach in HCC patients,our study revealed that studies in this field still lack the quality required to allow its introduction into clinical practice. 展开更多
关键词 Hepatocellular carcinoma Systematic review Magnetic resonance imaging Radiomics Radiomics quality score
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Assessment of Groundwater Physico-Chemical Quality in the Ouémé Delta (Southern-Benin)
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作者 Aoulatou Alassane Zakari Dadja Toyou Masamaéya Gnazou +5 位作者 Abdoukarim Alassane Kodjo Apelete Raoul Kpegli Ousmane Touré Boukari Bio Guidah Chabi Bénito Didier Koukpohounsi Daouda Mama 《Journal of Environmental Protection》 2024年第3期298-317,共20页
Groundwater resources are the main sources of water used to supply drinking water to the population of the Ouémé Delta via the Continental Terminal aquifer. Urbanization, population growth, and agricultural ... Groundwater resources are the main sources of water used to supply drinking water to the population of the Ouémé Delta via the Continental Terminal aquifer. Urbanization, population growth, and agricultural and industrial activities have resulted in a deterioration in the quality of these resources. To assess the quality of the delta’s groundwater and its suitability for human consumption and irrigation, a total of fourteen (14) physico-chemical parameters were analyzed in some forty existing water points between September 2020 and March 2021, using standard water analysis techniques. The values obtained were compared with the potability standards recommended by the World Health Organization (WHO) and the Republic of Benin and were subjected to statistical analysis (principal component analysis (PCA)). In addition, methods for determining the suitability of water for irrigation were used. The results showed that the waters are acidic to slightly neutral and influenced by ambient temperature. In addition, the waters are moderately mineralized, with conductivities (24 - 1205 μS/cm) in line with WHO standards. A comparison of the analytical results of the WHO (2017) and Benin (2001) standards indicates that the majority of the waters studied are of good quality for all the chemical parameters considered. Nevertheless, some samples show levels of nitrates (21%), potassium (14% to 16%), calcium (13%), ammonium (12%), nitrites (8%) and bicarbonates (10%) over their respective standards. The Wilcox and Riverside diagrams indicate that the majority of waters (90%) have excellent suitability for irrigation and no negative effect on soil fertilization. 展开更多
关键词 BENIN OuéméDelta GROUNDWATER Physico-Chemical quality Consumption IRRIGATION
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