Aims: The present study aims to compare the assessment of work ability based on the use of the Work Ability Index (WAI) with another questionnaire base only on the use of WAI’s first item, termed as the “Work Abilit...Aims: The present study aims to compare the assessment of work ability based on the use of the Work Ability Index (WAI) with another questionnaire base only on the use of WAI’s first item, termed as the “Work Ability Score” (WAS). Study design: A cohort of 384 Spanish workers included in a Post COVID-19 condition or persistent COVID-19 multicenter research was utilized. Place and Duration of Study: This cohort was enlisted in four hospitals (Hospital Universitario 12 de Octubre, Madrid;Hospital Universitario Virgen Macarena, Sevilla, Andalucía;Hospital Universitario Gregorio Marañón, Madrid and Complejo Asistencial Universitario de Salamanca, Castilla y León), since 2021 until 2022. Methodology: 384 Spanish workers (176 men and 208 women;aged 20 to 70 years) with Post COVID-19 condition or persistent COVID-19 were included. Descriptive analysis of primary scores was conducted. Given the non-normal distribution of data, the Mann-Whitney and Kruskal-Wallis tests were employed. Spearman and Kendall correlations were employed to assess the relationship between WAI and WAS, also used weighted Kappa to estimate the degree agreement between WAI and WAS. Logistic regression models were utilized to study determinants influencing WAI and WAS, categorized as poor or moderate. Results: WAI had an average score of 32.98 (SD = 10.28), whereas WAS had an average of 5.95 (SD = 2.77). Significant differences were observed in both WAI and WAS across the same variables. Strong and statistically significant correlations were evident between WAI and WAS (rs = 0.83, p < 0.001). All the variables used in the logistic regression model (gender, the sector employment, and previous chronic diseases) were statistically significant in both questionnaires. Conclusion: WAS questionnaire could be used as a tool for reliable assessment of work ability among Spanish workers with Post COVID-19 condition or Persistent CO-VID-19.展开更多
The knowledge on rabbit welfare may be improved by the use of correct tools for monitoring the different aspects of rabbit industrial farming. Therefore, the aim of this study was to define parameters related to healt...The knowledge on rabbit welfare may be improved by the use of correct tools for monitoring the different aspects of rabbit industrial farming. Therefore, the aim of this study was to define parameters related to health and welfare of animals in industrial farms with intensive husbandry. Health, management, environmental and productive parameters were firstly characterized and then a protocol to assess welfare of rabbits was define. The research was conducted on 8 industrial farms from 2004 to 2007 and around 30 inspections were done in each farm. At each visit, the health conditions were established by： （1） necropsy on animals of different productive category; （2） specific laboratory investigations based on the lesions observed; （3） checking the presence of parasites in environmental faecal samples; （4） bacteriological examination of vaginal, nasal and rectal swabs of rabbit of different age. The immune conditions and the efficacy of vaccinations were measured by determining anti-Myxomatosis and anti-Rabbit Haemorrhagic Disease antibodies using competitive ELISAs, and anti-Encephalitozoon cunicoli antibodies by immunocarbonassay. The environmental conditions were evaluated by measuring air temperature, relative humidity, ammonia concentration and bacterial/fungal count. Finally the productive parameters were also recorded and elaborated. All the entered values were then utilized for defining a score system to establish health and welfare conditions.展开更多
Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects o...Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects of Electronic Health Records use in Burundi’s hospitals, taking into account the COVID-19 pandemic context. Methods: This was a quasi-experimental study based on difference in difference method. Ten district hospitals were included in the study, five of them had the Electronic Health Records and five of which did not yet have the Electronic Health Records. The hospital’s control group were chosen using the propensity score matching method. The period before the project’s implementation was 2014 and the period after were 2019 and 2020. Results: After 5 years of the Electronic Health Record’s implementation, the results showed an increase in outpatient consultation (70%), deliveries (more than 100%), caesarean sections (56%) and major surgeries (43%) indicators. The overall quality score of hospitals’ care had a regressive effect of 37% and the income from performance-based funding had an increase by 31%. The indicators which were affected by the context of the COVID-19 pandemic were especially outpatient consultation, caesarian section, income from performance-based funding decreased by 3%, 5% and 20% respectively. Conclusion: The effects of Electronic Health Records use are effective. As the COVID-19 pandemic impacted the hospital’s indicators negatively, the resilient strategies alongside the potential shocks are recommended.展开更多
Typical row-crop agricultural practices can potentially be harmful to soil health and future sustainability. The use of cover crops (CC) as a mechanism to improve soil health on a wide scale remains underutilized. Soi...Typical row-crop agricultural practices can potentially be harmful to soil health and future sustainability. The use of cover crops (CC) as a mechanism to improve soil health on a wide scale remains underutilized. Soil health remains a major concern for the sustainability of agricultural productivity, therefore, research into CC implementation as a mean to preserve or improve soil health is warranted. The objective of this study was to evaluate the effects of CC on the soils in the eastern Arkansas portion of the Lower Mississippi River Valley (LMRV) over time for various chemical soil parameters, including pH, soil organic matter (SOM), soil elemental contents (i.e., P, K, Ca, Mg, S, Na, Fe, Mn, Zn, Cu, and B), soil respiration, and a generalized soil health score index. Soil pH decreased over time under both CC and no-cover-crop (NCC) treatments, by −0.3 and −0.2, respectively. Soil OM decreased over time under NCC by −0.1%, but did not differ between CC treatments. Soil N availability decreased over time under NCC (−22.6 kg·ha−1), but did not change over time under CC. Soil respiration decreased over time under both CC and NCC, by −76.1 mg·L−1 and −77.3 mg·L−1, respectively, though there was no effect of CC treatment. The Haney soil health score index decreased under CC (−7.0) and NCC (−6.8) without an effect from CC treatment. Results of the study place emphasis on the temporal nature of soil health as influenced by cover crops and their potential to improve soil health.展开更多
目的分析白介素-4(interleukin-4,IL-4)联合急性生理与慢性健康评分(acute physiology and chronic health evaluation,APACHEⅡ)对耐碳青霉烯鲍曼不动杆菌(carbapenem-resistant Acinetobacter baumannii,CRAB)感染的预后评估价值。方...目的分析白介素-4(interleukin-4,IL-4)联合急性生理与慢性健康评分(acute physiology and chronic health evaluation,APACHEⅡ)对耐碳青霉烯鲍曼不动杆菌(carbapenem-resistant Acinetobacter baumannii,CRAB)感染的预后评估价值。方法将2021年11月至2023年10月在广东医科大学附属医院接受治疗的143例CRAB感染患者设为研究组,取同期院内治疗的碳青霉烯敏感鲍曼不动杆菌感染患者49例为对照组,根据研究组患者的临床结局区分为死亡组(n=46)和存活组(n=97)。对比研究组与对照组、死亡组与存活组患者IL-4和APACHEⅡ评分差异,采用Pearson相关性分析的方式,计算CRAB感染患者血清IL-4水平同APACHEⅡ评分的相关性,并采用绘制受试者工作(receiver operating characteristic curves,ROC)曲线的方式评估IL-4、APACHEⅡ评分以及联合诊断在预测CRAB感染患者不良临床结局中的应用价值。结果死亡组患者的IL-4水平以及APACHEⅡ评分显著高于存活组患者,组间差异具有统计学意义(P<0.05)。Pearson相关性分析结果显示血清IL-4水平与APACHEⅡ评分具有明显的正相关性(r=0.093,P<0.001)。血清IL-4、APACHEⅡ评分以及联合检测对CRAB感染患者预后评估AUC分别为0.712(95%CI=0.606~0.817,P<0.001)、0.849(95%CI=0.763~0.936,P<0.001)和0.956(95%CI=0.927~0.985,P<0.001)。结论CRAB患者不良预后者血清IL-4和APACHEⅡ评分较存活组显著升高,可以考虑将血清IL-4和APACHEⅡ评分联合应用于此类患者预后评估中,有助于为其临床治疗提供参考。展开更多
文摘Aims: The present study aims to compare the assessment of work ability based on the use of the Work Ability Index (WAI) with another questionnaire base only on the use of WAI’s first item, termed as the “Work Ability Score” (WAS). Study design: A cohort of 384 Spanish workers included in a Post COVID-19 condition or persistent COVID-19 multicenter research was utilized. Place and Duration of Study: This cohort was enlisted in four hospitals (Hospital Universitario 12 de Octubre, Madrid;Hospital Universitario Virgen Macarena, Sevilla, Andalucía;Hospital Universitario Gregorio Marañón, Madrid and Complejo Asistencial Universitario de Salamanca, Castilla y León), since 2021 until 2022. Methodology: 384 Spanish workers (176 men and 208 women;aged 20 to 70 years) with Post COVID-19 condition or persistent COVID-19 were included. Descriptive analysis of primary scores was conducted. Given the non-normal distribution of data, the Mann-Whitney and Kruskal-Wallis tests were employed. Spearman and Kendall correlations were employed to assess the relationship between WAI and WAS, also used weighted Kappa to estimate the degree agreement between WAI and WAS. Logistic regression models were utilized to study determinants influencing WAI and WAS, categorized as poor or moderate. Results: WAI had an average score of 32.98 (SD = 10.28), whereas WAS had an average of 5.95 (SD = 2.77). Significant differences were observed in both WAI and WAS across the same variables. Strong and statistically significant correlations were evident between WAI and WAS (rs = 0.83, p < 0.001). All the variables used in the logistic regression model (gender, the sector employment, and previous chronic diseases) were statistically significant in both questionnaires. Conclusion: WAS questionnaire could be used as a tool for reliable assessment of work ability among Spanish workers with Post COVID-19 condition or Persistent CO-VID-19.
文摘The knowledge on rabbit welfare may be improved by the use of correct tools for monitoring the different aspects of rabbit industrial farming. Therefore, the aim of this study was to define parameters related to health and welfare of animals in industrial farms with intensive husbandry. Health, management, environmental and productive parameters were firstly characterized and then a protocol to assess welfare of rabbits was define. The research was conducted on 8 industrial farms from 2004 to 2007 and around 30 inspections were done in each farm. At each visit, the health conditions were established by： （1） necropsy on animals of different productive category; （2） specific laboratory investigations based on the lesions observed; （3） checking the presence of parasites in environmental faecal samples; （4） bacteriological examination of vaginal, nasal and rectal swabs of rabbit of different age. The immune conditions and the efficacy of vaccinations were measured by determining anti-Myxomatosis and anti-Rabbit Haemorrhagic Disease antibodies using competitive ELISAs, and anti-Encephalitozoon cunicoli antibodies by immunocarbonassay. The environmental conditions were evaluated by measuring air temperature, relative humidity, ammonia concentration and bacterial/fungal count. Finally the productive parameters were also recorded and elaborated. All the entered values were then utilized for defining a score system to establish health and welfare conditions.
文摘Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects of Electronic Health Records use in Burundi’s hospitals, taking into account the COVID-19 pandemic context. Methods: This was a quasi-experimental study based on difference in difference method. Ten district hospitals were included in the study, five of them had the Electronic Health Records and five of which did not yet have the Electronic Health Records. The hospital’s control group were chosen using the propensity score matching method. The period before the project’s implementation was 2014 and the period after were 2019 and 2020. Results: After 5 years of the Electronic Health Record’s implementation, the results showed an increase in outpatient consultation (70%), deliveries (more than 100%), caesarean sections (56%) and major surgeries (43%) indicators. The overall quality score of hospitals’ care had a regressive effect of 37% and the income from performance-based funding had an increase by 31%. The indicators which were affected by the context of the COVID-19 pandemic were especially outpatient consultation, caesarian section, income from performance-based funding decreased by 3%, 5% and 20% respectively. Conclusion: The effects of Electronic Health Records use are effective. As the COVID-19 pandemic impacted the hospital’s indicators negatively, the resilient strategies alongside the potential shocks are recommended.
文摘Typical row-crop agricultural practices can potentially be harmful to soil health and future sustainability. The use of cover crops (CC) as a mechanism to improve soil health on a wide scale remains underutilized. Soil health remains a major concern for the sustainability of agricultural productivity, therefore, research into CC implementation as a mean to preserve or improve soil health is warranted. The objective of this study was to evaluate the effects of CC on the soils in the eastern Arkansas portion of the Lower Mississippi River Valley (LMRV) over time for various chemical soil parameters, including pH, soil organic matter (SOM), soil elemental contents (i.e., P, K, Ca, Mg, S, Na, Fe, Mn, Zn, Cu, and B), soil respiration, and a generalized soil health score index. Soil pH decreased over time under both CC and no-cover-crop (NCC) treatments, by −0.3 and −0.2, respectively. Soil OM decreased over time under NCC by −0.1%, but did not differ between CC treatments. Soil N availability decreased over time under NCC (−22.6 kg·ha−1), but did not change over time under CC. Soil respiration decreased over time under both CC and NCC, by −76.1 mg·L−1 and −77.3 mg·L−1, respectively, though there was no effect of CC treatment. The Haney soil health score index decreased under CC (−7.0) and NCC (−6.8) without an effect from CC treatment. Results of the study place emphasis on the temporal nature of soil health as influenced by cover crops and their potential to improve soil health.
