New design of care: Assessment of an interdisciplinary orthopaedic clinic with a pivot nurse in the province of Quebec.

PubMed

Poder, Thomas G; Bellemare, Christian; Bédard, Suzanne K; He, Jie; Lemieux, Renald

2010-01-01

New designs of care in orthopaedic clinics are needed to cope with the shortage of orthopaedic surgeons and the lengthening of waiting times. To assess the effectiveness of an interdisciplinary orthopaedic clinic with a pivot nurse in the Canadian province of Quebec with regard to accessibility, quality of care, efficacy and efficiency of the clinic, and patient's quality of life. Two strategies were developed: (1) a selected cohort of new patients attending an orthopaedic service from February to September 2008 were entered into a database recording patient details, source of referral, diagnosis, satisfaction, and quality of life (36-Item Short Form Health Survey version 2). In this setting, 2 sets of questionnaires were administered to the patients: the first one during the first visit and the second one, 2 months later. A total of 243 patients from the case control were compared with 89 patients of the case study, where an interdisciplinary orthopaedic clinic with a pivot nurse has been developed; (2) costs per patient were calculated using the staff timesheets provided by the two orthopaedic clinics. The results showed a significant reduction in the waiting-list duration (accessibility) in the case study clinic owing to a strong decrease in the inappropriate consultations with the orthopaedic consultant. The quality of care remained high, and the target surgeries for total hip and knee replacement were reached, despite a strong shortage of orthopaedic doctors. Interdisciplinary orthopaedic clinic with a pivot nurse is a new approach in the province of Quebec and first results are encouraging.

Empirical Study on the Sustainability of China's Grain Quality Improvement: The Role of Transportation, Labor, and Agricultural Machinery.

PubMed

Zhang, Ming; Duan, Fang; Mao, Zisen

2018-02-05

As a major part of farming sustainability, the issues of grain production and its quality improvement have been important in many countries. This paper aims to address these issues in China. Based on the data from the main production provinces and by applying the stochastic frontier analysis methodology, we find that the improvement of transportation and the use of agricultural machinery have become the main driving forces for grain quality improvement in China. After further studying different provinces' potentials of grain quality improvement, we show that grain quality has increased steadily. Therefore, we can conclude China's grain quality improvement is indeed sustainable. Furthermore, different grains like rice, wheat, and corn share similar characteristics in terms of quality improvement, but the improvement rate for rice is relatively low, while those of corn and wheat are relatively high. Moreover, the overall change of efficiency gain of grain quality improvement is not significant for different provinces. The efficiency gains of the quality improvements for rice and wheat even decrease slightly. In addition, we find that only expanding grain quality improvement potential can simultaneously achieve the dual objectives of improving grain quality and increasing yield.

Changes in malaria morbidity and mortality in Mpumalanga Province, South Africa (2001- 2009): a retrospective study

PubMed Central

2012-01-01

Background Malaria remains a serious epidemic threat in Mpumalanga Province. In order to appropriately target interventions to achieve substantial reduction in the burden of malaria and ultimately eliminate the disease, there is a need to track progress of malaria control efforts by assessing the time trends and evaluating the impact of current control interventions. This study aimed to assess the changes in the burden of malaria in Mpumalanga Province during the past eight malaria seasons (2001/02 to 2008/09) and whether indoor residual spraying (IRS) and climate variability had an effect on these changes. Methods This is a descriptive retrospective study based on the analysis of secondary malaria surveillance data (cases and deaths) in Mpumalanga Province. Data were extracted from the Integrated Malaria Information System. Time series model (Autoregressive Integrated Moving Average) was used to assess the association between climate and malaria. Results Within the study period, a total of 35,191 cases and 164 deaths due to malaria were notified in Mpumalanga Province. There was a significant decrease in the incidence of malaria from 385 in 2001/02 to 50 cases per 100,000 population in 2008/09 (P < 0.005). The incidence and case fatality (CFR) rates for the study period were 134 cases per 100,000 and 0.54%, respectively. Mortality due to malaria was lower in infants and children (CFR < 0.5%) and higher in those >65 years, with the mean CFR of 2.1% as compared to the national target of 0.5%. A distinct seasonal transmission pattern was found to be significantly related to changes in rainfall patterns (P = 0.007). A notable decline in malaria case notification was observed following apparent scale-up of IRS coverage from 2006/07 to 2008/09 malaria seasons. Conclusions Mpumalanga Province has achieved the goal of reducing malaria morbidity and mortality by over 70%, partly as a result of scale-up of IRS intervention in combination with other control strategies. These results highlight the need to continue with IRS together with other control strategies until interruption in local malaria transmission is completely achieved. However, the goal to eliminate malaria as a public health problem requires efforts to be directed towards the control of imported malaria cases; development of strategies to interrupt local transmission; and maintaining high quality surveillance and reporting system. PMID:22239855

Canada's Approach to School Funding: The Adoption of Provincial Control of Education Funding in Three Provinces

ERIC Educational Resources Information Center

Herman, Juliana

2013-01-01

The academic success of Finland, South Korea, and others on recent international tests has sparked a renewed interest among educators and those concerned with education policy in the United States in looking to other countries for examples of how we might improve our education system. Teacher training and quality in leading countries has received…

[Application of entropy-weight TOPSIS model in synthetical quality evaluation of Angelica sinensis growing in Gansu Province].

PubMed

Gu, Zhi-rong; Wang, Ya-li; Sun, Yu-jing; Dind, Jun-xia

2014-09-01

To investigate the establishment and application methods of entropy-weight TOPSIS model in synthetical quality evaluation of traditional Chinese medicine with Angelica sinensis growing in Gansu Province as an example. The contents of ferulic acid, 3-butylphthalide, Z-butylidenephthalide, Z-ligustilide, linolic acid, volatile oil, and ethanol soluble extractive were used as an evaluation index set. The weights of each evaluation index were determined by information entropy method. The entropyweight TOPSIS model was established to synthetically evaluate the quality of Angelica sinensis growing in Gansu Province by Euclid closeness degree. The results based on established model were in line with the daodi meaning and the knowledge of clinical experience. The established model was simple in calculation, objective, reliable, and can be applied to synthetical quality evaluation of traditional Chinese medicine.

Source Apportionment of Final Particulate Matterin North China Plain based on Air Quality Modeling

NASA Astrophysics Data System (ADS)

Xing, J.; Wu, W.; Chang, X.; Wang, S.; Hao, J.

2016-12-01

Most Chinese cities in North China Plain are suffering from serious air pollution. To develop the regional air pollution control policies, we need to identify the major source contributions to such pollution and to design the control policy which is accurate, efficient and effective. This study used the air quality model with serval advanced technologies including ISAM and ERSM, to assess the source contributions from individual pollutants (incl. SO2, NOx, VOC, NH3, primary PM), sectors (incl. power plants, industry, transportation and domestic), and regions (Beijing, Hebei, Tianjing and surrounding provinces). The modeling period is two months in 2012 as January and July which represent winter and summer respectively. The non-linear relationship between air pollutant emissions and air quality will be addressed, and the integrated control of multi-pollutants and multi-regions in China will be suggested.

Regionalization of Habitat Suitability of Masson’s Pine based on geographic information system and Fuzzy Matter-Element Model

PubMed Central

Zhou, Xiuteng; Zhao, Manxi; Zhou, Liangyun; Yang, Guang; Huang, Luqi; Yan, Cuiqi; Huang, Quanshu; Ye, Liang; Zhang, Xiaobo; Guo, Lanpin; Ke, Xiao; Guo, Jiao

2016-01-01

Pine needles have been widely used in the development of anti-hypertensive and anti-hyperlipidemic agents and health food. However, the widespread distribution of this tree poses great obstacles to the quality control and efficacy evaluation. To facilitate the effective and rational exploitation of Masson’s pine (Pinus massoniana Lamb), as well as ensure effective development of Masson’s pine needles as a medicinal agent, we investigated the spatial distribution of habitat suitability and evaluated the optimal ranges of ecological factors of P. massoniana with 280 samples collected from 12 provinces in China through the evaluation of four constituents known to be effective medicinally. The results of habitat suitability evaluation were also verified by Root Mean Square Error (RMSE). Finally, five ecological factors were chosen in the establishment of a habitat suitability evaluation system. The most suitable areas for P. massoniana growth were mainly concentrated in the middle and lower reaches of the Yangtze River basin, such as Sichuan, Guizhou, and Jiangxi provinces, while the best quality needles were from Guizhou, Sichuan, and the junction area of Chongqing, Hunan, and Hubei provinces. This information revealed that suitable areas for effective constituent accumulation of Masson’s pine needles accounted for only 7.41% of its distribution area. PMID:27694967

Regionalization of Habitat Suitability of Masson’s Pine based on geographic information system and Fuzzy Matter-Element Model

NASA Astrophysics Data System (ADS)

Zhou, Xiuteng; Zhao, Manxi; Zhou, Liangyun; Yang, Guang; Huang, Luqi; Yan, Cuiqi; Huang, Quanshu; Ye, Liang; Zhang, Xiaobo; Guo, Lanpin; Ke, Xiao; Guo, Jiao

2016-10-01

Pine needles have been widely used in the development of anti-hypertensive and anti-hyperlipidemic agents and health food. However, the widespread distribution of this tree poses great obstacles to the quality control and efficacy evaluation. To facilitate the effective and rational exploitation of Masson’s pine (Pinus massoniana Lamb), as well as ensure effective development of Masson’s pine needles as a medicinal agent, we investigated the spatial distribution of habitat suitability and evaluated the optimal ranges of ecological factors of P. massoniana with 280 samples collected from 12 provinces in China through the evaluation of four constituents known to be effective medicinally. The results of habitat suitability evaluation were also verified by Root Mean Square Error (RMSE). Finally, five ecological factors were chosen in the establishment of a habitat suitability evaluation system. The most suitable areas for P. massoniana growth were mainly concentrated in the middle and lower reaches of the Yangtze River basin, such as Sichuan, Guizhou, and Jiangxi provinces, while the best quality needles were from Guizhou, Sichuan, and the junction area of Chongqing, Hunan, and Hubei provinces. This information revealed that suitable areas for effective constituent accumulation of Masson’s pine needles accounted for only 7.41% of its distribution area.

Consumer Choice between Food Safety and Food Quality: The Case of Farm-Raised Atlantic Salmon

PubMed Central

Haghiri, Morteza

2016-01-01

Since the food incidence of polychlorinated biphenyls in farm-raised Atlantic salmon, its market demand has drastically changed as a result of consumers mistrust in both the quality and safety of the product. Policymakers have been trying to find ways to ensure consumers that farm-raised Atlantic salmon is safe. One of the suggested policies is the implementation of integrated traceability methods and quality control systems. This article examines consumer choice between food safety and food quality to purchase certified farm-raised Atlantic salmon, defined as a product that has passed through various stages of traceability systems in the province of Newfoundland and Labrador, Canada. PMID:28231118

China's Air Quality and Respiratory Disease Mortality Based on the Spatial Panel Model.

PubMed

Cao, Qilong; Liang, Ying; Niu, Xueting

2017-09-18

Background : Air pollution has become an important factor restricting China's economic development and has subsequently brought a series of social problems, including the impact of air pollution on the health of residents, which is a topical issue in China. Methods : Taking into account this spatial imbalance, the paper is based on the spatial panel data model PM 2.5 . Respiratory disease mortality in 31 Chinese provinces from 2004 to 2008 is taken as the main variable to study the spatial effect and impact of air quality and respiratory disease mortality on a large scale. Results : It was found that there is a spatial correlation between the mortality of respiratory diseases in Chinese provinces. The spatial correlation can be explained by the spatial effect of PM 2.5 pollutions in the control of other variables. Conclusions : Compared with the traditional non-spatial model, the spatial model is better for describing the spatial relationship between variables, ensuring the conclusions are scientific and can measure the spatial effect between variables.

Using a geographical information system to plan a malaria control programme in South Africa.

PubMed Central

Booman, M.; Durrheim, D. N.; La Grange, K.; Martin, C.; Mabuza, A. M.; Zitha, A.; Mbokazi, F. M.; Fraser, C.; Sharp, B. L.

2000-01-01

INTRODUCTION: Sustainable control of malaria in sub-Saharan Africa is jeopardized by dwindling public health resources resulting from competing health priorities that include an overwhelming acquired immunodeficiency syndrome (AIDS) epidemic. In Mpumalanga province, South Africa, rational planning has historically been hampered by a case surveillance system for malaria that only provided estimates of risk at the magisterial district level (a subdivision of a province). METHODS: To better map control programme activities to their geographical location, the malaria notification system was overhauled and a geographical information system implemented. The introduction of a simplified notification form used only for malaria and a carefully monitored notification system provided the good quality data necessary to support an effective geographical information system. RESULTS: The geographical information system displays data on malaria cases at a village or town level and has proved valuable in stratifying malaria risk within those magisterial districts at highest risk, Barberton and Nkomazi. The conspicuous west-to-east gradient, in which the risk rises sharply towards the Mozambican border (relative risk = 4.12, 95% confidence interval = 3.88-4.46 when the malaria risk within 5 km of the border was compared with the remaining areas in these two districts), allowed development of a targeted approach to control. DISCUSSION: The geographical information system for malaria was enormously valuable in enabling malaria risk at town and village level to be shown. Matching malaria control measures to specific strata of endemic malaria has provided the opportunity for more efficient malaria control in Mpumalanga province. PMID:11196490

[Measles pathogenic surveillance from 2005 to 2007 in Guangdong Province].

PubMed

Liu, Leng; Zheng, Huan-ying; Guo, Xue; Zhu, Jian-qiong; Ji, Yi-xin; Xu, Wen-bo

2008-12-01

To develop pathogenic surveillance on measles and to effectively isolate measles virus. To know the genetic characterizations and molecular epidemiology of wildtype measles viruses from 2005 to 2007 in Guangdong Province, and provide the scientific basis for measles control and eradication. Vero/Slam cell line were used, measles viruses were isolated from throat swabs or urine specimens collected from uspected measles patients in outbreaks and sporadic patients. A 450 nucleotides fragment of the C-terminal of the nucleoprotein (N) gene was amplified and by RT-PCR and subjected to sequence and phylogenetic analysis using Bio-Edit software. 82 wild-type measels virus were obtained from 377 throat swabs and urine specimens from 2005 to 2007 in Guangdong Province measles lab. The measles isolation rate was 23.58% in 2005, 17.11% in 2006, 39.13% in 2007. The succeed rate of virus isolation is related to the quality of specimens collected and the days after rash occurrence. We have grasped the technicalability of measles virus isolation and confirm action, and got higher isolation ratio. The wild-type measles virus isolated from Guangdong Province is of H1 genotype from 2005 to 2007, which is the same as the dominant genotype circulation.

Preliminary post-tsunami water quality survey in Phang-Nga province, southern Thailand.

PubMed

Tharnpoophasiam, Prapin; Suthisarnsuntorn, Usanee; Worakhunpiset, Suwalee; Charoenjai, Prasasana; Tunyong, Witawat; Phrom-In, Suvannee; Chattanadee, Siriporn

2006-01-01

This preliminary water quality survey was performed eight weeks after the tsunami hit Phang-Nga Province on 26 December 2004. Water samples collected from the affected area, 10 km parallel to the seaside, were compared with water samples from the control area approximately 4 km from the seaside, which the tsunami waves could not reach. These samples included 18 surface-water samples, 37 well-water samples, and 8 drinking-water samples, which were examined for microbiology and physical-chemical properties. The microbiological examinations focused on enteric bacteria, which were isolated by culture method, while physical-chemical properties comprised on-site testing for pH, salinity, dissolved oxygen (DO), conductivity and total dissolved solids (TDS) by portable electrochemical meter (Sens Ion 156). The results of the microbiological examinations showed that water samples in the affected areas were more contaminated with enteric bacteria than the control area: 45.4% of surface-water samples in the affected area, and 40.0% in the control; 19.0% of well-water samples in the affected area, and 7.7% in the control. All eight drinking-water samples were clear of enteric bacteria. Tests for physical-chemical properties showed that the salinity, pH, conductivity, and TDS of surface-water samples from the affected area were significantly higher than the control. The salinity, conductivity, and TDS of the well-water samples from the affected areas were also significantly greater than those from the control area. The surface and well water in the tsunami-affected area have been changed greatly and need improvement.

Hydrology of area 18, Eastern Coal Province, Tennessee

USGS Publications Warehouse

May, V.J.

1981-01-01

The Eastern Coal Province is divided into 24 hydrologic reporting areas. This report describes the hydrology of area 18 which is located in the Cumberland River basin in central Tennessee near the southern end of the Province. Hydrologic information and sources are presented as text, tables, maps, and other illustrations designed to be useful to mine owners, operators, and consulting engineers in implementing permit applications that comply with the environmental requirements of the ' Surface Mining Control and Reclamation Act of 1977. ' Area 18 encompasses parts of three physiographic regions; from east to west the Cumberland Plateau, Highland Rim, and Central Basin. The Plateau is underlain by sandstones and shales, with thin interbedded coal beds, of Pennsylvanian age. The Highland Rim and Central Basin are underlain by limestone and dolomite of Mississippian age. Field and laboratory analyses of chemical and physical water-quality parameters of streamflow samples show no widespread water quality problems. Some streams, however, in the heavily mined areas have concentrations of sulfate, iron, manganese, and sediment above natural levels, and pH values below natural levels. Mine seepage and direct mine drainage were not sampled. Ground water occurs in and moves through fractures in the sandstones and shales and solution openings in the limestones and dolomites. Depth to water is variable, ranging from about 5 to 70 feet below land-surface in the limestones and dolomites, and 15 to 40 feet in the coal-bearing rocks. The quality of ground water is generally good. Locally, in coal-bearing rocks, acidic water and high concentrations of manganese, chloride, and iron have been detected. (USGS)

Integrating child health services into malaria control services of village malaria workers in remote Cambodia: service utilization and knowledge of malaria management of caregivers.

PubMed

Hasegawa, Aya; Yasuoka, Junko; Ly, Po; Nguon, Chea; Jimba, Masamine

2013-08-23

Malaria and other communicable diseases remain major threats in developing countries. In Cambodia, village malaria workers (VMWs) have been providing malaria control services in remote villages to cope with the disease threats. In 2009, the VMW project integrated child health services into the original malaria control services. However, little has been studied about the utilization of VMWs' child health services. This study aimed to identify determinants of caregivers' VMW service utilization for childhood illness and caregivers' knowledge of malaria management. A cross-sectional study was conducted in 36 VMW villages of Kampot and Kampong Thom provinces in July-September 2012. An equal number of VMW villages with malaria control services only (M) and those with malaria control plus child health services (M+C) were selected from each province. Using structured questionnaires, 800 caregivers of children under five and 36 VMWs, one of the two VMWs who was providing VMW services in each study village were interviewed. Among the caregivers, 23% in M villages and 52% in M+C villages utilized VMW services for childhood illnesses. Determinants of caregivers' utilization of VMWs in M villages included their VMWs' length of experience (AOR = 11.80, 95% confidence interval [CI] = 4.46-31.19) and VMWs' service quality (AOR = 2.04, CI = 1.01-4.11). In M+C villages, VMWs' length of experience (AOR = 2.44, CI = 1.52-3.94) and caregivers' wealth index (AOR = 0.35, CI = 0.18-0.68) were associated with VMW service utilization. Meanwhile, better service quality of VMWs (AOR = 3.21, CI = 1.34-7.66) and caregivers' literacy (AOR = 9.91, CI = 4.66-21.05) were positively associated with caregivers' knowledge of malaria management. VMWs' service quality and length of experience are important determinants of caregivers' utilization of VMWs' child health services and their knowledge of malaria management. Caregivers are seeking VMWs' support for childhood illnesses even if they are providing only malaria control services. This underlines the importance of scaling-up VMWs' capacity by adding child health services of good quality, which will result in improving child health status in remote Cambodia.

Assesment of PM10 pollution episodes in a ceramic cluster (NE Spain): proposal of a new quality index for PM10, As, Cd, Ni and Pb.

PubMed

Vicente, A B; Sanfeliu, T; Jordan, M M

2012-10-15

Environmental pollution control is one of the most important goals in pollution risk assessment today. In this sense, modern and precise tools that allow scientists to evaluate, quantify and predict air pollution are of particular interest. Monitoring atmospheric particulate matter is a challenge faced by the European Union. Specific rules on this subject are being developed (Directive 2004/107/EC, Directive 2008/50/EC) in order to reduce the potential adverse effects on human health caused by air pollution. Air pollution has two sources: natural and anthropogenic. Contributions from natural sources can be assessed but cannot be controlled, while emissions from anthropogenic sources can be controlled; monitoring to reduce this latter type of pollution should therefore be carried out. In this paper, we describe an air quality evaluation in terms of levels of atmospheric particles (PM10), as outlined by European Union legislation, carried out in an industrialised Spanish coastal area over a five-year period with the purpose of comparing these values with those of other areas in the Mediterranean Basin with different weather conditions from North of Europe. The study area is in the province of Castellón. This province is a strategic area in the frame work of European Union (EU) pollution control. Approximately 80% of European ceramic tiles and ceramic frit manufacturers are concentrated in two areas, forming the so-called "ceramics clusters"; ones in Modena (Italy) and the other in Castellón. In this kind of areas, there are a lot of air pollutants from this industry then it is difficult to fulfill de European limits of PM10 so it is necessary to control the air quality in them. The seasonal differences in the number of days in which pollutant level limits were exceeded were evaluated and the sources of contamination were identified. Air quality indexes for each pollutant have been established to determine easily and clearly the quality of air breathed. Furthermore, in accordance with Directive 2008/50/EC, an Air Quality Plan is proposed to protect human health, and the environment as a whole, in the study area. General and specific corrective measures of main emission sources are provided. A strategy for air pollution management is thus presented. Copyright © 2012 Elsevier Ltd. All rights reserved.

The Quality Assurance Project assists the vitamin A capsule program in Antique Province, Philippines.

PubMed

Blumenfeld, S

1994-01-01

Vitamin A deficiency remains an important problem in some parts of the Philippines. The Department of Health, with assistance from the Helen Keller Institute (HKI), established a vitamin A supplementation program in Antique Province providing for the administration of vitamin A capsules to malnourished children. Although the HKI cut off its assistance in 1992, continuation of the capsule supplementation program was an element of the National Nutrition Plan for 1992-96, and remains an element of the Antique Provincial health services program under the Philippines' devolved health services scheme. The Quality Assurance Program (QAP) in May 1993 began helping the Provincial Health Office improve the quality of the vitamin A program. A systems analysis was first undertaken to identify significant deviations from provider performance standards which had been adapted by the province from Nutrition Service guidelines. Many problems were observed, including lack of knowledge of the high-priority categories of children, incomplete counseling, and frequent mistakes in determining children's nutritional status. The provincial health office staff recommended that six of the province's seventeen municipalities participate in the quality improvement effort. The intent of the QAP staff was not only to help the provincial staff improve the quality of its vitamin A program by resolving some immediate operational problems, but to provide the health care workers with a quality improvement experience that they would intuitively transfer to other programs for which they were responsible. The coaching/facilitating approach of modern quality management allowed health workers to explore their own approaches to solving the problems chosen.

Quality of water from bedrock aquifers in the South Carolina Piedmont

USGS Publications Warehouse

Patterson, G.G.; Padgett, G.C.

1984-01-01

The geographic distributions of 12 common water-quality parameters of ground water from bedrock aquifers in the Piedmont physiographic province of South Carolina are presented in a series of maps. The maps are based on analyses by the South Carolina Department of Health and Environmental Control of water samples taken during the period 1972 to 1982 from 442 public and private wells developed in the Piedmont. In general, alkalinity, hardness, and concentrations of sodium, magnesium, and chloride were higher in the Carolina Slate Belt than they were in the other geologic belts of the Piedmont. (USGS)

The key quality control technology of main cable erection in long-span suspension bridge construction

NASA Astrophysics Data System (ADS)

Chen, Yongrui; Wei, Wei; Dai, Jie

2017-04-01

Main cable is one of the most important structure of suspension Bridges, which bear all the dead and live load from upper structure. Cable erection is one of the most critical process in suspension bridge construction. Key points about strand erection are studied in this paper, including strand traction, lateral movement, section adjustment, placing into saddle, anchoring, line shape adjustment and keeping, and tension control. The technology has helped a long-span suspension bridge in Yunnan Province, China get a ideal finished state.

Evaluation of Rural Primary Health Care in Western China: A Cross-Sectional Study.

PubMed

Wang, Manli; Fang, Haiqing; Bishwajit, Ghose; Xiang, Yuanxi; Fu, Hang; Feng, Zhanchun

2015-10-29

China's Ministry of Health has enacted Rural Primary Health Care Program (2001-2010) (HCP) guidelines to improve the quality of people's health. However, the program's success in Western China remains unevaluated. Thus, this study aims to begin to fill that gap by analyzing the provision and utilization of Rural Primary Health Care (RPHC) in Western China. A cross-sectional study was conducted to collect secondary data on the socio-economic characteristics, system construction, services use and implementation of RPHC, and the residents' health status of the sampled areas. Four hundred counties from 31 provinces in China were selected via stratified random sampling, including 171 counties from 12 Western provinces. Twenty-seven analysis indicators, covering system construction, services use and implementation of RPHC were chosen to assess Western China's primary health quality. Analysis of Variance (ANOVA) and Least Significant Difference (LSD) methods were used to measure the RPHC disparities between Western and Eastern and Central China. Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) was used to rank Western, Eastern and Central internal provinces regarding quality of their RPHC. Of the 27 indicators, 13 (48.15%) were below the standard in Western China. These focused on rural health service system construction, Chinese medicine services, and public health. In the comparison between Western, Central and Eastern China, 12 indicators had statistical significance (p < 0.05), and using LSD to compare between Western and Eastern China, all indicators were statistically significant (p < 0.05), demonstrating regional disparities. Xinjiang Province's RPHC ranked highest overall, and Yunnan Province ranked the lowest, indicating the internal differences within the 12 Western provinces; and Western provinces' Ci value was lower than that of Eastern and Central China overall. Western China's RPHC has proceeded well, but remains weaker than that of Eastern and Central China. Differences within Western internal provinces threaten the successful implementation of RPHC.

Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority.

PubMed

Ran, Lingyun; Jiang, Xiaodong; Li, Baogang; Kong, Hongqian; Du, Mengqi; Wang, Xiaolan; Yu, Hua; Liu, Qin

2017-03-22

The health-related quality of life (HRQoL) of the elderly population of Yi ethnic minority, which is the seventh largest nationality in China, has been rarely reported. This study was designed to explore the HRQoL of the elderly Yi ethnicity and association between their HRQOL and functional abilities. A total of 291 Yi ethnic residents were randomly recruited from 12 rural counties in Yunnan province and divided into different age groups. Local residents in Yunnan province and the elderly from Hangzhou were enrolled as controls. The MOS 36-Item Short Form Health Survey (SF-36), activities of daily living (ADL), instrumental activities of daily living (IADL) scales were utilized to evaluate the HRQoL and functional ability. One-way ANOVA was used to statistically compare the ADL and IADL among different age groups. The influential variables on HRQOL were analyzed by multiple linear regression analysis. Pearson correlation analysis was used to analyze the association among HRQoL, ADL and IADL. The HRQoL of the elderly Yi minority was significantly lower than those of local residents in Yunnan province and the elderly counterparts in Hangzhou. The IADL ability of the elderly Yi minority was low, whereas they could perform most items of ADL. ADL, IADL, and education level were positively associated with HRQoL, whereas age, chronic diseases, and the frequency of medication use were negatively correlated with HRQoL. The HRQoL and functional capacity of the elderly Yi ethnic minority were lower compared with their counterparts in Yunnan province and Hangzhou. The low level of IADL indicated that the elderly Yi participants had a high risk of cognitive impairment. Much attention should be diverted to influential factors of the HRQoL.

Extraction of Greenhouse Areas with Image Processing Methods in Karabuk Province

NASA Astrophysics Data System (ADS)

Yildirima, M. Z.; Ozcan, C.

2017-11-01

Greenhouses provide the environmental conditions to be controlled and regulated as desired while allowing agricultural products to be produced without being affected by external environmental conditions. High quality and a wide variety of agricultural products can be produced throughout the year. In addition, mapping and detection of these areas has great importance in terms of factors such as yield analysis, natural resource management and environmental impact. Various remote sensing techniques are currently available for extraction of greenhouse areas. These techniques are based on the automatic detection and interpretation of objects on remotely sensed images. In this study, greenhouse areas were determined from optical images obtained from Landsat. The study was carried out in the greenhouse areas in Karabuk province. The obtained results are presented with figures and tables.

Facility versus unit level reporting of quality indicators in nursing homes when performance monitoring is the goal

PubMed Central

Norton, Peter G; Murray, Michael; Doupe, Malcolm B; Cummings, Greta G; Poss, Jeff W; Squires, Janet E; Teare, Gary F; Estabrooks, Carole A

2014-01-01

Objectives To demonstrate the benefit of defining operational management units in nursing homes and computing quality indicators on these units as well as on the whole facility. Design Calculation of adjusted Resident Assessment Instrument – Minimum Data Set 2.0 (RAI–MDS 2.0) quality indicators for: PRU05 (prevalence of residents with a stage 2–4 pressure ulcer), PAI0X (prevalence of residents with pain) and DRG01 (prevalence of residents receiving an antipsychotic with no diagnosis of psychosis), for quarterly assessments between 2007 and 2011 at unit and facility levels. Comparisons of these risk-adjusted quality indicators using statistical process control (control charts). Setting A representative sample of 30 urban nursing homes in the three Canadian Prairie Provinces. Measurements Explicit decision rules were developed and tested to determine whether the control charts demonstrated improving, worsening, unchanging or unclassifiable trends over the time period. Unit and facility performance were compared. Results In 48.9% of the units studied, unit control chart performance indicated different changes in quality over the reporting period than did the facility chart. Examples are provided to illustrate that these differences lead to quite different quality interventions. Conclusions Our results demonstrate the necessity of considering facility-level and unit-level measurement when calculating quality indicators derived from the RAI–MDS 2.0 data, and quite probably from any RAI measures. PMID:24523428

Distinguishing the roles of meteorology, emission control measures, regional transport, and co-benefits of reduced aerosol feedbacks in ;APEC Blue;

NASA Astrophysics Data System (ADS)

Gao, Meng; Liu, Zirui; Wang, Yuesi; Lu, Xiao; Ji, Dongsheng; Wang, Lili; Li, Meng; Wang, Zifa; Zhang, Qiang; Carmichael, Gregory R.

2017-10-01

Air quality are strongly influenced by both emissions and meteorological conditions. During the Asia Pacific Economic Cooperation (APEC) week (November 5-11, 2014), the Chinese government implemented unprecedented strict emission control measures in Beijing and surrounding provinces, and then a phenomenon referred to as ;APEC Blue; (rare blue sky) occurred. It is challenging to quantify the effectiveness of the implemented strict control measures solely based on observations. In this study, we use the WRF-Chem model to distinguish the roles of meteorology, emission control measures, regional transport, and co-benefits of reduced aerosol feedbacks during APEC week. In general, meteorological variables, PM2.5 concentrations and PM2.5 chemical compositions are well reproduced in Beijing. Positive weather conditions (lower temperature, lower relative humidity, higher wind speeds and enhanced boundary layer heights) play important roles in ;APEC Blue;. Applying strict emission control measures in Beijing and five surrounding provinces can only explain an average decrease of 17.7 μg/m3 (-21.8%) decreases in PM2.5 concentrations, roughly more than half of which is caused by emission controls that implemented in the five surrounding provinces (12.5 μg/m3). During the APEC week, non-local emissions contributed to 41.3% to PM2.5 concentrations in Beijing, and the effectiveness of implementing emission control measures hinges on dominant pathways and transport speeds. Besides, we also quantified the contribution of reduced aerosol feedbacks due to strict emission control measures in this study. During daytime, co-benefits of reduced aerosol feedbacks account for about 10.9% of the total decreases in PM2.5 concentrations in urban Beijing. The separation of contributions from aerosol absorption and scattering restates the importance of controlling BC to accelerate the effectiveness of aerosol pollution control.

China’s Air Quality and Respiratory Disease Mortality Based on the Spatial Panel Model

PubMed Central

Cao, Qilong; Liang, Ying; Niu, Xueting

2017-01-01

Background: Air pollution has become an important factor restricting China’s economic development and has subsequently brought a series of social problems, including the impact of air pollution on the health of residents, which is a topical issue in China. Methods: Taking into account this spatial imbalance, the paper is based on the spatial panel data model PM2.5. Respiratory disease mortality in 31 Chinese provinces from 2004 to 2008 is taken as the main variable to study the spatial effect and impact of air quality and respiratory disease mortality on a large scale. Results: It was found that there is a spatial correlation between the mortality of respiratory diseases in Chinese provinces. The spatial correlation can be explained by the spatial effect of PM2.5 pollutions in the control of other variables. Conclusions: Compared with the traditional non-spatial model, the spatial model is better for describing the spatial relationship between variables, ensuring the conclusions are scientific and can measure the spatial effect between variables. PMID:28927016

An exploratory study of factors that affect the performance and usage of rapid diagnostic tests for malaria in the Limpopo Province, South Africa.

PubMed

Moonasar, Devanand; Goga, Ameena Ebrahim; Frean, John; Kruger, Philip; Chandramohan, Daniel

2007-06-02

Malaria rapid diagnostic tests (RDTs) are relatively simple to perform and provide results quickly for making treatment decisions. However, the accuracy and application of RDT results depends on several factors such as quality of the RDT, storage, transport and end user performance. A cross sectional survey to explore factors that affect the performance and use of RDTs was conducted in the primary care facilities in South Africa. This study was conducted in three malaria risk sub-districts of the Limpopo Province, in South Africa. Twenty nurses were randomly selected from 17 primary health care facilities, three nurses from hospitals serving the study area and 10 other key informants, representing the managers of the malaria control programmes, routine and research laboratories, were interviewed, using semi-structured questionnaires. There was a high degree of efficiency in ordering and distribution of RDTs, however only 13/20 (65%) of the health facilities had appropriate air-conditioning and monitoring of room temperatures. Sixty percent (12/20) of the nurses did not receive any external training on conducting and interpreting RDT. Fifty percent of nurses (10/20) reported RDT stock-outs. Only 3/20 nurses mentioned that they periodically checked quality of RDT. Fifteen percent of nurses reported giving antimalarial drugs even if the RDT was negative. Storage, quality assurance, end user training and use of RDT results for clinical decision making in primary care facilities in South Africa need to be improved. Further studies of the factors influencing the quality control of RDTs, their performance of RDTs and the ways to improve their use of RDTs are needed.

An exploratory study of factors that affect the performance and usage of rapid diagnostic tests for malaria in the Limpopo Province, South Africa

PubMed Central

Moonasar, Devanand; Goga, Ameena Ebrahim; Frean, John; Kruger, Philip; Chandramohan, Daniel

2007-01-01

Background Malaria rapid diagnostic tests (RDTs) are relatively simple to perform and provide results quickly for making treatment decisions. However, the accuracy and application of RDT results depends on several factors such as quality of the RDT, storage, transport and end user performance. A cross sectional survey to explore factors that affect the performance and use of RDTs was conducted in the primary care facilities in South Africa. Methods This study was conducted in three malaria risk sub-districts of the Limpopo Province, in South Africa. Twenty nurses were randomly selected from 17 primary health care facilities, three nurses from hospitals serving the study area and 10 other key informants, representing the managers of the malaria control programmes, routine and research laboratories, were interviewed, using semi-structured questionnaires. Results There was a high degree of efficiency in ordering and distribution of RDTs, however only 13/20 (65%) of the health facilities had appropriate air-conditioning and monitoring of room temperatures. Sixty percent (12/20) of the nurses did not receive any external training on conducting and interpreting RDT. Fifty percent of nurses (10/20) reported RDT stock-outs. Only 3/20 nurses mentioned that they periodically checked quality of RDT. Fifteen percent of nurses reported giving antimalarial drugs even if the RDT was negative. Conclusion Storage, quality assurance, end user training and use of RDT results for clinical decision making in primary care facilities in South Africa need to be improved. Further studies of the factors influencing the quality control of RDTs, their performance of RDTs and the ways to improve their use of RDTs are needed. PMID:17543127

Usual source of care and the quality of primary care: a survey of patients in Guangdong province, China.

PubMed

Du, Zhicheng; Liao, Yu; Chen, Chien-Chou; Hao, Yuantao; Hu, Ruwei

2015-07-31

Usual source of care (USC) refers to the provider or place a patient consults when sick or in need of medical advice. No studies have been conducted in China to compare the quality of primary care provided with or without USC. The purpose of this study was to fill this gap in the literature by examining the quality of primary care provided between those having a USC and those without. Results of the study would provide implications for policymakers in terms of improving primary care performance in China, and help guide patients in their health care seeking behaviors. A cross-sectional survey with patients was conducted in Guangdong province of China, using the Chinese validated Primary Care Assessment Tool (PCAT). ANOVA was performed to compare the overall and ten domains of primary care quality for patients with and without USC. Multivariate analyses were used to assess the association between USC and quality of primary care attributes while controlling for sociodemographic and health care characteristics. The study added evidence that having a USC can provide higher quality of primary care to patients than those without a USC. Results of this study showed that the PCAT score associated with those having a USC was significantly higher than those not having a USC. Moreover, the study showed that having a usual provider of care was also independently and significantly associated with patients' satisfaction with care. This study added evidence that in China, patients with a USC reported higher quality of medical care experiences compared with those without a USC. The efforts to improve quality of care should include policies promoting USC.

Effect of baby oil on pruritus, sleep quality, and quality of life in hemodialysis patients: pretest-post-test model with control groups.

PubMed

Karadag, Ezgi; Kilic, Serap Parlar; Karatay, Gülnaz; Metin, Ozgur

2014-07-01

To assess the effect of baby oil on pruritus, sleep quality, and quality of life in hemodialysis (HD) patients. This pretest-post-test model with control groups study was conducted in HD units in two different provinces in eastern Turkey. The study group consisted of a total of 70 patients receiving HD treatment who met the inclusion criteria, 35 being in the intervention group and 35 in the control group. After the patients in both groups were informed about the study, they were administered a questionnaire, the Severity Scale, Visual Analog Scale, the Pittsburgh Sleep Quality Index, and the SF-36 Quality of Life Scale. Following the administration of baby oil to the patients in the intervention group three times a week for a period of 1 month, the same scales were repeated to explore their pruritic status, sleep quality, and quality of life. The same scales were repeated also for the patients in the control group 1 month later but without administering any baby oil. When the Itch Severity Scale, Visual Analog Scale, Pittsburgh Sleep Quality Index, and SF-36 Quality of Life Physical and Mental Component scores of the patients in the control and intervention groups before and after the intervention were compared, the differences in the change were found to be statistically significant in favor of the intervention group (P < 0.05). It was found in this study that administration of baby oil had positive effects on itching, quality of life, and sleep quality in HD patients who had itching complaints. © 2013 The Authors. Japan Journal of Nursing Science © 2013 Japan Academy of Nursing Science.

[Data analysis on hepatitis B through pilot surveillance reporting system in Henan province, 2012-2016].

PubMed

Guo, Y H; Lyu, Y Y; Yang, J H; Xu, J; Li, J; Ye, Y; Zhang, Y Y

2018-04-10

Objective: To standardize the reporting system on hepatitis B in order to improve the quality of monitoring program in Henan province. Methods: A total of 6 sites of Hepatitis B pilot surveillance were selected in Xinzheng of Zhengzhou city, Linzhou of Anyang city, Shanyang district of Jiaozuo city, Shaoling district of Luohe city, Yongcheng of Shangqiu city, Pingqiao district of Xinyang city in Henan province. Subjects under study were those reported hepatitis B cases, from 2012 to 2016. Cases diagnosed in 2011 were chosen as controls. Data on classification of hepatitis B, time that HBsAg became positive and ALT value of the cases were analyzed annually. 5 ml venous blood was collected and anti-HBc IgM confirmed test was made for those suspected acute cases on hepatitis B. Based on the 2016 data from the monitoring system, the incidence of acute hepatitis B in Henan province was estimated. Results: The number of reported hepatitis B cases had declined in 6 sites of Hepatitis B pilot surveillance substantially. A total of 17 436 hepatitis B reported in 2011 but only 2 632 cases were reported in 2016, with a reduction of 84.90%(14 804/17 436) in these six monitoring sites. The number of unclassified hepatitis B cases also dropped sharply. In 2011, 36.87% of the cases were unclassified, but the figure reduced to 0.08% in 2016, from the six sites. The rate on ALT detection also gradually improved. The rate of misdiagnosis on HBV carrier from hepatitis B almost disappeared. From 2013 to 2016, 777 blood samples were collected from six pilot sites. 29.34% (228/777) of the blood samples were tested positive for anti-HBc IgM after confirmed by the hepatitis laboratory of the China Center for Disease Control and Prevention. Conclusions: Since the development of the pilot surveillance program, the quality of reporting system on hepatitis B had been improved, as well as the accuracy of diagnosis. Rate on the accuracy of reporting on hepatitis B and the methods of testing should be improved at the monitoring sites.

Determination of Heavy Metals in Alpinia oxyphylla Miq. Collected from Different Cultivation Regions

PubMed Central

Fu, Yurong; Lai, Weiyong; Zhang, Junqing

2016-01-01

20 batches of Alpinia oxyphylla Miq. were collected from Yunnan, Guangdong, Guangxi, and Hainan province in China. The contents of heavy metals of As, Hg, Pb, Cd, and Cu were determined and compared. The results indicated that geographical source might be a major factor to influence the contents of heavy metals of arsenic (As), mercury (Hg), lead (Pb), cadmium (Cd), and copper (Cu) in Alpinia oxyphylla Miq. Compared to the criteria of heavy metals, the contents of As, Hg, Pb, and Cd in almost all the samples were in accordance with The Green Trade Standards. The contents of Cu were higher than the criteria for heavy metals except the samples from Changxing town, Qiongzhong county, Maoyang town, Qiongzhong county, Wupo town, Tunchang county, and Nanlv town, Tunchang county, in Hainan province. The best cultivation regions of Alpinia oxyphylla Miq. were from Changxing town, Qiongzhong county, Maoyang town, Qiongzhong county, Wupo town, Tunchang county, and Nanlv town, Tunchang county, in Hainan province. This research would provide the scientific basis for quality control and standardization of Alpinia oxyphylla Miq. PMID:27293963

The role of hypoxia in structuring macrobenthos community off the Louisiana shelf

NASA Astrophysics Data System (ADS)

Shivarudrappa, S. K.; Briggs, K.

2013-12-01

Core samples were collected from 24 box cores belonging to four different provinces with varying hypoxia frequency and history in the northern Gulf of Mexico. Macrobenthos from these four provinces were sampled in spring, summer and late-summer seasons. According to historical data of bottom water oxygen concentration since 1985, the control province was exposed to hypoxia <25% of the time, the province 1 was exposed to hypoxia between 50% and 75% of the time, the province 2 was exposed to hypoxia between 25% and 50% of the time, and the province 3 was exposed to hypoxia more than 75% of the time. Samples from the three cruises performed between April 2009 and August 2010 were vertically sectioned to 25 cm sediment depth and analyzed for abundance, biomass, species diversity, and feeding types. Seasonal variability within provinces and between provinces was analyzed in terms of abundance and biomass. The Bray-Curtis dissimilarity indices indicated the four provinces have similar community composition, yet showed the impact of hypoxia in assemblages making up the four communities. Diversity indices were highest for the control province and lowest for province 3 during all three seasons, whereas diversity indices for provinces 1 and 2 showed variable seasonal variations due to hypoxia. Separation of the control province from province 3 at all three samplings by principal component analysis indicated the communities of these two provinces did not change over the period of the study. This difference in assemblages was confirmed by rarefaction curves of expected species diversity. Impact of grain size and organic matter concentration on the community structure was assessed using non-metric multi-dimensional scaling. Different species dominated by their abundance or their biomass at all four provinces, but the effect was magnified in the provinces other than the control. Capitellid, cossurid and spionid polychaetes dominated by abundance, whereas maldanid and nephtyid polychaetes and Nemerteans dominated by biomass. This implies that the fauna responsible for dominance by their abundance were small, opportunistic deposit feeders, and that large carnivores contributed to dominance by their biomass. Although species and abundance changed from province to province and season to season, the functional groups were nevertheless dominated, in order, by subsurface deposit feeders, surface deposit feeders, and carnivores at all provinces in all three seasons. This study provides insight into compositional changes in the macrobenthic community due to hypoxia and subsequent recovery from hypoxia on the northern Gulf of Mexico shelf between the Mississippi and Atchafalaya Rivers.

Influence of agricultural activities, forest fires and agro-industries on air quality in Thailand.

PubMed

Phairuang, Worradorn; Hata, Mitsuhiko; Furuuchi, Masami

2017-02-01

Annual and monthly-based emission inventories in northern, central and north-eastern provinces in Thailand, where agriculture and related agro-industries are very intensive, were estimated to evaluate the contribution of agricultural activity, including crop residue burning, forest fires and related agro-industries on air quality monitored in corresponding provinces. The monthly-based emission inventories of air pollutants, or, particulate matter (PM), NOx and SO 2 , for various agricultural crops were estimated based on information on the level of production of typical crops: rice, corn, sugarcane, cassava, soybeans and potatoes using emission factors and other parameters related to country-specific values taking into account crop type and the local residue burning period. The estimated monthly emission inventory was compared with air monitoring data obtained at monitoring stations operated by the Pollution Control Department, Thailand (PCD) for validating the estimated emission inventory. The agro-industry that has the greatest impact on the regions being evaluated, is the sugar processing industry, which uses sugarcane as a raw material and its residue as fuel for the boiler. The backward trajectory analysis of the air mass arriving at the PCD station was calculated to confirm this influence. For the provinces being evaluated which are located in the upper northern, lower northern and northeast in Thailand, agricultural activities and forest fires were shown to be closely correlated to the ambient PM concentration while their contribution to the production of gaseous pollutants is much less. Copyright © 2016. Published by Elsevier B.V.

Research on Coupling Method of Watershed Initial Water Rights Allocation in Daling River

NASA Astrophysics Data System (ADS)

Liu, J.; Fengping, W.

2016-12-01

Water scarcity is now a common occurrence in many countries. The situation of watershed initial water rights allocation has caused many benefit conflicts among regions and regional water sectors of domestic and ecology environment and industries in China. This study aims to investigate the method of watershed initial water rights allocation in the perspective of coupling in Daling River Watershed taking provincial initial water rights and watershed-level governmental reserved water as objects. First of all, regarding the allocation subsystem of initial water rights among provinces, this research calculates initial water rights of different provinces by establishing the coupling model of water quantity and quality on the principle of "rewarding efficiency and penalizing inefficiency" based on the two control objectives of water quantity and quality. Secondly, regarding the allocation subsystem of watershed-level governmental reserved water rights, the study forecasts the demand of watershed-level governmental reserved water rights by the combination of case-based reasoning and water supply quotas. Then, the bilaterally coupled allocation model on water supply and demand is designed after supply analysis to get watershed-level governmental reserved water rights. The results of research method applied to Daling River Watershed reveal the recommended scheme of watershed initial water rights allocation based on coordinated degree criterion. It's found that the feasibility of the iteration coupling model and put forward related policies and suggestions. This study owns the advantages of complying with watershed initial water rights allocation mechanism and meeting the control requirements of water quantity, water quality and water utilization efficiency, which help to achieve the effective allocation of water resources.

Coverage and quality of antenatal care provided at primary health care facilities in the 'Punjab' province of 'Pakistan'.

PubMed

Majrooh, Muhammad Ashraf; Hasnain, Seema; Akram, Javaid; Siddiqui, Arif; Memon, Zahid Ali

2014-01-01

Antenatal care is a very important component of maternal health services. It provides the opportunity to learn about risks associated with pregnancy and guides to plan the place of deliveries thereby preventing maternal and infant morbidity and mortality. In 'Pakistan' antenatal services to rural population are being provided through a network of primary health care facilities designated as 'Basic Health Units and Rural Health Centers. Pakistan is a developing country, consisting of four provinces and federally administered areas. Each province is administratively subdivided in to 'Divisions' and 'Districts'. By population 'Punjab' is the largest province of Pakistan having 36 districts. This study was conducted to assess the coverage and quality antenatal care in the primary health care facilities in 'Punjab' province of 'Pakistan'. Quantitative and Qualitative methods were used to collect data. Using multistage sampling technique nine out of thirty six districts were selected and 19 primary health care facilities of public sector (seventeen Basic Health Units and two Rural Health Centers were randomly selected from each district. Focus group discussions and in-depth interviews were conducted with clients, providers and health managers. The overall enrollment for antenatal checkup was 55.9% and drop out was 32.9% in subsequent visits. The quality of services regarding assessment, treatment and counseling was extremely poor. The reasons for low coverage and quality were the distant location of facilities, deficiency of facility resources, indifferent attitude and non availability of the staff. Moreover, lack of client awareness about importance of antenatal care and self empowerment for decision making to seek care were also responsible for low coverage. The coverage and quality of the antenatal care services in 'Punjab' are extremely compromised. Only half of the expected pregnancies are enrolled and out of those 1/3 drop out in follow-up visits.

A comprehensive assessment of the malaria microscopy system of Aceh, Indonesia, in preparation for malaria elimination.

PubMed

Ekawati, Lenny L; Herdiana, Herdiana; Sumiwi, Maria E; Barussanah, Cut; Ainun, Cut; Sabri, Sabri; Maulana, Teuku; Rahmadyani, Rahmadyani; Maneh, Cut; Yani, Muhammad; Valenti, Paola; Elyazar, Iqbal R F; Hawley, William A

2015-06-11

The Health Office of Aceh aims to eliminate malaria from Aceh Province, Indonesia by 2015. Malaria was formerly common in Aceh (population 4.5 million), but has declined dramatically in recent years consequent to post-tsunami control efforts. Successful elimination will depend upon rapid and accurate diagnosis and case follow-up at community level. A prerequisite to this is widespread coverage of high quality malaria diagnosis. This study describes the results of a comprehensive assessment of the malaria diagnostic capacity in Aceh as the province moves towards malaria elimination. The study was conducted in 23 districts in Aceh from October 2010 to July 2011. Six types of questionnaires were used to collect data on competency of microscopists and laboratory capacity. Standardized slides were used to evaluate the proficiency of all microscopists. In addition, site visits to 17 primary health centres (PHC) assessed diagnostic practice and logistics capacity. Five hundred and seventy four malaria microscopists have been officially registered and assigned to duty in the 23 districts in Aceh Province. They work in 345 laboratories, predominantly in PHCs (69 %) and hospitals (25 %). Three laboratories were evaluated as adequate for all 30 elements, while 29 laboratories were adequate for less than five of 30 elements. Standardized proficiency tests showed that 413 microscopists were at basic (in training) level, with 10 advanced and 9 reference level. No microscopist achieved expert level. Neither the province nor any of Aceh's districts has a standardized inventory and logistics database for malaria diagnostics, nor did any of the surveyed laboratories operate a quality assurance programme for either microscopy or rapid diagnostic tests. The study highlights the importance of careful assessment of diagnostic capacity when embarking upon a large-scale malaria elimination programme. Aceh's laboratories have minimal infrastructure with nearly all microscopists still in training. On the positive side, a large workforce of microscopists has been assigned to laboratories with the needed equipment. Aceh will need to embark on a large-scale comprehensive quality assurance scheme if it is to achieve malaria elimination.

Current status of quality evaluation of nursing care through director review and reflection from the Nursing Quality Control Centers

PubMed Central

Duan, Xia; Shi, Yan

2014-01-01

Background: The quality evaluation of nursing care is a key link in medical quality management. It is important and worth studying for the nursing supervisors to know the disadvantages during the process of quality evaluation of nursing care and then to improve the whole nursing quality. This study was to provide director insight on the current status of quality evaluation of nursing care from Nursing Quality Control Centers (NQCCs). Material and Methods: This qualitative study used a sample of 12 directors from NQCCs who were recruited from 12 provinces in China to evaluate the current status of quality evaluation of nursing care. Data were collected by in-depth interviews. Content analysis method was used to analyze the data. Results: Four themes emerged from the data: 1) lag of evaluation index; 2) limitations of evaluation content; 3) simplicity of evaluation method; 4) excessive emphasis on terminal quality. Conclusion: It is of great realistic significance to ameliorate nursing quality evaluation criteria, modify the evaluation content based on patient needs-oriented idea, adopt scientific evaluation method to evaluate nursing quality, and scientifically and reasonably draw horizontal comparisons of nursing quality between hospitals, as well as longitudinal comparisons of a hospital’s nursing quality. These methods mentioned above can all enhance a hospital’s core competitiveness and benefit more patients. PMID:25419427

Urbanization in Pearl River Delta area in past 20 years: remote sensing of impact on water quality

NASA Astrophysics Data System (ADS)

Wang, Yunpeng; Fan, Fenglei; Zhang, Jinqu; Xia, Hao; Ye, Chun

2004-11-01

The Pearl River Delta of Guangdong province in China is one of the world"s largest growths in urbanization for the past 20 years. The objective of this research is to explore the relationship between urbanization and water quality in this area. Present and past remote sensing data including MSS< TM/ETM and ASTER are used to research the urbanization and its impact on water quality. Land use and water quality information are extracted from remote sensing data. Data of population, industrial and agricultural productivity indices are integrated with the thematic maps derived from remote sensing data by GIS method. Spatial analysis methods are applied on these data and the results indicate that population, waste water both from household and industrial and chemical fertilizer consumptions are main controls of the regional water quality and environment.

Identification and Assessment of Potential Water Quality Impact Factors for Drinking-Water Reservoirs

PubMed Central

Gu, Qing; Deng, Jinsong; Wang, Ke; Lin, Yi; Li, Jun; Gan, Muye; Ma, Ligang; Hong, Yang

2014-01-01

Various reservoirs have been serving as the most important drinking water sources in Zhejiang Province, China, due to the uneven distribution of precipitation and severe river pollution. Unfortunately, rapid urbanization and industrialization have been continuously challenging the water quality of the drinking-water reservoirs. The identification and assessment of potential impacts is indispensable in water resource management and protection. This study investigates the drinking water reservoirs in Zhejiang Province to better understand the potential impact on water quality. Altogether seventy-three typical drinking reservoirs in Zhejiang Province encompassing various water storage levels were selected and evaluated. Using fifty-two reservoirs as training samples, the classification and regression tree (CART) method and sixteen comprehensive variables, including six sub-sets (land use, population, socio-economy, geographical features, inherent characteristics, and climate), were adopted to establish a decision-making model for identifying and assessing their potential impacts on drinking-water quality. The water quality class of the remaining twenty-one reservoirs was then predicted and tested based on the decision-making model, resulting in a water quality class attribution accuracy of 81.0%. Based on the decision rules and quantitative importance of the independent variables, industrial emissions was identified as the most important factor influencing the water quality of reservoirs; land use and human habitation also had a substantial impact on water quality. The results of this study provide insights into the factors impacting the water quality of reservoirs as well as basic information for protecting reservoir water resources. PMID:24919129

Identification and assessment of potential water quality impact factors for drinking-water reservoirs.

PubMed

Gu, Qing; Deng, Jinsong; Wang, Ke; Lin, Yi; Li, Jun; Gan, Muye; Ma, Ligang; Hong, Yang

2014-06-10

Various reservoirs have been serving as the most important drinking water sources in Zhejiang Province, China, due to the uneven distribution of precipitation and severe river pollution. Unfortunately, rapid urbanization and industrialization have been continuously challenging the water quality of the drinking-water reservoirs. The identification and assessment of potential impacts is indispensable in water resource management and protection. This study investigates the drinking water reservoirs in Zhejiang Province to better understand the potential impact on water quality. Altogether seventy-three typical drinking reservoirs in Zhejiang Province encompassing various water storage levels were selected and evaluated. Using fifty-two reservoirs as training samples, the classification and regression tree (CART) method and sixteen comprehensive variables, including six sub-sets (land use, population, socio-economy, geographical features, inherent characteristics, and climate), were adopted to establish a decision-making model for identifying and assessing their potential impacts on drinking-water quality. The water quality class of the remaining twenty-one reservoirs was then predicted and tested based on the decision-making model, resulting in a water quality class attribution accuracy of 81.0%. Based on the decision rules and quantitative importance of the independent variables, industrial emissions was identified as the most important factor influencing the water quality of reservoirs; land use and human habitation also had a substantial impact on water quality. The results of this study provide insights into the factors impacting the water quality of reservoirs as well as basic information for protecting reservoir water resources.

[Impact of smoking ban at indoor public places on indoor air quality].

PubMed

Bilir, Nazmi; Özcebe, Hilal

2012-01-01

This study aims at evaluation of the effect of smoke-free policy at hospitality workplaces on indoor air quality. Study includes 151 hospitality venues (restaurants, cafes, bars and tea-houses) at eight provinces of Turkey. PM2.5 measurements were done at each of the venues three months prior to, and 4-5 months after the implementation of smoking ban at the same venues. Measurements were done using SidePak 2.5 by two engineers. During the 30 minutes of measurement, the device takes multiple samples, measures PM2.5 particles, and calculates the average value and standard deviation of the measurements. Using the measurement results two kinds of evaluation were done: in each province, increase/decrease after implementation for each of the venues included in the study was evaluated, and average PM2.5 values were calculated for provinces using the PM2.5 values of the venues in the province. The average PM2.5 values before the implementation were higher than the post implementation values in general. Nevertheless, in some provinces higher values were found during the second measurements, particularly at the restaurants. Therefore, there is need to enforce the smoking ban at the hospitality workplaces.

Water quality of hydrologic bench marks; an indicator of water quality in the natural environment

USGS Publications Warehouse

Biesecker, James E.; Leifeste, Donald K.

1974-01-01

Water-quality data, collected at 57 hydrologic bench-mark stations in 37 States, allow the definition of water quality in the 'natural' environment and the comparison of 'natural' water quality with water quality of major streams draining similar water-resources regions. Results indicate that water quality in the 'natural' environment is generally very good. Streams draining hydrologic bench-mark basins generally contain low concentrations of dissolved constituents. Water collected at the hydrologic bench-mark stations was analyzed for the following minor metals: arsenic, barium, cadmium, hexavalent chromium, cobalt, copper, lead, mercury, selenium, silver, and zinc. Of 642 analyses, about 65 percent of the observed concentrations were zero. Only three samples contained metals in excess of U.S. Public Health Service recommended drinking-water standards--two selenium concentrations and one cadmium concentration. A total of 213 samples were analyzed for 11 pesticidal compounds. Widespread but very low-level occurrence of pesticide residues in the 'natural' environment was found--about 30 percent of all samples contained low-level concentrations of pesticidal compounds. The DDT family of pesticides occurred most commonly, accounting for 75 percent of the detected occurrences. The highest observed concentration of DDT was 0.06 microgram per litre, well below the recommended maximum permissible in drinking water. Nitrate concentrations in the 'natural' environment generally varied from 0.2 to 0.5 milligram per litre. The average concentration of nitrate in many major streams is as much as 10 times greater. The relationship between dissolved-solids concentration and discharge per unit area in the 'natural' environment for the various physical divisions in the United States has been shown to be an applicable tool for approximating 'natural' water quality. The relationship between dissolved-solids concentration and discharge per unit area is applicable in all the physical divisions of the United States, except the Central Lowland province of the Interior Plains, the Great Plains province of the Interior Plains, and the Basin and Ridge province of the Intermontane Plateaus. The relationship between dissolved-solids concentration and discharge per unit area is least variable in the New England province and Blue Ridge province of the Appalachian Highlands. The dissolved-solids concentration versus discharge per unit area in the Central Lowland province of the Interior Plains is highly variable. A sample collected from the hydrologic bench-mark station at Bear Den Creek near Mandaree, N. Dak., contained 3,420 milligrams per litre dissolved solids. This high concentration in the 'natural' environment indicates that natural processes can be principal agents in modifying the environment and can cause degradation. Average annual runoff and rock type can be used as predictive tools to determine the maximum dissolved-solids concentration expected in the 'natural' environment.

Characterization of Groundwater Quality Based on Regional Geologic Setting in the Piedmont and Blue Ridge Physiographic Provinces, North Carolina

USGS Publications Warehouse

Harden, Stephen L.; Chapman, Melinda J.; Harned, Douglas A.

2009-01-01

A compilation of groundwater-quality data collected as part of two U.S. Geological Survey studies provides a basis for understanding the ambient geochemistry related to geologic setting in the Piedmont and Blue Ridge Physiographic Provinces (hereafter referred to as Piedmont and Mountains Provinces) of North Carolina. Although the geology is complex, a grouping of the sampled wells into assemblages of geologic units described as 'geozones' provides a basis for comparison across the region. Analyses of these two data sets provide a description of water-quality conditions in bedrock aquifers of the Piedmont and Mountains Provinces of North Carolina. Analyzed data were collected between 1997 and 2008 from a network of 79 wells representing 8 regional geozones distributed throughout the Piedmont and Mountains Provinces. This area has experienced high rates of population growth and an increased demand for water resources. Groundwater was used by about 34 percent of the population in the 65 counties of this region in 2005. An improved understanding of the quality and quantity of available groundwater resources is needed to plan effectively for future growth and development. The use of regional geologic setting to characterize groundwater-quality conditions in the Piedmont and Mountains Provinces is the focus of this investigation. Data evaluation included an examination of selected properties and the ionic composition of groundwater in the geozones. No major differences in overall ionic chemistry of groundwater among the geozones were evident with the data examined. Variability in the cationic and anionic composition of groundwater within a particular geozone appeared to reflect local differences in lithologic setting, hydrologic and geochemical conditions, and(or) land-use effects. The most common exceedances of the drinking-water criteria (in accordance with Federal and State water-quality standards) occurred for radon, pH, manganese, iron, and zinc. Radon had the most exceedances, with groundwater from 61 of the 69 sampled wells having activities higher than the U.S. Environmental Protection Agency's proposed maximum contaminant level of 300 picocuries per liter. Overall, the Milton and the Raleigh and Charlotte geozones had the greatest number, eight each, of water-quality properties or constituents that exceeded applicable drinking-water criteria in at least one well. The Eastern Blue Ridge and Felsic intrusive geozones each had seven properties or constituents that exceeded criteria, and the Carolina slate geozone had six. Based on limited data, initial results of statistical comparison tests identified statistically significant differences in concentrations of some groundwater constituents among the geozones. Statistically significant differences in median values of specific conductance and median concentrations of calcium, potassium, sodium, bicarbonate, chloride, silica, ammonia, aluminum, antimony, cadmium, and uranium were identified between one or more geozone pairs. Overall, the groundwater constituents appear to be influenced most significantly by the Inner Piedmont, Carolina slate, and Felsic intrusive geozones. The study data indicate that grouping and evaluating analytical data on the basis of regional geozone setting can be useful for characterizing water-quality conditions in bedrock aquifers of the Piedmont and Blue Ridge Provinces of North Carolina.

Link Climate Effects to Surface Water Quality and Drinking Water Plant Adaptation - A Update on Hydroclimatic Province and WTP-ccam Model

EPA Science Inventory

Key points in this presentation are: (1) How and why hydroclimatic province can help precipitation projection for water program engineering and management, (2) Implications of initial research results and planned further monitoring / research activities, (3) Five adaptation t...

Do provincial policies banning smoking in cars when children are present impact youth exposure to secondhand smoke in cars?

PubMed

Elton-Marshall, Tara; Leatherdale, Scott T; Driezen, Pete; Azagba, Sunday; Burkhalter, Robin

2015-09-01

To examine youth exposure to smoking in cars following 7 provincial bans on smoking in cars with children in Canada. Repeated cross-sectional data from the 2004-2012 Youth Smoking Survey (n=91,800) were examined. Using a quasi-experimental design, contrasts of the interaction of survey year and province included in the logistic regression analyses were used to test whether exposure significantly declined pre-post implementation of a ban on smoking in cars relative to control provinces not implementing a ban. Exposure across all provinces declined from 26.5% in 2004 to 18.2% of youth in 2012. Exposure declined significantly from pre to post implementation of a ban on smoking in cars with children in Ontario at time 1 post ban (Pre-Ban=20.4% T1post=10.3%, OR=0.45), time 2 post ban (12.1%, OR=0.61) and time 3 post ban (11.6%, OR=0.58) relative to control provinces that did not implement a ban. In British Columbia exposure to smoking in cars declined significantly at pre-post ban time 3 compared to the control group (Pre-Ban=21.2%, T3post=9.6%, OR=0.51). No other provinces had a significant change in exposure pre-post ban relative to the control provinces. Although rates declined, significant differences were only found in Ontario relative to control provinces in the immediate and long term. Copyright © 2015 Elsevier Inc. All rights reserved.

New indicators proposed to assess tuberculosis control and elimination in Cuba.

PubMed

González, Edilberto R; Armas, Luisa

2012-10-01

Following 48 years of successful operation of the National Tuberculosis Control Program, Cuban health authorities have placed tuberculosis elimination on the agenda. To this end some tuberculosis control processes and their indicators need redesigned and new ones introduced, related to: number and proportion of suspected tuberculosis cases among vulnerable population groups; tuberculosis suspects with sputum microscopy and culture results useful for diagnosis (interpretable); and number of identified contacts of reported tuberculosis cases who were fully investigated. Such new indicators have been validated and successfully implemented in all provinces (2011-12) and are in the approval pipeline for generalized use in the National Tuberculosis Control Program. These indicators complement existing criteria for quality of case detection and support more comprehensive program performance assessment.

A study of the United States coal resources

NASA Technical Reports Server (NTRS)

Ferm, J. C.; Muthig, P. J.

1982-01-01

Geologically significant coal resources were identified. Statistically controlled tonnage estimates for each resource type were prepared. Particular emphasis was placed on the identification and description of coals in terms of seam thickness, inclination, depth of cover, discontinuities caused by faulting and igneous intrusion, and occurrence as isolated or multiseam deposits. The national resource was organized into six major coal provinces: the Appalachian Plateau, the Interior Basins, the Gulf Coastal Plain, the Rocky Mountain Basins, the High Plains, and North Alaska. Each basin within a province was blocked into subareas of homogeneous coal thickness. Total coal tonnage for a subarea was estimated from an analysis of the cumulative coal thickness derived from borehole or surface section records and subsequently categorized in terms of seam thickness, dip, overburden, multiseam proportions, coal quality, and tonnage impacted by severe faulting and igneous intrusions. Confidence intervals were calculated for both subarea and basin tonnage estimates.

Profiling elements in Puerh tea from Yunnan province, China.

PubMed

Zhang, Jianyang; Ma, Guicen; Chen, Liyan; Liu, Ting; Liu, Xin; Lu, Chengyin

2017-09-01

Puerh tea, as the most representative Chinese dark tea, has attracted global interest in recent years. Profiling the levels of metal elements in Puerh tea is very important since its presence is related to human health. In this study, 41 elements in 98 Puerh tea samples from Yunnan province, China including Puerh raw tea and Puerh ripe tea were evaluated by microwave digestion combined with inductively coupled plasma mass spectrometry . The content of toxic elements, essential elements and rare earth elements of Puerh tea from different regions was discussed in detail. The concentrations of Ba, Cr, As, Pb, Bi, Fe, Zn, V, Mn, Be, Ag and Tl showed significant differences (p < 0.05) by ANOVA analysis. Principal component analysis and linear discriminant analysis were used to describe the relationship of Puerh tea from different regions. This study provided a comprehensive database for Puerh tea quality control and intake risk assessment.

A review of lignite resources of western Tennessee and the Jackson Purchase area, western Kentucky

USGS Publications Warehouse

Hackley, Paul C.; Warwick, Peter D.; Thomas, Roger E.; Nichols, Douglas J.; Warwick, Peter D.; Karlsen, Alexander K.; Merrill, Matthew D.; Valentine, Brett J.

2011-01-01

This review of the lignite deposits of western Tennessee and the Jackson Purchase area in western Kentucky (Figure 1) is an updated report on part of the U.S. Geological Survey's National Coal Resource Assessment of the Gulf Coastal Plain Coal Province (see Ruppert et al., 2002; Hackley et al., 2006; Dennen, 2009; and other chapters of this publication). Lignite deposits of western Kentucky and Tennessee are an extension of the Gulf Coastal Plain Coal Province (Cushing et al., 1964), and currently are not economic to mine. These deposits have not been extensively investigated or developed as an energy resource. This review includes a description of the geology of the lignite-bearing units, a discussion of the available coal quality data, and information on organic petrology. Palynological data for lignite samples collected in Kentucky and Tennessee as part of this work are presented in Table 1. Lignite trace element data originally presented in Hackley et al. (2006) are not included in this report due to potential laboratory quality control issues during the time the samples were analyzed (U.S. Geological Survey Energy Resources Program, 2010).

Challenges for control of taeniasis/cysticercosis in Indonesia.

PubMed

Suroso, Thomas; Margono, Sri S; Wandra, Toni; Ito, Akira

2006-01-01

Taeniasis/cysticercosis has been reported from several provinces of Indonesia: Papua (=former Irian Jaya), Bali, North Sumatra, East Nusa Tenggara, South East Sulawesi, Lampung, North Sulawesi, Jakarta, West Kalimantan, and East Java. The highest level of endemicity of taeniasis/cysticercosis has been found in Papua. Recent surveys in Jayawijaya District of Papua in 2000 and 2001 showed that 5 of 58 local people (8.6%) harbored the adult tapeworm, Taenia solium, whereas 44 of 96 people (45.8%), 50 of 71 pigs (70.4%), and 7 of 64 local dogs (10.9%) were seropositive for T. solium cysticercosis. Current surveys in Bali and Samosir District, North Sumatra during 2002-2005 revealed that Taenia saginata taeniasis has increased in incidence whereas T. solium cysticercosis is now rather rare compared to one-two decades ago in Bali. Taenia asiatica taeniasis is still common in Samosir District. Data from other provinces of Indonesia are very limited or unavailable. Control of these diseases is not a priority in the health or veterinary services, neither at central or local government levels. However, limited efforts toward control of the diseases have been implemented such as training of health personnel, community education on disease prevention, and provision of anthelminthics. A working group for control of the disease in Indonesia and an international collaboration have been established among Ministry of Health, Indonesia; University of Indonesia; and Asahikawa Medical College, Asahikawa, Japan since 1996. Future goals include implementation of active case finding (active surveillance) and treatment of tapeworm carriers, sustainable public health education, establishment of a system to check the quality of beef/pork and determine the distribution of infected animals and strengthening of laboratory capacity. Efforts to motivate provinces and districts should be implemented in developing the strategic plan to control of the disease. Given the considerable differences in cultures, religions, levels of education, socio-economic levels, daily habits and behaviour etc., control programmes must be adapted to the local situations.

Detection of critical PM2.5 emission sources and their contributions to a heavy haze episode in Beijing, China, using an adjoint model

NASA Astrophysics Data System (ADS)

Zhai, Shixian; An, Xingqin; Zhao, Tianliang; Sun, Zhaobin; Wang, Wei; Hou, Qing; Guo, Zengyuan; Wang, Chao

2018-05-01

Air pollution sources and their regional transport are important issues for air quality control. The Global-Regional Assimilation and Prediction System coupled with the China Meteorological Administration Unified Atmospheric Chemistry Environment (GRAPES-CUACE) aerosol adjoint model was applied to detect the sensitive primary emission sources of a haze episode in Beijing occurring between 19 and 21 November 2012. The high PM2.5 concentration peaks occurring at 05:00 and 23:00 LT (GMT+8) over Beijing on 21 November 2012 were set as the cost functions for the aerosol adjoint model. The critical emission regions of the first PM2.5 concentration peak were tracked to the west and south of Beijing, with 2 to 3 days of cumulative transport of air pollutants to Beijing. The critical emission regions of the second peak were mainly located to the south of Beijing, where southeasterly moist air transport led to the hygroscopic growth of particles and pollutant convergence in front of the Taihang Mountains during the daytime on 21 November. The temporal variations in the sensitivity coefficients for the two PM2.5 concentration peaks revealed that the response time of the onset of Beijing haze pollution from the local primary emissions is approximately 1-2 h and that from the surrounding primary emissions it is approximately 7-12 h. The upstream Hebei province has the largest impact on the two PM2.5 concentration peaks, and the contribution of emissions from Hebei province to the first PM2.5 concentration peak (43.6 %) is greater than that to the second PM2.5 concentration peak (41.5 %). The second most influential province for the 05:00 LT PM2.5 concentration peak is Beijing (31.2 %), followed by Shanxi (9.8 %), Tianjin (9.8 %), and Shandong (5.7 %). The second most influential province for the 23:00 LT PM2.5 concentration peak is Beijing (35.7 %), followed by Shanxi (8.1 %), Shandong (8.0 %), and Tianjin (6.7 %). The adjoint model results were compared with the forward sensitivity simulations of the Models-3/CMAQ system. The two modeling approaches are highly comparable in their assessments of atmospheric pollution control schemes for critical emission regions, but the adjoint method has higher computational efficiency than the forward sensitivity method. The results also imply that critical regional emission reduction could be more efficient than individual peak emission control for improving regional PM2.5 air quality.

[Present status and sustainable development of Dendrobium officinale industry].

PubMed

Wu, Yunqin; Si, Jinping

2010-08-01

To understand the present status and characteristics of Dendrobium officinale industry and to provide a rationale for the sustainable industrial development. Based on references and an on-site investigation of main Dendrobium officinale-producing enterprises and market, to analyze main existing problems and to propose suggestions for sustainable development. More than 10 provinces and regions are involved in the production around the center of Zhejiang and Yunnan provinces. These two provinces are different from each other in development pattern. Yunnan adopts a mode of companies minus farmer households but Zhejiang mainly employs a mode that a leading company establishes a production base with production, processing and marketing combined together. Zhejiang mode is characterized by high tech, high investment, high risk and high return. Existence of non-genuine species, stagnancy in development and application of varieties and techniques for quality control and a narrow channel for marketing are the key problems limiting sustainable development of the industry. The key to sustainable development of the industry is to establish a technological alliance to speed up development of common techniques and application of integrated innovations, to strengthen self-discipline and monitoring of production, and to expand sales market.

Integrated clinical and quality improvement coaching in Son La Province, Vietnam: a model of building public sector capacity for sustainable HIV care delivery.

PubMed

Cosimi, Lisa A; Dam, Huong V; Nguyen, Thai Q; Ho, Huyen T; Do, Phuong T; Duc, Duat N; Nguyen, Huong T; Gardner, Bridget; Libman, Howard; Pollack, Todd; Hirschhorn, Lisa R

2015-07-17

The global scale-up of antiretroviral therapy included extensive training and onsite support to build the capacity of HIV health care workers. However, traditional efforts aimed at strengthening knowledge and skills often are not successful at improving gaps in the key health systems required for sustaining high quality care. We trained and mentored existing staff of the Son La provincial health department and provincial HIV clinic to work as a provincial coaching team (PCT) to provide integrated coaching in clinical HIV skills and quality improvement (QI) to the HIV clinics in the province. Nine core indicators were measured through chart extraction by clinic and provincial staff at baseline and at 6 month intervals thereafter. Coaching from the team to each of the clinics, in both QI and clinical skills, was guided by results of performance measurements, gap analyses, and resulting QI plans. After 18 months, the PCT had successfully spread QI activities, and was independently providing regular coaching to the provincial general hospital clinic and six of the eight district clinics in the province. The frequency and type of coaching was determined by performance measurement results. Clinics completed a mean of five QI projects. Quality of HIV care was improved throughout all clinics with significant increases in seven of the indicators. Overall both the PCT activities and clinic performance were sustained after integration of the model into the Vietnam National QI Program. We successfully built capacity of a team of public sector health care workers to provide integrated coaching in both clinical skills and QI across a province. The PCT is a feasible and effective model to spread and sustain quality activities and improve HIV care services in a decentralized rural setting.

Air pollution characteristics and health risks in Henan Province, China.

PubMed

Shen, Fuzhen; Ge, Xinlei; Hu, Jianlin; Nie, Dongyang; Tian, Li; Chen, Mindong

2017-07-01

Events of severe air pollution occurred frequently in China recently, thus understanding of the air pollution characteristics and its health risks is very important. In this work, we analyzed a two-year dataset (March 2014 - February 2016) including daily concentrations of six criteria pollutants (PM 2.5 , PM 10 , CO, SO 2 , NO 2 , and O 3 ) from 18 cities in Henan province. Results reveal the serious air pollution status in Henan province, especially the northern part, and Zhengzhou is the city with the worst air quality. Annual average PM 2.5 concentrations exceed the second grade of Chinese Ambient Air Quality Standard (75μg/m 3 ) at both 2014 and 2015. PM 2.5 is typically the major pollutant, but ozone pollution can be significant during summer. Furthermore, as the commonly used air quality index (AQI) neglects the mutual health effects from multiple pollutants, we introduced the aggregate air quality index (AAQI) and health-risk based air quality index (HAQI) to evaluate the health risks. Results show that based on HAQI, the current AQI system likely significantly underestimate the health risks of air pollution, highlighting that the general public may need stricter health protection measures. The population-weighted two-year average HAQI data further demonstrates that all population in the studied cities in Henan province live with polluted air - 72% of the population is exposed to air that is unhealthy for sensitive people, while 28% of people is exposed to air that can be harmful to healthy people; and the health risks are much greater during winter than during other seasons. Future works should further improve the HAQI algorithm, and validate the links between the clinical/epidemiologic data and the HAQI values. Copyright © 2017 Elsevier Inc. All rights reserved.

A randomized controlled trial of cluster audit and feedback on the quality of dental sealant for rural schoolchildren.

PubMed

Tianviwat, S; Hintao, J; Chongsuvivatwong, V; Thitasomakul, S

2016-03-01

To examine whether audit and feedback could improve the quality of the application of dental sealant in rural Thai school children. A single blind, cluster randomized controlled trial was conducted. Hospital-based and school-based school sealant applied by dental nurses in Southern province of Thailand. Dental nurses and school children who received dental sealant were involved. The intervention consisted of confidential feedback of data and tailor-made problem-solving workshops. Sealant quality was measured by sealant retention and caries on sealed surfaces at six-month after sealing. The teeth examinations were done among different groups of children prior and after the intervention. After the intervention, the sealant retention rate increased dramatically in the intervention group, whereas in the control group the rate was similar to that found at baseline. The rate of caries after the intervention was stable in the intervention group and increased slightly in the control group. At the beginning of the study, the adjusted odds ratio of complete sealant retention between the intervention and control group was 0.47 which increased to 1.99 at the end of the study. However, no effect on caries on sealed surfaces was observed. The intensive focus on actual problems during the audit and feedback improved the dental nurses' performance and the quality of the dental service, although it had no statistical impact on the incidence of caries.

Model assessment of atmospheric pollution control schemes for critical emission regions

NASA Astrophysics Data System (ADS)

Zhai, Shixian; An, Xingqin; Liu, Zhao; Sun, Zhaobin; Hou, Qing

2016-01-01

In recent years, the atmospheric environment in portions of China has become significantly degraded and the need for emission controls has become urgent. Because more international events are being planned, it is important to implement air quality assurance targeted at significant events held over specific periods of time. This study sets Yanqihu (YQH), Beijing, the location of the 2014 Beijing APEC (Asia-Pacific Economic Cooperation) summit, as the target region. By using the atmospheric inversion model FLEXPART, we determined the sensitive source zones that had the greatest impact on the air quality of the YQH region in November 2012. We then used the air-quality model Models-3/CMAQ and a high-resolution emissions inventory of the Beijing-Tianjian-Hebei region to establish emission reduction tests for the entire source area and for specific sensitive source zones. This was achieved by initiating emission reduction schemes at different ratios and different times. The results showed that initiating a moderate reduction of emissions days prior to a potential event is more beneficial to the air quality of Beijing than initiating a high-strength reduction campaign on the day of the event. The sensitive source zone of Beijing (BJ-Sens) accounts for 54.2% of the total source area of Beijing (BJ), but its reduction effect reaches 89%-100% of the total area, with a reduction efficiency 1.6-1.9 times greater than that of the entire area. The sensitive source zone of Huabei (HuaB-Sens.) only represents 17.6% of the total area of Huabei (HuaB), but its emission reduction effect reaches 59%-97% of the entire area, with a reduction efficiency 4.2-5.5 times greater than that of the total area. The earlier that emission reduction measures are implemented, the greater the effect they have on preventing the transmission of pollutants. In addition, expanding the controlling areas to sensitive provinces and cities around Beijing (HuaB-sens) can significantly accelerate the reduction effects compared to controlling measures only in the Beijing sensitive source zone (BJ-Sens). Therefore, when enacting emission reduction schemes, cooperating with surrounding provinces and cities, as well as narrowing the reduction scope to specific sensitive source zones prior to unfavorable meteorological conditions, can help reduce emissions control costs and improve the efficiency and maneuverability of emission reduction schemes.

The effect of quality circles on job satisfaction and quality of work-life of staff in emergency medical services.

PubMed

Hosseinabadi, Reza; Karampourian, Arezou; Beiranvand, Shoorangiz; Pournia, Yadollah

2013-10-01

Quality circles, as a participatory management technique, offer one alternative for dealing with frustration and discontent of today's workers. This study was conducted to investigate the effect of implementation of quality circles on nurses' quality of work-life and job satisfaction. In this study, two emergency medical services (EMS) of Hamedan province were selected and randomly assigned as the experimental and control groups. After the experimental group was trained and quality circles were established in this group, the levels of quality of work-life and job satisfaction were measured in the two groups. Then, the statistical analyses were performed using t-test. After the intervention, the results showed significant differences between the scores of motivational factors (p=0.001), the total scores of job satisfaction (p=0.003), and the scores of some quality of work life (QWL) conceptual categories including the use and development of capacities (p=0.008), the total space of life (p=0.003), and the total scores of QWL (p=0.031) in the experimental group compared to those in the control group. This study confirms the effectiveness of quality circles in improving quality of work-life and job satisfaction of nurses working in EMS, and offers their application as a management method that can be used by EMS managers. Copyright © 2012 Elsevier Ltd. All rights reserved.

Moving Mountains Stone by Stone: Reforming Rural Education in China

ERIC Educational Resources Information Center

Brock, Andy

2009-01-01

The widely reported economic divide between the richer eastern provinces and the poorer western provinces in China has an exact parallel in the development of basic education. As a result of geographical, historical and social factors the quality and management of the education system lags considerably behind the east coast. A pioneering project…

[Current situation of human resources of parasitic disease control and prevention organizations in Henan Province].

PubMed

Ya-Lan, Zhang; Yan-Kun, Zhu; Wei-Qi, Chen; Yan, Deng; Peng, Li

2018-01-10

To understand the current status of human resources of parasitic disease control and prevention organizations in Henan Province, so as to provide the reference for promoting the integrative ability of the prevention and control of parasitic diseases in Henan Province. The questionnaires were designed and the method of census was adopted. The information, such as the amounts, majors, education background, technical titles, working years, and turnover in each parasitic disease control and prevention organization was collected by the centers for disease control and prevention (CDCs) at all levels. The data were descriptively analyzed. Totally 179 CDCs were investigated, in which only 19.0% (34/179) had the independent parasitic diseases control institution (department) . There were only 258 full-time staffs working on parasitic disease control and prevention in the whole province, in which only 61.9% (159/258) were health professionals. Those with junior college degree or below in the health professionals accounted for 60.3% (96/159) . Most of them (42.1%) had over 20 years of experience, but 57.9% (92/159) of their technical post titles were at primary level or below. The proportion of the health professionals is low in the parasitic disease control and prevention organizations in Henan Province. The human resource construction for parasitic disease control and prevention at all levels should be strengthened.

An economic evaluation of the national schistosomiasis control programme in China from 1992 to 2000.

PubMed

Zhou, Xiao-Nong; Wang, Li-Ying; Chen, Ming-Gang; Wang, Tian-Ping; Guo, Jia-Gang; Wu, Xiao-Hua; Jiang, Qing-Wu; Zheng, Jiang; Chen, Xian-Yi

2005-01-01

The World Bank Loan Project, by far the largest effort in China for schistosomiasis control since control activities were initiated in the mid 1950s, was carried out for a 9-year period commencing in 1992 in the 8 provinces where Schistosoma japonicum remained endemic when the project started. To evaluate its impact, a retrospective economic evaluation was done in 2001. Six representative counties, i.e. Huarong in Hunan province, Qianjiang in Hubei province, Yugan in Jiangxi province, Tongling in Anhui province, Xichang in Sichuan province and Dali in Yunnan province, were selected for the study. The total financial input in these counties from 1992 to 2000 was RMB Yuan 90.334 million with the World Bank loan accounting for 40.9%. Control efforts resulted in reduction of human prevalence rates in the six counties from 0.7-9.0% in 1992 to 0.1-2.7% in 2000. With regard to S. japonicum infection in bovines, a high reduction was observed in Qianjiang, and smaller decreases were noted in four counties, while there was an increase in Dali. In general, the areas infested by the intermediate host snail fluctuated around the initial level. The net benefit-cost ratio was 6.20, which means that this project gained US$ 6.20 for every dollar spent. The correlation coefficients of the net benefit-cost ratio to the human and bovine infection rates at the beginning of the project were 0.55 and 0.66, respectively. It is conceivable that further progress in schistosomiasis control is an important feature for sustained growth of the local economy, particularly in areas where control of the disease has been most challenging.

Training and support to improve ICD coding quality: A controlled before-and-after impact evaluation.

PubMed

Dyers, Robin; Ward, Grant; Du Plooy, Shane; Fourie, Stephanus; Evans, Juliet; Mahomed, Hassan

2017-05-24

The proposed National Health Insurance policy for South Africa (SA) requires hospitals to maintain high-quality International Statistical Classification of Diseases (ICD) codes for patient records. While considerable strides had been made to improve ICD coding coverage by digitising the discharge process in the Western Cape Province, further intervention was required to improve data quality. The aim of this controlled before-and-after study was to evaluate the impact of a clinician training and support initiative to improve ICD coding quality. To compare ICD coding quality between two central hospitals in the Western Cape before and after the implementation of a training and support initiative for clinicians at one of the sites. The difference in differences in data quality between the intervention site and the control site was calculated. Multiple logistic regression was also used to determine the odds of data quality improvement after the intervention and to adjust for potential differences between the groups. The intervention had a positive impact of 38.0% on ICD coding completeness over and above changes that occurred at the control site. Relative to the baseline, patient records at the intervention site had a 6.6 (95% confidence interval 3.5 - 16.2) adjusted odds ratio of having a complete set of ICD codes for an admission episode after the introduction of the training and support package. The findings on impact on ICD coding accuracy were not significant. There is sufficient pragmatic evidence that a training and support package will have a considerable positive impact on ICD coding completeness in the SA setting.

Factors influencing the provision of public health services by village doctors in Hubei and Jiangxi provinces, China.

PubMed

Ding, Yan; Smith, Helen J; Fei, Yang; Xu, Biao; Nie, Shaofa; Yan, Weirong; Diwan, Vinod K; Sauerborn, Rainer; Dong, Hengjin

2013-01-01

The Chinese central government launched the Health System Reform Plan in 2009 to strengthen disease control and health promotion and provide a package of basic public health services. Village doctors receive a modest subsidy for providing public health services associated with the package. Their beliefs about this subsidy and providing public health services could influence the quality and effectiveness of preventive health services and disease surveillance. To understand village doctors' perspectives on the subsidy and their experiences of delivering public health services, we performed 10 focus group discussions with village doctors, 12 in-depth interviews with directors of township health centres and 4 in-depth interviews with directors of county-level Centers for Disease Control and Prevention. The study was conducted in four counties in central China, two in Hubei province and two in Jiangxi province. Village doctors prioritize medical services but they do their best to manage their time to include public health services. The willingness of township health centre directors and village doctors to provide public health services has improved since the introduction of the package and a minimum subsidy, but village doctors do not find the subsidy to be sufficient remuneration for their efforts. Improving the delivery of public health services by village doctors is likely to require an increase in the subsidy, improvement in the supervisory relationship between village clinics and township health centres and the creation of a government pension for village doctors.

Evaluation of Rural Primary Health Care in Western China: A Cross-Sectional Study

PubMed Central

Wang, Manli; Fang, Haiqing; Bishwajit, Ghose; Xiang, Yuanxi; Fu, Hang; Feng, Zhanchun

2015-01-01

Purpose: China’s Ministry of Health has enacted Rural Primary Health Care Program (2001–2010) (HCP) guidelines to improve the quality of people’s health. However, the program’s success in Western China remains unevaluated. Thus, this study aims to begin to fill that gap by analyzing the provision and utilization of Rural Primary Health Care (RPHC) in Western China. Methods: A cross-sectional study was conducted to collect secondary data on the socio-economic characteristics, system construction, services use and implementation of RPHC, and the residents’ health status of the sampled areas. Four hundred counties from 31 provinces in China were selected via stratified random sampling, including 171 counties from 12 Western provinces. Twenty-seven analysis indicators, covering system construction, services use and implementation of RPHC were chosen to assess Western China’s primary health quality. Analysis of Variance (ANOVA) and Least Significant Difference (LSD) methods were used to measure the RPHC disparities between Western and Eastern and Central China. Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) was used to rank Western, Eastern and Central internal provinces regarding quality of their RPHC. Results: Of the 27 indicators, 13 (48.15%) were below the standard in Western China. These focused on rural health service system construction, Chinese medicine services, and public health. In the comparison between Western, Central and Eastern China, 12 indicators had statistical significance (p < 0.05), and using LSD to compare between Western and Eastern China, all indicators were statistically significant (p < 0.05), demonstrating regional disparities. Xinjiang Province’s RPHC ranked highest overall, and Yunnan Province ranked the lowest, indicating the internal differences within the 12 Western provinces; and Western provinces’ Ci value was lower than that of Eastern and Central China overall. Conclusion: Western China’s RPHC has proceeded well, but remains weaker than that of Eastern and Central China. Differences within Western internal provinces threaten the successful implementation of RPHC.  PMID:26528993

Minister Peng stresses the necessity for improving the working style in family planning implementation.

PubMed

1993-06-01

China's State Counselor and Minister of the State Family Planning (FP) Commission is reported to have made suggestions on improving FP effectiveness to officials in Qianshan and Jinzhai counties of Anhui Province, in Hongya and Mingshan counties of Sichuan Province, and in Dezhau Prefecture and Tai'an City of Shandong Province. In Anhui Province, Minister Peng Peiyun emphasized the importance of FP at the grassroots level and the responsibility of providing education, publicity, and contraceptive services to each couple of childbearing age. Publicity is needed to popularize the advantages and necessity of deferred marriage, deferred childbearing, fewer and healthier births, and gender equality. In Sichuan, Minister Peng state that FP is important for economic development. Other benefits are an improved standard of living, an improvement in women's social status, the formation of healthier and happier families, and improvement in the quality of human resources. Minister Peng stressed that social reform could change existing habits and customs. Publicity should be specific to conditions in each province and include information on how to increase family income, scientific production skills, and good child-rearing practices. Contraceptive services should be available in every village, and quality must be improved. This means wider contraceptive choices, more concern for the day-to-day problems of families with one daughter, and improved training of FP technicians to increase safety and reliability. In Shandong Province, Minister Peng urged that quotas be retained, but the pressure should be reduced on subordinating departments. Targets for FP implementation can be attained when major departments cooperate with those on grass roots level. Requirements must be practical. All couples should be permitted to bear a second child after a birth interval of several years. Program quality can be improved by upgrading worker's skills and building a large group of qualified FP workers.

[GIS and scenario analysis aid to water pollution control planning of river basin].

PubMed

Wang, Shao-ping; Cheng, Sheng-tong; Jia, Hai-feng; Ou, Zhi-dan; Tan, Bin

2004-07-01

The forward and backward algorithms for watershed water pollution control planning were summarized in this paper as well as their advantages and shortages. The spatial databases of water environmental function region, pollution sources, monitoring sections and sewer outlets were built with ARCGIS8.1 as the platform in the case study of Ganjiang valley, Jiangxi province. Based on the principles of the forward algorithm, four scenarios were designed for the watershed pollution control. Under these scenarios, ten sets of planning schemes were generated to implement cascade pollution source control. The investment costs of sewage treatment for these schemes were estimated by means of a series of cost-effective functions; with pollution source prediction, the water quality was modeled with CSTR model for each planning scheme. The modeled results of different planning schemes were visualized through GIS to aid decision-making. With the results of investment cost and water quality attainment as decision-making accords and based on the analysis of the economic endurable capacity for water pollution control in Ganjiang river basin, two optimized schemes were proposed. The research shows that GIS technology and scenario analysis can provide a good guidance to the synthesis, integrity and sustainability aspects for river basin water quality planning.

Prevalence of acne vulgaris and its impact of the quality of life among secondary school-aged adolescents in Sohag Province, Upper Egypt.

PubMed

El-Hamd, Mohammed Abu; Nada, Essam El-Din Abdel-Aziz; Moustafa, Mohammed Abdel-Kareem; Mahboob-Allah, Rehab Ahmed

2017-09-01

Acne vulgaris is the most common dermatological condition encountered in adolescents. It was to determine the prevalence of acne vulgaris and its impact of the quality of life among adolescents attending secondary schools in Sohag Province, Upper Egypt. This was a cross-sectional study conducted in randomly selected governmental and technical secondary schools in Sohag Province, Upper Egypt. Approval was taken from the scientific research committee of Sohag Faculty of Medicine and also from Ministry of Education. Every student with acne was subjected to full medical history and local examination of head and neck to assess the severity of acne vulgaris. Assessment of the impact of acne vulgaris on their quality of life was carried out using self-reported validated specific questionnaire, the Cardiff Acne Disability Index (CADI). This study included 994 teenage secondary school students. The overall prevalence of acne vulgaris was 333 (33.5%). The mean age of the students with acne was 16.84±0.87. Acne vulgaris was more common among females than among males (200, 60% vs 133, 40%). The most common form of acne vulgaris was mild 178, 53%, followed by moderate form 135, 41%, and severe form 20, 6%. CADI score was significantly related to the disease grade and it was maximum among those with severe grade, followed by moderate and lastly mild disease grade. Acne vulgaris is a common skin disease and has a valuable impact on quality of life among adolescents attending secondary schools in Sohag Province, Upper Egypt. © 2017 Wiley Periodicals, Inc.

Community health centers and primary care access and quality for chronically-ill patients - a case-comparison study of urban Guangdong Province, China.

PubMed

Shi, Leiyu; Lee, De-Chih; Liang, Hailun; Zhang, Luwen; Makinen, Marty; Blanchet, Nathan; Kidane, Ruth; Lindelow, Magnus; Wang, Hong; Wu, Shaolong

2015-11-30

Reform of the health care system in urban areas of China has prompted concerns about the utilization of Community Health Centers (CHC). This study examined which of the dominant primary care delivery models, i.e., the public CHC model, the 'gate-keeper' CHC model, or the hospital-owned CHC models, was most effective in enhancing access to and quality of care for patients with chronic illness. The case-comparison design was used to study nine health care organizations in Guangzhou, Dongguan, and Shenzhen cities within Guangdong province, China. 560 patients aged 50 or over with hypertension or diabetes who visited either CHCs or hospitals in these three cities were surveyed by using face-to-face interviews. Bivariate analyses were performed to compare quality and value of care indicators among subjects from the three cities. Multivariate analyses were used to assess the association between type of primary care delivery and quality as well as value of chronic care after controlling for patients' demographic and health status characteristics. Patients from all three cities chose their current health care providers primarily out of concern for quality of care (both provider expertise and adequate medical equipment), patient-centered care, and insurance plan requirement. Compared with patients from Guangzhou, those from Dongguan performed significantly better on most quality and value of care indicators. Most of these indicators remained significantly better even after controlling for patients' demographic and health status characteristics. The Shenzhen model (hospital-owned and -managed CHC) was generally effective in enhancing accessibility and continuity. However, coordination suffered due to seemingly duplicating primary care outpatients at the hospital setting. Significant associations between types of health care facilities and quality of care were also observed such that patients from CHCs were more likely to be satisfied with traveling time and follow-up care by their providers. The study suggested that the Dongguan model (based on insurance mandate and using family practice physicians as 'gate-keepers') seemed to work best in terms of improving access and quality for patients with chronic conditions. The study suggested adequately funded and well-organized primary care system can play a gatekeeping role and has the potential to provide a reasonable level of care to patients.

Measuring Stability and Security in Iraq

DTIC Science & Technology

2008-12-01

majority of the country. On September 1, 2008, Anbar Province, once an AQI stronghold, transferred to Provincial Iraqi Control ( PIC ). With the...transfer of Babil and Wasit Provinces to PIC in October 2008, the ISF is now in charge of security operations in the majority of Iraq’s 18 provinces... PIC ). Security responsibility for Babil Province was handed over to the GoI on October 23, 2008, and Wasit Province transitioned to PIC on October

HPLC-based metabolic profiling and quality control of leaves of different Panax species

PubMed Central

Yang, Seung-Ok; Lee, Sang Won; Kim, Young Ock; Sohn, Sang-Hyun; Kim, Young Chang; Hyun, Dong Yoon; Hong, Yoon Pyo; Shin, Yu Su

2013-01-01

Leaves from Panax ginseng Meyer (Korean origin and Chinese origin of Korean ginseng) and P. quinquefolius (American ginseng) were harvested in Haenam province, Korea, and were analyzed to investigate patterns in major metabolites using HPLC-based metabolic profiling. Partial least squares discriminant analysis (PLS-DA) was used to analyze the HPLC chromatogram data. There was a clear separation between Panax species and/or origins from different countries in the PLS-DA score plots. The ginsenoside compounds of Rg1, Re, Rg2, Rb2, Rb3, and Rd in Korean leaves were higher than in Chinese and American ginseng leaves, and the Rb1 level in P. quinquefolius leaves was higher than in P. ginseng (Korean origin or Chinese origin). HPLC chromatogram data coupled with multivariate statistical analysis can be used to profile the metabolite content and undertake quality control of Panax products. PMID:23717177

[Effects of shading in summer and autumn on physiological and biochemical characteristics of 'Huangjinya' in Shandong Province, China].

PubMed

Tian, Yue Yue; Zhang, Li Xia; Zhang, Zheng Qun; Qiao, Ming Ming; Fan, Yan Gen

2017-03-18

In order to ensure the suitable shade model for 'Huangjinya' tea plant in Shandong Province, black or blue shading net at 55%, 70% or 85% shading rates was selected to recover tea garden in summer and autumn, then micro-climate of tea garden, leaf color, chlorophyll fluorescence parameters, growth status and biochemical composition of tea shoots were investigated.The results showed that compared with the control, light intensity and air temperature in tea garden, leaf temperature of tea plants in different shading treatments significantly decreased, while air humidity in tea garden increased. The contents of chlorophyll in the tea leaves were obviously increased with increasing the shading rate, which resulted in the leaf color becoming green. The yellowing characteristics and biochemical quality of 'Huangjinya' tea plants could be well kept in 55% shading treatments. In 70% shading treatments, 'Huangjinya' tea plants had better growth situation and higher yield with no photo-inhibition. Compared with the blue shading treatments, black shading treatments could obviously promote the growth of 'Huangjinya' tea plants, keep yellowing characteristics, and improve the quality. Therefore, the 70% black shading treatment (daily PAR values of 1.2-3.5 ten thousand lx) was appropriate for promoting the growth of 'Huangjinya' tea plants at the seedling stage. For mature tea plants, the 55% black shading treatment (daily PAR values of 1.8-5.5 ten thousand lx) could be used to keep the yellowing characteristics and to improve biochemical quality effectively, so as to give full play to its variety characteristics, to achieve goal of high quality and high yield.

Survey of potato viruses and viroids in Heilongjiang province of China by sRNA deep sequencing and VirusDetect

USDA-ARS?s Scientific Manuscript database

Heilongjiang province is one of the most important potato production areas in China. Frequent outbreaks of virus and viroid diseases in production fields have significantly decreased potato yield and quality. However, we still do not have a clear understanding on the composition and genetic diversit...

Analysis Supporting Factors and Constraints LPMP Performance in Improving the Quality of Education in Jambi Province

ERIC Educational Resources Information Center

Rosadi, Kemas Imron

2015-01-01

Development of education in Indonesia is based on three aspects, namely equity and expansion, quality and relevance, as well as good governance. Quality education is influenced by several factors related to quality education managerial leaders, limited funds, facilities, educational facilities, media, learning resources, tools and training…

Potential of integrated continuous surveys and quality management to support monitoring, evaluation, and the scale-up of health interventions in developing countries.

PubMed

Rowe, Alexander K

2009-06-01

Well-funded initiatives are challenging developing countries to increase health intervention coverage and show impact. Despite substantial resources, however, major obstacles include weak health systems, a lack of reasonably accurate monitoring data, and inadequate use of data for managing programs. This report discusses how integrated continuous surveys and quality management (I-Q), which are well-recognized approaches in wealthy countries, could support intervention scale-up, monitoring and evaluation, quality control for commodities, capacity building, and implementation research in low-resource settings. Integrated continuous surveys are similar to existing national cross-sectional surveys of households and health facilities, except data are collected over several years by permanent teams, and most results are reported monthly at the national, province, and district levels. Quality management involves conceptualizing work as processes, involving all workers in quality improvement, monitoring quality, and teams that improve quality with "plan-do-study-act" cycles. Implementing and evaluating I-Q in a low-income country would provide critical information on the value of this approach.

Empirical Study on the Sustainability of China’s Grain Quality Improvement: The Role of Transportation, Labor, and Agricultural Machinery

PubMed Central

Zhang, Ming; Duan, Fang; Mao, Zisen

2018-01-01

As a major part of farming sustainability, the issues of grain production and its quality improvement have been important in many countries. This paper aims to address these issues in China. Based on the data from the main production provinces and by applying the stochastic frontier analysis methodology, we find that the improvement of transportation and the use of agricultural machinery have become the main driving forces for grain quality improvement in China. After further studying different provinces’ potentials of grain quality improvement, we show that grain quality has increased steadily. Therefore, we can conclude China’s grain quality improvement is indeed sustainable. Furthermore, different grains like rice, wheat, and corn share similar characteristics in terms of quality improvement, but the improvement rate for rice is relatively low, while those of corn and wheat are relatively high. Moreover, the overall change of efficiency gain of grain quality improvement is not significant for different provinces. The efficiency gains of the quality improvements for rice and wheat even decrease slightly. In addition, we find that only expanding grain quality improvement potential can simultaneously achieve the dual objectives of improving grain quality and increasing yield. PMID:29401727

Evaluation of health benefit using BenMAP-CE with an integrated scheme of model and monitor data during Guangzhou Asian Games.

PubMed

Ding, Dian; Zhu, Yun; Jang, Carey; Lin, Che-Jen; Wang, Shuxiao; Fu, Joshua; Gao, Jian; Deng, Shuang; Xie, Junping; Qiu, Xuezhen

2016-04-01

Guangzhou is the capital and largest city (land area: 7287 km(2)) of Guangdong province in South China. The air quality in Guangzhou typically worsens in November due to unfavorable meteorological conditions for pollutant dispersion. During the Guangzhou Asian Games in November 2010, the Guangzhou government carried out a number of emission control measures that significantly improved the air quality. In this paper, we estimated the acute health outcome changes related to the air quality improvement during the 2010 Guangzhou Asian Games using a next-generation, fully-integrated assessment system for air quality and health benefits. This advanced system generates air quality data by fusing model and monitoring data instead of using monitoring data alone, which provides more reliable results. The air quality estimates retain the spatial distribution of model results while calibrating the value with observations. The results show that the mean PM2.5 concentration in November 2010 decreased by 3.5 μg/m(3) compared to that in 2009 due to the emission control measures. From the analysis, we estimate that the air quality improvement avoided 106 premature deaths, 1869 cases of hospital admission, and 20,026 cases of outpatient visits. The overall cost benefit of the improved air quality is estimated to be 165 million CNY, with the avoided premature death contributing 90% of this figure. The research demonstrates that BenMAP-CE is capable of assessing the health and cost benefits of air pollution control for sound policy making. Copyright © 2015. Published by Elsevier B.V.

Examining asthma quality of care using a population-based approach

PubMed Central

Klomp, Helena; Lawson, Joshua A.; Cockcroft, Donald W.; Chan, Benjamin T.; Cascagnette, Paul; Gander, Laurie; Jorgenson, Derek

2008-01-01

Background Asthma accounts for considerable burden on health care, but in most cases, asthma can be controlled. Quality-of-care indicators would aid in monitoring asthma management. We describe the quality of asthma care using a set of proposed quality indicators. Methods We performed a retrospective cross-sectional study using health databases in Saskatchewan, a Canadian province with a population of about 1 million people. We assessed 6 quality-of-care indicators among people with asthma: admission to hospital because of asthma; poor asthma control (high use of short-acting β-agonists, admission to hospital because of asthma or death due to asthma); no inhaled corticosteroid use among patients with poor control; at least moderate inhaled corticosteroid use among patients with poor control; high inhaled corticosteroid use and use of another preventer medication among patients with poor control; and any main preventer use among patients with poor control. We calculated crude and adjusted rates with 95% confidence intervals. We tested for differences using the χ2 test for proportions and generalized linear modelling techniques. Results In 2002/03, there were 24 616 people aged 5–54 years with asthma in Saskatchewan, representing a prevalence of 3.8%. Poor symptom control was observed in 18% of patients with asthma. Among those with poor control, 37% were not dispensed any inhaled corticosteroids, and 40% received potentially inadequate doses. Among those with poor control who were dispensed high doses of inhaled corticosteroids, 26% also used another preventer medication. Hospital admissions because of asthma were highest among those aged 6–9 years and females aged 20–44 years. Males and those in adult age groups (predominantly 20–44 years) had worse quality of care for 4 indicators examined. Interpretation Suboptimal asthma management would be improved through increased use of inhaled corticosteroids and preventer medications, and reduced reliance on short-acting β-agonist medications as recommended by consensus guidelines. PMID:18390944

Strengthening integrated primary health care in Sofala, Mozambique

PubMed Central

2013-01-01

Background Large increases in health sector investment and policies favoring upgrading and expanding the public sector health network have prioritized maternal and child health in Mozambique and, over the past decade, Mozambique has achieved substantial improvements in maternal and child health indicators. Over this same period, the government of Mozambique has continued to decentralize the management of public sector resources to the district level, including in the health sector, with the aim of bringing decision-making and resources closer to service beneficiaries. Weak district level management capacity has hindered the decentralization process, and building this capacity is an important link to ensure that resources translate to improved service delivery and further improvements in population health. A consortium of the Ministry of Health, Health Alliance International, Eduardo Mondlane University, and the University of Washington are implementing a health systems strengthening model in Sofala Province, central Mozambique. Description of implementation The Mozambique Population Health Implementation and Training (PHIT) Partnership focuses on improving the quality of routine data and its use through appropriate tools to facilitate decision making by health system managers; strengthening management and planning capacity and funding district health plans; and building capacity for operations research to guide system-strengthening efforts. This seven-year effort covers all 13 districts and 146 health facilities in Sofala Province. Evaluation design A quasi-experimental controlled time-series design will be used to assess the overall impact of the partnership strategy on under-5 mortality by examining changes in mortality pre- and post-implementation in Sofala Province compared with neighboring Manica Province. The evaluation will compare a broad range of input, process, output, and outcome variables to strengthen the plausibility that the partnership strategy led to health system improvements and subsequent population health impact. Discussion The Mozambique PHIT Partnership expects to provide evidence on the effect of efforts to improve data quality coupled with the introduction of tools, training, and supervision to improve evidence-based decision making. This contribution to the knowledge base on what works to enhance health systems is highly replicable for rapid scale-up to other provinces in Mozambique, as well as other sub-Saharan African countries with limited resources and a commitment to comprehensive primary health care. PMID:23819552

Modeling Study on Air Quality Improvement due to Mobile Source Emission control Plan in Seoul Metropolitan Area

NASA Astrophysics Data System (ADS)

Kim, Y. J.; Sunwoo, Y.; Hwang, I.; Song, S.; Sin, J.; Kim, D.

2015-12-01

A very high population and corresponding high number of vehicles in the Seoul Metropolitan Area (SMA) are aggravating the air quality of this region. The Korean government continues to make concerted efforts to improve air quality. One of the major policies that the Ministry of Environment of Korea enforced is "The Special Act for Improvement of Air Quality in SMA" and "The 1st Air Quality Management Plan of SMA". Mobile Source emission controls are an important part of the policy. Thus, it is timely to evaluate the air quality improvement due to the controls. Therefore, we performed a quantitative analysis of the difference in air quality using the Community Multiscale Air Quality (CMAQ) model and December, 2011 was set as the target period to capture the impact of the above control plans. We considered four fuel-type vehicle emission scenarios and compared the air quality improvement differences between them. The scenarios are as follows: no-control, gasoline vehicle control only, diesel vehicle control only, and control of both; utilizing the revised mobile source emissions from the Clean Air Policy Support System (CAPSS), which is the national emission inventory reflecting current policy.In order to improve the accuracy of the modeling data, we developed new temporal allocation coefficients based on traffic volume observation data and spatially reallocated the mobile source emissions using vehicle flow survey data. Furthermore, we calculated the PM10 and PM2.5 emissions of gasoline vehicles which is omitted in CAPSS.The results of the air quality modeling shows that vehicle control plans for both gasoline and diesel lead to a decrease of 0.65ppb~8.75ppb and 0.02㎍/㎥~7.09㎍/㎥ in NO2 and PM10 monthly average concentrations, respectively. The large percentage decreases mainly appear near the center of the metropolis. However, the largest NO2 decrease percentages are found in the northeast region of Gyeonggi-do, which is the province that surrounds the capital of Seoul. Comparing the results between the different scenarios, diesel vehicle control impact dominates relative to the impact of gasoline control. The diesel-only reduction plan shows that NO2 and PM10 improved by 2.93ppb and 3.32㎍/㎥, respectively.

Water quality functions of riparian forest buffers in Chesapeake bay watersheds

USGS Publications Warehouse

Lowrance, R.; Altier, L.S.; Newbold, J.D.; Schnabel, R.R.; Groffman, P.M.; Denver, J.M.; Correll, D.L.; Gilliam, J.W.; Robinson, J.L.; Brinsfield, R.B.; Staver, K.W.; Lucas, W.; Todd, A.H.

1997-01-01

Maryland, Virginia, and Pennsylvania, USA, have agreed to reduce nutrient loadings to Chesapeake Bay by 40% by the year 2000. This requires control of nonpoint sources of nutrients much of which comes from agriculture. Riparian forest buffer systems (RFBS) provide effective control of nonpoint source (NPS) pollution in some types of agricultural watersheds. Control of NPS pollution is dependent on the type of pollutant and the hydrologic connection between pollution sources, the RFBS, and the stream. Water quality improvements are most likely in areas of where most of the excess precipitation moves across, in, or near the root zone of the RFBS. In areas such as the Inner Coastal Plain and Piedmont watersheds with thin soils RFBS should retain 50%-90% of the total loading of nitrate in shallow groundwater sediment in surface runoff and total N in born surface runoff and groundwater. Retention of phosphorus is generally much less. In regions with deeper soils and/or greater regional groundwater recharge (such as parts of the Piedmont and the Valley and Ridge), RFBS water quality improvements are probably much less. The expected levels of pollutant control by RFBS are identified for each of nine physiographic provinces of the Chesapeake Bay Watershed. Issues related to of establishment sustainability, and management are also discussed.

An analogy on assessment of urban air pollution in Turkey over the turn of the millennium (1992-2001).

PubMed

Ozdilek, Hasan Goksel

2006-11-01

Rapid industrialization and urbanization in Turkey, especially over the last twenty five years, has provided better living standards to its residents, but it also caused a decrease in environmental quality. In late 1970's, air quality monitoring activities were started in some major cities by individual researchers in Turkey. It was just around the 1990's that a countrywide program on continuous air pollution monitoring in major province centers and selected large towns was launched. The impact of air pollution on people depend on various factors, such as existence and magnitude of coal powered energy generation plants, type of urban heating and their efficiency, and the numbers and specifications of vehicles. In this study, current Turkish urban air quality over the turn of the Millennium (1992-2001) is studied in the light of the country's worst cities in terms of outdoor air quality, the number of upper respiratory diseases, sinusitis, bronchitis, and pneumonia cases in these provinces reported by the state medical treatment facilities in 2001. The population that is under outdoor urban air pollution hazard was computed. A comparative analysis between the provinces that use natural gas and others that use fossil fuels was also completed in order to project monetary gains if the studied provinces will transform their indoor heating and industrial operations to be run by natural gas or other cleaner energy sources. If natural gas use in air polluted urban centers could be realized in the near future, approximately 212 to 350 million US dollars per annum could to be saved just by reducing health related problems caused by outdoor air pollution.

Evaluation of Microbial Contamination and Chemical Qualities of Cream-filled Pastries in Confectioneries of Chaharmahal Va Bakhtiari Province (Southwestern Iran).

PubMed

Sharifzadeh, Ali; Hajsharifi-Shahreza, Mohammad; Ghasemi-Dehkordi, Payam

2016-12-01

High consumption of bakery products such as cream-filled pastries may cause serious health risks and food poisoning to humans. Therefore, investigation of the microbial and chemical qualities of bakery products containing cream is necessary. The purpose of the present study was to investigate the chemical qualities and microbial contaminations of cream-filled pastries collected from confectioneries located in six cities in Chaharmahal Va Bakhtiari province (Southwestern Iran). Microbial tests and chemical characteristics (fat and acidity level) were done on 228 cream-filled pastries samples that were collected randomly from various confectioneries. After microbial tests, it was found that 33.33% of all samples were contaminated by microbial agents. The microbial tests showed that Shahrekord (10.09%) and Broujen (9.21%) cities had high levels of contamination and in Koohrang (1.31%) it was low compared with the other four cities. High contamination of coliforms (61.84%), staphylococci (48.68%), and yeast (27.63%) were observed in almost all samples. The chemical analysis showed maximum amounts of fat content and titratable acidity in cream-filled pastry samples obtained from Lordegan and Shahrekord cities, respectively. The findings of the present work demonstrated that the microbial contamination and chemical quality of cream-filled pastries produced in confectionaries of Chaharmahal Va Bakhtiari province were not in acceptable ranges. These problems may be related to fecal contamination of cream samples or lack of hygiene by handlers and it is necessary to observe the standards of hygiene and to develop safe food handling techniques and aseptic pastry manufacturing systems in some confectioneries of Chaharmahal Va Bakhtiari province.

Satisfaction with the Overseas Education in China: A Survey on 44 Institutions of Higher Learning in Jiangsu Province

ERIC Educational Resources Information Center

Li, Xin-Chao; Zhu, Su-Jing; Thige, Joseph M.; Shi, Yun-Yu

2017-01-01

In order to fully grasp the service level, management quality and effectiveness of the overseas education in China, a satisfaction survey was carried out on 44 institutions of higher learning in Jiangsu province from 5 dimensions of school learning, school life, school administration, surrounding environment, and urban civility and environment.…

Quality of drinking water and high incidence rate of esophageal cancer in Golestan province of Iran: a probable link.

PubMed

Keshavarzi, Behnam; Moore, Farid; Najmeddin, Ali; Rahmani, Farah; Malekzadeh, Ahad

2012-02-01

Golestan province in north Iran is known to be a high-risk area for esophageal cancer (EC). Of a long list of multiple risk factors, this study focuses on a possible link between the epidemiologic patterns of EC and the anomalous concentration of some ions and elements in the drinking water sources. A total of 183 samples from 45 villages covering a wide range of EC mortality rates are collected and analyzed. The results demonstrate that NO(3)(-), SO(4)(2-), Sb, and Sr exceed the recommended maximum concentration level (MCL) in drinking water. This is more prominent in the villages with high esophageal cancer mortality rate, suggesting a possible link between EC incidence and water quality. Se concentration in drinking water increases from low to the high EC areas, a finding contrary to the expected trend. It is concluded that Se deficiency does not play a major role in the etiology of EC in the Golestan province. The statistical results obtained from Mann-Whitney and Kruskal-Wallis tests along with cluster analysis are consistent with the observed trend of EC mortality rate in Golestan province. © Springer Science+Business Media B.V. 2011

Treatment outcomes for human African Trypanosomiasis in the Democratic Republic of the Congo: analysis of routine program data from the world's largest sleeping sickness control program.

PubMed

Hasker, E; Mpanya, A; Makabuza, J; Mbo, F; Lumbala, C; Kumpel, J; Claeys, Y; Kande, V; Ravinetto, R; Menten, J; Lutumba, P; Boelaert, M

2012-09-01

To enable the human African trypanosomiasis (HAT) control program of the Democratic Republic of the Congo to generate data on treatment outcomes, an electronic database was developed. The database was piloted in two provinces, Bandundu and Kasai Oriental. In this study, we analysed routine data from the two provinces for the period 2006-2008. Data were extracted from case declaration cards and monthly reports available at national and provincial HAT coordination units and entered into the database. Data were retrieved for 15 086 of 15 741 cases reported in the two provinces for the period (96%). Compliance with post-treatment follow-up was very poor in both provinces; only 25% had undergone at least one post-treatment follow-up examination, <1% had undergone the required four follow-up examinations. Relapse rates among those presenting for follow-up were high in Kasai (18%) but low in Bandundu (0.3%). High relapse rates in Kasai and poor compliance with post-treatment follow-up in both provinces are important problems that the HAT control program urgently needs to address. Moreover, in analogy to tuberculosis control programs, HAT control programs need to adopt a recording and reporting routine that includes reporting on treatment outcomes. © 2012 Blackwell Publishing Ltd.

Assessing the Variability of Heavy Metal Concentrations in Liquid-Solid Two-Phase and Related Environmental Risks in the Weihe River of Shaanxi Province, China

PubMed Central

Song, Jinxi; Yang, Xiaogang; Zhang, Junlong; Long, Yongqing; Zhang, Yan; Zhang, Taifan

2015-01-01

Accurate estimation of the variability of heavy metals in river water and the hyporheic zone is crucial for pollution control and environmental management. The biotoxicities and potential ecological risks of heavy metals (Cu, Zn, Pb, Cd) in a solid-liquid two-phase system were estimated using the Geo-accumulation Index, Potential Ecological Risk Assessment and Quality Standard Index methods in the Weihe River of Shaanxi Province, China. Water and sediment samples were collected from five study sites during spring, summer and winter, 2013. The dominant species in the streambed sediments were chironomids and flutter earthworm, whose bioturbation mainly ranged from 0 to 20 cm. The concentrations of heavy metals in surface water and pore water varied obviously in spring and summer. The degrees of concentration of Cu and Cd in spring and summer were higher than the U.S. water quality Criteria Maximum Concentrations. Furthermore, the biotoxicities of Pb and Zn demonstrated season-spatial variations. The concentrations of Cu, Zn, Pb and Cd in spring and winter were significantly higher than those in summer, and the pollution levels also varied obviously in different layers of the sediments. Moreover, the pollution level of Cd was the most serious, as estimated by all three assessment methods. PMID:26193293

Controls on mineralisation in the Sierra Foothills gold province, central California, USA: A GIS-based reconnaissance prospectivity analysis

USGS Publications Warehouse

Bierlein, F.P.; Northover, H.J.; Groves, D.I.; Goldfarb, R.J.; Marsh, E.E.

2008-01-01

The assessment of spatial relationships between the location, abundance and size of orogenic-gold deposits in the highly endowed Sierra Foothills gold province in California, via the combination of field studies and a GIS-based analysis, illustrates the power of such an approach to the characterisation of important parameters of mineral systems, and the prediction of districts likely to host economic mineralisation. Regional- to deposit-scale reconnaissance mapping suggests that deposition of gold-bearing quartz veins occurred in second- and third-order, east-over-west thrusts during regional east - west compression and right-lateral transpression. At the district-scale, significant zones of mineralisation correspond with such transpressional reactivation zones and dilational jogs that developed during the Late Jurassic - Early Cretaceous along the misaligned segments of first-order faults throughout the Sierra Nevada Foothills Metamorphic Belt. Field-based observations and interpretation of GIS data (including solid geology, structural elements, deposit locations, magnetics, gravity) also highlight the importance of structural permeability contrasts, rheological gradients, and variations in fault orientation for localising mineralisation. Although this approach confirms empirical findings and produces promising results at the province scale, enhanced geological, structural, geophysical and geochronological data density is required to generate regionally consistent, high-quality input layers that improve predictive targeting at the goldfield to deposit-scale.

Client satisfaction of maternity care in Lorestan province Iran

PubMed Central

Changee, Farahnaz; Irajpour, Alireza; Simbar, Masoumeh; Akbari, Soheila

2015-01-01

Background: Client satisfaction is an important indicator for assessment of the quality of care provided. Detecting patients dissatisfaction and trying to find the most effective and costly services is the basic way for improvement of service quality. The purpose of this study was to determine the satisfaction level of women in the maternity care centers (hospitals) of Lorestan University of Medical Sciences, Iran. Materials and Methods: In this descriptive cross-sectional study, the satisfaction level of 200 patients who received care during childbirth in province hospitals was assessed using a researcher-made questionnaire. Women in maternity care units completed the questionnaires. Results: The mean maternity care satisfaction score was 66.6 ± 3.5. The lowest satisfaction level was related to getting to know the delivery room (64%) and vaginal examination (66%). The highest satisfaction score was related to confidentiality of the information (86%) and trusting the midwife (84%). Regarding the environmental factors, the lowest satisfaction was related to respecting silence in the pain room (69.5%) and the highest was related to cleanliness and hygiene of the delivery room (84%). Conclusions: Our results suggest the relative satisfaction of women receiving care in the health centers of Lorestan province; but this level of satisfaction does not mean that the delivery of care in this province is perfect. By reviewing the policies and the existing care programs regarding promoting the quality of services, managers can increase clients’ satisfaction. PMID:26120342

Determination of the water quality index ratings of water in the Mpumalanga and North West provinces, South Africa

NASA Astrophysics Data System (ADS)

Wanda, Elijah M. M.; Mamba, Bhekie B.; Msagati, Titus A. M.

2016-04-01

This study reports on the water quality index (WQI) of wastewater and drinking water in the Mpumalanga and North West provinces of South Africa. The WQI is one of the most effective tools available to water sustainability researchers, because it provides an easily intelligible ranking of water quality on a rating scale from 0 to 100, based on the ascription of different weightings to several different parameters. In this study the WQI index ratings of wastewater and drinking water samples were computed according to the levels of pH, electrical conductivity (EC), biochemical oxygen demand (BOD), E. coli, temperature, turbidity and nutrients (nitrogen and phosphates) found in water samples collected from the two provinces between June and December, 2014. This study isolated three groups of WQ-rated waters, namely: fair (with a WQI range = 32.87-38.54%), medium (with a WQI range = 56.54-69.77%) and good (with a WQI range = 71.69-81.63%). More specifically, 23%, 23% and 54% of the sampled sites registered waters with fair, medium and good WQ ratings respectively. None of the sites sampled during the entire period of the project registered excellent or very good water quality ratings, which would ordinarily indicate that no treatment is required to make it fit for human consumption. Nevertheless, the results obtained by the Eerstehoek and Schoemansville water treatment plants in Mpumalanga and North West provinces, respectively, suggest that substantial improvement in the quality of water samples is possible, since the WQI values for all of the treated samples were higher than those for raw water. Presence of high levels of BOD, low levels of dissolved oxygen (DO), E. coli, nitrates and phosphates especially in raw water samples greatly affected their overall WQ ratings. It is recommended that a point-of-use system should be introduced to treat water intended for domestic purposes in the clean-water-deprived areas.

Is the soil quality monitoring an effective tool in consumers' protection of agricultural crops from cadmium soil contamination?-a case of the Silesia region (Poland).

PubMed

Piekut, Agata; Baranowska, Renata; Marchwińska-Wyrwał, Ewa; Ćwieląg-Drabek, Małgorzata; Hajok, Ilona; Dziubanek, Grzegorz; Grochowska-Niedworok, Elżbieta

2017-12-16

The monitoring of soil quality should be a control tool used to reduce the adverse health effects arising from exposure to toxic chemicals in soil through cultivated crop absorption. The aim of the study was to evaluate the effectiveness of the monitoring and control system of soil quality in Poland, in terms of consumer safety, for agricultural plants cultivated in areas with known serious cadmium contamination, such as Silesia Province. To achieve the objective, the contents of cadmium in soils and vegetables in the Silesia administrative area were examined. The obtained results were compared with the results of soil contamination from the quality monitoring of arable soil in Poland. The studies show a significant exceedance of the permissible values of cadmium in soil samples and the vegetables cultivated on that soil. The threat to consumer health is a valid concern, although this threat was not indicated by the results of the national monitoring of soil quality. The results indicated an unequal distribution of risk to consumers resulting from contaminated soil. Moreover, the monitoring systems should be designed at the local or regional scale to guarantee the safety of consumers of edible plants cultivated in the areas contaminated with cadmium.

Assessment of groundwater quality and evaluation of scaling and corrosiveness potential of drinking water samples in villages of Chabahr city, Sistan and Baluchistan province in Iran.

PubMed

Abbasnia, Abbas; Alimohammadi, Mahmood; Mahvi, Amir Hossein; Nabizadeh, Ramin; Yousefi, Mahmood; Mohammadi, Ali Akbar; Pasalari, Hassan; Mirzabeigi, Majid

2018-02-01

The aims of this study were to assess and analysis of drinking water quality of Chabahar villages in Sistan and Baluchistan province by water quality index (WQI) and to investigate the water stability in subjected area. The results illustrated that the average values of LSI, RSI, PSI, LS, and AI was 0.5 (±0.34), 6.76 (±0.6), 6.50 (±0.99), 2.71 (±1.59), and 12.63 (±0.34), respectively. The calculation of WQI for groundwater samples indicated that 25% of the samples could be considered as excellent water, 50% of the samples were classified as good water category and 25% of the samples showed poor water category.

Cancer incidence and mortality in Shandong province, 2012.

PubMed

Fu, Zhentao; Lu, Zilong; Li, Yingmei; Zhang, Jiyu; Zhang, Gaohui; Chen, Xianxian; Chu, Jie; Ren, Jie; Liu, Haiyan; Guo, Xiaolei

2016-06-01

Population-based cancer registration data in 2012 from all available cancer registries in Shandong province were collected by Shandong Center for Disease Control and Prevention (SDCDC). SDCDC estimated the numbers of new cancer cases and cancer deaths in Shandong province with compiled cancer incidence and mortality rates. In 2015, there were 21 cancer registries submitted data of cancer incidence and deaths occurred in 2012. All the data were checked and evaluated based on the National Central Cancer Registry (NCCR) criteria of data quality. Qualified data from 15 registries were used for cancer statistics analysis as provincial estimation. The pooled data were stratified by area (urban/rural), gender, age group (0, 1.4, 5.9, 10.14, …, 85+ years) and cancer type. New cancer cases and deaths were estimated using age-specific rates and corresponding provincial population in 2012. The Chinese census data in 2000 and Segi's population were applied for age-standardized rates. All the rates were expressed per 100,000 person-year. Qualified 15 cancer registries (4 urban and 11 rural registries) covered 17,189,988 populations (7,486,039 in urban and 9,703,949 in rural areas). The percentage of cases morphologically verified (MV%) and death certificate-only cases (DCO%) were 66.12% and 2.93%, respectively, and the mortality to incidence rate ratio (M/I) was 0.60. A total of 253,060 new cancer cases and 157,750 cancer deaths were estimated in Shandong province in 2012. The incidence rate was 263.86/100,000 (303.29/100,000 in males, 223.23/100,000 in females), the age-standardized incidence rates by Chinese standard population (ASIRC) and by world standard population (ASIRW) were 192.42/100,000 and 189.50/100,000 with the cumulative incidence rate (0.74 years old) of 22.07%. The cancer incidence, ASIRC and ASIRW in urban areas were 267.64/100,000, 195.27/100,000 and 192.02/100,000 compared to 262.32/100,000, 191.26/100,000 and 188.48/100,000 in rural areas, respectively. The cancer mortality was 164.47/100,000 (207.42/100,000 in males, 120.23/100,000 in females), the age-standardized incidence rates by Chinese standard population (ASMRC) and by world standard population (ASMRW) were 117.54/100,000 and 116.90/100,000, and the cumulative mortality rate (0.74 years old) was 13.53%. The cancer mortality, ASMRC and ASMRW were 141.59/100,000, 101.17/100,000 and 100.33/100,000 in urban areas, and 173.79/100,000, 124.20/100,000 and 123.64/100,000 in rural areas, respectively. Cancers of the lung, stomach, liver, esophagus, colorectum, female breast, brain, leukemia, bladder and pancreas were the most common cancers, accounting for about 82.12% of all cancer new cases. Lung cancer, stomach cancer, liver cancer, esophageal cancer, colorectal cancer, female breast cancer, pancreatic cancer, brain tumor, leukemia and lymphoma were the leading causes of cancer death, accounting for about 89.01% of all cancer deaths. The cancer spectrum showed difference between urban and rural, males and females both in incidence and mortality rates. Cancer surveillance information in Shandong province is making great progress with the increasing number of cancer registries, population coverage and the improving data quality. Cancer registration plays a fundamental role in cancer control by providing basic information on population-based cancer incidence, mortality, survival and time trend. The disease burden of cancer is serious in Shandong province, and so cancer prevention and control in Shandong province should be enhanced including health education, health promotion, cancer screening and cancer care services.

Water quantity and quality model for the evaluation of water-management strategies in the Netherlands: application to the province of Friesland

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brinkman, J.J.; Griffioen, P.S.; Groot, S.

1987-03-01

The Netherlands have a rather complex water-management system consisting of a number of major rivers, canals, lakes and ditches. Water-quantity management on a regional scale is necessary for an effective water-quality policy. To support water management, a computer model was developed that includes both water quality and water quantity, based on three submodels: ABOPOL for the water movement, DELWAQ for the calculation of water quality variables and BLOOM-II for the phytoplankton growth. The northern province of Friesland was chosen as a test case for the integrated model to be developed, where water quality is highly related to the water distributionmore » and the main trade-off is minimizing the intake of (eutrophicated) alien water in order to minimize external nutrient load and maximizing the intake in order to flush channels and lakes. The results of the application of these models to this and to a number of hypothetical future situations are described.« less

Prevalence of Salmonella on raw poultry at retail markets in China.

PubMed

Yang, Baowei; Xi, Meili; Wang, Xin; Cui, Shenghui; Yue, Tianli; Hao, Hongshan; Wang, Yin; Cui, Yue; Alali, W Q; Meng, Jianghong; Walls, Isabel; Wong, D M Lo Fo; Doyle, M P

2011-10-01

Data regarding Salmonella on raw poultry are very limited in China. The objective of this study was to determine the prevalence of Salmonella on raw poultry at the retail level in six provinces and two national cities in China. Whole chicken carcasses (n = 1,152) were collected from three types of retail markets (large, small, and wet). All samples were analyzed for the presence of Salmonella by using the U.S. Department of Agriculture, Food Safety Inspection Service method. Of 1,152 chicken samples, overall Salmonella prevalence was 52.2%. The highest prevalence was observed in Guangxi Province (65.3%), next in Guangdong Province (64.6%), and then in Beijing (63.9%), Shaanxi Province (50.7%), Henan Province (47.9%), Shanghai (44.4%), and Fujian Province (42.4%), and lowest prevalence was observed in Sichuan Province (38.9%). Salmonella prevalence was significantly different among the six provinces and two national cities. Salmonella prevalence was highest in the wet markets (54.4%) compared with the large markets (50.3%) and the small markets (52.1%), but differences were not significant (P > 0.05). Good manufacturing practices, good agricultural practices, and hazard analysis critical control point systems for Salmonella control in poultry production at the farm, processing, and retail level should be implemented.

Factors influencing the provision of public health services by village doctors in Hubei and Jiangxi provinces, China

PubMed Central

Ding, Yan; Smith, Helen J; Fei, Yang; Xu, Biao; Nie, Shaofa; Yan, Weirong; Diwan, Vinod K; Sauerborn, Rainer

2013-01-01

Abstract Problem The Chinese central government launched the Health System Reform Plan in 2009 to strengthen disease control and health promotion and provide a package of basic public health services. Village doctors receive a modest subsidy for providing public health services associated with the package. Their beliefs about this subsidy and providing public health services could influence the quality and effectiveness of preventive health services and disease surveillance. Approach To understand village doctors’ perspectives on the subsidy and their experiences of delivering public health services, we performed 10 focus group discussions with village doctors, 12 in-depth interviews with directors of township health centres and 4 in-depth interviews with directors of county-level Centers for Disease Control and Prevention. Local setting The study was conducted in four counties in central China, two in Hubei province and two in Jiangxi province. Relevant changes Village doctors prioritize medical services but they do their best to manage their time to include public health services. The willingness of township health centre directors and village doctors to provide public health services has improved since the introduction of the package and a minimum subsidy, but village doctors do not find the subsidy to be sufficient remuneration for their efforts. Lessons learnt Improving the delivery of public health services by village doctors is likely to require an increase in the subsidy, improvement in the supervisory relationship between village clinics and township health centres and the creation of a government pension for village doctors. PMID:23397352

Spatio-Temporal Trends and Identification of Correlated Variables with Water Quality for Drinking-Water Reservoirs

PubMed Central

Gu, Qing; Wang, Ke; Li, Jiadan; Ma, Ligang; Deng, Jinsong; Zheng, Kefeng; Zhang, Xiaobin; Sheng, Li

2015-01-01

It is widely accepted that characterizing the spatio-temporal trends of water quality parameters and identifying correlated variables with water quality are indispensable for the management and protection of water resources. In this study, cluster analysis was used to classify 56 typical drinking water reservoirs in Zhejiang Province into three groups representing different water quality levels, using data of four water quality parameters for the period 2006–2010. Then, the spatio-temporal trends in water quality were analyzed, assisted by geographic information systems (GIS) technology and statistical analysis. The results indicated that the water quality showed a trend of degradation from southwest to northeast, and the overall water quality level was exacerbated during the study period. Correlation analysis was used to evaluate the relationships between water quality parameters and ten independent variables grouped into four categories (land use, socio-economic factors, geographical features, and reservoir attributes). According to the correlation coefficients, land use and socio-economic indicators were identified as the most significant factors related to reservoir water quality. The results offer insights into the spatio-temporal variations of water quality parameters and factors impacting the water quality of drinking water reservoirs in Zhejiang Province, and they could assist managers in making effective strategies to better protect water resources. PMID:26492263

Spatio-Temporal Trends and Identification of Correlated Variables with Water Quality for Drinking-Water Reservoirs.

PubMed

Gu, Qing; Wang, Ke; Li, Jiadan; Ma, Ligang; Deng, Jinsong; Zheng, Kefeng; Zhang, Xiaobin; Sheng, Li

2015-10-20

It is widely accepted that characterizing the spatio-temporal trends of water quality parameters and identifying correlated variables with water quality are indispensable for the management and protection of water resources. In this study, cluster analysis was used to classify 56 typical drinking water reservoirs in Zhejiang Province into three groups representing different water quality levels, using data of four water quality parameters for the period 2006-2010. Then, the spatio-temporal trends in water quality were analyzed, assisted by geographic information systems (GIS) technology and statistical analysis. The results indicated that the water quality showed a trend of degradation from southwest to northeast, and the overall water quality level was exacerbated during the study period. Correlation analysis was used to evaluate the relationships between water quality parameters and ten independent variables grouped into four categories (land use, socio-economic factors, geographical features, and reservoir attributes). According to the correlation coefficients, land use and socio-economic indicators were identified as the most significant factors related to reservoir water quality. The results offer insights into the spatio-temporal variations of water quality parameters and factors impacting the water quality of drinking water reservoirs in Zhejiang Province, and they could assist managers in making effective strategies to better protect water resources.

Depopulation of rural landscapes exacerbates fire activity in the western Amazon.

PubMed

Uriarte, María; Pinedo-Vasquez, Miquel; DeFries, Ruth S; Fernandes, Katia; Gutierrez-Velez, Victor; Baethgen, Walter E; Padoch, Christine

2012-12-26

Destructive fires in Amazonia have occurred in the past decade, leading to forest degradation, carbon emissions, impaired air quality, and property damage. Here, we couple climate, geospatial, and province-level census data, with farmer surveys to examine the climatic, demographic, and land use factors associated with fire frequency in the Peruvian Amazon from 2000 to 2010. Although our results corroborate previous findings elsewhere that drought and proximity to roads increase fire frequency, the province-scale analysis further identifies decreases in rural populations as an additional factor. Farmer survey data suggest that increased burn scar frequency and size reflect increased flammability of emptying rural landscapes and reduced capacity to control fire. With rural populations projected to decline, more frequent drought, and expansion of road infrastructure, fire risk is likely to increase in western Amazonia. Damage from fire can be reduced through warning systems that target high-risk locations, coordinated fire fighting efforts, and initiatives that provide options for people to remain in rural landscapes.

Depopulation of rural landscapes exacerbates fire activity in the western Amazon

PubMed Central

Uriarte, María; Pinedo-Vasquez, Miquel; DeFries, Ruth S.; Fernandes, Katia; Gutierrez-Velez, Victor; Baethgen, Walter E.; Padoch, Christine

2012-01-01

Destructive fires in Amazonia have occurred in the past decade, leading to forest degradation, carbon emissions, impaired air quality, and property damage. Here, we couple climate, geospatial, and province-level census data, with farmer surveys to examine the climatic, demographic, and land use factors associated with fire frequency in the Peruvian Amazon from 2000 to 2010. Although our results corroborate previous findings elsewhere that drought and proximity to roads increase fire frequency, the province-scale analysis further identifies decreases in rural populations as an additional factor. Farmer survey data suggest that increased burn scar frequency and size reflect increased flammability of emptying rural landscapes and reduced capacity to control fire. With rural populations projected to decline, more frequent drought, and expansion of road infrastructure, fire risk is likely to increase in western Amazonia. Damage from fire can be reduced through warning systems that target high-risk locations, coordinated fire fighting efforts, and initiatives that provide options for people to remain in rural landscapes. PMID:23236144

Research on the Evolution of the Quantity and Quality of Inbound Tourism Flow in Henan Province

NASA Astrophysics Data System (ADS)

Zhao, Jun-yuan

2017-08-01

Taking 2000-2003’s data of foreign exchange income and the number of inbound tourism from as the sample, we studied the inbound tourism flow and the change of the Liquiity and the synergy degree in these cities. The flow of inbound tourism and the Liquiity in Henan province presented the characteristics of opposite change. In flow, it presents the steady uptrend, there were 3 general forms: gradually reducing, gradually rising and cross rolling type. In Liquiity, its types of high-quality and low-quality flows are basic equivalence, presents the staggered change state. Inbound tourism flow and the evolution of the Liquiity in Henan province can be divided into 3 stages, 2003 and 2008 is a node of its division. The evolution of the inbound tourism flow and Liquiity collaborative structure show that the complex conditions, especially the evolution of the synchronous 2-high type cities and synchronous middle type cities show a trend of decline. The number of later one appears to a change trend of increasing first and then, steady. The number of deviation cities is volatility. The reverse deviation cities are the most, which present a trend of decreasing at first, then coming steady.

Cancer control falls squarely within the province of the psychological sciences.

PubMed

Green McDonald, Paige; O'Connell, Mary; Suls, Jerry

2015-01-01

Against the background of cancer as a contemporary public health challenge, this article presents a selective overview of psychological science contributions to cancer control research, practice, and policy. Initial contributions were circumscribed to awareness campaigns and the assessment of emotional responses to diagnosis and treatment. As evidence linking certain behaviors to cancer risk and outcomes accumulated, psychology emerged as a "hub science" in the Nation's cancer control program. Despite substantial accomplishments, new societal trends further challenge our ability to reduce risk, incidence, and deaths from cancer and enhance quality of life for cancer survivors. Evidence generated from psychological research conducted within each cell of Pasteur's quadrant continues to be relevant and necessary for effective 21st-century approaches to cancer prevention and control at the individual, clinical, and population levels. PsycINFO Database Record (c) 2015 APA, all rights reserved.

Application of Aquaculture Monitoring System Based on CC2530

NASA Astrophysics Data System (ADS)

Chen, H. L.; Liu, X. Q.

In order to improve the intelligent level of aquaculture technology, this paper puts forward a remote wireless monitoring system based on ZigBee technology, GPRS technology and Android mobile phone platform. The system is composed of wireless sensor network (WSN), GPRS module, PC server, and Android client. The WSN was set up by CC2530 chips based on ZigBee protocol, to realize the collection of water quality parameters such as the water level, temperature, PH and dissolved oxygen. The GPRS module realizes remote communication between WSN and PC server. Android client communicates with server to monitor the level of water quality. The PID (proportion, integration, differentiation) control is adopted in the control part, the control commands from the android mobile phone is sent to the server, the server again send it to the lower machine to control the water level regulating valve and increasing oxygen pump. After practical testing to the system in Liyang, Jiangsu province, China, temperature measurement accuracy reaches 0.5°C, PH measurement accuracy reaches 0.3, water level control precision can be controlled within ± 3cm, dissolved oxygen control precision can be controlled within ±0.3 mg/L, all the indexes can meet the requirements, this system is very suitable for aquaculture.

[Ecology suitability of Polygonum capitatum in Guizhou province based on topographical conditions].

PubMed

Zhang, Xiaobo; Zhou, Tao; Guo, Lanping; Zhu, Shoudong; Huang, Luqi

2011-02-01

To study ecology suitability rank dividing of Polygonum capitatum for selecting artificial planting base and high-quality industrial raw material in Guizhou province. Based on the investigation of PCB and DEM data of Guizhou province, the relationship between the gallic acid content in P. capitatum and topographical conditions was analyzed by statistical analysis. The geographic information systems (GIS)-based assessment and landscape ecological principles were applied to assess ecology suitability areas of P. capitatum in Guizhou. slope, aspect and altitude are main topographical factors that affect the content of gallic acid in P. capitatum. The gallic acid content of P. capitatum is higher in the lower altitude, shady slope and smaller slope areas. The gallic acid content is higher in the eastern areas of Guizhou province.

Acute effect of ozone exposure on daily mortality in seven cities of Jiangsu Province, China: No clear evidence for threshold.

PubMed

Chen, Kai; Zhou, Lian; Chen, Xiaodong; Bi, Jun; Kinney, Patrick L

2017-05-01

Few multicity studies have addressed the health effects of ozone in China due to the scarcity of ozone monitoring data. A critical scientific and policy-relevant question is whether a threshold exists in the ozone-mortality relationship. Using a generalized additive model and a univariate random-effects meta-analysis, this research evaluated the relationship between short-term ozone exposure and daily total mortality in seven cities of Jiangsu Province, China during 2013-2014. Spline, subset, and threshold models were applied to further evaluate whether a safe threshold level exists. This study found strong evidence that short-term ozone exposure is significantly associated with premature total mortality. A 10μg/m 3 increase in the average of the current and previous days' maximum 8-h average ozone concentration was associated with a 0.55% (95% posterior interval: 0.34%, 0.76%) increase of total mortality. This finding is robust when considering the confounding effect of PM 2.5 , PM 10 , NO 2 , and SO 2 . No consistent evidence was found for a threshold in the ozone-mortality concentration-response relationship down to concentrations well below the current Chinese Ambient Air Quality Standard (CAAQS) level 2 standard (160μg/m 3 ). Our findings suggest that ozone concentrations below the current CAAQS level 2 standard could still induce increased mortality risks in Jiangsu Province, China. Continuous air pollution control measures could yield important health benefits in Jiangsu Province, China, even in cities that meet the current CAAQS level 2 standard. Copyright © 2017 Elsevier Inc. All rights reserved.

Acute effect of ozone exposure on daily mortality in seven cities of Jiangsu Province, China: No clear evidence for threshold

PubMed Central

Chen, Kai; Zhou, Lian; Chen, Xiaodong; Bi, Jun; Kinney, Patrick L.

2017-01-01

Background Few multicity studies have addressed the health effects of ozone in China due to the scarcity of ozone monitoring data. A critical scientific and policy-relevant question is whether a threshold exists in the ozone-mortality relationship. Methods Using a generalized additive model and a univariate random-effects meta-analysis, this research evaluated the relationship between short-term ozone exposure and daily total mortality in seven cities of Jiangsu Province, China during 2013–2014. Spline, subset, and threshold models were applied to further evaluate whether a safe threshold level exists. Results This study found strong evidence that short-term ozone exposure is significantly associated with premature total mortality. A 10 μg/m3 increase in the average of the current and previous days’ maximum 8-h average ozone concentration was associated with a 0.55% (95% posterior interval: 0.34%, 0.76%) increase of total mortality. This finding is robust when considering the confounding effect of PM2.5, PM10, NO2, and SO2. No consistent evidence was found for a threshold in the ozone-mortality concentration-response relationship down to concentrations well below the current Chinese Ambient Air Quality Standard (CAAQS) level 2 standard (160 μg/m3). Conclusions Our findings suggest that ozone concentrations below the current CAAQS level 2 standard could still induce increased mortality risks in Jiangsu Province, China. Continuous air pollution control measures could yield important health benefits in Jiangsu Province, China, even in cities that meet the current CAAQS level 2 standard. PMID:28231551

Pakistan's Primary Education Quality Improvement Program: Local Partners Work with Rural Communities to Support High Quality Education for Girls

ERIC Educational Resources Information Center

Afridi, Zahid A.

2006-01-01

This document describes the contributions made by the Primary Education Quality Improvement Program (1996-1999) to the broad goals of improved access, equity, and quality in girls' primary education in Pakistan. In Balochistan, the largest but least developed province of Pakistan, an innovative approach to educational development was successfully…

Comparing public and private hospitals in China: evidence from Guangdong.

PubMed

Eggleston, Karen; Lu, Mingshan; Li, Congdong; Wang, Jian; Yang, Zhe; Zhang, Jing; Quan, Hude

2010-03-23

The literature comparing private not-for-profit, for-profit, and government providers mostly relies on empirical evidence from high-income and established market economies. Studies from developing and transitional economies remain scarce, especially regarding patient case-mix and quality of care in public and private hospitals, even though countries such as China have expanded a mixed-ownership approach to service delivery. The purpose of this study is to compare the operations and performance of public and private hospitals in Guangdong Province, China, focusing on differences in patient case-mix and quality of care. We analyze survey data collected from 362 government-owned and private hospitals in Guangdong Province in 2005, combining mandatorily reported administrative data with a survey instrument designed for this study. We use univariate and multi-variate regression analyses to compare hospital characteristics and to identify factors associated with simple measures of structural quality and patient outcomes. Compared to private hospitals, government hospitals have a higher average value of total assets, more pieces of expensive medical equipment, more employees, and more physicians (controlling for hospital beds, urban location, insurance network, and university affiliation). Government and for-profit private hospitals do not statistically differ in total staffing, although for-profits have proportionally more support staff and fewer medical professionals. Mortality rates for non-government non-profit and for-profit hospitals do not statistically differ from those of government hospitals of similar size, accreditation level, and patient mix. In combination with other evidence on health service delivery in China, our results suggest that changes in ownership type alone are unlikely to dramatically improve or harm overall quality. System incentives need to be designed to reward desired hospital performance and protect vulnerable patients, regardless of hospital ownership type.

Comparing public and private hospitals in China: Evidence from Guangdong

PubMed Central

2010-01-01

Background The literature comparing private not-for-profit, for-profit, and government providers mostly relies on empirical evidence from high-income and established market economies. Studies from developing and transitional economies remain scarce, especially regarding patient case-mix and quality of care in public and private hospitals, even though countries such as China have expanded a mixed-ownership approach to service delivery. The purpose of this study is to compare the operations and performance of public and private hospitals in Guangdong Province, China, focusing on differences in patient case-mix and quality of care. Methods We analyze survey data collected from 362 government-owned and private hospitals in Guangdong Province in 2005, combining mandatorily reported administrative data with a survey instrument designed for this study. We use univariate and multi-variate regression analyses to compare hospital characteristics and to identify factors associated with simple measures of structural quality and patient outcomes. Results Compared to private hospitals, government hospitals have a higher average value of total assets, more pieces of expensive medical equipment, more employees, and more physicians (controlling for hospital beds, urban location, insurance network, and university affiliation). Government and for-profit private hospitals do not statistically differ in total staffing, although for-profits have proportionally more support staff and fewer medical professionals. Mortality rates for non-government non-profit and for-profit hospitals do not statistically differ from those of government hospitals of similar size, accreditation level, and patient mix. Conclusions In combination with other evidence on health service delivery in China, our results suggest that changes in ownership type alone are unlikely to dramatically improve or harm overall quality. System incentives need to be designed to reward desired hospital performance and protect vulnerable patients, regardless of hospital ownership type. PMID:20331886

A multi-factor designation method for mapping particulate-pollution control zones in China.

PubMed

Qin, Y; Xie, S D

2011-09-01

A multi-factor designation method for mapping particulate-pollution control zones was brought out through synthetically considering PM(10) pollution status, PM(10) anthropogenic emissions, fine particle pollution, long-range transport and economic situation. According to this method, China was divided into four different particulate-pollution control regions: PM Suspended Control Region, PM(10) Pollution Control Region, PM(2.5) Pollution Control Region and PM(10) and PM(2.5) Common Control Region, which accounted for 69.55%, 9.66%, 4.67% and 16.13% of China's territory, respectively. The PM(10) and PM(2.5) Common Control Region was mainly distributed in Bohai Region, Yangtze River Delta, Pearl River Delta, eastern of Sichuan province and Chongqing municipality, calling for immediate control of both PM(10) and PM(2.5). Cost-effective control effects can be achieved through concentrating efforts on PM(10) and PM(2.5) Common Control Region to address 60.32% of national PM(10) anthropogenic emissions. Air quality in districts belonging to PM(2.5) Pollution Control Region suggested that Chinese national ambient air quality standard for PM(10) was not strict enough. The result derived from application to China proved that this approach was feasible for mapping pollution control regions for a country with vast territory, complicated pollution characteristics and limited available monitoring data. Copyright © 2011 Elsevier B.V. All rights reserved.

Research on the effects of wind power grid to the distribution network of Henan province

NASA Astrophysics Data System (ADS)

Liu, Yunfeng; Zhang, Jian

2018-04-01

With the draining of traditional energy, all parts of nation implement policies to develop new energy to generate electricity under the favorable national policy. The wind has no pollution, Renewable and other advantages. It has become the most popular energy among the new energy power generation. The development of wind power in Henan province started relatively late, but the speed of the development is fast. The wind power of Henan province has broad development prospects. Wind power has the characteristics of volatility and randomness. The wind power access to power grids will cause much influence on the power stability and the power quality of distribution network, and some areas have appeared abandon the wind phenomenon. So the study of wind power access to power grids and find out improvement measures is very urgent. Energy storage has the properties of the space transfer energy can stabilize the operation of power grid and improve the power quality.

Infection control in home-based care for people living with HIV/AIDS/TB in South Africa: an exploratory study.

PubMed

Akintola, Olagoke; Hangulu, Lydia

2014-01-01

The majority of HIV and AIDS patients in sub-Saharan African countries receive health care services at home. Yet research on infection control in home-based care settings is virtually non-existent. This study explored infection control practices in home-based care in a South African province with a high HIV/TB prevalence. We conducted interviews with 10 managers of home-based care organizations and 10 focus group discussions with 80 volunteer caregivers working in high HIV/TB prevalent communities in South Africa. Findings show that volunteers had insufficient training on infection control. Materials necessary for the maintenance of hygiene and protective equipment were in short supply and the protective equipment supplied was of poor quality. Home-based care patients lived in crowded and poor conditions, and family members were negatively disposed to the use of protective devices. Together, these factors put volunteers and family caregivers at risk of infection with HIV and TB. Health policy should address the training of volunteer caregivers and the regular supply of good quality materials to ensure effective infection control. It is also important to educate families on infection control. Finally, there is a need to integrate HIV and TB control at the community level.

76 FR 80870 - Notice of Determination of Pest-Free Areas in Mendoza Province, Argentina

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-27

... ;D=APHIS-2010-0032. The first commenter acknowledged Argentina's history of successful Medfly control...] Notice of Determination of Pest-Free Areas in Mendoza Province, Argentina AGENCY: Animal and Plant Health... Southern and Central Oases in the southern half of Mendoza Province in Argentina as pest-free areas for...

Evaluation of comprehensive environmental effect about coastal zone development activities in Liaoning Province and management advice.

PubMed

Wang, Wei-Wei; Cai, Yue-Yin; Sun, Yong-Guang; Ma, Hong-Wei

2015-07-01

Using spatial analysis function of Arcgis software, the present study investigated the building environment impact evaluation index system of coastal development in Liaoning Province. The factors of it included of current state of environmental quality, environmental impact of marine development and marine environmental disaster. Weighted factor analysis and comprehensive index method were utilized. At the end, comprehensive environment effect of coastal development in Liaoning Province were evaluated successfully. The result showed that the environmental effect of development activity were most serious, along the Zhao Jiatun coast in north of Zhimao bay and coast of Mianhua island in Dalian bay.

Site and canopy characteristics associated with oak advance reproduction in mature oak-hickory forests in the ridge and valley province in Tennessee

Treesearch

Leslie S. Chadwell; David S. Buckley

2003-01-01

To investigate hypotheses regarding effects of competitors and site quality on oak regeneration, we documented site factors and oak seedling composition, size, and abundance in the Ridge and Valley Province of Tennessee. Small oak seedlings were most abundant on productive soils and mesic landform positions, whereas large oak seedlings were most abundant on less...

Health conditions and support needs of persons living in residential facilities for adults with intellectual disability in Western Cape Province.

PubMed

McKenzie, J; McConkey, R; Adnams, C

2013-04-17

Intellectual disability (ID) is a relatively high-incidence disability, with an increased risk of poor physical and mental health. Persons with ID also have lifelong support needs that must be met if they are to achieve an acceptable quality of life. Little is known about these health conditions and support needs in the African context. This study examines persons over the age of 18 years with ID in residential facilities in Western Cape Province. To analyse the health conditions and support needs of persons with ID in Western Cape Province. A survey of residents' health conditions and support needs was conducted in face-to-face interviews with the managers of 37 out of 41 identified facilities. The survey comprised 2 098 residents (54% of them female), representing less than 2% of the estimated population of persons with ID in the province. The survey suggests that such persons experience a wide range of health conditions (notably mental health and behavioural issues) but have limited access to general health care and rehabilitation services. Furthermore, the daily living supports required for an acceptable quality of life are limited. The findings highlight the need for better health and support provision to persons with ID.

Relationship between Internal Quality Audit and Quality Culture toward Implementation Consistency of ISO 9000 in Private College of Sulawesi Province, Indonesia

ERIC Educational Resources Information Center

Mail, Abdul; Pratikto; Suparman, Sudjito; Purnomo; Santoso, Budi

2014-01-01

The study aims to find out the influence of internal quality process on the growth of quality culture in private college. This study is treated toward 178 lecturers of 25 private colleges in Sulawesi, Indonesia by means of questionnaire. Confirmatory factor analysis applied to assess the reliability of validity and measurement model. Relationship…

Hydrochemical modelling of water quality in terms of emerging micropollutants in Mpumalanga, Gauteng and North West Provinces

NASA Astrophysics Data System (ADS)

Wanda, Elijah M. M.; Mamba, Bhekie B.; Msagati, Titus A. M.

2017-08-01

Emerging micropollutants (EMPs) are ubiquitous in aquatic systems and are associated with a wide range of eco-toxicological effects worldwide. There remains a lack of scientific understanding of the major underlying hydrochemical factors behind variations in concentration heterogeneities of EMPs in time and space. This study was therefore conducted to determine major hydrochemical processes controlling water quality and the occurrence of EMPs mainly, carbamazepine (CBZ), tonalide (AHTN), galaxolide (HHCB), caffeine (CAF), technical 4-nonylphenol (NP) and bisphenol A (BPA) in water from Mpumalanga, Gauteng and North West Provinces in South Africa. Grab water samples were collected bi-monthly between June 2014 and April 2016 from 44 water sources using standard sampling procedures. BPA, NP, CAF, HHCB, AHTN, CBZ were extracted, cleaned and enriched using autotrace-SPE at neutral pH and analyzed using GC × GC-TOFMS. Kruskal Wallis-test was used to test for temporal variations in occurrence of the analytes. The Geochemist's Workbench® Release 11 software, Surfer Golden Graphics for surface mapping, PHREEQC software and bivariate ion plots were used determine the major hydrogeochemical processes. The mean concentrations of EMPs varied from 3.48 μg/L for CAF to 421.53 μg/L for HHCB. Although the Kruskal Wallis test revealed no any statistically significant temporal variations in concentrations of the analytes in water samples at 95% confidence level, their occurrence and distribution vary spatially with BPA being the most widely distributed EMP and was present in 62% of the sampled sites. Municipal waste water inputs, agricultural pollution, ion-exchange reactions, carbonate and silicate weathering were the major processes controlling water quality in the study area. This study may assist water resource managers to ably address and manage water pollution resulting from a number of natural and anthropogenic hydrochemical processes in the study area.

Analysis on the Change of Vegetation Coverage in Qinghai Province from 2000 TO 2012

NASA Astrophysics Data System (ADS)

Wang, J.; Yan, Q.; Liu, Z.; Luo, C.

2013-07-01

Qinghai Province is one of the important provinces on the Qinghai-Tibet Plateau in China. Its unique alpine meadow ecosystem makes it become the most concentrated areas of biodiversity in high altitudes in the world. Researching the vegetation coverage and changes of Qinghai province can reflect effectively and timely processing of changes and problems of ecological quality in the region. This research will give a long time series monitoring of the vegetation coverage of Qinghai province based on maximum value composite (MVC) and S-G filtering algorithm using MODIS data of the year of 2000-2012, then analyze the change using coefficient of variability(CV) and trend line analysis. According to research, during the past 13 years, more than half of Qinghai Province's vegetation coverage is well, both the east and south have a high coverage, while the northwest is lower. The changing of vegetation coverage also has showed a steady and improving trend in 13 years. The largest area is slight improved area is about 29.08% of the total area, and the second largest area is significant improved area is about 21.09% of the total area. In this research can learn directly the vegetation coverage and changes of Qinghai province and provide reference and scientific basis for the protection and governance of ecological environment.

Source apportionment of fine particulate matter in China in 2013 using a source-oriented chemical transport model.

PubMed

Shi, Zhihao; Li, Jingyi; Huang, Lin; Wang, Peng; Wu, Li; Ying, Qi; Zhang, Hongliang; Lu, Li; Liu, Xuejun; Liao, Hong; Hu, Jianlin

2017-12-01

China has been suffering high levels of fine particulate matter (PM 2.5 ). Designing effective PM 2.5 control strategies requires information about the contributions of different sources. In this study, a source-oriented Community Multiscale Air Quality (CMAQ) model was applied to quantitatively estimate the contributions of different source sectors to PM 2.5 in China. Emissions of primary PM 2.5 and gas pollutants of SO 2 , NO x , and NH 3 , which are precursors of particulate sulfate, nitrate, and ammonium (SNA, major PM 2.5 components in China), from eight source categories (power plants, residential sources, industries, transportation, open burning, sea salt, windblown dust and agriculture) were separately tracked to determine their contributions to PM 2.5 in 2013. Industrial sector is the largest source of SNA in Beijing, Xi'an and Chongqing, followed by agriculture and power plants. Residential emissions are also important sources of SNA, especially in winter when severe pollution events often occur. Nationally, the contributions of different source sectors to annual total PM 2.5 from high to low are industries, residential sources, agriculture, power plants, transportation, windblown dust, open burning and sea salt. Provincially, residential sources and industries are the major anthropogenic sources of primary PM 2.5 , while industries, agriculture, power plants and transportation are important for SNA in most provinces. For total PM 2.5 , residential and industrial emissions are the top two sources, with a combined contribution of 40-50% in most provinces. The contributions of power plants and agriculture to total PM 2.5 are about 10%, respectively. Secondary organic aerosol accounts for about 10% of annual PM 2.5 in most provinces, with higher contributions in southern provinces such as Yunnan (26%), Hainan (25%) and Taiwan (21%). Windblown dust is an important source in western provinces such as Xizang (55% of total PM 2.5 ), Qinghai (74%), Xinjiang (59%). The large variation in sources of PM 2.5 across China suggests that PM 2.5 mitigation programs should be designed separately for different regions/provinces. Copyright © 2017 Elsevier B.V. All rights reserved.

Investigating the Relationship between the Quality of Education and Level of Educational Attainment in Turkish Provinces

ERIC Educational Resources Information Center

Gumus, Sedat

2012-01-01

Research in comparative and international education indicates that the quality of education, as measured by standardized tests, and the level of educational attainment have a significant impact on individual earning and national economic growth. However, the relationship between the quality of education and the level of educational attainment has…

[Herbal textual research on relationship between Chinese medicine"Shihu" (Dendrobium spp.) and "Tiepi Shihu" (D. catenatum)].

PubMed

Si, Jin-Ping; Zhang, Yuan; Luo, Yi-Bo; Liu, Jing-Jing; Liu, Zhong-Jian

2017-05-01

Dendrobium species on the ancient Chinese herbal texts were investigated in this paper, including their dscriptions of original species, producing areas and quality. Our results indicated that the major producing areas were Lu'an, Anhui province and Wenzhou, Taizhou, Zhejiang province. In addition, the sweet flavor, short, thin and solid stems were standing for good quality. Based on the stable producing areas and quality descriptions, D. catenatum (D. officinale) ("Tiepi Shihu") and D. houshanense were high quality medicinal Dendrobium species ("Shihu" ) in ancient China. Besides, there were 3 scientific names for "Tiepi Shihu", including D. candidum, D. officinale, D. catenatum. After textual investigation, We suggest that D. catenatum should be its scientific name, and D. officinale was synonyms published later. However, the name "D. officinale" could be reserved as it is much more popular used in publication and commodities. Moreover, its Chinese name should be "Tiepi Shihu". Copyright© by the Chinese Pharmaceutical Association.

Assessment of population coverage of hypertension screening in Thailand based on the effective coverage framework.

PubMed

Charoendee, Kulpimol; Sriratanaban, Jiruth; Aekplakorn, Wichai; Hanvoravongchai, Piya

2018-03-27

Hypertension (HT) is a major risk factor, and accessible and effective HT screening services are necessary. The effective coverage framework is an assessment tool that can be used to assess health service performance by considering target population who need and receive quality service. The aim of this study is to measure effective coverage of hypertension screening services at the provincial level in Thailand. Over 40 million individual health service records in 2013 were acquired. Data on blood pressure measurement, risk assessment, HT diagnosis and follow up were analyzed. The effectiveness of the services was assessed based on a set of quality criteria for pre-HT, suspected HT, and confirmed HT cases. Effective coverage of HT services for all non-HT Thai population aged 15 or over was estimated for each province and for all Thailand. Population coverage of HT screening is 54.6%, varying significantly across provinces. Among those screened, 28.9% were considered pre-HT, and another 6.0% were suspected HT cases. The average provincial effective coverage was at 49.9%. Around four-fifths (82.6%) of the pre-HT group received HT and Cardiovascular diseases (CVD) risk assessment. Among the suspected HT cases, less than half (38.0%) got a follow-up blood pressure measurement within 60 days from the screening date. Around 9.2% of the suspected cases were diagnosed as having HT, and only one-third of them (36.5%) received treatment within 6 months. Within this group, 21.8% obtained CVD risk assessment, and half of them had their blood pressure under control (50.8%) with less than 1 % (0.7%) of them managed to get the CVD risk reduced. Our findings suggest that hypertension screening coverage, post-screening service quality, and effective coverage of HT screening in Thailand were still low and they vary greatly across provinces. It is imperative that service coverage and its effectiveness are assessed, and both need improvement. Despite some limitations, measurement of effective coverage could be done with existing data, and it can serve as a useful tool for performance measurement of public health services.

[Analysis on funds application of community based organizations involved in HIV/AIDS response and government financial investment in China, 2014].

PubMed

Zhang, G; Zhu, Y X; Wang, P; Liu, P; Li, J F; Sha, S; Yang, W Z; Li, H

2017-03-06

Objective: To understand the government financial investments to community based organizations (CBO) involved in HIV/AIDS Control and Prevention of China and its influencing factors. Methods: Questionnaire of the situation of CBO involved in HIV/AIDS control and prevention were designed, and filled by the staff of Provincial Health Administrative Departments of 31 provinces (autonomous regions and municipalities). The research focused on the fields of CBO involved in HIV/AIDS response in 31 provinces (autonomous regions and municipalities), including intervention on HIV/AIDS high risk population (female sex worker (FSW), man who sex with man (MSM), drug user (DU) and case management and care for people living with HIV/AIDS (PLWH)). 29 valid questionnaires were collecting, with Shanxi Province and Inner Mongolia Autonomous Regions not filled. Questionnaire included financial supports from local governments, transfer payment from central government for CBO involved in HIV/AIDS response in 2014, and unit cost for CBO involved in HIV/AIDS control and prevention. Multivariate analysis was conducted on the project application and financial investment of community based organizations involved in HIV/AIDS control and prevention in 2014. Results: The total amount of CBO to apply for participation in AIDS prevention and control was 64 482 828 Yuan in 2014. The actual total amount of investment was 50 616 367 Yuan, The investment came from the central government funding, the provincial level government funding, the prefecture and county level government funding investment and other sources of funding. 22 of 28 provinces (autonomous regions and municipalities) received the funds from the central government finance, and median of investment funds 500 000 Yuan. 15 provinces (autonomous regions and municipalities) gained the funds from the provincial government finance, and median of investment funds 350 000 Yuan. 12 provinces (autonomous regions and municipalities) got the funds from the prefecture and county level government finance, and median of investment funds 408 750 Yuan. 12 provinces (autonomous regions and municipalities) acquired the funds from other sources, and median of investment funds 228 400 Yuan. The median ( P (25), P (75)) unit costs of intervention for FSW from 16 provinces (autonomous regions and municipalities) was 70 (23, 280) Yuan per year; DU from 14 provinces (autonomous regions and municipalities) was 83 (44, 200 ) Yuan per year; MSM from 16 provinces (autonomous regions and municipalities) was 100 (35, 280) Yuan per year; the follow-up and care for PLWH from 17 provinces (autonomous regions and municipalities) was 200 (45, 500) Yuan per year. Multivariate linear regression analysis results showed that the amount of PLWH in 2014 influenced on the total number of application funds of CBO involved in HIV/AIDS response ( b =178.11, 95% CI: 51.86-305.36) and the amount of PLWH ( b =77.72, 95% CI: 16.28-139.16), and Gross Domestic Product (GDP) per capita of the province ( b =36.20, 95% CI: 4.60-67.80) impacted financial investment to CBO involved in HIV/AIDS response, respectively. Conclusion: Funds application and financial investment of CBO involved in HIV/AIDS control and prevention were huge. Financial investment from government was main resources for CBO in 2014. The amount of financial investment funds from governments was influenced by the HIV/AIDS epidemic situation and the development level of local economic.

[Prevalence of hypertension and its influencing factors in rural areas along the Yangtze River in Anhui Province in 2014-2015].

PubMed

Hu, Mingjun; Zhou, Mengmeng; Yang, Yuwei; Liang, Ling; Zhong, Qi; Qin, Qirong; Wang, Xiaodong; Huang, Fen

2017-11-01

To investigate the prevalence, awareness, treatment, control and related influence factors of hypertension among rural adult residents in areas along the Yangtze River in Anhui Province. Totally 2873 rural adult residents in seven typical towns along the Yangtze River of Chizhou, Tongling and Ma'anshan Cities, Anhui Province were selected, with multistage-stratified random cluster sampling, to perform questionnaires and physical measurements from year 2014 to 2015. The prevalence of hypertension was 30. 7%( standardized prevalence was 18. 4%), the awareness rate was 50. 6%( standardized rate was 29. 0%), the treatment rate was40. 4%( standardized rate was 18. 7%), the control rate was 17. 7%( standardized ratewas 9. 3%) in rural areas along the Yangtze River in Anhui Province. The prevalence, awareness, treatment and control rates of hypertension were increased with age increase. Abdominal obesity( OR = 1. 855, 95% CI 1. 467-2. 344), family history of hypertension( OR = 1. 594, 95% CI 1. 265-2. 008), the average annual household income < 60 000 yuan and increased BMI were risk factors of hypertension in rural areas along the Yangtze River. Female( OR = 0. 734, 95% CI 0. 604-0. 891) was its protective factors. While the factors of awareness, treatment and control rates of hypertension were not same. The prevalence of hypertension is higher in the areas along the Yangtze River in Anhui Province. However, the awareness, treatment and control rate of hypertension are lower.

[Evaluation of economic forest ecosystem services in China].

PubMed

Wang, Bing; Lu, Shao-Wei

2009-02-01

This paper quantitatively evaluated the economic forest ecosystem services in the provinces of China in 2003, based on the long-term and continuous observations of economic forest ecosystems in this country, the sixth China national forest resources inventory data, and the price parameter data from the authorities in the world, and by applying the law of market value, the method of substitution of the expenses, and the law of the shadow project. The results showed that in 2003, the total value of economic forest ecosystem services in China was 11763.39 x 10(8) yuan, and the total value of the products from economic forests occupied 19.3% of the total ecosystem services value, which indicated that the economic forests not only provided society direct products, but also exhibited enormous eco-economic value. The service value of the functions of economic forests was in the order of water storage > C fixation and O2 release > biodiversity conservation > erosion control > air quality purification > nutrient cycle. The spatial pattern of economic forest ecosystem services in the provinces of China had the same trend with the spatial distribution of water and heat resources and biodiversity. To understand the differences of economic forest ecosystem services in the provinces of China was of significance in alternating the irrational arrangement of our present forestry production, diminishing the abuses of forest management, and establishing high grade, high efficient, and modernized economic forests.

A synoptic approach for analyzing erosion as a guide to land-use planning

USGS Publications Warehouse

Brown, William M.; Hines, Walter G.; Rickert, David A.; Beach, Gary L.

1979-01-01

A synoptic approach has been devised to delineate the relationships that exist' between physiographic factors, land-use activities, and resultant erosional problems. The approach involves the development of an erosional-depositional province map and a numerical impact matrix for rating the potential for erosional problems. The province map is prepared by collating data on the natural terrain factors that exert the dominant controls on erosion and deposition in each basin. In addition, existing erosional and depositional features are identified and mapped from color-infrared, high-altitude aerial imagery. The axes of the impact matrix are composed of weighting values for the terrain factors used in developing the map and by a second set of values for the prevalent land-use activities. The body of the matrix is composed of composite erosional-impact ratings resulting from the product of the factor sets. Together the province map and problem matrix serve as practical tools for estimating the erosional impact of human activities on different types of terrain. The approach has been applied to the Molalla River basin, Oregon, and has proven useful for the recognition of problem areas. The same approach is currently being used by the State of Oregon (in the 208 assessment of nonpoint-source pollution under Public Law 92-500) to evaluate the impact of land-management practices on stream quality.

Biogeography of dinoflagellate cysts in northwest Atlantic ...

EPA Pesticide Factsheets

Few biogeographic studies of dinoflagellate cysts include the near-shore estuarine environment. We determine the effect of estuary type, biogeography, and water quality on the spatial distribution of organic-walled dinoflagellate cysts from the Northeast USA (Maine to Delaware) and Canada (Prince Edward Island). A total of 69 surface sediment samples were collected from 27 estuaries, from sites with surface salinities >20. Dinoflagellate cysts were examined microscopically and compared to environmental parameters using multivariate ordination techniques. The spatial distribution of cyst taxa reflects biogeographic provinces established by other marine organisms, with Cape Cod separating the northern Acadian Province from the southern Virginian Province. Species such as Lingulodinium machaerophorum and Polysphaeridinium zoharyi were found almost exclusively in the Virginian Province, while others such as Dubridinium spp. and Islandinium? cezare were more abundant in the Acadian Province. Tidal range, sea surface temperature (SST), and sea surface salinity (SSS) are statistically significant parameters influencing cyst assemblages. Samples from the same type of estuary cluster together in canonical correspondence analysis when the estuaries are within the same biogeographic province. The large geographic extent of this study, encompassing four main estuary types (riverine, lagoon, coastal embayment, and fjord), allowed us to determine that the type of estuary has

Study on the total amount control of atmospheric pollutant based on GIS.

PubMed

Wang, Jian-Ping; Guo, Xi-Kun

2005-08-01

To provide effective environmental management for total amount control of atmospheric pollutants. An atmospheric diffusion model of sulfur dioxide on the surface of the earth was established and tested in Shantou of Guangdong Province on the basis of an overall assessment of regional natural environment, social economic state of development, pollution sources and atmospheric environmental quality. Compared with actual monitoring results in a studied region, simulation values fell within the range of two times of error and were evenly distributed in the two sides of the monitored values. Predicted with the largest emission model method, the largest emission of sulfur dioxide would be 54,279.792 tons per year in 2010. The mathematical model established and revised on the basis of GIS is more rational and suitable for the regional characteristics of total amount control of air pollutants.

Strategies for implementing Health-Promoting Schools in a province in China.

PubMed

Aldinger, Carmen; Zhang, Xin-Wei; Liu, Li-Qun; Guo, Jun-Xiang; Yu Sen Hai; Jones, Jack

2008-01-01

After successful pilot projects in 10 schools (four schools with tobacco control and six schools with nutrition interventions, plus 10 control schools), Health and Education officials in Zhejiang Province, China, decided to scale up Health-Promoting Schools (HPS) systematically over the entire province, starting with an initial cohort of 51 additional schools, reaching from primary to vocational schools. Interviews with school personnel during the first phase of scaling up illuminated the key pre-implementation, implementation, and monitoring and evaluation activities. Pre-implementation activities included choosing an entry point, setting up a special HPS committee, and establishing a work plan. Implementation activities included conducting mobilization meetings, prioritizing health, popularizing the HPS concept, ensuring community cooperation and participation, acting as role models, offering training, and using new teaching and learning methods. Monitoring and evaluation activities included process, baseline, and final evaluations and changing standards of evaluation to a more holistic evaluation that schools go through to become Health-Promoting Schools. Schools also reported that they faced - and overcame - a number of challenges including understanding and integrating the HPS concept and lack of professional development and support. Results revealed that schools transitioned from a passive model of education to interactive pedagogy put priority on health and viewed it as a co-responsibility, reshaped assessment to a more holistic approach and called for more training and technical support. Participants mentioned that they gained knowledge and skills and developed a deeper understanding about health. Health impact was also demonstrated, for instance in reduced injuries and reduced smoking, and educational impact was demonstrated, for instance in improved relationships of children to parents and teachers, improved social qualities, and improved teacher satisfaction.

Functional Classification of Natural Resources for Valuing Natural Resources in Korea

NASA Astrophysics Data System (ADS)

Choi, H.; Lee, W.; Kwak, H.

2013-12-01

The ecosystem services concept emphasizes not only regulating services, but also supporting, provisioning, and cultural/social services according to the Millennium Ecosystem Assessment (MA). While the spatial and quantifying of ecosystem services is becoming increasingly recognized for natural resources conservation, however, due to methodological challenges, ecosystem services quantification is rarely considered in Republic of Korea (ROK). This study matches appropriate indicators, data and mapping for describing respective states, quantification and ecosystem valuation. The results were analyzed with statistical and GIS-based techniques. We classified the ecosystem services function based on reference to the literature, interviews and a modified approach compared to the MA, the Economics of Ecosystems and Biodiversity (TEEB). For quantifying values, we subdivided land cover types using ecological features and normalized numerical information of provisioning services, regulating services and cultural services. Resulting hotspots of ecosystem services are related to landscape features and land cover types in ROK. The mapping results show hotspots of ecosystem services where high level of ecosystem services is distributed - around Baekdudaegan protected area (Gangwon, Gyeongbuk Province, Chungbuk, Jeonam Province). n addition, the results of our study show that ecosystem services function - especially, fostering water resources, erosion control, air quality and pollution control in terrestrial ecosystems - can contribute to planning management policy for ecosystem based management at regional scale.

Complex genetic structure of the rabies virus in Bangkok and its surrounding provinces, Thailand: implications for canine rabies control.

PubMed

Lumlertdacha, Boonlert; Wacharapluesadee, Supaporn; Denduangboripant, Jessada; Ruankaew, Nipada; Hoonsuwan, Wirongrong; Puanghat, Apirom; Sakarasaeranee, Plyyonk; Briggs, Deborrah; Hemachudha, Thiravat

2006-03-01

Dog vaccination and population management have been suggested as priorities in attempts at disease control in canine rabies-endemic countries. Budget limitations and the complexity of social, cultural and religious variables have complicated progress in the developing world. In Bangkok, Thailand, an intensive canine vaccination and sterilization programme has been in place since November 2002. Our objective was to determine if the rabies virus could be mapped according to its genetic variations and geographical location on the small localized scale of Bangkok and its surrounding provinces. Phylogenetic characterization of 69 samples from Bangkok and five neighbouring and two remote provinces, by limited sequence analysis of the rabies virus nucleoprotein gene, distinguished six different clades. Rabies viruses of four clades were intermixed in Bangkok and in the surrounding highly populated regions whereas the other two clades were confined to rural and less populated provinces. Such a complex pattern of gene flow, particularly in Bangkok, may affect the outcome of canine control programmes.

Differential mortality in Iran.

PubMed

Khosravi, Ardeshir; Taylor, Richard; Naghavi, Mohsen; Lopez, Alan D

2007-07-28

Among the available data provided by health information systems, data on mortality are commonly used not only as health indicators but also as socioeconomic development indices. Recognizing that in Iran accurate data on causes of death were not available, the Deputy of Health in the Ministry of Health and Medical Education (MOH&ME) established a new comprehensive system for death registration which started in one province (Bushehr) as a pilot in 1997, and was subsequently expanded to include all other provinces, except Tehran province. These data can be used to investigate the nature and extent of differences in mortality in Iran. The objective of this paper is to estimate provincial differences in the level of mortality using this death registration system. Data from the death registration system for 2004 for each province were evaluated for data completeness, and life tables were created for provinces after correction for under-enumeration of death registration. For those provinces where it was not possible to adjust the data on adult deaths by using the Brass Growth Balance method, adult mortality was predicted based on adult literacy using information from provinces with reliable data. Child mortality (risk of a newborn dying before age 5, or 5q0) in 2004 varied between 47 per 1000 live births for both sexes in Sistan and Baluchistan province, and 25 per 1000 live births in Tehran and Gilan provinces. For adults, provincial differences in mortality were much greater for males than females. Adult mortality (risk of dying between ages 15 and 60, or 45q15) for females varied between 0.133 in Kerman province and 0.117 in Tehran province; for males the range was from 0.218 in Kerman to 0.149 in Tehran province. Life expectancy for females was highest in Tehran province (73.8 years) and lowest in Sistan and Baluchistan (70.9 years). For males, life expectancy ranged from 65.7 years in Sistan and Baluchistan province to 70.9 years in Tehran. Substantial differences in survival exist among the provinces of Iran. While the completeness of the death registration system operated by the Iranian MOH&ME appears to be acceptable in the majority of provinces, further efforts are needed to improve the quality of data on mortality in Iran, and to expand death registration to Tehran province.

Environmental setting and water-quality issues of the Mobile River Basin, Alabama, Georgia, Mississippi, and Tennessee

USGS Publications Warehouse

Johnson, Gregory C.; Kidd, Robert E.; Journey, Celeste A.; Zappia, Humbert; Atkins, J. Brian

2002-01-01

The Mobile River Basin is one of over 50 river basins and aquifer systems being investigated as part of the U.S. Geological Survey National Water-Quality Assessment (NAWQA) Program. This basin is the sixth largest river basin in the United States, and fourth largest in terms of streamflow, encompassing parts of Alabama, Georgia, Mississippi, and Tennessee. Almost two-thirds of the 44,000-square-mile basin is located in Alabama. Extensive water resources of the Mobile River Basin are influenced by an array of natural and cultural factors. These factors impart unique and variable qualities to the streams, rivers, and aquifers providing abundant habitat to sustain the diverse aquatic life in the basin. Data from Federal, State, and local agencies provide a description of the environmental setting of the Mobile River Basin. Environmental data include natural factors such as physiography, geology, soils, climate, hydrology, ecoregions, and aquatic ecology, and human factors such as reservoirs, land use and population change, water use, and water-quality issues. Characterization of the environmental setting is useful for understanding the physical, chemical, and biological characteristics of surface and ground water in the Mobile River Basin and the possible implications of that environmental setting for water quality. The Mobile River Basin encompasses parts of five physiographic provinces. Fifty-six percent of the basin lies within the East Gulf section of the Coastal Plain Physiographic Province. The remaining northeastern part of the basin lies, from west to east, within the Cumberland Plateau section of the Appalachian Plateaus Physiographic Province, the Valley and Ridge Physiographic Province, the Piedmont Physiographic Province, and the Blue Ridge Physiographic Province. Based on the 1991 land-use data, about 70 percent of the basin is forested, while agriculture, including livestock (poultry, cattle, and swine), row crops (cotton, corn, soybeans, sorghum, and wheat), and pasture land accounts for about 26 percent of the study unit. Agricultural land use is concentrated along the Black Prairie Belt district of the Coastal Plain. Urban areas account for only 3 percent of the total land use; however, the areal extent of the metropolitan statistical areas (MSA) may indicate more urban influences. The MSAs include urban areas outside of the city boundaries and can include adjacent counties. Seven MSAs are delineated in the Mobile River Basin, including Montgomery, Mobile, Tuscaloosa, Birmingham, Gadsden, Anniston, and Atlanta. The total population for the Mobile River Basin was about 3,673,100 in 1990. State water-quality agencies have identified numerous causes and sources of water-body impairment in the Mobile River Basin. In 1996, organic enrichment, dissolved oxygen depletion, elevated nutrient concentrations, and siltation were the most frequently cited causes of impairment, affecting the greatest number of river miles. Bacteria, acidic pH, and elevated metal concentrations also were identified as causes of impairment. The sources for impairment varied among river basins, were largely a function of land use, and were attributed primarily to municipal and industrial sources, mining, and agricultural activities.

Dimensions of Quality in Teacher Education: Perception and Practices of Teacher Educators in the Universities of Sindh, Pakistan

ERIC Educational Resources Information Center

Sahito, Zafarullah; Vaisanen, Pertti

2017-01-01

This study was conducted to explore the dimensions of quality education in teacher education departments at universities of Sindh province of Pakistan. The qualitative research approach was employed for data collection and then analysed through thematic-narrative analysis technique. The total eight dimensions of quality were found, as two were…

Economic evaluation of a 100% smoke-free law on the hospitality industry in an Argentinean province.

PubMed

Candioti, Carlos; Rossini, Gustavo; Depetris de Guiguet, Edith; Costa, Oscar; Schoj, Verónica

2012-06-01

To assess the economic impact of a 100% smoke-free law on bars and restaurants in an Argentinean province. We conducted a time series analysis of restaurant and bar revenues in the province of Santa Fe 31 months before and 29 months after the implementation of the 100% smoke-free environment law. The neighboring province of Entre Rios without smoking restrictions at the time of this study, was used as the control province. Average taxable revenues post-legislation in the province of Santa Fe as a whole and in the two most important cities were higher when compared to the total provincial revenue pre-legislation. No significant differences were observed with the total revenue from the province of Entre Rios. We found no statistically significant evidence that the 100% smoke-free environment legislation in the province of Santa Fe, Argentina, had a negative impact on the revenues of local bars and restaurants.

A quality improvement plan for hypertension control: the INCOTECA Project (INterventions for COntrol of hyperTEnsion in CAtalonia)

PubMed Central

Vallès-Fernandez, Roser; Rosell-Murphy, Magdalena; Correcher-Aventin, Olga; Mengual-Martínez, Lucas; Aznar-Martínez, Núria; Prieto-De Lamo, Gemma; Franzi-Sisó, Alícia; Puig-Manresa, Jordi; Ma Bonet-Simó, Josep

2009-01-01

Background Different studies have shown insufficient blood pressure (BP) control in hypertensive patients. Multiple factors influence hypertension management, and the quality of primary care is one of them. We decided therefore to evaluate the effectiveness of a quality improvement plan directed at professionals of Primary Health Care Teams (PHCT) with the aim to achieve a better control of hypertension. The hypothesis of the study is that the implementation of a quality improvement plan will improve the control of hypertension. The primary aim of this study will be to evaluate the effectiveness of this plan. Methods and design Design: multicentric study quasi-experimental before – after with control group. The non-randomised allocation of the intervention will be done at PHCT level. Setting: 18 PHCT in the Barcelona province (Spain). Sample: all patients with a diagnosis of hypertension (population based study). Exclusion criteria: patients with a diagnosis of hypertension made later than 01/01/2006 and patients younger than 18 years. Intervention: a quality improvement plan, which targets primary health care professionals and includes educational sessions, feedback to health professionals, audit and implementation of recommended clinical practice guidelines for the management of hypertensive patients. Measurements: age, sex, associated co-morbidity (diabetes mellitus type I and II, heart failure and renal failure). The following variables will be recorded: BP measurement, cardiovascular risk and antihypertensive drugs used. Results will be measured before the start of the intervention and twelve months after the start of the study. Dependent variable: prevalence of hypertensive patients with poor BP control. Analysis: Chi-square test and Student's t-test will be used to measure the association between independent qualitative and quantitative variables, respectively. Non-parametric tests will be used for the analysis of non-normally distributed variables. Significance level (α) will be set at < 0.05. Outcomes will be analysed on an intention-to-treat basis. Discussion The implementation of a quality improvement plan might benefit the coordination of different professionals of PHCTs and may also improve blood pressure control. Trial Registration This protocol has been registered at clinicaltrials.gov with the ID number MS: 1998275938244441. PMID:19321009

Health-Related Quality of Life and Preferred Health-Seeking Institutions among Rural Elderly Individuals with and without Chronic Conditions: A Population-Based Study in Guangdong Province, China

PubMed Central

Zhou, Zhiheng; Wang, Caixia; Yang, Huajie; Wang, Xiang; Zheng, Chanjiao; Wang, Jiaji

2014-01-01

The aim of this study was to examine health-related quality of life (HRQL) as measured by SF-36 and to identify these factors and the preferred health-seeking institutions of 12,800 persons aged 60 and older with and without chronic conditions in rural areas of Guangdong Province by multistage stratified cluster sampling method. HRQL among rural elderly subjects with chronic conditions was lower than that of elderly subjects with no chronic conditions. Multiple linear regression showed that marital status, living with children, cardiovascular disease, osteoporosis, cataract disease, and mental disease were the main affecting factors of HRQL. The main preferred health-seeking institutions selected by the rural elderly were community/town health service institutions, district hospitals, or secondary hospitals. Our findings indicate that the elderly in rural areas of Guangdong Province have a poor HRQL and incorrect health-seeking pathway. The healthcare policymakers should emphasize the need of developing effective and targeted community services strategies to improve the elderly individuals' HRQL in rural areas of China. PMID:24949425

Research on Time Selection of Mass Sports in Tibetan Areas Plateau of Gansu Province Based on Environmental Science

NASA Astrophysics Data System (ADS)

Gao, Jike

2018-01-01

Through using the method of literature review, instrument measuring, questionnaire and mathematical statistics, this paper analyzed the current situation in Mass Sports of Tibetan Areas Plateau in Gansu Province. Through experimental test access to Tibetan areas in gansu province of air pollutants and meteorological index data as the foundation, control related national standard and exercise science, statistical analysis of data, the Tibetan plateau, gansu province people participate in physical exercise is dedicated to providing you with scientific methods and appropriate time.

The Effectiveness of the School Performance, by Using the Total Quality Standards within the Education District of Al-Petra Province, from the Perspective of the Public Schools Principals and Teachers

ERIC Educational Resources Information Center

Alobiedat, Ahmad

2011-01-01

This study aimed to detect the level of appreciation by the school principals, teachers and the Education District, for the effectiveness of school performance, within different variables of the study from the perspective of public school principals and teachers of Al-Petra province, for the academic year 2008/2009. The study aimed to answer the…

Analysis on the relationship between economic development and water environment pollution in Shandong province

NASA Astrophysics Data System (ADS)

Liu, Yi; Zhang, Zhengxian

2018-02-01

With the continuous development of the economy of the Shandong Province watershed, a large number of pollutant emission, resulting in water quality of the basin has undergone significant changes. To study the Shandong Province watershed economic development and the relationship between the discharge of pollutants, in this paper, the relationship between economic growth and pollutant emissions in the Shandong Province watershed was established by Shandong Province watershed in 2002-2015 per capita GDP and wastewater, COD, ammonia nitrogen(AN) pollutant emissions. The data were analyzed by software such as SPSS, and the cubic equation model between various pollutants and economic indexes was fitted. To further make the relationship between pollutants and economic development map to study the conventional pollutant emissions and economic development trends. It is found that only the relationship between industrial wastewater discharge and per capita GDP is most coordinated, that is, industrial wastewater emissions with the continuous development of the basin economy, showing a tendency to rise first and then fall. Finally, ultimately based on the results of the study of the water environment and economic development proposals were proposed.

Evaluation of health care system reform in Hubei Province, China.

PubMed

Sang, Shuping; Wang, Zhenkun; Yu, Chuanhua

2014-02-21

This study established a set of indicators for and evaluated the effects of health care system reform in Hubei Province (China) from 2009 to 2011 with the purpose of providing guidance to policy-makers regarding health care system reform. The resulting indicators are based on the "Result Chain" logic model and include the following four domains: Inputs and Processes, Outputs, Outcomes and Impact. Health care system reform was evaluated using the weighted TOPSIS and weighted Rank Sum Ratio methods. Ultimately, the study established a set of indicators including four grade-1 indicators, 16 grade-2 indicators and 76 grade-3 indicators. The effects of the reforms increased year by year from 2009 to 2011 in Hubei Province. The health status of urban and rural populations and the accessibility, equity and quality of health services in Hubei Province were improved after the reforms. This sub-national case can be considered an example of a useful approach to the evaluation of the effects of health care system reform, one that could potentially be applied in other provinces or nationally.

Spatial pattern characteristics of water footprint for maize production in Northeast China.

PubMed

Duan, Peili; Qin, Lijie; Wang, Yeqiao; He, Hongshi

2016-01-30

Water footprint (WF) methodology is essential for quantifying total water consumption of crop production and making efficient water management policies. This study calculated the green, blue, grey and total WFs of maize production in Northeast China from 1998 to 2012 and compared the values of the provinces. This study also analyzed the spatial variation and structure characteristics of the WFs at the prefecture level. The annual average WF of maize production was 1029 m(3) per ton, which was 51% green, 21% blue and 28% grey. The WF of maize production was highest in Liaoning Province, moderate in Heilongjiang Province and lowest in Jilin Province. The spatial differences of the WFs calculated for the 36 major maize production prefectures were significant in Northeast China. There was a moderate positive spatial autocorrelation among prefectures that had similar WFs. Local indicator of spatial autocorrelation index (LISA) analysis identified prefectures with higher WFs in the southeast region of Liaoning Province and the southwest region of Heilongjiang Province and prefectures with lower WFs in the middle of Jilin Province. Spatial differences in the WF of maize production were caused mainly by variations in climate conditions, soil quality, irrigation facilities and maize yield. The spatial distribution of WFs can help provide a scientific basis for optimizing maize production distribution and then formulate strategies to reduce the WF of maize production. © 2015 Society of Chemical Industry.

Algal Data from Selected Sites in the Upper Colorado River Basin, Colorado, Water Years 1996-97

USGS Publications Warehouse

Mize, Scott V.; Deacon, Jeffrey R.

2001-01-01

Algal community samples were collected at 15 sites in the Upper Colorado River Basin in Colorado as part of the National Water-Quality Assessment Program during water years 1996-97. Sites sampled were located in two physiographic provinces, the Southern Rocky Mountains and the Colorado Plateaus, and represented agricultural, mining, urban, and mixed land uses and background conditions. Algal samples were collected once per year during low-flow conditions. Quantitative algal samples were collected within two targeted instream habitat types including a taxonomically richest-targeted habitat and a depositional-targeted habitat. This report presents the algal community data collected at the fixed sites in the Upper Colorado River Basin study unit. Algal data include densities (abundance of cells per square centimeter of substrate) and biovolumes (cubic micrometers of cells per square centimeter of substrate) for the two habitat types. Quality-assurance and quality-control results for algal samples indicate that the largest sampling variability tends to occur in samples from small streams.

Effects of phosphate mining on the ground water of Anguar, Palau Islands, Trust Territory of the Pacific Islands

USGS Publications Warehouse

Arnow, Ted

1961-01-01

Mining of phosphate ore on Angaur Island by mechanized methods created large water-table lakes, which became filled with brackish or saline water. A hydrologic investigation was started in 1949 to determine whether the saline water in the lakes would spread to surrounding areas and cause damage to agricultural lands and the water supply. Angaur, which is in the Palau Islands in the southwestern part of Micronesia, is administered as part of the Trust Territory of the Pacific Islands, under a trusteeship granted to the United States by the United Nations. The island has an area of 3.2 square miles and has a maximum altitude of about 150 feet. The climate is tropical oceanic. The average annual temperature is 82 ? F; the average annual rainfall is about 125 inches; and the average relative humidity is about 80 percent. The northwestern third of Angaur (province A) consists topographically of a series of concentric ridges and depressions which are underlain largely by well-cemented coralline limestone of Pliocene, Pleistocene, and Recent ages. The remaining two-thirds of Angaur (province B} is a low plain underlain in the northern and central parts by a low platform of coralline rubble of Pleistocene and Recent age and in the southern part by sandy and rubbly beach deposits of Recent age. Province A contained extensive phosphate deposits of which more than 3 million tons were mined in 1909-55. Weekly water-level measurements at 35 wells, test holes, and lakes indicate that the water table averages about 2 feet above mean sea level in the beach deposits, about half a foot above mean sea level in the rubble deposits, and about 1.35 feet above mean sea level in the coralline limestone. Water samples obtained weekly at the observation sites indicate that the ground water in province A is not of uniform quality, as large variations in salinity occur throughout the area. In contrast, the ground water in province B is of relatively uniform quality, and contains less than 1,000 ppm (parts per million) of chloride in most places. In province A removal of earthy phosphate which had acted as a seal allowed the infiltration of saline water through solution channels exposed at the bottom of several of the lakes. The sampling program showed no indication of large-scale movement of saline water out of the lakes into adjacent ground water. Provinces A and B apparently function as independent ground-water units, and the quality of the ground water in province B has not been noticeably affected by mining activities in province A. The lakes were backfilled with limestone rubble to reduce the possibility of underground movement of saline water out of the lakes. The gross permeability of the backfill material is less than that of the surrounding limestone in province A, and, as the rate of influx of saline water was curtailed, the recharge of fresh water from rainfall tended to reduce the salinity of the ground water in the fill. In parts of the backfilled area the salinity of the water at the water table decreased rapidly in less than 1 year, as a layer of fresh water was built up at the water table.

Control of cutaneous leishmaniasis caused by Leishmania major in south-eastern Morocco.

PubMed

Bennis, Issam; De Brouwere, Vincent; Ameur, Btissam; El Idrissi Laamrani, Abderrahmane; Chichaoui, Smaine; Hamid, Sahibi; Boelaert, Marleen

2015-10-01

The incidence of cutaneous leishmaniasis (CL) caused by Leishmania major has increased in Morocco over the last decade, prompting the Ministry of Health to take intersectoral response measures including vector and reservoir control. The aim of this article was to describe the CL outbreak response measures taken in the province of Errachidia, where the reservoir of L. major, a sand rat (Meriones shawi), was targeted using strychnine-poisoned wheat baits from 2010 to 2012. We analysed routine surveillance data and other information using the data of the CL control programme. We present data on the evolution and the extension of CL in this province as well as the epidemiological profile of the disease. Between 2004 and 2013, 7099 cases of CL were recorded in Errachidia Province, gradually affecting all districts. Our results demonstrate that more women were affected than men and that all age groups were represented. Errachidia Province was the epicentre of the recent CL outbreak in Morocco. A notable decline in incidence rates was observed after 2011. The outbreak control measures may have contributed to this decline, as well as climatic trends or progressing herd immunity. © 2015 John Wiley & Sons Ltd.

Patient-Centred Innovations for Persons with Multimorbidity: funded evaluation protocol.

PubMed

Stewart, Moira; Fortin, Martin

2017-05-09

The high prevalence of multimorbidity necessitates rethinking of the health care system. The overarching goal of the Patient-Centred Innovations for Persons with Multimorbidity program is to build on existing structures and find and evaluate patient-centred innovations relevant to multimorbidity. We describe the protocol for a proposed multijurisdictional (Quebec and Ontario) concurrent triangulation mixed-methods study. In both provinces, a qualitative descriptive study will be used to explore innovations in patient-centred multimorbidity care. Two randomized controlled trials, 1 in either province, will evaluate the innovations in a wait-list-controlled design using patient-reported outcomes. An additional control group, matched on age, sex, enrolment/index date (± 3 mo) and propensity score, will be created with the use of health administrative data. Patients will be 18-80 years of age and will have 3 or more chronic conditions. The innovations will have elements of relevance to multimorbidity care, patient-centred partnerships and integration of care. The primary outcome measures will be 2 patient-reported outcomes: patient education and self-efficacy. Secondary outcomes will include patient-reported health status, quality of life, psychological distress and health behaviours, and costs of care. This protocol describes a mixed-method study in 2 jurisdictions. The studies will answer the questions of what innovations work and how they work for patients, health care professionals and policy-makers. Trial registration: ClinicalTrials.gov, no NCT02789800 (Quebec Trial), NCT02742597 (Ontario Trial). Copyright 2017, Joule Inc. or its licensors.

A model for interprovincial air pollution control based on futures prices.

PubMed

Zhao, Laijun; Xue, Jian; Gao, Huaizhu Oliver; Li, Changmin; Huang, Rongbing

2014-05-01

Based on the current status of research on tradable emission rights futures, this paper introduces basic market-related assumptions for China's interprovincial air pollution control problem. The authors construct an interprovincial air pollution control model based on futures prices: the model calculated the spot price of emission rights using a classic futures pricing formula, and determined the identities of buyers and sellers for various provinces according to a partitioning criterion, thereby revealing five trading markets. To ensure interprovincial cooperation, a rational allocation result for the benefits from this model was achieved using the Shapley value method to construct an optimal reduction program and to determine the optimal annual decisions for each province. Finally, the Beijing-Tianjin-Hebei region was used as a case study, as this region has recently experienced serious pollution. It was found that the model reduced the overall cost of reducing SO2 pollution. Moreover, each province can lower its cost for air pollution reduction, resulting in a win-win solution. Adopting the model would therefore enhance regional cooperation and promote the control of China's air pollution. The authors construct an interprovincial air pollution control model based on futures prices. The Shapley value method is used to rationally allocate the cooperation benefit. Interprovincial pollution control reduces the overall reduction cost of SO2. Each province can lower its cost for air pollution reduction by cooperation.

[HPLC fingerprint chromatogram analysis of some Taraxacum in Henan province].

PubMed

Li, Xi-Feng; Shi, Hui-Min; Xu, Min; Meng, Lu

2008-10-01

To analyze the HPLC fingerprint chromatogram of some Taraxacum in Henan. Samples of different species, producing areas, harvest seasons and medicinal parts were determined by RP-HPLC. The chromatogram was evaluated by software of evaluating similarity. The components of different species in Taraxacum were the same and could be substituted for each other. The contents of coffeic acid and chlorogenic acid in different producing areas were very different,which in fecund soil was better. The period of flowering and fruiting in Spring was the best gather period, and the components in different parts were different. The quality of medicinal materal within Taraxacum should be controlled better by this method.

Ceramic water filters impregnated with silver nanoparticles as a point-of-use water-treatment intervention for HIV-positive individuals in Limpopo Province, South Africa: a pilot study of technological performance and human health benefits.

PubMed

Abebe, Lydia Shawel; Smith, James A; Narkiewicz, Sophia; Oyanedel-Craver, Vinka; Conaway, Mark; Singo, Alukhethi; Amidou, Samie; Mojapelo, Paul; Brant, Julia; Dillingham, Rebecca

2014-06-01

Waterborne pathogens present a significant threat to people living with the human immunodeficiency virus (PLWH). This study presents a randomized, controlled trial that evaluates whether a household-level ceramic water filter (CWF) intervention can improve drinking water quality and decrease days of diarrhea in PLWH in rural South Africa. Seventy-four participants were randomized in an intervention group with CWFs and a control group without filters. Participants in the CWF arm received CWFs impregnated with silver nanoparticles and associated safe-storage containers. Water and stool samples were collected at baseline and 12 months. Diarrhea incidence was self-reported weekly for 12 months. The average diarrhea rate in the control group was 0.064 days/week compared to 0.015 days/week in the intervention group (p < 0.001, Mann-Whitney). Median reduction of total coliform bacteria was 100% at enrollment and final collection. CWFs are an acceptable technology that can significantly improve the quality of household water and decrease days of diarrhea for PLWH in rural South Africa.

[Investigation on the current status of oral health care in the disease controls system in Sichuan Province].

PubMed

Zhuo, Wang; Ying, Deng; Wei, Yin; Xiaoxia, Liu; Yujin, He; Jun, He

2015-04-01

To analyze the status and characteristics of dental manpower in the center for disease controls (CDC) in Sichuan Province and to provide more evidence for strengthening the oral healthcare workforce in the CDC system. A mass survey on dental manpower was made in CDCs in Sichuan Province through questionnaire investigation. Data were collected and entered with the Epidemiological Dynamic Data Collection (EDDC) platform and analyzed with SPSS 13.0 software. Sichuan Province had 0.15 hospitals providing oral health services and 0.38 dentists on average per 10,000 people. About 65.53% (135/206) of the CDCs had one department responsible for the oral health service. However, oral health care personnel comprised only 2.23% (237/10,624) of the personnel of the whole CDC system. About 64.67% (119/184) of county CDCs and 47.62% (10/21) of city CDCs knew well the dental health status of local residents. Less than 5% of the CDCs used the data and assisted in the policy making of public health administrators. The dental care personal deficit exists in the CDC system in Sichuan Province. The distribution and composition of dental manpower are not reasonable. The oral health service ability of CDCs in Sichuan Province should be strengthened and improved.

Control of climate and Tethyan legacy on distribution of Paleocene–Eocene gastropods and establishment of the Northern Tropical Realm

NASA Astrophysics Data System (ADS)

Das, Shrestha; Halder, Kalyan

2018-06-01

Palaeobiogeographical distribution of gastropod genera from the Paleocene and the Eocene has been analysed. Based on this distribution, formal palaeobiogeographical provinces have been established and their relationships are sought. It has been found that the provinces were largely restricted to the palaeo-tropics and subtropics mainly of the northern hemisphere and they share a large proportion of their generic composition. The Northern Tropical Realm has been established to include these provinces. The distribution evinces presence of ocean surface currents in the tropics across longitudes. The possible currents moved through the relict Tethys Ocean, across the Atlantic Ocean and perhaps also across the Pacific. However, planktotrophic larvae of these benthic molluscs could not cross the deep ocean barrier that lay between the Northern Tropical Realm and the Austro-New Zealand Province of the southern hemisphere. The gastropod fauna in the latter province evolved independently. Distribution of all the provinces within palaeo-tropics and subtropics indicates strong control of temperature over it. Paleocene-Eocene Thermal Maximum appears to be responsible for extinction and range contraction of high latitude faunas. Low latitude faunas also suffered significant extinction. However, large diversification in the Eocene was a response to widespread transgression that coincided with the thermal event.

Self-Regulation with Rules: Lessons Learned from a New Quality Assurance Process for Ontario

ERIC Educational Resources Information Center

Lang, Daniel W.

2015-01-01

Purpose: The purpose of this paper is to discuss how the province over time has addressed problems that are generic to many jurisdictions in assuring quality -- level of aggregation, pooling, definition of new and continuing programs, scope of jurisdiction, role of governors, performance indicators, relationship to accreditation, programs versus…

Strengthening of national capacity in implementation of antimalarial drug quality assurance in Thailand.

PubMed

Vijaykadga, Saowanit; Cholpol, Sawat; Sitthimongkol, Saipin; Pawaphutanan, Anusorn; Pinyoratanachot, Arunya; Rojanawatsirivet, Chaiporn; Kovithvattanapong, Rojana; Thimasarn, Krongthong

2006-01-01

Substandard and counterfeit pharmaceutical products, including antimalarial drugs, appear to be widespread internationally and affect both the developing and developed countries. The aim of the study was to investigate the quality of antimalarial drugs, ie, artesunate (ART), chloroquine (CHL), mefloquine (MEF), quinine (QUI), sulfadoxine/pyrimethamine (S/P) and tetracycline (TT) obtained from the government sector and private pharmacies in 4 Thai provinces: Mae Hong Son, Kanchanaburi, Ranong, and Chanthaburi. Three hundred sixty-nine samples of 6 antimalarial drugs from 27 government hospitals, 27 malaria clinics, and 53 drugstores, were collected. Drug quality was assessed by simple disintegration test and semi-quantitative thin-layer chromatography in each province; 10% passed, 100% failed and doubtful samples were sent to be verified by high performance liquid chromatography (HPLC) at the Thai National Drug Analysis Laboratory, (NL). Fifteen point four percent of ART, 11.1% of CHL and 29.4% of QUI were substandard. Based on the finding, drug regulatory authorities in the country took appropriate action against violators to ensure that antimalarial drugs consumed by malaria patients are of good quality.

Achievement of the World Bank loan project on schistosomiasis control (1992-2000) in Hubei province and the challenge in the future.

PubMed

Changsong, Sun; Binggui, Yu; Hongyi, Liao; Yuhai, Dai; Xu, Xingjian; Huiguo, Zhu; Yong, Jiang

2002-05-01

Since the World Bank provided a loan for control of schistosomiasis in China, started from 1992, with the objective of a reduction of prevalence and intensity of the infection both in humans and animals by 40%, through mass chemotherapy in areas of high prevalence, and selective chemotherapy in areas with medium and low endemicity together with focal mollusciciding, the objective of morbidity control of the project has been reached in Hubei Province.

Seasonal and spatial variations of source and drinking water quality in small municipal systems of two Canadian regions.

PubMed

Scheili, A; Rodriguez, M J; Sadiq, R

2015-03-01

A one-year sampling program covering twenty-five small municipal systems was carried out in two Canadian regions to improve our understanding of the variability of water quality in small systems from water source to the end of the distribution system (DS). The database obtained was used to develop a global portrait of physical, chemical and microbiological water quality parameters. More precisely, the temporal and the spatial variability of these parameters were investigated. We observed that the levels of natural organic matter (NOM) were variable during different seasons, with maxima in the fall for both provinces. In the regions under study, the highest trihalomethane (THM) and haloacetic acid (HAA) levels were achieved in warmer seasons (summer, fall), as observed in previous studies involving large systems. Observed THM and HAA levels were three times higher in systems in the province of Newfoundland & Labrador than in the province of Quebec. Taste and odor indicators were detected during the summer and fall, and higher heterotrophic plate count (HPC) levels were associated with lower free chlorine levels. To determine spatial variations, stepwise statistical analysis was used to identify parameters and locations in the DS that act as indicators of drinking water quality. As observed for medium and large systems, free chlorine consumption, THM and HAA levels were dependent on their location in the DS. We also observed that the degradation of HAAs is more important in small systems than in medium or large DS reported in the literature, and this degradation can occur from the beginning of the DS. The results of this research may contribute to providing precious information on drinking water quality to small system operators and pave the way for several opportunities to improve water quality management. Copyright © 2014 Elsevier B.V. All rights reserved.

Relationships between soil heavy metal pollution and enzyme activities in mining areas of northern Hunan province, Central South China

NASA Astrophysics Data System (ADS)

Hu, Xue-Feng; Jiang, Ying; Shu, Ying

2014-05-01

Hunan province, Central South China, is a well-known nonferrous metal base in China. Mine exploiting and processing there, however, often lead to heavy metal pollution of farmland. To study the effects of mining activities on the soil environmental quality, four representative paddy fields, the HSG, SNJ, NT and THJ, in Y county, northern Hunan province, were investigated. It was found that the streams running through the HSG, SNJ and NT are severely contaminated due to the long-term discharge of untreated mineral wastewater from local indigenous mining factories. The stream at the HSG, for example, is brownish red in color, with high concentrations of Cu, Zn, Cd, Fe and Mn. The concentrations of Cu, Zn and Cd in all the stream water of the HSG, SNJ and NT exceed the maximum allowable levels of the Agricultural Irrigation Water Criteria of China. Correspondingly, the HSG, SNJ and NT are heavily polluted by Cu, Zn and Cd due to the long-term irrigation with the contaminated stream water. In comparison, both stream water and paddy fields of the THJ, far away from mining areas, are not contaminated by any heavy metals and hence regarded as a control in this study. The rice grain produced at the HSG, SNJ and NT has a high risk of Cd contamination. The rate of rice grain produced in the four paddy fields in Y county with Cd exceeding the safe level (Cd, 0.2 μg g-1) specified by the National Standards for Rice Quality and Safety of China reaches 90%. Cd content in the rice grain is positively significantly correlated with that in the paddy fields, especially with the content of diethylenetriaminepentaacetic acid (DTPA) - extracted Cd, suggesting that the heavy metal pollution of paddy fields has already posed a high risk to rice safety and human health. Soil enzyme activities and microbial biomass are significantly inhibited by the heavy metal pollution of the paddy fields. Microbial biomass C and N (MBC and MBN) at a severely contaminated site of the HSG are only 31.6% and 64.4% of the controls; the activities of dehydrogenase, urease, catalase, acid and neutral phosphatase and sucrase are only 25.2%, 49.3%, 52.4%, 94.7%, 53.2% and 87.8% of the controls. These microbial parameters are mostly negatively significantly correlated with the contents of Cu, Zn, Cd and Ni in the paddy fields, suggesting the toxic effects of the heavy metals on microbial processes. Both the Principal Component Analysis (PCA) and Cluster Analysis (CA) indicated that DH activity and MBC are the most sensitive to the heavy metal pollution and could be used as eco-indicators of the environmental quality of the paddy fields in the study areas. Acknowledgements: This work was supported by the National Natural Science Foundation of China (No. 41130526).

Study of aroma formation and transformation during the manufacturing process of Biluochun green tea in Yunnan Province by HS-SPME and GC-MS.

PubMed

Wang, Chen; Lv, Shidong; Wu, Yuanshuang; Lian, Ming; Gao, Xuemei; Meng, Qingxiong

2016-10-01

Biluochun is a typical non-fermented tea and is also famous for its unique aroma in China. Few studies have been performed to evaluate the effect of the manufacturing process on the formation and content of its aroma. The volatile components were extracted at different manufacturing process steps of Biluochun green tea using fully automated headspace solid-phase microextraction (HS-SPME) and further characterised by gas chromatography-mass spectrometry (GC-MS). Among 67 volatile components collected, the fractions of linalool oxides, β-ionone, phenylacetaldehyde, aldehydes, ketones, and nitrogen compounds were increased while alcohols and hydrocarbons declined during the manufacturing process. The aroma compounds decreased the most during the drying steps. We identified a number of significantly changed components that can be used as markers and quality control during the producing process of Biluochun. The drying step played a major role in the aroma formation of green tea products and should be the most important step for quality control. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

[Impact of divorce on quality of life in children aged 8-12 years in the province of Alicante (Spain)].

PubMed

Orgilés, Mireia; Samper, M A Dolores

2011-01-01

To examine differences in quality of life according to family structure in Spanish children for the first time, and to determine whether the quality of life of children with divorced parents differs according to perceived interparental conflict. A cross-sectional, descriptive study was carried out in 1,025 children aged between 8 and 12 years old, recruited from seven randomly-selected schools in the province of Alicante. Of the total sample, 861 children had married parents and 164 had divorced parents. The children completed the Child Health and Illness Profile-Child Edition and those with divorced parents also provided information on the current relationship between their parents. Quality of life was higher in children with married parents than in those with divorced parents, with higher scores in all dimensions. Children who reported conflict between their parents after the divorce had worse quality of life. These results confirm significant differences in quality of life according to family structure and revealed the relationship between children's self-perceived health and interparental conflict after divorce. We emphasize the importance of health professionals in providing guidance to divorced parents on preventing their children's health problems and facilitating adaptation to the new family situation. Copyright © 2011 SESPAS. Published by Elsevier Espana. All rights reserved.

Inadequate dietary intake is not the cause of stunting amongst young children living in an informal settlement in Gauteng and rural Limpopo Province in South Africa: the NutriGro study.

PubMed

Theron, M; Amissah, A; Kleynhans, I C; Albertse, E; MacIntyre, U E

2007-04-01

To measure dietary intakes of young children aged 12-24 months and to determine the impact of poor diets on stunting. A quantitative food-frequency questionnaire was adapted, tested and standardised. Trained enumerators conducted in-depth interviews with the mothers/caregivers of the children. Forty stunted children in urban informal settlements and 30 stunted children in rural areas were selected and pair-matched with controls. The data were captured on the Food Finder Program of the Medical Research Council. In both urban and rural areas, the diet of stunted and non-stunted groups did differ significantly and all diets were of poor nutritional quality. Diets in both areas resembled the recommended prudent diet, i.e. low in fat and high in carbohydrates. Poor quality diets were not the primary cause of stunting.

Chinese academic contribution to burns: A comprehensive bibliometrics analysis from 1985 to 2014.

PubMed

Fan, XiaoMing; Gao, Ying; Ma, Bing; Xia, ZhaoFan

2016-11-01

The objective of this study was to conduct a survey of the academic contribution and influence of Chinese scholars in the field of burns. The PubMed database was searched to obtain literature items originating from various countries and Chinese provinces from 1985 to 2014. The citation data were collected through the Google Scholar engine. A total of 1037 papers published in 256 journals were included in this survey. China was second only to the USA in the number of publications on burns since 2010. In addition, the annual number of papers has increased significantly since 2001. The journal Burns published the most number of articles, but its proportion has been decreasing. Of the papers included in the survey, 58.34% were published in journals with a 5-year impact factor between 1 and 2, whereas only 3.66% were published in journals with an impact factor >5. Both total citations and citations per paper have decreased in the past decade. Randomized controlled trials or systematic reviews merely accounted for a small proportion. Twenty-nine provinces including 64 cities contributed one paper at least. The publications from Taiwan, Beijing, Chongqing, Shanghai, and Guangdong were high in both quantity and quality. The Chinese academic contribution to the field of burns is now on a rise. Although the quality of papers is lagging behind quantity, scholars and academies are dedicated to improving China's academic level. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Effects of different agricultural systems on soil quality in Northern Limón province, Costa Rica.

PubMed

Cornwell, Emma

2014-09-01

Conversion of native rainforest ecosystems in Limón Province of Costa Rica to banana and pineapple monoculture has led to reductions in biodiversity and soil quality. Agroforestry management of cacao (Theobroma cacao) is an alternative system that may maintain the agricultural livelihood of the region while more closely mimicking native ecosystems. This study compared physical, biological and chemical soil quality indicators of a cacao plantation under organic agroforestry management with banana, pineapple, and pasture systems; a native forest nearby served as a control. For bulk density and earthworm analysis, 18 samples were collected between March and April 2012 from each ecosystem paired with 18 samples from the cacao. Cacao had a lower bulk density than banana and pineapple monocultures, but greater than the forest (p < 0.05). Cacao also hosted a greater number and mass of earthworms than banana and pineapple (p < 0.05), but similar to forest and pasture. For soil chemical characteristics, three composite samples were collected in March 2012 from each agroecosystem paired with three samples from the cacao plantation. Forest and pineapple ecosystems had the lowest pH, cation exchange capacity, and exchangeable nutrient cations, while cacao had the greatest (p < 0.05). Total nutrient levels of P and N were slightly greater in banana, pineapple and pasture than in cacao; probably related to addition of chemical fertilizer and manure from cattle grazing. Forest and cacao also had greater %C, than other ecosystems, which is directly related to soil organic matter content (p < 0.0001). Overall, cacao had more favorable physical, biological and chemical soil characteristics than banana and pineapple monocultures, while trends were less conclusive compared to the pastureland. While organic cacao was inferior to native forest in some soil characteristics such as bulk density and organic carbon, its soil quality did best mimic that of the native forest. This supports the organic cultivation of cacao as a desirable alternative to banana and pineapple monoculture.

[Study on the fund to ensure the implementation of public function of province-level, city-level and county-level center of disease prevention and control in China].

PubMed

Chang, Feng-shui; Wang, Ying; Luo, Li; Sun, Mei

2005-11-01

To calculate the fund to ensure the implementation of public function of province-level, city-level and county-level center of disease prevention and control in China. The principle was to fulfill public function, promote professional efficiency and give a comprehensive attention to employee depletion. Basic data were collected by sample CDC investigation. Value of some special indicators was demonstrated by specialist group. Results To ensure the implementation of public function, a total of 15.7 billion Yen per year should be allocated to all province-level, city-level and county-level center of disease prevention and control. The personnel expenses was 8.4 billion Yen and the daily expenses was 7.4 billion Yen per year.

Assessment of groundwater quality in the coastal area of Sindh province, Pakistan.

PubMed

Alamgir, Aamir; Khan, Moazzam Ali; Schilling, Janpeter; Shaukat, S Shahid; Shahab, Shoaib

2016-02-01

Groundwater is a highly important resource, especially for human consumption and agricultural production. This study offers an assessment of groundwater quality in the coastal areas of Sindh province in Pakistan. Fifty-six samples of groundwater were taken at depths ranging from 30 to 50 m. Bacteriological and physico-chemical analyses were performed using the Standard Methods for the Examination of Water and Wastewater. These were supplemented with expert interviews and observations to identify the usage of water and potential sources of pollution. The quality of the groundwater was found to be unsuitable for human consumption, despite being used for this purpose. The concentrations of sulfate and phosphate were well within the tolerance limits. Most critical were the high levels of organic and fecal pollution followed by turbidity and salinity. Metal concentrations (As, Ca, Cr, Cu, Fe, Mg, Mn, Ni, Pb, and Zn) were also determined, and Ni and Pb strongly exceeded health standards. The study stresses the need for significant improvements of the irrigation, sanitation, and sewage infrastructure.

Association between Longevity and Element Levels in Food and Drinking Water of Typical Chinese Longevity Area.

PubMed

Hao, Z; Liu, Y; Li, Y; Song, W; Yu, J; Li, H; Wang, W

2016-01-01

To carrying out an integrated analysis on regional environment and human health in China and to detect the association between longevity and daily element intake from food and drinking water. Cross-sectional study. All the 18 cities and counties in Hainan Province. The distribution of elderly population and longevity indexes at a county level in Hainan Province were investigated. Quality of food and drinking water in Hainan was evaluated by comparing the chemical elements with National Standards. In addition, the association between element concentrations in food and water and longevity was examined using spearman's rank correlation. The proportion of elderly people is higher in the northern part of the province compared with southern counties. Food contributes a greater proportion of daily element intake than drinking water. Compared with the National Standards, reaching rates for elements were over 85% for both food and drinking water. There was a positive correlation between daily intake of Cu, Se, and Zn from food and water and aging and longevity indexes, and a negative correlation between Pb intake and these indexes. The quality of food and water in Hainan Province are good and that, compared with water, food is a more important source of trace elements. An appropriate supply of Cu, Se, and Zn is important, whereas excessive intake of Pb should be avoided. The findings also provide basic data to support further studies on regional variations in longevity and their relationship to diet and drinking water.

A regional high-resolution emission inventory of primary air pollutants in 2012 for Beijing and the surrounding five provinces of North China

NASA Astrophysics Data System (ADS)

Liu, Huanjia; Wu, Bobo; Liu, Shuhan; Shao, Panyang; Liu, Xiangyang; Zhu, Chuanyong; Wang, Yong; Wu, Yiming; Xue, Yifeng; Gao, Jiajia; Hao, Yan; Tian, Hezhong

2018-05-01

A high resolution regional emission inventory of typical primary air pollutants (PAPs) for the year 2012 in Beijing and the surrounding five provinces (BSFP) of North China is developed. It is compiled with the combination of bottom-up and top-down methods, based on city-level collected activity data and the latest updated specific emission factors for different sources. The considered sources are classified into 12 major categories and totally 36 subcategories with respect to their multi-dimensional characteristics, such as economic sector, combustion facility or industrial process, installed air pollution control devices, etc. Power plant sector is the dominant contributor of NOX emissions with an average contribution of 34.1%, while VOCs emissions are largely emitted from industrial process sources (33.9%). Whereas, other stationary combustion sources represent major sources of primary PM2.5, PM10 and BC emissions, accounting for 22.7%, 30.0% and 33.9% of the total emissions, respectively. Hebei province contributes over 34% of the regional total CO emissions because of huge volume of iron and steel production. By comparison, Shandong province ranks as the biggest contributor for NOX, PM10, PM2.5, SO2, VOCs and OC. Further, the BSFP regional total emissions are spatially distributed into grid cells with a high resolution of 9 km × 9 km using GIS tools and surrogate indexes, such regional population, gross domestic product (GDP) and the types of arable soils. The highest emission intensities are mainly located in Beijing-Tianjin-Tangshan area, Jinan-Laiwu-Zibo area and several other cities such as Shijiazhuang, Handan, and Zhengzhou. Furthermore, in order to establish a simple method to estimate and forecast PAPs emissions with macroscopic provincial-level statistical parameters in China, multi-parameter regression equations are firstly developed to estimate emissions outside the BSFP region with routine statistics (e.g. population, total final coal consumption, area of cultivated land and possession of civil vehicles) using the software 1stOpt. We find the estimated PAPs emissions of 31 provinces show close correlation with the well-recognized MEIC inventory. This high resolution multi-pollutants inventory provides necessary input data for regional air quality models that could help to identify and appoint the major influence sources, better understand the complex regional air pollution formation mechanism, and benefit for developing the corresponding joint prevention and control policies of regional complex air pollution in North China.

Aflatoxin M1 in Pasteurized Milk in Babol city, Mazandaran Province, Iran.

PubMed

Sefidgar, Saa; Mirzae, M; Assmar, M; Naddaf, Sr

2011-01-01

Aflatoxin M(1) (AFM(1)) is the metabolite of aflatoxin B1 (AFB(1)) and is found in milk when lactating animals are fed with contaminated feedstuff. The presence of AFM(1) in milk, pose a major risk for humans especially kids as it can have immunosuppressive, mutagenic, teratogenic and carcinogenic effects. The present study is aimed to investigate the occurrence of AFM(1) in subsidized pasteurized milk in Babol, Mazandaran Province, Iran. Some 72 pasteurized milk packages were collected from supermarkets in various districts of city during January to March 2006. Milk samples were centrifuged and amounts of 100 μl of skimmed milk were tested for AFM(1) contamination by competitive ELISA. All the samples (100%) exhibited contamination with AFM(1). The contamination levels means in January, February, and March were 227.85, 229.64, and 233.1ng/l, respectively. The amount of AFM(1) in all the samples were above 50ng/l, the threshold set by the European community regulations. Monitoring of AFM(1) level should be part of quality control procedures in dairy factories, particularly the ones providing infant's milk. Production of safer and healthier milk and other dairy products with minimum AFM(1) level can be achieved by adopting prophylactic measures including control of humidity and water content of feedstuff, which favors mould production.

Aflatoxin M1 in Pasteurized Milk in Babol city, Mazandaran Province, Iran

PubMed Central

Sefidgar, SAA; Mirzae, M; Assmar, M; Naddaf, SR

2011-01-01

Background: Aflatoxin M1 (AFM1) is the metabolite of aflatoxin B1 (AFB1) and is found in milk when lactating animals are fed with contaminated feedstuff. The presence of AFM1 in milk, pose a major risk for humans especially kids as it can have immunosuppressive, mutagenic, teratogenic and carcinogenic effects. The present study is aimed to investigate the occurrence of AFM1 in subsidized pasteurized milk in Babol, Mazandaran Province, Iran. Methods: Some 72 pasteurized milk packages were collected from supermarkets in various districts of city during January to March 2006. Milk samples were centrifuged and amounts of 100 μl of skimmed milk were tested for AFM1 contamination by competitive ELISA. Results: All the samples (100%) exhibited contamination with AFM1. The contamination levels means in January, February, and March were 227.85, 229.64, and 233.1ng/l, respectively. The amount of AFM1 in all the samples were above 50ng/l, the threshold set by the European community regulations. Conclusion: Monitoring of AFM1 level should be part of quality control procedures in dairy factories, particularly the ones providing infant’s milk. Production of safer and healthier milk and other dairy products with minimum AFM1 level can be achieved by adopting prophylactic measures including control of humidity and water content of feedstuff, which favors mould production. PMID:23113064

Assessment of undiscovered conventional oil and gas resources of the Western Canada Sedimentary Basin, Canada, 2012

USGS Publications Warehouse

Higley, Debra K.

2013-01-01

The U.S. Geological Survey recently completed a geoscience-based assessment of undiscovered oil and gas resources of provinces within the Western Canada Sedimentary Basin. The Western Canada Sedimentary Basin primarily comprises the (1) Alberta Basin Province of Alberta, eastern British Columbia, and the southwestern Northwest Territories; (2) the Williston Basin Province of Saskatchewan, southeastern Alberta, and southern Manitoba; and (3) the Rocky Mountain Deformed Belt Province of western Alberta and eastern British Columbia. This report is part of the U.S. Geological Survey World Petroleum Resources Project assessment of priority geologic provinces of the world. The assessment was based on geoscience elements that define a total petroleum system (TPS) and associated assessment unit(s). These elements include petroleum source rocks (geochemical properties and petroleum generation, migration, and accumulation), reservoir description (reservoir presence, type, and quality), and petroleum traps (trap and seal types, and timing of trap and seal formation relative to petroleum migration). Using this framework, the Elk Point-Woodbend Composite TPS, Exshaw-Fernie-Mannville Composite TPS, and Middle through Upper Cretaceous Composite TPS were defined, and four conventional assessment units within the total petroleum systems were quantitatively assessed for undiscovered resources in the Western Canada Sedimentary Basin.

A quantitative risk assessment of bovine theileriosis entering Luapula Province from Central Province in Zambia via live cattle imports from traditional and commercial production sectors.

PubMed

Makungu, C; Mwacalimba, K K

2014-09-01

Theileriosis or East Coast Fever (ECF) is an important livestock disease widespread in Zambia except for some provinces such as Luapula. This freedom status has been achieved due to strict livestock movement regulations that only authorise cattle imports from commercial farms implementing strict ECF control regimens. Recent increases in both the demand and price of beef in Zambia are stimulating a policy change towards a more inclusive inter-provincial trade in live cattle. This may also encourage the introduction of breeding cattle from high production pastoral sectors such as Central Province to stimulate the beef industry in disease free low production areas such as the Luapula Province. To estimate and compare the risks linked with those potential introductions of cattle from the traditional or commercial production sectors of the Central Province, a quantitative risk assessment model was developed. This risk comparison was necessary because the traditional livestock production sector accounts for over 79% of breeding cattle trade in Central Province but is characterised by minimalistic tick-borne disease control and a higher prevalence of ECF. We estimate that should the importation of breeding cattle from Central into Luapula Province be permitted, we could expect to import ECF by the introduction of infected animals at a median rate (5th and 95th percentiles) of every 0.44 years (0.12, 2.60), from the traditional sector compared to every 3.57 years (0.37, 103.6) from the commercial sector. Infected ticks would be expected to enter every 3.46 (0.66, 43.8) years via traditional cattle imports. These risks are strongly influenced by the prevalence of infection, performance of pre-transport screening tests, and the effectiveness of pre-transport tick cleansing. This assessment is expected to provide a model for tick borne disease risk assessments in similar settings, as well as inform ECF control, cattle trade, and stock movement policies in Zambia. Copyright © 2014 Elsevier B.V. All rights reserved.

The effects of footbath on sleep among the older adults in nursing home: A quasi-experimental study.

PubMed

Kim, Hyun-Joo; Lee, Yaelim; Sohng, Kyeong-Yae

2016-06-01

To examine the long-term effects of foot-bathing therapy, using different water temperatures, on the sleep quality of older adults living in nursing homes. A quasi-experimental study design with non-equivalent control group. Thirty participants were recruited from a nursing home in Gyeong-gi Province, South Korea. The participants were randomly assigned to experimental, placebo, and control groups. The foot-bathing therapy was performed for 30min daily for four weeks. Water at 40°C was used for the experimental group, while water at 36.5°C was used for the placebo group. The control group did not receive any intervention. The participants' sleep patterns (total sleep amount, sleep efficiency, and sleep latency) and sleep-disturbed behaviors were compared based on group, using actigraphy and a sleep disorder inventory. The total amount of sleep and sleep efficiency were significantly different for the experimental group, especially those with poor sleep quality. There were no differences in sleep latency or sleep-disturbed behaviors among the groups. The long-term effect of the therapy decreased in the third week of the therapy. Daily, 30-min foot-bathing therapy sessions with water at 40°C were effective in improving sleep quality for older adults. The therapy was more effective for participants with poor sleep quality at baseline assessment than those with relatively good sleep quality. The long-term effects of foot-bathing therapy decreased three weeks after initiation; therefore, it might be desirable to deliver the therapy for two weeks, pause it for a week, and then resume it. Copyright © 2016 Elsevier Ltd. All rights reserved.

Assessing Provincial PM2.5 Trends in China from 2001 to 2015 Using High-Resolution Satellite Remote Sensing

NASA Astrophysics Data System (ADS)

Lin, C.; Lau, A. K. H.; LI, Y.; Li, C.

2017-12-01

Given the vast territory of China, control efforts for air pollution and the long-term PM2.5 trends may substantially differ among the provinces. In this study, we aim to assess the provincial PM2.5 trends in China during the past few Five-Year Plan (FYP) periods. The lack of long-term PM2.5 measurements, however, makes such assessment difficult. Satellite remote sensing of PM2.5 concentration is an important step toward filling this data gap. In this study, a PM2.5 data set was built over China at a resolution of 1 km from 2001 to 2015 using satellite remote sensing. Analyses show that the national average of PM2.5 concentration increased by 0.11 µg·m-3·yr-1 during the 10th FYP period (2001 to 2005) and started to decline by -0.75 µg·m-3·yr-1 and -2.20 µg·m-3·yr-1 during the 11th (2006 to 2010) and the 12th (2011 to 2015) FYP period, respectively. In addition, substantial differences in the PM2.5 trends were observed among the provinces. Although PM2.5 concentrations remained steady or worsened in most provinces during the 10th FYP period, PM2.5 concentrations substantially declined for provinces in the Beijing-Tianjin-Hebei (BTH) region, suggesting that these provinces were the most successful in their control efforts during this period. The most substantial decline in provincial PM2.5 concentration during the 12th FYP period was also observed in the BTH region. In contrast, PM2.5 concentrations remained steady for provinces in eastern and southeastern China (e.g., Shanghai) during the 12th FYP period, suggesting that these provinces have been less successful in controlling PM2.5 concentrations since 2011 and therefore require more efforts to effectively reduce the PM2.5 concentrations in future.

Family Quality of Life of South African Families Raising Children with Autism Spectrum Disorder

ERIC Educational Resources Information Center

Schlebusch, Liezl; Dada, Shakila; Samuels, Alecia E.

2017-01-01

This article describes the family quality of life among families who are raising a young child with autism spectrum disorder. Survey research was conducted with 180 families of children with autism spectrum disorder who were receiving disability-related services in the Gauteng province of South Africa. The principle measure used was the Beach…

Relationship between Quality of Work Life and Work Alienation: Research on Teachers

ERIC Educational Resources Information Center

Çetinkanat, Ayse Canan; Kösterelioglu, Meltem Akin

2016-01-01

The purpose of the study is examined primary school teachers' quality of work life and work alienation perceptions. The sample of the study was composed of teachers (N = 426) employed in Bolu province central and district state primary schools in 2010-2011 academic year. For data collection purposes, "Personal Information Form" was used…

Screening and Analysis of the Marker Components in Ganoderma lucidum by HPLC and HPLC-MSn with the Aid of Chemometrics.

PubMed

Wu, Lingfang; Liang, Wenyi; Chen, Wenjing; Li, Shi; Cui, Yaping; Qi, Qi; Zhang, Lanzhen

2017-04-06

Ganoderma triterpenes (GTs) are the major secondary metabolites of Ganoderma lucidum , which is a popularly used traditional Chinese medicine for complementary cancer therapy. The present study was to establish a fingerprint evaluation system based on Similarity Analysis (SA), Cluster Analysis (CA) and Principal Component Analysis (PCA) for the identification and quality control of G. lucidum . Fifteen samples from the Chinese provinces of Hainan, Neimeng, Shangdong, Jilin, Anhui, Henan, Yunnan, Guangxi and Fujian were analyzed by HPLC-PAD and HPLC-MS n . Forty-seven compounds were detected by HPLC, of which forty-two compounds were tentatively identified by comparing their retention times and mass spectrometry data with that of reference compounds and reviewing the literature. Ganoderic acid B, 3,7,15-trihydroxy-11,23-dioxolanost-8,16-dien-26-oic acid, lucidenic acid A, ganoderic acid G, and 3,7-oxo-12-acetylganoderic acid DM were deemed to be the marker compounds to distinguish the samples with different quality according to both CA and PCA. This study provides helpful chemical information for further research on the anti-tumor activity and mechanism of action of G. lucidum . The results proved that fingerprints combined with chemometrics are a simple, rapid and effective method for the quality control of G. lucidum .

Detecting gradual and abrupt changes in water quality time series in response to regional payment programs for watershed services in an agricultural area

NASA Astrophysics Data System (ADS)

He, Tian; Lu, Yan; Cui, Yanping; Luo, Yabo; Wang, Min; Meng, Wei; Zhang, Kaijie; Zhao, Feifei

2015-06-01

Market-based watershed protection instruments can effectively improve water quality at various catchment scales. Two payments for watershed services (PWS) programs for water quality improvement have been successively implemented in the Huai River catchment and its sub-watershed, the Shaying River catchment, in Henan Province since 2009. To detect changes in water quality in response to PWS schemes, nonparametric statistical approaches were used to analyze gradual and abrupt trends in water quality, focusing on chemical oxygen demand (COD) and ammonia-nitrogen (NH3-N) at 26 monitoring stations in the Huai River watershed during 2006-2013. The nonparametric Mann-Kendall test and the Theil-Sen estimator were used to identify trends and their magnitudes in weekly water quality observations and the Pettitt test was applied to change-point analysis of water quality time series. We found decreasing concentration trends in the weekly water quality data set in this catchment, with water quality at most stations affected by the PWS schemes. The COD and NH3-N concentrations decreased at 26 stations by an average of 0.05 mg/L wk and 0.01 mg/L wk, respectively, from 2006 to 2013. Meanwhile, the mean concentrations of COD and NH3-N decreased at the 26 stations by an average of 18.03 mg/L and 4.82 mg/L, respectively, after the abrupt change points of the time-series trends of these two pollutants. We also estimated annual reductions in COD and NH3-N for each station based on average flow observations using the Theil-Sen approach along with the resulting economic benefits from 2009 to 2010. The COD and NH3-N reductions were 14604.50 and 6213.25 t/y, respectively, in the Huai River catchment in Henan Province. The total economic benefits of reductions in these two pollutants were 769.71 million ¥ in 2009 and 2010, accounting for 0.08% and 0.06%, respectively, of the GDP in the entire Huai River watershed of Henan Province. These results provide new insights into the linkages between PWS programs and water quality improvements at regional and local scales for effective management of water resources.

Control of highly pathogenic avian influenza in Quang Tri province, Vietnam: voices from the human-animal interface.

PubMed

Farrell, Penny C; Hunter, Cynthia; Truong, Bui; Bunning, Michel

2015-01-01

Highly pathogenic avian influenza (HPAI) is caused by the haemagglutinin 5, neuraminidase 1 (H5N1) influenza A virus. Around 80% of households in rural Vietnam raise poultry, which provides food security and nutrition to their households and beyond. Of these, around 15-20% are semi-commercial producers, producing at least 28% of the country's chicken. Through learning the experiences of these semi-commercial farmers, this study aimed to explore the local understandings and sociocultural aspects of HPAI's impact, particularly the aetiology, diagnosis, and the prevention and control methods in one Vietnamese rural province. This study was conducted in Quang Tri province, Vietnam. Quang Tri province has eight districts. Five of these districts were at high risk of HPAI during the study period, of which three were selected for the present study. Within these three districts, six communes were randomly selected for the study from the list of intervention communes in Quang Tri province. Six out of the 26 intervention communes in Quang Tri were therefore selected. Participants were randomly selected and recruited from lists of semi-commercial farmers, village animal health workers, village human health workers and local authorities so that the study population (representative population) included an amount of variability similar to that of the wider population. A key benefit of this village-level control program was the residential proximity of animal and human health professionals. Participants were well aware of the typical clinical signs for avian influenza and of the reporting process for suspect cases. However there was extensive room for improvement in Quang Tri province regarding access to the HPAI vaccine, essential medical equipment for animal use, and available financial support. This qualitative research study provided an important insight for in-country policy makers and international stakeholders. It is vital that there are continued efforts to prevent and control highly pathogenic avian influenza through support programs that provide locally appropriate information and resources to those at the human-animal interface.

Vegetation Cover Analysis in Shaanxi Province of China Based on Grid Pixel Ternd Analysis and Stability Evaluation

NASA Astrophysics Data System (ADS)

Yue, H.; Liu, Y.

2018-04-01

As a key factor affecting the biogeochemical cycle of human existence, terrestrial vegetation is vulnerable to natural environment and human activities, with obvious temporal and spatial characteristics. The change of vegetation cover will affect the ecological balance and environmental quality to a great extent. Therefore, the research on the causes and influencing factors of vegetation cover has become the focus of attention of scholars at home and abroad. In the evolution of human activities and natural environment, the vegetation coverage in Shaanxi has changed accordingly. Using MODIS/NDVI 2000-2014 time series data, using the method of raster pixel trend analysis, stability evaluation, rescaled range analysis and correlation analysis, the climatic factors in Shaanxi province were studied in the near 15 years vegetation spatial and temporal variation and influence of vegetation NDVI changes. The results show that NDVI in Shaanxi province in the near 15 years increased by 0.081, the increase of NDVI in Northern Shaanxi was obvious, and negative growth was found in some areas of Guanzhong, southern Shaanxi NDVI overall still maintained at a high level; the trend of vegetation change in Shaanxi province has obvious spatial differences, most of the province is a slight tendency to improve vegetation, there are many obvious improvement areas in Northern Shaanxi Province. Guanzhong area vegetation area decreased, the small range of variation of vegetation in Shaanxi province; the most stable areas are mainly concentrated in the southern, southern Yanan, Yulin, Xi'an area of Weinan changed greatly; Shaanxi Province in recent 15 a, the temperature and precipitation have shown an increasing trend, and the vegetation NDVI is more closely related to the average annual rainfall, with increase of 0.48 °C/10 years and 69.5 mm per year.

A systems approach to improving maternal health in the Philippines

PubMed Central

Banzon, Eduardo; Recidoro, Zenaida Dy

2012-01-01

Abstract Objective To examine the impact of health-system-wide improvements on maternal health outcomes in the Philippines. Methods A retrospective longitudinal controlled study was used to compare a province that fast tracked the implementation of health system reforms with other provinces in the same region that introduced reforms less systematically and intensively between 2006 and 2009. Findings The early reform province quickly upgraded facilities in the tertiary and first level referral hospitals; other provinces had just begun reforms by the end of the study period. The early reform province had created 871 women’s health teams by the end of 2009, compared with 391 teams in the only other province that reported such teams. The amount of maternal-health-care benefits paid by the Philippine Health Insurance Corporation in the early reform province grew by approximately 45%; in the other provinces, the next largest increase was 16%. The facility-based delivery rate increased by 44 percentage points in the early reform province, compared with 9–24 percentage points in the other provinces. Between 2006 and 2009, the actual number of maternal deaths in the early reform province fell from 42 to 18, and the maternal mortality ratio from 254 to 114. Smaller declines in maternal deaths over this period were seen in Camarines Norte (from 12 to 11) and Camarines Sur (from 26­ to 23). The remaining three provinces reported increases in maternal deaths. Conclusion Making health-system-wide reforms to improve maternal health has positive synergistic effects. PMID:22423161

Relation of Chlorofluorocarbon Ground-Water Age Dates to Water Quality in Aquifers of West Virginia

USGS Publications Warehouse

,; Kurt, J.; Kozar, Mark D.

2007-01-01

The average apparent age of ground water in fractured-bedrock aquifers in West Virginia was determined using chlorofluorocarbon (CFC) dating methods. Since the introduction of CFC gases as refrigerants in the late 1930s, atmospheric concentrations have increased until production ceased in the mid-1990s. CFC dating methods are based on production records that date to the early 1940s, and the preservation of atmospheric CFC concentrations in ground water at the time of recharge. As part of the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) and Ambient Ground-Water Monitoring Network (AGN) programs in West Virginia from 1997 to 2005, 80 samples from the Appalachian Plateaus Physiographic Province, 27 samples from the Valley and Ridge Physiographic Province, and 5 samples from the Ohio River alluvial aquifers were collected to estimate ground-water ages in aquifers of West Virginia. Apparent CFC ages of water samples from West Virginia aquifers ranged from 5.8 to 56 years. In the Appalachian Plateaus, topographically driven ground-water flow is evident from apparent ages of water samples from hilltop, hillside, and valley settings (median apparent ages of 12, 14, and 25 years, respectively). Topographic setting was the only factor that was found to be related to apparent ground-water age in the Plateaus at the scale of this study. Similar relations were not found in Valley and Ridge aquifers, indicating that other factors such as bedding or geologic structure may serve larger roles in controlling ground-water flow in that physiographic province. Degradation of CFCs was common in samples collected from methanogenic/anoxic aquifers in the Appalachian Plateaus and suboxic to anoxic aquifers in the Valley and Ridge. CFC contamination was most common in Ohio River alluvial aquifers and carbonate units of the Valley and Ridge, indicating that these highly transmissive surficial aquifers are the most vulnerable to water-quality degradation and may contain wastewater from domestic or industrial sources with CFC concentrations greater than modern atmospheric levels. However, based on a lack of detections of the volatile organic compounds analyzed for in most of the water samples collected for this and similar USGS investigations, ground-water resources of West Virginia used for public and private consumption do not appear to be routinely affected by anthropogenic activities despite their young apparent age.

Hydrology of area 46, Northern Great Plains and Rocky Mountain coal provinces, North Dakota

USGS Publications Warehouse

Croft, M.G.; Crosby, Orlo A.

1987-01-01

This report is one of a series that describes the hydrology of coal provinces nationwide. The Northern Great Plains and Rocky Mountain Coal Provinces are divided into 20 separate reporting areas which are numbered 43 to 62. This report provides general hydrologic information for Area 46 using a brief text with accompanying maps, charts, or graphs. This information may be used to describe the hydrology of the general area of any existing or proposed mine. Some of the more obvious hydrologic problems of coal development that will need to be addressed before development are disruption of aquifers and potential contamination of streams, aquifers, and the atmosphere.Area 46 is in northwestern North Dakota and is composed of parts or all of 14 hydrologic units based on surface-water drainage basins. The area is drained by the Missouri and Souris Rivers.Lignite-bearing rocks of late Paleocene age underlie nearly all of Area 46. The thickest and most continuous lignite beds occur in the Sentinel Butte and Tongue River Members of the Fort Union Formation. Alluvial deposits and a veneer of glacial drift of late Pleistocene age overlie the lignite-bearing rocks. The climate of the area is semiarid. Mean annual precipitation ranges from 13.9 to 17.8 inches. Mean annual temperatures range from 37.7°F at Bowbells to 40.9°F at Williston. Mean monthly temperatures at Williston range from 8.3°F to 70°F. The growing season is about 125 days.A fairly comprehensive data base for streamflow and water quality in streams is available for Area 46. Many of the small-stream monitoring sites have been operated during the last few years to provide a data base before coal development. With the exception of the Missouri River, which is controlled by several dams, both the quantity and quality of water varies greatly in all streams. A ground-water observation network for water levels and water quality has been established through county ground-water resource investigations and other ground-water studies and provides an adequate data base. Three activities within the U.S. Geological Survey identify and provide access to hydrologic data. These are the National Water-Data Exchange (NAWDEX), the National Water-Data Storage and Retrieval System (WATSTORE), and the Office of Water-Data Coordination (OWDC).

The validation of air quality during 2015 World Championships and Parade in Beijing and near region based on satellite observations

NASA Astrophysics Data System (ADS)

Lihua, Z.; Zhang, J.

2016-12-01

Environmental satellite observations were used to evaluate the effect of emission control measures on the changes of air pollutants in Beijing and its surroundings during the 2015 World Championships and Parade (WCP) held in Beijing. Compared to the past three years (2012-2014) in the same period, nitrogen oxides (NO2) and sulfur oxides (SO2) tropospheric vertical column densities (VCD) in 2015 were found to exhibit almost significant reductions over the North China Plain, suggesting the effectiveness of the national policy on NO2 and SO2 emission reduction during the important events. During the WCP period (Aug. 20 - Sept. 4), AOD was found reduced the most in Beijing, followed by Tianjin and Hebei province. However, air quality plummeted during the after-WCP period (Sept. 5 - 20), which was largely related to the lifting of local and regional joint emission control measures. By applying correlation coefficients of NO2, SO2, AOD during August 4 to September 20 of latest two years between Beijing with surroundings (Zhangjiakou represents northwest trajectories and Chengde represents northeast trajectories, Tianjin for southeast, and Shijiazhuang for southwest), during the study period in 2015, areas impacting Beijing evidently shrank and were limited within north on Beijing, suggesting evident effects of intense emission perturbations on lowering the extent of regional transport. We also analyze the meteorological conditions. During the study period in 2015, the relative humidity is 60%-80% in Beijing, low RH lead better visibility if there is less haze. The North China Plain is near of high pressure from its north. Sea high pressure has been completely removed. Southward pressure gradient force and weak north and northeast winds blocked the pollution transport from southern and western part of industrial area Hebei, Shanxi and Shandong province). Cold air masses push southward weakly. Under this condition, it is beneficial to the removal of pollutants. Due to Strict emission reduction measures and favorable meteorological conditions, during the WCP, air quality in Beijing kept ideal level.

Lithospheric controls on the formation of provinces hosting giant orogenic gold deposits

USGS Publications Warehouse

Bierlein, F.P.; Groves, D.I.; Goldfarb, R.J.; Dube, B.

2006-01-01

Ages of giant gold systems (>500 t gold) cluster within well-defined periods of lithospheric growth at continental margins, and it is the orogen-scale processes during these mainly Late Archaean, Palaeoproterozoic and Phanerozoic times that ultimately determine gold endowment of a province in an orogen. A critical factor for giant orogenic gold provinces appears to be thickness of the subcontinental lithospheric mantle (SCLM) beneath a province at the time of gold mineralisation, as giant gold deposits are much more likely to develop in orogens with subducted oceanic or thin continental lithosphere. A proxy for the latter is a short pre-mineralisation crustal history such that thick SCLM was not developed before gold deposition. In constrast, orogens with protracted pre-mineralisation crustal histories are more likely to be characterised by a thick SCLM that is difficult to delaminate, and hence, such provinces will normally be poorly endowed. The nature of the lithosphere also influences the intrinsic gold concentrations of potential source rocks, with back-arc basalts, transitional basalts and basanites enriched in gold relative to other rock sequences. Thus, segments of orogens with thin lithosphere may enjoy the conjunction of giant-scale fluid flux through gold-enriched sequences. Although the nature of the lithosphere plays the crucial role in dictating which orogenic gold provinces will contain one or more giant deposits, the precise siting of those giants depends on the critical conjunction of a number of province-scale factors. Such features control plumbing systems, traps and seals in tectonically and lithospherically suitable terranes within orogens. ?? Springer-Verlag 2006.

[Epidemic situation and prevention and control strategy of clonorchiasis in Guangdong Province, China].

PubMed

Zhuo-Hui, Deng; Yue-Yi, Fang

2016-05-24

Clonorchiasis is one of the food-borne parasitic diseases. Adult parasites live in the human liver and gallbladder tube system, causing serious complications, such as gallstones, cholecystitis and cholangitis, and even bile duct cancer. The disease is very popular in our country, and the population infection rate is high. It is an important public health problem. Guangdong Province is the earliest province being found of clonorchiasis and with serious epidemic. In the second national human parasitic diseases distribution survey, the results showed that the average infection rate of Clonorchis sinensis in the epidemic areas in Guangdong was 16.42%. It is estimated that the population of C. sinensis infection is over 6 million. The prevention and control of clonorchiasis in China is still in the initial stage currently and we face many challenges such as unclear epidemic characteristics and transmission mode, and lack of long-term prevention and control mechanism. This article introduces the epidemic situation of clonorchiasis and prevention and control strategies and measures in Guangdong.

[Occurrence of head pediculosis and its control in children's homes in selected provinces of Poland in the years 2007-2009].

PubMed

Sawicka, Bozena; Mikulak, Ewa; Gliniewicz, Aleksandra

2011-01-01

Despite civilisation development and the easy access to pediculicides, head pediculosis remains still the social, hygienic and medical problem. In the years 2007 - 2009 in children's homes in selected provinces of Poland the questionnaire survey on the occurrence of head pediculosis and its control have been conducted. From 127 orphanages 61 (48.03%) sent back fulfilled questionnaire. The infestation level ranged from 4.63% (Swietokrzyskie Province, 2009) until 17.63% (Mazowieckie Province 2007) in the surveyed children's homes. The most head pediculosis cases were observed among girls 6 - 12 years old in children's homes from all regions investigated. The profile of pediculicides used had been changed during our study: in the first year the most often pediculicides with the insecticide permethrin were used. In the next years their use decreased, but the use of herbal and silicone pediculicides increased. The efficacy of anti-louse product was the most important factor for the respondents when they choose an pediculicide.

Hydrology of area 25, Eastern Region, Interior Coal Province, Illinois

USGS Publications Warehouse

Zuehls, E.E.; Ryan, G.L.; Peart, D.B.; Fitzgerald, K.K.

1981-01-01

The eastern region of the Interior Coal Province has been divided into 11 hydrologic study areas. Area 25, located in west-central Illinois, includes the Spoon River and small tributaries to the Illinois River. Pennsylvanian age rocks underlie most of the study area. Illinois, with the largest reserves of bituminous coal, is second only to Montana in total coal reserves. Loess soils cover most of the study area. Agriculture is the dominant land use. Surface water provides 97% of all the water used. Precipitation averages 34 to 35 inches. Water-quality data has been collected at over 31 sites. Analysis for specific conductance, pH, alkalinity, iron, manganese, sulfate and many trace elements and other water-quality constituents have been completed. These data are available from computer storage through the National Water Data Storage and Retrieval System (WATSTORE). (USGS)

Photon pair source via two coupling single quantum emitters

NASA Astrophysics Data System (ADS)

Peng, Yong-Gang; Zheng, Yu-Jun

2015-10-01

We study the two coupling two-level single molecules driven by an external field as a photon pair source. The probability of emitting two photons, P2, is employed to describe the photon pair source quality in a short time, and the correlation coefficient RAB is employed to describe the photon pair source quality in a long time limit. The results demonstrate that the coupling single quantum emitters can be considered as a stable photon pair source. Project supported by the National Natural Science Foundation of China (Grand Nos. 91021009, 21073110, and 11374191), the Natural Science Foundation of Shandong Province, China (Grant No. ZR2013AQ020), the Postdoctoral Science Foundation of China (Grant No. 2013M531584), the Doctoral Program of Higher Education of China (Grant Nos. 20130131110005 and 20130131120006), and the Taishan Scholarship Project of Shandong Province, China.

Impact of the June 2013 Riau province Sumatera smoke haze event on regional air pollution

NASA Astrophysics Data System (ADS)

Dewi Ayu Kusumaningtyas, Sheila; Aldrian, Edvin

2016-07-01

Forest and land fires in Riau province of Sumatera increase along with the rapid deforestation, land clearing, and are induced by dry climate. Forest and land fires, which occur routinely every year, cause trans-boundary air pollution up to Singapore. Economic losses were felt by Indonesia and Singapore as the affected country thus creates tensions among neighboring countries. A high concentration of aerosols are emitted from fire which degrade the local air quality and reduce visibility. This study aimed to analyze the impact of the June 2013 smoke haze event on the environment and air quality both in Riau and Singapore as well as to characterize the aerosol properties in Singapore during the fire period. Air quality parameters combine with aerosols from Aerosol Robotic Network (AERONET) data and some environmental parameters, i.e. rainfall, visibility, and hotspot numbers are investigated. There are significant relationships between aerosol and environmental parameters both in Riau and Singapore. From Hysplit modeling and a day lag correlation, smoke haze in Singapore is traced back to fire locations in Riau province after propagated one day. Aerosol characterization through aerosol optical depth (AOD), Ångstrom parameter and particle size distribution indicate the presence of fine aerosols in a great number in Singapore, which is characteristic of biomass burning aerosols. Fire and smoke haze even impaired economic activity both in Riau and Singapore, thus leaving some accounted economic losses as reported by some agencies.

[Investigation of sleep patterns and sleep disorders in Uigur and Hui children in Xinjiang].

PubMed

Abuzhare, Tajiguli; Xu, Pei-Ru; Tiemuer, Amanguli; Zhang, Ji-Hong

2011-07-01

To study the sleep quality and quantity and their influencing factors in Uigur and Hui children in Xinjiang Province. From March to December of 2007, 912 Uigur and 1019 Hui school children (6 to 14 years) were randomly sampled from 6 cities of Xinjing Province. The questionnaire on children's sleep states and sleep environments was filled in by children's parents. The mean sleep time of Uigur and Hui children was 10.1±1.4 hrs. The sleep time in Uigur children was significantly less than that in Hui children (9.7±1.2 hrs vs 10.4±1.5 hrs; P<0.05). The mean incidence of sleep disorders was 23.56%. The Uigur children had a lower incidence of sleep disorders compared with the Hui children (18.42% vs 28.16%; P<0.001). Ethnic group, sleep latency, use of a swing bed, family history of snore, watching TV before sleeping, hypertrophy of tonsils, eating before sleeping, feeding patterns and recurrent upper respiratory tract infection were the factors associated with the sleep quality and quantity. The influencing factors of sleep quality and quantity are multifactorial in Uigur and Hui children in Xinjiang Province. Pediatrician, child health care doctors and parents should pay more attention to children's sleep. The incidence of sleep disorders is different between Uigur and Hui children, suggesting that more research for the prevention and treatment of sleep disorders should be performed in different ethic groups.

Analogue modeling of 3-D structural segmentation in fold-and-thrust belts: interactions between frictional and viscous provinces in foreland basins

NASA Astrophysics Data System (ADS)

Borderie, Sandra; Graveleau, Fabien; Witt, César; Vendeville, Bruno C.

2016-04-01

Accretionary wedges are generally segmented both across and along strike because of diverse factors including tectonic and stratigraphic inheritance. In fold-and-thrust belts, along-strike stratigraphic changes in the foreland sequence are classically observed and cause a curvature of the deformation front. Although the parameters controlling this curvature are well documented, the structural interactions and mutual influences between adjacent provinces are much less analyzed. To investigate this question, we deformed analogue models in a compressional box equipped with digital cameras and a topographic measurement apparatus. Models where shortened above a basal frictional detachment (glass microbeads) and segmentation was tested by having a region in which we added an interbedded viscous level (silicone polymer) within the sedimentary cover (dry sand). By changing the number (2 or 3) and the relative width of the purely frictional and viscous provinces, our goal was to characterize geometrically and kinematically the interactions between the viscous and the purely frictional provinces. We used a commercial geomodeller to generate 3-D geometrical models. The results indicate that regardless of the relative width of the purely frictional vs. viscous provinces, the deformation style in the frictional province is not influenced by the presence of the adjacent viscous province. On the contrary, the structural style and the deformation kinematics in the viscous province is significantly impacted by the presence or absence of an adjacent purely frictional province. At first order, the deformation style in the viscous province depends on its width, and three structural styles can be defined along strike. Far from the frictional area, structures are primarily of salt-massif type, and they do not seem to be influenced by the frictional wedge province. Towards the frictional province, deformation changes gradually to a zone of purely forethrusts (foreland verging), and finally to a highly faulted zone with both fore- and backthrusts (hinterland verging). In addition, a kinematic analysis indicates that narrow viscous provinces are strongly influenced by the presence of an adjacent frictional province. Indeed, propagation of shallow thrusts occurs in sequence and the deformation front reaches lately the external décollement pinchout. On the contrary, the deformation front of the wide viscous provinces propagates rapidly to the external décollement pinchout, then younger thrusts form out of sequence. Along-strike segmentation also affects the deep structures (thrusts detaching on the basal frictional décollement). In the viscous province, the presence of an upper viscous décollement opposes the advance of the basal deformation front. There, the rear of the wedge is characterized by imbrications of thrusts sheets (antiformal stacks), and the deep deformation front is convex towards the hinterland. Our experiments allow to better understand the dynamics of salt-controlled fold-and-thrust belts such as in the Huallaga (Peru) and Kuqa (China) basins or the Franklin Mountains (NW Canada).

[Study on manpower allocation criteria of center of disease prevention and control in the context of province level, city level and county level].

PubMed

Luo, Li; Waang, Ying; Sun, Mei; Su, Zhong-Xin; Ma, Ning; Xie, Hongbin; Wang, Weicheng; Yu, Jingjin; Yu, Mingzhu; Duan, Yong; Gong, Xiangguang; Chen, Zheng; Wang, Hua; Shi, Peiwu; Liang, Zhankai; Yang, Feng; Wang, Dunzhi; Yue, Jianning; Luo, Shi; Hao, Mo

2006-01-01

To set the manpower allocation criteria of center of disease prevention and control. Expected allocation manpower criteria was obtained through adjusting the current manpower allocation of disease prevention and control centers. The principle was to fulfill public function and promote professional efficiency. Based on function requirement, in 3 - 5 years, the manpower allocation criteria of center of disease prevention and control at provincial-level is 336 persons, at city-level is 102 persons, and at county-level is 33 persons, that means in whole country 140016 persons should be needed. In 10 years, the manpower allocation criteria of center of disease prevention and control at provincial-level is 386 persons, at city-level is 112 persons, and at county-level is 38 persons, that means in whole country 159086 persons should be needed. The manpower allocation criteria advanced in the study indicated that current manpower quantity should be greatly reduced. It is an inevitable trend that disease prevention and control centers reduce the staff quantity and promote their quality.

Control of aedes vectors of dengue in three provinces of Vietnam by use of Mesocyclops (Copepoda) and community-based methods validated by entomologic, clinical, and serological surveillance.

PubMed

Kay, Brian H; Nam, Vu Sinh; Tien, Tran Van; Yen, Nguyen Thi; Phong, Tran Vu; Diep, Vu Thi Bich; Ninh, Truong Uyen; Bektas, Ahmet; Aaskov, John G

2002-01-01

We describe remarkable success in controlling dengue vectors, Aedes aegypti (L.) and Aedes albopictus (Skuse), in 6 communes with 11,675 households and 49,647 people in the northern provinces of Haiphong, Hung Yen, and Nam Dinh in Vietnam. The communes were selected for high-frequency use of large outdoor concrete tanks and wells. These were found to be the source of 49.6-98.4% of Ae. aegypti larvae, which were amenable to treatment with local Mesocyclops, mainly M. woutersi Van der Velde, M. aspericornis (Daday) and M. thermocyclopoides Harada. Knowledge, attitude, and practice surveys were performed to determine whether the communities viewed dengue and dengue hemorrhagic fever as a serious health threat; to determine their knowledge of the etiology, attitudes, and practices regarding control methods including Mesocyclops; and to determine their receptivity to various information methods. On the basis of the knowledge, attitude, and practice data, the community-based dengue control program comprised a system of local leaders, health volunteer teachers, and schoolchildren, supported by health professionals. Recycling of discards for economic gain was enhanced, where appropriate, and this, plus 37 clean-up campaigns, removed small containers unsuitable for Mesocyclops treatment. A previously successful eradication at Phan Boi village (Hung Yen province) was extended to 7 other villages forming Di Su commune (1,750 households) in the current study. Complete control was also achieved in Nghia Hiep (Hung Yen province) and in Xuan Phong (Nam Dinh province); control efficacy was > or = 99.7% in the other 3 communes (Lac Vien in Haiphong, Nghia Dong, and Xuan Kien in Nam Dinh). Although tanks and wells were the key container types of Ae. aegypti productivity, discarded materials were the source of 51% of the standing crop of Ae. albopictus. Aedes albopictus larvae were eliminated from the 3 Nam Dinh communes, and 86-98% control was achieved in the other 3 communes. Variable dengue attack rates made the clinical and serological comparison of control and untreated communes problematic, but these data indicate that clinical surveillance by itself is inadequate to monitor dengue transmission.

Investigation of the relationship between drinking water quality based on content of inorganic components and landform classes using fuzzy AHP (case study: south of Firozabad, west of Fars province, Iran)

NASA Astrophysics Data System (ADS)

Mokarram, Marzieh; Sathyamoorthy, Dinesh

2016-10-01

In this study, the fuzzy analytic hierarchy process (AHP) is used to study the relationship between drinking water quality based on content of inorganic components and landform classes in the south of Firozabad, west of Fars province, Iran. For determination of drinking water quality based on content of inorganic components, parameters of calcium (Ca), chlorine (Cl), magnesium (Mg), thorium (TH), sodium (Na), electrical conductivity (EC), sulfate (SO4), and total dissolved solids (TDS) were used. It was found that 8.29 % of the study area has low water quality; 64.01 %, moderate; 23.33 %, high; and 4.38 %, very high. Areas with suitable drinking water quality based on content of inorganic components are located in parts of the south-eastern and south-western parts of the study area. The relationship between landform class and drinking water quality based on content of inorganic components shows that drinking water quality based on content of inorganic components is high in the stream, valleys, upland drainages, and local ridge classes, and low in the plain small and midslope classes. In fact we can predict water quality using extraction of landform classes from a digital elevation model (DEM) by the Topographic Position Index (TPI) method, so that streams, valleys, upland drainages, and local ridge classes have more water quality than the other classes. In the study we determined that without measurement of water sample characteristics, we can determine water quality by landform classes.

West Nile virus in Canada: ever-changing, but here to stay.

PubMed

Zheng, H; Drebot, M A; Coulthart, M B

2014-05-15

The incidence of West Nile virus (WNv) has waxed and waned in Canada over the past 12 years, but it is unlikely to disappear. Climate change models, which suggest warming temperatures and changing patterns of precipitation, predict an expansion of geographic range for WNv in some regions of Canada, such as the Prairie provinces. Such projected changes in WNv distribution might also be accompanied by genetic changes in the virus and/or the range of bird and insect host species it infects. To address this risk, emphasis should be placed on preventing exposure to infected mosquitoes, conducting high-quality surveillance of WNv and WNv disease, controlling mosquito vectors, and promoting public and professional education.

Geologic Map of the Frederick 30' x 60' Quadrangle, Maryland, Virginia, and West Virginia

USGS Publications Warehouse

Southworth, Scott; Brezinski, David K.; Drake, Avery Ala; Burton, William C.; Orndorff, Randall C.; Froelich, Albert J.; Reddy, James E.; Denenny, Danielle; Daniels, David L.

2007-01-01

The Frederick 30? ? 60? quadrangle lies within the Potomac River watershed of the Chesapeake Bay drainage basin. The map area covers parts of Montgomery, Howard, Carroll, Frederick, and Washington Counties in Maryland; Loudoun, Clarke, and Fairfax Counties in Virginia; and Jefferson and Berkeley Counties in West Virginia. Many geologic features (such as faults and folds) are named for geographic features that may or may not be shown on the 1:100,000-scale base map. The geology of the Frederick 30? ? 60? quadrangle, Maryland, Virginia, and West Virginia, was first mapped on the 32 1:24,000-scale 7.5-minute quadrangle base maps between 1989 and 1994. The geologic data were compiled manually at 1:100,000 scale in 1997 and were digitized between 1998 and 1999. The geologic map and database may be used to support activities such as land-use planning, soil mapping, groundwater availability and quality studies, identifying aggregate resources, and conducting engineering and environmental studies. The map area covers distinct geologic provinces and sections of the central Appalachian region that are defined by unique bedrock and resulting landforms. From west to east, the provinces include the Great Valley section of the Valley and Ridge province, the Blue Ridge province, and the Piedmont province; in the extreme southeastern corner, a small part of the Coastal Plain province is present. The Piedmont province is divided into several sections; from west to east, hey are the Frederick Valley synclinorium, the Culpeper and Gettysburg basins, the Sugarloaf Mountain anticlinorium, the Westminster terrane, and the Potomac terrane. The geology of the Frederick quadrangle is discussed by geologic province and sections; the geologic units within each province are discussed from oldest to youngest. Where applicable, the discussion includes information on tectonic origins. For more information concerning the report, please contact the author.

Geology and total petroleum systems of the Gulf of Guinea province of West Africa

USGS Publications Warehouse

Brownfield, Michael E.; Charpentier, Ronald R.

2006-01-01

The Gulf of Guinea Province as defined by the U.S. Geological Survey (USGS) consists of the coastal and offshore areas of Cote d'Ivoire, Ghana, Togo, and Benin, and the western part of the coast of Nigeria, from the Liberian border east to the west edge of the Niger Delta. The province includes the Ivory Coast, Tano, Central, Saltpond, Keta, and Benin Basins and the Dahomey Embayment. The area has had relatively little hydrocarbon exploration since 1968, with only 33 small to moderate-sized oil and gas fields having been discovered prior to the USGS assessment. Most discoveries to 1995 have been located in water depths less than 500 m. Since 1995, only eight new offshore discoveries have been made, with four of the discoveries in the deep-water area of the province. Although as many as five total petroleum systems exist in the Gulf of Guinea Province, only one, the Cretaceous Composite Total Petroleum System, and its assessment unit, the Coastal Plain and Offshore Assessment Unit, had sufficient data to allow assessment. The province shows two important differences compared to the passive-margin basins south of the Niger Delta: (1) the influence of transform tectonics, and (2) the absence of evaporites and salt deformation. The province also lacks long-lived, large deltaic systems that typically result in rapid source rock burial and abundant high-quality hydrocarbon reservoirs. The USGS assessed the potential for undiscovered conventional oil and gas resources in the Gulf of Guinea Province as part of its World Petroleum Assessment 2000, estimating a mean of 1,004 million barrels of conventional undiscovered oil, 10,071 billion cubic feet of gas, and 282 million barrels of natural gas liquids. Most of the hydrocarbon potential is postulated to be in the offshore, deeper waters of the province. Gas resources may be large, as well as accessible, in areas where the zone of hydrocarbon generation is relatively shallow.

Crustal extension and transform faulting in the southern Basin Range Province. [California, Arizona, and Nevada

NASA Technical Reports Server (NTRS)

Liggett, M. A. (Principal Investigator); Childs, J. F.

1974-01-01

The author has identified the following significant results. Field reconnaissance and study of geologic literature guided by analysis of ERTS-1 MSS imagery have led to a hypothesis of tectonic control of Miocene volcanism, plutonism, and related mineralization in part of the Basin Range Province of southern Nevada and northwestern Arizona. The easterly trending right-lateral Las Vegas Shear Zone separates two volcanic provinces believed to represent areas of major east-west crustal extension. One volcanic province is aligned along the Colorado River south of the eastern termination of the Las Vegas Shear Zone; the second province is located north of the western termination of the shear zone in southern Nye County, Nevada. Geochronologic, geophysical, and structural evidence suggests that the Las Vegas Shear Zone may have formed in response to crustal extension in the two volcanic provinces in a manner similar to the formation of a ridge-ridge transform fault, as recognized in ocean floor tectonics.

Aerosol Properties under Air Quality Control Measures of APEC 2014 in Beijing

NASA Astrophysics Data System (ADS)

Chen, X.; Xu, H.; Lv, Y.; Xie, Y.; Li, K.; Li, Z.; Li, D.; Ma, Y.; Mei, X.

2015-12-01

Because the economic and society were developing fast in the middle of last century, Los Angeles and London both were polluted by photochemical smog, which massacred thousands of people. Now, many regions are often covered by heavy haze in those large developing countries, especially in China and India. The Asia-Pacific Economic Cooperation (APEC) was held in Beijing during 5-11 November 2014. Beijing, Hebei, Tianjin, Shandong, Shanxi, Inner Mongolia reduced air pollution emissions for the APEC 2014 meeting held in Beijing. Only in Hebei province, there were 1028 factories stopped or restricted and 881 construction sites stopped. Half of the cars were prohibited driving even in the Zibo city which is 400 km far from Beijing. For scientific aims, these control measures were indeed a huge and uncommon atmospheric experiment led by the government. During the experiment, what did the "APEC Blue" mean? We analyzed aerosol properties with the data of an AERONET site in Beijing which is located 500m far from the main reception hall of APEC 2014. The Cimel solar photometers can give a series parameters of aerosol and water vapor. In this paper, we used CE318 solar photometer which is the main instrument of NASA AERONET. The CE318 of RADI belongs to the Chinese SONET (Sun-sky radiometer Observation NETwork) too. We analyzed the total, coarse and fine Aerosol Optical Depth (AOD), Fine-Mode Fraction (FMF) and Ångström exponent, Size Distribution and Real Refractive Index. In conclusion, the aerosol properties were analysed with the measurements of a sun photometer. During the APEC 2014, AOD decreased obviously with a 0.27 mean value compared with the annual mean 0.7. Around Beijing, the southern is polluted emission area including the cross part of Shandong, Shanxi, Hebei, Henan four provinces, and the northern is clean for less fine mode particles emission in the large Inner Mongolia province. In fact, during the APEC 2014, the weather condition was not good for the pollutant diffusion, and the surrounding areas were all controlled. So the pollutant aerosol was mainly from local emissions. The humidity may have impact on particle's hygroscopic growth which contributed to the air pollution.

Quality of Family Life and Mortality in Seventeenth Century Dublin

ERIC Educational Resources Information Center

Jordan, Thomas E.

2010-01-01

Inquiry into the quality of family life in seventeenth century Dublin is an attempt to understand conditions in the second largest city in the British Isles; further, the era was one of convulsions in the body politic, social, and religious. The Scottish James I and VI (1556 1625) determined that the Irish province closest to Scotland, Ulster,…

Student Motivations, Quality and Status in Adult Higher Education (AHE) in China

ERIC Educational Resources Information Center

Wang, Naixia; Morgan, W. John

2009-01-01

This article examines an important and yet neglected aspect of the relationship between higher education and the labour market in contemporary China. It does this through a detailed case study of student motivations, quality and status in adult higher education (AHE) in the city of Taiyuan, Shanxi Province. This is a region which has seen major…

Is CO2 emission a side effect of financial development? An empirical analysis for China.

PubMed

Hao, Yu; Zhang, Zong-Yong; Liao, Hua; Wei, Yi-Ming; Wang, Shuo

2016-10-01

Based on panel data for 29 Chinese provinces from 1995 to 2012, this paper explores the relationship between financial development and environmental quality in China. A comprehensive framework is utilized to estimate both the direct and indirect effects of financial development on CO 2 emissions in China using a carefully designed two-stage regression model. The first-difference and orthogonal-deviation Generalized Method of Moments (GMM) methods are used to control for potential endogeneity and introduce dynamics. To ensure the robustness of the estimations, two indicators measuring financial development-financial depth and financial efficiency-are used. The empirical results indicate that the direct effects of financial depth and financial efficiency on environmental quality are positive and negative, respectively. The indirect effects of both indicators are U shaped and dominate the shape of the total effects. These findings suggest that the influences of the financial development on environment depend on the level of economic development. At the early stage of economic growth, financial development is environmentally friendly. When the economy is highly developed, a higher level of financial development is harmful to the environmental quality.

Environmental setting and its relations to water quality in the Kanawha River basin

USGS Publications Warehouse

Messinger, Terence; Hughes, C.A.

2000-01-01

The Kanawha River and its major tributary, the New River, drain 12,233 mi2 in West Virginia, Virginia, and North Carolina. Altitude ranges from about 550 ft to more than 4,700 ft. The Kanawha River Basin is mountainous, and includes parts of three physiographic provinces, the Blue Ridge (17 percent), Valley and Ridge (23 percent), and Appalachian Plateaus (60 percent). In the Appalachian Plateaus Province, little of the land is flat, and most of the flat land is in the flood plains and terraces of streams; this has caused most development in this part of the basin to be near streams. The Blue Ridge Province is composed of crystalline rocks, and the Valley and Ridge and Appalachian Plateaus Provinces contain both carbonate and clastic rocks. Annual precipitation ranges from about 36 in. to more than 60 in., and is orographically affected, both locally and regionally. Average annual air temperature ranges from about 43?F to about 55?F, and varies with altitude but not physiographic province. Precipitation is greatest in the summer and least in the winter, and has the least seasonal variation in the Blue Ridge Province. In 1990, the population of the basin was about 870,000, of whom about 25 percent lived in the Charleston, W. Va. metropolitan area. About 75 million tons of coal were mined in the Kanawha River Basin in 1998. This figure represents about 45 percent of the coal mined in West Virginia, and about seven percent of the coal mined in the United States. Dominant forest types in the basin are Northern Hardwood, Oak-Pine, and Mixed Mesophytic. Agricultural land use is more common in the Valley and Ridge and Blue Ridge Provinces than in the Appalachian Plateaus Province. Cattle are the principal agricultural products of the basin. Streams in the Blue Ridge Province and Allegheny Highlands have the most runoff in the basin, and streams in the Valley and Ridge Province and the southwestern Appalachian Plateaus have the least runoff. Streamflow is greatest in the spring and least in the autumn. About 61 percent of the basin's population use surface water from public supply for their domestic needs; about 30 percent use self-supplied ground water, and about nine percent use ground water from public supply. In 1995, total withdrawal of water in the basin was about 1,130 Mgal/d. Total consumptive use was about 118 Mgal/d. Surface water in the Blue Ridge Province is usually dilute (less than 100 mg/L dissolved solids) and well aerated. Dissolved- solids concentrations in streams of the Valley and Ridge Province at low flow are typically greater (150-180 mg/L) than those in the Blue Ridge Province. The Appalachian Plateaus Province contains streams with the most dilute (less than 30 mg/L dissolved solids) and least dilute (more than 500 mg/L dissolved solids) water in the basin. Coal mining has degraded more miles of streams in the basin than any other land use. Streams that receive coal-mine drainage may be affected by sedimentation, and typically contain high concentrations of sulfate, iron, and manganese. Other major water-quality issues include inadequate domestic sewage treatment, present and historic disposal of industrial wastes, and logging, which results in the addition of sediment, nutrients, and other constituents to the water. One hundred eighteen fish species are reported from the Kanawha River system downstream from Kanawha Falls. Of these, 15 are listed as possible, probable, or known introductions. None of these fish species is endemic to the Kanawha River Basin. The New River system has only 46 native fishes, the lowest ratio of native fishes to drainage area of any river system in the eastern United States, and the second-highest proportion of endemic fish species (eight of 46) of any river system in the eastern United States.

Anaemia control: lessons from the flour fortification programme.

PubMed

Sadighi, J; Mohammad, K; Sheikholeslam, R; Amirkhani, M A; Torabi, P; Salehi, F; Abdolahi, Z

2009-12-01

Anaemia is an important public health problem in Iran; therefore, a programme of flour fortification with iron was launched in two pilot provinces. The present study was conducted in January 2009 to evaluate the effectiveness and process of this programme. A 'before-and-after study' was conducted to evaluate the effectiveness of the flour fortification programme, and the process of the programme was evaluated using a cross-sectional study. To evaluate the effectiveness of the programme, blood haemoglobin and ferritin levels were measured in sample populations from Bushehr and Golestan provinces. The target population was women aged 15-49 years. Iron content was measured in samples of flour and bread to evaluate the flour fortification process in these two national pilot provinces. The total study population was 600 women from Bushehr province and 652 women from Golestan province. Similar trends were found in the indicators of anaemia/iron deficiency among the women studied in both provinces. The flour fortification programme only appears to have had a beneficial effect on ferritin levels (iron deficiency) in the two provinces. The prevalence of iron-deficiency anaemia before and after the intervention did not differ significantly in either province. Interestingly, the prevalence of anaemia (low haemoglobin) was significantly higher after the intervention in women from both provinces. The coverage of fortified flour and bread was 90% and 98.7% in Bushehr province, and 94.1% and 95% in Golestan province, respectively. In areas where anaemia is not mainly due to iron deficiency, an iron fortification programme might decrease the prevalence of iron deficiency without affecting the prevalence of anaemia.

Cancer Incidence in Kerman Province, Southeast of Iran: Report of an ongoing Population-Based Cancer Registry, 2014

PubMed

Shahesmaeili, Armita; Malekpour Afshar, Reza; Sadeghi, Azadeh; Bazrafshan, Azam

2018-06-25

Introduction: The epidemiology of common cancers in Kerman province, southeast of Iran, was assessed based upon results of the Kerman Population-Based Cancer Registry Program (KPBCR). Methods: in this retrospective study, all patients diagnosed with primary cancers and registered with the KPBCR were included. New cancer cases registered from 2014 were identified from pathological labs, medical reports of 48 health facilities providing cancer diagnosis or treatment services and the national death registry program. Data for patients who were referred to neighboring provinces to access health services were also collected from national referral registries. Results from autopsies was additionally extracted from regional forensic and legal medicine centers and added to the registry periodically. Age standardized incidence rates (ASRs) per 100,000 person-years for all cancers were computed, using direct-standardization and CanReg methodology. Mortality to incidence (M:I) ratios and microscopically verified (MV) proportions were calculated as quality measures. Results: A total of 2,838 cases of cancer were registered in Kerman province, 2014. Of these 45. 6% involved women (n=1,293). Individuals aged 60-64 years represented the largest proportion (11.6%) of the total cancer prevalence, followed by those aged 55-59 years (10.86%) and 65-69 years (8.99%). The ASRs for all cancers were 155.1 and 118.90 per 100,000, in men and women, respectively. In women, breast (ASR: 26.4), skin (ASR: 13.0), thyroid (ASR: 9.2), leukemia (ASR: 8.0) and colorectal (ASR: 7.70) were the most common cancers. In men, bladder (ASR: 24.70), skin (ASR: 16.80), lung (ASR: 14.6), leukemia (ASR: 14.50), and stomach (ASR: 10.8) were found to be the most frequent. Conclusion: This study provided latest evidence on epidemiology of cancer in the southeast of Iran that could be used to empower prevention and control interventions in a developing country. Creative Commons Attribution License

Diabetes self-management, depressive symptoms, quality of life and metabolic control in youth with type 1 diabetes in China.

PubMed

Guo, Jia; Whittemore, Robin; Grey, Margaret; Wang, Jing; Zhou, Zhi-Guang; He, Guo-Ping

2013-01-01

To assess diabetes self-management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self-management and depressive symptoms were also explored. Studies have shown that adaptation to childhood chronic illness is important in determining outcomes. Few studies have been reported on the behavioural, psychosocial and physiological adaptation processes and outcomes in Chinese youth with type 1 diabetes. This is a cross-sectional study as part of a multi-site longitudinal descriptive study. Data for this report were collected at baseline. A convenience sample of 136 eligible youth was recruited during follow-up visits in hospitals in 14 major cities of Hunan Province (located in central southern mainland China) from July 2009-October 2010. Data were collected on socio-demographic background, clinical characteristics, diabetes self-management, depressive symptoms, quality of life and metabolic control. Diabetes self-management was lower in Chinese youth compared with a US cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender. A total of 17·6% of youth reported high depressive symptoms, and depressive symptoms were correlated with family annual revenue, school attendance, peer relationship and parent-child relationship. The mean score of global satisfaction with quality of life was 17·14 ± 3·58. The mean HbA1c was 9·68%. Living with type 1 diabetes poses considerable challenges, and Chinese youth report lower self-management than US youth and high depressive symptoms. Metabolic control and quality of life were sub-optimal. More clinic visits, treatment for high depressive symptoms and an intensive insulin regimen may improve diabetes self-management for youth with type 1 diabetes in China. Culturally appropriate interventions aimed at helping them adapt to living with the disease and improving outcomes are urgently needed. © 2012 Blackwell Publishing Ltd.

Air quality impact of the coal-fired power plants in the northern passageway of the China West-East Power Transmission Project.

PubMed

Xue, Zhigang; Hao, Jiming; Chai, Fahe; Duan, Ning; Chen, Yizhen; Li, Jindan; Chen, Fu; Liu, Simei; Pu, Wenqing

2005-12-01

This paper analyzes the air quality impacts of coal-fired power plants in the northern passageway of the West-East Power Transmission Project in China. A three-layer Lagrangian model called ATMOS, was used to simulate the spatial distribution of incremental sulfur dioxide (SO2) and coarse particulate matter (PM10) concentrations under different emission control scenarios. In the year 2005, the emissions from planned power plants mainly affected the air quality of Shanxi, Shaanxi, the common boundary of Inner Mongolia and Shanxi, and the area around the boundary between Inner Mongolia and Ningxia. In these areas, the annually averaged incremental SO2 and PM10 concentrations exceed 2 and 2.5 microg/m3, respectively. The maximum increases of the annually averaged SO2 and PM10 concentrations are 8.3 and 7.2 microg/m3, respectively, which occur around Hancheng city, near the boundary of the Shaanxi and Shanxi provinces. After integrated control measures are considered, the maximum increases of annually averaged SO2 and PM10 concentrations fall to 4.9 and 4 microg/m3, respectively. In the year 2010, the areas affected by planned power plants are mainly North Shaanxi, North Ningxia, and Northwest Shanxi. The maximum increases of the annually averaged SO2 and PM10, concentrations are, respectively, 6.3 and 5.6 microg/m3, occurring in Northwest Shanxi, which decline to 4.4 and 4.1 microg/m3 after the control measures are implemented. The results showed that the proposed power plants mainly affect the air quality of the region where the power plants are built, with little impact on East China where the electricity will be used. The influences of planned power plants on air quality will be decreased greatly by implementing integrated control measures.

Population, environment dynamics, poverty and quality of life in China.

PubMed

Gu, B

1996-12-01

This article focuses on the growth in poverty, environmental concerns, and Chinese government efforts to eliminate poverty with integrated programs. China had 1.2 billion people in February 1995, or 20% of total world population on 7% of the world's arable land. The rate of natural increase was 1.1% in 1996. China's population could double to 2.4 billion by 2060. About 14 million people are added every year. China has about 300 million women of childbearing age. Even with 1 child per woman, population would grow by 300 million. 18 provinces have population growth over the national average of 1.49%. Many of these provinces are also provinces with high population density, high poverty ratios, and higher than 2 birth orders. The highest growth is in western China. Poor households have a lower quality of life, more disabled members, high rates of endemic disease, and illiteracy. Among the very poor without adequate food or clothing, environmental protection is a meaningless concept. Poverty alleviation strategies have shifted from relief to economic development. State support combined with local resources in a pooling approach pays for poverty alleviation programs. The central government's share will increase until the year 2000. The number of poor was 80 million in 1994 (9% of total population) living in 592 poor counties in remote and mountainous areas. The number of poor was reduced to 65 million in 1996. An integrated approach of family planning and poverty alleviation operates in Jinzhai County of Anhui province. China is determined to reorient to a "service-oriented, client- centered, woman-sensitive, and rural-emphasized approach."

Does geography influence the treatment and outcomes of colorectal cancer? A population-based analysis.

PubMed

Helewa, Ramzi M; Turner, Donna; Wirtzfeld, Debrah; Park, Jason; Hochman, David; Czaykowski, Piotr; Singh, Harminder; Shu, Emma; Xue, Lin; McKay, Andrew

2013-06-17

The Canadian province of Manitoba covers a large geographical area but only has one major urban center, Winnipeg. We sought to determine if regional differences existed in the quality of colorectal cancer care in a publicly funded health care system. This was a population-based historical cohort analysis of the treatment and outcomes of Manitobans diagnosed with colorectal cancer between 2004 and 2006. Administrative databases were utilized to assess quality of care using published quality indicators. A total of 2,086 patients were diagnosed with stage I to IV colorectal cancer and 42.2% lived outside of Winnipeg. Patients from North Manitoba had a lower odds of undergoing major surgery after controlling for other confounders (odds ratio (OR): 0.48, 95% confidence interval (CI): 0.26 to 0.90). No geographic differences existed in the quality measures of 30-day operative mortality, consultations with oncologists, surveillance colonoscopy, and 5-year survival. However, there was a trend towards lower survival in North Manitoba. We found minimal differences by geography. However, overall compliance with quality measures is low and there are concerning trends in North Manitoba. This study is one of the few to evaluate population-based benchmarks for colorectal cancer therapy in Canada.

Integrated assessment and scenarios simulation of urban water security system in the southwest of China with system dynamics analysis.

PubMed

Yin, Su; Dongjie, Guan; Weici, Su; Weijun, Gao

2017-11-01

The demand for global freshwater is growing, while global freshwater available for human use is limited within a certain time and space. Its security has significant impacts on both the socio-economic system and ecological system. Recently, studies have focused on the urban water security system (UWSS) in terms of either water quantity or water quality. In this study, water resources, water environment, and water disaster issues in the UWSS were combined to establish an evaluation index system with system dynamics (SD) and geographic information systems (GIS). The GIS method performs qualitative analysis from the perspective of the spatial dimension; meanwhile, the SD method performs quantitative calculation about related water security problems from the perspective of the temporal dimension. We established a UWSS model for Guizhou province, China to analyze influencing factors, main driving factors, and system variation law, by using the SD method. We simulated the water security system from 2005 to 2025 under four scenarios (Guiyang scenario, Zunyi scenario, Bijie scenario and combined scenario). The results demonstrate that: (1) the severity of water security in cities is ranked as follows: three cities are secure in Guizhou province, four cities are in basic security and two cities are in a situation of insecurity from the spatial dimension of GIS through water security synthesis; and (2) the major driving factors of UWSS in Guizhou province include agricultural irrigation water demand, soil and water losses area, a ratio increase to the standard of water quality, and investment in environmental protection. A combined scenario is the best solution for UWSS by 2025 in Guizhou province under the four scenarios from the temporal dimension of SD. The results of this study provide a useful suggestion for the management of freshwater for the cities of Guizhou province in southwest China.

Source contributions to PM2.5 in Guangdong province, China by numerical modeling: Results and implications

NASA Astrophysics Data System (ADS)

Yin, Xiaohong; Huang, Zhijiong; Zheng, Junyu; Yuan, Zibing; Zhu, Wenbo; Huang, Xiaobo; Chen, Duohong

2017-04-01

As one of the most populous and developed provinces in China, Guangdong province (GD) has been experiencing regional haze problems. Identification of source contributions to ambient PM2.5 level is essential for developing effective control strategies. In this study, using the most up-to-date emission inventory and validated numerical model, source contributions to ambient PM2.5 from eight emission source sectors (agriculture, biogenic, dust, industry, power plant, residential, mobile and others) in GD in 2012 were quantified. Results showed that mobile sources are the dominant contributors to the ambient PM2.5 (24.0%) in the Pearl River Delta (PRD) region, the central and most developed area of GD, while industry sources are the major contributors (21.5% 23.6%) to those in the Northeastern GD (NE-GD) region and the Southwestern GD (SW-GD) region. Although many industries have been encouraged to move from the central GD to peripheral areas such as NE-GD and SW-GD, their emissions still have an important impact on the PM2.5 level in the PRD. In addition, agriculture sources are responsible for 17.5% to ambient PM2.5 in GD, indicating the importance of regulations on agricultural activities, which has been largely ignored in the current air quality management. Super-regional contributions were also quantified and their contributions to the ambient PM2.5 in GD are significant with notable seasonal differences. But they might be overestimated and further studies are needed to better quantify the transport impacts.

Integration of family planning with poverty alleviation.

PubMed

Peng, P

1996-12-01

The Chinese Communist Central Committee and the State Council aim to solve food and clothing problems among impoverished rural people by the year 2000. This goal was a priority on the agenda of the recent October 1996 National Conference on Poverty Alleviation and Development and the 1996 National Conference of the State Family Planning Commission. Poverty is attributed to rapid population growth and underdevelopment. Poverty is concentrated in parts of 18 large provinces. These provinces are characterized by Family Planning Minister Peng as having high birth rates, early marriage and childbearing, unplanned births, and multiple births. Overpopulation is tied to overconsumption, depletion of resources, deforestation, soil erosion, pollution, shortages of water, decreases in shares of cultivated land, degraded grasslands, and general destruction of the environment. Illiteracy in poor areas is over 20%, compared to the national average of 15%. Mortality and morbidity are higher. Family planning is harder to enforce in poor areas. Pilot programs in Sichuan and Guizhou provinces are promoting integration of family planning with poverty alleviation. Several conferences have addressed the integrated program strategies. Experience has shown that poverty alleviation occurs by controlled population growth and improved quality of life. Departments should "consolidate" their development efforts under Communist Party leadership at all levels. Approaches should emphasize self-reliance and public mobilization. The emphasis should be on women's participation in development. Women's income should be increased. Family planning networks at the grassroots level need to be strengthened simultaneously with increased poverty alleviation and development. The government strategy is to strengthen leadership, mobilize the public, and implement integrated programs.

How often are x-rays used as diagnostic tool by healthcare providers in the Mazovian province of Poland.

PubMed

Bekas, Marcin; Gajewski, Antoni K; Pachocki, Krzysztof

2013-01-01

Within the medical facilities provided by state healthcare services, a universally applied technique for patient diagnosis and treatment relies on ionising radiation; for example in radiotherapy and X-ray (ie. examination). Human exposure to such radiation is not however entirely free of associated health risks. To determine and estimate the numbers and types of X-ray based medical procedures that are performed in general and dental radiography, mammography and computer tomography on patients from the Mazovian province in Poland, which included children, women and men subjects. The numbers of patient subjects undergoing X-rays was estimated by surveying the patient intake in X-ray testing rooms within the healthcare facilities of the Mazovian province. Questionnaires were either dispatched by mail to such healthcare centres or were completed by the X-ray operating staff during the testing of quality control. Results so obtained from the latter, were compared to entries from the X-ray rooms' register During 2009, the number of X-rays performed were 7612046 equivalent to 1460 examinations per 1000 inhabitants. The majority were done on women ie. 3847961 (50.55%), followed by 3193781 (41.96%) on men and 570 304 (7.49%) for children. Results indicated that the predominating medical procedure used of this type, was for making general diagnoses; especially through using chest radiography. Others included, in descending order; dental X-ray (mainly intra-oral examination), computer tomography (mainly CT head examinations) and mammography procedures. It was also found that the annual numbers of having X-rays has increased compared to previous years.

Satellite Air Quality Monitoring Before, During and After the Beijing 2008 Olympics and Paralympics

NASA Astrophysics Data System (ADS)

Witte, J. C.; Schoeberl, M. R.; Krotkov, N. A.; Pickering, K. E.; Streets, D. G.; Gleason, J. F.; Gille, J. C.

2009-12-01

In 2001, Beijing, China was awarded the hosting rights to the 2008 Olympic and Paralympic Games. Since then, the government has gradually implemented pollution emission control strategies to improve Beijing's air quality in preparation for both games. Long-term industrial and short-term vehicle emission controls have also been enforced upwind of Beijing's neighboring provinces to the south and west. This region is characterized by numerous heavy-polluting industries whose emissions are typically transported towards Beijing, significantly impacting the city's air quality. We examine the efficacy of these emission control measures on tropospheric NO2, SO2, and CO pollution using satellite data from Aura's Ozone Monitoring Instrument (OMI) and Terra's Measurements Of Pollution In The Troposphere (MOPITT) from 2004 to the present. During both games, held in August and September 2008, OMI and MOPITT measured significant decreases in all three tracer gases compared to the past three years: NO2 (-43%), SO2 (-13%), and CO (-12%). This decrease in CO and SO2 over northeastern China continues through 2009, reflecting the longer-term nature of emission controls on heavily polluting industries. The global recession is also a likely contributor, as factories have shut down or slowed production due to the decrease in demand for manufactured goods. The tropospheric NO2 column over Beijing returned to typical monthly mean values when controls on vehicle emissions were lifted by the end of September 2008. However, we observe a slight NO2 decrease at the beginning of 2009 relative to 2008 suggesting a decrease in the contribution of industrial emissions of NOx to the overall NO2 column.

A case study of development and application of a streamlined control and response modeling system for PM2.5 attainment assessment in China.

PubMed

Long, Shicheng; Zhu, Yun; Jang, Carey; Lin, Che-Jen; Wang, Shuxiao; Zhao, Bin; Gao, Jian; Deng, Shuang; Xie, Junping; Qiu, Xuezhen

2016-03-01

This article describes the development and application of a streamlined air control and response modeling system with a novel response surface modeling-linear coupled fitting method and a new module to provide streamlined model data for PM2.5 attainment assessment in China. This method is capable of significantly reducing the dimensions required to establish a response surface model, as well as capturing more realistic response of PM2.5 to emission changes with a limited number of model simulations. The newly developed module establishes a data link between the system and the Software for Model Attainment Test-Community Edition (SMAT-CE), and has the ability to rapidly provide model responses to emission control scenarios for SMAT-CE using a simple interface. The performance of this streamlined system is demonstrated through a case study of the Yangtze River Delta (YRD) in China. Our results show that this system is capable of reproducing the Community Multi-Scale Air Quality (CMAQ) model simulation results with maximum mean normalized error<3.5%. It is also demonstrated that primary emissions make a major contribution to ambient levels of PM2.5 in January and August (e.g., more than 50% contributed by primary emissions in Shanghai), and Shanghai needs to have regional emission control both locally and in its neighboring provinces to meet China's annual PM2.5 National Ambient Air Quality Standard. The streamlined system provides a real-time control/response assessment to identify the contributions of major emission sources to ambient PM2.5 (and potentially O3 as well) and streamline air quality data for SMAT-CE to perform attainment assessments. Copyright © 2015. Published by Elsevier B.V.

New epidemiological aspects of visceral and cutaneous leishmaniasis in Taza, Morocco.

PubMed

Hakkour, Maryam; Hmamouch, Asmae; El Alem, Mohamed Mahmoud; Rhalem, Abdelkbir; Amarir, Fatima; Touzani, Mohamed; Sadak, Abderrahim; Fellah, Hajiba; Sebti, Faiza

2016-11-29

Leishmaniasis is considered among the main endemic diseases in Morocco. However, further knowledge about epidemiological aspects of this disease is needed in several provinces to plan control and preventive strategies to tackle the disease. The present study aims to determine the epidemiological aspect of cutaneous and visceral leishmaniasis in Taza Province from 2007-2014 and to identify the circulating species in this province. The temporal study from 2007 to 2014 showed that the number of cutaneous leishmaniasis cases increased since 2010. During the period of study, most leishmaniasis cases were detected in both urban and rural areas with 34% of cases detected in two urban localities, Bab Zitouna and Bab tété with 297 and 106 cases, respectively. The molecular study of cutaneous leishmaniasis showed the presence of non-sporadic Leishmania infantum and Leishmania tropica in this province. Regarding visceral leishmaniasis, Leishmania infantum is the species that has been identified. The epidemio-molecular study of leishmaniasis in Taza Province showed the coexistence of two species of Leishmania in the same foci. They also indicated that CL due to Leishmania infantum is more prevalent than reported in the literature. These results will be helpful for the implementation of control strategies by targeting dogs that constitute a reservoir of Leishmania infantum.

Tuberculosis cure rates and the ETR.Net: investigating the quality of reporting treatment outcomes from primary healthcare facilities in Mpumalanga province, South Africa.

PubMed

Dreyer, A W; Mbambo, D; Machaba, M; Oliphant, C E M; Claassens, M M

2017-03-10

Tuberculosis control programs rely on accurate collection of routine surveillance data to inform program decisions including resource allocation and specific interventions. The electronic TB register (ETR.Net) is dependent on accurate data transcription from both paperbased clinical records and registers at the facilities to report treatment outcome data. The study describes the quality of reporting of TB treatment outcomes from facilities in the Ehlanzeni District, Mpumalanga Province. A descriptive crossectional study of primary healthcare facilities in the district for the period 1 January - 31 December 2010 was performed. New smear positive TB cure rate data was obtained from the ETR.Net followed by verification of paperbased clinical records, both TB folders and the TB register, of 20% of all new smear positive cases across the district for correct reporting to the ETR.Net. Facilities were grouped according to high (>70%) and low cure rates (≤ 70%) as well as high (> 20%) and low (≤ 20%) error proportions in reporting. Kappa statistic was used to determine agreement between paperbased record, TB register and ETR.Net. Of the100 facilities (951 patient clinical records), 51(51%) had high cure rates and high error proportions, 14(14%) had a high cure rate and low error proportion whereas 30(30%) had low cure rates and high error proportions and five (5%) had a low cure rate with low error proportion. Fair agreement was observed (Kappa = 0.33) overall and between registers. Of the 473 patient clinical records which indicated cured, 383(81%) was correctly captured onto the ETR.Net, whereas 51(10.8%) was incorrectly captured and 39(8.2%) was not captured at all. Over reporting of treatment success of 12% occurred on the ETR.Net. The high error proportion in reporting onto the ETR.Net could result in a false sense of improvement in the TB control programme in the Ehlanzeni district.

[Integrative study of Guangdong ecological-economic system based on emergy analysis].

PubMed

Sui, Chunhua; Lu, Hongfang; Zheng, Fengying

2006-11-01

Based on the theories and methodologies of emergy, a quantitative analysis on the development sustainability of Guangdong Province in 1990-2003 was made from the aspects of environment, society, and economy at system and subsystem levels. The results showed that Guangdong Province was of developed provinces in China, and highly depended on the input of feedback emergy. Though the pollution control was fruitful, the increasing environmental loading was still not relieved on the whole, and the development sustainability was relatively low. This Province was increasingly relied on international market, and actually, under the status to the bad in exporting primary products and importing high-tech products. To improve the development sustainability of this Province, more concerns should be paid on improving the added values of products, making full use of the natural and labor resources in its underdeveloped area, and further bringing the economic superiority of its developed area into play.

Nonwage losses associated with occupational injury among health care workers.

PubMed

Guzman, Jaime; Ibrahimova, Aybaniz; Tompa, Emile; Koehoorn, Mieke; Alamgir, Hasanat

2013-08-01

To examine nonwage losses after occupational injury among health care workers and the factors associated with the magnitude of these losses. Inception cohort of workers filing an occupational injury claim in a Canadian province. Worker self-reports were used to calculate (1) the nonwage economic losses in 2010 Canadian dollars, and (2) the number of quality-adjusted days of life lost on the basis of the EuroQOL Index. Most workers (84%; n = 123) had musculoskeletal injuries (MSIs). Each MSI resulted in nonwage economic losses of Can$3131 (95% confidence interval, Can$3035 to Can$3226), lost wages of Can$5286, and 7.9 quality-adjusted days of life lost within 12 weeks after injury. Losses varied with type of injury, region of the province, and occupation. Non-MSIs were associated with smaller losses. These estimates of nonwage losses should be considered in workers' injury compensation policies and in economic evaluation studies.

Multi-copy entanglement purification with practical spontaneous parametric down conversion sources

NASA Astrophysics Data System (ADS)

Zhang, Shuai-Shuai; Shu, Qi; Zhou, Lan; Sheng, Yu-Bo

2017-06-01

Entanglement purification is to distill the high quality entanglement from the low quality entanglement with local operations and classical communications. It is one of the key technologies in long-distance quantum communication. We discuss an entanglement purification protocol (EPP) with spontaneous parametric down conversion (SPDC) sources, in contrast to previous EPP with multi-copy mixed states, which requires ideal entanglement sources. We show that the SPDC source is not an obstacle for purification, but can benefit the fidelity of the purified mixed state. This EPP works for linear optics and is feasible in current experiment technology. Project supported by the National Natural Science Foundation of China (Grant Nos. 11474168 and 61401222), the Natural Science Foundation of Jiangsu Province, China (Grant No. BK20151502), the Qing Lan Project in Jiangsu Province, China, and a Project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions, China.

Progress in improving provincial plans for nutrition through targeted technical assistance and local advocacy in Vietnam

PubMed Central

Harris, Jody; Nguyen, Phuong H.; To, Quyen; Frongillo, Edward A.; Menon, Purnima

2016-01-01

Vietnam has been decentralizing nutrition planning to provinces, which could help with local relevance and accountability. Assessment in 2009 found a continuing top-down approach, limited human capacity, and difficulty in integrating multiple sectors. Alive and Thrive (A&T) provided targeted assistance and capacity-building for 15 provincial plans for nutrition (PPNs). We aimed to (i) assess PPN content and quality improvements 2009–2014, and (ii) explain processes through which change occurred. Data consisted of interview-based assessments of provincial planning processes, annual PPN assessments, and tracking of A&T involvement. At endline, some provinces produced higher quality plans. Local planning skills improved, but capacity remained insufficient. Awareness of and support for nutrition improved, but some policy and legal environments were contradictory. Objectives were clearer, but use of data for planning remained inconsistent. Provinces became more proactive and creative, but remained constrained by slow approval processes and insufficient funding. Targeted assistance and local advocacy can improve decentralized planning, with success dependent on policy and programming contexts and ability to overcome constraints around capacity, investment, data use and remnants of centralized planning. We recommend strong engagement with planners at the national level to understand how to unblock major constraints; solutions must take into consideration the particular political, financial and administrative context. PMID:27198978

Trade-driven relocation of air pollution and health impacts in China.

PubMed

Wang, Haikun; Zhang, Yanxu; Zhao, Hongyan; Lu, Xi; Zhang, Yanxia; Zhu, Weimo; Nielsen, Chris P; Li, Xin; Zhang, Qiang; Bi, Jun; McElroy, Michael B

2017-09-29

Recent studies show that international trade affects global distributions of air pollution and public health. Domestic interprovincial trade has similar effects within countries, but has not been comprehensively investigated previously. Here we link four models to evaluate the effects of both international exports and interprovincial trade on PM 2.5 pollution and public health across China. We show that 50-60% of China's air pollutant emissions in 2007 were associated with goods and services consumed outside of the provinces where they were produced. Of an estimated 1.10 million premature deaths caused by PM 2.5 pollution throughout China, nearly 19% (208,500 deaths) are attributable to international exports. In contrast, interprovincial trade leads to improved air quality in developed coastal provinces with a net effect of 78,500 avoided deaths nationwide. However, both international export and interprovincial trade exacerbate the health burdens of air pollution in China's less developed interior provinces. Our results reveal trade to be a critical but largely overlooked consideration in effective regional air quality planning for China.International and domestic interprovincial trade of China are entangled, but their health impacts have been treated separately in earlier studies. Here Wang. quantify the complex impacts of trade on public health across China within an integrative framework.

Evaluation of Quality of Life and Safety of Seniors in Golestan Province, Iran

PubMed Central

Foroushani, Abbas Rahimi; Badakhshan, Abbas; Gholipour, Mahin; Hosseini, Masoumeh

2015-01-01

This study evaluated the criteria for quality of life (QoL) using standardized short-form health survey with only 36 questions (SF-36; Version 2.0) and Consumer Product Safety Commission (CPSC) questionnaires to study the relationship between QoL and living conditions of seniors in Golestan province in Iran. This was an analytical cross-sectional study with descriptive and analytical parts. The population was individuals above 65 years of age in Golestan province in Iran. The sample size was calculated based on the correlation coefficient; a correlation of .2 or greater was considered statistically significant at 80% for the power of the test at the 95% confidence level. The data on QoL of seniors were collected by interview and observation using the CPSC questionnaire for nursing homes and the SF-36 for QoL health indicators. The reliability of the CPSC questionnaire was estimated using Cronbach’s alpha with a coefficient of .838. The SF-36 questionnaire was validated with Cronbach’s alpha with a coefficient of .95. Chi-square and logistic regression were used to interpret the probability of abnormal QoL between levels of independent predictors. The percentage of seniors in overall poor health as a binary outcome was 43.5, and the percentage of unsafe conditions was 49.8. PMID:28138463

Data on microbiological quality assessment of rural drinking water supplies in Tiran County, Isfahan province, Iran.

PubMed

Jafari, Khadijeh; Mohammadi, Ali Akbar; Heidari, Zahra; Asghari, Farzaneh Baghal; Radfard, Majid; Yousefi, Mahmood; Shams, Mahmoud

2018-06-01

A lack of access to safe drinking water can lead to adverse health effects such as infection, disease, and undesirable aesthetic problems. The current study focused on the investigation of groundwater quality in Tiran's villages (Isfahan province, Iran). To determine essential microbiological quality, water samples were collected from 46 randomly-selected water wells during a one-year period. The parameters of pH and chlorine were measured on-site. Turbidity was measured at 420 nm using a DR5000 spectrophotometer. Microbiological tests including general thermoforms, Escherichia coli , and thermophiles were carried out according to the National Iranian Standard Method 3759. Data showed that 1.8% of the villages under study had contaminated water resources. The turbidity values for 94.5% of the resources were within recommended limits (<5NTU). In 20.6% of the samples, the residual free chlorine was in the range of 0 to 0.2 mg/L, 8.79% of samples had values greater than the recommended limits, and18.5% had no free residual chlorine.

Groundwater ages and mixing in the Piceance Basin natural gas province, Colorado

USGS Publications Warehouse

McMahon, Peter B.; Thomas, Judith C.; Hunt, Andrew G.

2013-01-01

Reliably identifying the effects of energy development on groundwater quality can be difficult because baseline assessments of water quality completed before the onset of energy development are rare and because interactions between hydrocarbon reservoirs and aquifers can be complex, involving both natural and human processes. Groundwater age and mixing data can strengthen interpretations of monitoring data from those areas by providing better understanding of the groundwater flow systems. Chemical, isotopic, and age tracers were used to characterize groundwater ages and mixing with deeper saline water in three areas of the Piceance Basin natural gas province. The data revealed a complex array of groundwater ages (50,000 years) and mixing patterns in the basin that helped explain concentrations and sources of methane in groundwater. Age and mixing data also can strengthen the design of monitoring programs by providing information on time scales at which water quality changes in aquifers might be expected to occur. This information could be used to establish maximum allowable distances of monitoring wells from energy development activity and the appropriate duration of monitoring.

Extreme anthropogenic erosion: Topsoil Selling in the Mekong Delta and consequences for soil quality

NASA Astrophysics Data System (ADS)

Weigand, Susanne; Sebesvari, Zita; Vien, Duong Minh; Kruse, Jens; Guong, Vo Thi; Amelung, Wulf

2017-04-01

Increasing urbanization and industrialization leads to increasing demands for construction material, especially in low income countries. For this purpose topsoil is sometimes removed and used as construction material. Topsoil Selling is practiced around the world from America, Europe and Africa to Asia. In the Mekong Delta, Vietnam farmers physically remove the upper 10-40 cm of their paddy fields and sell it to contractors (= Topsoil Selling, TSS). The excavated material is used for road construction or brick production and therefore the most fertile part of the paddy soil is irrecoverably lost. The temporal effects of topsoil removal on soil quality are not yet fully understood. We hypothesized that after soil removal, soil quality and yield potential are significantly lower compared to the original topsoil. To test this hypothesis, we sampled two chronosequences in two different provinces of the Mekong Delta. The provinces are Sóc Trăng (Control, 1, 2, 3, 8 years after TSS) and Trà Vinh (Control, 3, 5, 8 years after TSS). The sampling areas differ in texture and cultivation practice: clayey-loamy vs. sandy-loamy and double vs. triple rice cropping. For each year of the chronosequence, 4 field sites were investigated. We sampled the Ap, Bg1, and Bg2 horizon up to 40 cm depth as composite samples from 6 to 8 cores per field. Soil organic carbon (Corg) stocks at TSS sites were up to 20 t/ha lower than at Control sites (Control: 50 t/ha) in Sóc Trăng and up to 15 t/ha lower in Tra Vinh (Control: 30 t/ha). Especially the Bg horizons revealed a continuous decline in Corg with time after soil removal. Analysis of available nutrients (Na, K, Ca, Mg, S, Fe, Al, Mn, Zn, Cu) determined by the Mehlich3-Method are still ongoing. Preliminary results, however, suggest that there is not sustainable loss of these elements after selling, but that initial risk of losses are reverted under prolonged management. Phosphorus fractionation according to the Hedley method indicate, however, that easily and moderately plant available P forms are depleted, which has to be accounted for in land-restoration measures. Overall, the current data we received so far revealed that TSS induces mainly a dramatic loss of soil organic matter. It was ongoing up to the 8th year of our chronosequence; yet, it was not necessarily accompanied by losses in inorganic nutrients. As a result, there is a chance also for the farmers to overcome risks in yield decline because the former subsoils overtake the role of the former topsoils in maintaining rice production.

Seasonal occurrence and production effects of the biting louse Damalinia limbata on Angora goats and 2 treatment options.

PubMed

Brown, L; van der Linde, T C de K; Fourie, L J; Horak, I G

2005-06-01

Adult biting lice Damalinia limbata (Gervais 1844) were most numerous on Angora goats in southwestern Free State Province from November to May with the smallest numbers present during August. Nymphs were most numerous from January to March with the smallest numbers present during July. The largest proportion of adult lice was present on the ventral surface of goats during winter, when population numbers were lowest, and the largest proportion of nymphs during summer, when population numbers were highest. Infestation did not affect the body weight of goats, but adversely affected both the quantity and quality of mohair produced. A single treatment with deltamethrin, applied as a pour-on along the mid-line of the backs of the goats, effectively controlled infestation and resulted in a significant increase in mohair production compared with untreated goats. Deltamethrin sprayed along the sides of the animals was equally effective in controlling infestation.

Effects of High School Students' Perceptions of School Life Quality on Their Academic Motivation Levels

ERIC Educational Resources Information Center

Akin Kösterelioglu, Meltem; Kösterelioglu, Ilker

2015-01-01

This study aims to identify the effects of high school students' perceptions of school life quality on their academic motivation levels. The study was conducted on a sample of high school students (n = 2371) in Amasya Province in the fall semester of 2013-2014 academic year. Study sample was selected with the help of cluster sampling method. Data…

The Relative Contribution of Health Status and Quality of Life Domains in Subjective Health in Old Age

ERIC Educational Resources Information Center

Prieto-Flores, Maria-Eugenia; Moreno-Jimenez, Antonio; Fernandez-Mayoralas, Gloria; Rojo-Perez, Fermina; Forjaz, Maria Joao

2012-01-01

To analyze the influence of different health status dimensions and quality of life (QoL) domains on older adults' subjective health, and to assess the role that residential satisfaction plays in these relationships. A QoL survey was conducted on a representative sample of the community-dwelling older adult population in Madrid province (Spain).…

Nutritional status, psychological well-being and the quality of life of AIDS orphans in rural Henan Province, China.

PubMed

He, Zhonghu; Ji, Chengye

2007-10-01

To assess the influence of orphanhood due to AIDS on children's nutritional status, psychological well-being and life quality, and to explore appropriate intervention strategies in China. In 2005, 186 children aged 8-15 years (93 AIDS orphans and 93 non-orphans) from a rural area of Henan Province were surveyed in a cross-sectional and matched pairs study on nutritional status, psychological health and life quality. We found no compelling evidence for poorer nutritional status in orphans. The nutritional status of both orphans and non-orphans was extremely poor according to the prevalence of stunting, underweight, wasting and anaemia. Depression, low self-esteem and lower quality of life were more frequent in orphans. These differences mainly existed in boys' groups. No significant differences were found between paternal, maternal and double orphans, or orphans in orphanages or extended families. Regression analysis revealed that orphanhood leads to low self-esteem and more depression which contributes to lower quality of life and mediates the association between orphanhood and quality of life. The high prevalence of poor nutritional status indicates that basic material needs of children, including AIDS orphans, are not met in rural China. Psychological problems were prominent among orphans and had become the most important contributor of lower life quality. Boys were at least as vulnerable as girls. The living conditions of all children in rural China must be improved; school-based care and support are crucial and would be a cost-effective way to improve the overall life quality of AIDS orphans.

76 FR 51934 - Determination of Pest-Free Areas in Mendoza Province, Argentina; Request for Comments

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-19

... acknowledged Argentina's history of successful Medfly control efforts, but stated that APHIS should not relax...] Determination of Pest-Free Areas in Mendoza Province, Argentina; Request for Comments AGENCY: Animal and Plant... received a request from the Government of Argentina to recognize additional areas as pest- free areas for...

Multicenter Collaborative Quality Assurance Program for the Province of Ontario, Canada: First-Year Results

DOE Office of Scientific and Technical Information (OSTI.GOV)

Létourneau, Daniel, E-mail: daniel.letourneau@rmp.uh.on.ca; Department of Radiation Oncology, University of Toronto, Toronto, Ontario; McNiven, Andrea

2013-05-01

Purpose: The objective of this work was to develop a collaborative quality assurance (CQA) program to assess the performance of intensity modulated radiation therapy (IMRT) planning and delivery across the province of Ontario, Canada. Methods and Materials: The CQA program was designed to be a comprehensive end-to-end test that can be completed on multiple planning and delivery platforms. The first year of the program included a head-and-neck (H and N) planning exercise and on-site visit to acquire dosimetric measurements to assess planning and delivery performance. A single dosimeter was used at each institution, and the planned to measured dose agreementmore » was evaluated for both the H and N plan and a standard plan (linear-accelerator specific) that was created to enable a direct comparison between centers with similar infrastructure. Results: CQA program feasibility was demonstrated through participation of all 13 radiation therapy centers in the province. Planning and delivery was completed on a variety of infrastructure (treatment planning systems and linear accelerators). The planning exercise was completed using both static gantry and rotational IMRT, and planned-to-delivered dose agreement (pass rates) for 3%/3-mm gamma evaluation were greater than 90% (92.6%-99.6%). Conclusions: All centers had acceptable results, but variation in planned to delivered dose agreement for the same planning and delivery platform was noted. The upper end of the range will provide an achievable target for other centers through continued quality improvement, aided by feedback provided by the program through the use of standard plans and simple test fields.« less

Performance Assessment of a Communicable Disease Surveillance System in Response to the Twin Earthquakes of East Azerbaijan.

PubMed

Babaie, Javad; Ardalan, Ali; Vatandoost, Hasan; Goya, Mohammad Mehdi; Akbari Sari, Ali

2015-08-01

Following the twin earthquakes on August 11, 2012, in the East Azerbaijan province of Iran, the provincial health center set up a surveillance system to monitor communicable diseases. This study aimed to assess the performance of this surveillance system. In this quantitative-qualitative study, performance of the communicable diseases surveillance system was assessed by using the updated guidelines of the Centers for Disease Control and Prevention (CDC). Qualitative data were collected through interviews with the surveillance system participants, and quantitative data were obtained from the surveillance system. The surveillance system was useful, simple, representative, timely, and flexible. The data quality, acceptability, and stability of the surveillance system were 65.6%, 10.63%, and 100%, respectively. The sensitivity and positive predictive value were not calculated owing to the absence of a gold standard. The surveillance system satisfactorily met the goals expected for its setup. The data obtained led to the control of communicable diseases in the affected areas. Required interventions based on the incidence of communicable disease were designed and implemented. The results also reassured health authorities and the public. However, data quality and acceptability should be taken into consideration and reviewed for implementation in future disasters.

A ground-water reconnaissance of the Republic of Ghana, with a description of geohydrologic provinces

USGS Publications Warehouse

Gill, H.E.

1969-01-01

This report gives a general summary of the availability and use of ground water and describes the occurrence of ground water in five major geohydrologic provinces lying in the eight administrative regions of Ghana. The identification and delineation of the geohydrologic provinces are based on their distinctive characteristics with respect to the occurrence and availability of ground water. The Precambrian province occupies the southern, western, and northern parts of Ghana and is underlain largely by intrusive crystalline and metasedimentary rocks. The Voltaian province includes that part of the Voltaian sedimentary basin in central Ghana and is underlain chiefly by consolidated sandstone, mudstone, and shale. Narrow discontinuous bands of consolidated Devonian and Jurassic sedimentary rocks near the coast constitute the Coastal Block Fault province. The Coastal Plain province includes semiconsolidated to unconsolidated sediments of Cretaceous to Holocene age that underlie coastal plain areas in southwestern and southeastern Ghana. The Alluvial province includes the Quaternary alluvial deposits in the principal river valleys and on the delta of the Volta River. Because of the widespread distribution of crystalline and consolidated sedimentary rocks of low permeability in the Precambrian, Voltaian, and Coastal Block Fault provinces, it is difficult to develop large or event adequate groundwater supplies in much of Ghana. On the other hand, small (1 to 50 gallons per minute) supplies of water of usable quality are available from carefully sited boreholes in most parts of the country. Also, moderate (50 to 200 gpm) supplies of water are currently (1964) obtained from small-diameter screened boreholes tapping sand and limestone aquifers in the Coastal Plain province in southwestern and southeastern Ghana, but larger supplies could be obtained through properly constructed boreholes. In the Alluvial province, unconsolidated deposits in the larger stream valleys that are now largely undeveloped offer desirable locations for shallow vertical or horizontal wells, which can induce infiltration from streams and yield moderate to large water supplies. The principal factors that limit development of ground-water supplies in Ghana are (1) prevailing low permeability and water-yielding potential of the crystalline and consolidated sedimentary rocks that underlie most of the country, (2) highly mineralized ground water which appears to be widely distributed in the northern part of the Voltaian province, and (3) potential problems of salt-water encroachment in the Coastal Plain province in the Western Region and in the Keta area. On the other hand, weathering has increased porosity and has thus substantially increased the water-yielding potential of the crystalline and consolidated sedimentary rocks in much of central and northern Ghana. Also, with proper construction and development, much larger yields than those now (1964) prevalent could be obtained from boreholes tapping sand and limestone aquifers in the Coastal Plain province.

Hydrology of area 51, northern Great Plains and Rocky Mountain coal provinces, Wyoming and Montana

USGS Publications Warehouse

Peterson, David A.; Mora, K.L.; Lowry, Marlin E.; Rankl, James G.; Wilson, James F.; Lowham, H.W.; Ringen, Bruce H.

1987-01-01

This report is one of a series designed to characterize the hydrology of drainage basins within coal provinces, nationwide. Area 51 (in the Rocky Mountain Coal Province) includes all or part of the Shoshone, Bighorn, Greybull, Wind, and Popo Agie River drainage basins - a total of 11,800 sq mi. Area 51 contains more than 18 million tons of strippable bituminous coal and extensive deposits of subbituminous coal, in the arid and semiarid basins. The report represents a summary of results of water resources investigations of the U.S. Geological Survey, some of which were conducted in cooperation with State and other Federal agencies. More than 30 individual topics are discussed in brief texts that are accompanied by maps, graphs, photographs , and illustrations. Primary topics in the reports are physiography, resources and economy, surface-water quantity and quality, and groundwater. (USGS)

Hydrology of area 52, Rocky Mountain coal province Wyoming, Colorado, Idaho, and Utah

USGS Publications Warehouse

Lowham, H.W.; Peterson, D.A.; Larson, L.R.; Zimmerman, E.A.; Ringen, B.H.; Mora, K.L.

1985-01-01

This report is one of a series designed to characterize the hydrology of drainage basins within coal provinces, nationwide. Area 52 (in the Rocky Mountain Coal Province) includes the Green River Basin upstream from the Yampa River, and the Bear River upstream from the Bear Lake - a total of 23,870 sq mi. Area 52 contains over 3 billion tons of strippable coal, most of which is located in the arid and semiarid plains. The report represents a summary of results of the water resources investigations of the U.S. Geological Survey, carried out in cooperation with State and other Federal agencies. More than 40 individual topics are discussed in a brief text that is accompanied by maps, graphs, photographs, and other illustrations. Primary topics in the report are: general features, resources and economy, surface-water quantity and quality, and groundwater. (USGS)

Hydrocarbon provinces and productive trends in Libya and adjacent areas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Missallati, A.A.

1988-08-01

According to the age of major reservoirs, hydrocarbon occurrences in Libya and adjacent areas can be grouped into six major systems which, according to their geographic locations, can be classified into two major hydrocarbon provinces: (1) Sirte-Pelagian basins province, with major reservoirs ranging from middle-late Mesozoic to early Tertiary, and (2) Murzog-Ghadames basins province, with major reservoirs ranging from early Paleozoic to early Mesozoic. In the Sirte-Pelagian basins province, hydrocarbons have been trapped in structural highs or in stratigraphic wedge-out against structural highs and in carbonate buildups. Here, hydrocarbon generation is characterized by the combined effect of abundant structural reliefmore » and reservoir development in the same hydrocarbon systems of the same age, providing an excellent example of hydrocarbon traps in sedimentary basins that have undergone extensive tensional fracturing in a shallow marine environment. In the Murzog-Ghadames basins province, hydrocarbons have been trapped mainly in structural highs controlled by paleostructural trends as basement arches which acted as focal points for oil migration and accumulation.« less

Numerical simulations for the sources apportionment and control strategies of PM2.5 over Pearl River Delta, China, part I: Inventory and PM2.5 sources apportionment.

PubMed

Huang, Yeqi; Deng, Tao; Li, Zhenning; Wang, Nan; Yin, Chanqin; Wang, Shiqiang; Fan, Shaojia

2018-09-01

This article uses the WRF-CMAQ model to systematically study the source apportionment of PM 2.5 under typical meteorological conditions in the dry season (November 2010) in the Pearl River Delta (PRD). According to the geographical location and the relative magnitude of pollutant emission, Guangdong Province is divided into eight subdomains for source apportionment study. The Brute-Force Method (BFM) method was implemented to simulate the contribution from different regions to the PM 2.5 pollution in the PRD. Results show that the industrial sources accounted for the largest proportion. For emission species, the total amount of NO x and VOC in Guangdong Province, and NH 3 and VOC in Hunan Province are relatively larger. In Guangdong Province, the emission of SO 2 , NO x and VOC in the PRD are relatively larger, and the NH 3 emissions are higher outside the PRD. In northerly-controlled episodes, model simulations demonstrate that local emissions are important for PM 2.5 pollution in Guangzhou and Foshan. Meanwhile, emissions from Dongguan and Huizhou (DH), and out of Guangdong Province (SW) are important contributors for PM 2.5 pollution in Guangzhou. For PM 2.5 pollution in Foshan, emissions in Guangzhou and DH are the major contributors. In addition, high contribution ratio from DH only occurs in severe pollution periods. In southerly-controlled episode, contribution from the southern PRD increases. Local emissions and emissions from Shenzhen, DH, Zhuhai-Jiangmen-Zhongshan (ZJZ) are the major contributors. Regional contribution to the chemical compositions of PM 2.5 indicates that the sources of chemical components are similar to those of PM 2.5 . In particular, SO 4 2- is mainly sourced from emissions out of Guangdong Province, while the NO 3- and NH 4+ are more linked to agricultural emissions. Copyright © 2018 Elsevier B.V. All rights reserved.

Quality index of radiological devices: results of one year of use.

PubMed

Tofani, Alessandro; Imbordino, Patrizia; Lecci, Antonio; Bonannini, Claudia; Del Corona, Alberto; Pizzi, Stefano

2003-01-01

The physical quality index (QI) of radiological devices summarises in a single numerical value between 0 and 1 the results of constancy tests. The aim of this paper is to illustrate the results of the use of such an index on all public radiological devices in the Livorno province over one year. The quality index was calculated for 82 radiological devices of a wide range of types by implementing its algorithm in a spreadsheet-based software for the automatic handling of quality control data. The distribution of quality index values was computed together with the associated statistical quantities. This distribution is strongly asymmetrical, with a sharp peak near the highest QI values. The mean quality index values for the different types of device show some inhomogeneity: in particular, mammography and panoramic dental radiography devices show far lower quality than other devices. In addition, our analysis has identified the parameters that most frequently do not pass the quality tests for each type of device. Finally, we sought some correlation between quality and age of the device, but this was poorly significant. The quality index proved to be a useful tool providing an overview of the physical conditions of radiological devices. By selecting adequate QI threshold values for, it also helps to decide whether a given device should be upgraded or replaced. The identification of critical parameters for each type of device may be used to improve the definition of the QI by attributing greater weights to critical parameters, so as to better address the maintenance of radiological devices.

Spatiotemporal patterns of severe fever with thrombocytopenia syndrome in China, 2011-2016.

PubMed

Sun, Jimin; Lu, Liang; Wu, Haixia; Yang, Jun; Liu, Keke; Liu, Qiyong

2018-05-01

Severe fever with thrombocytopenia syndrome (SFTS) is emerging and the number of SFTS cases have increased year by year in China. However, spatiotemporal patterns and trends of SFTS are less clear up to date. In order to explore spatiotemporal patterns and predict SFTS incidences, we analyzed temporal trends of SFTS using autoregressive integrated moving average (ARIMA) model, spatial patterns, and spatiotemporal clusters of SFTS cases at the county level based on SFTS data in China during 2011-2016. We determined the optimal time series model was ARIMA (2, 0, 1) × (0, 0, 1) 12 which fitted the SFTS cases reasonably well during the training process and forecast process. In the spatial clustering analysis, the global autocorrelation suggested that SFTS cases were not of random distribution. Local spatial autocorrelation analysis of SFTS identified foci mainly concentrated in Hubei Province, Henan Province, Anhui Province, Shandong Province, Liaoning Province, and Zhejiang Province. A most likely cluster including 21 counties in Henan Province and Hubei Province was observed in the central region of China from April 2015 to August 2016. Our results will provide a sound evidence base for future prevention and control programs of SFTS such as allocation of the health resources, surveillance in high-risk regions, health education, improvement of diagnosis and so on. Copyright © 2018 Elsevier GmbH. All rights reserved.

Data on assessment of groundwater quality for drinking and irrigation in rural area Sarpol-e Zahab city, Kermanshah province, Iran.

PubMed

Soleimani, Hamed; Abbasnia, Abbas; Yousefi, Mahmood; Mohammadi, Ali Akbar; Khorasgani, Fazlollah Changani

2018-04-01

In present study 30 groundwater samples were collected from Sarpol-e Zahab area, Kermanshah province of Iran in order to assess the quality of groundwater in subjected area and determining its suitability for drinking and agricultural purposes. Also the variations in the quality levels of groundwater were compared over the years of 2015 and 2016. Statistical analyses including Spearman correlation coefficients and factor analysis display good correlation between physicochemical parameters (EC, TDS and TH) and Na + , Mg 2+ , Ca 2+ , Cl - and [Formula: see text] ionic constituents. Also in order to assess water quality for irrigation we used the United States Department of Agriculture (USDA) classification which is based on SAR for irrigation suitability assessment. In addition, the residual sodium carbonate (RSC), %Na, PI, KR, SSP, MH, EC characteristics were calculated for all samples and used for assessment of irrigation suitability. Based on these indicators, for every two years, the quality of water for agriculture is in good and excellent category. The Piper classification for hydro geochemical facies indicates that the water in the study area is of Ca-HCO 3 - type. However, the study of water hardness shows that more than 80% of samples are in hard and very hard water class. Therefore, there is a need for decisions to refine and soften the water.

Assessment of the quality of hospital care for children in Indonesia.

PubMed

Sidik, Nurul A; Lazuardi, Lilliana; Agung, Fransisca H; Pritasari, Kirana; Roespandi, Hanny; Setiawan, Tini; Pawitro, Udjiani; Nurhamzah, Waldi; Weber, Martin W

2013-04-01

To obtain an overview of the quality of care for children in Indonesia, by assessing hospitals with a view to proceed to a quality improvement mechanism for child care. Stratified two-stage random sampling in six regions identified 18 hospitals (provinces Jambi, East Java, Central Kalimantan, South-East Sulawesi, East Nusa Tenggara, North Maluku). Three randomly selected hospitals in each province were visited by trained assessors who scored each assessed service (expressed as a percentage of achievement) and grouped into good (≥ 80%), requiring improvement (60-79%) and urgently requiring improvement (< 60%). The overall median result score across all areas was 43% (IQR 28%-53%). Case management for common childhood illnesses had a median score of 37% (IQR18-43%), neonatal care 46% (IQR 26-57%) and patient monitoring 40% (IQR 30-50%), all indicating an urgent need for improvement. Qualitative data showed as main problems inadequate use of standard treatment guidelines, irrational prescribing of antibiotics, poor progress monitoring and poor supportive care. We found serious shortcomings in the quality of hospital care for children. Finding and documenting those is the first step in a quality improvement process. Work is needed to start an improvement cycle for hospital care. © 2013 Blackwell Publishing Ltd. The World Health Organization retains copyright and all other rights in the manuscript of this article as submitted for publication.

Chemical quality and oxidative stability of extra virgin olive oils from San Juan province (Argentina).

PubMed

Ceci, Liliana N; Mattar, Susana B; Carelli, Amalia A

2017-10-01

This study provides information about the chemical quality (quality indices, fatty acid profile, total polyphenols (PPs), tocopherols and pigments) and oxidative stability index (OSI) of virgin olive oils of Arbequina, Changlot Real and Coratina cultivars (San Juan province, Argentina). The influence of the cultivar and the effect of earlier harvest dates on the yields (OY), quality and OSI of the oils were also evaluated. All the oils were classified as extra virgin. The OY (L/100kg) averaged: Arbequina=13.2, Changlot Real=21.3, Coratina=18.3. The oleic acid (O) percentage, oleic to linoleic plus linolenic ratio [O/(L+Ln)], PPs and OSI were highly dependent on cultivar (Arbequina

Barriers to health-care and psychological distress among mothers living with HIV in Quebec (Canada).

PubMed

Blais, Martin; Fernet, Mylène; Proulx-Boucher, Karène; Lebouché, Bertrand; Rodrigue, Carl; Lapointe, Normand; Otis, Joanne; Samson, Johanne

2015-01-01

Health-care providers play a major role in providing good quality care and in preventing psychological distress among mothers living with HIV (MLHIV). The objectives of this study are to explore the impact of health-care services and satisfaction with care providers on psychological distress in MLHIV. One hundred MLHIV were recruited from community and clinical settings in the province of Quebec (Canada). Prevalence estimation of clinical psychological distress and univariate and multivariable logistic regression models were performed to predict clinical psychological distress. Forty-five percent of the participants reported clinical psychological distress. In the multivariable regression, the following variables were significantly associated with psychological distress while controlling for sociodemographic variables: resilience, quality of communication with the care providers, resources, and HIV disclosure concerns. The multivariate results support the key role of personal, structural, and medical resources in understanding psychological distress among MLHIV. Interventions that can support the psychological health of MLHIV are discussed.

Selection of sustainable seaweed and grouper aquaculture development strategy: a case of Pulau Panjang, Serang Regency Banten Province

NASA Astrophysics Data System (ADS)

Soejarwo, P. A.; Fitriyanny, W. P.; Heriati, A.; Hakim, A. R.

2018-03-01

Due to their high-income contribution, seaweed and grouper aquacultures are important activities in Pulau Panjang community. Determining alternative strategies in developing sustainable aquaculture for seaweed and grouper and their priority factors from theses aquaculture activities are done using TOPSIS and AHP analysis. It was found that the development strategy that must be taken is the option to maintain aquaculture activities, while, environment factor is the highest priority to maintain seaweed and grouper aquaculture in Pulau Panjang. Then three priorities are obtained from environment factor. The first is to maintain the water quality by the growth requirements of seaweed and grouper by encouraging the formation of “Environmental Community Awareness” that involved the active participation of the community to maintain quality and carrying capacity of the environment. Second is to use of natural or artificial coastal protectors (soft structure). The third priority strategy is integration and real implementation of heavy metal pollution control between government, industry sector and society.

The Impact of a School-Based Hygiene, Water Quality and Sanitation Intervention on Soil-Transmitted Helminth Reinfection: A Cluster-Randomized Trial

PubMed Central

Freeman, Matthew C.; Clasen, Thomas; Brooker, Simon J.; Akoko, Daniel O.; Rheingans, Richard

2013-01-01

We conducted a cluster-randomized trial to assess the impact of a school-based water treatment, hygiene, and sanitation program on reducing infection with soil-transmitted helminths (STHs) after school-based deworming. We assessed infection with STHs at baseline and then at two follow-up rounds 8 and 10 months after deworming. Forty government primary schools in Nyanza Province, Kenya were randomly selected and assigned to intervention or control arms. The intervention reduced reinfection prevalence (odds ratio [OR] 0.56, 95% confidence interval [CI] 0.31–1.00) and egg count (rate ratio [RR] 0.34, CI 0.15–0.75) of Ascaris lumbricoides. We found no evidence of significant intervention effects on the overall prevalence and intensity of Trichuris trichiura, hookworm, or Schistosoma mansoni reinfection. Provision of school-based sanitation, water quality, and hygiene improvements may reduce reinfection of STHs after school-based deworming, but the magnitude of the effects may be sex- and helminth species-specific. PMID:24019429

Equivalence studies for complex active ingredients and dosage forms.

PubMed

Bhattycharyya, Lokesh; Dabbah, Roger; Hauck, Walter; Sheinin, Eric; Yeoman, Lynn; Williams, Roger

2005-11-17

This article examines the United States Pharmacopeia (USP) and its role in assessing the equivalence and inequivalence of biological and biotechnological drug substances and products-a role USP has played since its founding in 1820. A public monograph in the United States Pharmacopeia-National Formulary helps practitioners and other interested parties understand how an article's strength, quality, and purity should be controlled. Such a monograph is a standard to which all manufactured ingredients and products should conform, and it is a starting point for subsequent-entry manufacturers, recognizing that substantial additional one-time characterization studies may be needed to document equivalence. Review of these studies is the province of the regulatory agency, but compendial tests can provide clarity and guidance in the process.

Effect of aromatherapy via inhalation on the sleep quality and fatigue level in people undergoing hemodialysis.

PubMed

Muz, Gamze; Taşcı, Sultan

2017-10-01

The most common problems in hemodialysis patients are sleep disorders and fatigue. This randomized-controlled experimental study was conducted to determine the effect of aromatherapy applied by inhalation on sleep quality and fatigue level in hemodialysis patients. The study was completed in five hemodialysis centers settled in two provinces with 27 intervention group patients and 35 controls, being totally 62 patients, recruited with simple randomization. Ethical approval, informed consent from the individuals and institutional permission were obtained. Data were collected with a questionnaire form and Visual Analogue Scale (VAS) for fatigue, Piper fatigue scale, Pittsburgh Sleep Quality Index (PSQI), and follow-up forms for the patient and the researcher. Aromatherapy inhalation (sweet orange and lavender oil) was performed before going to bed every day for one month to the intervention group patients. No other application has been made to the control group patients except for standard hemodialysis treatment. All of the forms were performed at baseline and at follow-up at the end of the four weeks (baseline and last follow-up), VAS and Piper fatigue scale were performed during follow-ups at the end of every week (the first, second and third follow-ups). Data were statistically analyzed with Independent Samples t-test, one way analysis of variance, Pearson correlation analysis, chi-square test, Friedman and Mann Whitney U tests and Bonferroni test. p<0.05 was set as statistically significant in comparisons. Mean total and sub-dimension scores of VAS, Piper fatigue scale and PSQI (except for daytime sleepiness dysfunction sub-dimension) of the intervention and control groups at baseline were not significantly different (p>0.05). It was found that mean total and sub-dimension scores of VAS, Piper fatigue scale and PSQI of the intervention group significantly decreased in other follow-ups compared to the control group (p<0.05). Consequently, it was determined that aromatherapy applied by inhalation improved sleep quality, decreased fatigue level and severity in hemodialysis patients. Accordingly, aromatherapy prepared with sweet orange and lavender oil may be recommended to increase sleep quality and to decrease fatigue level of the hemodialysis patients. Copyright © 2017 Elsevier Inc. All rights reserved.

Impact of a provincial quality-improvement program on primary health care in Ontario: a population-based controlled before-and-after study

PubMed Central

Green, Michael E.; Harris, Stewart B.; Webster-Bogaert, Susan; Han, Han; Kotecha, Jyoti; Kopp, Alexander; Ho, Minnie M.; Birtwhistle, Richard V.; Glazier, Richard H.

2017-01-01

Background: In Ontario, a province-wide quality-improvement program (Quality Improvement and Innovation Partnership [QIIP]) was implemented between 2008 and 2010 to support improved outcomes in Family Health Teams, a care model that includes many features of the patient-centred medical home. We assessed the impact of this program on diabetes management, colorectal and cervical cancer screening and access to health care. Methods: We used comprehensive linked administrative data sets to conduct a population-based controlled before-and-after study. Outcome measures included diabetes process-of-care measures (test ordering, retinal examination, medication prescribing and completion of billing items specific to diabetes management), colorectal and cervical cancer screening measures and use of health care services (emergency department visits, hospital admission for ambulatory-care-sensitive conditions and rates of readmission to hospital). The control group consisted of Family Health Team physicians with at least 100 assigned patients during the study follow-up period (November 2009-February 2013). Results: There were 53 physicians in the intervention group and 1178 physicians in the control group. Diabetes process-of-care measures improved more in the intervention group than in the control group: hemoglobin A1c testing 4.3% (95% confidence interval [CI] 1.2-7.5) more, retinal examination 2.5% (95% CI 0.8-4.4) more and preventive care visits 8.9% (95% CI 2.9-14.9) more. Medication prescribing also improved for use of statins (3.4% [95% CI 0.8-6.0] more) and angiotensin-converting-enzyme inhibitors or angiotensin receptor blockers (4.1% [95% CI 1.8-6.4] more). Colorectal cancer screening improved 5.4% (95% CI 3.1-7.8) more in the intervention group than in the control group, and cervical cancer screening improved 2.7% (95% CI 0.9-4.6) more. There were no significant differences in any of the measures of use of health care services. Interpretation: This large controlled evaluation of a broadly implemented quality-improvement initiative showed improvement for diabetes process of care and cancer screening outcomes, but not for proxy measures of access related to use of health care services. PMID:29622541

Access and Quality in Education in Resettlement Schools: The Case Study of Zvivingwi Secondary School in Gutu District, Masvingo Province in Zimbabwe

ERIC Educational Resources Information Center

Jenjekwa, Vincent

2013-01-01

In Zimbabwe, the discourse on access and quality in education has been a raging one since the colonial days of bottlenecks and outright discrimination against black Zimbabweans in education. The doors to education were declared open to all at independence in 1980 with the new Zimbabwe government's enunciated policy of education for all. It is an…

An Examination of the Impact of Teacher Quality and "Opportunity Gap" on Student Science Achievement in China

ERIC Educational Resources Information Center

Zhang, Danhui; Campbell, Todd

2015-01-01

This study aims to better understand questions related to the impact of teacher quality and access to qualified teachers in China. A large-scale data set collected in 2010 in China was used along with concurrently collected teacher questionnaires. In total, surveys from 9,943 8th grade students from 343 middle schools in 6 provinces were used,…

Effects of manganese on routine semen quality parameters: results from a population-based study in China

PubMed Central

2012-01-01

Background Manganese (Mn) is an essential element in humans but its effect on semen quality is unclear. This study therefore aimed to assess the effects of Mn on semen quality in healthy men with no occupational exposure to Mn. Methods Semen samples were obtained from healthy Chinese men 20–59 years old who were recruited from six provinces in China. Individuals with urogenital tract diseases, tuberculosis, or occupational exposure to heavy metals were excluded. A questionnaire survey was conducted, and the external genitalia, semen quality, and serum Mn levels were examined. Results A total of 1,179 volunteers were enrolled in this study. The median serum Mn concentration was 8.2 μg/L (25th percentile (P25)=3.7 μg/L, P75=16.2μg/L). After adjusted area (six provinces), abstinence interval, season, registered residence, age of subjects, education level, income, smoking, and drinking, the risk of teratospermia was increased at serum Mn concentrations >19.40 μg/L (P80) group, with an adjusted odds ratio of 2.27 (95% confidence interval: 1.18–4.37). Conclusion High serum Mn levels appeared to have harmful effects on sperm morphology and motility among healthy men with no occupational exposure to Mn. PMID:23107312

Drinking Water Quality Guidelines across Canadian Provinces and Territories: Jurisdictional Variation in the Context of Decentralized Water Governance

PubMed Central

Dunn, Gemma; Bakker, Karen; Harris, Leila

2014-01-01

This article presents the first comprehensive review and analysis of the uptake of the Canadian Drinking Water Quality Guidelines (CDWQG) across Canada’s 13 provinces and territories. This review is significant given that Canada’s approach to drinking water governance is: (i) highly decentralized and (ii) discretionary. Canada is (along with Australia) only one of two Organization for Economic Cooperation and Development (OECD) member states that does not comply with the World Health Organization’s (WHO) recommendation that all countries have national, legally binding drinking water quality standards. Our review identifies key differences in the regulatory approaches to drinking water quality across Canada’s 13 jurisdictions. Only 16 of the 94 CDWQG are consistently applied across all 13 jurisdictions; five jurisdictions use voluntary guidelines, whereas eight use mandatory standards. The analysis explores three questions of central importance for water managers and public health officials: (i) should standards be uniform or variable; (ii) should compliance be voluntary or legally binding; and (iii) should regulation and oversight be harmonized or delegated? We conclude with recommendations for further research, with particular reference to the relevance of our findings given the high degree of variability in drinking water management and oversight capacity between urban and rural areas in Canada. PMID:24776725

Drinking Water Quality Guidelines across Canadian provinces and territories: jurisdictional variation in the context of decentralized water governance.

PubMed

Dunn, Gemma; Bakker, Karen; Harris, Leila

2014-04-25

This article presents the first comprehensive review and analysis of the uptake of the Canadian Drinking Water Quality Guidelines (CDWQG) across Canada's 13 provinces and territories. This review is significant given that Canada's approach to drinking water governance is: (i) highly decentralized and (ii) discretionary. Canada is (along with Australia) only one of two Organization for Economic Cooperation and Development (OECD) member states that does not comply with the World Health Organization's (WHO) recommendation that all countries have national, legally binding drinking water quality standards. Our review identifies key differences in the regulatory approaches to drinking water quality across Canada's 13 jurisdictions. Only 16 of the 94 CDWQG are consistently applied across all 13 jurisdictions; five jurisdictions use voluntary guidelines, whereas eight use mandatory standards. The analysis explores three questions of central importance for water managers and public health officials: (i) should standards be uniform or variable; (ii) should compliance be voluntary or legally binding; and (iii) should regulation and oversight be harmonized or delegated? We conclude with recommendations for further research, with particular reference to the relevance of our findings given the high degree of variability in drinking water management and oversight capacity between urban and rural areas in Canada.

Microbial and metal water quality in rain catchments compared with traditional drinking water sources in the East Sepik Province, Papua New Guinea.

PubMed

Horak, Helena M; Chynoweth, Joshua S; Myers, Ward P; Davis, Jennifer; Fendorf, Scott; Boehm, Alexandria B

2010-03-01

In Papua New Guinea, a significant portion of morbidity and mortality is attributed to water-borne diseases. To reduce incidence of disease, communities and non-governmental organizations have installed rain catchments to provide drinking water of improved quality. However, little work has been done to determine whether these rain catchments provide drinking water of better quality than traditional drinking water sources, and if morbidity is decreased in villages with rain catchments. The specific aim of this study was to evaluate the quality of water produced by rain catchments in comparison with traditional drinking water sources in rural villages in the East Sepik Province. Fifty-four water sources in 22 villages were evaluated for enterococci and Escherichia coli densities as well as 14 health-relevant metals. In addition, we examined how the prevalence of diarrhoeal illness in villages relates to the type of primary drinking water source. The majority of tested metals were below World Health Organization safety limits. Catchment water sources had lower enterococci and E. coli than other water sources. Individuals in villages using Sepik River water as their primary water source had significantly higher incidence of diarrhoea than those primarily using other water sources (streams, dug wells and catchments).

Housing Conditions Contribute to Underweight in Children: An Example From Rural Villages in Southeast Sulawesi, Indonesia.

PubMed

Tasnim, Tasnim; Dasvarma, Gouranga; Mwanri, Lillian

2017-09-01

The prevalence of underweight in children under 5 years of age is anomalously high in Konawe District, Southeast Sulawesi Province, Indonesia. This state of affairs may be related to poor housing conditions, such as limited access to clean water, the absence of a sanitary latrine, and the use of poor housing materials. Therefore, this study aimed to examine the effect of housing conditions on underweight in under-5 children in Konawe District. This study was conducted in 2013 in 5 health centres in Konawe District, Southeast Sulawesi Province, and used a case-control study design. The study recruited 400 under-5 children, including 100 of whom were cases and 300 of whom were age-matched controls (1:3). Cases were underweight children, while the controls were children with a normal nutritional status. The independent variables were the availability and types of water and latrine facilities and housing materials (roof, wall, and floor). The statistical analysis used Cox regression. A lack of water availability (odds ratio [OR], 5.0; 95% confidence interval [CI], 2.7 to 9.5; p<0.001), a lack of latrine availability in the home (OR, 2.5; 95% CI, 1.5 to 4.0; p<0.001), and poor-quality roofing materials (OR, 1.7; 95% CI, 1.1 to 2.7; p<0.02) significantly contributed to underweight in children. In contrast, the walls and the floors did not contribute to under-5 year children being underweight (p=0.09 and p=0.71, respectively). Sanitation facilities and roofing were identified as important factors to address in order to improve children's nutritional status. Children's health status was directly impacted by food intake via their nutritional status.

Hemlock woolly adelgid and its natural enemies in Sichuan Province, China, 2005

Treesearch

Jianhua Zhou; Yinbo Xiao; Yugui Xiao; Wenhua Lu; Michael Montgomery; Roy Van Driesche; Scott Salom

2007-01-01

A partnership of Chinese and American institutions was formed in 2005 to obtain natural enemies for biological control of Adelges tsugae Annand, the hemlock woolly adelgid (HWA), in the eastern United States. We report here the first 6 months (June-November) of studies done at three sites in Kangding and Baoxing Counties in Sichuan Province.

The malaria testing and treatment market in Kinshasa, Democratic Republic of the Congo, 2013.

PubMed

Mpanya, Godéfroid; Tshefu, Antoinette; Likwela, Joris Losimba

2017-02-28

The Democratic Republic of Congo (DRC) is one of the two most leading contributors to the global burden of disease due to malaria. This paper describes the malaria testing and treatment market in the nation's capital province of Kinshasa, including availability of malaria testing and treatment and relative anti-malarial market share for the public and private sector. A malaria medicine outlet survey was conducted in Kinshasa province in 2013. Stratified multi-staged sampling was used to select areas for the survey. Within sampled areas, all outlets with the potential to sell or distribute anti-malarials in the public and private sector were screened for eligibility. Among outlets with anti-malarials or malaria rapid diagnostic tests (RDT) in stock, a full audit of all available products was conducted. Information collected included product information (e.g. active ingredients, brand name), amount reportedly distributed to patients in the past week, and retail price. In total, 3364 outlets were screened for inclusion across Kinshasa and 1118 outlets were eligible for the study. Among all screened outlets in the private sector only about one in ten (12.1%) were stocking quality-assured Artemisinin-based Combination Therapy (ACT) medicines. Among all screened public sector facilities, 24.5% had both confirmatory testing and quality-assured ACT available, and 20.2% had sulfadoxine-pyrimethamine (SP) available for intermittent preventive therapy during pregnancy (IPTp). The private sector distributed the majority of anti-malarials in Kinshasa (96.7%), typically through drug stores (89.1% of the total anti-malarial market). Non-artemisinin therapies were the most commonly distributed anti-malarial (50.1% of the total market), followed by non quality-assured ACT medicines (38.5%). The median price of an adult quality-assured ACT was $6.59, and more expensive than non quality-assured ACT ($3.71) and SP ($0.44). Confirmatory testing was largely not available in the private sector (1.1%). While the vast majority of anti-malarial medicines distributed to patients in Kinshasa province are sold within the private sector, availability of malaria testing and appropriate treatment for malaria is alarmingly low. There is a critical need to improve access to confirmatory testing and quality-assured ACT in the private sector. Widespread availability and distribution of non quality-assured ACT and non-artemisinin therapies must be addressed to ensure effective malaria case management.

Application of Multi-Source Remote Sensing Image in Yunnan Province Grassland Resources Investigation

NASA Astrophysics Data System (ADS)

Li, J.; Wen, G.; Li, D.

2018-04-01

Trough mastering background information of Yunnan province grassland resources utilization and ecological conditions to improves grassland elaborating management capacity, it carried out grassland resource investigation work by Yunnan province agriculture department in 2017. The traditional grassland resource investigation method is ground based investigation, which is time-consuming and inefficient, especially not suitable for large scale and hard-to-reach areas. While remote sensing is low cost, wide range and efficient, which can reflect grassland resources present situation objectively. It has become indispensable grassland monitoring technology and data sources and it has got more and more recognition and application in grassland resources monitoring research. This paper researches application of multi-source remote sensing image in Yunnan province grassland resources investigation. First of all, it extracts grassland resources thematic information and conducts field investigation through BJ-2 high space resolution image segmentation. Secondly, it classifies grassland types and evaluates grassland degradation degree through high resolution characteristics of Landsat 8 image. Thirdly, it obtained grass yield model and quality classification through high resolution and wide scanning width characteristics of MODIS images and sample investigate data. Finally, it performs grassland field qualitative analysis through UAV remote sensing image. According to project area implementation, it proves that multi-source remote sensing data can be applied to the grassland resources investigation in Yunnan province and it is indispensable method.

Comparison of patient perceived primary care quality in public clinics, public hospitals and private clinics in rural China.

PubMed

Wang, Wenhua; Maitland, Elizabeth; Nicholas, Stephen; Loban, Ekaterina; Haggerty, Jeannie

2017-10-03

In rural China, patients have free choice of health facilities for outpatient services. Comparison studies exploring the attributes of different health facilities can help identify optimal primary care service models. Using a representative sample of Chinese provinces, this study aimed to compare patients' rating of three primary care service models used by rural residents (public clinics, public hospitals and private clinics) on a range of health care attributes related to responsiveness. This was a secondary analysis using the household survey data from World Health Organization (WHO) Study on global AGEing and adult health (SAGE). Using a multistage cluster sampling strategy, eight provinces were selected and finally 3435 overall respondents reporting they had visited public clinics, public hospitals or private clinics during the last year, were included in our analysis. Five items were used to measure patient perceived quality in five domains including prompt attention, communication and autonomy, dignity and confidentiality. ANOVA and Turkey's post hoc tests were used to conduct comparative analysis of five domains. Separate multivariate linear regression models were estimated to examine the association of primary care service models with each domain after controlling for patient characteristics. The distribution of last health facilities visited was: 29.5% public clinics; 31.2% public hospitals and; 39.3% private clinics. Public clinics perform best in all five domains: prompt attention (4.15), dignity (4.17), communication (4.07), autonomy (4.05) and confidentiality (4.02). Public hospitals perform better than private clinics in dignity (4.03 vs 3.94), communication (3.97 vs 3.82), autonomy (3.92 vs 3.74) and confidentiality (3.94 vs 3.73), but equivalently in prompt attention (3.92 vs 3.93). Rural residents who are older, wealthier, and with higher self-rated health status have significantly higher patient perceived quality of care in all domains. Rural public clinics, which share many characteristics with the optimal primary care delivery model, should be strongly strengthened to respond to patients' needs. Better doctor-patient interaction training would improve respect, confidentiality, autonomy and, most importantly, health care quality for rural patients.

Incentives and disincentives for treating of depression and anxiety in Ontario Family Health Teams: protocol for a grounded theory study.

PubMed

Ashcroft, Rachelle; Menear, Matthew; Silveira, Jose; Dahrouge, Simone; McKenzie, Kwame

2016-11-14

There is strong consensus that prevention and management of common mental disorders (CMDs) should occur in primary care and evidence suggests that treatment of CMDs in these settings can be effective. New interprofessional team-based models of primary care have emerged that are intended to address problems of quality and access to mental health services, yet many people continue to struggle to access care for CMDs in these settings. Insufficient attention directed towards the incentives and disincentives that influence care for CMDs in primary care, and especially in interprofessional team-based settings, may have resulted in missed opportunities to improve care quality and control healthcare costs. Our research is driven by the hypothesis that a stronger understanding of the full range of incentives and disincentives at play and their relationships with performance and other contextual factors will help stakeholders identify the critical levers of change needed to enhance prevention and management of CMDs in interprofessional primary care contexts. Participant recruitment began in May 2016. An explanatory qualitative design, based on a constructivist grounded theory methodology, will be used. Our study will be conducted in the Canadian province of Ontario, a province that features a widely implemented interprofessional team-based model of primary care. Semistructured interviews will be conducted with a diverse range of healthcare professionals and stakeholders that can help us understand how various incentives and disincentives influence the provision of evidence-based collaborative care for CMDs. A final sample size of 100 is anticipated. The protocol was peer reviewed by experts who were nominated by the funding organisation. The model we generate will shed light on the incentives and disincentives that are and should be in place to support high-quality CMD care and help stimulate more targeted, coordinated stakeholder responses to improving primary mental healthcare quality. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

[Malaria situation and evaluation on the control effect in Henan Province during 1990-2005].

PubMed

Liu, Xue-zhou; Xu, Bian-li

2006-06-01

To analyze malaria situation and evaluate the effect of control program in Henan Province during 1990-2005. Data were collected and analyzed on the measures and effects of malaria control, vector surveillance, blood examination for cases with fever and serological surveillance in the province during 1990-2005. In the 16 years, a total of 802,700 people were given pre-transmission season treatment with chloroquine and primaquine for a radical cure of vivax malaria, chemoprophylaxis was given to 764,300 people at high risk during the transmission season, treatment or presumptive treatment was given to 43,891 cases. 11,216,100 cases with fever were tested and 11,213 (0.10%) were found positive accounting for 29.01% (11 213/338 654) of all malaria cases. A total of 1 332 800 bed nets were treated with insecticide and 1,999 300 people were protected in 1990-1992 and 1996-1999. 34,846 residents including pupils were tested with IFAT in 1990-2000 and 1149 (3.30%) were positive. The parasite rate amongst 71,234 local residents including pupils was 0.40% (286/71,234). The principal transmitting vectors were Anopheles sinensis and An. anthropophagus. The man-biting habit for An. sinensis and An. anthropophagus was 0.0608 and 0.3143 respectively, and the vectorial capacity of An. anthropophagus was 22.4 times higher than that of An. sinensis. In this period, 38,654 malaria cases were reported in the province and the annual malaria incidence was 2.62 per hundred thousand, the lowest annual incidence was in 1992 (0.37 per hundred thousand). 70.05% (27,076/38,654) of these malaria cases were from areas where An. anthropophagus was present. In general, the malaria control activities have been effective and the epidemiological situation kept stable in Henan Province, although in some areas the situation is unstable and outbreak spots or focal epidemics occur.

Determinants of Malaria Program Expenditures during Elimination: Case Study Evidence from Select Provinces in the Philippines

PubMed Central

Liu, Jenny X.; Newby, Gretchen; Brackery, Aprielle; Smith Gueye, Cara; Candari, Christine J.; Escubil, Luz R.; Vestergaard, Lasse S.; Baquilod, Mario

2013-01-01

...Even though eliminating malaria from the endemic margins is a part of the Global Malaria Action Plan, little guidance exists on what resources are needed to transition from controlling malaria to eliminating it. Using Philippines as an example, this study aimed to (1) estimate the financial resources used by sub-national malaria programs in different phases during elimination and (2) understand how different environmental and organizational factors may influence expenditure levels and spending proportions. The Philippines provides an opportunity to study variations in sub-national programs because its epidemiological and ecological diversity, devolved health system, and progressive elimination strategy all allow greater flexibility for lower-level governments to direct activities, but also create challenges for coordination and resource mobilization. Through key informant interviews and archival record retrieval in four selected provinces chosen based on eco-epidemiological variation, expenditures associated with provincial malaria programs were collected for selected years (mid-1990s to 2010). Results show that expenditures per person at risk per year decrease as programs progress from a state of controlled low-endemic malaria to elimination to prevention of reintroduction regardless of whether elimination was deliberately planned. However, wide variation across provinces were found: expenditures were generally higher if mainly financed with donor grants, but were moderated by the level of economic development, the level of malaria transmission and receptivity, and the capacity of program staff. Across all provinces, strong leadership appears to be a necessary condition for maintaining progress and is vital in controlling outbreaks. While sampled provinces and years may not be representative of other sub-national malaria programs, these findings suggest that the marginal yearly cost declines with each phase during elimination. PMID:24086279

Determinants of malaria program expenditures during elimination: case study evidence from select provinces in the Philippines.

PubMed

Liu, Jenny X; Newby, Gretchen; Brackery, Aprielle; Smith Gueye, Cara; Candari, Christine J; Escubil, Luz R; Vestergaard, Lasse S; Baquilod, Mario

2013-01-01

...Even though eliminating malaria from the endemic margins is a part of the Global Malaria Action Plan, little guidance exists on what resources are needed to transition from controlling malaria to eliminating it. Using Philippines as an example, this study aimed to (1) estimate the financial resources used by sub-national malaria programs in different phases during elimination and (2) understand how different environmental and organizational factors may influence expenditure levels and spending proportions. The Philippines provides an opportunity to study variations in sub-national programs because its epidemiological and ecological diversity, devolved health system, and progressive elimination strategy all allow greater flexibility for lower-level governments to direct activities, but also create challenges for coordination and resource mobilization. Through key informant interviews and archival record retrieval in four selected provinces chosen based on eco-epidemiological variation, expenditures associated with provincial malaria programs were collected for selected years (mid-1990s to 2010). Results show that expenditures per person at risk per year decrease as programs progress from a state of controlled low-endemic malaria to elimination to prevention of reintroduction regardless of whether elimination was deliberately planned. However, wide variation across provinces were found: expenditures were generally higher if mainly financed with donor grants, but were moderated by the level of economic development, the level of malaria transmission and receptivity, and the capacity of program staff. Across all provinces, strong leadership appears to be a necessary condition for maintaining progress and is vital in controlling outbreaks. While sampled provinces and years may not be representative of other sub-national malaria programs, these findings suggest that the marginal yearly cost declines with each phase during elimination.

Impact of an interbedded viscous décollement on the structural and kinematic coupling in fold-and-thrust belts: Insights from analogue modeling

NASA Astrophysics Data System (ADS)

Borderie, Sandra; Graveleau, Fabien; Witt, César; Vendeville, Bruno C.

2018-01-01

Fold-and-thrust belts (FTBs) can be segmented both across and along strike because of various factors including tectonic and stratigraphic inheritance. In this study, we investigated along/across-strike structural interactions in a FTB propagating toward a foreland which displays contrasted lithological sequences. A set of analogue models was performed in a compressional box where a single viscous level of varying width was interbedded within a frictional series. The tectonic interaction between the viscous and the frictional provinces was tested both along and across strike. Results indicate that a frictional province influences the along-strike tectonic evolution of an adjacent viscous province. This influence decreases when the width of the viscous province increases. The frictional provinces control the taper, structural style, obliquity of the structures' trend and kinematics of the shallow deformation front of the viscous province. Results evidence how far a frictional province can impact the deformation of an adjacent viscous province. For frictional-viscous wedges, it appears that the critical taper theory, which is generally applied in 2-D, should be likely considered in terms of 3-D. Moreover, the kinematics of the deep deformation front shows mutual influences between the adjacent viscous and frictional provinces. Experimental results are compared to natural examples in the Kuqa Basin (Southern Tian Shan, China) and the Salt Range (Pakistan), and give an insight to a better understanding of the dynamics of fold-and-thrust belts bearing a viscous décollement, such as salt.

Representation and redistribution in federations.

PubMed

Dragu, Tiberiu; Rodden, Jonathan

2011-05-24

Many of the world's most populous democracies are political unions composed of states or provinces that are unequally represented in the national legislature. Scattered empirical studies, most of them focusing on the United States, have discovered that overrepresented states appear to receive larger shares of the national budget. Although this relationship is typically attributed to bargaining advantages associated with greater legislative representation, an important threat to empirical identification stems from the fact that the representation scheme was chosen by the provinces. Thus, it is possible that representation and fiscal transfers are both determined by other characteristics of the provinces in a specific country. To obtain an improved estimate of the relationship between representation and redistribution, we collect and analyze provincial-level data from nine federations over several decades, taking advantage of the historical process through which federations formed and expanded. Controlling for a variety of country- and province-level factors and using a variety of estimation techniques, we show that overrepresented provinces in political unions around the world are rather dramatically favored in the distribution of resources.

Human rabies surveillance and control in China, 2005-2012.

PubMed

Song, Miao; Tang, Qing; Rayner, Simon; Tao, Xiao-Yan; Li, Hao; Guo, Zhen-Yang; Shen, Xin-Xin; Jiao, Wen-Tao; Fang, Wei; Wang, Jun; Liang, Guo-Dong

2014-04-18

Rabies reemerged in China during the 1990s with a gradual increase in the number and geographical dispersion of cases. As a consequence, a national surveillance program was introduced in 2005 to investigate the outbreak in terms of vaccination coverage, PEP treatment, and geographical and social composition. The surveillance program was coordinated at the national level by the Chinese Center for Disease Control (CCDC) with data collected by regional health centres and provincial CCDCs, and from other official sources. Various statistical and multivariate analysis techniques were then used to evaluate the role and significance of implemented policies and strategies related to rabies prevention and control over this period. From 2005-2012, 19,221 cases were reported across 30 provinces, but these primarily occurred in rural areas of southern and eastern China, and were predominantly associated with farmers, students and preschool children. In particular, detailed analysis of fatalities reported from 2010 to 2011 shows they were associated with very low rates of post exposure treatment compared to the cases with standard PEP. Nevertheless, regulation of post-exposure prophylaxis quality, together with improved management and vaccination of domesticated animals, has improved prevention and control of rabies. The various control policies implemented by the government has played a key role in reducing rabies incidences in China. However, level of PEP treatment varies according to sex, age, degree and site of exposure, as well as the source of infection. Regulation of PEP quality together with improved management and vaccination of domesticated animals have also helped to improve prevention and control of rabies.

Human rabies surveillance and control in China, 2005–2012

PubMed Central

2014-01-01

Background Rabies reemerged in China during the 1990s with a gradual increase in the number and geographical dispersion of cases. As a consequence, a national surveillance program was introduced in 2005 to investigate the outbreak in terms of vaccination coverage, PEP treatment, and geographical and social composition. Methods The surveillance program was coordinated at the national level by the Chinese Center for Disease Control (CCDC) with data collected by regional health centres and provincial CCDCs, and from other official sources. Various statistical and multivariate analysis techniques were then used to evaluate the role and significance of implemented policies and strategies related to rabies prevention and control over this period. Results From 2005–2012, 19,221 cases were reported across 30 provinces, but these primarily occurred in rural areas of southern and eastern China, and were predominantly associated with farmers, students and preschool children. In particular, detailed analysis of fatalities reported from 2010 to 2011 shows they were associated with very low rates of post exposure treatment compared to the cases with standard PEP. Nevertheless, regulation of post-exposure prophylaxis quality, together with improved management and vaccination of domesticated animals, has improved prevention and control of rabies. Conclusions The various control policies implemented by the government has played a key role in reducing rabies incidences in China. However, level of PEP treatment varies according to sex, age, degree and site of exposure, as well as the source of infection. Regulation of PEP quality together with improved management and vaccination of domesticated animals have also helped to improve prevention and control of rabies. PMID:24742224

Situation of Diabetes and Related Disease Surveillance in Rural Areas of Jilin Province, Northeast China.

PubMed

Wang, Rui; Zhang, Peng; Lv, Xin; Jiang, Lingling; Gao, Chunshi; Song, Yuanyuan; Yu, Yaqin; Li, Bo

2016-05-27

Several studies have investigated the prevalence and awareness of diabetes mellitus (DM) in China, but little is known about the situation of DM in the northeastern rural areas. Our present study investigated the prevalence, awareness and associated characteristics of DM in rural areas of Jilin Province, aiming to suggest more efforts for the prevention and control of DM. A multistage stratified random cluster sampling design was used in this cross-sectional study which took place in 2012. Data were collected by face-to-face interviews and physical examinations. Rao-Scott Chi-square test, t test and multivariate logistic regression analysis were used. The estimated prevalence of DM in rural areas of Jilin province was 7.2%. DM was positively associated with age, Body mass index (BMI), hypotension, dyslipidemia and was high in participants with a family history of diabetes and those who exercise frequently, but low for high education level and married participants. 69.0% participants with DM were aware of their diabetes status, 88.2% of whom received treatment and 34.4% of whom had received treatment controlled their DM status. We observed a high prevalence and low awareness status of DM among the rural residents in Jilin Province, but the rate of effective control in those who have received treatment was considerable. The low rate of disease surveillance should draw health authority's attention.

[Effect of agroforestry model on inhibition of Oncomelania snails in plateau mountainous area of Yunnan Province].

PubMed

Zhang, Chun-Hua; Tang, Guo-Yong; Liu, Fang-Yan; Li, Kun

2012-10-01

To evaluate the effect of agroforestry models on the inhibition of Oncomelania snails in the plateau mountainous area of Yunnan Province. The experimental field was established at Sanying Village of Eryuan County, Yunnan Province, where the "Flourishing Forest and Controlling Snails Project" was implemented. Different drought crops (alfalfa, vegetables, broad bean, garlic, lettuce, celery, green onions, and wheat) were intercropped under walnut forest in experimental groups, and the crops were not intercropped under walnut forest in a control group. The growth of forest, the change of snails and short-term income of residents were investigated. Agroforestry models promoted the forestry growth and effectively inhibited the growth of snails. There was a little snail in one of the experimental group that forest was intercropped with alfalfa (the occurrence rate of frames with living snails was 3.33%, the average density of living snails was 0.004/0.1 m2, and the declining rates were both 50.00%). The snails were not found in other intercropped models. The income of residents in the experimental groups increased (900-6 800 Yuan per year) compared with that in the control group. The model of walnut forest intercropped with crops not only has the obvious effect on inhibition of snails, but also has good economic and ecological benefits in the plateau mountainous area of Yunnan Province.

Effect of different East Coast Fever control strategies on fertility, milk production and weight gain of Sanga cattle in the Central Province of Zambia.

PubMed

Minjauw, B; Otte, J; James, A D; de Castro, J J; Sinyangwe, P

1997-12-01

Five different East Coast Fever (ECF) (Theileria parva infection) control strategies, based on tick control and/or ECF immunization, were tested in groups of traditionally managed Sanga cattle in the Central Province of Zambia over a period of 2.5 years. Two groups were kept under intensive tick control (sprayed weekly), one group immunized and one non-immunized. Two further groups were under no tick control, one group immunized and one non-immunized, while a fifth group was immunized against ECF and maintained under strategic tick control (18 sprays per year). Tick control increased milk production and weight gain but not fertility. Immunization had neither marked detrimental nor beneficial effects on the cattle productivity. The combination of strategic tick control and immunization resulted in the highest level of production and at the same time reduced the potential risk from other tick-borne diseases.

Household food security and hunger in rural and urban communities in the Free State Province, South Africa.

PubMed

Walsh, Corinna M; van Rooyen, Francois C

2015-01-01

Household food security impacts heavily on quality of life. We determined factors associated with food insecurity in 886 households in rural and urban Free State Province, South Africa. Significantly more urban than rural households reported current food shortage (81% and 47%, respectively). Predictors of food security included vegetable production in rural areas and keeping food for future use in urban households. Microwave oven ownership was negatively associated with food insecurity in urban households and using a primus or paraffin stove positively associated with food insecurity in rural households. Interventions to improve food availability and access should be emphasized.

Spatial and temporal distribution of falciparum malaria in China

PubMed Central

Lin, Hualiang; Lu, Liang; Tian, Linwei; Zhou, Shuisen; Wu, Haixia; Bi, Yan; Ho, Suzanne C; Liu, Qiyong

2009-01-01

Background Falciparum malaria is the most deadly among the four main types of human malaria. Although great success has been achieved since the launch of the National Malaria Control Programme in 1955, malaria remains a serious public health problem in China. This paper aimed to analyse the geographic distribution, demographic patterns and time trends of falciparum malaria in China. Methods The annual numbers of falciparum malaria cases during 1992–2003 and the individual case reports of each clinical falciparum malaria during 2004–2005 were extracted from communicable disease information systems in China Center for Diseases Control and Prevention. The annual number of cases and the annual incidence were mapped by matching them to corresponding province- and county-level administrative units in a geographic information system. The distribution of falciparum malaria by age, gender and origin of infection was analysed. Time-series analysis was conducted to investigate the relationship between the falciparum malaria in the endemic provinces and the imported falciparum malaria in non-endemic provinces. Results Falciparum malaria was endemic in two provinces of China during 2004–05. Imported malaria was reported in 26 non-endemic provinces. Annual incidence of falciparum malaria was mapped at county level in the two endemic provinces of China: Yunnan and Hainan. The sex ratio (male vs. female) for the number of cases in Yunnan was 1.6 in the children of 0–15 years and it reached 5.7 in the adults over 15 years of age. The number of malaria cases in Yunnan was positively correlated with the imported malaria of concurrent months in the non-endemic provinces. Conclusion The endemic area of falciparum malaria in China has remained restricted to two provinces, Yunnan and Hainan. Stable transmission occurs in the bordering region of Yunnan and the hilly-forested south of Hainan. The age and gender distribution in the endemic area is characterized by the predominance of adult men cases. Imported falciparum malaria in the non-endemic area of China, affected mainly by the malaria transmission in Yunnan, has increased both spatially and temporally. Specific intervention measures targeted at the mobile population groups are warranted. PMID:19523209

The current status of syphilis prevention and control in Jiangsu province, China: A cross-sectional study

PubMed Central

Chen, Yuan-Fang; Ding, Jian-Ping; Yan, Hong-Jing; Lu, Jing; Ding, Ping; Chen, Guo-Hong; Li, Jian-Jun; Huan, Xi-Ping; Yang, Hai-Tao; Tang, Wei-Ming; Fu, Geng-Feng

2017-01-01

Objective To analyze the midterm evaluation data from the National Syphilis Prevention and Control Plan (2010–2020) and evaluate the current status of syphilis prevention and control in Jiangsu province, China. Methods We collected data via (1) field surveys conducted in 2015 and (2) data recorded in existing syphilis surveillance systems. We conducted descriptive statistical analysis to evaluate the current landscape of syphilis control initiatives and their potential effect in syphilis control. Results The incidence of all cases of syphilis decreased from 2010 (32.3 per 100,000) to 2015 (30.1 per 100,000), with an annual growth of -1.17% (x2trend = -7.52, P<0.001) in Jiangsu province. The incidence of primary and secondary syphilis and congenital syphilis both decreased significantly from 2010 to 2015. The average awareness rate of syphilis knowledge among professional personnel was 95.4% (3781/3963). Rural residents had the lowest awareness rate (83.5%, 1875/2245) and commercial sex workers had the highest awareness rate (92.1%, 7804/8474) in 2015. Only 47.8% (33908/70894) of patients received provider-initiated syphilis counseling and testing (PISTC) services in sexually transmitted disease (STD) clinics, but 94.5% (87927/93020) of all syphilis patients received free testing for syphilis. Overall, 97.2% (9378/9648) of syphilis reported cases of syphilis at medical institutions were confirmed to be accurate, and 92.2% (5850/6345) of patients diagnosed with syphilis at medical institutions received treatment with penicillin. Conclusion The syphilis incidence rate in Jiangsu has decreased in recent years, but remains at a high level. It is essential to promote PISTC services to improve knowledge of syphilis and rates of testing and treatment in Jiangsu province. PMID:28837587

The current status of syphilis prevention and control in Jiangsu province, China: A cross-sectional study.

PubMed

Chen, Yuan-Fang; Ding, Jian-Ping; Yan, Hong-Jing; Lu, Jing; Ding, Ping; Chen, Guo-Hong; Li, Jian-Jun; Huan, Xi-Ping; Yang, Hai-Tao; Tang, Wei-Ming; Fu, Geng-Feng

2017-01-01

To analyze the midterm evaluation data from the National Syphilis Prevention and Control Plan (2010-2020) and evaluate the current status of syphilis prevention and control in Jiangsu province, China. We collected data via (1) field surveys conducted in 2015 and (2) data recorded in existing syphilis surveillance systems. We conducted descriptive statistical analysis to evaluate the current landscape of syphilis control initiatives and their potential effect in syphilis control. The incidence of all cases of syphilis decreased from 2010 (32.3 per 100,000) to 2015 (30.1 per 100,000), with an annual growth of -1.17% (x2trend = -7.52, P<0.001) in Jiangsu province. The incidence of primary and secondary syphilis and congenital syphilis both decreased significantly from 2010 to 2015. The average awareness rate of syphilis knowledge among professional personnel was 95.4% (3781/3963). Rural residents had the lowest awareness rate (83.5%, 1875/2245) and commercial sex workers had the highest awareness rate (92.1%, 7804/8474) in 2015. Only 47.8% (33908/70894) of patients received provider-initiated syphilis counseling and testing (PISTC) services in sexually transmitted disease (STD) clinics, but 94.5% (87927/93020) of all syphilis patients received free testing for syphilis. Overall, 97.2% (9378/9648) of syphilis reported cases of syphilis at medical institutions were confirmed to be accurate, and 92.2% (5850/6345) of patients diagnosed with syphilis at medical institutions received treatment with penicillin. The syphilis incidence rate in Jiangsu has decreased in recent years, but remains at a high level. It is essential to promote PISTC services to improve knowledge of syphilis and rates of testing and treatment in Jiangsu province.

Hepatitis E virus seroprevalence among farmers, veterinarians and control subjects in Jilin province, Shandong province and Inner Mongolia Autonomous Region, China.

PubMed

Kang, Yuan-Huan; Cong, Wei; Zhang, Xiang-Yan; Wang, Chun-Feng; Shan, Xiao-Feng; Qian, Ai-Dong

2017-05-01

China is commonly considered to be a HEV-endemic region but limited epidemiological data for HEV among farmers and veterinarians are available. Thus, a case-control study was carried out to detect the seroprevalence and assess potential risk factors associated with the acquisition of HEV infection by farmers and veterinarians in China from July 2013 to May 2015. Three hundred veterinarians and 600 farmers recruited from Jilin province, Shandong province, and Inner Mongolia Autonomous Region and 600 control subjects matched by gender, age, and residence were detected for the presence of anti-HEV IgG and IgM antibodies using enzyme immunoassays. The seroprevalences of HEV infection in farmers, veterinarians, and control subjects were 34.8%, 26.7%, and 20.2%, respectively. Farmers (P < 0.001) and veterinarians (P = 0.027) have significantly higher seroprevalence than control subjects. The highest seroprevalence of HEV infection was detected in swine farmers (49.1%) and the lowest seroprevalence was found in cattle farmers (26.5%). In veterinarians, farm animal veterinarians have a higher seroprevalence than pet veterinarians, but the difference was not significant (P > 0.05). Residence area, contact with swine and exposure with soil were significantly associated with HEV infection in the study farmers; contact with swine and source of drinking water were significantly associated with HEV infection in the study veterinarians. These results implied the high prevalence of HEV and the considerable potential for the dissemination of HEV infection in farmers and veterinarians in China. J. Med. Virol. 89:872-877, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Measuring the impact of air pollution on respiratory infection risk in China.

PubMed

Tang, Sanyi; Yan, Qinling; Shi, Wei; Wang, Xia; Sun, Xiaodan; Yu, Pengbo; Wu, Jianhong; Xiao, Yanni

2018-01-01

China is now experiencing major public health challenges caused by air pollution. Few studies have quantified the dynamics of air pollution and its impact on the risk of respiratory infection. We conducted an integrated data analysis to quantify the association among air quality index (AQI), meteorological variables and respiratory infection risk in Shaanxi province of China in the period of November 15th, 2010 to November 14th, 2016. Our analysis illustrated a statistically significantly positive correlation between the number of influenza-like illness (ILI) cases and AQI, and the respiratory infection risk has increased progressively with increased AQI with a time lag of 0-3 days. We also developed mathematical models for the AQI trend and respiratory infection dynamics, incorporating AQI-dependent incidence and AQI-based behaviour change interventions. Our combined data and modelling analysis estimated the basic reproduction number for the respiratory infection during the studying period to be 2.4076, higher than the basic reproduction number of the 2009 pandemic influenza in the same province. Our modelling-based simulations concluded that, in terms of respiratory infection risk reduction, the persistent control of emission in the China's blue-sky programme is much more effective than substantial social-economic interventions implemented only during the smog days. Copyright © 2017 Elsevier Ltd. All rights reserved.

Role of modern climate and hydrology in world oil preservation

NASA Astrophysics Data System (ADS)

Szatmari, Peter

1992-12-01

The accumulation of oil requires a favorable source, a reservoir, good seal-rock quality, and suitably timed thermal history and structuring. The accumulated oil, especially its light fractions, may be subsequently removed by hydrologically controlled processes such as water washing, biodegradation, and tilting of the oil-water contact. These processes are dependent on the climate. In regions that have become increasingly cold or dry during late Cenozoic time, low rainfall, low ground-water flow rates, and low input of nutrients and microorganisms have protected the oil; in warm or temperate rainy climates, high flow rates and high input of nutrients and microorganisms have led to partial or total removal of oil. Thus, most of the rich (>500 000 barrels/day) oil provinces on land are in cold or dry regions, where water is recharged in highlands that receive little rain (<500 mm/yr), such as Texas, Oklahoma, Wyoming, Alaska's North Slope, California, Algeria, Libya, Egypt, the Middle East, the Volga-Ural basin, and western Siberia. Where upland recharge areas are warm or temperate and rainy, as in the eastern United States, western Europe, sub-Saharan Africa, Brazil, India, and most of China, rich oil provinces on land (outside young deltas) are rare, and biodegradation is widespread.

[Anemia status and correlation factors in rural regions of Hebei province].

PubMed

Wang, Yue-jin; Li, Jian-guo; Xu, Wei-ling; Wang, Xiao-bo; Liu, Yan-li; Jiang, Hong

2008-05-01

To investigate anemia status and correlation infection factors in rural regions of Hebei province and to find out evidence for preventing and controlling anemia. A random-sampling survey was conducted among 3367 houses in Hebei rural areas. The investigation involved economic levels, ages, education levels and occupations of 11,627 questionnaire. The hemoprotein and serum iron were measured. Unconditional logistic regression was performed. The anemia prevalence rate was shown up to 8.4% in rural regions of Hebei province, and in men and women was 5.5% and 11.0%, respectively;mainly in infant (< 2 years old, 27.2%) child bearing age women, the anemia prevalence rate was 11.0%-16.0%. The analysis showed that the main risk factors of anemia were sex and serum iron. The anemia prevalence is highest in infant and child bearing age women;supplying of iron should be an important measure for preventing and controlling anemia.

Culicinae (Diptera: culicidae) mosquitoes in chabahar county, sistan and baluchistan province, southeastern iran.

PubMed

Moosa-Kazemi, Sh; Vatandoost, H; Nikookar, H; Fathian, M

2009-01-01

Mosquito-borne diseases are a major public health threat in Iran. The objective of this study was to determine the fauna of culicinae mosquitoes for future mosquito control programs. THREE GENERA AND ELEVEN SPECIES OF THE SUBFAMILY CULICINAE (DIPTERA: Culicidae) were collected by dipping technique and identified in Chabahar County, Sistan and Baluchistan Province, southeastern Iran, during January, February, and March 2007. THE COLLECTED SPECIES INCLUDED: Aedes vexans (new occurrence record for the province), Culex arbieeni, Cx. bitaeniorhynchus, Cx. deserticola, Cx. hortensis, Cx. perexiguus, Cx. pipiens, Cx. pseudovishnui, Cx. pusillus, Cx. quinquefasciatus, Cx. sinaiticus, Cx. theileri, Cx. tritaeniorhynchus, Culiseta longiareolata, Ochlerotatus caballus, Oc. caspius, and Uranotaenia unguiculata. Our observations indicate that, in South of Iran hot and wet climatic conditions support the persistence of culicinae mosquitoes. As our study, regular monitoring of culicinae mosquitoes in this area could be the most useful for mosquito control and mosquito-borne disease prevention.

Quality of life in people with diabetes: a systematic review of studies in Iran.

PubMed

Kiadaliri, Aliasghar A; Najafi, Baharak; Mirmalek-Sani, Maryam

2013-12-19

Evaluation of health-related quality of life (HRQoL) among people with diabetes has been growing in Iran over the last decade. The main aim of the current study was to systematically review the characteristics of these studies and examine quality of their findings. Persian (SID, Magiran) and English (Pubmed, Medline, Web of Science, CINAHL, Scopus, PsycINFO and ERIC) databases were systematically searched using the search terms: "diabetes" AND "quality of life" AND "Iran". The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. A total of 46 studies passed the inclusion criteria and were included in the review. The included studies were conducted in 20 out of 30 provinces of the country. Most studies investigated HRQoL among people with type 2 diabetes. The Short Form Health Survey (SF-36) and WHO quality of life instruments (WHOQOL) were the main instruments used in these studies. Studies showed that people with diabetes had lower HRQoL than people without diabetes. Better socioeconomic status and better control of cardiovascular risk factors were associated with better HRQoL among the patients with diabetes. In general, the predictors of HRQoL among Iranian patients were similar to their international counterparts implying that diabetes patients share many common features. The reviewed studies suffer from major methodological and reporting flaws which limit validity and generalizability of their findings.

Progress in improving provincial plans for nutrition through targeted technical assistance and local advocacy in Vietnam.

PubMed

Harris, Jody; Nguyen, Phuong H; To, Quyen; Frongillo, Edward A; Menon, Purnima

2016-12-01

Vietnam has been decentralizing nutrition planning to provinces, which could help with local relevance and accountability. Assessment in 2009 found a continuing top-down approach, limited human capacity, and difficulty in integrating multiple sectors. Alive and Thrive (A&T) provided targeted assistance and capacity-building for 15 provincial plans for nutrition (PPNs). We aimed to (i) assess PPN content and quality improvements 2009-2014, and (ii) explain processes through which change occurred. Data consisted of interview-based assessments of provincial planning processes, annual PPN assessments, and tracking of A&T involvement. At endline, some provinces produced higher quality plans. Local planning skills improved, but capacity remained insufficient. Awareness of and support for nutrition improved, but some policy and legal environments were contradictory. Objectives were clearer, but use of data for planning remained inconsistent. Provinces became more proactive and creative, but remained constrained by slow approval processes and insufficient funding. Targeted assistance and local advocacy can improve decentralized planning, with success dependent on policy and programming contexts and ability to overcome constraints around capacity, investment, data use and remnants of centralized planning. We recommend strong engagement with planners at the national level to understand how to unblock major constraints; solutions must take into consideration the particular political, financial and administrative context. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Hydrology of area 4, Eastern Coal Province, Pennsylvania, Ohio, and West Virginia

USGS Publications Warehouse

Roth, Donald K.; Engelke, Morris J.; ,

1981-01-01

Area 4 (one of the 24 hydrologic areas defining the Eastern Coal Province) is located at the northern end of the Eastern Coal Province in eastern Ohio, northern West Virginia, and western Pennsylvania. It is part of the upper Ohio River basin, which includes the Beaver, Mahoning, and Shenango Rivers. The area is underlain by rocks of the Pottsville, Allegheny, Conemaugh, Monongahela Groups (or Formations) and Dunkard Group. Area 4 has a temperate climate with an annual average rainfall of 38 to 42 inches, most of its area is covered by forest. The soils have a high erosion potential where the vegetation cover is removed. In response to Public Law 95-87, 132 sites were added to the existing surface-water data-collection network in area 4. At these added sites, collected data includes discharge, water quality, sediment, and biology. The data are available from computer storage through the National Water Data Exchange (NAWDEX) or the published annual Water Resources Data reports for Ohio, Pennsylvania, and West Virginia. Hydrologic problems related to mining are: (1) Erosion and increased sedimentation, and (2) degradation of water quality. Erosion and sedimentation are associated chiefly with surface mining. Sediment yields increase drastically when vegetation is removed from the highly erosive soils. Degradation of water quality can be caused by acid-mine drainage from underground and surface mining. More than half the acid-mine drainage effluent in area 4 comes from underground mines. The rest seeps from abandoned surface mines. Usually in reclaimed surface mines the overburden is replaced in such a short time after the coal is taken out that oxidation of acid-forming minerals, commonly pyrite or marcasite, is not complete or is neutralized by the buffering action of calcareous minerals in the soils. (USGS)

Physicians' and nurses' attitudes towards performance-based financial incentives in Burundi: a qualitative study in the province of Gitega.

PubMed

Rudasingwa, Martin; Uwizeye, Marie Rose

2017-01-01

Performance-based financing (PBF) was first implemented in Burundi in 2006 as a pilot programme in three provinces and was rolled out nationwide in 2010. PBF is a reform approach to improve the quality, quantity, and equity of health services and aims at achieving universal health coverage. It focuses on how to best motivate health practitioners. To elicit physicians' and nurses' experiences and views on how PBF influenced and helped them in healthcare delivery. A qualitative cross-sectional study was carried out among frontline health workers such as physicians and nurses. The data was gathered through individual face-to-face, in-depth, semi-structured interviews with 6 physicians and 30 nurses from February to March 2011 in three hospitals in Gitega Province. A simple framework approach and thematic analysis using a combination of manual technique and MAXQDA software guided the analysis of the interview data. Overall, the interviewees felt that the PBF scheme had provided positive motivation to improve the quality of care, mainly in the structures and process of care. The utilization of health services and the relationship between health practitioners and patients also improved. The salary top-ups were recognized as the most significant impetus to increase effort in improving the quality of care. The small and sometimes delayed financial incentives paid to physicians and nurses were criticized. The findings of this study also indicate that the positive interaction between performance-based incentive schemes and other health policies is crucial in achieving comprehensive improvement in healthcare delivery. PBF has the potential to motivate medical staff to improve healthcare provision. The views of medical staff and the context of the area of implementation have to be taken into consideration when designing and implementing PBF schemes.

Hemlock woolly adelgid and its natural enemies in Yunnan Province, China: first-year (2005) results

Treesearch

Li Li; Wenhua Lu; Michael Montgomery; Roy Van Driesche; Scott Salom

2007-01-01

Chinese and American institutions formed a partnership in 2005 for the purpose of studying and obtaining natural enemies for biological control of Adelges tsugae Annand, the hemlock woolly adelgid (HWA), in the eastern United States. We report here the first 6 months (June-November) of studies conducted in Yulong (Lijiang) County in Yunnan Province....

Spatiotemporal epidemiology of scarlet fever in Jiangsu Province, China, 2005-2015.

PubMed

Zhang, Qi; Liu, Wendong; Ma, Wang; Shi, Yingying; Wu, Ying; Li, Yuan; Liang, Shuyi; Zhu, Yefei; Zhou, Minghao

2017-08-30

A marked increase in the incidence rate of scarlet fever imposed a considerable burden on the health of children aged 5 to 15 years. The main purpose of this study was to depict the spatiotemporal epidemiological characteristics of scarlet fever in Jiangsu Province, China in order to develop and implement effective scientific prevention and control strategies. Smoothed map was used to demonstrate the spatial distribution of scarlet fever in Jiangsu Province. In addition, a retrospective space-time analysis based on a discrete Poisson model was utilized to detect clusters of scarlet fever from 2005 to 2015. During the years 2005-2015, a total of 15,873 scarlet fever cases occurred in Jiangsu Province, with an average annual incidence rate of 1.87 per 100,000. A majority of the cases (83.67%) occurred in children aged 3 to 9 years. Each year, two seasonal incidence peaks were observed, the higher occurring between March and July, the lower between November and the following January. The incidence in the southern regions of the province was generally higher than that in the northern regions. Seven clusters, all of which occurred during incidence peaks, were detected via space-time scan statistical analysis. The most likely cluster and one of the secondary clusters were detected in the southern and northern high endemic regions, respectively. The prevalence of scarlet fever in Jiangsu Province had a marked seasonality variation and was relatively endemic in some regions. Children aged 3 to 9 years were the major victims of this disease, and kindergartens and primary schools were the focus of surveillance and control. Targeted strategies and measures should be taken to reduce the incidence.

Lateral mobility of minibasins during shortening: Insights from the SE Precaspian Basin, Kazakhstan

NASA Astrophysics Data System (ADS)

Duffy, Oliver B.; Fernandez, Naiara; Hudec, Michael R.; Jackson, Martin P. A.; Burg, George; Dooley, Tim P.; Jackson, Christopher A.-L.

2017-04-01

Minibasin provinces are widespread and can be found in all types of salt tectonic settings, many of which are prone to shortening. Previous studies of how minibasin provinces shorten assume that the salt between the minibasins is homogeneous and that the base of salt is flat or of low relief, such that minibasins are free to move laterally. Here we investigate how minibasin provinces respond to shortening when the lateral mobility of the minibasins is restricted by intra-salt sediment bodies, in order to gain a greater understanding of the controls on the structural styles and modes of tectono-stratigraphic evolution exhibited in minibasin provinces. We examine a borehole-constrained, 3D seismic reflection dataset from the SE Precaspian Basin (onshore western Kazakhstan). The study area is characterised by large, supra-salt minibasins and an array of smaller intra-salt sediment packages distributed between these larger minibasins. We first outline the evidence of episodic shortening between the Late Triassic and present, after the onset of supra-salt minibasin subsidence. Next, we document spatial variations in shortening style, showing how these relate to the concentration of intra-salt sediment packages. Finally, we develop synoptic models showing how intra-salt sediment packages influence both the lateral mobility of minibasins during shortening and the resultant structural style, and we compare and contrast our findings with existing models and other natural examples of shortened minibasin provinces. We conclude that minibasin provinces may have different degrees of lateral mobility depending on the presence, or absence, of intrasalt barriers, and that these variations provide a first-order control on basin-shortening style and tectono-stratigraphic evolution.

Impact of climate change and man-made irrigation systems on the transmission risk, long-term trend and seasonality of human and animal fascioliasis in Pakistan.

PubMed

Afshan, Kiran; Fortes-Lima, Cesar A; Artigas, Patricio; Valero, Adela M; Qayyum, Mazhar; Mas-Coma, Santiago

2014-05-01

Large areas of the province of Punjab, Pakistan are endemic for fascioliasis, resulting in high economic losses due to livestock infection but also affecting humans directly. The prevalence in livestock varies pronouncedly in space and time (1-70%). Climatic factors influencing fascioliasis presence and potential spread were analysed based on data from five meteorological stations during 1990-2010. Variables such as wet days (Mt), water-budget-based system (Wb-bs) indices and the normalized difference vegetation index (NDVI), were obtained and correlated with geographical distribution, seasonality patterns and the two-decade evolution of fascioliasis in livestock throughout the province. The combined approach by these three indices proved to furnish a useful tool to analyse the complex epidemiology that includes (i) sheep-goats and cattlebuffaloes presenting different immunological responses to fasciolids; (ii) overlap of Fasciola hepatica and F. gigantica; (iii) co-existence of highlands and lowlands in the area studied; and (iv) disease transmission following bi-seasonality with one peak related to natural rainfall and another peak related to man-made irrigation. Results suggest a human infection situation of concern and illustrate how climate and anthropogenic environment modifications influence both geographical distribution and seasonality of fascioliasis risks. Increased fascioliasis risk throughout the Punjab plain and its decrease in the northern highlands of the province became evident during the study period. The high risk in the lowlands is worrying given that Punjab province largely consists of low-altitude, highly irrigated plains. The importance of livestock in this province makes it essential to prioritise adequate control measures. An annual treatment scheme to control the disease is recommended to be applied throughout the whole province.

An outbreak investigation of scrub typhus in Western Province, Solomon Islands, 2014.

PubMed

Marks, Michael; Joshua, Cynthia; Longbottom, Jenny; Longbottom, Katherine; Sio, Alison; Puiahi, Elliot; Jilini, Greg; Stenos, John; Dalipanda, Tenneth; Musto, Jennie

2016-01-01

To identify the etiology and risk factors of undifferentiated fever in a cluster of patients in Western Province, Solomon Islands, May 2014. An outbreak investigation with a case control study was conducted. A case was defined as an inpatient in one hospital in Western Province, Solomon Islands with high fever (> 38.5 °C) and a negative malaria microscopy test admitted between 1 and 31 May 2014. Asymptomatic controls matched with the cases residentially were recruited in a ratio of 1:2. Serum samples from the subjects were tested for rickettsial infections using indirect micro-immunofluorescence assay. Nine cases met the outbreak case definition. All cases were male. An eschar was noted in five cases (55%), and one developed pneumonitis. We did not identify any environmental factors associated with illness. Serum samples of all five follow-up cases (100%) had strong-positive IgG responses to scrub typhus. All but one control (10%) had a moderate response against scrub typhus. Four controls had low levels of antibodies against spotted fever group rickettsia, and only one had a low-level response to typhus group rickettsia. This outbreak represents the first laboratory-confirmed outbreak of scrub typhus in the Western Province of Solomon Islands. The results suggest that rickettsial infections are more common than currently recognized as a cause of an acute febrile illness. A revised clinical case definition for rickettsial infections and treatment guidelines were developed and shared with provincial health staff for better surveillance and response to future outbreaks of a similar kind.

Adjustment among mothers reporting same-gender sexual partners: a study of a representative population sample from Quebec Province (Canada).

PubMed

Julien, Danielle; Jouvin, Emilie; Jodoin, Emilie; L'archevêque, Alexandre; Chartrand, Elise

2008-12-01

We examined the well-being of mothers and non-mothers reporting exclusive opposite-gender sexual partners (OG), same-gender sexual partners (SG), or both (BI) in a representative sample of 20,773 participants (11,034 women) 15-years-old or older from the population of Quebec province in Canada. Participants completed a self-administered questionnaire and SG and BI women (n = 179) were matched to a sample of OG women (n = 179) based on age, income, geographical area, and children (having at least one 18-year-old or younger biological or adopted child at home). We assessed social milieu variables, risk factors for health disorders, mental health, and quality of mothers' relationship with children. The findings indicated a sexual orientation main effect: Mothers and non-mothers in the SG and BI group, as compared to their OG controls, were significantly less likely to live in a couple relationship, had significantly lower levels of social support, higher prevalence of early negative life events, substance abuse, suicide ideation, and higher levels of psychological distress. There were no Sexual Orientation X Parenthood status effects. The results further indicated that sexual orientation did not account for unique variance in women's psychological distress beyond that afforded by their social milieu, health risk factors, and parenthood status. No significant differences were found for the quality of mothers' relationship with children. SG-BI and OG mothers with low levels of social integration were significantly more likely to report problems with children than parents with high levels of social integration. We need to understand how marginal sexualities and their associated social stigma, as risk indicators for mothers, interact with other factors to impact family life, parenting skills, and children's adjustment.

Re-assessment of tick control after immunization against East Coast fever in the Eastern Province of Zambia.

PubMed

Berkvens, D L

1991-01-01

East Coast Fever, caused by the protozoon Theileria parva and transmitted by the ixodid tick Rhipicephalus appendiculatus is one of the most important cattle diseases in east and central Africa, responsible for considerable direct losses and necessitating expensive control measures. Traditionally, the disease was controlled by means of intensive tick control. The Belgian Animal Disease Control Project was requested to study the disease epizootiology and vector ecology in order to formulate and implement a control program adapted to the requirements and capabilities of the cattle owners in the Eastern Province of Zambia. The weaknesses of a rigorous tick control program were demonstrated. It was decided to initiate an immunization program in the enzootic areas. The overall calf mortality rate was lowered by 90% and it was shown that none of the other tick-borne diseases caused significant problems in the absence of tick control. The tick ecology studies had indicated that the climatic conditions in the area were so unfavourable that the important vector species (Amblyomma variegatum, Boophilus microplus and R. appendiculatus) would not attain problem levels. It was therefore recommended to suspend all tick control in the area. Control of East Coast Fever in the epizootic and disease-free areas is still a more complex issue. It appears unlikely that the latter will remain disease-free, because of the proximity of the enzootic areas and because of considerable cattle movement in the province. Given the advantages of control by immunization, it can be argued that a longterm solution should be based on this approach.(ABSTRACT TRUNCATED AT 250 WORDS)

Alberta's and Ontario's liquor boards: why such divergent outcomes?

PubMed

Bird, Malcolm G

2010-01-01

The provinces of Alberta and Ontario have chosen very different methods to distribute alcoholic beverages: Alberta privatized the Alberta Liquor Control Board (ALCB) in 1993 and established a private market to sell beverage alcohol, while Ontario, in stark contrast, opted to retain and expand the Liquor Control Board of Ontario (LCBO). This article examines the reasons for the divergent policy choices made by Ralph Klein and Mike Harris' Conservative governments in each province. The article draws on John Kingdon's “multiple streams decision-making model,” to examine the mindsets of the key decision-makers, as well as “historical institutionalism,” to organize the pertinent structural, historical and institutional variables that shaped the milieu in which decision-makers acted. Unique, province-specific political cultures, histories, institutional configurations (including the relative influence of a number of powerful actors), as well as the fact that the two liquor control boards were on opposing trajectories towards their ultimate fates, help to explain the different decisions made by each government. Endogenous preference construction in this sector, furthermore, implies that each system is able to satisfy all relevant stakeholders, including consumers.

Benthic Macroinvertebrate Assemblages and Environmental Correlates in Springs of the Ridge and Valley Province

EPA Science Inventory

Springs are unique features in the landscape that provide important habitat for benthic invertebrates, yet there are few studies characterizing the distribution of benthic macro invertebrates in springs. Benthic macroinvertebrate and water quality data were collected at 35 spring...

Establishment of National Laboratory Standards in Public and Private Hospital Laboratories

PubMed Central

ANJARANI, Soghra; SAFADEL, Nooshafarin; DAHIM, Parisa; AMINI, Rana; MAHDAVI, Saeed; MIRAB SAMIEE, Siamak

2013-01-01

In September 2007 national standard manual was finalized and officially announced as the minimal quality requirements for all medical laboratories in the country. Apart from auditing laboratories, Reference Health Laboratory has performed benchmarking auditing of medical laboratory network (surveys) in provinces. 12th benchmarks performed in Tehran and Alborz provinces, Iran in 2010 in three stages. We tried to compare different processes, their quality and accordance with national standard measures between public and private hospital laboratories. The assessment tool was a standardized checklist consists of 164 questions. Analyzing process show although in most cases implementing the standard requirements are more prominent in private laboratories, there is still a long way to complete fulfillment of requirements, and it takes a lot of effort. Differences between laboratories in public and private sectors especially in laboratory personnel and management process are significant. Probably lack of motivation, plays a key role in obtaining less desirable results in laboratories in public sectors. PMID:23514840

Temporal and spatial changes of water quality and management strategies of Dianchi Lake in southwest China

NASA Astrophysics Data System (ADS)

Zhang, T.; Zeng, W. H.; Wang, S. R.; Ni, Z. K.

2013-12-01

Temporal and spatial changes to the water quality of Dianchi Lake in Southwest China were investigated using monthly monitoring data from 2005 to 2012. Based on the analysis of total phosphorus (TP), total nitrogen (TN), and chlorophyll a (Chl a) concentrations, it was determined that, in Caohai Lake, the annual concentrations of these variables ranged from 0.19-1.46, 6.11-16.79, 0.06-0.14 mg L-1, respectively. In addition, the annual concentrations of TP, TN and Chl a in Waihai Lake ranged between 0.13-0.20, 1.82-3.01, 0.04-0.09 mg L-1, respectively. Cluster Analysis (CA) classified the 10 monitoring sites into two groups (group A and group B) based on similarities of water quality characteristics. Our data revealed that the current status of water quality within Caohai Lake was much worse than that of Waihai Lake. Water quality was seriously degraded during the economic boom near the period of the "Eleventh Five-Year Plan" (2005-2010), and gradually improved from 2010 to 2012 because of the "standard emission directive to industry". The main factors that influenced the spatial and temporal changes to water quality were natural factors including lake evolution and regional characteristic as well as human factors such as pollution load into the lake and management strategies that were already adopted. Some activities and regulations were implemented to enhance the lake environment by controlling wastewater emissions and establishing regulations to protect the lakes in the Yunnan Province. However, problems with institutional fragmentation (horizontal and vertical), simple treatment methods, low-intensity investment in pollution control, and lack of meaningful endogenous pollution control strategies were still present in the lake management strategy. To solve these problems, suitable control measures are needed, especially considering the current old-age status of Dianchi Lake. The fundamental improvement of the water quality within Caohai Lake was dependent on the measures taken in the upper reaches of the Caohai Watershed, including further recovery of submerged plants, resource utilization by floating plants and the reinforcement of sediment disposal. Management strategies for endogenous pollution in Waihai Lake were mainly dependent on restocking algae-eating fish and the ecological restoration of macrophytes. In this way, the swamping trend and the ageing process that is occurring in Dianchi Lake can be stunted.

[Research on competency building standards of institutions of schistosomiasis prevention and control in Hubei Province I Investigation of institution management].

PubMed

Liu, Han-cheng; Zhong, Chen-hui; Liao, Si-qi; He, Hui

2014-08-01

To investigate the current situation of management of institutions of schistosomiasis prevention and control in Hubei Province, so as to explore the probable competency building standards for these institutions at the county and township levels. By using a combination of quantitative and qualitative methods, the institutions of schistosomiasis prevention and control at county and township levels were investigated for the institutional setup, staffing and fulfillment functions since the reform of 2004. Among 63 schistosomiasis endemic counties (cities, districts) of Hubei Province, there were 26 independent schistosomiasis control institutions (41.27%), there were 24 institutions which were incorporated into CDC (38.10%), and there were no institutions in 13 counties (20.63%). Among 518 endemic towns, there were 299 institutions (57.72%). The total staffing size were 1 932, but there were 1 586 (82.09%) people actually working in the post, and therefore there were 346 (17.91%) empty positions. The average rates of carrying out the six functions were 91.48%-71.19%, but only 19.23% of the institutions participated in the comprehensive schistosomiasis control management project and its effect assessment. According to the management model for schistosomiasis control institutions under the current institutional mechanisms, we need a rigorous industry standard to constrain, guide and standardize the management and capacity-building of the institutions in different historical periods.

[Differences on geographic distribution of rabies virus lineages in China].

PubMed

Wang, Q; Li, M L; Chen, Y; Wang, B; Tao, X Y; Zhu, W Y

2018-04-10

Objective: To study the lineages of rabies virus and the epidemic characteristics in different provincial populations of China, to provide information for the development of control and prevention measures in each respective provinces. Methods: Full length N and G genes and full-genome of epidemic strains of rabies virus collected in China were downloaded from GenBank and combined with newly sequenced strains by our lab. Each strain was classified under six lineages of China rabies by constructing phylogenetic trees based on the N or G sequences. Numbers of strains and lineages in each province were counted and compared. Results: Six lineages (China Ⅰ-Ⅵ) were prevalent in China, with 4 found in Yunnan and Hunan. In 6 provinces, including Henan and Fujian, 3 lineages were found. In 8 provinces, including Shanghai and Jiangxi, 2 lineages were found Only 1 lineage, were found in Beijing, Tianjin and other 12 provinces. the China Ⅰ, was the dominant one in 25 provinces. In recent years, China Ⅲ had been found in wild animals and spread over livestock in Inner Mongolia and Xinjiang areas. Qinghai and Tibet had been influenced by China Ⅳ, which also been found in wild animals of Inner Mongolia and Heilongjiang. Conclusion: There had been obvious differences in lineages and strain numbers of rabies virus identified in different provinces in China.

Evaluation of agricultural nonpoint source pollution potential risk over China with a Transformed-Agricultural Nonpoint Pollution Potential Index method.

PubMed

Yang, Fei; Xu, Zhencheng; Zhu, Yunqiang; He, Chansheng; Wu, Genyi; Qiu, Jin Rong; Fu, Qiang; Liu, Qingsong

2013-01-01

Agricultural nonpoint source (NPS) pollution has been the most important threat to water environment quality. Understanding the spatial distribution of NPS pollution potential risk is important for taking effective measures to control and reduce NPS pollution. A Transformed-Agricultural Nonpoint Pollution Potential Index (T-APPI) model was constructed for evaluating the national NPS pollution potential risk in this study; it was also combined with remote sensing and geographic information system techniques for evaluation on the large scale and at 1 km2 spatial resolution. This model considers many factors contributing to the NPS pollution as the original APPI model, summarized as four indicators of the runoff, sediment production, chemical use and the people and animal load. These four indicators were analysed in detail at 1 km2 spatial resolution throughout China. The T-APPI model distinguished the four indicators into pollution source factors and transport process factors; it also took their relationship into consideration. The studied results showed that T-APPI is a credible and convenient method for NPS pollution potential risk evaluation. The results also indicated that the highest NPS pollution potential risk is distributed in the middle-southern Jiangsu province. Several other regions, including the North China Plain, Chengdu Basin Plain, Jianghan Plain, cultivated lands in Guangdong and Guangxi provinces, also showed serious NPS pollution potential. This study can provide a scientific reference for predicting the future NPS pollution risk throughout China and may be helpful for taking reasonable and effective measures for preventing and controlling NPS pollution.

A systematic study on the prevention and treatment of retinopathy of prematurity in China.

PubMed

Xu, Shuman; Liang, Zhijiang; Du, Qiyun; Li, Zhankui; Tan, Guangming; Nie, Chuan; Yang, Yang; Lv, Xuzai; Zhang, Chunyi; Luo, Xianqiong

2018-02-14

To identify the prevention situation, the main factors influencing prevention effects and to develop control measures over retinopathy of prematurity in China. Using stratified random sampling method, we randomly selected 23 provincial and ministerial hospitals (8 in Guangdong province, 5 in Hunan province and 10 in Shaanxi province), 81 municipal hospitals (38 in Guangdong province, 19 in Hunan province and 24 in Shaanxi province), 180 district and county hospitals (76 in Guangdong province, 57 in Hunan province and 47 in Shaanxi province) in China. A total of 284 hospitals were enrolled in the study, with questionnaires distributed investigating the status and constrain factors of ROP presentation. Significant outcomes were analyzed thereafter by SPSS 19.0. The screening rate of ROP in medical institutions from eastern, central and western China were 84.6%, 35.0% and 56.7%, respectively. The screening rate of tertiary and secondary medical institutions were 84.6% and 25.7% in the eastern, 35.0% and 4.9% in the central, 56.7% and 5.9% in the western region. Screening was carried out better in the tertiary than that in the secondary and primary institutions. Treatment for ROP was available in 15.7% of all the tertiary hospitals surveyed. Lack of professionals, equipments and technologies were considered to be major restrain factors for screening. The ROP screening and treatment status have demonstrated significant regional diversity due to uneven distribution of medical resources in China. Developed areas had established intraregional cooperation models, whereas less-developed areas should consider set up a large-scale, three-level ROP prevention network. It is of paramount importance that education and training towards ophthalmologists should be vigorously strengthened. It is strongly recommended that implement ROP telemedicine and integrated ROP prevention and management platforms through the Internet should be established.

Molecular identification and seasonal infections of species of Fasciola in ruminants from two provinces in China.

PubMed

Yuan, W; Liu, J-M; Lu, K; Li, H; Duan, M-M; Feng, J-T; Hong, Y; Liu, Y-P; Zhou, Y; Tong, L-B; Lu, J; Zhu, C-G; Jin, Y-M; Cheng, G-F; Lin, J-J

2016-05-01

We determined the prevalence and seasonality of infections by Fasciola of goats and bovine species (cattle and water buffalo) in Hubei and Anhui provinces of China. Faecal samples were collected at 2- to 3-month intervals from 200 goats in Hubei province and from 152 bovine species in Anhui province. All faecal samples were examined for the presence of parasites. We determined the nucleotide sequences of the first and second internal transcribed spacers (ITS-1 and ITS-2) of the nuclear ribosomal DNA (rDNA) of 39 Fasciola worms from Anhui province. The prevalence of Fasciola infection in goats ranged between 3.5 and 37.0%, with mean eggs per gram (EPG) ranging between 29.0 and 166.0. Prevalence and EPG exhibited downward trends over time with significant differences. The prevalence of Fasciola infection in cattle ranged between 13.3 and 46.2% (mean EPG, 36.4-100.0), and that of water buffalo ranged between 10.3 and 35.4% (mean EPG, 25.0-89.6), with a higher prevalence of infection and EPG from June to October compared with December to March. Analysis of ITS-1 and ITS-2 sequences revealed that F. hepatica and F. gigantica were present in all bovine species of Anhui province and that F. gigantica mainly infected water buffalo. This is the first demonstration of Fasciola infection in Hubei province and detection of F. hepatica and F. gigantica in Anhui province. The present study of Hubei province shows that mass treatment of livestock with closantel sodium injections in April and August/September controlled Fasciola infection effectively.

[A general review of the discussion at the Beijing International Symposium on Population and Development].

PubMed

Ren, Y

1985-03-29

A general review of papers and discussions at the Beijing International Symposium on Population and Development held December 10-14, 1984 is presented. Discussions on population and development included China's population change 1949-1982, impacts of economic change on Tianjin's population, the population factor in economic development policy-making, Japanese population and development, recent population development in Hungary, population and economy, comprehensive long-term population development in Russia, fertility rate change factors in China, Shanghai's population change, and population and economic development in Mian County, Shaanxi Province. Fertility rate changes were discussed, including multinational borderline value assumptions, recent trends in life span fertility rate in China, fertility rate in Jiangsu Province, fertility rate change in Zhejiang Province, and sterilization in Yangjiaping, Thailand. Population and employment discussions included the economic impact of world population change, the 1984 International Population Conference, changes in economically productive population and employment strategy, employed/unemployed populations in Guangdong Province, and the economic composition of China's population. Urbanization discussions covered population and development methodological problems, population growth and economic development in the Pacific region, surplus rural population transfer and economic development in China, urbanization analysis, trends and urban population distribution problems, and Laioning Province population development. Issues in migration, population distribution, and regional population included migration and development of the Great Northwest, internal migration to Beijing, Chinese population growth and economic development by major region, and current population changes of Chinese Tibetans. Under social problems of population, discussions included women's status, development and population change, Shanghai's aging trend, analysis of the aged population, analysis of educational quality in Anhui Province, and the retirement system in Chinese villages.

Distribution of cancer mortality rates by province in South Africa.

PubMed

Made, Felix; Wilson, Kerry; Jina, Ruxana; Tlotleng, Nonhlanhla; Jack, Samantha; Ntlebi, Vusi; Kootbodien, Tahira

2017-12-01

Cancer mortality rates are expected to increase in developing countries. Cancer mortality rates by province remain largely unreported in South Africa. This study described the 2014 age standardised cancer mortality rates by province in South Africa, to provide insight for strategic interventions and advocacy. 2014 deaths data were retrieved from Statistics South Africa. Deaths from cancer were extracted using 10th International Classification of Diseases (ICD) codes for cancer (C00-C97). Adjusted 2013 mid-year population estimates were used as a standard population. All rates were calculated per 100 000 individuals. Nearly 38 000 (8%) of the total deaths in South Africa in 2014 were attributed to cancer. Western Cape Province had the highest age standardised cancer mortality rate in South Africa (118, 95% CI: 115-121 deaths per 100 000 individuals), followed by the Northern Cape (113, 95% CI: 107-119 per 100 000 individuals), with the lowest rate in Limpopo Province (47, 95% CI: 45-49 per 100 000). The age standardised cancer mortality rate for men (71, 95% CI: 70-72 per 100 000 individuals) was similar to women (69, 95% CI: 68-70 per 100 000). Lung cancer was a major driver of cancer death in men (13, 95% CI: 12.6-13.4 per 100 000). In women, cervical cancer was the leading cause of cancer death (13, 95% CI: 12.6-13.4 per 100 000 individuals). There is a need to further investigate the factors related to the differences in cancer mortality by province in South Africa. Raising awareness of risk factors and screening for cancer in the population along with improved access and quality of health care are also important. Copyright © 2017 Elsevier Ltd. All rights reserved.

Smoke and fires from Sumatra

NASA Image and Video Library

2014-03-21

Fires burning in Sumatra continued to pour smoke over the region in mid-March, 2014, bringing air quality to dangerous levels. The Moderate Resolution Imaging Spectroradiometer (MODIS) aboard NASA’s Aqua satellite captured this true-color image of the smoke and haze across the region on March 12. According to the Jakarta Post, on March 12 the Sumatra Environmental Laboratory reported that 10 of 12 spots in Riau had an air quality of index above 300 on the Pollutant Standards Index (PSI), which is considered hazardous. Hazardous air quality had been recorded in some of the locations for 11 consecutive days. The province of Riau is located in the central eastern coast of Sumatra and, in this image, is hidden under thick bands of light gray smoke. Intense fires, reported as deliberately set to clear land, were burning in the Giam Siak Kecil-Bukit Batu biosphere reserve. This reserve contains over 700,000 hectares of sensitive peat forest that sustains a wide range of plant and animal species, including the Sumatra tiger, elephant, tapir and sun bear. With visibility as low as 500 m (1640 ft), 58 flights were cancelled in Pekanbaru, the capital of Riau province, on March 11. Schools were closed across the region, with 43,000 students affected in Payakumbuh, West Sumatra. On March 14, Selangor, Malaysia closed 203 schools, affecting 211,700 pupils, until the air quality improved. On that same day, according to Riau Health Agency, more than 55,000 residents in the province were suffering from haze-related illnesses, including acute respiratory infections, pneumonia and skin and eye irritation. Poor air quality not only affected transportation, human health and the ecosystem, but has had significant economic impacts. On March 17, Reuters reported that the poor air quality had forced Chevron, the country’s biggest oil producer, to close hundreds of its wells. As a result, Indonesia’s crude oil output dropped to 790,000 barrels per day (bpd) – significantly lower than the 870,000 bpd target. Although slash-and-burn techniques, which use fire to clear land, is illegal in Indonesia, the practice is still widespread, with approximately 99% of fires in Sumatra considered to be intentionally set. This year’s early agricultural fires began in February in Riau Province, home to palm-oil and pulpwood plantations. The emergency has prompted strong government response, including a shoot-on-sight order for any suspects involved in land burning activities that resisted arrest. According to the Jakarta Post, police have named as many as 60 suspected-fire starters in Riau. Credit: NASA/GSFC/Jeff Schmaltz/MODIS Land Rapid Response Team NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Vaccine-Derived Poliovirus Outbreaks and Events - Three Provinces, Democratic Republic of the Congo, 2017.

PubMed

Alleman, Mary M; Chitale, Rohit; Burns, Cara C; Iber, Jane; Dybdahl-Sissoko, Naomi; Chen, Qi; Van Koko, Djo-Roy; Ewetola, Raimi; Riziki, Yogolelo; Kavunga-Membo, Hugo; Dah, Cheikh; Andriamihantanirina, Rija

2018-03-16

The last confirmed wild poliovirus (WPV) case in Democratic Republic of the Congo (DRC) had paralysis onset in December 2011 (1). DRC has had cases of vaccine-derived polioviruses (VDPVs) documented since 2004 (Table 1) (1-6). After an outbreak of 30 circulating VDPV type 2 (cVDPV2) cases during 2011-2012, only five VDPV2 cases were reported during 2013-2016 (Table 1) (1-6). VDPVs can emerge from oral poliovirus vaccine (OPV types 1, 2, or 3; Sabin) polioviruses that have genetically mutated resulting in reversion to neurovirulence. This process occurs during extensive person-to-person transmission in populations with low immunity or after extended replication in the intestines of immune-deficient persons following vaccination (1-6). During 2017 (as of March 8, 2018), 25 VDPV cases were reported in three provinces in DRC: in Tanganyika province, an emergence with one VDPV2 case (pending final classification) in Kabalo health zone and an emergence with one ambiguous VDPV type 1 (aVDPV1) case in Ankoro health zone; in Maniema province, an emergence with two cVDPV2 cases; and in Haut Lomami province, an emergence with 20 cVDPV2 cases that originated in Haut Lomami province and later spread to Tanganyika province (hereafter referred to as the Haut Lomami outbreak area) and an emergence with one aVDPV type 2 (aVDPV2) case in Lwamba health zone (Table 1) (Figure) (6). Outbreak response supplementary immunization activities (SIAs) were conducted during June-December 2017 (Table 2) (6). Because of limitations in surveillance and suboptimal SIA quality and geographic scope, cVDPV2 circulation is likely continuing in 2018, requiring additional SIAs. DRC health officials and Global Polio Eradication Initiative (GPEI) partners are increasing human and financial resources to improve all aspects of outbreak response.

[A hepatitis A outbreak caused by contaminated well water in a primary school of Jiangxi province, China, 2009].

PubMed

Chen, Jing; Cheng, Hui-jian; Zhang, Li-jie; Zong, Jun; Ma, Hui-lai; Zhu, Bao-ping

2011-10-01

A hepatitis A outbreak in a primary school was reported by Gan County Center for Disease Control and Province (CDC) and an investigation was conducted to identify the possible source of infection and risk factors for transmission. A probable case was defined as having onset of jaundice (yellow urine, sclera or skin) or a 2-fold increase in Alanine aminotransferase with 2 or more, of the followings symptoms: anorexia, disgust of oil, abdominal pain, nausea, fatigue, vomiting, in students and staff of the primary school between 1 November 2008 and 14 February 2009. A confirmed case was IgM positive for hepatitis A, added on a probable case. We searched for cases through reviewing medical records in the township hospital and village clinics and conducting symptom screening among students or teachers. We also conducted a case-control study to compare the exposure histories of 19 cases and 53 anti-HAV-IgM negative controls randomly selected from those asymptomatic students in the same grade. 21 cases from all the students was identified, with the attack rate as 3.5%. The epidemic curve showed the two peaks of the outbreak were 28 days apart, both indicating that they were related to the exposure of the source of origin. 74% of the case-students drank the unboiled Well B water, compared to 42% of control-students (OR = 4.0, 95%CI: 1.1 - 15). The total bacterial count was 600 cfu/ml and the total coliform was 23 MPN/100 ml in one sample collected from the well water. This hepatitis A outbreak was caused by drinking contaminated water in Well B. We recommended that all the schools should use chlorinated municipal pipe water. Public health authorities should strengthen the supervision of quality of water in schools.

Chinese Coccinellidae for biological control of the hemlock woolly adelgid: description of native habitat

Treesearch

Michael E. Montgomery; Defu Yao; Hongbin Wang

2000-01-01

The hemlock woolly adelgid, Adelges tsugae Annand, is generally believed to be native to Asia and is known to occur in India, Japan, and China. In China, there are approximately four species of hemlock that grow in 14 provinces. We explored regions of the Southwestern Plateau in Yunnan, Sichuan, and Shaanxi Provinces for the adelgid and its natural...

Characterization of nine polyphenols in fruits of Malus pumila Mill by high-performance liquid chromatography.

PubMed

Bai, Lu; Guo, Sen; Liu, Qingchao; Cui, Xueqin; Zhang, Xinxin; Zhang, Li; Yang, Xinwen; Hou, Manwei; Ho, Chi-Tang; Bai, Naisheng

2016-04-01

Polyphenols are important bioactive substances in apple. To explore the profiles of the nine representative polyphenols in this fruit, a high-performance liquid chromatography method has been established and validated. The validated method was successfully applied for the simultaneous characterization and quantification of these nine apple polyphenols in 11 apple extracts, which were obtained from six cultivars from Shaanxi Province, China. The results showed that only abscission of the Fuji apple sample was rich in the nine apple polyphenols, and the polyphenol contents of other samples varied. Although all the samples were collected in the same region, the contents of nine polyphenols were different. The proposed method could serve as a prerequisite for quality control of Malus products. Copyright © 2015. Published by Elsevier B.V.

[Epidemiology of human rabies in China, 2016].

PubMed

Li, Y R; Zhu, L L; Zhu, W Y; Tao, X Y

2018-01-10

Objective: To understand the epidemiological characteristics of human rabies in China in 2016 and provide evidence for the control and prevention of human rabies. Methods: The incidence data of human rabies in China in 2016 were collected from national infectious disease reporting information management system. The surveillance data were collected from provinces of Shandong, Guizhou, Anhui, Hunan, Jiangsu and Guangxi Zhuang Autonomous Region. Excel 2013 software was used to process and summarize the data, the epidemiological characteristics of human rabies in China in 2016 were described by using indicators such as morbidity, mortality and constituent ratio. Results: A total of 644 human rabies cases were reported in 28 provinces in China in 2016, a decrease of 19.60% (157/801) compared with 2015. The provinces reporting high incidences of human rabies were Henan, Hunan, Guangxi and Guizhou, accounting for 39.44% (254/644) of the total cases. One case was reported in Qinghai province and Xinjiang Uygur Autonomous Region respectively. The male to female ratio of the cases was 2.14∶1 (439/205), and the majority of the patients were farmers (444/644). Surveillance points in 6 provinces reported 1 281 340 persons seeking post-exposure treatment, of whom 1 018 367 were treated for dog bite or scratch. A total of 764 234 persons completed the vaccination series, accounting for 63.90% (764 234/1 195 956) of the persons with grade Ⅱ and Ⅲ exposures, and 28.89% (165 677/573 571) of the persons with grade Ⅲ exposure were treated with passive immunization product. The average density of dogs in each surveillance area was 7.03/100 persons, the average canine immunization rate was 37.64%. Conclusion: The incidence of human rabies has remained decline in China in 2016, the number of the affected provinces has increased and that has the tendency of spreading to low-risk regions. The cases mainly occurred in men and farmers, and caused by dog bite or scratch. It is necessary to strengthen the health education about rabies prevention and control in rural areas and expand the coverage of canine immunization to prevent and control human rabies.

Comparing Alcohol Marketing and Alcohol Warning Message Policies Across Canada.

PubMed

Wettlaufer, Ashley; Cukier, Samantha N; Giesbrecht, Norman

2017-08-24

In order to reduce harms from alcohol, evidence-based policies are to be introduced and sustained. To facilitate the dissemination of policies that reduce alcohol-related harms by documenting, comparing, and sharing information on effective alcohol polices related to restrictions on alcohol marketing and alcohol warning messaging in 10 Canadian provinces. Team members developed measurable indicators to assess policies on (a) restrictions on alcohol marketing, and (b) alcohol warning messaging. Indicators were peer-reviewed by three alcohol policy experts, refined, and data were collected, submitted for validation by provincial experts, and scored independently by two team members. The national average score was 52% for restrictions on marketing policies and 18% for alcohol warning message policies. Most provinces had marketing regulations that went beyond the federal guidelines with penalties for violating marketing regulations. The provincial liquor boards' web pages focused on product promotion, and there were few restrictions on sponsorship activities. No province has implemented alcohol warning labels, and Ontario was the sole province to have legislated warning signs at all points-of-sale. Most provinces provided a variety of warning signs to be displayed voluntarily at points-of-sale; however, the quality of messages varied. Conclusions/Importance: There is extensive alcohol marketing with comparatively few messages focused on the potential harms associated with alcohol. It is recommended that governments collaborate with multiple stakeholders to maximize the preventive impact of restrictions on alcohol marketing and advertising, and a broader implementation of alcohol warning messages.

[Evaluation of dairy production in the alpine regions of Valcamonica and Sondrio, and the adherence to hygienic practice guidelines].

PubMed

Astuti, M; Brega; Casali, L; Dal Vecchio, A; Domenichini, M; Pontello, M

2005-01-01

The Regional Veterinary Service of Lombardy (northern Italian region) developed guideline on good hygienic practices to improve the safety of milk production and transformation in the mountain pastures and to grant the European acknowledgment (EU seal). Therefore we carried out 26 inspections in Valcamonica (Province of Brescia) and 30 in the Sondrio's province (26% and 16% respectively) in mountain pastures that had required the acknowledgment. The data analysis has shown that in Valcamonica 26.9% of the mountains pastures was conform to the regulations, in Sondrio's province instead 6.6% was conform; the frequency of acceptable conformity level increases respectively to 46% and to 33%, if we also consider the mountains pastures in restructuring phase and with very low level of non conformity. Our study emphasizes the need of structural adjustments of these traditional setting and of education of workers in order to improve the food safety and operator's life quality, and also to promote the maintenance of mountain pastures in the Alpine region.

Investigation of pollution characteristics of polychlorinated biphenyls in the typical drinking water sources in Jiangsu Province, China.

PubMed

Hong, Ye; Chunhong, Zhou; Xiaoxiong, Zeng

2009-11-01

Concentration and composition of polychlorinated biphenyls (PCBs) in the typical drinking water sources in Jiangsu Province were studied by scene investigation and physical and chemical analyses as well. Total amount of PCBs in some surface water and surface microlayers exceeded the standard (20 ng/l) in the "Environmental Quality Standard of Surface Water". There were less PCBs in suspended substances and bottom mud. It reflected that there was less PCB pollution in drinking water sources in Jiangsu Province for quite a long period. The main kind of PCBs in the typical drinking water sources was dichlorobiphenyl. Monochlorobiphenyl and trichlorobiphenyl ranked next to dichlorobiphenyl. In the study of PCB distribution in drinking water sources, it was found that the concentration of PCBs in surface microlayer was higher than that in deep water. The concentration of PCBs along the Yangtze River bank was more than that in the middle of Yangtze River. PCBs in the typical drinking water sources mostly came from by-products in industrial production.

[Analysis of effect of topographical conditions on content of total alkaloid in Coptidis Rhizoma in Chongqin, China].

PubMed

Liu, Xin; Huang, He; Yang, Yan-fang; Wu, He-zhen

2014-12-01

To study ecology suitability rank dividing of the total alkaloid content of Coptis Rhizoma for selecting artificial planting base and high-quality industrial raw material in Chongqing province. Based on the investigation of PCB and DEM data of Chongqing province, the relationship between the total alkaloid content in Coptis Rhizoma and topographical conditions was analyzed by statistical analysis. The geographic information systems (GIS)-based assessment and landscape ecological principles were applied to assess eco logy suitability areas of Coptis Rhizoma in Chongqing. slope, aspect and altitude are main topographical factors that affect the content of the total alkaloid content in Coptis Rhizoma The total alkaloid content in Coptis Rhizoma is higher in the lower altitude, shady slope and bigger slope areas. The total alkaloid content is higher in the south areas of Chongqing province and lower in the northeast. Terrain conditions of the southern region of Chongqing are most suitable for The accumulated of total alkaloid Coptis Rhizoma content.

External quality assessment of Giemsa-stained blood film microscopy for the diagnosis of malaria and sleeping sickness in the Democratic Republic of the Congo

PubMed Central

Mukadi, Pierre; Gillet, Philippe; Lukuka, Albert; Atua, Benjamin; Sheshe, Nicole; Kanza, Albert; Mayunda, Jean Bosco; Mongita, Briston; Senga, Raphaël; Ngoyi, John; Muyembe, Jean-Jacques; Jacobs, Jan

2013-01-01

Abstract Objective To report the findings of a second external quality assessment of Giemsa-stained blood film microscopy in the Democratic Republic of the Congo, performed one year after the first. Methods A panel of four slides was delivered to diagnostic laboratories in all provinces of the country. The slides contained: (i) Plasmodium falciparum gametocytes; (ii) P. falciparum trophozoites (reference density: 113 530 per µl); (iii) Trypanosoma brucei subspecies; and (iv) no parasites. Findings Of 356 laboratories contacted, 277 (77.8%) responded. Overall, 35.0% of the laboratories reported all four slides correctly but 14.1% reported correct results for 1 or 0 slides. Major errors included not diagnosing trypanosomiasis (50.4%), not recognizing P. falciparum gametocytes (17.5%) and diagnosing malaria from the slide with no parasites (19.0%). The frequency of serious errors in assessing parasite density and in reporting false-positive results was lower than in the previous external quality assessment: 17.2% and 52.3%, respectively, (P < 0.001) for parasite density and 19.0% and 33.3%, respectively, (P < 0.001) for false-positive results. Laboratories that participated in the previous quality assessment performed better than first-time participants and laboratories in provinces with a high number of sleeping sickness cases recognized trypanosomes more frequently (57.0% versus 31.2%, P < 0.001). Malaria rapid diagnostic tests were used by 44.3% of laboratories, almost double the proportion observed in the previous quality assessment. Conclusion The overall quality of blood film microscopy was poor but was improved by participation in external quality assessments. The failure to recognize trypanosomes in a country where sleeping sickness is endemic is a concern. PMID:24052681

Nested Source Apportionment of Secondary Inorganic Aerosol over Yangtze River Delta during Heavy Haze Episodes

NASA Astrophysics Data System (ADS)

Luo, L.; Cheng, Z.

2017-12-01

Secondary inorganic aerosols (SNA), i.e., sulfate, nitrate and ammonium, account for over 50% of fine particulate matter (PM2.5) during heavy haze episodes over Yangtze River Delta (YRD) region of China. Understanding the origin and transport of SNA is crucial for alleviating haze pollution over YRD. The long range transport from outer-YRD regions had significant influence on SNA during haze episodes over YRD, especially in winter. However, previous studies only using single domain for source analysis are limited on quantifying the local and transported sources in province scale altogether. In this study, the Integrated Source Apportionment Method (ISAM) based on the Weather Research and Forecasting and Community Multi-scale Air Quality (WRF-CMAQ) models was performed to two nested domains, one covering east of China and the other embracing YRD, for source apportionment of SNA in YRD during January, 2015. The results indicated that the outer-YRD transport mainly from upwind northwestern provinces, Shandong and Henan, was the dominant contributor accounting for 36.2% of sulfate during pollution episodes. For nitrate, inner-YRD and outer-YRD transport were the two evenly major regional sources, contributing 51.9% of nitrate during hazes. However, local accumulation was the first contributor accounting for 73.9% of ammonium. The long lifetime of formation process for sulfate and nitrate caused the conspicuous transport effect driven by wind when adjacent regions under severe pollution. Although the total effects of long and short distant transport played a major role for the level of sulfate and nitrate, the extent of contribution from local accumulation was similar with them even larger in province scale. Industry followed by power plant were two principal sources of sulfate for all three types of regional contribution. The main sectoral sources of nitrate were industry and transport for local accumulation while power plant besides them for inner-YRD and outer-YRD transport. For ammonium, volatile sources were major origin for local accumulation while agriculture for inner-YRD transport. These results demonstrate the importance for outer-YRD control during haze episodes for sulfate and nitrate while local emission control for ammonium in YRD.

Challenges in and lessons learned during the implementation of the 1-3-7 malaria surveillance and response strategy in China: a qualitative study.

PubMed

Lu, Guangyu; Liu, Yaobao; Beiersmann, Claudia; Feng, Yu; Cao, Jun; Müller, Olaf

2016-10-05

China has made great progress in malaria control over the last century and now aims to eliminate malaria by 2020. In 2012, the country launched its 1-3-7 surveillance and response strategy for malaria elimination. The strategy involves to case reporting within 1 day, case investigation within 3 days, and focus investigation and public health actions within 7 days. The aim of this study was to evaluate the challenges in and lessons learned during the implementation of the 1-3-7 strategy in China so far. This qualitative study was conducted in two provinces in China: Gansu province (northwestern China) and Jiangsu province (southeastern China) in 2014. Key informant interviews (n = 6) and in-depth interviews (n = 36) about the implementation aspects of the 1-3-7 strategy were conducted with malaria experts, health staff, laboratory practitioners, and village doctors at the provincial, city, county, township, and village levels. Broad themes related to the challenges in and lessons learned during the implementation of the 1-3-7 strategy were identified according to: case reporting within 1 day, case investigation within 3 days, focus investigation within 7 days, and the overall strategy. The major challenges outlined were related to respecting the timeline of surveillance procedures, the absence of or difficulties in following guidelines on conducting focus investigations, diagnostics, and the increasing number of returning migrant workers from malaria-endemic countries. Important lessons learned revolve around the importance of continuous capacity building, supervision and motivation, quality control, information technology support, applied research, governmental commitment, and intersectoral collaboration. Surveillance is a key intervention in malaria elimination programs. The Chinese 1-3-7 strategy has already proven to be successful but still needs to be improved. In particular, dealing appropriately with imported malaria cases through the screening of migrant workers from malaria-endemic countries is essential for achieving and sustaining malaria elimination in China. China has perfect preconditions for successful malaria elimination provided political commitment and financial investment are guaranteed. The 1-3-7 strategy may also be considered as a model for other countries.

Evaluating the impact of decentralising tuberculosis microscopy services to rural township hospitals in gansu province, china

PubMed Central

2011-01-01

Background In 2004, the Ministry of Health issued the policy of decentralising microscopy services (MCs) to one third of all township hospitals in China. The study was conducted in Gansu Province, a poor western one in China. Ganzhou was one county in Gansu Province. Ganzhou County was identified as a unique case of further decentralisation of tuberculosis (TB) treatment services in township hospitals. The study evaluated the impact of the MC policy on providers and patients in Gansu Province. The second objective was to assess the unique case of Ganzhou County compared with other counties in the province. Methods Both quantitative and qualitative methods were used. All 523 MCs in the province completed an institutional survey regarding their performance. Four counties were selected for in-depth investigation, where 169 TB suspects were randomly selected from the MC and county TB dispensary registers for questionnaire surveys. Informant interviews were conducted with 38 health staff at the township and county levels in the four counties. Results Gansu established MCs in 39% of its township hospitals. From January 2006 to June 2007, 8% of MCs identified more than 10 TB sputum smear positive patients while 54% did not find any. MCs identified 1546 TB sputum smear positive patients, accounting for 9% of the total in the province. The throughputs of MCs in Ganzhou County were eight times of those in other counties. Interviews identified several barriers to implement the MC policy, such as inadequate health financing, low laboratory capacity, lack of human resources, poor treatment and management capacities, and lack of supervisions from county TB dispensaries. Conclusion Microscopy centre throughputs were generally low in Gansu Province, and the contribution of MCs to TB case detection was insignificant taking account the number of MCs established. As a unique case of full decentralisation of TB service, Ganzhou County presented better results. However, standards and quality of TB care needed to be improved. The MC policy needs to be reviewed in light of evidence from this study. PMID:21324106

Petroleum geology and resources of the Baykit High province, East Siberia, Russia

USGS Publications Warehouse

Ulmishek, Gregory F.

2001-01-01

The Baykit High province consists of two principal structural units?the Baykit regional high in the west, which occupies most of the province, and the Katanga structural saddle in the east. The province is on the western margin of the Siberian craton east of theYenisey Ridge foldbelt. The province is an exploration frontier and only a few prospects have been drilled. The oldest sedimentary rocks of the province, Riphean carbonate and clastic strata of Late Proterozoic age (1,650?650 million years old) that were deposited on the passive margin, cover the Archean?Lower Proterozoic basement. Basal Vendian (uppermost Proterozoic, 650?570 million years old) clastic rocks unconformably overlie various units of the Riphean and locally lie directly on the basement. Younger Vendian and lowermost Cambrian rocks are primarily dolomites. The Vendian/Cambrian boundary is con-formable, and its exact stratigraphic position has not been identified with certainty. The Lower Cambrian section is thick, and it consists of alternating beds of dolomite and evaporites (mostly salt). Middle and Upper Cambrian strata are composed of shale and dolomite. Ordovician-Silurian and upper Paleozoic rocks are thin, and they are present only in the northern areas of the province. Structural pattern of Riphean rocks differs substantially from that of Vendian-Cambrian rocks. A single total petroleum system (TPS) was identified in the Baykit High province. Discovered oil of the system is chiefly concentrated in Riphean carbonate reservoirs of the Yurubchen-Tokhom zone that is currently being explored and that has the Abstract 1 potential to become a giant field (or group of fields). The TPS also contains about 5 trillion cubic feet of discovered recover-able gas in clastic reservoir rocks at the base of the Vendian section. Petroleum source rocks are absent in the stratigraphic succession over most of the TPS area. Riphean organic-rich shales and carbonates that crop out in the Yenisey Ridge foldbelt west of the Baykit high are probable source rocks. Their areal distribution extends from the foldbelt into the foredeep along the province?s western margin. Potential source rocks also are present in platform depressions in eastern areas of the province. Hydrocarbon generation and migration west of the province started as early as Riphean time, before the beginning of the deformation in the Yenisey Ridge foldbelt that occurred about 820?850 million years ago. However, the presently known oil and gas accumulations were formed after deposition of the Lower Cambrian salt seal. Available data allow identification of only one assessment unit, and it covers the entire TPS area. Undiscovered oil and gas resources are moderate, primarily due to the poor quality of reservoir rocks. However, the reserve growth in the Yurubchen-Tokhom zone may be large and may exceed the volume of undiscovered resources in the rest of the province. Most oil and gas resourcesareexpectedtobeinstructuralandstratigraphictrapsin Riphean carbonate reservoirs. Vendian clastic reservoirs are probably gas-prone.

The impact of urbanization on CO2 emissions in China: an empirical study using 1980-2014 provincial data.

PubMed

Wang, Shijin; Li, Cunfang

2018-01-01

Towns and cities are not only the focus of attention for their consumption of energy and resources; they are also scrutinized closely for their emissions of greenhouse gases. China's urbanization level now exceeds 50%, but there is still much disparity compared with the level of urbanization in developed countries. This study selects China's urban population and carbon emissions data for the years 1980-2014 and discusses the timing and cause effect of urbanization and the corresponding carbon emissions using the Granger causality test and an error correction model (ECM) then uses STIRPAT models to extract six indicators to measure the quality of urbanization, namely, the level of urbanization, area of built-up regions, added value of tertiary industries, disposable income per capita, green areas per capita, and energy intensity. These six indicators represent population agglomeration, the expansion of urban areas, industrial agglomeration, quality of life improvements, ecological conservation, and technological improvements, respectively. The study divides 29 provinces in China into three groups based on the quality of urbanization and analyzes the impacts of the six indicators of urbanization quality on carbon emissions. The findings show that the impacts of different factors on carbon emissions vary substantially among the provinces. Finally, the study uses the findings to give suggestions on how to develop low-carbon urbanization.

Village-Level Identification of Nitrate Sources: Collaboration of Experts and Local Population in Benin, Africa

NASA Astrophysics Data System (ADS)

Crane, P.; Silliman, S. E.; Boukari, M.; Atoro, I.; Azonsi, F.

2005-12-01

Deteriorating groundwater quality, as represented by high nitrates, in the Colline province of Benin, West Africa was identified by the Benin national water agency, Direction Hydraulique. For unknown reasons the Colline province had consistently higher nitrate levels than any other region of the country. In an effort to address this water quality issue, a collaborative team was created that incorporated professionals from the Universite d'Abomey-Calavi (Benin), the University of Notre Dame (USA), Direction l'Hydraulique (a government water agency in Benin), Centre Afrika Obota (an educational NGO in Benin), and the local population of the village of Adourekoman. The goals of the project were to: (i) identify the source of nitrates, (ii) test field techniques for long term, local monitoring, and (iii) identify possible solutions to the high levels of groundwater nitrates. In order to accomplish these goals, the following methods were utilized: regional sampling of groundwater quality, field methods that allowed the local population to regularly monitor village groundwater quality, isotopic analysis, and sociological methods of surveys, focus groups, and observations. It is through the combination of these multi-disciplinary methods that all three goals were successfully addressed leading to preliminary identification of the sources of nitrates in the village of Adourekoman, confirmation of utility of field techniques, and initial assessment of possible solutions to the contamination problem.

[Spatial variation of soil properties and quality evaluation for arable Ustic Cambosols in central Henan Province].

PubMed

Zhang, Xue-Lei; Feng, Wan-Wan; Zhong, Guo-Min

2011-01-01

A GIS-based 500 m x 500 m soil sampling point arrangement was set on 248 points at Wenshu Town of Yuzhou County in central Henan Province, where the typical Ustic Cambosols locates. By using soil digital data, the spatial database was established, from which, all the needed latitude and longitude data of the sampling points were produced for the field GPS guide. Soil samples (0-20 cm) were collected from 202 points, of which, bulk density measurement were conducted for randomly selected 34 points, and the ten soil property items used as the factors for soil quality assessment, including organic matter, available K, available P, pH, total N, total P, soil texture, cation exchange capacity (CEC), slowly available K, and bulk density, were analyzed for the other points. The soil property items were checked by statistic tools, and then, classified with standard criteria at home and abroad. The factor weight was given by analytic hierarchy process (AHP) method, and the spatial variation of the major 10 soil properties as well as the soil quality classes and their occupied areas were worked out by Kriging interpolation maps. The results showed that the arable Ustic Cambosols in study area was of good quality soil, over 95% of which ranked in good and medium classes and only less than 5% were in poor class.

[Investigation of theoretical knowledge on schistosomiasis prevention and control among professionals in county level in Hunan and Hubei provinces].

PubMed

Zhang, Li-juan; Zhu, Rong; Xu, Jing; Li, Shi-zhu

2015-06-01

To understand the knowledge level on schistosomiasis prevention and treatment among professionals of schistosomiasis endemic counties in Hunan and Hubei provinces, so as to provide the basis for the ability construction of schistosomiasis control institution. The theoretical test was applied to investigate the mastering situation on schistosomiasis prevention and control among professionals of 12 selected schistosomiasis endemic counties in Hunan and Hubei provinces, and the results were analyzed statistically. Ninety-six professionals were surveyed. The average score was 66.94 ± 11.53, in the range of 34-91, and the pass rate was 75.00%. The scoring rates of the knowledge points of the test and treatment of schistosomiasis, snail survey and killing as well as basic knowledge and laws and regulations about schistosome were 68.69%, 70.54% and 73.19%, respectively. On the knowledge points of the test and treatment of schistosomiasis and basic knowledge and laws and regulations about schistosome, the differences among different education backgrounds were significant (F = 3.337, 4.793, both P < 0.05), and the scores were higher in professionals with higher diploma. In the scores, there were no statistical differences between or among different genders, age groups, professional titles or specialties (all P > 0.05). The overall knowledge level on schistosomiasis prevention and treatment of the professionals from 12 schistosomiasis endemic counties in Hunan and Hubei provinces is low. Therefore, the learning of relative knowledge should be strengthened.

Health risk assessment of fluoride in drinking water from Anhui Province in China.

PubMed

Gao, Hong-jian; Jin, You-qian; Wei, Jun-ling

2013-05-01

This study analyzes the concentrations and health risks of fluoride in 249 drinking water samples collected from different regions of Anhui Province in China. Results indicated that fluoride content in drinking water ranged from 0.12 to 1.94 mg L(-1) (mean = 0.57 mg L(-1)) in the following order: Huaibei plain region > Jianghuai hill region ≈ Dabieshan mountainous region > plain along the Yangtze River region > southern Anhui mountainous region. The fluoride contents were less than 0.50 mg L(-1) in 66.66 % of the drinking water samples, 0.51-1.0 mg L(-1) in 23.29 %, and higher than 1.0 mg L(-1) in 12.04 %. The fluoride levels in some samples were lower than the recommended values for controlling dental caries (0.50-1.0 mg L(-1)). The total fluoride intake from drinking water was between 0.14 and 2.33 mg per day in different regions of the province, supposing an individual consumes 1.2 L of water per day. Therefore, measures should be taken to increase fluoride intake in the Jianghuai hill region, Dabieshan mountainous region, plain along the Yangtze River, and southern Anhui mountainous region to control dental caries. On the other hand, the fluoride levels must be reduced in the Huaibei plain region to decrease endemic fluorosis. The results serve as crucial guidelines for managing fluoride safety in drinking water and controlling endemic fluorosis in different regions of Anhui Province.

Using lot quality-assurance sampling and area sampling to identify priority areas for trachoma control: Viet Nam.

PubMed

Myatt, Mark; Mai, Nguyen Phuong; Quynh, Nguyen Quang; Nga, Nguyen Huy; Tai, Ha Huy; Long, Nguyen Hung; Minh, Tran Hung; Limburg, Hans

2005-10-01

To report on the use of lot quality-assurance sampling (LQAS) surveys undertaken within an area-sampling framework to identify priority areas for intervention with trachoma control activities in Viet Nam. The LQAS survey method for the rapid assessment of the prevalence of active trachoma was adapted for use in Viet Nam with the aim of classifying individual communes by the prevalence of active trachoma among children in primary school. School-based sampling was used; school sites to be sampled were selected using an area-sampling approach. A total of 719 communes in 41 districts in 18 provinces were surveyed. Survey staff found the LQAS survey method both simple and rapid to use after initial problems with area-sampling methods were identified and remedied. The method yielded a finer spatial resolution of prevalence than had been previously achieved in Viet Nam using semiquantitative rapid assessment surveys and multistage cluster-sampled surveys. When used with area-sampling techniques, the LQAS survey method has the potential to form the basis of survey instruments that can be used to efficiently target resources for interventions against active trachoma. With additional work, such methods could provide a generally applicable tool for effective programme planning and for the certification of the elimination of trachoma as a blinding disease.

Relationship between the UPLC-Q-TOF-MS fingerprinted constituents from Daphne genkwa and their anti-inflammatory, anti-oxidant activities.

PubMed

Du, Wen-Juan; Ji, Jun; Wang, Ling; Lan, Xin-Yi; Li, Jia; Lei, Jun-Qiu; He, Xin; Zhang, Chun-Feng; Huang, Wen-Zhe; Wang, Zhen-Zhong; Xiao, Wei; Wang, Chong-Zhi; Yuan, Chun-Su

2017-12-01

Daphne genkwa Sieb.et Zucc. is a well-known medicinal plant. This study was designed to apply the ultra-high performance liquid chromatography system to establish a quality control method for D. genkwa. Data revealed that there were 15 common peaks in 10 batches of D. genkwa Sieb. Et Zucc. (Thymelaeaceae) from different provinces of China. On this basis, the fingerprint chromatogram was established to provide references for quality control. Afterwards, the chemical constitutions of these common peaks were analyzed using the UPLC-Q-TOF-MS system and nine of them were identified. In addition, LPS-stimulated RAW264.7 murine macrophages and DPPH assay were used to study the anti-inflammatory and anti-oxidation effects of D. genkwa. Then the fingerprint-efficacy relationships between UPLC fingerprints and pharmacodynamic data were studied with canonical correlation analysis. Analysis results indicated that the anti-inflammatory and anti-oxidation effects differed among the 10 D. genkwa samples owing to their inherent differences of chemical compositions. Taken together, this research established a fingerprint-efficacy relationship model of D. genkwa plant by combining the UPLC analytic technique and pharmacological research, which provided references for the detection of the principal components of traditional Chinese medicine on bioactivity. Copyright © 2017 John Wiley & Sons, Ltd.

Evaluation of a needle social marketing strategy to control HIV among injecting drug users in China.

PubMed

Wu, Zunyou; Luo, Wei; Sullivan, Sheena G; Rou, Keming; Lin, Peng; Liu, Wei; Ming, Zhongqiang

2007-12-01

To evaluate the effectiveness of a needle social marketing strategy to reduce needle sharing and hepatitis C Virus (HCV)/HIV transmission among injecting drug users (IDU) in China. Two-armed, prospective, community-randomized prevention trial. Four counties/townships in Guangxi and Guangdong provinces; one randomized to intervention the other to control in each province. Injecting drug users: 823 (443 intervention, 382 control) at baseline and 852 (415 intervention, 407 control) at the second cross-sectional survey 12 months later. A needle social marketing programme, including promotion of safe injection norms and increased access to clean needles over a 12 month period. Cross sectional surveys at baseline and follow-up compared changes in drug using behaviours and HIV and HCV rates in the intervention and control communities. Needle sharing behaviours were similar in the two groups at baseline (68.4 vs. 67.8%), and dropped significantly to 35.3% in the intervention community and remained relatively stable in the control community (62.3%; P < 0.001). In a subset of cohort of new injectors, the incidence of HCV was significant lower in intervention than in control in both provinces (P < 0.001, P = 0.014) and overall (P < 0.001) but HIV was only significantly lower in intervention in Guangdong (P = 0.011). Needle social marketing can reduce risky injecting behaviour and HIV/HCV transmission among injecting drug users in China and should be expanded.

Reprint of "Modelling the influence of temperature and rainfall on malaria incidence in four endemic provinces of Zambia using semiparametric Poisson regression".

PubMed

Shimaponda-Mataa, Nzooma M; Tembo-Mwase, Enala; Gebreslasie, Michael; Achia, Thomas N O; Mukaratirwa, Samson

2017-11-01

Although malaria morbidity and mortality are greatly reduced globally owing to great control efforts, the disease remains the main contributor. In Zambia, all provinces are malaria endemic. However, the transmission intensities vary mainly depending on environmental factors as they interact with the vectors. Generally in Africa, possibly due to the varying perspectives and methods used, there is variation on the relative importance of malaria risk determinants. In Zambia, the role climatic factors play on malaria case rates has not been determined in combination of space and time using robust methods in modelling. This is critical considering the reversal in malaria reduction after the year 2010 and the variation by transmission zones. Using a geoadditive or structured additive semiparametric Poisson regression model, we determined the influence of climatic factors on malaria incidence in four endemic provinces of Zambia. We demonstrate a strong positive association between malaria incidence and precipitation as well as minimum temperature. The risk of malaria was 95% lower in Lusaka (ARR=0.05, 95% CI=0.04-0.06) and 68% lower in the Western Province (ARR=0.31, 95% CI=0.25-0.41) compared to Luapula Province. North-western Province did not vary from Luapula Province. The effects of geographical region are clearly demonstrated by the unique behaviour and effects of minimum and maximum temperatures in the four provinces. Environmental factors such as landscape in urbanised places may also be playing a role. Copyright © 2017 Elsevier B.V. All rights reserved.

Rubella epidemics and genotypic distribution of the rubella virus in Shandong Province, China, in 1999-2010.

PubMed

Wang, Changyin; Zhu, Zhen; Xu, Qing; Xu, Aiqiang; Fang, Xueqiang; Song, Lizhi; Li, Weixiu; Xiong, Ping; Xu, Wenbo

2012-01-01

The rubella vaccine was introduced into the immunization program in 1995 in the Shandong province, China. A series of different rubella vaccination strategies were implemented at different stages of measles control in Shandong province. The average reported incidence rate of rubella cases remained at a low level in Shandong province after 1999. However, rubella epidemics occurred repeatedly in 2001/2002, 2006, and 2008/2009. The age of the onset of rubella cases gradually increased during 1999-2010, which showed that most cases were found among the 10 years old in 1999 and among the 17 years old in 2010. Phylogenetic analysis was performed and a phylogenetic tree was constructed based on the World Health Organization standard sequence window for rubella virus isolates. All rubella viruses isolated in Shandong province were divided into 4 genotypes: 1E, 1F, 2A, and 2B. Genotype 1E viruses accounted for the majority (79%) of all these viruses. The similarity of nucleotide and amino acid sequences among genotype 1E viruses was 98.2-100% and 99.1-100%, respectively. All Shandong genotype 1E strains, differed from international genotype 1E strains, belonged to cluster 1 and interdigitated with the viruses from other provinces in mainland China. The effective number of infections indicated by a bayesian skyline plot remained constant from 2001 to 2009. The gradual shift of disease burden to an older age group occurred after a rubella-containing vaccine was introduced into the childhood immunization schedule in 1995 in Shandong province. Four genotypes, including 1E, 1F, 2A, and 2B, were found in Shandong province during 2000-2009. Genotype 1E, rather than genotype 1F, became the predominant genotype circulating in Shandong province from 2001. All Shandong genotype 1E viruses belong to the genotype 1E/cluster 1; they have constantly circulated, and co-evolved and co-circulated, with those from other provinces.

Representation and redistribution in federations

PubMed Central

Dragu, Tiberiu; Rodden, Jonathan

2011-01-01

Many of the world's most populous democracies are political unions composed of states or provinces that are unequally represented in the national legislature. Scattered empirical studies, most of them focusing on the United States, have discovered that overrepresented states appear to receive larger shares of the national budget. Although this relationship is typically attributed to bargaining advantages associated with greater legislative representation, an important threat to empirical identification stems from the fact that the representation scheme was chosen by the provinces. Thus, it is possible that representation and fiscal transfers are both determined by other characteristics of the provinces in a specific country. To obtain an improved estimate of the relationship between representation and redistribution, we collect and analyze provincial-level data from nine federations over several decades, taking advantage of the historical process through which federations formed and expanded. Controlling for a variety of country- and province-level factors and using a variety of estimation techniques, we show that overrepresented provinces in political unions around the world are rather dramatically favored in the distribution of resources. PMID:21555553

Analysis of the Spatiotemporal Characteristics of Hemorrhagic Fever with Renal Syndrome in Hubei Province, China

NASA Astrophysics Data System (ADS)

Fan, H.; Ge, L.; Song, L.; Zhao, Q.

2015-07-01

Hemorrhagic fever with renal syndrome(HFRS) is a worldwide fulminant infectious disease. Since the first HFRS cases in Hubei Province were reported in 1957, the disease has spread across the province and Hubei has become one of seriously affected areas in China. However, the epidemic characteristics of HFRS are still not entirely clear. Therefore, a systematic investigation of spatial and temporal distribution pattern of HFRS system is needed. In order to facilitate better prevention and control of HFRS in Hubei Province, in this paper, a GIS spatiotemporal analysis and modeling tool was developed to analyze the spatiotemporal dynamics of the HFRS epidemic, as well as providinga comprehensive examination the dynamic pattern of HFRS in Hubei over the past 30 years (1980-2009), to determine spatiotemporal change trends and the causes of HFRS. This paper describes the experiments and their results.

[Diagnosis and treatment characteristics of head-wind sha in She medicine].

PubMed

Zou, Guangyi; Xu, Xiangdong; Zheng, Songming; Yan, Lianhe; Lei, Houxing; Zhang, Qiao-ling; Xiang, Yingmei; Ye, Yiping; Song, Liwei

2015-03-01

The diagnosis and treatment characteristics of head-wind sha in She medicine were analyzed and summarized. By visiting She-nationality villages and towns in Zhejiang province and Fujian province and interviewing hundreds of doctors of She medicine, the sha diagnosis, sha differentiation, experience and theory of treatment were arranged, and a comprehensive summary on theory and application of head-wind sha in She medicine such as pathogeny, name of disease, mechanism, diagnosis, differential diagnosis and treatment was made. It is believed that the methods of diagnosis and treatment in She medicine for head-wind sha could effectively enhance curative effect, safety and patients' quality of life, and the further research should be carried out.

[Epidemiological surveillance of cystic echinococcosis in dogs, sheep farms and humans in the Rio Negro Province].

PubMed

Pérez, Alicia; Costa, María T; Cantoni, Gustavo; Mancini, Sergio; Mercapide, Carlos; Herrero, Eduardo; Volpe, Marcela; Araya, Daniel; Talmon, Gabriel; Chiosso, Carlos; Vázquez, Gabriela; Del Carpio, Mario; Santillan, Graciela; Larrieu, Edmundo

2006-01-01

The surveillance of infection for Echinococcus granulosus in the Province of Rio Negro during 1980-2002 included serological and ultrasonographic screening in humans and arecoline test in dogs. In lieu of the limitations of the arecoline test the proposal was to supplant that test for the copro ELISA-copro/Western Blot complex applied to feces collected from the environment. The objective was to compare the pros and cons of the two tests and to evaluate the human and the canine infection prevalence. The working area encompassed 7 Departments with systematic canine parasiticide activities (Program Area) and 4 Departments, not endemic, as Control Area. The arecoline test was applied to the dogs in assembled groups with the voluntary participation of their owners (not randomized sampling). Samples for the detection of coproantigens were obtained from sheep farms selected at random and analyzed by the complex copro-ELISA /Western Blot. Prevalence in man was determined by screening the school population (6 to 14 years old) by ultrasound, and by means of the compulsory notification of cases from the official system. Dogs (416) were tested with arecoline, 365 of which belonged to the Program Area. Of these 19 (5.2%) resulted positive, while none of 51 dogs from the Control Area were positive. Samples (748) of feces were tested to detect coproantigens, obtaining 37 positive samples within the Program Area and 4 within the Control Area. Farms (271) from the livestock estate unit were evaluated, out of which 236 belonged to the Program Area, gave 32 (13.6%) positive results, while 4 (11.4%) of 35 from the Control Area resulted positive. Sonography tests (7421) were done in the Program Area detecting 40 (0.5%) carriers, while in the Control Area, over 1732 tests, 9 (0.5%) resulted positive. The arecoline test provides information about the dog prevalence while the detection of coproantigens in feces collected from the environment allowed to enhance the quality of the information, and the identification of environments where specific control activities focusing on risk must be concentrated. Also the study allowed to recognize new transmission areas.

[Analysis of effect of prevention and control technique training of human important parasitic diseases in Jiangsu Province in 2017].

PubMed

Bi-Xian, Ni; Xiang-Zhen, Xu; Xiao-Ting, Wang; Ming-Xue, Sheng; Yang, Dai; Xiao-Lin, Jin

2017-07-24

To evaluate the effect of the prevention and control technique training of human important parasitic diseases for basic professional and technical personnel in Jiangsu Province in 2017. A workshop including theory courses and practical operations was carried out for the basic professional and technical personnel. At the end of the workshop, the effects were evaluated through the theoretical and microscopic examinations. There were 132 trainees from 13 cities, and all of them took part in the final examinations. The average score of total was 118.36. There were significant differences among different regions ( χ 2 = 13.38, P < 0.01). The pass rate of the theory test was 92.4% with the average score of 79.05. There were significant differences of theory scores among different regions ( χ 2 =14.51, P < 0.01). The theory score of Northern Jiangsu Province was significantly higher than the scores of Southern and Central Jiangsu Province ( P < 0.001, P = 0.009). The pass rate of microscopic examinations was 89.4% with the average score of 39.32. There was no significant difference of micro-scopic examination scores among different regions ( F = 2.37, P = 0.09). Among the total 7 species, the detection rate of Paragonimus westermani was the highest (75％) and the rates of Schistosoma japonicum and Fasciolopsis buski were only 51.5％ and 54.5% respectively. The detection rates of eggs of Trichuris trichiura , unfertilized Ascaris lumbricoides , Clonorchis sinensis and Taenia solium were 71.2%, 65.9%, 72.7% and 72.0% respectively. The training course has promoted the capability of prevention and control of parasitic diseases for basic technical personnel. Also it provides the technical supports for parasitic disease monitoring, control and risk assessment in the next step.

Attributes for MRB_E2RF1 Catchments by Major River Basins in the Conterminous United States: Physiographic Provinces

USGS Publications Warehouse

Wieczorek, Michael; LaMotte, Andrew E.

2010-01-01

This tabular data set represents the area of each physiographic province (Fenneman and Johnson, 1946) in square meters, compiled for every MRB_E2RF1 catchment of selected Major River Basins (MRBs, Crawford and others, 2006). The source data are from Fenneman and Johnson's Physiographic Provinces of the United States, which is based on 8 major divisions, 25 provinces, and 86 sections representing distinctive areas having common topography, rock type and structure, and geologic and geomorphic history (Fenneman and Johnson, 1946).The MRB_E2RF1 catchments are based on a modified version of the U.S. Environmental Protection Agency's (USEPA) ERF1_2 and include enhancements to support national and regional-scale surface-water quality modeling (Nolan and others, 2002; Brakebill and others, 2011). Data were compiled for every MRB_E2RF1 catchment for the conterminous United States covering New England and Mid-Atlantic (MRB1), South Atlantic-Gulf and Tennessee (MRB2), the Great Lakes, Ohio, Upper Mississippi, and Souris-Red-Rainy (MRB3), the Missouri (MRB4), the Lower Mississippi, Arkansas-White-Red, and Texas-Gulf (MRB5), the Rio Grande, Colorado, and the Great basin (MRB6), the Pacific Northwest (MRB7) river basins, and California (MRB8).

Environmental quality and sustainability in the province of Reggio Emilia (Italy): using multi-criteria analysis to assess and compare municipal performance.

PubMed

Ferrarini, A; Bodini, A; Becchi, M

2001-10-01

Sustainability has become an increasingly significant issue, although practical implementation remains difficult. In Italy, promoting sustainability is particularly problematic at the provincial and municipal level, where the lack of resources and expertise, and the effects of uncoordinated policies make it difficult to achieve minimum requirements to make sustainable policies operational. One essential requirement is knowledge of baseline environmental conditions in each municipality. In the province of Reggio Emilia (Northern Italy) Legambiente, an environmental association, launched an initiative called 'Ecopaese' aimed at gathering data on environmental conditions and stimulating local administrations to implement sustainable policies. To this end, the state of the environment in the 45 municipalities within the province has been monitored using 25 indicators. Their values have been used to rank the municipalities by multiple criteria analysis (MCA). The results of this comparative approach provide information about the level of sustainability attained in the province as a whole as well as in the single municipalities. It is hoped that it will provide the basis for direct action plans at the provincial level by identifying areas for remedial action, as recommended by Agenda 21, the declaration adopted by many countries attending the Rio Summit in 1992.

Long-term Watershed Database for the Ridge and Valley Physiographic Province: Mahantango Creek Watershed, Pennsylvania, USA

USDA-ARS?s Scientific Manuscript database

Understanding agricultural effects on water quality in rivers and estuaries requires understanding of hydrometeorology and geochemical cycling at various scales over time. The USDA-ARS initiated a hydrologic research program at the Mahantango Creek Watershed (MCW) in 1968, a research watershed at t...

Typology of Leisure of Rural People.

ERIC Educational Resources Information Center

Tapilina, Vera Sergeevna

Utilizing data from a 1972 sociological survey of rural inhabitants working in the public economy of the province of Novosibirsk, this study examined leisure as an element of the residents' life style. Rural residents with common leisure behaviors were identified through the classification of the behavior's function and quality. Leisure functions…

FISH COMMUNITIES AND HUMAN DISTURBANCE IN THE ALBEMARLE-PAMLICO BASIN OF NORTH CAROLINA AND VIRGINIA

EPA Science Inventory

Data on fish abundance, diversity, and habitat quality from the USGS and EPA were analyzed for patterns in the regional fish communities of the Albemarle-Pamlico drainage basin. The basin covers approximately 72,500 square kilometers and four physiographic provinces in Virginia ...

Composition of high-elevation breeding bird assemblages and environmental correlates in the southern Blue Ridge Province

Treesearch

Scott M. Pearson

2010-01-01

Climatic and landscape change threaten to alter the distribution, abundance, and quality of wildlife habitats in the Appalachians. Knowledge of habitat associations and potential responses to these forces of change will be necessary for informed management and conservation of high-elevation communities.

Education and Poverty in Rural China.

ERIC Educational Resources Information Center

Brown, Philip H.; Park, Albert

2002-01-01

Analyzes household and school survey data from poor counties in six Chinese provinces to examine the effects of poverty, intra-household decision-making, and school quality on educational investments and learning outcomes. Finds, for example, that being poor and credit-constrained does not significantly affect learning in school (as measured by…

Hydrological Work in Communist China

DTIC Science & Technology

1961-03-01

and Yen -ho in Kueichou Province, at Hsin - ning and Ta-yung in Hunan Province and at Ts’un-chi, Hsi Hsien and Ho- li-chi in...hydro- logical information and a control over hydrological fluctuations. Early in 1955 and 1956, in gathering data for irrigation planning, the Hsin ...organi- zation established to service the translation and research needs of the various government departments. JPRS: W27 CSO: 13iO-S/a

Population and forensic genetic analyses of mitochondrial DNA control region variation from six major provinces in the Korean population.

PubMed

Hong, Seung Beom; Kim, Ki Cheol; Kim, Wook

2015-07-01

We generated complete mitochondrial DNA (mtDNA) control region sequences from 704 unrelated individuals residing in six major provinces in Korea. In addition to our earlier survey of the distribution of mtDNA haplogroup variation, a total of 560 different haplotypes characterized by 271 polymorphic sites were identified, of which 473 haplotypes were unique. The gene diversity and random match probability were 0.9989 and 0.0025, respectively. According to the pairwise comparison of the 704 control region sequences, the mean number of pairwise differences between individuals was 13.47±6.06. Based on the result of mtDNA control region sequences, pairwise FST genetic distances revealed genetic homogeneity of the Korean provinces on a peninsular level, except in samples from Jeju Island. This result indicates there may be a need to formulate a local mtDNA database for Jeju Island, to avoid bias in forensic parameter estimates caused by genetic heterogeneity of the population. Thus, the present data may help not only in personal identification but also in determining maternal lineages to provide an expanded and reliable Korean mtDNA database. These data will be available on the EMPOP database via accession number EMP00661. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

A retrospective study of anthrax on the Ghaap Plateau, Northern Cape province of South Africa, with special reference to the 2007-2008 outbreaks.

PubMed

Hassim, Ayesha; Dekker, Edgar H; Byaruhanga, Charles; Reardon, Tommy; Van Heerden, Henriette

2017-09-28

Anthrax is a zoonotic disease caused by the gram-positive, endospore-forming and soil-borne bacterium Bacillus anthracis. When in spore form, the organism can survive in dormancy in the environment for decades. It is a controlled disease of livestock and wild ungulates in South Africa. In South Africa, the two enzootic regions are the Kruger National Park and the Ghaap Plateau in the Northern Cape province. Farms on the Plateau span thousands of hectares comprising of wildlife - livestock mixed use farming. In 2007-2008, anthrax outbreaks in the province led to government officials intervening to aid farmers with control measures aimed at preventing further losses. Because of the ability of the organism to persist in the environment for prolonged periods, an environmental risk or isolation survey was carried out in 2012 to determine the efficacy of control measures employed during the 2007-2008, anthrax outbreaks. No B. anthracis could be isolated from the old carcass sites, even when bone fragments from the carcasses were still clearly evident. This is an indication that the control measures and protocols were apparently successful in stemming the continuity of spore deposits at previously positive carcass sites.

Suggestions on water sources protection for the Gan River of Jiangxi, People's Republic of China

NASA Astrophysics Data System (ADS)

Fu, C.; Jiang, Z.

2007-05-01

The Gan River is the largest river in Jiangxi Province, which is located in the southeast of China and is the second branch of the Yangtze River. The Gan River flows through Jiangxi Province from the South to the North and plays an important role in the economic development for 14 counties or cities with a population of 22 million. Currently, there are 5 drinking water sources, such as the capital city, Nanchang, with a daily capacity of 0.72 million cubic meters. With the rapid economic development and increasing population in the Gan River basin, water pollution has become more serious. The water quality of the river has serious pollution on both side reaches and slight pollution on the middle reach. In the upstream, the main pollution problems come from the industrial wastewater and soil erosion, with industrial and sewage wastewater affecitng the downstream region. Based on the Provincial Environmental Quality Report of 2005, of 39 monitoring sections, the ones which reach a favorable rating of a National Standard are 71.8 per cent. The water quality in the upstream region had a good situation with 80 percent of locations meeting standards, but the water quality downstream of the capital city deteriorates and only 45.4 percent of this region can meet the standard. Standards are frequently exceeded for BOD5, TP, TN, fecal coliform, and petrolueum oil in the downstream portion. The industrial wastewater drained into the river was 139 million tons in 2005, of which Nanchang city is the largest contributor with 214 million tons of wastewater composed of 75 million tons of industrial wastewater and 139 million tons of domestic sewage. The largest COD contributor was from Ganzhou in the upstream of the river with a total of 83,800 tons in 2005. Currently, there are only two wastewater treatment facilities with daily treatment capacity of 402,000 tons along the river, which are located in the capital city. Some parameters in the treated water stil exceed the drainage standard. Based on the characteristic of soil erosion in the mountain areas in the upstream portion of the Gan River, Jiangxi Province has carried out a strategy of comprehensive treatment of small river basins since 1983. A total of 374 small basins in Ganzhou city have been treated and 0.5 million hectare of soil erosion area have been treated which is 78.2 percent of the whole soil erosion in this region. Some suggestions on protection of water sources have been proposed as: to continue the comprehensive treatment of soil erosion, to enhance the treatment capacity of domestic sewage, to optimize the treatment technology and control sewage in the cities along the river, to formulate a plan for the basin water resources utilization, and to enhance the performance capacity of environmental protection laws and regulations.

Infection prevention and control in outpatient settings in China-structure, resources, and basic practices.

PubMed

Qiao, Fu; Huang, Wenzhi; Zong, Zhiyong; Yin, Weijia

2018-01-25

More than 7 billion visits are made by patients to ambulatory services every year in mainland China. Healthcare-associated infections are becoming a new source of illness for outpatients. Little is known about infection prevention, control structure, resources available, and basic practices in outpatient settings. In 2014, we conducted a multisite survey. Five provinces were invited to participate based on geographic dispersion. Self-assessment questionnaires regarding the structure, infrastructure, apparatus and materials, and basic activities of infection prevention and control were issued to 25 hospitals and 5 community health centers in each province. A weight was assigned to each question according to its importance. Overall, 146 of 150 facilities (97.3%) participated in this study. The average survey score was 77.6 (95% confidence interval 75.7-79.5) and varied significantly between the different gross domestic product areas (P < .01), but scores were not significantly different between the 5 facility types (P = .07). The main lapse of infrastructure was in providing hand hygiene equipment (43.4%) and masks (38.7%) for patients in the waiting areas and main entrances. In a sample of ambulatory facilities in 5 provinces in China, infection prevention and control was practiced consistently, although there were lapses in some areas. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Drinking water quality and chronic kidney disease of unknown etiology (CKDu): synergic effects of fluoride, cadmium and hardness of water.

PubMed

Wasana, Hewa M S; Aluthpatabendi, Dharshani; Kularatne, W M T D; Wijekoon, Pushpa; Weerasooriya, Rohan; Bandara, Jayasundera

2016-02-01

High prevalence of chronic kidney disease of unknown etiology (CKDu) in some regions of the world is suspected mainly due to a toxin-mediated renal failure. We examined the incidence of CKDu and potable chemical water quality in a CKDu-affected region. This region has been identified as a high-risk zone for CKDu (location: latitude: 8.3500°-9.0000°, longitude: 80.3833°-81.3000°, North Central Province, NCP, Sri Lanka) by the World Health Organization (WHO). However, within this macro-region, small pockets of CKDu non-prevalence zones do exist; notably, the residents in those pockets consume spring water. Therefore, the drinking water quality of four areas, namely high-CKDu-prevalence areas (zone I), low-CKDu-prevalence area (zone II), the CKDu-free isolated pockets (zone III) and control areas (controls) were examined for F, Al, Cd, and As, and hardness and the statistical analysis were carried out to probe possible correlations among these parameters. The fluoride and hardness concentrations of water in zone III and control areas are much lower compared to zones I and II, and the water hardness is ~61 mg/L CaCO3. In zones I and II, the harness of drinking water is ~121-180 mg/L CaCO3; however, Al, Cd and As concentrations are almost comparable and below WHO recommendations. In most of the locations in zones I and II, the F concentration in drinking water is higher than the WHO recommendations. The peculiar distribution patterns of CKDu point to a synergic effect of trace elements in water for etiology of the disease.

[Environmental efficiency evaluation under carbon emission constraint in Western China].

PubMed

Rong, Jian-bo; Yan, Li-jiao; Huang, Shao-rong; Zhang, Ge

2015-06-01

This research used the SBM model based on undesirable outputs to measure the static environmental efficiency of Western China under carbon emission constraint from 2000 to 2012. The researchers also utilized the Malmquist index to further analyze the change tendency of environmental efficiency. Additionally, Tobit regression analysis was used to study the factors relevant to environmental efficiency. Practical solutions to improve environmental quality in Western China were put forward. The study showed that in Western China, environmental efficiency with carbon emission constraint was significantly lower than that without carbon emission constraint, and the difference could be described as an inverse U-shaped curve which increased at first and then decreased. Guang-xi and Inner Mongolia, the two provinces met the effective environmental efficiency levels all the time under carbon emission constraint. However, the five provinces of Guizhou, Gansu, Qinghai, Ningxia and Xinjiang did not. Furthermore, Ningxia had the lowest level of environmental efficiency, with a score between 0.281-0.386. Although the environmental efficiency of most provinces was currently at an ineffective level, the environmental efficiency quality was gradually improving at an average speed of 6.6%. Excessive CO2 emission and a large amount of energy consumption were the primary factors causing environmental inefficiency in Western China, and energy intensity had the most negative impact on the environmental efficiency. The increase of import and export trade reduced the environmental efficiency significantly in Western China, while the increase of foreign direct investment had a positive effect on its environmental efficiency.

[Evaluation on the effects of prevention and control programs regarding typhoid fever and paratyphoid fever in Guizhou province, from 2007 to 2012].

PubMed

Yao, Guanghai; Zou, Zhiting; Wang, Dan; Huang, Yanping; Nie, Wei; Liu, Huihui; Tang, Guangpeng

2014-05-01

This study was to evaluate the effects of prevention and control regarding programs on typhoid fever and paratyphoid fever, in Guizhou province, from 2007 to 2012, to provide evidence for the improvement of related programs. Data on typhoid fever and paratyphoid including information on epidemics, individual, cases, measures for prevention and control programs taken and relative government documents were collected and analyzed in Guizhou province, from 2007 to 2012. Information related to the average annual incidence, nature of outbreaks, time span before confirmed diagnosis was made, unit which carried the case report, proportion of laboratory confirmed diagnosed cases and case-management were compared between 2007-2009 and 2010-2012 descriptively while chi-square test with Excel and EpiInfo software were used for data analysis. In the period of 2007-2009, a total of 5 978 typhoid fever and paratyphoid fever cases were reported in Guizhou province with the average yearly incidence as 5.29/100 000. In the period of 2010-2012, 2 765 cases were reported with the average yearly incidence as 2.57/100 000. When compared to the former, data from the latter period showed that the average yearly incidence had declined 51.31% in all the prefectures. There were still some outbreaks appeared but the total number of cases involved reduced 87.50%. The time span before the confirmation of diagnosis became shorter but the difference was not statistically significant (χ² = 0.08, P = 0.99). Number of cases reported by hospitals at county or above had 11.51% of increase while those cases reported at the township hospitals or below decreased for 61.47% . The proportion of laboratory diagnosed cases increased 23.63%. Rates of timeliness on cards being filled in, input and audited showed increase of 8.44%, 6.76% and 2.40% respectively. Successful measures for prevention and control on typhoid fever and paratyphoid fever had been remarkably taken in Guizhou province, but the potential risk of outbreaks still existed in some areas, suggesting that health education and surveillance programs including laboratory diagnosis, should be strengthened.

A randomised controlled trial on the Four Pillars Approach in managing pregnant women with anaemia in Yogyakarta–Indonesia: a study protocol

PubMed Central

2014-01-01

Background Anaemia is a common health problem among pregnant women and a contributing factor with a major influence on maternal mortality in Indonesia. The Four Pillars Approach is a new approach to anaemia in pregnancy, combining four strategies to improve antenatal and delivery care. The primary objective of this study is to measure the effectiveness of the Four Pillars Approach. The barriers, the facilitators, and the patients’ as well as the midwives’ satisfaction with the Four Pillars Approach will also be measured. Methods/Design This study will use a cluster randomised controlled trial. This intervention study will be conducted in the Public Health Centres with basic emergency obstetric care in Yogyakarta Special Province and in Central Java Province. We will involve all the Public Health Centres (24) with emergency obstetric care in Yogyakarta Special Province. Another 24 Public Health Centres with emergency obstetric care in Central Java Province which have similarities in their demographic, population characteristics, and facilities will also be involved. Each Public Health Centre will be asked to choose two or three nurse-midwives to participate in this study. For the intervention group, the Public Health Centres in Yogyakarta Special Province, training on the Four Pillars Approach will be held prior to the model’s implementation. Consecutively, we will recruit 360 pregnant women with anaemia to take part in part in the study to measure the effectiveness of the intervention. The outcome measurements are the differences in haemoglobin levels between the intervention and control groups in the third trimester of pregnancy, the frequency of antenatal care attendance, and the presence of a nurse-midwife during labour. Qualitative data will be used to investigate the barriers and facilitating factors, as to nurse-midwives’ satisfaction with the implementation of the Four Pillars Approach. Discussion If the Four Pillars Approach is effective in improving the outcome for pregnant women with anaemia, this approach could be implemented nationwide and be taken into consideration to improve the outcome for other conditions in pregnancy, after further research. Trial registration Current Controlled Trials ISRCTN35822126. PMID:24884497

A randomised controlled trial on the Four Pillars Approach in managing pregnant women with anaemia in Yogyakarta-Indonesia: a study protocol.

PubMed

Widyawati, Widyawati; Jans, Suze; Bor, Hans; Siswishanto, Rukmono; van Dillen, Jeroen; Lagro-Janssen, Antoine L M

2014-05-07

Anaemia is a common health problem among pregnant women and a contributing factor with a major influence on maternal mortality in Indonesia. The Four Pillars Approach is a new approach to anaemia in pregnancy, combining four strategies to improve antenatal and delivery care. The primary objective of this study is to measure the effectiveness of the Four Pillars Approach. The barriers, the facilitators, and the patients' as well as the midwives' satisfaction with the Four Pillars Approach will also be measured. This study will use a cluster randomised controlled trial. This intervention study will be conducted in the Public Health Centres with basic emergency obstetric care in Yogyakarta Special Province and in Central Java Province. We will involve all the Public Health Centres (24) with emergency obstetric care in Yogyakarta Special Province. Another 24 Public Health Centres with emergency obstetric care in Central Java Province which have similarities in their demographic, population characteristics, and facilities will also be involved. Each Public Health Centre will be asked to choose two or three nurse-midwives to participate in this study. For the intervention group, the Public Health Centres in Yogyakarta Special Province, training on the Four Pillars Approach will be held prior to the model's implementation. Consecutively, we will recruit 360 pregnant women with anaemia to take part in part in the study to measure the effectiveness of the intervention. The outcome measurements are the differences in haemoglobin levels between the intervention and control groups in the third trimester of pregnancy, the frequency of antenatal care attendance, and the presence of a nurse-midwife during labour. Qualitative data will be used to investigate the barriers and facilitating factors, as to nurse-midwives' satisfaction with the implementation of the Four Pillars Approach. If the Four Pillars Approach is effective in improving the outcome for pregnant women with anaemia, this approach could be implemented nationwide and be taken into consideration to improve the outcome for other conditions in pregnancy, after further research. Current Controlled Trials ISRCTN35822126.

Culicinae (Diptera: Culicidae) Mosquitoes in Chabahar County, Sistan and Baluchistan Province, Southeastern Iran

PubMed Central

Moosa-Kazemi, SH; Vatandoost, H; Nikookar, H; Fathian, M

2009-01-01

Background Mosquito-borne diseases are a major public health threat in Iran. The objective of this study was to determine the fauna of culicinae mosquitoes for future mosquito control programs. Methods: Three genera and eleven species of the subfamily Culicinae (Diptera: Culicidae) were collected by dipping technique and identified in Chabahar County, Sistan and Baluchistan Province, southeastern Iran, during January, February, and March 2007. Results: The collected species included: Aedes vexans (new occurrence record for the province), Culex arbieeni, Cx. bitaeniorhynchus, Cx. deserticola, Cx. hortensis, Cx. perexiguus, Cx. pipiens, Cx. pseudovishnui, Cx. pusillus, Cx. quinquefasciatus, Cx. sinaiticus, Cx. theileri, Cx. tritaeniorhynchus, Culiseta longiareolata, Ochlerotatus caballus, Oc. caspius, and Uranotaenia unguiculata. Conclusion: Our observations indicate that, in South of Iran hot and wet climatic conditions support the persistence of culicinae mosquitoes. As our study, regular monitoring of culicinae mosquitoes in this area could be the most useful for mosquito control and mosquito-borne disease prevention. PMID:22808369

The Epidemiology of African Swine Fever in "Nonendemic" Regions of Zambia (1989-2015): Implications for Disease Prevention and Control.

PubMed

Simulundu, Edgar; Lubaba, Caesar H; van Heerden, Juanita; Kajihara, Masahiro; Mataa, Liywalii; Chambaro, Herman Moses; Sinkala, Yona; Munjita, Samuel Munalula; Munang'andu, Hetron Mweemba; Nalubamba, King Shimumbo; Samui, Kenny; Pandey, Girja Shanker; Takada, Ayato; Mweene, Aaron S

2017-08-23

African swine fever (ASF) is a highly contagious and deadly viral hemorrhagic disease of swine. In Zambia, ASF was first reported in 1912 in Eastern Province and is currently believed to be endemic in that province only. Strict quarantine measures implemented at the Luangwa River Bridge, the only surface outlet from Eastern Province, appeared to be successful in restricting the disease. However, in 1989, an outbreak occurred for the first time outside the endemic province. Sporadic outbreaks have since occurred almost throughout the country. These events have brought into acute focus our limited understanding of the epidemiology of ASF in Zambia. Here, we review the epidemiology of the disease in areas considered nonendemic from 1989 to 2015. Comprehensive sequence analysis conducted on genetic data of ASF viruses (ASFVs) detected in domestic pigs revealed that p72 genotypes I, II, VIII and XIV have been involved in causing ASF outbreaks in swine during the study period. With the exception of the 1989 outbreak, we found no concrete evidence of dissemination of ASFVs from Eastern Province to other parts of the country. Our analyses revealed a complex epidemiology of the disease with a possibility of sylvatic cycle involvement. Trade and/or movement of pigs and their products, both within and across international borders, appear to have been the major factor in ASFV dissemination. Since ASFVs with the potential to cause countrywide and possibly regional outbreaks, could emerge from "nonendemic regions", the current ASF control policy in Zambia requires a dramatic shift to ensure a more sustainable pig industry.

[Survey of epidemic status of principal human parasites in Jiangxi Province in 2014].

PubMed

Zeng, Xiao-jun; Li, Zhao-jun; Jiang, Wei-sheng; Xie, Shu-ying; Ge, Jun; Liu, Hong-yun; Zhang, Jing; Huang, Cheng-jian; Hang, Chun-qin

2015-12-01

To understand and analyze the epidemic status of principal human parasites in Jiangxi Province, so as to provide the evidence for formulating The 13rd Five-Year Project of Parasites Control. A survey was performed according to the scheme of The 3rd National Survey of Principal Human Parasites as well as the specific situation of Jiangxi Province. The survey of the soil-transmitted nematodes and intestinal protozoa were performed based on the ecological regions and stratified by economic and geographic situation. The survey of Clonorchis sinensis was performed along with the soil-transmitted nematodes in rural, and was performed by the sample method of random cluster in cities and towns. Totally 23 606 residents of 92 survey sites from 32 counties were surveyed, all of them were tested for the infection of soil-transmitted nematodes, in which 21,569 residents were tested for intestinal protozoa infection, and 1 486 children were tested for eggs of Enterobius vermicularis. Twenty kinds of intestinal parasites were found, with the total infection rate of 9.64%, and 4.296 millions of patients were reckoned in the whole Jiangxi Province. The infection rate of children of E. vermicularis was 13.73%. The infection rates of C. sinensis and intestinal protozoa were 0.58% and 1.42% respectively. The infection rate of Toxoplasma gondii was 7.50%. In Jiangxi Province, the infection rates of soil-transmitted nematodes are decreasing but the infection rate of C. sinensis is increasing in local areas, and the control work of parasites still should be strengthened.

Expansion of HIV/AIDS in China: Lessons from Yunnan Province

PubMed Central

Xiao, Yan; Kristensen, Sibylle; Sun, Jiangping; Lu, Lin; Vermund, Sten H.

2009-01-01

In this article we systematically and critically review the Chinese and English language literature on human immunodeficiency virus (HIV)-related studies in Yunnan Province, Southwestern China. Yunnan Province had the first Chinese HIV outbreak and is still the worst affected area in the nation. Since 1989, HIV infection has extended from injecting drug users into the general population through sexual transmission. Since the economic reform of the 1980s, changed social norms and increased migration have spawned increases in HIV-related risk behaviors such as drug use and commercial sex work. A smaller size of “bridge” populations and lower sexual contact rates between persons in “bridge” and general populations may explain the slower expansion of the HIV epidemic in Yunnan compared to nearby Southeast Asian nations. In 2004, women in antenatal care had a 0.38% HIV prevalence province wide, although >1% infection rates are seen in those counties with high injection drug rates. Patterns of drug trafficking have spread the unusual recombinant HIV subtypes first seen in Yunnan to far-flung regions of China. Increased efforts of Yunnan’s HIV control program are correlated with an improved general HIV awareness, but risk behaviors continue at worrisome rates. Future efforts should focus on changing risk behaviors, including harm reduction and condom promotion, especially among the “bridge” groups. The resurgence of commercial sex work in Yunnan, and the high frequency of workers migrating into provinces far from home and family are all sociocultural factors of considerable importance for future HIV and sexually transmitted disease control in China. PMID:17107739

The Effect of the Agricultural Carbon Sequestration and Agrochemical Reduction on the Regional Water Environment Quality

NASA Astrophysics Data System (ADS)

Leyi, Wang; Baoli, Zhang; Xin, Li; Juan, Du

2018-05-01

This paper analysed the impact of the agricultural carbon reduction and emission reduction measures implementation on the environmental quality of surface water and groundwater in winter and summer in Henan and Anhui Province project areas by using entropy weight fuzzy matter element analysis method. The result showed that the reduction in the application of chemical fertilizers and pesticides had a certain impact on the improvement of the water environment by using agricultural carbon sequestration technologies.

Comparison of isolate dadih with yeast dadih in improving nutrition quality of Cassava Waste (CW)

NASA Astrophysics Data System (ADS)

Ginting, N.

2018-03-01

The cassava industry in North Sumatra Province was one of the most significant agricultural industries. Waste from the cassava industry which was called cassava waste/CW/Onggok was used as feed for ruminants such as cattle, sheep and monogastric such as pigs. The low nutrients in CW caused the need to find a way for improving the nutrients quality. This research was conducted with the aim to help livestockers to ferment their livestock feed. This study compared the ability of fermentation between dadih isolate with dadih yeast. Dadih is traditional food in Indonesia where milk is fermented in bamboo tube. Dadih yeast was made by mixing dadih and whey with flour, made in around shape and sun dried. The results showed that pH of CW by dadih isolate was the lowest while crude protein, crude fiber and fat in CW treated with dadih isolate were improved significantly compared either to control or to dadih starter while fermented CW was better than non-fermented CW. It was recommended livestockers to ferment CW by using either by dadih isolate or dadih starter.

The giant Carlin gold province: A protracted interplay of orogenic, basinal, and hydrothermal processes above a lithospheric boundary

USGS Publications Warehouse

Emsbo, P.; Groves, D.I.; Hofstra, A.H.; Bierlein, F.P.

2006-01-01

Northern Nevada hosts the only province that contains multiple world-class Carlin-type gold deposits. The first-order control on the uniqueness of this province is its anomalous far back-arc tectonic setting over the rifted North American paleocontinental margin that separates Precambrian from Phanerozoic subcontinental lithospheric mantle. Globally, most other significant gold provinces form in volcanic arcs and accreted terranes proximal to convergent margins. In northern Nevada, periodic reactivation of basement faults along this margin focused and amplified subsequent geological events. Early basement faults localized Devonian synsedimentary extension and normal faulting. These controlled the geometry of the Devonian sedimentary basin architecture and focused the discharge of basinal brines that deposited syngenetic gold along the basin margins. Inversion of these basins and faults during subsequent contraction produced the complex elongate structural culminations that characterize the anomalous mineral deposit "trends." Subsequently, these features localized repeated episodes of shallow magmatic and hydrothermal activity that also deposited some gold. During a pulse of Eocene extension, these faults focused advection of Carlin-type fluids, which had the opportunity to leach gold from gold-enriched sequences and deposit it in reactive miogeoclinal host rocks below the hydrologic seal at the Roberts Mountain thrust contact. Hence, the vast endowment of the Carlin province resulted from the conjunction of spatially superposed events localized by long-lived basement structures in a highly anomalous tectonic setting, rather than by the sole operation of special magmatic or fluid-related processes. An important indicator of the longevity of this basement control is the superposition of different gold deposit types (e.g., Sedex, porphyry, Carlin-type, epithermal, and hot spring deposits) that formed repeatedly between the Devonian and Miocene time along the trends. Interestingly, the large Cretaceous Alaska-Yukon intrusion-related gold deposits (e.g., Fort Knox) are associated with the northern extension of the same lithospheric margin in the Selwyn basin, which experienced an analogous series of geologic events. ?? Springer-Verlag 2006.

Quality Improvement in Critical Care: Selection and Development of Quality Indicators

PubMed Central

Martin, Claudio M.; Project, The Quality Improvement in Critical Care

2016-01-01

Background. Caring for critically ill patients is complex and resource intensive. An approach to monitor and compare the function of different intensive care units (ICUs) is needed to optimize outcomes for patients and the health system as a whole. Objective. To develop and implement quality indicators for comparing ICU characteristics and performance within and between ICUs and regions over time. Methods. Canadian jurisdictions with established ICU clinical databases were invited to participate in an iterative series of face-to-face meetings, teleconferences, and web conferences. Eighteen adult intensive care units across 14 hospitals and 5 provinces participated in the process. Results. Six domains of ICU function were identified: safe, timely, efficient, effective, patient/family satisfaction, and staff work life. Detailed operational definitions were developed for 22 quality indicators. The feasibility was demonstrated with the collection of 3.5 years of data. Statistical process control charts and graphs of composite measures were used for data display and comparisons. Medical and nursing leaders as well as administrators found the system to be an improvement over prior methods. Conclusions. Our process resulted in the selection and development of 22 indicators representing 6 domains of ICU function. We have demonstrated the feasibility of such a reporting system. This type of reporting system will demonstrate variation between units and jurisdictions to help identify and prioritize improvement efforts. PMID:27493476

Model-Based Evaluation of Strategies to Control Brucellosis in China.

PubMed

Li, Ming-Tao; Sun, Gui-Quan; Zhang, Wen-Yi; Jin, Zhen

2017-03-12

Brucellosis, the most common zoonotic disease worldwide, represents a great threat to animal husbandry with the potential to cause enormous economic losses. Brucellosis has become a major public health problem in China, and the number of human brucellosis cases has increased dramatically in recent years. In order to evaluate different intervention strategies to curb brucellosis transmission in China, a novel mathematical model with a general indirect transmission incidence rate was presented. By comparing the results of three models using national human disease data and 11 provinces with high case numbers, the best fitted model with standard incidence was used to investigate the potential for future outbreaks. Estimated basic reproduction numbers were highly heterogeneous, varying widely among provinces. The local basic reproduction numbers of provinces with an obvious increase in incidence were much larger than the average for the country as a whole, suggesting that environment-to-individual transmission was more common than individual-to-individual transmission. We concluded that brucellosis can be controlled through increasing animal vaccination rates, environment disinfection frequency, or elimination rates of infected animals. Our finding suggests that a combination of animal vaccination, environment disinfection, and elimination of infected animals will be necessary to ensure cost-effective control for brucellosis.

Model-Based Evaluation of Strategies to Control Brucellosis in China

PubMed Central

Li, Ming-Tao; Sun, Gui-Quan; Zhang, Wen-Yi; Jin, Zhen

2017-01-01

Brucellosis, the most common zoonotic disease worldwide, represents a great threat to animal husbandry with the potential to cause enormous economic losses. Brucellosis has become a major public health problem in China, and the number of human brucellosis cases has increased dramatically in recent years. In order to evaluate different intervention strategies to curb brucellosis transmission in China, a novel mathematical model with a general indirect transmission incidence rate was presented. By comparing the results of three models using national human disease data and 11 provinces with high case numbers, the best fitted model with standard incidence was used to investigate the potential for future outbreaks. Estimated basic reproduction numbers were highly heterogeneous, varying widely among provinces. The local basic reproduction numbers of provinces with an obvious increase in incidence were much larger than the average for the country as a whole, suggesting that environment-to-individual transmission was more common than individual-to-individual transmission. We concluded that brucellosis can be controlled through increasing animal vaccination rates, environment disinfection frequency, or elimination rates of infected animals. Our finding suggests that a combination of animal vaccination, environment disinfection, and elimination of infected animals will be necessary to ensure cost-effective control for brucellosis. PMID:28287496

Impact of a provincial quality-improvement program on primary health care in Ontario: a population-based controlled before-and-after study.

PubMed

Green, Michael E; Harris, Stewart B; Webster-Bogaert, Susan; Han, Han; Kotecha, Jyoti; Kopp, Alexander; Ho, Minnie M; Birtwhistle, Richard V; Glazier, Richard H

2017-04-06

In Ontario, a province-wide quality-improvement program (Quality Improvement and Innovation Partnership [QIIP]) was implemented between 2008 and 2010 to support improved outcomes in Family Health Teams, a care model that includes many features of the patient-centred medical home. We assessed the impact of this program on diabetes management, colorectal and cervical cancer screening and access to health care. We used comprehensive linked administrative data sets to conduct a population-based controlled before-and-after study. Outcome measures included diabetes process-of-care measures (test ordering, retinal examination, medication prescribing and completion of billing items specific to diabetes management), colorectal and cervical cancer screening measures and use of health care services (emergency department visits, hospital admission for ambulatory-care-sensitive conditions and rates of readmission to hospital). The control group consisted of Family Health Team physicians with at least 100 assigned patients during the study follow-up period (November 2009-February 2013). There were 53 physicians in the intervention group and 1178 physicians in the control group. Diabetes process-of-care measures improved more in the intervention group than in the control group: hemoglobin A1c testing 4.3% (95% confidence interval [CI] 1.2-7.5) more, retinal examination 2.5% (95% CI 0.8-4.4) more and preventive care visits 8.9% (95% CI 2.9-14.9) more. Medication prescribing also improved for use of statins (3.4% [95% CI 0.8-6.0] more) and angiotensin-converting-enzyme inhibitors or angiotensin receptor blockers (4.1% [95% CI 1.8-6.4] more). Colorectal cancer screening improved 5.4% (95% CI 3.1-7.8) more in the intervention group than in the control group, and cervical cancer screening improved 2.7% (95% CI 0.9-4.6) more. There were no significant differences in any of the measures of use of health care services. This large controlled evaluation of a broadly implemented quality-improvement initiative showed improvement for diabetes process of care and cancer screening outcomes, but not for proxy measures of access related to use of health care services. Copyright 2017, Joule Inc. or its licensors.

Application of soil quality indices to assess the status of agricultural soils irrigated with treated wastewaters

NASA Astrophysics Data System (ADS)

Morugán-Coronado, A.; Arcenegui, V.; García-Orenes, F.; Mataix-Solera, J.; Mataix-Beneyto, J.

2012-12-01

The supply of water is limited in some parts of the Mediterranean region, such as southeastern Spain. The use of treated wastewater for the irrigation of agricultural soils is an alternative to using better-quality water, especially in semi-arid regions. On the other hand, this practice can modify some soil properties, change their relationships, the equilibrium reached and influence soil quality. In this work two soil quality indices were used to evaluate the effects of irrigation with treated wastewater in soils. The indices were developed studying different soil properties in undisturbed soils in SE Spain, and the relationships between soil parameters were established using multiple linear regressions. This study was carried out in three areas of Alicante Province (SE Spain) irrigated with wastewater, including four study sites. The results showed slight changes in some soil properties as a consequence of irrigation with wastewater, the obtained levels not being dangerous for agricultural soils, and in some cases they could be considered as positive from an agronomical point of view. In one of the study sites, and as a consequence of the low quality wastewater used, a relevant increase in soil organic matter content was observed, as well as modifications in most of the soil properties. The application of soil quality indices indicated that all the soils of study sites are in a state of disequilibrium regarding the relationships between properties independent of the type of water used. However, there were no relevant differences in the soil quality indices between soils irrigated with wastewater with respect to their control sites for all except one of the sites, which corresponds to the site where low quality wastewater was used.

The effect of drinking water quality on the health and longevity of people-A case study in Mayang, Hunan Province, China

NASA Astrophysics Data System (ADS)

Lu, J.; Yuan, F.

2017-08-01

Drinking water is an important source for trace elements intake into human body. Thus, the drinking water quality has a great impact on people’s health and longevity. This study aims to study the relationship between drinking water quality and human health and longevity. A longevity county Mayang in Hunan province, China was chosen as the study area. The drinking water and hair of local centenarians were collected and analyzed the chemical composition. The drinking water is weak alkaline and rich in the essential trace elements. The daily intakes of Ca, Cu, Fe, Se, Sr from drinking water for residents in Mayang were much higher than the national average daily intake from beverage and water. There was a positive correlation between Ni and Pb in drinking water and Ni and Pb in hair. There were significant correlations between Cu, K in drinking water and Ba, Ca, Mg, Sr in the hair at the 0.01 level. The concentrations of Mg, Sr, Se in drinking water showed extremely significant positive relation with two centenarian index 100/80% and 100/90% correlation. Essential trace elements in drinking water can be an important factor for local health and longevity.

Compilation of water-resources data and hydrogeologic setting for four research stations in the Piedmont and Blue Ridge physiographic provinces of North Carolina, 2000-2004

USGS Publications Warehouse

Huffman, Brad A.; Pfeifle, Cassandra A.; Chapman, Melinda J.; Bolich, Richard E.; Campbell, Ted R.; Geddes, Donald J.; Pippin, Charles G.

2006-01-01

Water-resources data were collected to describe the hydrologic conditions at four research stations in the Piedmont and Blue Ridge Physiographic Provinces of North Carolina. Data collected by the U.S. Geological Survey and the North Carolina Department of Environment and Natural Resources, Division of Water Quality, from September 2000 through September 2004 are presented in this report. The locations and periods of data collection are as follows: the Lake Wheeler Road research station (Raleigh) from April 2001 to September 2004, the Langtree Peninsula research station (Mooresville) from September 2000 to September 2004, the Upper Piedmont research station (Reidsville) from March 2002 to September 2004, and the Bent Creek research station (Asheville) from July 2002 to September 2004. Data presented in this report include well-construction characteristics for 110 wells, periodic ground-water-level measurements for 96 wells, borehole geophysical logs for 23 wells, hourly ground-water-level measurements for 12 wells, continuous-stage measurements for 2 streams, continuous water-quality measurements for 8 wells and 2 streams, periodic water-quality samples for 57 wells and 6 stream sites, slug-test results for 38 wells, and shallow ground-water-flow maps. In addition, the geology and hydrogeology at each site are summarized.

107: REVIEW OF THE QUALITY HOSPITALS WEBSITES IN KHORASAN RAZAVI PROVINCE

PubMed Central

Dastani, Meisam; Sattari, Masoume

2017-01-01

Background and aims The aim of the present study is to present a clear vision of the quality status of Khorasan Razavi hospitals websites in four dimensions of content, performance, management and usage of the website. Methods This is a survey study. The sample consisted of 49 hospital websites of Khorasan Razavi province. The instrument was used check list including 21 components and four criteria (content, performance, management and how to use the website). Its validity and reliability have proved through previous studies. Also, the data were analyzed using descriptive statistics. Results The findings showed that only %59 of hospitals in Khorasan Razavi, has been active website. The overall Status of website showed that the most popular websites of the situation, too weak (%51), moderate (%26.5) and weak (%16.3), respectively. In relation to criteria content, study, management and how to usage of the website and design, the findings showed that %40.8 of websites had an unfavorable condition. Of the 16 high quality website selected, only three websites Sina Hospital in Mashhad, Javdoll-Aemeh in Mashhad and Razavi were in good condition and the other of the websites had weak condition. Conclusion The results of this study indicate that, yet most websites do not regard minimal medical standards and also, they could not establish good relationships with their audiences. In fact, in Iran, still regard to the quality and performance of websites has not been one of the priorities for improving service quality in hospitals. The findings of this study can be effective in the identification and development of hospital websites quality criteria in terms of design, content, performance and management and how to use.

Synchronic interval Gaussian mixed-integer programming for air quality management.

PubMed

Cheng, Guanhui; Huang, Guohe Gordon; Dong, Cong

2015-12-15

To reveal the synchronism of interval uncertainties, the tradeoff between system optimality and security, the discreteness of facility-expansion options, the uncertainty of pollutant dispersion processes, and the seasonality of wind features in air quality management (AQM) systems, a synchronic interval Gaussian mixed-integer programming (SIGMIP) approach is proposed in this study. A robust interval Gaussian dispersion model is developed for approaching the pollutant dispersion process under interval uncertainties and seasonal variations. The reflection of synchronic effects of interval uncertainties in the programming objective is enabled through introducing interval functions. The proposition of constraint violation degrees helps quantify the tradeoff between system optimality and constraint violation under interval uncertainties. The overall optimality of system profits of an SIGMIP model is achieved based on the definition of an integrally optimal solution. Integer variables in the SIGMIP model are resolved by the existing cutting-plane method. Combining these efforts leads to an effective algorithm for the SIGMIP model. An application to an AQM problem in a region in Shandong Province, China, reveals that the proposed SIGMIP model can facilitate identifying the desired scheme for AQM. The enhancement of the robustness of optimization exercises may be helpful for increasing the reliability of suggested schemes for AQM under these complexities. The interrelated tradeoffs among control measures, emission sources, flow processes, receptors, influencing factors, and economic and environmental goals are effectively balanced. Interests of many stakeholders are reasonably coordinated. The harmony between economic development and air quality control is enabled. Results also indicate that the constraint violation degree is effective at reflecting the compromise relationship between constraint-violation risks and system optimality under interval uncertainties. This can help decision makers mitigate potential risks, e.g. insufficiency of pollutant treatment capabilities, exceedance of air quality standards, deficiency of pollution control fund, or imbalance of economic or environmental stress, in the process of guiding AQM. Copyright © 2015 Elsevier B.V. All rights reserved.

Quality control of antibiotics before the implementation of an STD program in Northern Myanmar.

PubMed

Prazuck, Thierry; Falconi, Isabelle; Morineau, Guy; Bricard-Pacaud, Véronique; Lecomte, Antoine; Ballereau, Francoise

2002-11-01

The ready availability of poor-quality drugs in developing countries leads to treatment failure and, consequently, excess mortality and morbidity. Moreover, the widespread availability of substandard drugs plays a key role in increasing the resistance to antimicrobial drugs.GOAL As a prerequisite to the establishment of a sexually transmitted disease (STD) control program, this study aimed to evaluate the quality of antibiotics recommended for treatment of STDs that were locally available in the capital of a province of Northern Myanmar. In addition to the hospital pharmacy, we selected at random 5 of the 41 drug sellers and 5 of the 40 general practitioners who sell antibiotics in the city of Myitkyina. Twenty-one marketing products corresponding to nine different antibiotics used for STD treatment were purchased (benzathine benzylpenicillin, benzylpenicillin, ceftriaxone, chlortetracycline, ciprofloxacin, clotrimazole, co-trimoxazole, doxycycline, and erythromycin). Drugs were sent to France, where they were analyzed according to the WHO guidelines. Drugs were considered to be standard if their dosage remained in the 10% range of the expected value. Among the 21 different specialty products, only three displayed the official "registered" label. Three drugs were expired and the expiration date was not available for six others. One product did not contain the active drug declared (chlortetracycline; Lombisin, Unicorn, China) and did not show any in vitro activity against bacteria. Seven of 21 products (33%) did not contain the stated dosage (1, more than stated dosage; 6, less than stated dosage). The highest deficit observed was 48% in two products (co-trimoxazole, Yong Fong, Myanmar; benzylpenicillin, China [city and manufacturer unknown]). The dosage was not available for five drugs. As a result, only 8 of 21 products (38%) did not contain the stated dosage of active drug. These findings suggest that public health policies based on national treatment guidelines should rigorously include the monitoring of quality control of available antimicrobial products. In the absence of such measures, specific treatment strategies are likely to fail and to generate drug resistance.

A cooperative reduction model for regional air pollution control in China that considers adverse health effects and pollutant reduction costs.

PubMed

Xie, Yujing; Zhao, Laijun; Xue, Jian; Hu, Qingmi; Xu, Xiang; Wang, Hongbo

2016-12-15

How to effectively control severe regional air pollution has become a focus of global concern recently. The non-cooperative reduction model (NCRM) is still the main air pollution control pattern in China, but it is both ineffective and costly, because each province must independently fight air pollution. Thus, we proposed a cooperative reduction model (CRM), with the goal of maximizing the reduction in adverse health effects (AHEs) at the lowest cost by encouraging neighboring areas to jointly control air pollution. CRM has two parts: a model of optimal pollutant removal rates using two optimization objectives (maximizing the reduction in AHEs and minimizing pollutant reduction cost) while meeting the regional pollution control targets set by the central government, and a model that allocates the cooperation benefits (i.e., health improvement and cost reduction) among the participants according to their contributions using the Shapley value method. We applied CRM to the case of sulfur dioxide (SO 2 ) reduction in Yangtze River Delta region. Based on data from 2003 to 2013, and using mortality due to respiratory and cardiovascular diseases as the health endpoints, CRM saves 437 more lives than NCRM, amounting to 12.1% of the reduction under NCRM. CRM also reduced costs by US $65.8×10 6 compared with NCRM, which is 5.2% of the total cost of NCRM. Thus, CRM performs significantly better than NCRM. Each province obtains significant benefits from cooperation, which can motivate them to actively cooperate in the long term. A sensitivity analysis was performed to quantify the effects of parameter values on the cooperation benefits. Results shown that the CRM is not sensitive to the changes in each province's pollutant carrying capacity and the minimum pollutant removal capacity, but sensitive to the maximum pollutant reduction capacity. Moreover, higher cooperation benefits will be generated when a province's maximum pollutant reduction capacity increases. Copyright © 2016 Elsevier B.V. All rights reserved.

Natural and anthropogenic factors affecting the groundwater quality in Serbia.

PubMed

Devic, Gordana; Djordjevic, Dragana; Sakan, Sanja

2014-01-15

Various chemometric techniques were used to analyze the quality of groundwater data sets. Seventeen water quality parameters: the cations Na, K, Ca, Mg, the anions Cl, SO4, NO3, HCO3 and nine trace elements Pb, As, Mn, Ni, Cu, Cd, Fe, Zn and Cr were measured at 66 different key sampling sites in ten representative areas (low land-Northern Autonomous Province of Serbia, Vojvodina and central Serbia) for the summer period of 2009. HCA grouped the sample sites into four clusters based on the similarities of the characteristics of the groundwater quality. DA showed two parameters, HCO3 and Zn, affording more than 90% correct assignments in the spatial analysis of four/three different regions in Serbia. Factor analysis was applied on the log-transformed data sets and allowed the identification of a reduced number of factors with hydrochemical meaning. The results showed severe pollution with Mn, As, NO3, Ni, Pb whereby anthropogenic origin of these contaminants was indicated. The pollution comes from both scattered point sources (industrial and urban effluent) and diffuse source agricultural activity. These samples may not be suitable for human consumption; the water quality belongs to class III/IV (contaminated). The Fe anomalies (7.1mg/L) in the water from the Vetrnica site can be attributed to natural sources, such as the dissolution of rock masses and rock fragments. The serious groundwater contamination with As (25.7-137.8 μg/L) in the area of Banat (Northern Autonomous Province of Serbia, Vojvodina) and a sample No. 9 at the Great Morava River requires urgent attention. © 2013.

Rural-urban differences of neonatal mortality in a poorly developed province of China.

PubMed

Yi, Bin; Wu, Li; Liu, Hong; Fang, Weimin; Hu, Yang; Wang, Youjie

2011-06-18

The influence of rural-urban disparities in children's health on neonatal death in disadvantaged areas of China is poorly understood. In this study of rural and urban populations in Gansu province, a disadvantaged province of China, we describe the characteristics and mortality of newborn infants and evaluated rural-urban differences of neonatal death. We analyzed all neonatal deaths in the data from the Surveillance System of Child Death in Gansu Province, China from 2004 to 2009. We calculated all-cause neonatal mortality rates (NMR) and cause-specific death rates for infants born to rural or urban mothers during 2004-09. Rural-urban classifications were determined based on the residence registry system of China. Chi-square tests were used to compare differences of infant characteristics and cause-specific deaths by rural-urban maternal residence. Overall, NMR fell in both rural and urban populations during 2004-09. Average NMR for rural and urban populations was 17.8 and 7.5 per 1000 live births, respectively. For both rural and urban newborn infants, the four leading causes of death were birth asphyxia, preterm or low birth weight, congenital malformation, and pneumonia. Each cause-specific death rate was higher in rural infants than in urban infants. More rural than urban neonates died out of hospital or did not receive medical care before death. Neonatal mortality declined dramatically both in urban and rural groups in Gansu province during 2004-09. However, profound disparities persisted between rural and urban populations. Strategies that address inequalities of accessibility and quality of health care are necessary to improve neonatal health in rural settings in China.

Motherhood: making it safer for Filipino women.

PubMed

Baylon, M C

1996-01-01

In November 1995, in the Philippines, the Department of Health implemented the Women's Health and Safe Motherhood Project. Its target audience is poor women in remote and underserved provinces. It addresses maternal health, reproductive tract infections (RTIs), sexually transmitted diseases (STDs), cervical cancer, domestic violence, and the desire to space births. It aims to improve the quality of women's health services through training of health providers, providing women with information to help them make informed choices, providing regular supplies and drugs, privacy and infection control at service delivery points, providing follow-up care, and improved cost-effective and technically-sound referral systems. The project also aims to ensure accessible service delivery points, well-equipped and maintained facilities, client and community feedback in managing service delivery, and information provision in order to increase acceptability of health services. The major components of the project include service delivery, institutional strengthening (via information, education, and communication; training of health providers; and improvement of the logistics system), community partnership for women's health development, and policy and operations research. The service delivery component will adopt a life-cycle approach to service delivery in Region 8 (urban and rural communities). It will pilot the syndromic approach in the management and detection of RTIs and STDs in 10 provinces. The biggest tasks of the project are upgrading referral networks from provincial and district hospitals to rural health units and barangay health stations and upgrading primary hospitals.

A snapshot of the organization and provision of primary care in Turkey

PubMed Central

2011-01-01

Background This WHO study aimed to support Turkey in its efforts to strengthen the primary care (PC) system by implementing the WHO Primary Care Evaluation Tool (PCET). This article provides an overview of the organization and provision of primary care in Turkey. Methods The WHO Primary Care Evaluation Tool was implemented in two provinces (Bolu and Eskişehir) in Turkey in 2007/08. The Tool consists of three parts: a national questionnaire concerning the organisation and financing of primary care; a questionnaire for family doctors; and a questionnaire for patients who visit a family health centre. Results Primary care has just recently become an official health policy priority with the introduction of a family medicine scheme. Although the supply of family doctors (FDs) has improved, they are geographically uneven distributed, and nationwide shortages of primary care staff remain. Coordination of care could be improved and quality control mechanisms were lacking. However, patients were very satisfied with the treatment by FDs. Conclusions The study provides an overview of the current state of PC in Turkey for two provinces with newly introduced family medicine, by using a structured approach to evaluate the essential functions of PC, including governance, financing, resource generation, as well as the characteristics of a "good" service delivery system (as being accessible, comprehensive, coordinated and continuous). PMID:21542904

Effect of traditional Chinese medicine for treating human immunodeficiency virus infections and acquired immune deficiency syndrome: Boosting immune and alleviating symptoms.

PubMed

Zou, Wen; Wang, Jian; Liu, Ying

2016-01-01

To respond to the human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) epidemic in China, the integration of antiretroviral therapy (ART) and traditional Chinese medicine (TCM) has important implications in health outcomes, especially in China where the use of TCM is widespread. The National Free TCM Pilot Program for HIV Infected People began in 5 provinces (Henan, Hebei, Anhui, Hubei, and Guangdong) in 2004, and quickly scaled up to 19 provinces, autonomous regions, and municipalities in China including some places with high prevalence, 26,276 adults have been treated thus far. Usually, people with HIV infection seek TCM for four main reasons: to enhance immune function, to treat symptoms, to improve quality of life, and to reduce side effects related to medications. Evidences from randomized controlled clinical trials suggested some beneficial effects of use of traditional Chinese herbal medicine for HIV infections and AIDS. More proofs from large, well-designed, rigorous trials is needed to give firm support. Challenges include interaction between herbs and antiretroviral drugs, stigma and discrimination. The Free TCM Program has made considerable progress in providing the necessary alternative care and treatment for HIV-infected people in China, and has strong government support for continued improvement and expansion, establishing and improving a work mechanism integrating Chinese and Western medicines.

Assessments of levels, potential ecological risk, and human health risk of heavy metals in the soils from a typical county in Shanxi Province, China.

PubMed

Pan, Libo; Ma, Jin; Hu, Yu; Su, Benying; Fang, Guangling; Wang, Yue; Wang, Zhanshan; Wang, Lei; Xiang, Bao

2016-10-01

A total of 128 surface soil samples were collected, and eight heavy metals, including As, Cd, Cr, Cu, Pb, Ni, Zn, and Hg, were analyzed for their concentrations, potential ecological risks, and human health risks. The mean concentrations of these eight metals were lower than the soil environmental quality standards in China, while they were slightly higher than the background values in Shanxi Province. The enrichment factor, coefficient variation, and potential ecological risk index were used to assess the pollution and eco-risk level of heavy metals, among which, Cd and Hg showed higher pollution levels and potential risks than the others in the studied area. Moreover, multivariate geostatistical analysis suggested that Hg originated mainly from point sources such as industrial emissions, while agricultural activity is the predominant factor for Cd. The human health risk assessment indicated that non-carcinogenic values were below the threshold values. The total carcinogenic risks due to As, Cr, and Ni were within the acceptable range for adults, while for children, they were higher than the threshold value (1.0E-04), indicating that children are facing higher threat to heavy metals in soils. These results provide basic information on heavy metal pollution control and human health risk assessment management in the study regions.

A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan.

PubMed

Azmat, Syed Khurram; Ali, Moazzam; Hameed, Waqas; Mustafa, Ghulam; Abbas, Ghazanfer; Ishaque, Muhammad; Bilgrami, Mohsina; Temmerman, Marleen

2014-05-30

High fertility rates, unwanted pregnancies, low modern contraceptive prevalence and a huge unmet need for contraception adversely affect women's health in Pakistan and this problem is compounded by limited access to reliable information and quality services regarding birth spacing especially in rural and underserved areas. This paper presents a study protocol that describes an evaluation of a demand-side financing (DSF) voucher approach which aims to increase the uptake of modern contraception among women of the lowest two wealth quintiles in Punjab Province, Pakistan. This study will use quasi-experimental design with control arm and be implemented in: six government clinics from the Population Welfare Department; 24 social franchise facilities branded as 'Suraj' (Sun), led by Marie Stopes Society (a local non-governmental organization); and 12 private sector clinics in Chakwal, Mianwali and Bhakkar districts. The study respondents will be interviewed at baseline and endline subject to voluntary acceptance and medical eligibility. In addition, health service data will record each client visit during the study period. The study will examine the impact of vouchers in terms of increasing the uptake of modern contraception by engaging private and public sector service providers (mid-level and medical doctors). If found effective, this approach can be a viable solution to satisfying the current demand and meeting the unmet need for contraception, particularly among the poorest socio-economic group.

Iraq: Post-Saddam Governance and Security

DTIC Science & Technology

2007-02-22

formed from three provinces of the Ottoman empire after British forces defeated the Ottomans in World War I and took control of the territory in 1918 ...opposes a direct role for clerics in government, but he believes in clerical supervision of political leaders. He wants Iraq to maintain its Islamic...Party’s power base is southern marsh areas around Amara (Maysan Province), north of Basra. Party militiamen play major role in policing areas of the

New Aerogeophysical exploration of the Gamburtsev Province (East Antarctica)

NASA Astrophysics Data System (ADS)

Ferraccioli, F.; Bell, R. E.; Studinger, M.; Damaske, D.; Jordan, T. A.; Corr, H.; Braaten, D. A.; Gogineni, P. S.; Fahnestock, M. A.; Finn, C.; Rose, K.

2009-12-01

The enigmatic Gamburstev Subglacial Mountains (GSM) in the interior of East Antarctica, have remained the least understood mountain range on earth, since their discovery some 50 years ago. An improved knowledge of the GSM region is however essential to underpin reconstructions of the Antarctic cryosphere and climate evolution. The GSM are a key nucleation site for the inception of the East Antarctic Ice Sheet approximately 34 Ma ago, and the adjacent Lambert Glacier played a pivotal role for ice sheet dynamics throughout the Neogene (23-0 Ma). The GSM province may also provide tectonic controls for major subglacial lakes flanking the range. In addition, the ice encasing the GSM province has been inferred to contain the oldest detailed climate record of the planet, a prime target for future deep ice core drilling. With the overarching aim of accomplishing the first systematic study of the cryosphere and lithosphere of the GSM province we launched a new geophysical exploration effort- AGAP (Antarctica’s Gamburtsev Province)-, a flagship programme of the International Polar Year. The aerogeophysical and seismology components of AGAP were accomplished by pooling resources from 7 nations. We deployed 2 Twin Otters, equipped with state-of-the art geophysical instrumentation and operating from two remote field camps on either side of Dome A. Over 120,000 line-km of new airborne radar, laser, aerogravity and aeromagnetic data survey were collected during the 2008/09 field campaign. Our grids of ice surface, ice thickness, subglacial topography, and gravity and magnetic anomalies provide a new geophysical foundation to analyse the GSM province, from the surface of the East Antarctic Ice Sheet down to mantle depths beneath the Precambrian shield. The anomalously high-elevation, alpine-type landscape of the GSM is now mapped with unprecedented detail. Two distinct branches of a subglacial rift system are imaged along the north-western and north-eastern margins of the Gamburtsev’s and provide geological controls for ice flow in the Lambert Glacier region.

An interprovincial cooperative game model for air pollution control in China.

PubMed

Xue, Jian; Zhao, Laijun; Fan, Longzhen; Qian, Ying

2015-07-01

The noncooperative air pollution reduction model (NCRM) that is currently adopted in China to manage air pollution reduction of each individual province has inherent drawbacks. In this paper, we propose a cooperative air pollution reduction game model (CRM) that consists of two parts: (1) an optimization model that calculates the optimal pollution reduction quantity for each participating province to meet the joint pollution reduction goal; and (2) a model that distribute the economic benefit of the cooperation (i.e., pollution reduction cost saving) among the provinces in the cooperation based on the Shapley value method. We applied the CRM to the case of SO2 reduction in the Beijing-Tianjin-Hebei region in China. The results, based on the data from 2003-2009, show that cooperation helps lower the overall SO2 pollution reduction cost from 4.58% to 11.29%. Distributed across the participating provinces, such a cost saving from interprovincial cooperation brings significant benefits to each local government and stimulates them for further cooperation in pollution reduction. Finally, sensitivity analysis is performed using the year 2009 data to test the parameters' effects on the pollution reduction cost savings. China is increasingly facing unprecedented pressure for immediate air pollution control. The current air pollution reduction policy does not allow cooperation and is less efficient. In this paper we developed a cooperative air pollution reduction game model that consists of two parts: (1) an optimization model that calculates the optimal pollution reduction quantity for each participating province to meet the joint pollution reduction goal; and (2) a model that distributes the cooperation gains (i.e., cost reduction) among the provinces in the cooperation based on the Shapley value method. The empirical case shows that such a model can help improve efficiency in air pollution reduction. The result of the model can serve as a reference for Chinese government pollution reduction policy design.

Gender disparity in tuberculosis cases in eastern and western provinces of Pakistan

PubMed Central

2012-01-01

Background Although globally, the number of notified TB cases is higher for males, a few countries in the Eastern Mediterranean Region (Afghanistan; Lebanon; Iran and Pakistan) of the World Health Organization have a relatively higher number of female cases. Pakistan ranks fifth amongst the highest TB burden countries and poses a rich ground for exploratory research to address the gender differences in TB cases. It is uniquely neighboured by India on the East, having higher number of cases in males than in females, and by Afghanistan and Iran on the West, having higher number of cases in females than in males. The objective is to see whether these gender differences are evenly distributed across the country or vary by geographies, to enable effective targeting of TB control strategies. Methods Cross-sectional analysis was carried out on secondary data, obtained from National Tuberculosis Program. Disaggregated at the provincial level, the sex-specific case notification rates (CNR) were calculated and trends over a 10-year span (2001–2010) were examined. Sex-specific differences for the four Pakistani provinces were analyzed using chi-square test and odds ratios with corresponding confidence intervals. Cumulative countrywide sex-specific notification rates were used as the reference group. Results The trends for 2001–2010 in the western provinces of Pakistan show higher female CNR as compared to those seen in the eastern provinces having slightly higher male CNR. The proportions of female notified TB cases are approximately twice as high in the western provinces when compared to the eastern provinces and Pakistan over all. Conclusions These findings suggest that females are particularly affected by TB disease burden in the west parts of Pakistan. This gender disparity requires a coordinated regional and international effort to further explore triggers and moderators of increased acquisition and progression of TB disease among females in the region to guarantee effective TB control. PMID:23040242

[Quality management in emergency departments: Lack of uniform standards for fact-based controlling].

PubMed

Ries, M; Christ, M

2015-11-01

The general high occupancy of emergency departments during the winter months of 2014/2015 outlined deficits in health politics. Whether on the regional, province, or federal level, verifiable and accepted figures to enable in depth analysis and fact-based controlling of emergency care systems are lacking. As the first step, reasons for the current situation are outlined in order to developed concrete recommendations for individual hospitals. This work is based on a selective literature search with focus on quality management, ratio driven management, and process management within emergency departments as well as personal experience with implementation of a key ratio system in a German maximum care hospital. The insufficient integration of emergencies into the DRG systematic, the role as gatekeeper between inpatient and outpatient care sector, the decentralized organization of emergency departments in many hospitals, and the inconsistent representation within the medical societies can be mentioned as reasons for the lack of key ratio systems. In addition to the important role within treatment procedures, emergency departments also have an immense economic importance. Consequently, the management of individual hospitals should promote implementation of key ratio systems to enable controlling of emergency care processes. Thereby the perspectives finance, employees, processes as well as partners and patients should be equally considered. Within the process perspective, milestones could be used to enable detailed controlling of treatment procedures. An implementation of key ratio systems without IT support is not feasible; thus, existing digital data should be used and future data analysis should already be considered during implementation of new IT systems.

Support for removal of point-of-purchase tobacco advertising and displays: findings from the International Tobacco Control (ITC) Canada survey.

PubMed

Brown, Abraham; Boudreau, Christian; Moodie, Crawford; Fong, Geoffrey T; Li, Grace Y; McNeill, Ann; Thompson, Mary E; Hassan, Louise M; Hyland, Andrew; Thrasher, James F; Yong, Hua-Hie; Borland, Ron; Hastings, Gerard; Hammond, David

2012-11-01

Although most countries now have at least some restrictions on tobacco marketing, the tobacco industry meet these restrictions by re-allocating expenditure to unregulated channels, such as at point-of-purchase. Longitudinal data from 10 Canadian provinces in the International Tobacco Control Survey was analysed to examine adult smokers' support for a ban on tobacco advertising and displays in stores and whether this support is associated with noticing either advertising or displays in stores, and quit intentions, over time. In total, there were 4580 respondents in wave 5 (October 2006 to February 2007), wave 6 (September 2007 to February 2008) and wave 7 (October 2008 to June 2009). The surveys were conducted before, during and in some cases after the implementation of display bans in most Canadian provinces and territories. Smokers in all provinces showed strong support for a ban on tobacco displays over the study period. Levels of support for an advertising and display ban were comparable between Canadian provinces over time, irrespective of whether they had been banned or not. Noticing tobacco displays and signs in-store was demonstrably less likely to predict support for display (OR=0.73, p=0.005) and advertising (OR=0.78, p=0.02) ban, respectively. Smokers intending to quit were more likely to support advertising and display bans over time. This study serves as a timely reminder that the implementation of tobacco control measures, such as the removal of tobacco displays, appear to sustain support among smokers, those most likely to oppose such measures.

Support for removal of point-of-purchase tobacco advertising and displays: findings from the International Tobacco Control (ITC) Canada survey

PubMed Central

Brown, Abraham; Boudreau, Christian; Moodie, Crawford; Fong, Geoffrey T; Li, Grace Y; McNeill, Ann; Thompson, Mary E; Hassan, Louise M; Hyland, Andrew; Thrasher, James F; Yong, Hua-Hie; Borland, Ron; Hastings, Gerard; Hammond, David

2013-01-01

Background Although most countries now have at least some restrictions on tobacco marketing, the tobacco industry meet these restrictions by re-allocating expenditure to unregulated channels, such as at point-of-purchase. Methods Longitudinal data from 10 Canadian provinces in the International Tobacco Control Survey was analysed to examine adult smokers’ support for a ban on tobacco advertising and displays in stores and whether this support is associated with noticing either advertising or displays in stores, and quit intentions, over time. In total, there were 4580 respondents in wave 5 (October 2006 to February 2007), wave 6 (September 2007 to February 2008) and wave 7 (October 2008 to June 2009). The surveys were conducted before, during and in some cases after the implementation of display bans in most Canadian provinces and territories. Results Smokers in all provinces showed strong support for a ban on tobacco displays over the study period. Levels of support for an advertising and display ban were comparable between Canadian provinces over time, irrespective of whether they had been banned or not. Noticing tobacco displays and signs in-store was demonstrably less likely to predict support for displays (OR=0.73, p=0.005) and advertising (OR=0.78, p=0.02) ban, respectively. Smokers intending to quit were more likely to support advertising and display bans over time. Conclusion This study serves as a timely reminder that the implementation of tobacco control measures, such as the removal of tobacco displays, appear to sustain support among smokers, those most likely to oppose such measures. PMID:23076786

British Columbia Hospitals: examination and assessment of payment reform (B-CHeaPR)

PubMed Central

2011-01-01

Background Accounting for 36% of public spending on health care in Canada, hospitals are a major target for cost reductions through various efficiency initiatives. Some provinces are considering payment reform as a vehicle to achieve this goal. With few exceptions, Canadian provinces have generally relied on global and line-item budgets to contain hospital costs. There is growing interest amongst policy-makers for using activity based funding (ABF) as means of creating financial incentives for hospitals to increase the 'volume' of care, reduce cost, discourage unnecessary activity, and encourage competition. British Columbia (B.C.) is the first province in Canada to implement ABF for partial reimbursement of acute hospitalization. To date, there have been no formal examinations of the effects of ABF policies in Canada. This study proposal addresses two research questions designed to determine whether ABF policies affect health system costs, access and hospital quality. The first question examines the impact of the hospital funding policy change on internal hospital activity based on expenditures and quality. The second question examines the impact of the change on non-hospital care, including readmission rates, amount of home care provided, and physician expenditures. Methods/Design A longitudinal study design will be used, incorporating comprehensive population-based datasets of all B.C. residents; hospital, continuing care and physician services datasets will also be used. Data will be linked across sources using anonymized linking variables. Analytic datasets will be created for the period between 2005/2006 and 2012/2013. Discussion With Canadian hospitals unaccustomed to detailed scrutiny of what services are provided, to whom, and with what results, the move toward ABF is significant. This proposed study will provide evidence on the impacts of ABF, including changes in the type, volume, cost, and quality of services provided. Policy- and decision-makers in B.C. and elsewhere in Canada will be able to use this evidence as a basis for policy adaptations and modifications. The significance of this proposed study derives from the fact that the change in hospital funding policy has the potential to affect health system costs, residents' access to care and care quality. PMID:21702947

Importance of Internet Surveillance in Public Health Emergency Control and Prevention: Evidence From a Digital Epidemiologic Study During Avian Influenza A H7N9 Outbreaks

PubMed Central

Zhu, Honghong; Jiang, Tao; Wang, Xinyi; Chen, Lei; Jiang, Zhenggang; Zheng, Dawei

2014-01-01

Background Outbreaks of human infection with a new avian influenza A H7N9 virus occurred in China in the spring of 2013. Control and prevention of a new human infectious disease outbreak can be strongly affected by public reaction and social impact through the Internet and social media. Objective This study aimed to investigate the potential roles of Internet surveillance in control and prevention of the human H7N9 outbreaks. Methods Official data for the human H7N9 outbreaks were collected via the China National Health and Family Planning Committee website from March 31 to April 24, 2013. We obtained daily posted and forwarded number of blogs for the keyword “H7N9” from Sina microblog website and a daily Baidu Attention Index (BAI) from Baidu website, which reflected public attention to the outbreak. Rumors identified and confirmed by the authorities were collected from Baidu search engine. Results Both daily posted and forwarded number and BAI for keyword H7N9 increased quickly during the first 3 days of the outbreaks and remained at a high level for 5 days. The total daily posted and forwarded number for H7N9 on Sina microblog peaked at 850,000 on April 3, from zero blogs before March 31, increasing to 97,726 on April 1 and to 370,607 on April 2, and remaining above 500,000 from April 5-8 before declining to 208,524 on April 12. The total daily BAI showed a similar pattern of change to the total daily posted and forwarded number over time from March 31 to April 12. When the outbreak locations spread, especially into other areas of the same province/city and the capital, Beijing, daily posted and forwarded number and BAI increased again to a peak at 368,500 and 116,911, respectively. The median daily BAI during the studied 25 days was significantly higher among the 7 provinces/cities with reported human H7N9 cases than the 2 provinces without any cases (P<.001). So were the median daily posted and forwarded number and daily BAI in each province/city except Anhui province. We retrieved a total of 32 confirmed rumors spread across 19 provinces/cities in China. In all, 84% (27/32) of rumors were disseminated and transmitted by social media. Conclusions The first 3 days of an epidemic is a critical period for the authorities to take appropriate action through Internet surveillance to prevent and control the epidemic, including preparation of personnel, technology, and other resources; information release; collection of public opinion and reaction; and clarification, prevention, and control of rumors. Internet surveillance can be used as an efficient and economical tool to prevent and control public health emergencies, such as H7N9 outbreaks. PMID:24440770

Importance of Internet surveillance in public health emergency control and prevention: evidence from a digital epidemiologic study during avian influenza A H7N9 outbreaks.

PubMed

Gu, Hua; Chen, Bin; Zhu, Honghong; Jiang, Tao; Wang, Xinyi; Chen, Lei; Jiang, Zhenggang; Zheng, Dawei; Jiang, Jianmin

2014-01-17

Outbreaks of human infection with a new avian influenza A H7N9 virus occurred in China in the spring of 2013. Control and prevention of a new human infectious disease outbreak can be strongly affected by public reaction and social impact through the Internet and social media. This study aimed to investigate the potential roles of Internet surveillance in control and prevention of the human H7N9 outbreaks. Official data for the human H7N9 outbreaks were collected via the China National Health and Family Planning Committee website from March 31 to April 24, 2013. We obtained daily posted and forwarded number of blogs for the keyword "H7N9" from Sina microblog website and a daily Baidu Attention Index (BAI) from Baidu website, which reflected public attention to the outbreak. Rumors identified and confirmed by the authorities were collected from Baidu search engine. Both daily posted and forwarded number and BAI for keyword H7N9 increased quickly during the first 3 days of the outbreaks and remained at a high level for 5 days. The total daily posted and forwarded number for H7N9 on Sina microblog peaked at 850,000 on April 3, from zero blogs before March 31, increasing to 97,726 on April 1 and to 370,607 on April 2, and remaining above 500,000 from April 5-8 before declining to 208,524 on April 12. The total daily BAI showed a similar pattern of change to the total daily posted and forwarded number over time from March 31 to April 12. When the outbreak locations spread, especially into other areas of the same province/city and the capital, Beijing, daily posted and forwarded number and BAI increased again to a peak at 368,500 and 116,911, respectively. The median daily BAI during the studied 25 days was significantly higher among the 7 provinces/cities with reported human H7N9 cases than the 2 provinces without any cases (P<.001). So were the median daily posted and forwarded number and daily BAI in each province/city except Anhui province. We retrieved a total of 32 confirmed rumors spread across 19 provinces/cities in China. In all, 84% (27/32) of rumors were disseminated and transmitted by social media. The first 3 days of an epidemic is a critical period for the authorities to take appropriate action through Internet surveillance to prevent and control the epidemic, including preparation of personnel, technology, and other resources; information release; collection of public opinion and reaction; and clarification, prevention, and control of rumors. Internet surveillance can be used as an efficient and economical tool to prevent and control public health emergencies, such as H7N9 outbreaks.

Assessment of air quality benefits from the national pollution control policy of thermal power plants in China: A numerical simulation

NASA Astrophysics Data System (ADS)

Wang, Zhanshan; Pan, Libo; Li, Yunting; Zhang, Dawei; Ma, Jin; Sun, Feng; Xu, Wenshuai; Wang, Xingrun

2015-04-01

In 2010, an emission inventory of air pollutants in China was created using the Chinese Bulletin of the Environment, the INTEX-B program, the First National Pollution Source Census, the National Generator Set Manual, and domestic and international research studies. Two emission scenarios, the standard failed emission scenario (S1) and the standard successful emission scenario (S2), were constructed based upon the Instructions for the Preparation of Emission Standards for Air Pollutants from Thermal Power Plants (second draft). The Fifth-Generation NCAR/Penn State Mesoscale Model (MM5) and the U.S. EPA Models-3 Community Multiscale Air Quality (CMAQ) model were applied to China to study the air quality benefits from Emission Standards for Air Pollutants from Thermal Power Plants GB13223-2011. The performance of MM5 and CMAQ was evaluated with meteorological data from Global Surface Data from the National Climatic Data Center (NCDC) and the daily Air Pollution Index (API) reported by Chinese local governments. The results showed that the implementation of the new standards could reduce the concentration of air pollutants and acid deposition in China by varying degrees. The new standards could reduce NO2 pollution in China. By 2020, for the scenario S2, the area with an NO2 concentration higher than the second-level emission standard, and the average NO2 concentration in 31 selected provinces would be reduced by 55.2% and 24.3%, respectively. The new standards could further reduce the concentration of declining SO2 in China. By 2020, for S2, the area with an SO2 concentration higher than the second-level emission standard and the average SO2 concentration in the 31 selected provinces would be reduced by 40.0% and 31.6%, respectively. The new standards could also reduce PM2.5 pollution in China. By 2020, for S2, the area with a PM2.5 concentration higher than the second-level emission standard and the average concentration of PM2.5 in the 31 selected provinces would be reduced by 17.2% and 14.7%, respectively. The new standard could reduce nitrogen deposition pollution in China. By 2020, for S2, the area with a nitrogen deposition concentration >2.0 tons·km-2 and the total nitrogen deposition in China would be reduced by 28.6% and 16.8%, respectively. The new standards could reduce sulfur deposition pollution in China. By 2020, for S2, the area with a sulfur deposition >1.5 tons·km-2 and the total sulfur deposition in China would be reduced by 55.3% and 21.0%, respectively.

Variations and controls on crustal thermal regimes in Southeastern Australia

NASA Astrophysics Data System (ADS)

Mather, Ben; McLaren, Sandra; Taylor, David; Roy, Sukanta; Moresi, Louis

2018-01-01

The surface heat flow field in Australia has for many years been poorly constrained compared to continental regions elsewhere. 182 recent heat flow determinations and 66 new heat production measurements for Southeastern Australia significantly increase our understanding of local and regional lithospheric thermal regimes and allow for detailed thermal modelling. The new data give a mean surface heat flow for Victoria of 71 ± 15 mW m- 2 which fits within the 61-77 mW m- 2 range reported for Phanerozoic-aged crust globally. These data reveal three new thermally and compositionally distinct heat flow sub-provinces within the previously defined Eastern Heat Flow Province: the Delamerian heat flow sub-province (average surface heat flow 60 ± 9 mW m- 2); the Lachlan heat flow sub-province (average surface heat flow 74 ± 13 mW m- 2); and the Newer Volcanics heat flow sub-province (average surface heat flow 72 ± 16 mW m- 2) which includes extreme values that locally exceed 100 mW m- 2. Inversions of reduced heat flow and crustal differentiation find that the Delamerian sub-province has experienced significant crustal reworking compared to the Lachlan and Newer Volcanics sub-provinces. The latter has experienced volcanism within the last 8 Ma and the degree of variability observed in surface heat flow points (up to 8 mW m- 2 per kilometre laterally) cannot be replicated with steady-state thermal models through this sub-province. In the absence of a strong palaeoclimate signal, aquifer disturbances, or highly enriched granites, we suggest that this high variability arises from localised transient perturbations to the upper crust associated with recent intraplate volcanism. This is supported by a strong spatial correlation of high surface heat flow and known eruption points within the Newer Volcanics heat flow sub-province.

Comprehensive quality assessment based specific chemical profiles for geographic and tissue variation in Gentiana rigescens using HPLC and FTIR method combined with principal component analysis

NASA Astrophysics Data System (ADS)

Li, Jie; Zhang, Ji; Zhao, Yan-Li; Huang, Heng-Yu; Wang, Yuan-Zhong

2017-12-01

Roots, stems, leaves and flowers of Longdan (Gentiana rigescens Franch. ex Hemsl) were collected from six geographic origins of Yunnan Province (n = 240) to implement the quality assessment based on contents of gentiopicroside, loganic acid, sweroside and swertiamarin and chemical profile using HPLC-DAD and FTIR method combined with principal component analysis (PCA). The content of gentiopicroside (major iridoid glycoside) was the highest in G. rigescens, regardless of tissue and geographic origin. The level of swertiamarin was the lowest, even unable to be detected in samples from Kunming and Qujing. Significant correlations (p < 0.05) between gentiopicroside, loganic acid, sweroside and swertiamarin were found at inter- or intra-tissues, which were highly depended on geographic origins, indicating the influence of environmental conditions on the conversion and transport of secondary metabolites in G. rigescens. Furthermore, samples were reasonably classified as three clusters along large producing areas where have similar climate conditions, characterized by carbohydrates, phenols, benzoates, terpenoids, aliphatic alcohols, aromatic hydrocarbons, and so forth. The present work provided global information on the chemical profile and contents of major iridoid glycosides in G. rigescens originated from six different origins, which is helpful for controlling quality of herbal medicines systematically.

Comprehensive Quality Assessment Based Specific Chemical Profiles for Geographic and Tissue Variation in Gentiana rigescens Using HPLC and FTIR Method Combined with Principal Component Analysis

PubMed Central

Li, Jie; Zhang, Ji; Zhao, Yan-Li; Huang, Heng-Yu; Wang, Yuan-Zhong

2017-01-01

Roots, stems, leaves, and flowers of Longdan (Gentiana rigescens Franch. ex Hemsl) were collected from six geographic origins of Yunnan Province (n = 240) to implement the quality assessment based on contents of gentiopicroside, loganic acid, sweroside and swertiamarin and chemical profile using HPLC-DAD and FTIR method combined with principal component analysis (PCA). The content of gentiopicroside (major iridoid glycoside) was the highest in G. rigescens, regardless of tissue and geographic origin. The level of swertiamarin was the lowest, even unable to be detected in samples from Kunming and Qujing. Significant correlations (p < 0.05) between gentiopicroside, loganic acid, sweroside, and swertiamarin were found at inter- or intra-tissues, which were highly depended on geographic origins, indicating the influence of environmental conditions on the conversion and transport of secondary metabolites in G. rigescens. Furthermore, samples were reasonably classified as three clusters along large producing areas where have similar climate conditions, characterized by carbohydrates, phenols, benzoates, terpenoids, aliphatic alcohols, aromatic hydrocarbons, and so forth. The present work provided global information on the chemical profile and contents of major iridoid glycosides in G. rigescens originated from six different origins, which is helpful for controlling quality of herbal medicines systematically. PMID:29312929

Modeling the Complexities of Water, Hygiene, and Health in Limpopo Province, South Africa

PubMed Central

Mellor, Jonathan E.; Smith, James A.; Learmonth, Gerard P.; Netshandama, Vhonani O.; Dillingham, Rebecca A.

2013-01-01

Researchers have long studied the causes and prevention strategies of poor household water quality and early childhood diarrhea using intervention-control trials. Although the results of such trails can lead to useful information, they do not capture the complexity of this natural/engineered/social system. We report on the development of an agent-based model (ABM) to study such a system in Limpopo, South Africa. The study is based on four years of field data collection to accurately capture essential elements of the communities and their water contamination chain. An extensive analysis of those elements explored behaviors including water collection and treatment frequency as well as biofilm buildup in water storage containers, source water quality, and water container types. Results indicate that interventions must be optimally implemented in order to see significant reductions in early childhood diarrhea (ECD). Household boiling frequency, source water quality, water container type and the biofilm layer contribution were deemed to have significant impacts on ECD. Furthermore, concurrently implemented highly effective interventions were shown to reduce diarrhea rates to very low levels even when other, less important practices were sub-optimal. This technique can be used by a variety of stakeholders when designing interventions to reduce ECD incidences in similar settings. PMID:23186073

Application of compost of two-phase olive mill waste on olive grove: effects on soil, olive fruit and olive oil quality.

PubMed

Fernández-Hernández, Antonia; Roig, Asunción; Serramiá, Nuria; Civantos, Concepción García-Ortiz; Sánchez-Monedero, Miguel A

2014-07-01

Composting is a method for preparing organic fertilizers that represents a suitable management option for the recycling of two-phase olive mill waste (TPOMW) in agriculture. Four different composts were prepared by mixing TPOMW with different agro-industrial by-products (olive pruning, sheep manure and horse manure), which were used either as bulking agents or as N sources. The mature composts were added during six consecutive years to a typical "Picual" olive tree grove in the Jaén province (Spain). The effects of compost addition on soil characteristics, crop yield and nutritional status and also the quality of the olive oil were evaluated at the end of the experiment and compared to a control treated only with mineral fertilization. The most important effects on soil characteristics included a significant increase in the availability of N, P, K and an increase of soil organic matter content. The application of TPOMW compost produced a significant increase in olive oil content in the fruit. The compost amended plots had a 15% higher olive oil content than those treatment with inorganic fertilization. These organics amendments maintained the composition and quality of the olive oil. Copyright © 2014 Elsevier Ltd. All rights reserved.

Ultraviolet spectroscopy combined with ultra-fast liquid chromatography and multivariate statistical analysis for quality assessment of wild Wolfiporia extensa from different geographical origins.

PubMed

Li, Yan; Zhang, Ji; Jin, Hang; Liu, Honggao; Wang, Yuanzhong

2016-08-05

A quality assessment system comprised of a tandem technique of ultraviolet (UV) spectroscopy and ultra-fast liquid chromatography (UFLC) aided by multivariate analysis was presented for the determination of geographic origin of Wolfiporia extensa collected from five regions in Yunnan Province of China. Characteristic UV spectroscopic fingerprints of samples were determined based on its methanol extract. UFLC was applied for the determination of pachymic acid (a biomarker) presented in individual test samples. The spectrum data matrix and the content of pachymic acid were integrated and analyzed by partial least squares discriminant analysis (PLS-DA) and hierarchical cluster analysis (HCA). The results showed that chemical properties of samples were clearly dominated by the epidermis and inner part as well as geographical origins. The relationships among samples obtained from these five regions have been also presented. Moreover, an interesting finding implied that geographical origins had much greater influence on the chemical properties of epidermis compared with that of the inner part. This study demonstrated that a rapid tool for accurate discrimination of W. extensa by UV spectroscopy and UFLC could be available for quality control of complicated medicinal mushrooms. Copyright © 2016 Elsevier B.V. All rights reserved.

Modeling the complexities of water, hygiene, and health in Limpopo Province, South Africa.

PubMed

Mellor, Jonathan E; Smith, James A; Learmonth, Gerard P; Netshandama, Vhonani O; Dillingham, Rebecca A

2012-12-18

Researchers have long studied the causes and prevention strategies of poor household water quality and early childhood diarrhea using intervention-control trials. Although the results of such trails can lead to useful information, they do not capture the complexity of this natural/engineered/social system. We report on the development of an agent-based model (ABM) to study such a system in Limpopo, South Africa. The study is based on four years of field data collection to accurately capture essential elements of the communities and their water contamination chain. An extensive analysis of those elements explored behaviors including water collection and treatment frequency as well as biofilm buildup in water storage containers, source water quality, and water container types. Results indicate that interventions must be optimally implemented in order to see significant reductions in early childhood diarrhea (ECD). Household boiling frequency, source water quality, water container type, and the biofilm layer contribution were deemed to have significant impacts on ECD. Furthermore, concurrently implemented highly effective interventions were shown to reduce diarrhea rates to very low levels even when other, less important practices were suboptimal. This technique can be used by a variety of stakeholders when designing interventions to reduce ECD incidences in similar settings.

Resilient or Resigned? Criminal Victimisation and Quality of Life in South Africa

ERIC Educational Resources Information Center

Moller, Valerie

2005-01-01

A victimisation study conducted among 3300 householders in South Africa's Nelson Mandela Metropolitan Municipality (NMMM) in the Eastern Cape Province aimed to inform a crime prevention strategy for the metropolitan area. The study found that the variables "fear of crime' measured in terms of perceived likelihood of victimisation--and concern…

A health-sanitary evaluation of lacteal desserts for consumption in Santa Cruz de Tenerife.

PubMed

Rodríguez, C; Alvarez, R; Hardisson, A; Arias, A; Sierra, A

1994-01-01

The consumption of lacteal desserts in the province of Santa Cruz de Tenerife is notably high. However, there are no legal standards in Spain regarding microbiological quality. For this reason, we have decided that it would be of interest to carry out a health-sanitary study of these products, with the aim of discovering their microbial content. 330 samples of lacteal desserts on sale in the province of Santa Cruz de Tenerife have undergone analysis. They have been divided into three groups: cream caramel (egg and vanilla) (80), mousse (60) and the third group, known as "other desserts", which includes custard and the rest of lacteal desserts not included in the previous groupings (190). Neither E. coli, Salmonella spp., Shigella spp., nor Staphylococcus aureus have been detected in any of the samples analysed. In spite of the fact that the results obtained do not reflect high microbiological contamination, we consider it necessary to lay down legal standards, with reference values, for these lacteal products, which will guarantee good microbiological quality.

Availability and quality of ground water in the Piedmont Province of Virginia

USGS Publications Warehouse

Powell, John Duane; Abe, Joseph M.

1985-01-01

The Piedmont Province of Virginia has an ample supply of groundwater, (perhaps as much as 1.5 billion gallons are in storage per sq mi) generally suitable for domestic and small supply needs. The source of this groundwater is precipitation, which is stored in the pore spaces of the regolith and in fractures in the underlying bedrock of crystalline rocks. Water within the sedimentary rocks of the sedimentary basins is stored in bedding planes, fractures, and in pore spaces in the rock, and in the regolith. Well yields can be minimized in both terrains by constructing wells along lineaments and in valleys. Groundwater in the crystalline rock is generally slightly mineralized and acidic (pH is greater than 7.0). Dissolved solids concentration in deep wells ( < 500 ft) in sedimentary rock may exceed tolerable limits. Land disposal of solid wastes and sewage for domestic septic systems present the major threat to groundwater quality. A greater understanding of the groundwater system in the Virginia Piedmont could be used to anticipate future shortages so that preventive measures could be implemented to protect the groundwater reservoir. (Author 's abstract)

Characterization of Fasciola samples by ITS of rDNA sequences revealed the existence of Fasciola hepatica and Fasciola gigantica in Yunnan Province, China.

PubMed

Shu, Fan-Fan; Lv, Rui-Qing; Zhang, Yi-Fang; Duan, Gang; Wu, Ding-Yu; Li, Bi-Feng; Yang, Jian-Fa; Zou, Feng-Cai

2012-08-01

On mainland China, liver flukes of Fasciola spp. (Digenea: Fasciolidae) can cause serious acute and chronic morbidity in numerous species of mammals such as sheep, goats, cattle, and humans. The objective of the present study was to examine the taxonomic identity of Fasciola species in Yunnan province by sequences of the first and second internal transcribed spacers (ITS-1 and ITS-2) of nuclear ribosomal DNA (rDNA). The ITS rDNA was amplified from 10 samples representing Fasciola species in cattle from 2 geographical locations in Yunnan Province, by polymerase chain reaction (PCR), and the products were sequenced directly. The lengths of the ITS-1 and ITS-2 sequences were 422 and 361-362 base pairs, respectively, for all samples sequenced. Using ITS sequences, 2 Fasciola species were revealed, namely Fasciola hepatica and Fasciola gigantica. This is the first demonstration of F. gigantica in cattle in Yunnan Province, China using a molecular approach; our findings have implications for studying the population genetic characterization of the Chinese Fasciola species and for the prevention and control of Fasciola spp. in this province.

Environmental setting and factors that affect water quality in the Georgia-Florida Coastal Plain study unit

USGS Publications Warehouse

Berndt, M.P.; Oaksford, E.T.; Darst, M.R.; Marella, R.L.

1996-01-01

The Georgia-Florida Coastal Plain study unit covers an area of nearly 62,000 square miles in the southeastern United States, mostly in the Coastal Plain physiographic province. Land resource provinces have been designated based on generalized soil classifications. Land resource provinces in the study area include: the Coastal Flatwoods, the Southern Coastal Plain, the Central Florida Ridge, the Sand Hills, and the Southern Piedmont. The study area includes all or parts of seven hydrologic subregions: the Ogeechee-Savannah, the Altamaha- St.Marys, the Suwannee, the Ochlockonee, the St. Johns, the Peace-Tampa Bay, and the Southern Florida. The primary source of water for public supply in the study area is ground water from the Upper Floridan aquifer. In 1990, more than 90 percent of the 2,888 million gallons per day of ground water used came from this aquifer. The population of the study area was 9.3 million in 1990. The cities of Jacksonville, Orlando, St. Petersburg, Tallahassee, and Tampa, Florida, and parts of Atlanta and Savannah, Georgia, are located in the study area. Forest and agricultural areas are the most common land uses in the study area, accounting for 48 percent and 25 percent of the study area, respectively. Climatic conditions range from temperate in Atlanta, Georgia, where mean annual temperature is about 61.3 degrees Fahrenheit, to subtropical in Tampa, Florida, where mean annual temperature is about 72.4 degrees Fahrenheit. Long-term average precipitation (1961-90) ranges from 43.9 inches per year in Tampa, Florida, and 44.6 in Macon, Georgia, to 65.7 inches per year in Tallahassee, Florida. Floods in the study area result from frontal systems, hurricanes, tropical storms, or severe thunderstorms. Droughts are not common in the study area,especially in the Florida part of the study area due to extensive maritime exposure. The primary physical and cultural characteristics in the study area include physiography, soils and land resource provinces, geologic setting, ground-water systems, surface- water systems, climate, floods, droughts, population, land use, and water use. Factors affecting water quality in the study area are land use (primarily urban and agricultural land uses), water use in coastal areas, hydrogeology, ground-water/surface-water interaction, geology, and climate. Surface-water quality problems in urban areas have occurred in the Ogeechee, Canoochee, Ocmulgee, St. Marys, Alapaha, Withlacoochee (north), Santa Fe, Ochlockonee, St. Johns, and Oklawaha Rivers and include nitrogen and phosphorus loading, low dissolved oxygen, elevated bacteria, sediment, and turbidity, and increased concentrations of metals. In agricultural areas, surface-water quality problems include elevated nitrogen and phosphorus concentrations, erosion, and sedimentation and have occurred in the Ocmulgee, St. Marys, Santa Fe, Ochlockonee, St. Johns, Oklawaha, Withlacoochee (South), Hillsborough, and Alafia Rivers. Ground water-quality problems such as saltwater intrusion have occurred mostly in coastal areas and were caused by excessive withdrawals.

Groundwater resources of the aquifers of the northern Central African Republic (Ouham Province). First hydrogeological investigations in a changing environment.

NASA Astrophysics Data System (ADS)

Djebebe-Ndjiguim, Chantal; Foto, Eric; Backo, Salé; Nguerekossi, Bruno; Zoudamba, Narcisse; Basse-Keke, Eric; Allahdin, Oscar; Huneau, Frédéric; Garel, Emilie; Celle-Jeanton, Hélène; Mabingui, Joseph

2017-04-01

Groundwater is a key factor in the socio-economic development of African societies. This is particularly true for the Lake Chad Basin countries for which groundwater is the main water resource for both drinking water supply for population and agriculture, whether small or large scale. The Central African Republic (CAR) occupies a strategic place in the Lake Chad Basin since most waters feeding the different tributaries of the Chari River, which is the main water source of the Lake Chad, are originating from its territory. Indeed, the Northern CAR and particularly the Ouham Province, at the head of the whole Chad endoreic watershed, benefits from favourable rainfall conditions. Unfortunately, very little hydrological and hydrogeological information is available for this area which has never been investigated in terms of geochemical and isotope characterisation. The only available spares technical and scientific investigations over the area are dating from the 1960's. Unfortunately the Lake Chad basin has undergone strong climatological evolutions since the 1970's and hydrological information needs to be updated. The objectives of this study are to characterise groundwater from the Ouham Province in order to better appreciate the hydrogeological processes taking place in the recharge area of the Southern Lake Chad Basin. Isotope hydrology combined with geochemistry of groundwater has now proven being the best approach in under-documented territories to have a first diagnostic on the dynamics and quality of available resources. In this purpose combined hydrogeochemical and isotopic investigations (18O, 2H and 3H of the water molecule) have been launched to constrain groundwater origin, recharge processes, quality, residence time and anthropogenic fingerprint on aquifers. After two sampling campaigns it was possible to draw a general pattern of the hydrogeological and hydrochemical conditions in the region. The Ouham province is mostly composed of Precambrian substratum rocks. Only the Northern edge, neighbouring the Chad Republic, is made of surface Tertiary formations of the Continental Terminal. This geological duality is clearly reflected in the geochemistry of groundwater, but despite an increase in the population and in the agricultural activity the overall quality is still good apart for a few wells located in the close vicinity of human settling, and already strongly influenced by nitrate contamination. The isotopic signature of groundwater is clearly modern and identical to the one of local rainfall, and very close to the regional water line of Bangui (GNIP-IAEA). Tritium data are mostly similar to the modern rainfall input but a few wells and boreholes tend to indicate the existence in the underground of slow-dynamic groundwater. In the end, and considering the local amount of rainfall (1500mm/year) the quality of the groundwater potential as a good quality water supply resource is confirmed, and indications towards the possibility of a development of the exploitation are provided.

Genetic affinities among the historical provinces of Romania and Central Europe as revealed by an mtDNA analysis.

PubMed

Cocoş, Relu; Schipor, Sorina; Hervella, Montserrat; Cianga, Petru; Popescu, Roxana; Bănescu, Claudia; Constantinescu, Mihai; Martinescu, Alina; Raicu, Florina

2017-03-07

As a major crossroads between Asia and Europe, Romania has experienced continuous migration and invasion episodes. The precise routes may have been shaped by the topology of the territory and had diverse impacts on the genetic structure of mitochondrial DNA (mtDNA) in historical Romanian provinces. We studied 714 Romanians from all historical provinces, Wallachia, Dobrudja, Moldavia, and Transylvania, by analyzing the mtDNA control region and coding markers to encompass the complete landscape of mtDNA haplogroups. We observed a homogenous distribution of the majority of haplogroups among the Romanian provinces and a clear association with the European populations. A principal component analysis and multidimensional scaling analysis supported the genetic similarity of the Wallachia, Moldavia, and Dobrudja groups with the Balkans, while the Transylvania population was closely related to Central European groups. These findings could be explained by the topology of the Romanian territory, where the Carpathian Arch played an important role in migration patterns. Signals of Asian maternal lineages were observed in all Romanian historical provinces, indicating gene flow along the migration routes through East Asia and Europe. Our current findings based on the mtDNA analysis of populations in historical provinces of Romania suggest similarity between populations in Transylvania and Central Europe, supported both by the observed clines in haplogroup frequencies for several European and Asian maternal lineages and MDS analyses.

Biologic impact on the coastal belt of the province of Venice (Italy, Northern Adriatic Sea): preliminary analysis for the characterization of the bathing water profile.

PubMed

Ostoich, Marco; Aimo, Emilia; Fassina, Daniel; Barbaro, Jvan; Vazzoler, Marina; Soccorso, Corrado; Rossi, Chiara

2011-02-01

This paper presents a preliminary study of the water profile with reference to microbiological parameters, required by Directive 2006/07/EC (European Community 2006) concerning the management of bathing water quality, in the coastal belt of the Province of Venice (Italy, Northern Adriatic Sea). A historical database has been implemented with monitoring data for the period 2000-2006 (data on rivers, bathing and marine coastal waters and on the characterization of Wastewater Treatment Plant (WWTP) discharges) from the institutional activity of Veneto Regional Environmental Prevention and Protection Agency (ARPAV). An integrated areal analysis for the microbiological investigation of homogeneous stretches along the coast of the Province of Venice was performed for a preliminary characterization of the bathing water profile considering water quality status and existing pressure sources. ARPAV is the institutional body responsible for environmental monitoring and control activities. Data were produced from monitoring and controls made available by the Regional Environmental Informative System and extracted and elaborated for the period of interest (2000-2006). Sampling and analysis of microbiological parameters were executed following the official Italian methods in accordance with international procedures (APHA et al. 1998). For the purpose of this study, the coast was divided into eight stretches, which were considered to be homogeneous according to their physical and geographical characteristics. An ANOVA statistical assessment has been performed on stretches I, V and VIII. From the integrated areal analysis of microbiological parameters in the homogeneous stretches along the coast of all the investigated matrices, high mean levels of faecal contamination were found in some cases. The most critical situation amongst the stretches evaluated is to be found in stretch VIII-Ca' Roman, Sottomarina and Isola Verde shores (Southern part of the Province). These results can be widely attributed to pressure sources from the Brenta and Adige rivers, rather than to local contributions. Stretches VI and VII, which correspond to the area from Punta Sabbioni (Cavallino shore N-E) to the Pellestrina shore (S-W), present the best conditions for faecal contamination parameters (low pollution levels). These situations can probably be explained given that WWTPs 7 and 8 have two submarine outfalls at a distance of about 4 km from the coastline and therefore a discharge point which is distant from the bathing and marine coastal monitoring stations; there are also no river mouths in these two stretches. Due to lack of data, it was not possible to implement seasonal assessments. This study aimed to develop an integrated areal analysis for biological parameters along the coast over the period 2000-2006 for the identified homogeneous stretches in order to develop a preliminary approach for the characterization of the water profile, as requested by directive 2006/7/EC. From the integrated analysis of the stretches, it is evident that in some cases there are high levels of faecal contamination along the coast which can be caused by river flows which heavily condition the quality of coastal waters as verified with the statistical assessment. From the preliminary analysis, the submarine outfalls seem to be the best solution to guarantee good bathing water quality on the coast. Nevertheless, it must be observed that this solution cannot overlook the possible impact of the discharges on seawaters intended for a specific use, such as mussel farms with reference to coastal hydrodynamics. Therefore, a sound wastewater dispersion analysis on the discharges of the WWTPs for the identification of the interested area and the level of contamination must be performed; a modelling study on pollution dispersion is complementary to this study (Scroccaro et al. 2009). This analysis highlights the critical stretches as being numbers II and, above all, VIII with particular correlation with the main river mouths. Thus, it is evident that the issue of microbiological impact must be studied following a river basin approach according to the influence of river loads on coastal areas.

Dyslipidemia awareness, treatment, control and influence factors among adults in the Jilin province in China: a cross-sectional study.

PubMed

He, Huan; Yu, Ya-qin; Li, Yong; Kou, Chang-gui; Li, Bo; Tao, Yu-chun; Zhen, Qing; Wang, Chang; Kanu, Joseph Sam; Huang, Xu-feng; Han, Mei; Liu, Ya-wen

2014-08-03

In China, even though the prevalence of dyslipidemia among adults increased yearly and dyslipidemia being an important risk factor for cardiovascular diseases among the Chinese population, however, the awareness, treatment and control of dyslipidemia are at low levels, and only limited studies on the influence factors associated with the awareness, treatment and control dyslipidemia in China have been carried out. The analysis was based on a representative sample of 7138 adult subjects aged 18~79 years recruited from a cross-sectional study of chronic disease and risk factors among adults in the Jilin province in 2012. Chi-square test was used to compare the rates of dyslipidemia awareness, treatment and control between different characteristics of participants. Multiple logistic regression analyses were performed separately for each group to explore the associations between participants' characteristics and dyslipidemia awareness, treatment and control. Among participants with dyslipidemia, 11.6% were aware of the diagnosis, 8.4% were receiving treatment, and 34.8% had dyslipidemia controlled. Increase in age and BMI ≥ 24 kg/m2 were by far the strongest risk factors associated with better awareness and treatment of dyslipidemia. Retirees were more likely to be aware of their dyslipidemia condition (OR=1.255; 95% CI: 1.046, 1.506) and to be receiving treatment (OR=1.367; 95% CI: 1.114, 1.676) than manual workers. A family history of dyslipidemia increased the likelihood of awareness (OR=3.620; 95% CI: 2.816, 4.653) and treatment (OR=3.298; 95% CI: 2.488, 4.371) of dyslipidemia. Alcohol drinking and physical activity were associated with a lower level of awareness and treatment.Cigarette smokers (OR=0.501; 95% CI: 0.349, 0.719) and those with BMI ≥ 24 kg/m2 (OR=0.480; 95% CI: 0.326, 0.706) who received treatment were also associated with poor dyslipidemia control. Our study highlights low levels of awareness, poor treatment and control of dyslipidemia among adults aged 18~79 in the Jilin province. Promotion of healthy lifestyles and establishment of a comprehensive strategy of screening, treatment and control of dyslipidemia is needed to reduce or prevent the risk of cardiovascular disease in the Jilin province.

Dyslipidemia awareness, treatment, control and influence factors among adults in the Jilin province in China: a cross-sectional study

PubMed Central

2014-01-01

Background In China, even though the prevalence of dyslipidemia among adults increased yearly and dyslipidemia being an important risk factor for cardiovascular diseases among the Chinese population, however, the awareness, treatment and control of dyslipidemia are at low levels, and only limited studies on the influence factors associated with the awareness, treatment and control dyslipidemia in China have been carried out. Methods The analysis was based on a representative sample of 7138 adult subjects aged 18 ~ 79 years recruited from a cross-sectional study of chronic disease and risk factors among adults in the Jilin province in 2012. Chi-square test was used to compare the rates of dyslipidemia awareness, treatment and control between different characteristics of participants. Multiple logistic regression analyses were performed separately for each group to explore the associations between participants’ characteristics and dyslipidemia awareness, treatment and control. Results Among participants with dyslipidemia, 11.6% were aware of the diagnosis, 8.4% were receiving treatment, and 34.8% had dyslipidemia controlled. Increase in age and BMI ≥ 24 kg/m2 were by far the strongest risk factors associated with better awareness and treatment of dyslipidemia. Retirees were more likely to be aware of their dyslipidemia condition (OR = 1.255; 95% CI: 1.046, 1.506) and to be receiving treatment (OR = 1.367; 95% CI: 1.114, 1.676) than manual workers. A family history of dyslipidemia increased the likelihood of awareness (OR = 3.620; 95% CI: 2.816, 4.653) and treatment (OR = 3.298; 95% CI: 2.488, 4.371) of dyslipidemia. Alcohol drinking and physical activity were associated with a lower level of awareness and treatment. Cigarette smokers (OR = 0.501; 95% CI: 0.349, 0.719) and those with BMI ≥ 24 kg/m2 (OR = 0.480; 95% CI: 0.326, 0.706) who received treatment were also associated with poor dyslipidemia control. Conclusion Our study highlights low levels of awareness, poor treatment and control of dyslipidemia among adults aged 18 ~ 79 in the Jilin province. Promotion of healthy lifestyles and establishment of a comprehensive strategy of screening, treatment and control of dyslipidemia is needed to reduce or prevent the risk of cardiovascular disease in the Jilin province. PMID:25086650

Water quality in alluvial aquifers of the southern Rocky Mountains Physiographic Province, upper Colorado River basin, Colorado, 1997

USGS Publications Warehouse

Apodaca, Lori Estelle; Bails, Jeffrey B.

2000-01-01

Water-quality samples were collected in the summer of 1997 from 45 sites (43 wells and 2 springs) in selected alluvial aquifers throughout the Southern Rocky Mountains physiographic province of the Upper Colorado River Basin study unit as part of the U.S. Geological Survey National Water-Quality Assessment Program. The objective of this study was to assess the water-quality conditions in selected alluvial aquifers in the Southern Rocky Mountains physiographic province. Alluvial aquifers are productive aquifers in the Southern Rocky Mountains physiographic province and provide for easily developed wells. Water-quality samples were collected from areas where ground water is used predominantly for domestic or public water supply. Twenty-three of the 45 sites sampled were located in or near mining districts. No statistical differences were observed between the mining sites and sites not associated with mining activities for the majority of the constituents analyzed. Water samples were analyzed for major ions, nutrients, dissolved organic carbon, trace elements, radon-222, pesticides, volatile organic compounds, bacteria, and methylene blue active substances. In addition, field parameters consisting of water temperature, specific conductance, dissolved oxygen, pH, turbidity, and alkalinity were measured at all sites.Specific conductance for the ground-water sites ranged from 57 to 6,650 microsiemens per centimeter and had higher concentrations measured in areas such as the northwestern part of the study unit. Dissolved oxygen ranged from 0.1 to 6.0 mg/L (milligrams per liter) and had a median concentration of 2.9 mg/L. The pH field values ranged from 6.1 to 8.1; about 4 percent of the sites (2 of 45) had pH values outside the range of 6.5 to 8.5 and so did not meet the U.S. Environmental Protection Agency secondary maximum contaminant level standard for drinking water. About 5 percent (2 of 43) of the samples exceeded the U.S. Environmental Protection Agency recommended turbidity value of 5 nephelometric turbidity units; one of these samples was from a monitoring well. The U.S. Environmental Protection Agency secondary maximum contaminant levels for dissolved solids, sulfate, iron, and manganese were exceeded at some of the sites. Higher dissolved-solids concentrations were detected where sedimentary rocks are exposed, such as in the northwestern part of the Southern Rocky Mountains physiographic province. The dominant water compositions for the sites sampled are calcium, magnesium, and bicarbonate. However, sites in areas where sedimentary rocks are exposed and sites located in or near mining areas show more sulfate-dominated waters. Nutrient concentrations were less than the U.S. Environmental Protection Agency drinking-water standards. Only one site had a nitrate concentration greater than 3.0 mg/L, a level indicating possible influence from human activities. No significant differences among land-use/land-cover classifications (forest, rangeland, and urban) for drinking-water wells (42 sites) were identified for dissolved-solids, sulfate, nitrate, iron or manganese concentrations. Radon concentrations were higher in parts of the study unit where Precambrian rocks are exposed. All radon concentrations in ground water exceeded the previous U.S. Environmental Protection Agency proposed maximum contaminant level for drinking water, which has been withdrawn pending further review.Pesticide detections were at concentrations below the reporting limits and were too few to allow for comparison of the data. Eight volatile organic compounds were detected at six sites; all concentrations complied with U.S. Environmental Protection Agency drinking-water standards. Total coliform bacteria were detected at six sites, but no Escherichia coli (E. coli) was detected. Methylene blue active substances were detected at three sites at concentrations just above the reporting limit. Overall, the water quality in the Southern Rocky Mountains physiograph

Rubella Epidemics and Genotypic Distribution of the Rubella Virus in Shandong Province, China, in 1999–2010

PubMed Central

Xu, Qing; Xu, Aiqiang; Fang, Xueqiang; Song, Lizhi; Li, Weixiu; Xiong, Ping; Xu, Wenbo

2012-01-01

Background The rubella vaccine was introduced into the immunization program in 1995 in the Shandong province, China. A series of different rubella vaccination strategies were implemented at different stages of measles control in Shandong province. Methodology/Principal Findings The average reported incidence rate of rubella cases remained at a low level in Shandong province after 1999. However, rubella epidemics occurred repeatedly in 2001/2002, 2006, and 2008/2009. The age of the onset of rubella cases gradually increased during 1999–2010, which showed that most cases were found among the 10 years old in 1999 and among the 17 years old in 2010. Phylogenetic analysis was performed and a phylogenetic tree was constructed based on the World Health Organization standard sequence window for rubella virus isolates. All rubella viruses isolated in Shandong province were divided into 4 genotypes: 1E, 1F, 2A, and 2B. Genotype 1E viruses accounted for the majority (79%) of all these viruses. The similarity of nucleotide and amino acid sequences among genotype 1E viruses was 98.2–100% and 99.1–100%, respectively. All Shandong genotype 1E strains, differed from international genotype 1E strains, belonged to cluster 1 and interdigitated with the viruses from other provinces in mainland China. The effective number of infections indicated by a Bayesian skyline plot remained constant from 2001 to 2009. Conclusions/Significance The gradual shift of disease burden to an older age group occurred after a rubella-containing vaccine was introduced into the childhood immunization schedule in 1995 in Shandong province. Four genotypes, including 1E, 1F, 2A, and 2B, were found in Shandong province during 2000–2009. Genotype 1E, rather than genotype 1F, became the predominant genotype circulating in Shandong province from 2001. All Shandong genotype 1E viruses belong to the genotype 1E/cluster 1; they have constantly circulated, and co-evolved and co-circulated, with those from other provinces. PMID:22911874

Summary of the hydrogeology of the Valley and Ridge, Blue Ridge, and Piedmont Physiographic Provinces in the eastern United States

USGS Publications Warehouse

Swain, Lindsay A.; Mesko, Thomas O.; Hollyday, Este F.

2004-01-01

The Appalachian Valley and Piedmont Regional Aquifer-System Analysis study (1988-1993) analyzed rock types in the 142,000-square-mile study area, identified hydrogeologic terranes, determined transmissivity distributions, determined the contribution of ground water to streamflow, modeled ground-water flow, described water quality, and identified areas suitable for the potential development of municipal and industrial ground-water supplies. Ground-water use in the Valley and Ridge, the Blue Ridge, and the Piedmont Physiographic Provinces exceeds 1.7 billion gallons per day.Thirty-three rock types in the study area were analyzed, and the rock types with similar water-yielding characteristics were combined and mapped as 10 hydrogeologic terranes. Based on well records, the interquartile ranges of estimated transmissivities are between 180 to 17,000 feet squared per day (ft2/d) for five hydrologic terranes in the Valley and Ridge; between 9 to 350 ft2/d for two terranes in the Blue Ridge; and between 9 to 1,400 ft2/d for three terranes in the Piedmont Physiographic Province. Based on streamflow records, the interquartile ranges of estimated transmissivities for all three physiographic provinces are between 290 and 2,900 ft2/d. The mean ground-water contribution to streams from 157 drainage basins ranges from 32 to 94 percent of mean streamflow with a median of 67 percent. In three small areas in two of the physiographic provinces, more than 54 percent of ground-water flow was modeled as shallow and local. Although ground-water chemical composition in the three physiographic provinces is distinctly different, the water generally is not highly mineralized, with a median dissolved-solids concentration of 164 milligrams per liter, and is mostly calcium, magnesium, and bicarbonate. Based on aquifer properties and current pumpage, areas favorable for the development of municipal and industrial ground-water supplies are underlain by alluvium of glacial origin near the northeastern part of the study area, by clay-free carbonate rocks primarily in the Valley and Ridge Physiographic Province, and by siliciclastic rocks in the three northernmost Mesozoic basins.

The Thermal Waters of Jordan

NASA Astrophysics Data System (ADS)

Sass, I.; Schäffer, R.

2012-04-01

In a recent field campaign all known natural hot spring areas of Jordan were investigated. Their hydrochemical properties including some fundamental isotopes were measured. Jordan's thermal springs can be classified into four thermal provinces (Nahr Al-Urdun, Hammamat Ma'in, Zara and Wadi Araba province), with similar hydrochemical and geologicalsettings. Thermal springs of Hammamat Ma'in and Zara province are situated on prominent faults. Reservoir temperature estimation with the Mg-corrected Na-K-Ca geothermometer indicates temperatures between 61 °C and 82 °C. Even taking into account the increased geothermal gradient at Dead Sea's east coast, the water's origin has to be considered mainly in deeper formations. Carbon dioxide, emitted by tertiary basalts situated close to the springs, may be responsible for gas lift. Mineralisation and δ18O-values indicate, that the spring water's origin is mostly fossil, i.e. not part of the global water cycle. It is shown, that ground water mining led to a shift within δ18O-ratio during the last 30 years due to a reduction of shallow water portion in addition to a dislocation of the catchment area. Ground water mining will impact the thermal spring productivity and quality anyway in the future. Present-day precipitation rates and catchment areas in Dead Sea region are by far not sufficient to explain relative high discharge. For the Hammamat Ma'in Province is documented, that discharge and maximal spring water temperatures are constant during the last 50 years, showing marginal seasonal oscillation and negligible influence by short-term climatic changes. The water characteristics of Hammamat Ma'in and Zara province are related. However, Zara waters feature systematically less ion concentration and lower temperatures due to a stronger influence of vadose water. The springs of Nahr Al-Urdun province are recharged mainly by shallow groundwater. Thus temperature and mineralisation is lower than at the springs at the Dead Sea. Thermal waters of Wadi Araba province show the lowest mineralisation due to their origin of mostly sandstones. The main ion's proportion and δ18O-ratio indicate a mixture of fossil and vadose groundwater.

Arsenic speciation and heavy metal distribution in polished rice grown in Guangdong Province, Southern China.

PubMed

Ma, Li; Wang, Lin; Tang, Jie; Yang, Zhaoguang

2017-10-15

Arsenic speciation and heavy metal distributions have been investigated in locally grown rice grains from Guangdong Province, Southern China. A total of 41 polished rice grain samples were collected throughout Guangdong Province. Arsenite (As(III)), as the predominant form found in the rice, was positively correlated (p<0.01) with total As (tAs) concentration. However, the percentage of As(III) reduced while tAs concentration increased (r=-0.361, p<0.05), due to restricted accumulation and translocation of As(III) in rice grains at high level of tAs. Statistical and geostatistical analyses were applied to investigate potential origins of heavy metals in rice. Only Cd, Cu and Ni were identified as influenced by anthropogenic sources such as industrial and commercial activities. As and Pb were primarily controlled by natural occurrence. The results of health risk assessment implied that continuous intake of rice grown in Guangdong Province could cause considerably non-carcinogenic and carcinogenic risk to local inhabitants. Copyright © 2017 Elsevier Ltd. All rights reserved.

Controlling chromium slag pollution utilising scavengers: a case of Shandong Province, China.

PubMed

Liu, Changhao; Côté, Raymond P

2015-04-01

The problem of chromium slag pollution is a great challenge for China. It is now an urgent task for China to take effective measures to eliminate chromium slag pollution. This article examines the case of the treatment of chromium slag in Shandong Province and explores how chromium slag pollution can be eliminated in Shandong Province. It shows that the chromium slag stockpiled by the chemical plants was successfully utilised by local steel companies, who act as 'scavenger companies'. The driving mechanism, seeking a potential 'scavenger company' within the local region and the role of the local government on the case of Shandong Province are discussed. This article concludes that local steel companies can be utilised to effectively and efficiently treat the chromium slag while benefiting the steel companies. The local governments need to play multiple roles in solving the problem of chromium slag pollution. Seeking and identifying 'scavenger companies' within a region could be an important approach to reducing pollution within the region. © The Author(s) 2015.

Ground-water flow, geochemistry, and effects of agricultural practices on nitrogen transport at study sites in the Piedmont and Coastal Plain physiographic provinces, Patuxent River basin, Maryland

USGS Publications Warehouse

McFarland, Randolph E.

1997-01-01

In an effort to improve water quality in Chesapeake Bay, agricultural practices are being promoted that are intended to reduce contaminant transport to the Bay. The effects of agricultural practices on nitrogen transport were assessed at two 10-acre study sites in the Patuxent River basin, Maryland, during 1986-92. Nitrogen load was larger in ground water than in surface runoff at both sites. At the study site in the Piedmont Province, nitrogen load in ground water decreased from 12 to 6 (lb/acre)/yr (pound per acre per year) as corn under no-till cultivation was replaced by no-till soybeans, continuous alfalfa, and contoured strip crops alternated among corn, alfalfa, and soybeans. At the study site in the Coastal Plain Province, no-till soybeans resulted in a nitrogen load in ground water of 12.55 (lb/acre)/yr, whereas conventional-till soybeans resulted in a nitrogen load in ground water of 11.51 (lb/acre)/yr.

Public health adaptation to climate change in Canadian jurisdictions.

PubMed

Austin, Stephanie E; Ford, James D; Berrang-Ford, Lea; Araos, Malcolm; Parker, Stephen; Fleury, Manon D

2015-01-12

Climate change poses numerous risks to the health of Canadians. Extreme weather events, poor air quality, and food insecurity in northern regions are likely to increase along with the increasing incidence and range of infectious diseases. In this study we identify and characterize Canadian federal, provincial, territorial and municipal adaptation to these health risks based on publically available information. Federal health adaptation initiatives emphasize capacity building and gathering information to address general health, infectious disease and heat-related risks. Provincial and territorial adaptation is varied. Quebec is a leader in climate change adaptation, having a notably higher number of adaptation initiatives reported, addressing almost all risks posed by climate change in the province, and having implemented various adaptation types. Meanwhile, all other Canadian provinces and territories are in the early stages of health adaptation. Based on publically available information, reported adaptation also varies greatly by municipality. The six sampled Canadian regional health authorities (or equivalent) are not reporting any adaptation initiatives. We also find little relationship between the number of initiatives reported in the six sampled municipalities and their provinces, suggesting that municipalities are adapting (or not adapting) autonomously.

Application of hotspot detection using spatial scan statistic: Study of criminality in Indonesia

NASA Astrophysics Data System (ADS)

Runadi, Taruga; Widyaningsih, Yekti

2017-03-01

According to the police registered data, the number of criminal cases tends to fluctuate during 2011 to 2013. It means there is no significant reduction cases number of criminal acts during that period. Local government needs to observe whether their area was a high risk of criminal case. The objectives of this study are to detect hotspot area of certain criminal cases using spatial scan statistic. This study analyzed the data of 22 criminal types cases based on province in Indonesia that occurred during 2013. The data was obtained from Badan Pusat Statistik (BPS) that was released in 2014. Hotspot detection was performed according to the likelihood ratio of the Poisson model using SaTScanTM software and then mapped using R. The spatial scan statistic method successfully detected provinces that was categorized as hotspot for 22 crime types cases being analyzed with p-value less than 0.05. The local governments of province that were detected as hotspot area of certain crime cases should provide more attention to improve security quality.

Shift in HIV/AIDS Epidemic in Southeastern China: A Longitudinal Study from 1987 to 2015.

PubMed

Yan, Yansheng; Wu, Shouli; Chen, Liang; Yan, Pingping; Qiu, Yuefeng; Xie, Meirong; Wang, Zhenghua; Lin, Xun

2016-08-06

The aim of this study was to investigate the shift in the epidemiological features of HIV/AIDS during the last three decades in Fujian Province, southeastern China, so as to provide evidence for the development of novel HIV/AIDS control strategies. Data pertaining to the conventional surveillance, sentinel surveillance and epidemiological survey in Fujian Province during the period from 1987 to 2015 were collected. The epidemiological trends were described, and the subtypes of HIV strain were genotyped. In addition, the response to antiretroviral therapy was evaluated, and HIV genotypic resistance was assayed. There was an increasing trend observed in the reported cases of HIV/AIDS in Fujian Province. From 1987 to the end of 2015, a total of 8651 HIV/AIDS cases were reported across the province, with totally 1557 deaths found. Among the total cases, the ratio of male/female cases was 3.7:1, which appeared to be an increasing trend; 77.1% cases were detected in young and middle-aged populations aged 19 to 50 years, however, the new HIV infections recently tended to occur in young people aged 15 to 18 years and in populations aged 50 years and older. Among all infected individuals, 49.3% were married, however, the percentage of unmarried cases increased from 6.67% before 1994 to 40.1% in 2015; 64.8% had junior high school education or lower, however, the proportion of HIV/AIDS cases with junior college education or above gradually increased from 6.5% in 2009 to 21.4% in 2015. The reported HIV/AIDS cases were predominantly found in coastal regions; however, a rapidly increasing trend was seen in the number of HIV/AIDS cases in inland regions, and the geographical variation of the cases gradually reduced. There were multiple routes of HIV transmission found in Fujian Province, and 94.2% infections were sexually transmitted, with a large increase in the percentage of male homosexual transmission. A variety of HIV-1 subtypes were genotyped in the province during the study period, and CRF01-AE and CRF07-BC intersubtype recombinant forms were predominant; however, a declining trend in the proportion of HIV-1 CRF01-AE recombinant virus and a significant rise in the proportion of HIV-1 CRF07-BC recombinant virus were observed. Over 90% HIV inhibition was found in all cases receiving antiretroviral therapy during the period from 2011 to 2015, indicating a low prevalence of HIV drug resistance. An increasing trend is still observed in the HIV/AIDS epidemics in Fujian Province, southeastern China. However, the epidemiological pattern of HIV/AIDS has recently changed in the province, and effective control interventions targeting the shift in the epidemiological features of HIV/AIDS should therefore be implemented to control the spread of the epidemic.

Physicians’ and nurses’ attitudes towards performance-based financial incentives in Burundi: a qualitative study in the province of Gitega

PubMed Central

Rudasingwa, Martin; Uwizeye, Marie Rose

2017-01-01

ABSTRACT Background: Performance-based financing (PBF) was first implemented in Burundi in 2006 as a pilot programme in three provinces and was rolled out nationwide in 2010. PBF is a reform approach to improve the quality, quantity, and equity of health services and aims at achieving universal health coverage. It focuses on how to best motivate health practitioners. Objective: To elicit physicians’ and nurses’ experiences and views on how PBF influenced and helped them in healthcare delivery. Methods: A qualitative cross-sectional study was carried out among frontline health workers such as physicians and nurses. The data was gathered through individual face-to-face, in-depth, semi-structured interviews with 6 physicians and 30 nurses from February to March 2011 in three hospitals in Gitega Province. A simple framework approach and thematic analysis using a combination of manual technique and MAXQDA software guided the analysis of the interview data. Results: Overall, the interviewees felt that the PBF scheme had provided positive motivation to improve the quality of care, mainly in the structures and process of care. The utilization of health services and the relationship between health practitioners and patients also improved. The salary top-ups were recognized as the most significant impetus to increase effort in improving the quality of care. The small and sometimes delayed financial incentives paid to physicians and nurses were criticized. The findings of this study also indicate that the positive interaction between performance-based incentive schemes and other health policies is crucial in achieving comprehensive improvement in healthcare delivery. Conclusions: PBF has the potential to motivate medical staff to improve healthcare provision. The views of medical staff and the context of the area of implementation have to be taken into consideration when designing and implementing PBF schemes. PMID:28452651

Mercury speciation and emissions from coal combustion in Guiyang, Southwest China.

PubMed

Tang, Shunlin; Feng, Xinbin; Qiu, Jianrong; Yin, Guoxun; Yang, Zaichan

2007-10-01

Although China has been regarded as one of the largest anthropogenic mercury emission source with coal combustion, so far the actual measurements of Hg species and Hg emissions from the combustion and the capture of Hg in Chinese emission control devices were very limited. Aiming at Hg mercury species measurements in Guiyang, the capital city of Guizhou province in Southwest China, we studied flue gases of medium-to-small-sized industrial steam coal-firing boiler (10-30 t/h) with no control devices, medium-to-small-sized industrial steam coal-firing boiler with WFGD and large-scale coal combustion with ESPs using Ontario Hytro method. We obtained mercury emission factors of the three representative coal combustion and estimated mercury emissions in Guiyang in 2003, as well as the whole province from 1986 to 2002. Coal combustion in Guiyang emitted 1898 kg mercury to the atmosphere, of which 36% Hg is released from power plants, 41% from industrial coal combustion, and 23% from domestic users, and 267 kg is Hg(p), 813 kg is Hg(2+) and 817 kg is Hg0. Mercury emission in Guizhou province increased sharply from 5.8 t in 1986 to 16.4 t in 2002. With the implementation of national economic strategy of China's Western Development, the annual mercury emission from coal combustion in the province is estimated to be about 32 t in 2015.

Overview of four prescription monitoring/review programs in Canada.

PubMed

Furlan, Andrea D; MacDougall, Peter; Pellerin, Denise; Shaw, Karen; Spitzig, Doug; Wilson, Galt; Wright, Janet

2014-01-01

Prescription monitoring or review programs collect information about prescription and dispensing of controlled substances for the purposes of monitoring, analysis and education. In Canada, it is the responsibility of the provincial institutions to organize, maintain and run such programs. To describe the characteristics of four provincial programs that have been in place for >6 years. The managers of the prescription monitoring⁄review programs of four provinces (British Columbia, Alberta, Saskatchewan and Nova Scotia) were invited to present at a symposium at the Canadian Pain Society in May 2012. In preparation for the symposium, one author collected and summarized the information. Three provinces have a mix of review and monitoring programs; the program in British Columbia is purely for review and education. All programs include controlled substances (narcotics, barbiturates and psychostimulants); however, other substances are differentially included among the programs: anabolic steroids are included in Saskatchewan and Nova Scotia; and cannabinoids are included in British Columbia and Nova Scotia. Access to the database is available to pharmacists in all provinces. Physicians need consent from patients in British Columbia, and only professionals registered with the program can access the database in Alberta. The definition of inappropriate prescribing and dispensing is not uniform. Double doctoring, double pharmacy and high-volume dispensing are considered to be red flags in all programs. There is variability among Canadian provinces in managing prescription monitoring⁄review programs.

A long-lived Late Cretaceous-early Eocene extensional province in Anatolia? Structural evidence from the Ivriz Detachment, southern central Turkey

NASA Astrophysics Data System (ADS)

Gürer, Derya; Plunder, Alexis; Kirst, Frederik; Corfu, Fernando; Schmid, Stefan M.; van Hinsbergen, Douwe J. J.

2018-01-01

Central Anatolia exposes previously buried and metamorphosed, continent-derived rocks - the Kırşehir and Afyon zones - now covering an area of ∼300 × 400 km. So far, the exhumation history of these rocks has been poorly constrained. We show for the first time that the major, >120 km long, top-NE 'Ivriz' Detachment controlled the exhumation of the HP/LT metamorphic Afyon Zone in southern Central Anatolia. We date its activity at between the latest Cretaceous and early Eocene times. Combined with previously documented isolated extensional detachments found in the Kırşehir Block, our results suggest that a major province governed by extensional exhumation was active throughout Central Anatolia between ∼80 and ∼48 Ma. Although similar in dimension to the Aegean extensional province to the east, the Central Anatolian extensional province is considerably older and was controlled by a different extension direction. From this, we infer that the African slab(s) that subducted below Anatolia must have rolled back relative to the Aegean slab since at least the latest Cretaceous, suggesting that these regions were underlain by a segmented slab. Whether or not these early segments already corresponded to the modern Aegean, Antalya, and Cyprus slab segments remains open for debate, but slab segmentation must have occurred much earlier than previously thought.

Marine Ostracod Provinciality in the Late Ordovician of Palaeocontinental Laurentia and Its Environmental and Geographical Expression

PubMed Central

Mohibullah, Mohibullah; Williams, Mark; Vandenbroucke, Thijs R. A.; Sabbe, Koen; Zalasiewicz, Jan A.

2012-01-01

Background We examine the environmental, climatic and geographical controls on tropical ostracod distribution in the marine Ordovician of North America. Methodology/Principal Findings Analysis of the inter-regional distribution patterns of Ordovician Laurentian ostracods, focussing particularly on the diverse Late Ordovician Sandbian (ca 461 to 456 Ma) faunas, demonstrates strong endemicity at the species-level. Local endemism is very pronounced, ranging from 25% (e.g. Foxe basin) to 75% (e.g. Michigan basin) in each basin, a pattern that is also reflected in other benthic faunas such as brachiopods. Multivariate (ordination) analyses of the ostracod faunas allow demarcation of a Midcontinent Province and a southern Marginal Province in Laurentia. While these are most clearly differentiated at the stratigraphical level of the bicornis graptolite biozone, analyses of the entire dataset suggest that these provinces remain distinct throughout the Sandbian interval. Differences in species composition between the provinces appear to have been controlled by changes in physical parameters (e.g. temperature and salinity) related to water depth and latitude and a possible regional geographic barrier, and these differences persist into the Katian and possibly the Hirnantian. Local environmental parameters, perhaps operating at the microhabitat scale, may have been significant in driving local speciation events from ancestor species in each region. Conclusions/Significance Our work establishes a refined methodology for assessing marine benthic arthropod micro-benthos provinciality for the Early Palaeozoic. PMID:22900000

Evaluation of ecosystem service based on scenario simulation of land use in Yunnan Province

NASA Astrophysics Data System (ADS)

Zhang, Hong; Liao, Xiaoli; Zhai, Tianlin

2018-04-01

Climate change and rapid urbanization are important factors restricting future land use. Situational analysis, as an important foundation for the optimization of land use, needs to focus on the impact of climate factors and socio-economic factors. In this paper, the Markov model and the DLS (Simulation of Land System Dynamics) model are combined for the first time, and the land use pattern in 2020 is simulated based on the data of land use in 2000 and 2010 as well as the climate, soil, topography and socio-economic factors of Yunnan Province. In his paper, we took Yunnan Province as the case study area, and selected 12 driving factors by logistic regression method, then the land use demands and layout of Yunnan Province in 2020 has been forecasted and simulated under business as usual (BAU) scenario and farmland protection (FP) scenario and the changes in ecosystem service value has been calculated. The result shows that: (1) after the regression analysis and ROC (Relative Operating Characteristics) test, the 12 factors selected in this paper have a strong ability to explain the land use change in Yunnan Province. (2) Under the two scenarios, the significant reduction of arable land area is a common feature of land use change in Yunnan Province in the future, and its main land use type will be construction land. However, under FP scenario, the current situation where construction land encroach on arable land will be improved. Compared with the change from 2000 to 2010, the trend of arable land, forest land, water area, construction land and unused land will be the same under the two scenarios, whereas the change trend of grassland was opposite. (3) From 2000 to 2020, the value of ecosystem services in Yunnan Province is on the rise, but the ecosystem service value under FP scenario is higher than that of the ecosystem services under BAU scenario. In general, land use in 2020 in Yunnan Province continues the pattern of 2010, but there are also significant spatial differences. Under the BAU scenario, the construction land is mainly in the south of Lijiang City and the northeastern part of Kunming. Under the FP scenario, the new construction land is concentrated near the Lashi dam in northern Yunnan Province, and the high-quality arable land in the valley will be better protected. The research results can provide reference for the optimization of land use pattern in Yunnan Province, and provide scientific basis for land use management and planning. Based on the value of ecosystem services, we should implement the policy of strict protection of arable land, both to ensure food supply and promote the healthy development of ecological environment.

Factors Affecting Herd Status for Bovine Tuberculosis in Dairy Cattle in Northern Thailand

PubMed Central

Singhla, Tawatchai; Punyapornwithaya, Veerasak; VanderWaal, Kimberly L.; Alvarez, Julio; Sreevatsan, Srinand; Phornwisetsirikun, Somphorn; Sankwan, Jamnong; Srijun, Mongkol; Wells, Scott J.

2017-01-01

The objective of this case-control study was to identify farm-level risk factors associated with bovine tuberculosis (bTB) in dairy cows in northern Thailand. Spatial analysis was performed to identify geographical clustering of case-farms located in Chiang Mai and Chiang Rai provinces in northern Thailand. To identify management factors affecting bTB status, a matched case-control study was conducted with 20 case-farms and 38 control-farms. Case-farms were dairy farms with at least single intradermal tuberculin test- (SIT-) reactor(s) in the farms during 2011 to 2015. Control-farms were dairy farms with no SIT-reactors in the same period and located within 5 km from case-farms. Questionnaires were administered for data collection with questions based on epidemiological plausibility and characteristics of the local livestock industry. Data were analyzed using multiple logistic regressions. A significant geographic cluster was identified only in Chiang Mai province (p < 0.05). The risk factor associated with presence of SIT-reactors in dairy herds located in this region was purchasing dairy cows from dealers (OR = 5.85, 95% CI = 1.66–20.58, and p = 0.006). From this study, it was concluded that geographic clustering was identified for dairy farms with SIT-reactors in these provinces, and the cattle movements through cattle dealers increased the risks for SIT-reactor farm status. PMID:28553557

Evaluating self-esteem modifications after a Life Skills Based Education (LSBE) intervention.

PubMed

Zangirolami, Francesca; Iemmi, Diego; Vighi, Valentina; Pellai, Alberto

2016-12-22

A satisfactory level of self-esteem has been recognized as crucial factor contributing to healthy lifestyle, especially among children and adolescents. We performed an analysis of the impact of Life-Skills Based Education (LSBE) in a cohort of pupils in a Primary School of Sondrio (Northern Italy) and we made a comparison with a control group in a Primary school of the same province where no intervention was performed. Changes in levels of self-esteem were assessed through Italian version of the Multidimensional Self-concept Test of Bruce Bracken - T.M.A. For research purpose we used four of the six scales of the Italian version of the Multidimensional Self-esteem Test - T.M.A. The questionnaire was handed out to a total of 318 pupils: 132 students had received a LSBE intervention and 186 hadn't received any intervention. Median and interquartile range are in the normal range, both for the intervention and control groups. The four subscales showed an improving trend from the beginning (T1) to the end (T2) of the school year, both for the intervention and control groups. Regarding the intervention group, we found statistically significant changes in the subscales of quality of interpersonal relationships (p=0.003) and emotional competencies (p=0.02); regarding the control group, we found statistically significant changes in all the subscales analyzed. Considering the variable "sex", we found a statistically significant improvement only for male students and for the subscale "quality of interpersonal relationships" (p=0.007). The population trend observed suggests an improvement in competencies and levels of self-esteem in the cohort subjected to a LSBE intervention. Data analysis revealed significant differences in the subscales of quality of interpersonal relationships and emotional competencies, suggesting that LSBE interventions have an higher impact on males than on females. A longer follow-up could be useful in order to provide more reliable and significant data about LSBE programs' real efficacy.

Yellow Fever Outbreak - Kongo Central Province, Democratic Republic of the Congo, August 2016.

PubMed

Otshudiema, John O; Ndakala, Nestor G; Mawanda, Elande-Taty K; Tshapenda, Gaston P; Kimfuta, Jacques M; Nsibu, Loupy-Régence N; Gueye, Abdou S; Dee, Jacob; Philen, Rossanne M; Giese, Coralie; Murrill, Christopher S; Arthur, Ray R; Kebela, Benoit I

2017-03-31

On April 23, 2016, the Democratic Republic of the Congo's (DRC's) Ministry of Health declared a yellow fever outbreak. As of May 24, 2016, approximately 90% of suspected yellow fever cases (n = 459) and deaths (45) were reported in a single province, Kongo Central Province, that borders Angola, where a large yellow fever outbreak had begun in December 2015. Two yellow fever mass vaccination campaigns were conducted in Kongo Central Province during May 25-June 7, 2016 and August 17-28, 2016. In June 2016, the DRC Ministry of Health requested assistance from CDC to control the outbreak. As of August 18, 2016, a total of 410 suspected yellow fever cases and 42 deaths were reported in Kongo Central Province. Thirty seven of the 393 specimens tested in the laboratory were confirmed as positive for yellow fever virus (local outbreak threshold is one laboratory-confirmed case of yellow fever). Although not well-documented for this outbreak, malaria, viral hepatitis, and typhoid fever are common differential diagnoses among suspected yellow fever cases in this region. Other possible diagnoses include Zika, West Nile, or dengue viruses; however, no laboratory-confirmed cases of these viruses were reported. Thirty five of the 37 cases of yellow fever were imported from Angola. Two-thirds of confirmed cases occurred in persons who crossed the DRC-Angola border at one market city on the DRC side, where ≤40,000 travelers cross the border each week on market day. Strategies to improve coordination between health surveillance and cross-border trade activities at land borders and to enhance laboratory and case-based surveillance and health border screening capacity are needed to prevent and control future yellow fever outbreaks.

Estimating the reproductive numbers for the 2008–2009 cholera outbreaks in Zimbabwe

PubMed Central

Mukandavire, Zindoga; Liao, Shu; Wang, Jin; Gaff, Holly; Smith, David L.; Morris, J. Glenn

2011-01-01

Cholera remains an important global cause of morbidity and mortality, capable of causing periodic epidemic disease. Beginning in August 2008, a major cholera epidemic occurred in Zimbabwe, with 98,585 reported cases and 4,287 deaths. The dynamics of such outbreaks, particularly in nonestuarine regions, are not well understood. We explored the utility of mathematical models in understanding transmission dynamics of cholera and in assessing the magnitude of interventions necessary to control epidemic disease. Weekly data on reported cholera cases were obtained from the Zimbabwe Ministry of Health and Child Welfare (MoHCW) for the period from November 13, 2008 to July 31, 2009. A mathematical model was formulated and fitted to cumulative cholera cases to estimate the basic reproductive numbers R0 and the partial reproductive numbers from all 10 provinces for the 2008–2009 Zimbabwe cholera epidemic. Estimated basic reproductive numbers were highly heterogeneous, ranging from a low value of just above unity to 2.72. Partial reproductive numbers were also highly heterogeneous, suggesting that the transmission routes varied by province; human-to-human transmission accounted for 41–95% of all transmission. Our models suggest that the underlying patterns of cholera transmission varied widely from province to province, with a corresponding variation in the amenability of outbreaks in different provinces to control measures such as immunization. These data underscore the heterogeneity of cholera transmission dynamics, potentially linked to differences in environment, socio-economic conditions, and cultural practices. The lack of traditional estuarine reservoirs combined with these estimates of R0 suggest that mass vaccination against cholera deployed strategically in Zimbabwe and surrounding regions could prevent future cholera epidemics and eventually eliminate cholera from the region. PMID:21518855

[Molecular typing of 12 Brucella strains isolated in Guizhou province in 2010-2013].

PubMed

Wang, Yue; Chen, Hong; Liu, Ying; Zhou, Jingzhu; Li, Shijun; Hang, Yan; Tang, Guangpeng; Wang, Dingming; Chen, Guichun

2015-09-01

To identify and characterize the Brucella strains from Guizhou province in 2010-2013. A total of 12 strains of Brucella suspicious bacteria were isolated in Guizhou province from 2010 to 2013. Four strains (GZLL3, GZLL4, GZLL11 and SH2) were isolated from goat blood samples and eight strains (SH4, GZZY, GZSQ, GZZA, BR13001, BR13004, BR13005 and BR13006) were isolated from blood samples of patient 12 Brucella suspicious strains were identified and characterized using conventional methods. Brucella genus specific gene BCSP31-based PCR (BCSP31-PCR) was used to identify the genus of Brucella and IS711 insert sequence-based PCR (AMOS-PCR) was applied to identify the species of Brucella strains. Goats and patients originated Brucella strains were comparatively analysed using Pulse-field Gel Electrophoresis (PFGE). Both of conventional methods and PCR identified the 12 Brucella suspicious strains as B. melitensis biotype 3. BCSP31-PCR identification results showed that a specific DNA bands (223 bp) were detected in all the 12 strains and positive control samples with no DNA band in negative samples. AMOS-PCR amplified a 731 bp-DNA bands in all the 12 strains, with 731 bp, 498 bp and 275 bp in M5, S2 and A19 strains, respectively, and no DNA band was detected in the negative control samples. PFGE analysis showed that 12 Brucella isolates from patients and goats showed consistent PFGE patterns with the digestion of restriction enzyme Xba I. The epidemic species/type of Brucella in both human and animal in Guizhou province was B. melitensis biotype 3 and goat was the main animal source of infection of brucellosis in Guizhou province.

The contribution of excise cigarette taxes on the decline in youth smoking in Canada during the time of the Federal Tobacco Control Strategy (2002-2012).

PubMed

Manivong, Phongsack; Harper, Sam; Strumpf, Erin

2017-06-16

To evaluate the impact of changes in cigarette taxes on smoking for youths aged 15-18 in Canada during the time of the Federal Tobacco Control Strategy (FTCS). We used a difference-in-differences framework and leveraged the variation in cigarette taxes across Canada and over time. We used regression models with province and year fixed effects, and individual-level and provincial-level covariates on 2002-2012 data from the Canadian Tobacco Use Monitoring Survey. Tax increases generally did not affect smoking outcomes. Each increase of CAD $1.00 (adjusted to year 2000 dollars) in excise cigarette taxes per package of 20 was associated with a 0.2 percentage point (95% CI: -1.8; 2.2) change in smoking prevalence, and a change of 0.3 in mean cigarettes smoked in the past week (95% CI: -1.2; 1.8). From 2002 to 2012, smoking prevalence and mean smoking frequency were in steady decline among youths in Canada. This decline, however, was evident even among provinces with stable or decreasing cigarette tax levels. Tobacco taxes have mostly increased since the 1980s, and so, tax levels were already quite high by the launch of the FTCS. Province fixed effects and common temporal changes accounted for 83.7% of the variation in smoking prevalence. We derived similar results for smoking frequency. The cumulative tax increase during our study period was at least $1.00 for only three provinces. Thus, our findings suggest that factors driving down tobacco use among youths in all provinces appear to outweigh any impact of small tax increases at already high tax levels.

The Epidemiology of African Swine Fever in “Nonendemic” Regions of Zambia (1989–2015): Implications for Disease Prevention and Control

PubMed Central

Lubaba, Caesar H.; Kajihara, Masahiro; Mataa, Liywalii; Chambaro, Herman Moses; Sinkala, Yona; Munjita, Samuel Munalula; Nalubamba, King Shimumbo; Samui, Kenny; Pandey, Girja Shanker; Takada, Ayato; Mweene, Aaron S.

2017-01-01

African swine fever (ASF) is a highly contagious and deadly viral hemorrhagic disease of swine. In Zambia, ASF was first reported in 1912 in Eastern Province and is currently believed to be endemic in that province only. Strict quarantine measures implemented at the Luangwa River Bridge, the only surface outlet from Eastern Province, appeared to be successful in restricting the disease. However, in 1989, an outbreak occurred for the first time outside the endemic province. Sporadic outbreaks have since occurred almost throughout the country. These events have brought into acute focus our limited understanding of the epidemiology of ASF in Zambia. Here, we review the epidemiology of the disease in areas considered nonendemic from 1989 to 2015. Comprehensive sequence analysis conducted on genetic data of ASF viruses (ASFVs) detected in domestic pigs revealed that p72 genotypes I, II, VIII and XIV have been involved in causing ASF outbreaks in swine during the study period. With the exception of the 1989 outbreak, we found no concrete evidence of dissemination of ASFVs from Eastern Province to other parts of the country. Our analyses revealed a complex epidemiology of the disease with a possibility of sylvatic cycle involvement. Trade and/or movement of pigs and their products, both within and across international borders, appear to have been the major factor in ASFV dissemination. Since ASFVs with the potential to cause countrywide and possibly regional outbreaks, could emerge from “nonendemic regions”, the current ASF control policy in Zambia requires a dramatic shift to ensure a more sustainable pig industry. PMID:28832525

Study on a pattern classification method of soil quality based on simplified learning sample dataset

USGS Publications Warehouse

Zhang, Jiahua; Liu, S.; Hu, Y.; Tian, Y.

2011-01-01

Based on the massive soil information in current soil quality grade evaluation, this paper constructed an intelligent classification approach of soil quality grade depending on classical sampling techniques and disordered multiclassification Logistic regression model. As a case study to determine the learning sample capacity under certain confidence level and estimation accuracy, and use c-means algorithm to automatically extract the simplified learning sample dataset from the cultivated soil quality grade evaluation database for the study area, Long chuan county in Guangdong province, a disordered Logistic classifier model was then built and the calculation analysis steps of soil quality grade intelligent classification were given. The result indicated that the soil quality grade can be effectively learned and predicted by the extracted simplified dataset through this method, which changed the traditional method for soil quality grade evaluation. ?? 2011 IEEE.

Industrial wind turbine post-construction bird and bat monitoring: A policy framework for Canada.

PubMed

Parisé, Jason; Walker, Tony R

2017-10-01

Electricity generation from wind energy has proliferated throughout North America and will continue to grow. Given Canada's expected increase in wind energy capacity, consideration of the potential adverse impacts to bird and bat populations is prudent given their sensitivity to these projects. The province of Ontario, Canada is currently the leading jurisdiction for wind energy development, and for provincial guidance on pre- and post-construction monitoring. With uniform monitoring guidance in Ontario, wind energy proponents, and third-party consultants, have developed post-construction monitoring protocols that meet provincial guidance, while also providing standardized reporting. In Atlantic Canada, post-construction guidelines vary between provinces, depending mostly on guidance from the Environment Canada Canadian Wildlife Service and relevant provincial agencies. To ensure quality post-construction monitoring results in Atlantic Canada and other provinces, it is imperative that all Canadian provinces adopt similar approaches to those employed in Ontario. This paper reviews major causes of bird and bat mortalities; reviews Canadian federal and Ontario provincial bird and bat monitoring guidelines to elucidate gaps between environmental assessment (EA) theory and application; summarizes post-construction monitoring protocols from eight bird and bat post-construction monitoring programs used in Ontario; and, proposes recommendations to support future wind development opportunities across Canada and specifically in Atlantic Canada. Copyright © 2017 Elsevier Ltd. All rights reserved.

Laboratory medicine in Ontario: its downsizing and the consequences on quality.

PubMed

Richardson, H

1999-12-01

Health care in Ontario consumes 35% of provincial government annual revenues. Fiscal constraint mandates restructuring of health services to maintain a fully, publicly-funded universally-accessible health system that is patient-focussed and health-outcome driven. Acute-care hospital restructuring under the authority of the Health Services Restructuring Commission and primary health-care reform characterise present government initiatives. Laboratory medicine services at about Can $1 billion annually account for about 5% of health expenditure. A Laboratory Services Restructuring Secretariat created by the Ministry of Health in 1995 has planned regionally-based integrated laboratory services systems bringing together public and private providers, designed a province-wide laboratory information system, developed a quality management program, reviewed the human resource needs for laboratory physicians, scientists and technologists, and recommended that the legislation be rewritten so as to be enabling - not controlling. Meanwhile both hospital and private laboratories have closed, leaving 296 in 1998 compared to 394 in 1991. Laboratory physician numbers at 39 per million population falls far short of the recommended target of 52 and many are within 10 years of retirement. Renewal of laboratory physicians and scientists to meet the shortfall is not occurring. The numbers of registered laboratory technologists has fallen by 6. 8% over 2 years. Consolidation and downsizing of laboratories with the formation of core laboratories has resulted in multi-discipline and cross discipline tasking of specialist technologists. Senior and middle level management technologists have been declared redundant. As a consequence, quality control practices have been hard hit. Plans to address these deficiencies through regional integration and sharing of resources remain to be implemented.

[Current situation of scientific research capacity of schistosomiasis control institutions of municipal cities in Hubei Province].

PubMed

Ying, Zhao-yu; Tan, Xiao-dong; Huang, Ya-dong; Jiang, Bao-jie

2014-08-01

To evaluate the levels of the Chinese literature published by the schistosomiasis control institutions of 17 municipal cities of Hubei Province. The related literature published from 2008 to 2012 was searched from the databases of CNKI, VIP and Wanfang and then screened by the exclusion criteria. NoteExpress and Excel softwares were applied to collect the literature and carry out the bibliometric analysis. A total of 168 papers were included and the schistosomiasis control institutes of Jingzhou City and Wuhan City had the highest amount. The literature was mainly published in Chinese Journal of Schistosomiasis Control and Journal of Public Health and Preventive Medicine. The comprehensive influence indexes of the schistosomiasis control institutes of Jingzhou, Wuhan and Qianjiang cities were higher. The schistosomiasis control institutes of Jingzhou City had an extensive content of literature while Wuhan was mainly focused on epidemiology, case report and Oncomelania hupensis snail control. The research of schistosomiasis in each municipal city has an extensive content and the research capacity of the schistosomiasis control institute of Jingzhou City is relatively outstanding.

Financial analysis of East Coast fever control strategies in traditionally managed Sanga cattle in Central Province of Zambia.

PubMed

Minjauw, B; Rushton, J; James, A D; Upton, M

1999-01-01

Five different East Coast fever (ECF)-control strategies (involving ECF immunisation by the infection-and-treatment method) were tested in groups of traditionally managed Sanga cattle in the Central Province of Zambia over a period of 2.5 years. Two groups were under intensive tick control (weekly spraying with acaricide)--one group immunised and the other non-immunised. Two groups were under no tick control--one group immunised and the other non-immunised. The fifth group was under seasonal tick control (18 sprays/year) and was immunised against ECF. The input and output data were used to construct discounted cash flows for each group. The seasonally sprayed and immunised group gave the highest net present value, and the non-immunised group with no tick control, the lowest. A break-even analysis showed that the immunisation costs could rise to US$25.9 per animal before profitability was affected. For herds under intensive tick control, immunisation was of no financial benefit. The results demonstrate the value of immunisation, and indicate the importance of its combination with seasonal tick-control measures.

National and sub-national drinking water fluoride concentrations and prevalence of fluorosis and of decayed, missed, and filled teeth in Iran from 1990 to 2015: a systematic review.

PubMed

Taghipour, Nader; Amini, Heresh; Mosaferi, Mohammad; Yunesian, Masud; Pourakbar, Mojtaba; Taghipour, Hassan

2016-03-01

Fluoride intake, fluorosis, and dental caries could affect quality of life and disease burden worldwide. As a part of the National and Sub-national Burden of Disease Study (NASBOD) in Iran, we conducted a systematic review to evaluate province-year-specific mean drinking water fluoride concentrations and prevalence of fluorosis and of decayed, missed, and filled teeth (DMFT) in Iran from 1990 to December 2015. We did electronic searches of all English and Persian publications on PubMed, ScienceDirect, Google Scholar, and Iranian databases. Results revealed that the weighted mean drinking water fluoride concentration in Iran from 1990 to 2015 has been about 0.65 ± 0.38 mg/l. However, based on the WHO guideline value (1.50 mg/l) and the maximum permissible Iranian national fluoride standard (1.40 to 2.40 mg/l depending on the region's climate), there have been some regions in Iran with non-optimum fluoride concentrations in their drinking water (up to 7.0 mg/l). Overall, concentrations have been higher in southern parts of Iran and in some areas of Azerbaijan-e-Gharbi Province in the northwest and lower in the rest of the northwest and central parts of Iran. In addition, some hotspots have been found in Bushehr Province, southwest of Iran. The highest prevalence of dental flourosis has been reported in normal index while the lowest prevalence has been expressed in severe index. The lowest DMFT (about 0.1) was in Arsanjan City in Fars Province, and the highest (about 6.7) was for Najaf Abad City in Isfahan Province. Prevalence of fluorosis has been rather high in studied areas of Iran (e.g. 100 % in Maku City in Azarbaijan-e-Gharbi Province), and there was discrepancy for DMFT, but a lack of studies renders the results inconclusive. Further studies, health education and promotion plans, and evidence-based nutrition programs are recommended.

[Relationship between changes of herbaceous plants and Oncomelania hupensis snail distribution under walnut forest of inhibition of snails in mountainous regions of Yunnan Province].

PubMed

Zhang, Chun-Hua; Liu, Fang-Yan; Liu, Guang-Fu; Sun, Yong-Yu; Tang, Guo-Yong; Li, Kun

2013-12-01

To explore the relationship between the changes of herbaceous plants and Oncomelania hupensis snail distribution under the walnut forest of inhibition of snails in mountainous regions of Yunnan Province. The experimental field was established at Sanying Village of Eryuan County, Yunnan Province, where the "Flourishing Forest and Controlling Snails Project" was implemented. The different stand ages (2, 4, 6, 8, 10 years)of walnut forest in experimental groups were selected based on the method of space replacing time, and the non-stocked land was served as a control group. The growth of forest, change of snails, number, biomass, overcast, height of the herbaceous plant and the soil moisture were investigated. The crown closure of 6-year-old walnut forest of inhibition of snails was 0.65. There were 11 species of herbaceous plant belonging to 11 genera, 6 families in 10-year-old forest and its crown closure was 0.77. Compared with the control group, the numbers of families, genera, and species of the 10-year-old forest were decreased by 64.71%, 69.44%, and 77.08%, and the biomass, overcast, and height of it decreased by 12.63%, 19%, and 22.18%, respectively. The soil moisture content (0-20 cm) monthly changes were increased obviously with the increase of stand age. There were no snails besides the control group and 2-year-old walnut forest. Compare with the control group, the occurrence rate of frames with living snails in the 2-year-old walnut forest was decreased by 50%, which was 1.25%. The density of living snails was decreased by 60.16%. The construction of walnut forest of inhibition of snails in mountainous regions of Yunnan Province are suitable for controlling the growth of herbaceous plants and altering the environment of snails. If the coalescence intercropped with crops is carried out, it is not only beneficial to the construction of good ecological environment, but also improves the utilization efficiencies of land, light, and thermal resource, and the income of peasants.

An outbreak of East Coast fever in a herd of Sanga cattle in Lutale, Central Province of Zambia.

PubMed

Minjauw, B; Otte, M J; James, A D; de Castro, J J; Permin, A; Di Giulo, G

1998-05-01

An outbreak of East Coast fever (ECF) occurred in an experimental herd of Sanga cattle maintained under a traditional rangeland grazing system at Lutale, Central Province of Zambia. Two groups of cattle had been kept under different tick-control regimens for several years prior to the introduction of the disease and epidemiological information on the outbreak were recorded. Weekly tick control was no sufficient to achieve full protection against Theileria parva infection. Systematic body temperature monitoring seems to be a good method for early detection of infection resulting in an important reduction of the case fatality rate after treatment with anti-theilerial drugs.

Water-quality data for selected North Carolina streams and reservoirs in the Triangle Area Water Supply Monitoring Project, 1988-92

USGS Publications Warehouse

Garrett, Ronald G.; Taylor, John E.; Middleton, Terry L.

1994-01-01

The Triangle Area Water Supply Monitoring Project was developed to assess regional water-quality characteristics in drinking-water supplies and to provide a basis for determining trends in water quality for the Research Triangle area, which is one of the fastest growing areas in North Carolina. The study area is in the upper Neuse River Basin and the upper Cape Fear River Basin in the north-central Piedmont Province of the State. Hydrologic data were collected at 21 reservoir sites and 30 stream sites from October 1988 through September 1992 to define water-quality characteristics. The data collected at these sites include streamflow data and approximately 275 physical properties and chemical characteristics of surface water.

Assessment on the ownership and use of mosquito nets in Mozambique

PubMed Central

Arroz, Jorge Alexandre Harrison; Chirrute, Francisco; Mendis, Chandana; e, Marta Honesta Chande; Kollhoff, Veronique

2016-01-01

ABSTRACT OBJECTIVE To assess the ownership and use of mosquito nets in 2014, in Mozambique. METHODS This observational and cross-sectional study assessed, in February and March 2015, 69 districts (nine of 11 provinces of Mozambique) that have benefited from the mass distribution of mosquito nets. The Lot Quality Assurance Sampling methodology was used. Each locality was denominated supervision area. The Lot Quality Assurance Sampling opts for a minimum of 19 households (in this case, we decided for a minimum of 100 households per district) from each supervision area to assess an indicator (in this case, two indicators were assessed: ownership and use of mosquito nets). Two questions guided the research: a) received a mosquito net; b) used a mosquito net the night before. RESULTS A total of 6,725 households were assessed. Eighty three percent of them had received mosquito nets in the campaign. Of the 6,232 respondents, 82.0% said they used mosquito nets the night before. The districts of the provinces with low coverage of ownership and use were Tete (69.5% and 60.0%, respectively), Zambezia (79.0% and 60.0%, respectively), and Gaza (81.6% and 70.7%, respectively). The largest coverage of ownership and use were observed in the districts of Nampula (96.7% and 93.8%, respectively) and Niassa (86.0% and 85.4% respectively). CONCLUSIONS In the districts assessed, the progression of ownership and use of mosquito nets is satisfactory. Nampula and Niassa are the only provinces where ownership and use are at desired levels. PMID:28099655

Electroconvulsive Therapy Practice in the Province of Quebec: Linked Health Administrative Data Study from 1996 to 2013.

PubMed

Lemasson, Morgane; Haesebaert, Julie; Rochette, Louis; Pelletier, Eric; Lesage, Alain; Patry, Simon

2017-01-01

As part of a quality improvement process, we propose a model of routinely monitoring electroconvulsive therapy (ECT) in Canadian provinces using linked health administrative databases to generate provincial periodic reports, influence policy, and standardise ECT practices. ECT practice in Quebec was studied from 1996 to 2013, using longitudinal data from the Quebec Integrated Chronic Disease Surveillance System of the Institut National de Santé Publique du Québec, which links 5 health administrative databases. The population included all persons, aged 18 y and over, eligible for the health insurance registry, who received an ECT treatment at least once during the year. Among recorded cases, 75% were identified by physician claims and hospitalisation files, 19% exclusively by physician claims, and 6% by hospitalisation files. From 1996 to 2013, 8,149 persons in Quebec received ECT with an annual prevalence rate of 13 per 100,000. A decline was observed, which was more pronounced in women and in older persons. On average, each patient received 9.7 treatments of ECT annually. The proportion of acute ECT decreased whereas maintenance treatment proportions increased. A wide variation in the use of ECT was observed among regions and psychiatrists. This study demonstrates the profitable use of administrative data to monitor ECT use in Quebec, and provides a reliable method that could be replicated in other Canadian provinces. Although Quebec has one of the lowest utilisation rates reported in industrialized countries, regional disparities highlighted the need for a deeper examination of the quality and monitoring of ECT care and services.

Preliminary hydrogeologic assessment and study plan for a regional ground-water resource investigation of the Blue Ridge and Piedmont provinces of North Carolina

USGS Publications Warehouse

Daniel, Charles C.; Dahlen, Paul R.

2002-01-01

Prolonged drought, allocation of surface-water flow, and increased demands on ground-water supplies resulting from population growth are focuses for the need to evaluate ground-water resources in the Blue Ridge and Piedmont Provinces of North Carolina. Urbanization and certain aspects of agricultural production also have caused increased concerns about protecting the quality of ground water in this region.More than 75 percent of the State's population resides in the Blue Ridge and Piedmont Provinces in an area that covers 30,544 square miles and 65 counties. Between 1940 and 2000, the population in the Piedmont and Blue Ridge Provinces increased from 2.66 to 6.11 million; most of this increase occurred in the Piedmont. Of the total population, an estimated 1.97 million people, or 32.3 percent (based on the 1990 census), relied on ground water for a variety of uses, including commercial, industrial, and most importantly, potable supplies.Ground water in the Blue Ridge and Piedmont traditionally has not been considered as a source for large supplies, primarily because of readily available and seemingly limitless surface-water supplies, and the perception that ground water in the Blue Ridge and Piedmont Provinces occurs in a complex, generally heterogeneous geologic environment. Some reluctance to use ground water for large supplies derives from the reputation of aquifers in these provinces for producing low yields to wells, and the few high-yield wells that are drilled seem to be scattered in areas distant from where they are needed. Because the aquifers in these provinces are shallow, they also are susceptible to contamination by activities on the land surface.In response to these issues, the North Carolina Legislature supported the creation of a Resource Evaluation Program to ensure the long-term availability, sustainability, and quality of ground water in the State. As part of the Resource Evaluation Program, the North Carolina Division of Water Quality, Groundwater Section, in cooperation with the U.S. Geological Survey, initiated a multiyear study of ground water in the Blue Ridge and Piedmont Provinces. The study began in 1999.Most of the study area is underlain by a complex, two-part, regolith-fractured crystalline rock aquifer system. Thickness of the regolith throughout the study area is highly variable and ranges from 0 to more than 150 feet. The regolith consists of an unconsolidated or semiconsolidated mixture of clay and fragmental material ranging in grain size from silt to boulders. Because porosities range from 35 to 55 percent, the regolith provides the bulk of the water storage within the Blue Ridge and Piedmont ground-water system. At the base of the regolith is the transition zone where saprolite grades into unweathered bedrock. The transition zone has been identified as a potential conduit for rapid ground-water flow. If this is the case, the transition zone also may serve as a conduit for rapid movement of contaminants to nearby wells or to streams with channels that cut into 1 U.S. Geological Survey, Raleigh, North Carolina. 2 North Carolina Department of Environment and Natural Resources, Division of Water Quality, Groundwater Section. or through the transition zone. How rapidly a contaminant moves through the system largely may be a function of the characteristics of the transition zone. The transition zone is one of several topics identified during the literature review and data synthesis, for which there is a deficiency in data and understanding of the processes involved in the movement of ground water to surface water.Because the Blue Ridge and Piedmont study area is so large, and the hydrogeology diverse, it is not feasible to study all of the area in detail. A more feasible approach is to select areas that are most representative of the land use, geology, and hydrology to obtain an understanding of the hydrologic processes in the selected areas, and transfer the knowledge from these local "type areas" to similar regional hydrogeologic areas.For the purpose of this study, the term "type area" applies to a 10- to 100-square mile area within a hydrogeologic terrane where information is sufficient to develop and test a concept of ground-water flow by using analytical or numerical methods that can be validated by field measurements. Ideally, these type areas are selected to be representative of the flow system that is present wherever a particular hydrogeologic terrane is present.This report consists of two basic parts. The first part describes the results of a comprehensive review and synthesis of information and literature that provides the basic background for the study. This includes current (2002) knowledge regarding general geology and the hydrogeologic framework of the fractured-rock aquifer system that underlies the Blue Ridge and Piedmont Provinces. In spite of the quantity of information identified during the literature review and the amount of past work that has been documented, there are still research needs to be met.The second part of the report describes State ground-water issues and problems, available data, and data deficiencies. It also describes the design and implementation of efforts to characterize ground-water quality and to quantify factors that influence the movement and availability of ground water in the hydrogeologic terranes characterized by (1) massive or foliated crystalline rocks overlain by thick regolith and (2) massive or foliated crystalline rocks overlain by thin regolith.As of September 2001, seven sites had been identified as potential study sites to be used to characterize the hydrogeology and water quality of ype areas considered representative of the larger terranes. Detailed geologic mapping, core drilling, well installation, and surface and borehole geophysical surveys are in progress at four of the sites.

Emission Controls Versus Meteorological Conditions in Determining Aerosol Concentrations in Beijing during the 2008 Olympic Games

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gao, Yi; Liu, Xiaohong; Zhao, Chun

A series of emission control measures were undertaken in Beijing and the adjacent provinces in China during the 2008 Beijing Olympic Games on August 8th-24th, 2008. This provides a unique opportunity for investigating the effectiveness of emission controls on air pollution in Beijing. We conducted a series of numerical experiments over East Asia for the period of July to September 2008 using a coupled meteorology-chemistry model (WRF-Chem). Model can generally reproduce the observed variation of aerosol concentrations. Consistent with observations, modeled concentrations of aerosol species (sulfate, nitrate, ammonium, black carbon, organic carbon, total particulate matter) in Beijing were decreased bymore » 30-50% during the Olympic period compared to the other periods in July and August in 2008 and the same period in 2007. Model results indicate that emission controls were effective in reducing the aerosol concentrations by comparing simulations with and without emission controls. However, our analysis suggests that meteorological conditions (e.g., wind direction and precipitation) are at least as important as emission controls in producing the low aerosol concentrations appearing during the Olympic period. Transport from the regions surrounding Beijing determines the temporal variation of aerosol concentrations in Beijing. Based on the budget analysis, we suggest that emission control strategy should focus on the regional scale instead of the local scale to improve the air quality over Beijing.« less

31 CFR 575.329 - Areas of Iraq not controlled by the Government of Iraq.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the “Green Line” and under the control of the Kurdistan Democratic Party (KDP) or the Patriotic Union of Kurdistan (PUK) in the following provinces of Iraq: Dahuk (Dohuk), Arbil (Erbil), and Sulaymaniyah...

National post-market surveillance assessment of veterinary medicines in Korea during the past decade.

PubMed

Kang, JeongWoo; Park, Hae-Chul; Jang, Yang Ho; Hossain, Md Akil; Jeong, Kyunghun; Jeong, Mi Young; Yun, Seon-Jong; Park, Sung-Won; Kim, Dae Gyun; Lee, Kwang-Jick

2017-05-22

Veterinary medicines have been widely used for the prevention and treatment of diseases, growth promotion, and to promote feeding efficacy in livestock. As the veterinary medicine industry has steadily grown, it is crucial to set up a baseline for the quality of medicine as well as the insufficiency or excessiveness of the active ingredients in drug products to ensure the compliance, safety and efficacy of these medicines. Thus, the 10 years data of post-marketing quality control study was summarized to determine the rate and extent of non-compliance of these medicines and to establish baseline data for future quality control measures of veterinary medicine. In this study, 1650 drugs for veterinary use were collected per year from each city and province in Korea and analysed for the quantity of active ingredients according to the "national post-market surveillance (NPMS) system" over the past decade. The NPMS assessment was performed using liquid and gas chromatography, titration, UV/Vis spectrophotometry, and bioassays. A total of 358 cases were deemed noncompliant, with the average noncompliance rate for all medicine types being 2.0%. The average noncompliance rates for antibiotics, biologics and other chemical drugs except antibiotics (OCD) were 1.1%, 1.2%, and 3.0%, respectively. The first leading cause for noncompliant products was insufficient quantity of major ingredients (283 cases), and the second leading cause was the existence of excess amount of active ingredients (60 cases). Tylosin, spiramycin, ampicillin, tetracyclines and penicillins were most frequently found to be noncompliant among antibiotics. Among the OCD, the noncompliance was found commonly in vitamin A. The overall trend presented gradually decreasing violation rates, suggesting that the quality of veterinary medicines has improved. Consistent application of the NPMS assessment and the establishment of the Korea Veterinary Good Manufacturing Practice (KVGMP) will help to maintain the good quality of medicine.

Using lot quality-assurance sampling and area sampling to identify priority areas for trachoma control: Viet Nam.

PubMed Central

Myatt, Mark; Mai, Nguyen Phuong; Quynh, Nguyen Quang; Nga, Nguyen Huy; Tai, Ha Huy; Long, Nguyen Hung; Minh, Tran Hung; Limburg, Hans

2005-01-01

OBJECTIVE: To report on the use of lot quality-assurance sampling (LQAS) surveys undertaken within an area-sampling framework to identify priority areas for intervention with trachoma control activities in Viet Nam. METHODS: The LQAS survey method for the rapid assessment of the prevalence of active trachoma was adapted for use in Viet Nam with the aim of classifying individual communes by the prevalence of active trachoma among children in primary school. School-based sampling was used; school sites to be sampled were selected using an area-sampling approach. A total of 719 communes in 41 districts in 18 provinces were surveyed. FINDINGS: Survey staff found the LQAS survey method both simple and rapid to use after initial problems with area-sampling methods were identified and remedied. The method yielded a finer spatial resolution of prevalence than had been previously achieved in Viet Nam using semiquantitative rapid assessment surveys and multistage cluster-sampled surveys. CONCLUSION: When used with area-sampling techniques, the LQAS survey method has the potential to form the basis of survey instruments that can be used to efficiently target resources for interventions against active trachoma. With additional work, such methods could provide a generally applicable tool for effective programme planning and for the certification of the elimination of trachoma as a blinding disease. PMID:16283052

An Environmental Management Model of Thermal Waters in Entre Ríos Province, Argentina

NASA Astrophysics Data System (ADS)

Pablo, Mársico Daniel; Luís, Díaz Eduardo; Ivana, Zecca; Oscar, Dallacosta; Antonio, Paz-González

2015-04-01

Deep exploratory drillings, i.e. those with more than 500 meters depth, have been performed in the Entre Ríos province, Argentina, in order to ascertain the presence of thermal water. Drilling began in 1994, and until now there have been 18 polls with very variable results in terms of mineralization, resource flow, and temperature. The aim of this study was to present a management model, which should allow operators of thermal complexes to further develop procedures for safeguarding the biodiversity of the ecosystems involved, both during exploration and exploitation activities. The environmental management Plan proposed is constituted by a set of technical procedures that are formulated and should be performed during the stages of exploration and exploitation of the resource, and consists of: environmental monitoring, environmental audit, public information and contingency programs. This Plan describes the measures and proposals aimed at protecting environmental quality in the area of influence of a thermal complex project, ensuring that its execution remains environmentally responsibly, and allowing implementation of specific actions to prevent or correct environmental impacts, as predicted in the evaluation of the Environmental Program. The audit of environmental impact includes and takes into account natural factors, such as water, soil, atmosphere, flora and fauna, and also cultural factors. The technical audit Plan was prepared in order to get a systematic structure and organization of the verification process, and also with regard to document the degree of implementation of the proposed mitigation measures. Finally, an environmental contingency program was implemented, and its objective was to consider the safeguarding of life and its natural environment. Thus, a guide has been developed with the main actions to be taken on a contingency, since forecast increases the efficiency of the response. The methodology developed here was adopted as the procedure required by the authority for the application and regulation of the hydro-geo-thermal resources of the province of Entre Ríos, and it is also useful for the control and protection of the resource.

Studying of Forests Potentials for Introducing of Mediterranean Industrial Woody Species to Desertification Combating

NASA Astrophysics Data System (ADS)

Mahdavi Najafabadi, R.; Khajeddin, S. J.; Sofyanian, A. R.; Karimzadeh, H. R.; Rezaei, M.

2009-04-01

Most of arid and semiarid parts of the world suffer from great lack of forest land. Therefore taking a good care of these forest lands quantity and quality and control of renewable natural resources is very important. Zagroass forests are located in semiarid parts of Iran. The main purpose of this research is to determine the potential habitat of forest olive for Chaharmahal va Bakhtiary using GIS. This province has a total area of 1653300 hectars. The main steps of this project are as follows: collecting data and maps, digitizing topographic maps with scale of 1:25000, and developing maps of slope, elevation levels, aspect, climatic classification. Regretion analysis was performed on the climatic data and the gradian equations were developed with a high R2 value. Using these equations the following maps were developed. For the whole province: isothermal, isoheytal, abs. max isothermal, relative humidity relative humidity of dry months. Soil maps were also digitized and the information system suitable for this study was developed. Using this bank the following layers were made: land units, soil depth, two soil textures, EC, pH, CaCo3. The following layers were made using digitized data, land use hydraulic network, lake and marsh land. Considering ecological needs of olive and extracting them from all diferent layers using boolean method. The layers showing suitable locations for planting olive(olea europea) was made. One of these maps includes all types of soils suitable for planting olive and the other excludes silty clay loam soils which are not so suitable. The total area achived was 9500 hectars in the whole province and the area excluding silty clay loam soils was determined to be 900 hectars. Using RS information and GIS technology in these types of projects can increase accuracy specialy including some more layers is recommended.

Stress state of rock mass under open pit mining in the influence zone of tectonic disturbances (in terms of the Oktorkoi Fault, North Tien Shan)

NASA Astrophysics Data System (ADS)

Kozhogulov, KCh; Nikolskaya, OV; Rybin, AK; Kuzikov, SI

2018-03-01

The qualitative connection between the crack growth direction and the orientation of the main axes of horizontal deformations in rocks mass in the area of the Boordin gold ore province is revealed. The effect of the rock mass quality (RQD) and contact conditions of crack surfaces on the stability index of pit wall rock mass is evaluated, and the influence of the rock mass quality index on the pit wall stability is determined.

Regional Tectonic Control of Tertiary Mineralization and Recent Faulting in the Southern Basin-Range Province, an Application of ERTS-1 Data

NASA Technical Reports Server (NTRS)

Bechtold, I. C.; Liggett, M. A.; Childs, J. F.

1973-01-01

Research based on ERTS-1 MSS imagery and field work in the southern Basin-Range Province of California, Nevada and Arizona has shown regional tectonic control of volcanism, plutonism, mineralization and faulting. This paper covers an area centered on the Colorado River between 34 15' N and 36 45' N. During the mid-Tertiary, the area was the site of plutonism and genetically related volcanism fed by fissure systems now exposed as dike swarms. Dikes, elongate plutons, and coeval normal faults trend generally northward and are believed to have resulted from east-west crustal extension. In the extensional province, gold silver mineralization is closely related to Tertiary igneous activity. Similarities in ore, structural setting, and rock types define a metallogenic district of high potential for exploration. The ERTS imagery also provides a basis for regional inventory of small faults which cut alluvium. This capability for efficient regional surveys of Recent faulting should be considered in land use planning, geologic hazards study, civil engineering and hydrology.

Could Malaria Control Programmes be Timed to Coincide with Onset of Rainfall?

PubMed

Komen, Kibii

2017-06-01

Malaria cases in South Africa's Northern Province of Limpopo have surpassed known endemic KwaZulu Natal and Mpumalanga Provinces. This paper applies statistical methods: regression analysis and impulse response function to understand the timing of impact and the length that such impacts last. Climate data (rainfall and temperature) are obtained from South African Weather Services (SAWs); global data from the European Centre for Medium-Range Weather Forecasts (ECMWF), while clinical malaria data came from Malaria Control Centre in Tzaneen (Limpopo Province). Data collected span from January 1998 to July 2007. Signs of the coefficients are positive for rainfall and temperature and negative for their exponents. Three out of five independent variables consistently maintain a very high statistical level of significance. The coefficients for climate variables describe an inverted u-shape: parameters for the exponents of rainfall (-0.02, -0.01, -0.02, -0.00) and temperature (-46.61, -47.46, -48.14, -36.04) are both negative. A one standard deviation rise in rainfall (rainfall onset) increases malaria cases, and the effects become sustained for at least 3 months and conclude that onset of rainfall therefore triggers a 'malaria season'. Malaria control programme and early warning system should be intensified in the first 3 months following the onset of rainfall.

Emissions inventory and scenario analyses of air pollutants in Guangdong Province, China

NASA Astrophysics Data System (ADS)

Chen, Hui; Meng, Jing

2017-03-01

Air pollution, causing significantly adverse health impacts and severe environmental problems, has raised great concerns in China in the past few decades. Guangdong Province faces major challenges to address the regional air pollution problem due to the lack of an emissions inventory. To fill this gap, an emissions inventory of primary fine particles (PM2.5) is compiled for the year 2012, and the key precursors (sulfur dioxide, nitrogen oxides) are identified. Furthermore, policy packages are simulated during the period of 2012‒2030 to investigate the potential mitigation effect. The results show that in 2012, SO2, NO x , and PM2.5 emissions in Guangdong Province were as high as (951.7, 1363.6, and 294.9) kt, respectively. Industrial production processes are the largest source of SO2 and PM2.5 emissions, and transport is the top contributor of NO x emissions. Both the baseline scenario and policy scenario are constructed based on projected energy growth and policy designs. Under the baseline scenario, SO2, NO x , and PM2.5 emissions will almost double in 2030 without proper emissions control policies. The suggested policies are categorized into end-of- pipe control in power plants (ECP), end-of-pipe control in industrial processes (ECI), fuel improvement (FI), energy efficiency improvement (EEI), substitution-pattern development (SPD), and energy saving options (ESO). With the implementation of all these policies, SO2, NO x , and PM2.5 emissions are projected to drop to (303.1, 585.4, and 102.4) kt, respectively, in 2030. This inventory and simulated results will provide deeper insights for policy makers to understand the present situation and the evolution of key emissions in Guangdong Province.

Large urban-rural disparity in the severity of two-week illness: updated results based on the first health service survey of Hunan Province, China.

PubMed

Tian, Danping; Sun, Li; Zhang, Lingling; Zhang, Lin; Zhang, Wei; Li, Li; Deng, Xin; Ning, Peishan; Cheng, Xunjie; Deng, Jing; Hu, Guoqing

2016-02-29

To examine urban-rural differences in the severity of non-fatal disease and injury using the latest household interview survey data of Hunan Province, China. Two-week illness data were from the first provincial health household interview survey of Hunan in 2013. The proportion of patients being bedridden, the average days of being bedridden and the average off-work days were calculated to measure the severity of two-week illness. Rao-Scott-adjusted chi-square test was performed to examine the significance of two-week illness severity differences from demographic variables. Multiple logistic regression and linear regression were used to control for sex, age and household income. The two-week illness prevalence was 22.8 % in Hunan province. Despite similar two-week ill prevalence rates between urban areas and rural areas (23.0 % vs. 22.8 %), rural residents had higher proportions of being bedridden and of being off work than urban residents after controlling for sex, age and household income, with adjusted odds ratios of 3.4 and 6.9, respectively. Similarly, the average days of being bedridden and of being off work in rural residents were 0.45 days and 1.61 days longer than in urban residents after controlling for demographic variables, respectively. The recent data shows that two-week illness in rural residents is more serious than urban residents in Hunan Province, China in spite of very similar two-week prevalence rates. The neglected urban-rural disparities in the severity of two-week illness deserve the attention of health policy-makers and researchers.

Analytical fingerprint for tantalum ores from African deposits

NASA Astrophysics Data System (ADS)

Melcher, F.; Graupner, T.; Sitnikova, M.; Oberthür, T.; Henjes-Kunst, F.; Gäbler, E.; Rantitsch, G.

2009-04-01

Illegal mining of gold, diamonds, copper, cobalt and, in the last decade, "coltan" has fuelled ongoing armed conflicts and civil war in a number of African countries. Following the United Nations initiative to fingerprint the origin of conflict materials and to develop a traceability system, our working group is investigating "coltan" (i.e. columbite-tantalite) mineralization especially in Africa, also within the wider framework of establishing certified trading chains (CTC). Special attention is directed towards samples from the main Ta-Nb-Sn provinces in Africa: DR Congo, Rwanda, Mozambique, Ethiopia, Egypt and Namibia. The following factors are taken into consideration in a methodological approach capable of distinguishing the origin of tantalum ores and concentrates with the utmost probability: (1) Quality and composition of coltan concentrates vary considerably. (2) Mineralogical and chemical compositions of Ta-Nb ores are extremely complex due to the wide range of the columbite-tantalite solid solution series and its ability to incorporate many additional elements. (3) Coltan concentrates may contain a number of other tantalum-bearing minerals besides columbite-tantalite. In our approach, coltan concentrates are analyzed in a step-by-step mode. State-of-the-art analytical tools employed are automated scanning electron microscopy (Mineral Liberation Analysis; MLA), electron microprobe analysis (major and trace elements), laser ablation-ICP-MS (trace elements, isotopes), and TIMS (U-Pb dating). Mineral assemblages in the ore concentrates, major and trace element concentration patterns, and zoning characteristics in the different pegmatites from Africa distinctly differ from each other. Chondrite-normalized REE distribution patterns vary significantly between columbite, tantalite, and microlite, and also relative to major element compositions of columbites. Some locations are characterized by low REE concentrations, others are highly enriched. Samples with Kibaran age either show flat patterns for most tantalites, rising values from the LREE to the HREE, or trough-like patterns. Eu anomalies are strongly negative in columbite-tantalite from the Alto Ligonha Province in Mozambique, from the Namaqualand Province (Namibia, South Africa), and from Zimbabwe. Four main age populations of coltan deposits in Africa were revealed: (1) Archean (>2.5 Ga), (2) Paleoproterozoic (2.1-1.9 Ga), (3) early Neoproterozoic ("Kibaran", 1.0-0.9 Ga), and (4) late Neoproterozoic to early Paleozoic (Pan-African; ca. 0.6-0.4 Ga). Currently, we focus on the resolution of the fingerprinting system from region via ore province down to deposit scale, establishing a large and high-quality analytical data base, and developing fast-screening and low-cost methods. Analytical flow-charts and identification schemes for coltan ores will be presented at the Conference. The analytical results obtained so far indicate that a certification scheme including fingerprinting of sources of coltan ores is feasible. The methodology developed is capable to assist in the establishment of a control instrument in an envisaged certification of the production and trade chain of coltan.

Epidemiological profile of patients utilising public oral health services in Limpopo province, South Africa.

PubMed

Thema, Lawrence K; Singh, Shenuka

2017-07-12

Despite the impact of oral diseases on the quality of life, there is limited updated evidence on oral health status in Limpopo province. To determine the epidemiological profile of patients utilising public oral health services in Limpopo province. This was a descriptive retrospective clinical chart review conducted in five purposively selected district hospitals in Limpopo province. The collected data included the patient's sociodemographic information, reasons for dental consultation, information on the dental or oral diseases and the treatment received. Five hundred clinical files were systematically selected (100 from each district hospital) for the period 01 January 1995 to 31 December 2013. Data were collected using the World Health Organization's indicator age groups, namely 6-year-olds, 12-year-olds, 18-year-olds and 35-44-year-old groups. A data capturing sheet was used to record the collected information. Data were analysed using the statistical software package for social sciences SPSS version 23.0. The majority of patients were in the age group of 6 to 20 years (n = 375, 75%). The majority were male patients (n = 309; 62%). Dental caries was the most common complaint (n = 298, 60%). The second most common main complaint in this age group was retained primary or deciduous teeth (n = 60, 12%) affecting children mainly in the age group of 6 to 12 years. The most common clinical procedure across all five districts was dental extractions (n = 324, 64%). Other clinical interventions included scaling and polishing (n = 33, 12%) and dental restorative care (n = 20, 3%). There is an urgent need to reorient oral health service delivery in Limpopo province to focus more on preventive oral health programmes.

Episodic acidification and changes in fish diversity in Pennsylvania headwater streams

USGS Publications Warehouse

Heard, R.M.; Sharpe, W.E.; Carline, R.F.; Kimmel, William G.

1997-01-01

Current water chemistry and fish communities in 70 Pennsylvania streams were compared with historical records to determine whether fish species richness had declined and, if so, the possible role of acidification. First-, second-, and third-order streams were selected, and stream sites sampled during the 1961-1971 survey were resampled during May and June 1994 in the Appalachian Plateaus province and during June 1995 in the Valley and Ridge province. Stream-flow was measured and a habitat assessment was completed at each site. Dominant bedrock types influencing the stream sampling site were determined for the Appalachian Plateaus streams. Episodic water chemistry was collected for 39 of the 50 Appalachian Plateaus streams and 14 of the 20 Valley and Ridge streams during the winter and spring of 1996. Thirty-eight (76%) streams of the Appalachian Plateaus province and 13 (65%) streams in the Valley and Ridge province had a loss of fish species since the 1961-1971 sampling period. Habitat scores were not related to losses of fish species. Of the 53 streams sampled during runoff episodes 22 (42%) increased in total dissolved aluminum by more than 50 ??g/L, and 31 (58%) streams decreased in pH by 0.5 units or more. Minnows (Cyprinidae) and darters (Percidae) are sensitive to acidity and were the species most often lost. Streams draining watersheds of the Appalachian Plateaus province dominated by Pottsville bedrock had more acidic water quality during base flow and storm flow sampling periods than streams dominated by Pocono bedrock. The results of this study indicate that many Pennsylvania streams have undergone an alarming reduction in fish diversity during the past 25-34 years. In many of these streams the loss in fish diversity may be attributed to episodic acidification.

Quasi-Experimental Evidence of Peer Effects in First-Year Economics Courses at a Chinese University

ERIC Educational Resources Information Center

Chen, Qihui; Tian, Guoqiang; Okediji, Tade O.

2014-01-01

The authors of this article implement a quasi-experimental strategy to estimate peer effects in economic education by exploiting the institutional setting in a large public university in China, where roommates are randomly assigned conditional on a student's major and province of origin. They found significant impacts of peer academic quality,…

Guiding Documents for Environmental Education Centres: An Analysis in the Spanish Context

ERIC Educational Resources Information Center

Medir, Rosa Maria; Heras, Raquel; Geli, Anna Maria

2014-01-01

Guiding documents under the "PEC" acronym are commonly used in environmental education centres (EECs) in Spain. They are written documents that are seen as necessary tools to safeguard quality. In this study, we analyse the guiding documents of twenty-three EECs in the province of Girona (Catalonia, Spain) in order to understand their…

Tensions and Fissures: The Politics of Standardised Testing and Accountability in Ontario, 1995-2015

ERIC Educational Resources Information Center

Pinto, Laura Elizabeth

2016-01-01

While Ontario has received international accolades for its enactment of province-wide standardised testing upon the formation of the Education Quality and Accountability Office (EQAO), a closer look at provincial assessments over a 20-year span reveals successes as well as systemic tensions and fissures. The purpose of this paper is twofold.…

Making Education Equitable in Rural China through Distance Learning

ERIC Educational Resources Information Center

McQuaide, Shiling

2009-01-01

The Distance Education Project for Rural Schools (DEPRS) was implemented by the Chinese government between 2003 and 2007 to improve the quality of basic education in rural areas of China, especially in the poorer western provinces. It has been referred to as "the largest ICT project in the world up to now" because "it serves a…

Three Key Issues in the Reform Programs for the Chinese College Entrance Examination

ERIC Educational Resources Information Center

Liu, Qinghua

2013-01-01

The new entrance exam reform programs that have been presented in a number of provinces and regions adhere to the direction of new curriculum reform. Within these programs, comprehensive evaluation serves as the weather vane for quality education. The high school academic proficiency test serves as a firmly fixed benchmark for learning ability,…

Climate change and watershed mercury export in a Coastal Plain watershed

Treesearch

Heather Golden; Christopher D. Knightes; Paul A. Conrads; Toby D. Feaster; Gary M. Davis; Stephen T. Benedict; Paul M. Bradley

2016-01-01

Future changes in climatic conditions may affect variations in watershed processes (e.g., hydrological, biogeochemical) and surface water quality across a wide range of physiographic provinces, ecosystems, and spatial scales. How such climatic shifts will impact watershed mercury (Hg) dynamics and hydrologically-driven Hg transport is a significant concern.

Educators and the Quality of Their Work Environment: An Analysis of the Organisational Climate in Primary Schools

ERIC Educational Resources Information Center

Vos, D.; van der Westhuizen, Philip C.; Mentz, P. J.; Ellis, S. M.

2012-01-01

The prevalent organisational climate in primary schools in the North West Province was determined in order to formulate management strategies to increase the organisational climate. For this purpose, a quantitative research method, founded in post-positivistic points of departure, was applied. In the process, the Organizational Climate Description…

[Built-up land change and its impact on ecological quality in a fast-growing economic zone: Jinjiang County, Fujian Province, China].

PubMed

Shi, Ting Ting; Xu, Han Qiu; Tang, Fei

2017-04-18

Since China's reform and opening-up, the rapid growth of China's economy has greatly accelerated the expansion of built-up land, which has affected regional ecological environment to a great extent. Taking Jinjiang County of Fujian Province, one of the fastest economic-developing counties in the coastal areas of southeastern China, as a case study area, this paper focused on analyzing the rapid built-up land expansion process of the county and its impact on county's ecological quality using remote sensing techniques. Based on two Landsat images of 1996 and 2015 of Jinjiang, the built-up land of the county was extracted using the index-based built-up index (IBI) and its change was analyzed. In the meantime, the ecological status of Jinjiang was evaluated with a recently-proposed remote sensing based ecological index (RSEI) and the relationship between the built-up land dynamics and the ecological status changes of the county was quantitatively examined. The results showed that during the period from 1996 to 2015, the area of built-up land of Jinjiang had a net increase of 68.54 km 2 , a growth of 45%, and the expansion intensity was 0.55. The expansion of the built-up lands has caused overall degradation of the county's ecological quality. The mean value of RSEI of the county had declined from 0.532 in 1996 to 0.460 in 2015, a drop of13.5%. The area proportion of high ecological-quality grades also significantly fell from 39% in 1996 to 21% in 2015. The built-up land expansion intensity was negatively correlated with the ecological quality change.

Large-Scale Variations in Lumber Value Recovery of Yellow Birch and Sugar Maple in Quebec, Canada

PubMed Central

Hassegawa, Mariana; Havreljuk, Filip; Ouimet, Rock; Auty, David; Pothier, David; Achim, Alexis

2015-01-01

Silvicultural restoration measures have been implemented in the northern hardwoods forests of southern Quebec, Canada, but their financial applicability is often hampered by the depleted state of the resource. To help identify sites most suited for the production of high quality timber, where the potential return on silvicultural investments should be the highest, this study assessed the impact of stand and site characteristics on timber quality in sugar maple (Acer saccharum Marsh.) and yellow birch (Betula alleghaniensis Britt.). For this purpose, lumber value recovery (LVR), an estimate of the summed value of boards contained in a unit volume of round wood, was used as an indicator of timber quality. Predictions of LVR were made for yellow birch and sugar maple trees contained in a network of more than 22000 temporary sample plots across the Province. Next, stand-level variables were selected and models to predict LVR were built using the boosted regression trees method. Finally, the occurrence of spatial clusters was verified by a hotspot analysis. Results showed that in both species LVR was positively correlated with the stand age and structural diversity index, and negatively correlated with the number of merchantable stems. Yellow birch had higher LVR in areas with shallower soils, whereas sugar maple had higher LVR in regions with deeper soils. The hotspot analysis indicated that clusters of high and low LVR exist across the province for both species. Although it remains uncertain to what extent the variability of LVR may result from variations in past management practices or in inherent site quality, we argue that efforts to produce high quality timber should be prioritized in sites where LVR is predicted to be the highest. PMID:26313689

Large-Scale Variations in Lumber Value Recovery of Yellow Birch and Sugar Maple in Quebec, Canada.

PubMed

Hassegawa, Mariana; Havreljuk, Filip; Ouimet, Rock; Auty, David; Pothier, David; Achim, Alexis

2015-01-01

Silvicultural restoration measures have been implemented in the northern hardwoods forests of southern Quebec, Canada, but their financial applicability is often hampered by the depleted state of the resource. To help identify sites most suited for the production of high quality timber, where the potential return on silvicultural investments should be the highest, this study assessed the impact of stand and site characteristics on timber quality in sugar maple (Acer saccharum Marsh.) and yellow birch (Betula alleghaniensis Britt.). For this purpose, lumber value recovery (LVR), an estimate of the summed value of boards contained in a unit volume of round wood, was used as an indicator of timber quality. Predictions of LVR were made for yellow birch and sugar maple trees contained in a network of more than 22000 temporary sample plots across the Province. Next, stand-level variables were selected and models to predict LVR were built using the boosted regression trees method. Finally, the occurrence of spatial clusters was verified by a hotspot analysis. Results showed that in both species LVR was positively correlated with the stand age and structural diversity index, and negatively correlated with the number of merchantable stems. Yellow birch had higher LVR in areas with shallower soils, whereas sugar maple had higher LVR in regions with deeper soils. The hotspot analysis indicated that clusters of high and low LVR exist across the province for both species. Although it remains uncertain to what extent the variability of LVR may result from variations in past management practices or in inherent site quality, we argue that efforts to produce high quality timber should be prioritized in sites where LVR is predicted to be the highest.

Play-fairway analysis for geothermal resources and exploration risk in the Modoc Plateau region

USGS Publications Warehouse

Siler, Drew; Zhang, Yingqi; Spycher, Nicolas F.; Dobson, Patrick; McClain, James S.; Gasperikova, Erika; Zierenberg, Robert A.; Schiffman, Peter; Ferguson, Colin; Fowler, Andrew; Cantwell, Carolyn

2017-01-01

The region surrounding the Modoc Plateau, encompassing parts of northeastern California, southern Oregon, and northwestern Nevada, lies at an intersection between two tectonic provinces; the Basin and Range province and the Cascade volcanic arc. Both of these provinces have substantial geothermal resource base and resource potential. Geothermal systems with evidence of magmatic heat, associated with Cascade arc magmatism, typify the western side of the region. Systems on the eastern side of the region appear to be fault controlled with heat derived from high crustal heat flow, both of which are typical of the Basin and Range. As it has the potential to host Cascade arc-type geothermal resources, Basin and Range-type geothermal resources, and/or resources with characteristics of both provinces, and because there is relatively little current development, the Modoc Plateau region represents an intriguing potential for undiscovered geothermal resources. It remains unclear however, what specific set(s) of characteristics are diagnostic of Modoc-type geothermal systems and how or if those characteristics are distinct from Basin and Range-type or Cascade arc-type geothermal systems. In order to evaluate the potential for undiscovered geothermal resources in the Modoc area, we integrate a wide variety of existing data in order to evaluate geothermal resource potential and exploration risk utilizing ‘play-fairway’ analysis. We consider that the requisite parameters for hydrothermal circulation are: 1) heat that is sufficient to drive circulation, and 2) permeability that is sufficient to allow for fluid circulation in the subsurface. We synthesize data that indicate the extent and distribution of these parameters throughout the Modoc region. ‘Fuzzy logic’ is used to incorporate expert opinion into the utility of each dataset as an indicator of either heat or permeability, and thus geothermal favorability. The results identify several geothermal prospects, areas that are highly favorable for the occurrence of both heat and permeability. These are also areas where there is sufficient data coverage, quality, and consistency that the exploration risk is relatively low. These unknown, undeveloped, and under-developed prospects are well-suited for continued exploration efforts. The results also indicate to what degree the two ‘play-types,’ i.e. Cascade arc-type or Basin and Range-type, apply to each of the geothermal prospects, a useful guide in exploration efforts.

Bioassay evaluation of residual activity of attractive toxic sugar-treated barrier fence in the control of Phlebotomus papatasi (Diptera: Psychodidae).

PubMed

Saghafipour, Abedin; Vatandoost, Hassan; Zahraei-Ramazani, Ali Reza; Yaghoobi-Ershadi, Mohammad Reza; Rassi, Yavar; Shirzadi, Mohammad Reza; Akhavan, Amir Ahmad

2016-01-01

Phlebotomus papatasi is the main vector of the zoonotic cutaneous leishmaniasis (ZCL) in Qom Province and many other provinces of Iran. Attractive toxic sugar baits (ATSB) treated barrier fence is one of the new methods for controlling the vectors such as sandflies. The present study was designed to evaluate the residual activity of ATSB-treated barrier fence that was used in control of P. papatasi. Following the selection of villages in Markazi district of Qom Province, central Iran during 2015 for ATSB and ASB (bait containing no active ingredient) methods; barrier fences on the ground in front of the rodent's colony were installed. A total of four conical tubes were installed and fixed on surfaces of treated barrier net of dimension 25 Χ 25 cm at biweekly interval. In each conical tube, 10 sand flies were released and after 3 min of exposure they were transferred to sterile cups. After 24 h, the obtained results were recorded according to the survival and mortality rate of sandflies. These tests were carried out five days after the installation of barrier fences, and repeated every 15 days until the mortality rate decreased to 60-65%. The bioassay tests results showed that the mortality rate of P. papatasi on ATSB-treated barrier fence for 5, 15, 30 and 45 days after spraying was 100, 95.83, 88.18 and 66.67% respectively, which decreased to 50.83% after 60 days. Persistence and residual activity of the active ingredient of the bait in the hot and dry climatic conditions of Qom Province remained significantly effective for at most 45 days, which subsequently decreased at a high rate. Hence, every 45 days barrier fences need to be impregnated with ATSB bait. The method also appeared cost-effective and could be practical in implementation of vector control programmes against ZCL.

An Optimal Cost Effectiveness Study on Zimbabwe Cholera Seasonal Data from 2008–2011

PubMed Central

Sardar, Tridip; Mukhopadhyay, Soumalya; Bhowmick, Amiya Ranjan; Chattopadhyay, Joydev

2013-01-01

Incidence of cholera outbreak is a serious issue in underdeveloped and developing countries. In Zimbabwe, after the massive outbreak in 2008–09, cholera cases and deaths are reported every year from some provinces. Substantial number of reported cholera cases in some provinces during and after the epidemic in 2008–09 indicates a plausible presence of seasonality in cholera incidence in those regions. We formulate a compartmental mathematical model with periodic slow-fast transmission rate to study such recurrent occurrences and fitted the model to cumulative cholera cases and deaths for different provinces of Zimbabwe from the beginning of cholera outbreak in 2008–09 to June 2011. Daily and weekly reported cholera incidence data were collected from Zimbabwe epidemiological bulletin, Zimbabwe Daily cholera updates and Office for the Coordination of Humanitarian Affairs Zimbabwe (OCHA, Zimbabwe). For each province, the basic reproduction number () in periodic environment is estimated. To the best of our knowledge, this is probably a pioneering attempt to estimate in periodic environment using real-life data set of cholera epidemic for Zimbabwe. Our estimates of agree with the previous estimate for some provinces but differ significantly for Bulawayo, Mashonaland West, Manicaland, Matabeleland South and Matabeleland North. Seasonal trend in cholera incidence is observed in Harare, Mashonaland West, Mashonaland East, Manicaland and Matabeleland South. Our result suggests that, slow transmission is a dominating factor for cholera transmission in most of these provinces. Our model projects cholera cases and cholera deaths during the end of the epidemic in 2008–09 to January 1, 2012. We also determine an optimal cost-effective control strategy among the four government undertaken interventions namely promoting hand-hygiene & clean water distribution, vaccination, treatment and sanitation for each province. PMID:24312540

Integrated systems of stroke care and reduction in 30-day mortality

PubMed Central

Ganesh, Aravind; Lindsay, Patrice; Fang, Jiming; Kapral, Moira K.; Côté, Robert; Joiner, Ian; Hakim, Antoine M.

2016-01-01

Objective: To evaluate the association between the presence of integrated systems of stroke care and stroke case-fatality across Canada. Methods: We used the Canadian Institute of Health Information's Discharge Abstract Database to retrospectively identify a cohort of stroke/TIA patients admitted to all acute care hospitals, excluding the province of Quebec, in 11 fiscal years from 2003/2004 to 2013/2014. We used a modified Poisson regression model to compute the adjusted incidence rate ratio (aIRR) of 30-day in-hospital mortality across time for provinces with stroke systems compared to those without, controlling for age, sex, stroke type, comorbidities, and discharge year. We conducted surveys of stroke care resources in Canadian hospitals in 2009 and 2013, and compared resources in provinces with integrated systems to those without. Results: A total of 319,972 patients were hospitalized for stroke/TIA. The crude 30-day mortality rate decreased from 15.8% in 2003/2004 to 12.7% in 2012/2013 in provinces with stroke systems, while remaining 14.5% in provinces without such systems. Starting with the fiscal year 2009/2010, there was a clear reduction in relative mortality in provinces with stroke systems vs those without, sustained at aIRR of 0.85 (95% confidence interval 0.79–0.92) in the 2011/2012, 2012/2013, and 2013/2014 fiscal years. The surveys indicated that facilities in provinces with such systems were more likely to care for patients on a stroke unit, and have timely access to a stroke prevention clinic and telestroke services. Conclusion: In this retrospective study, the implementation of integrated systems of stroke care was associated with a population-wide reduction in mortality after stroke. PMID:26850979

[Study on the polarized reflectance hyperspectral characteristics and models of typical saline soil in the west of Jilin Province, China].

PubMed

Han, Yang; Qin, Wei-chao; Wang, Ye-qiao

2014-06-01

In recent years, the area of saline soil in the west of Jilin Province expands increasingly, and soil quality is becoming more and more worsening, which not only caused great damage to the land resources, but also posed a huge threat to agricultural production and ecological environment. We combined with polarized and hyperspectral information to establish the general model and scientifically validated it. The results show that there is a strong relationship between the saline soil hyperspectral polarized information and its physicochemical property parameters, and with regularity. This paper has important theoretical significance for the mechanism of saline soil surface reflection, recognition and classification of saline soil and background, the utilization of soil polarization sensor and the development of quantitative remote sensing.

Hydrology of area 54, Northern Great Plains, and Rocky Mountain coal provinces, Colorado and Wyoming

USGS Publications Warehouse

Kuhn, Gerhard; Daddow, P.D.; Craig, G.S.; ,

1983-01-01

A nationwide need for information characterizing hydrologic conditions in mined and potential mine areas has become paramount with the enactment of the Surface Mining Control and Reclamation Act of 1977. This report, one in a series covering the coal provinces nationwide, presents information thematically by describing single hydrologic topics through the use of brief texts and accompanying maps, graphs, or other illustrations. The summation of the topical discussions provides a description of the hydrology of the area. Area 54, in north-central Colorado and south-central Wyoming, is 1 of 20 hydrologic reporting areas of the Northern Great Plains and Rocky Mountain coal provinces. Part of the Southern Rocky Mountains and Wyoming Basin physiographic provinces, the 8,380-square-mile area is one of contrasting geology, topography, and climate. This results in contrasting hydrologic characteristics. The major streams, the North Platte, Laramie, and Medicine Bow Rivers, and their principal tributaries, all head in granitic mountains and flow into and through sedimentary basins between the mountain ranges. Relief averages 2,000 to 3,000 feet. Precipitation in the mountains may exceed 40 inches annually, much of it during the winter, which produces deep snowpacks. Snowmelt in spring and summer provides most streamflow. Precipitation in the basins averages 10 to 16 inches annually, insufficient for sustained streamflow; thus, streams originating in the basins are ephemeral. Streamflow quality is best in the mountains where dissolved-solids concentrations generally are least. These concentrations increase as streams flow through sedimentary basins. The increases are mainly natural, but some may be due to irrigation in and adjacent to the flood plains. In the North Platte River, dissolved-solids concentrations are usually less than 300 milligrams per liter; in the Laramie and the Medicine Bow Rivers, the concentrations may average 500 to 850 milligrams per liter. However, water-quality stations on the Laramie and the Medicine Bow Rivers are farther removed from the mountain sources than the stations in the North Platte drainage. Because of the semiarid climate of the basins, soils are not adequately leached. Consequently, flow in ephemeral streams usually has a larger concentration of dissolved solids than that in perennial streams, averaging 1,000 to 1,600 milligrams per liter. Aquifers containing usable ground water are combined into three groups: (1) consolidated and unconsolidated non-coal-bearing Quaternary and Upper Tertiary deposits, (2) Mesozoic and Paleozoic sedimentary rocks, and (3) Lower Tertiary and Upper Cretaceous sedimentary rocks containing coal. These aquifers are used for municipal, domestic, irrigation, and stock supplies. Well yields range from about 5 to 1,000 gallons per minute, and depend on type of aquifer, saturated thickness, and degree of fracturing. The best quality ground water usually comes from the non-coal-bearing Quaternary and Upper Tertiary rocks or the Mesozoic and Paleozoic rocks; often it is dominated by calcium and bicarbonate ions. The coal-bearing formations have a large variability in water chemistry; dominant ions may be bicarbonate or sulfate and sodium, calcium, or magnesium. Dissolved-solids concentrations are generally larger than in the former two groups. The U.S. Geological Survey operates a network of hydrologic stations to observe the streamflow and groundwater conditions. This network currently includes 31 surface-water stations and 35 observation wells; information is available for many other sites observed in the past. Data available include rate of flow, water levels, and water quality; much of the data are available in published reports or from computer storage through the National Water Data Exchange (NAWDEX) or the National Water Data Storage and Retrieval System (WATSTORE). Five formations of Late Cretaceous and early Tertiary age contain coal. W

Public Reporting of Nursing Home Quality of Care: Lessons from the United States Experience for Canadian Policy Discussion

PubMed Central

Hutchinson, Alison M.; Draper, Kellie; Sales, Anne E.

2009-01-01

While the demand for continuing care services in Canada grows, the quality of such services has come under increasing scrutiny. Consideration has been given to the use of public reporting of quality data as a mechanism to stimulate quality improvement and promote public accountability for and transparency in service quality. The recent adoption of the Resident Assessment Instrument (RAI) throughout a number of Canadian jurisdictions means that standardized quality data are available for comparisons among facilities across regions, provinces and nationally. In this paper, we explore current knowledge on public reporting in nursing homes in the United States to identify what lessons may inform policy discussion regarding potential use of public reporting in Canada. Based on these findings, we make recommendations regarding how public reporting should be progressed and managed if Canadian jurisdictions were to implement this strategy. PMID:21037828

Groundwater quality assessment for irrigation purposes based on irrigation water quality index and its zoning with GIS in the villages of Chabahar, Sistan and Baluchistan, Iran.

PubMed

Abbasnia, Abbas; Radfard, Majid; Mahvi, Amir Hossein; Nabizadeh, Ramin; Yousefi, Mahmood; Soleimani, Hamed; Alimohammadi, Mahmood

2018-08-01

The present study was conducted to evaluate the groundwater quality and its suitability for irrigation purpose through GIS in villages of Chabahr city, Sistan and Baluchistan province in Iran. This cross-sectional study was carried out from 2010 to 2011 the 1-year-monitoring period. The water samples were collected from 40 open dug wells in order to investigate the water quality. Chemical parameters including EC, SAR, Na + , Cl - , pH, TDS, H C O 3 - and IWQI were analyzed. In order to calculate the irrigation water quality index subsequent five water quality parameters (EC, SAR, Na + , Cl - , and H C O 3 - ) were utilized. Among the total of 40 samples were analyzed for IWQI, 40% of the samples classified as excellent water, 60% of the samples in good water category.

[Relationship between perceived emotional intelligence and professional quality of life with the achievement of occupational objectives in the costa del sol primary health care district].

PubMed

Macías Fernández, Antonio José; Gutiérrez-Castañeda, Carlos; Carmona González, Francisco Jesús; Crespillo Vílchez, Daniel

2016-05-01

To examine the relationship between "Quality of Professional Life" and "Perceived Emotional Intelligence" and the relationship of both of these with the level of achievement of occupational objectives in the Costa del Sol Primary Health Care District. Multicentre descriptive cross-sectional observational study. The Costa del Sol Primary Health Care District in the province of Málaga. Sample of Employees of all categories in fixed and contracted employment in the Management Units of the Costa del Sol District. (N=303). Respondents 247 (81.5%) The data collected was that of the percentage of achievement of objectives in 2010 and the socio-demographic data of the participants, using ad hoc designed self-report questionnaires. The TMMS -24 questionnaire was used to measure the "Perceived Emotional Intelligence", with the following dimensions: Perception, comprehension, and emotional control, and the CVP-35 measuring: management support, work demands, and intrinsic motivation. Significant correlationas were observed between Quality of Professional Life and Emotional Intelligence in the Regulation (p<.01) and Comprehension categories (p<0.05). There were also significant correlations between the profession and the type of contract in the achievement of objectives (p<.005), and quality of professional life and type of contract (p<.05). The perceived quality of professional life is related to perception and regulation dimensions of Emotional Intelligence. Knowledge of emotion management methods should be promoted by management organisations for all employees. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

Laying the foundation for a digital Nova Scotia

NASA Astrophysics Data System (ADS)

Bond, J.

2016-04-01

In 2013, the Province of Nova Scotia began an effort to modernize its coordinate referencing infrastructure known as the Nova Scotia Coordinate Referencing System (NSCRS). At that time, 8, active GPS stations were installed in southwest Nova Scotia to evaluate the technology's ability to address the Province's coordinate referencing needs. The success of the test phase helped build a business case to implement the technology across the entire Province. It is anticipated that by the end of 2015, 40 active GPS stations will be in place across Nova Scotia. This infrastructure, known as the Nova Scotia Active Control Stations (NSACS) network, will allow for instantaneous, centimetre level positioning across the Province. Originally designed to address the needs of the surveying community, the technology has also proven to have applications in mapping, machine automation, agriculture, navigation, emergency response, earthquake detection and other areas. In the foreseeable future, all spatial data sets captured in Nova Scotia will be either directly or indirectly derived from the NSACS network. The technology will promote high accuracy and homogenous spatial data sets across the Province. The technology behind the NSACS and the development of the system are described. Examples of how the technology is contributing to a digital Nova Scotia are presented. Future applications of the technology are also considered.

Quality assessment of malaria laboratory diagnosis in South Africa.

PubMed

Dini, Leigh; Frean, John

2003-01-01

To assess the quality of malaria diagnosis in 115 South African laboratories participating in the National Health Laboratory Service Parasitology External Quality Assessment Programme we reviewed the results from 7 surveys from January 2000 to August 2002. The mean percentage incorrect result rate was 13.8% (95% CI 11.3-16.9%), which is alarmingly high, with about 1 in 7 blood films being incorrectly interpreted. Most participants with incorrect blood film interpretations had acceptable Giemsa staining quality, indicating that there is less of a problem with staining technique than with blood film interpretation. Laboratories in provinces in which malaria is endemic did not necessarily perform better than those in non-endemic areas. The results clearly suggest that malaria laboratory diagnosis throughout South Africa needs strengthening by improving laboratory standardization and auditing, training, quality assurance and referral resources.

Characterization of selected biological, chemical, and physical conditions at fixed sites in the Upper Colorado River basin, Colorado, 1995-98

USGS Publications Warehouse

Deacon, Jeffrey R.; Mize, Scott V.; Spahr, Norman E.

1999-01-01

Biological community samples were collected at 15 sites in the Upper Colorado River Basin (UCOL) in Colorado as part of the National Water-Quality Assessment (NAWQA) Program. Sites sampled in two physiographic provinces, the Southern Rocky Mountains and the Colorado Plateau, represented agriculture, mining, urban and recreation, and mixed land uses and background conditions. Nine measures of water quality, which include information on nutrients, specific conductance (a surrogate for salinity), trace elements in streambed sediment, pesticides in fish tissue, fish communities, and macroinvertebrate richness and composition and stream habitat were used for comparisons among sites within the two physiographic provinces. Sampling sites from three other NAWQA study units?the Rio Grande Valley, the South Platte River Basin, and the Upper Snake River Basin study units?were categorized on the basis of land use and stream size in order to develop a larger data set for comparison to sites in the UCOL. Three categories of land use?forested (includes mining, urban and recreation, and background), agriculture, and mixed?were used for comparison to the UCOL fixed sites. Results indicated that all sites other than the Colorado River below Baker Gulch (a background site) showed some water-quality characteristics to be significantly affected. Results indicated that the concentrations of cadmium and zinc in streambed sediment at mining land-use sites in the Southern Rocky Mountains physiographic province generally were orders of magnitude higher than streambed-sediment concentrations at the background site. Streambed-sediment concentrations at mining land-use sites in the UCOL were greater than the 75th percentile of concentrations from sites in the three other NAWQA study units. Fish communities and habitat conditions were degraded at mining land-use sites compared to the background site. Ephemeroptera, Plecoptera, and Trichoptera (EPT) richness and the percentage of EPT were lower at mining land-use sites than at the background site and were less than the 50th percentile of those for sites from the three other NAWQA study units. Nutrient concentrations at urban and recreation sites in the Southern Rocky Mountain physiographic province generally were greater than concentrations at the background site and generally were between the 25th and 90th percentile of concentrations for sites from the three other NAWQA study units. Habitat conditions and fish communities at urban and recreation sites were slightly degraded compared to the background site. EPT richness and the percentage of EPT were lower at urban and recreation sites than at the background site and were between the 25th and 75th percentile of those for sites from the three other NAWQA study units. The percentage of Chironomidae, which may be indicative of pollutant-tolerant organisms, was higher at urban and recreation sites than at the background site. Mixed land-use sites in the Southern Rocky Mountains physiographic province had similar nutrient concentrations and similar cadmium and zinc streambed-sediment concentrations. Fish-community degradation index values were very different among the three mixed land-use sites in the Southern Rocky Mountains physiographic province. Larger percentages of omnivores and anomalies such as lesions and deformities at two mixed land-use sites resulted in higher degradation values of the fish community. Agriculture land-use sites had higher concentrations of nutrients and selenium than the background site in the Colorado Plateau physiographic province. Concentrations of p,p'-DDE in fish tissue at agriculture sites were higher than the 75th percentile of concentrations for sites from the three other NAWQA study units. Fish communities had degradation values near the 75th percentile for agriculture sites. The percentage of EPT was low at agriculture sites when compared to the background site. Two mixed land-use sites in the Colorado Plateau physiographi

[Analysis on current status of drinking water quality in rural areas of China].

PubMed

Zhang, L; Chen, Y; Chen, C; Wang, H; Yan, H Z; Zhao, Y C

1997-01-01

An investigation on drinking water quality in rural areas of 180 counties in 26 provinces, municipalities and autonomous regions of China was carried out. The population surveyed was 89.39 million. 69.6% of which was supplied with ground water. Central water supply systems served 47.1% of population. Quality of drinking water was graded according to the "Guidelines for Implementation of the 'Sanitary Standard for Drinking Water' in Rural Areas". The rate of population supplied with unqualified drinking water was 42.7%. The bacteriological indices of drinking water exceeded the standard seriously. Organic pollution occurred extensively. Some regions supplied with water of high concentration of fluoride.

Effects of modifying the World Health Organization standard operating procedures for malaria microscopy to improve surveillance in resource poor settings.

PubMed

Fernando, Sumadhya D; Ihalamulla, Ratnasiri L; Wickremasinghe, Renu; de Silva, Nipun L; Thilakarathne, Janani H; Wijeyaratne, Pandu; Premaratne, Risintha G

2014-03-15

Individuals with fever are screened for malaria in specially-established malaria diagnostic laboratories set up in rural hospitals in the Northern and Eastern Provinces of Sri Lanka. Large numbers of blood smears negative for malaria parasites are being screened daily. Good quality smears are essential to maintain a high diagnostic competency among the technical staff. The modifications made to the World Health Organization (WHO) standard operating procedures to improve the quality of smears have been studied. A blinded, controlled, interventional study was conducted in 22 intervention and 21 control malaria diagnostic laboratories. Changes were made to the WHO standard operating procedure protocols to prepare, stain and examine blood smears for malaria parasite detection which were implemented in intervention laboratories. These included wipe-cleaning slides, preparing both thick and thin smears on the same slide, reversing the order of collecting blood for thick and thin smears, dry fixing thick smear for 20-25 minutes under table lamp, polishing the edge of spreader slide with sand paper and fixing the thin smear with methanol if not stained within four hours. Parameters with respect to quality of the smear as per WHO criteria were studied using randomly selected slides, and time taken for the report to be issued was recorded in both groups before and after the intervention. There were no significant differences observed in the parameters studied at baseline between the two groups or pre and post intervention in the control group. In the intervention group streak formation in thin smears was reduced from 29.4% to 5.0%. The average fixing time of thick smears was reduced from 2.4 hours to 20 minutes. Inappropriate thickness of thick smears reduced from 18.3% to 1.5%. Overall quality of thick smears and thin smears increased from 76.1% to 98.0% and 81.7% to 87.0%, respectively. The quality of slides bearing both thick and thin smears increased from 60.0% to 87.0%. New protocols with amendments to the WHO standard technical procedures ensure that good quality blood smears are prepared rapidly to diagnose malaria and the time required to issue the reports was reduced.

"A visitation of providence:" Public health and eugenic reform in the wake of the Halifax disaster.

PubMed

Baker, Leslie

2014-01-01

The Halifax Explosion provided the opportunity for an "experiment in public health" that was meant not only to restore but also to improve the city and its population in the process. The restructuring that occurred during the restoration was influenced by pre-existing ideals and prejudices which were reflected in the goals of the newly formed committees in charge of the reconstruction. The primary emphasis on improvement as well as control was the result of existing regional concerns regarding the emigration of the province's most "desirable" stock, in the form of healthy, educated young men and women, to central Canada and the eastern United States. Public health reforms reflected the eugenic goal of improving the overall quality of the population through education, surveillance, and inspection, resorting finally to institutionalizing people who public health officials determined were genuinely deficient.

Exploration of Urban Spatial Planning Evaluation Based on Humanland Harmony

NASA Astrophysics Data System (ADS)

Hu, X. S.; Ma, Q. R.; Liang, W. Q.; Wang, C. X.; Xiong, X. Q.; Han, X. H.

2017-09-01

This study puts forward a new concept, "population urbanization level forecast - driving factor analysis - urban spatial planning analysis" for achieving efficient and intensive development of urbanization considering human-land harmony. We analyzed big data for national economic and social development, studied the development trends of population urbanization and its influencing factors using the grey system model in Chengmai county of Hainan province, China. In turn, we calculated the population of Chengmai coming years based on the forecasting urbanization rate and the corresponding amount of urban construction land, and evaluated the urban spatial planning with GIS spatial analysis method in the study area. The result shows that the proposed concept is feasible for evaluation of urban spatial planning, and is meaningful for guiding the rational distribution of urban space, controlling the scale of development, improving the quality of urbanization and thus promoting highly-efficient and intensive use of limited land resource.

[Effect of comprehensive control in demonstration plots of parasitic diseases in Guizhou Province].

PubMed

Ai-Ya, Zhu; An-Mei, Li; Guang-Chu, Lin; Jian-Jun, Xu; Liang-Xian, Sun

2011-10-01

To evaluate the effect of comprehensive control in demonstration plots of parasitic diseases in Guizhou Province. The data of parasitic disease control in demonstration plots from 2006 to 2009 were collected and analyzed, including deworming, water and latrines renovation, health education, survey on infections in crowd, etc. After 3 years comprehensive control, the infection rates of soil-transmitted nematodes among people reduced from 30.25% to 8.37%, with the reduction rate of 72.32%. The infection rates of Ascaris lumbricoides, hookworm and Trichuris trichiura reduced from 26.88%, 2.86% and 4.13% to 7.43%, 0.09% and 1.13%, respectively. The awareness rate of health knowledge among residents increased from 44.18% to 93.64%, with an increasing rate of 111.94%. The coverage rate of non-hazardous sanitary latrines was 81.29%. The beneficial rate of the water renovation reached 96.31%. The comprehensive control strategies mainly based on health education and infectious source control correspond to the reality of rural parasitic disease control nowadays. The comprehensive control model integrating government leadership, department cooperation and social concern is useful for parasitic disease control and should be popularized.

Influence of the South-North Water Diversion Project and the mitigation projects on the water quality of Han River.

PubMed

Zhu, Y P; Zhang, H P; Chen, L; Zhao, J F

2008-11-15

Situated in the central part of China, the Han River Basin is undergoing rapid social and economic development with some human interventions to be made soon which will profoundly influence the water environment of the basin. The integrated MIKE 11 model system comprising of a rainfall-runoff model (NAM), a non-point load evaluation model (LOAD), a hydrodynamic model (MIKE 11 HD) and a water quality model (ECOLab) was applied to investigate the impact of the Middle Route of the South-North Water Diversion Project on the Han River and the effectiveness of the 2 proposed mitigation projects, the 22 wastewater treatment plants (WWTPs) and the Yangtze-Han Water Diversion Project. The study concludes that business as usual will lead to a continuing rapid deterioration of the water quality of the Han River. Implementation of the Middle Route of the South-North Water Diversion Project in 2010 will bring disastrous consequence in the form of the remarkably elevated pollution level and high risk of algae bloom in the middle and lower reaches. The proposed WWTPs will merely lower the pollution level in the reach by around 10%, while the Yangtze-Han Water Diversion Project can significantly improve the water quality in the downstream 200-km reach. The results reveal that serious water quality problem will emerge in the middle reach between Xiangfan and Qianjiang in the future. Implementation of the South-North Water Diversion Project (phase II) in 2030 will further exacerbate the problem. In order to effectively improve the water quality of the Han River, it is suggested that nutrient removal processes should be adopted in the proposed WWTPs, and the pollution load from the non-point sources, especially the load from the upstream Henan Province, should be effectively controlled.

Evaluation of water quality in surface water and shallow groundwater: a case study of a rare earth mining area in southern Jiangxi Province, China.

PubMed

Hao, Xiuzhen; Wang, Dengjun; Wang, Peiran; Wang, Yuxia; Zhou, Dongmei

2016-01-01

This study was conducted to evaluate the quality of surface water and shallow groundwater near a rare earth mining area in southern Jiangxi Province, China. Water samples from paddy fields, ponds, streams, wells, and springs were collected and analyzed. The results showed that water bodies were characterized by low pH and high concentrations of total nitrogen (total N), ammonium nitrogen (NH4 (+)-N), manganese (Mn), and rare earth elements (REEs), which was likely due to residual chemicals in the soil after mining activity. A comparison with the surface water standard (State Environmental Protection Administration & General Administration of Quality Supervision, Inspection and Quarantine of China GB3838, 2002) and drinking water sanitary standard (Ministry of Health & National Standardization Management Committee of China GB5749, 2006) of China revealed that 88 % of pond and stream water samples investigated were unsuitable for agricultural use and aquaculture water supply, and 50 % of well and spring water samples were unsuitable for drinking water. Moreover, significant cerium (Ce) negative and heavy REEs enrichment was observed after the data were normalized to the Post-Archean Australian Shales (PAAS). Principal component analysis indicated that the mining activity had a more significant impact on local water quality than terrace field farming and poultry breeding activities. Moreover, greater risk of water pollution and adverse effects on local residents' health was observed with closer proximity to mining sites. Overall, these findings indicate that effective measures to prevent contamination of surrounding water bodies from the effects of mining activity are needed.

Influence of Socioeconomic Factors on Daily Life Activities and Quality of Life of Thai Elderly.

PubMed

Somrongthong, Ratana; Wongchalee, Sunanta; Ramakrishnan, Chandrika; Hongthong, Donnapa; Yodmai, Korravarn; Wongtongkam, Nualnong

2017-04-13

The increasing number of older people is a significant issue in Thailand, resulted in growing demands of health and social welfare services. The study aim was to explore the influence of socioeconomic factors on activities of daily living and quality of life of Thai seniors. Using randomised cluster sampling, one province was sampled from each of the Central, North, Northeast and South regions, then one subdistrict sampled in each province, and a household survey used to identify the sample of 1678 seniors aged 60 years and over. The Mann-Whitney U-test and binary logistic regression were used to compare and determine the association of socioeconomic variables on quality of life and activities of daily living. The findings showed that sociodemographic and socioeconomic factors were significantly related to functional capacity of daily living. Education levels were strongly associated with daily life activities, with 3.55 adjusted ORs for respondents with secondary school education. Gender was important, with females comprising 61% of dependent respondents but only 47% of independent respondents. Seniors with low incomes were more likely to be anxious in the past, present and future and less likely to accept death in the late stage, with 1.40 Adjusted ORs (95%CI: 1.02-1.92), and 0.72 (95%CI: 0.53-0.98), respectively. However, they were more likely to engage in social activities. While socioeconomic factors strongly indicated the functional capacity to live independently, a good quality of life also required other factors leading to happiness and life satisfaction.

A survey of the quality of nursing services for brain trauma patients in the emergency wards of hospitals in Guilan Province, Iran (2012).

PubMed

Majidi, Seyed Ali; Ayoubian, Ali; Mardani, Sheida; Hashemidehaghi, Zahra

2014-01-01

Head trauma is the main cause of disabilities and death among young people, and the side effects of head trauma pose some of the greatest medical challenges. Rapid diagnosis and the use of proper treatments can prevent more severe brain damage. The purpose of this research was to determine the quality of nursing services provided to brain trauma patients in hospitals in Guilan Province, Iran. The study was conducted as a descriptive, cross-sectional study in the emergency wards of selected hospitals in Guilan in 2012. The research population was comprised of all the brain trauma patients in these hospitals. We developed a two-section questionnaire, ascertained its validity, and determined that it had a reliability of 88% (Cronbach's alpha). Subsequently, we used the questionnaire for gathering data. The data were analyzed using SPSS statistical software, and descriptive analysis tests (frequency rate and average) and deductive analyses tests (chi-squared) also were used. The results showed that the quality of health services provided to brain-trauma patients in the emergency ward was at the moderate level of 58.8% of the cases and at a low level in 41.2% of the cases. Based on the results that showed that the services were of moderate quality, the staff members in the emergency ward were required to update their knowledge and use the required measures to minimize or prevent side effects in brain-trauma patients; clearly, mastery of such measures was a real need among the emergency ward's staff.

[Effects of egg and milk supplementation on growth and development among children in poor rural area].

PubMed

Lin, Shuang; Hu, Xiaoqi; Zhang, Fan; Ruan, Qing; Tang, Wen; Tao, Longxiang; Pan, Hui; Zhang, Qian

2015-08-01

To evaluate the effects of egg and milk supplementation on growth and development and body composition among children in poor rural area in Tianyang County of Guangxi province. Total four schools were randomly selected from four towns in Tianyang County of Guangxi province as intervention group in April, 2013. The intervention measures included that these students were given salty egg (net weight: 50 g) and ultra-high-temperature-sterilization school milk (net weight: 200 g) every school day and these schools were equipped with standard kitchens. Another four schools of familiar socio-economic level, teaching quality and size from the same town were randomly chosen as control group and none of the intervention measures were implemented. About 25 students were randomly selected and stratified by grades from grade one to grade five. The height, weight, and body composition of all students were measured in April, 2013 and one year after the intervention. A total of 978 students were measured at baseline from age 6 to 13, 552 students as intervention group and 426 as control group. t-test was used to compare the differences between groups and multivariate unconditional logistic regression was used to analyze the factors of malnutrition. After one year intervention, 892 students were measured randomly, with 515 students in intervention group and 377 in control one. The average weight of boys in intervention group increased (3.6 ± 1.7) kg compared with baseline. It was significantly higher than that of control group ((2.9 ± 1.5) kg) (t = 4.40, P < 0.001). The boy's lean body mass of intervention group increased (2.6 ± 1.4) kg, higher than the control group ((2.0 ± 1.2) kg) (t = 3.95, P < 0.001). The decrease of malnutrition rate of intervention schools (11.8%) was significantly higher than that of the control schools (4.7%, χ² = 16.90, P < 0.001), and the odds ratio was 0.37 (95% CI: 0.23-0.59). The risk difference of overweight and obesity was not statistically significant between the two groups (OR = 1.68, 95% CI: 0.57-4.94). After supplementing milk and egg, the nutritional status of the poor rural pupils was improved.