Quality Assessment Research Articles

Analysis of the quality of life in patients with multiple sclerosis within 3 years after high-dose immunosuppressive therapy with autologous hematopoietic stem cell transplantation

Introduction. To date, data have been accumulated indicating the high effectiveness of the HDIT-AHSCT and the possibility of preserving and improving the quality of life of patients after its application.The objective was to analyze the dynamics of quality of life using standardized assessment tools in patients with MS for 3 years after the use of HDIT-AHSCT, who participated in the program of clinical approbation of the method.Methods and materials. The single-center observational study included 21 patients (10 women, 11 men) with a reliable diagnosis of MS, who underwent HDIT-AHSCT at the Pavlov First Saint Petersburg State Medical Universityin accordance with the protocol of clinical approbation. Distribution by type of MS course: remitting (RMS) 16 (76.2 %), secondary progressive (SPMS) 4 (19 %), primary progressive (PPMS) 1 patient (4.8 %). The assessment of quality of life (SF-36, FAMS, CSP-MS42, HADS) and severity of disability (EDSS) in all patients was performed before, 12 and 36 months after HDIT-AHSCT.Results. Three years after the HDIT-AHSCT, a significant decrease in weakness, feelings of constant fatigue and rapid fatigue during exertion was recorded. The level of anxiety decreased in more than 50 % of patients. A direct relationship between the dynamics of clinical characteristics and the data of the scales of the SF-36 questionnaire was revealed; at the same time, after 36 months, an improvement in all parameters of the scale was noted.Conclusion. The assessment of the indicators of the quality of life questionnaires allows us to confirm the effectiveness and significance of therapy not only from the point of view of objective clinical and radiation parameters necessary for the evidence base of the treatment method, but also from the patient’s position, which in conditions of a chronic progressive process is an integral factor for the appointment of therapeutic intervention.

Romosozumab for the treatment of osteoporosis - a systematic review.

Romosozumab, a new treatment of osteoporosis, is a monoclonal antibody that targets sclerostin and thereby exhibits a dual mechanism of action by stimulating bone formation and inhibiting bone resorption. This systematic review aims to assess the clinical efficacy and safety of romosozumab for treatment of primary and secondary osteoporosis. A comprehensive literature search was conducted in October 2023 across multiple databases including Embase, PubMed and Cochrane Library. Randomized controlled trials (RCTs) and observational studies evaluating the impact of romosozumab on BMD, bone turnover markers (BTM), fracture outcomes, and its safety profile were included. Data extraction and quality assessment were performed independently by two reviewers in accordance with PRISMA guidelines. A total of 36 articles met the inclusion criteria. Romosozumab significantly increased BMD at the lumbar spine, total hip, and femoral neck compared to placebo and active comparators in patients with primary osteoporosis. Sequential therapy with romosozumab followed by antiresorptives maintained or further increased BMD and reduced fracture risk. Romosozumab was generally well tolerated, however, an imbalance in cardiovascular adverse event was observed in one large clinical trial. Observational studies supported these findings. Specific subgroups of patients with secondary osteoporosis were assessed, demonstrating overall positive outcomes with romosozumab treatment. Romosozumab effectively increases BMD and reduces fracture risk, particularly when used as initial therapy in high fracture-risk patients. Sequential therapy with subsequent antiresorptive treatment optimizes long-term benefits. While generally well-tolerated, its cardiovascular safety profile requires further long-term studies to ensure its safety in clinical practice. Additional studies are needed to confirm efficacy and safety in patients with secondary osteoporosis.

Risk of cognitive decline among patients with dengue virus infection: A systematic review.

Dengue fever, caused by the dengue virus and transmitted through Aedes mosquitoes, is a growing public health concern, particularly in tropical and subtropical regions. Traditionally associated with febrile and hemorrhagic symptoms, recent research suggests a potential link between dengue and cognitive impairments. This systematic review assessed existing research to understand the association between dengue virus infection and cognitive impairments, including dementia, Alzheimer's disease, memory loss, and confusion. This systematic review followed PRISMA guidelines. A comprehensive literature search was conducted in PubMed, EMBASE, and Web of Science up to January 18, 2024. Studies examining the prevalence and association of cognitive impairments in dengue patients were included. Data extraction and quality assessment were performed using Nested Knowledge software and the Newcastle-Ottawa Scale. Of the 1,129 articles identified, five were included in the review, covering a total of 200,873 participants from Taiwan, Brazil, and France. Evidence from population-based cohort studies indicated short-term cognitive impairments, including confusion and memory loss, in some dengue patients. Additionally, long-term risks of dementia, including Alzheimer's disease and vascular dementia, were observed, particularly among older adults. Although the findings suggest there might be an association between dengue infection and cognitive decline, the mechanisms underlying this link remain unclear. This systematic review suggests that dengue virus infection may affect cognitive function in both acute and long-term contexts. However, the current evidence is not strong enough to establish a conclusive link. Further research with larger sample sizes and longitudinal studies is essential to confirm the impact of dengue virus on cognitive health.

A COMPREHENSIVE REVIEW OF RECENT ADVANCEMENTS IN VIGNA RADIATA RESEARCH: INSIGHTS INTO PHYSIOLOGY, AGRONOMIC, NUTRITIONAL, AND HEALTH PERSPECTIVES

Aims: The primary aim of this research is to provide a better comparative understanding of the Physiology, Agronomic, Nutritional, and Health-modulating effects observed in the reviewed studies related to Vigna radiata consumption. The review paper typically highlights the antidiabetic, anticancer, anti-inflammatory, and immunomodulatory effects of Vigna radiata (mung bean). The fact that there exist inconsistencies and gaps in evidence against certain effects of mung bean & places where further research is needed is also addressed in the review paperPlace and Duration of Study: Department of Biotechnology, Techno India University, West Bengal, India; between August 2023 and July 2024.Methodology: The paper has been prepared by conducting a comprehensive search of various mung bean-related scientific literature databases across the internet mung beans, followed by extracting relevant data from selected studies, evaluating quality assessment factors & finally summarizing and synthesizing the extracted data, including the main findings related to Vigna radiata's beneficial effects.Results: The review work seems to be beneficial for reaffirming the significance of Vigna radiata as a natural source of immunity support and summarizing the key takeaways from the review.Conclusion: The mung bean (Vigna radiata) is a leguminous fodder crop which is rich in nutrients and bioactive compounds, including polyphenols, polysaccharides, and polypeptides. Studies conducted in vitro and in vivo highlight the variety of mung bean's health benefits. It portrays antidiabetic, anticancer, anti-inflammatory, and immunomodulatory effects. However, it is imperative to delve deeper into the mechanisms underlying their role in preventing diseases. There are substantial knowledge gaps regarding the bioactive compounds and biological functions of mung beans. Further investigation is crucial to pinpoint additional essential components responsible for their health advantages and underscore these various components' combined effects on biological processes.

Shallow Groundwater Quality Assessment and Pollution Source Apportionment: Case Study in Wujiang District, Suzhou City

Groundwater serves as a crucial resource, with its quality significantly impacted by both natural and human-induced factors. In the highly industrialized and urbanized Yangtze River Delta region, the sources of pollutants in shallow groundwater are more complex, making the identification of groundwater pollution sources a challenging task. In this study, 117 wells in Wujiang District of Suzhou City were sampled, and 16 groundwater quality parameters were analyzed. The fuzzy synthetic evaluation method was used to assess the current status of groundwater pollution in the study area; the principal component analysis (PCA) was employed to discern the anthropogenic and natural variables that influence the quality of shallow groundwater; and the absolute principal component scores–multiple linear regression (APCS-MLR) model was applied to quantify the contributions of various origins toward the selected groundwater quality parameters. The results indicate that the main exceeding indicators of groundwater in Wujiang District are I (28%), NH4-N (18%), and Mn (14%); overall, the groundwater quality is relatively good in the region, with localized heavy pollution: class IV and class V water are mainly concentrated in the southwest of Lili Town, the north of Songling Town, and the south of Qidu Town. Through PCA, five factors contributing to the hydrochemical characteristics of groundwater in Wujiang District were identified: water–rock interaction, surface water–groundwater interaction, sewage discharge from the textile industry, urban domestic sewage discharge, and agricultural non-point source pollution. Additionally, the APCS-MLR model determined that the contributions of the three main pollution sources to groundwater contamination are in the following order: sewage discharge from the textile industry (10.63%) > urban domestic sewage discharge (8.69%) > agricultural non-point source pollution (6.26%).

Factors influencing dementia patients' participation in advance care planning: A meta-analysis

ObjectiveA meta-analysis was conducted based on the available evidence to determine the influencing factors associated with the participation of people with dementia in advance care planning. MethodsA keyword search was performed in seven databases, Web of Science, PubMed, Embase, Cochrane Library, CINAHL, Scopus, and Void, to search for eligible studies published from the time of library construction up to February 1, 2024, to examine the factors influencing the participation of dementia patients in advance care planning and its effects. The quality of the included studies was evaluated using the Newcastle-Ottawa Scale (NOS) and the assessment criteria of the Agency for Healthcare Research and Quality (AHRQ). After literature search, data extraction and quality assessment were completed independently by two researchers, meta-analysis was performed using Stata software 15.0 to pool the odds ratios (OR) and 95% confidence intervals (CI). Heterogeneity between studies was assessed using the Cochran chi-square test (Cochran 's Q) and I2 values. ResultsA total of 19 studies were included in this study, and Meta-analysis showed that 8 of the 16 influencing factors were statistically significant: Patients' gender (OR=1.17; 95%: 1.13–1.2), age (OR=1.07; 95%: 1.03–1.1), education (OR=1.98; 95%: 1.65–2.38), race (OR=2.61; 95%: 1.67–4.08), the severity of the dementia (OR=1.46; 95%: 1.34- 1.58), ability to perform activities of daily living (OR=0.99; 95%: 0.97–1.0), religious affiliation (OR=2.24; 95%: 1.23–4.06), and patient income(OR=2.10; 95%: 1.47–2.98) were associated with participation in advance care planning. ConclusionsThe participation of dementia patients in advance care planning is influenced by gender, age, education, race, dementia severity, ability to perform activities of daily living, religious affiliation and patient income. The results of the study can inform the development of targeted interventions for dementia patients, thereby reducing overtreatment of dementia patients at the end of life and improving patient adherence to hospice care.

The expression of MUC5AC in patients with rhinosinusitis: A systematic review and meta-analysis.

To understand the connection between Muc5AC expression and the likelihood of rhinosinusitis, with the goal of providing insights into its prospective use as a biomarker. We searched PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases for studies up to November 2023 to conduct a literature review. After screening and quality assessment, eligible studies meeting the criteria were included. Muc5AC expression and rhinosinusitis association was analyzed by STATA 14.0. Including weighted mean difference and 95% confidence interval, were reported. The meta-analysis included 16 studies with 1448 rhinosinusitis patients. MUC5AC expression was significantly up-regulated in both chronic rhinosinusitis with nasal polyps (CRSwNP; WMD: 0.52; 95% CI: 0.41-0.63) and chronic rhinosinusitis without nasal polyps (CRSsNP; WMD: 0.42; 95% CI: 0.28-0.56) patients compared to controls. IHC positive area analysis corroborated these findings, with elevated MUC5AC levels in CRSwNP (WMD: 25.61; 95% CI: 22.41-28.81) and CRSsNP (WMD: 39.74; 95% CI: 25.6-53.88) patients. Subgroup analysis based on tissue type (nasal tissue fluid and sinus mucosa) consistently supported the overall results. Our meta-analysis robustly demonstrates a significant association between elevated MUC5AC expression and rhinosinusitis risk. This finding underscores the potential of MUC5AC as a molecular marker, providing valuable insights for future research and potential therapeutic interventions in rhinosinusitis management. CRD42024518932.

Cancer care treatment attrition in adults: Measurement approaches and inequities in patient dropout rates – a rapid review

BackgroundCancer treatment attrition refers to the discontinuation of prescribed cancer therapies before completion. It can significantly impact patient outcomes and cancer survival rates making it a critical concern. There is growing evidence on inequalities in cancer care, the avoidable systematic differences in the health of different groups of people. Understanding the extent of treatment attrition, why it happens, for whom, and associated inequalities may improve cancer care delivery and patient outcomes.MethodsA rapid review was conducted to identify existing evidence on measures of cancer treatment attrition, definitions, reasons for attrition and potential inequalities. The review followed a systematic approach but with abbreviated processes to facilitate quicker evidence synthesis. Searches were restricted to MEDLINE and Embase databases from their inception dates to May 7, 2024. Additional searches were performed in PubMed, Google Scholar, and key grey literature from relevant organizations. Inclusion criteria were adults with any type of cancer undergoing treatment, with studies reporting quantitative or qualitative data on treatment attrition conducted outside of clinical trials. Exclusion criteria included studies on children or adolescents, clinical trials, non-English publications, and various non-research article types. Data extraction and quality assessment were performed using standardized tools, and studies were synthesized narratively.ResultsThe search retrieved 1,353 references, with 40 studies meeting inclusion criteria. Most studies were retrospective. Studies covered various cancer types and treatments, reporting measures of attrition and reasons for treatment drop-out. Factors influencing attrition included disease progression, death, clinical deterioration, treatment toxicity, and socioeconomic factors such as lower income or socioeconomic disadvantage.ConclusionsThis review highlights significant variability in how treatment attrition is measured and defined, and suggests potential inequalities in who discontinues treatment. Standardized measures of attrition and data collection on reasons for discontinuation are essential to improve cancer care outcomes and equity. Future research should focus on developing these standardized metrics and exploring interventions targeting identified disparities to support cancer patients to complete treatment and improve outcomes.

Effect of Sodium Hypochlorite Concentration on the Outcome of Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis - A Systematic Review.

To determine the outcome of full pulpotomy in management of mature permanent teeth with irreversible pulpitis when 2.5% versus other concentrations of sodium hypochlorite (NaOCl) were used to achieve haemostasis. Electronic searches were performed in PubMed, Embase, Web of Science, International Clinical Trials Registry Platform, and ClinicalTrials.gov for English language articles until July 2021. Randomised clinical trials and cohort, cross-sectional, and case-control studies where full pulpotomy was performed to manage mature permanent molar teeth with irreversible pulpitis and no periapical radiolucency were included. Newcastle Ottawa Scale and the Cochrane risk of bias tool were used for quality assessment. The success rate for full pulpotomy was documented. The protocol was registered in PROSPERO database (CRD42020177214). Out of 861 studies, four were considered for data analysis. Three studies were single-arm prospective trials on pulpotomy, while one was a randomised control trial comparing pulpotomy and root canal treatment. A combined success rate of 93% from 117 teeth was reported from three studies using 2.5% NaOCl as a haemostatic agent. One study used 5% NaOCl and reported a success rate of 100% (n = 6 teeth). The certainty of evidence substantiated by the GRADE approach was of low quality. Overall quality assessment revealed a considerable risk of bias in three studies. Irrespective of the NaOCl concentration, the success rate of pulpotomy in mature permanent teeth with irreversible pulpitis was high. No study compared the different concentrations of NaOCl as a haemostatic agent. Further, randomised controlled trials are required to investigate the effect of NaOCl concentration for haemostasis on the outcome of pulpotomy.

Comparative genomic analysis and characterization of novel high-quality draft genomes from the coal metagenome.

Coal, a sedimentary rock harbours a complex microbial community that plays a significant role in its formation and characteristics. However, coal metagenome sequencing and studies were less, limiting our understanding of this complex ecosystem. This study aimed to reconstruct high-quality metagenome-assembled genomes (MAGs) from the coal sample collected in the Neyveli mine to explore the unrevealed diversity of the coal microbiome. Using Illumina sequencing, we obtained high-quality raw reads in FASTQ format. Subsequently, de novo assembly and binning with metaWRAP software facilitated the reconstruction of coal MAGs. Quality assessment using CheckM identified 10 High-Quality MAGs (HQ MAGs), 7 medium-quality MAGs (MQ MAGs), and 6 low-quality MAGs (LQ MAGs). Further analysis using GTDB-Tk revealed four HQ MAGs as known species like Dermacoccus abyssi, Sphingomonas aquatilis, Acinetobacter baumannii, and Burkholderia cenocepacia. The remaining six HQ MAGs were classified as Comamonas, Arthrobacter, Noviherbaspirillum, Acidovorax, Oxalicibacterium, and Bordetella and designated as novel genomes by the validation of digital DNA-DNA hybridization (dDDH). Phylogenetic analysis and further pangenome analysis across the phylogenetic groups revealed a similar pattern with a high proportion of cloud genes. We further analysed the functional potential of these MAGs and closely related genomes using COG. The comparative functional genomics revealed that novel genomes are highly versatile, potentially reflecting adaptations to the coal environment. BlastKOALA was used to conduct a detailed analysis of the metabolic pathways associated with the MAGs. This study highlights the comparative genomic analysis of novel coal genomes with their closely related genomes to understand the evolutionary relationships and functional properties.

Cost-effectiveness of falls prevention strategies for older adults: protocol for a living systematic review

IntroductionOne-third of adults aged 65+ fall annually. Injuries from falls can be devastating for individuals and account for 1.5% of annual healthcare spending. With the growing ageing population, falls place...

Evaluation of Image Segmentation Methods for In Situ Quality Assessment in Additive Manufacturing

Additive manufacturing (AM), or 3D printing, has revolutionized the fabrication of complex parts, but assessing their quality remains a challenge. Quality assessment, especially for the interior part geometry, relies on post-print inspection techniques unsuitable for real-time in situ analysis. Vision-based approaches could be employed to capture images of any layer during fabrication, and then segmentation methods could be used to identify in-layer features in order to establish dimensional conformity and detect defects for in situ evaluation of the overall part quality. This research evaluated five image segmentation methods (simple thresholding, adaptive thresholding, Sobel edge detector, Canny edge detector, and watershed transform) on the same platform for their effectiveness in isolating and identifying features in 3D-printed layers under different contrast conditions for in situ quality assessment. The performance metrics used are accuracy, precision, recall, and the Jaccard index. The experimental set-up is based on an open-frame fused filament fabrication printer augmented with a vision system. The control system software for printing and imaging (acquisition and processing) was custom developed in Python running on a Raspberry Pi. Most of the segmentation methods reliably segmented the external geometry and high-contrast internal features. The simple thresholding, Canny edge detector, and watershed transform methods did not perform well with low-contrast parts and could not reliably segment internal features when the previous layer was visible. The adaptive thresholding and Sobel edge detector methods segmented high- and low-contrast features. However, the segmentation outputs were heavily affected by textural and image noise. The research identified factors affecting the performance and limitations of these segmentation methods and contributing to the broader effort of improving in situ quality assessment in AM, such as automatic dimensional analysis of internal and external features and the overall geometry.

Diagnostic Accuracy of Lung Ultrasonography Compared to Chest Radiography, BNP and Physical Examination in Patients with Dyspnea Suggestive of Pulmonary Edema: A Systematic Review and Meta-Analysis

Background: Pulmonary edema (PE) is the result of an abrupt increase in hydrostatic pressure in the pulmonary capillaries that leads to leakage of fluid through microvascular endothelial cells. This leads to a disruption of gas exchange in the lungs. Aims: This meta-analysis aimed to determine the diagnostic accuracy of lung ultrasonography (LUS) in pulmonary edema. Methods: A systematic search was conducted using a strategy based on these search terms (Lung ultrasonography, pulmonary edema, diagnostic accuracy); we searched PubMed, Google Scholar, and the Cochrane Library. Out of 1029, 14 prospective cross-sectional and observational studies with 2239 patients who reported the sensitivity and specificity of lung ultrasonography in diagnosing pulmonary edema were selected. For inclusion and data extraction, an independent review of citations was carried out. The data obtained were analyzed using SPSS, RevMan 5.3, and Stata 14.0 software. A quality assessment was conducted using the QUADAS-2 tool. The reference gold standard was the final clinical diagnosis according to chest radiography, B-type natriuretic peptide, and/or physical examination in dyspneic patients. Results: The overall sensitivity and specificity of lung ultrasonography in the diagnosis of pulmonary edema were 0.86 (95% CI, 0.81-0.90) and 0.91 (95% CI, 0.90-0.93), respectively, with a Younden index of 77.8%. The area under the receiver operating characteristic (ROC) curve was 0.889. Conclusion: The overall diagnostic odds ratio was 68.86. The results of this meta-analysis suggest that lung ultrasonography is an effective non-invasive technique in the diagnosis of acute pulmonary edema with rapid bedside examination and immediate interpretation.

Participatory developed school-based interventions targeting physical activity and sedentary behaviour among children and adolescents: A scoping review.

A significant number of children and adolescents are insufficiently physically active and have a sedentary lifestyle, which is associated with adverse health outcomes, necessitating effective interventions. Using a participatory approach, which engages youth in intervention development, may enhance intervention effectiveness, as such interventions are believed to be more tailored to the needs of the target group. This scoping review aimed to provide an overview of the results of process and effect evaluations of studies that developed school-based physical activity and/or sedentary behaviour interventions using a participatory approach among children and adolescents. Six databases (MEDLINE, Embase, Web of Science, CENTRAL (Cochrane Central Register of Controlled Trials), Scopus and SPORTDiscus) were searched. Studies were included when they evaluated the participatory process, intervention implementation or health-related intervention effects. A quality assessment was completed using two QualSyst checklists. Extracted data included characteristics of studies, interventions, and participatory processes; characteristics of participants from whom data were collected; outcomes measured and measurement methods used; and key findings. Twenty-five papers, covering 18 original studies, were included. Studies suggested that participatory processes were generally perceived positively, resulting in pupils feeling empowered, experiencing ownership and gaining certain skills. Participatory developed interventions also seemed to be generally well received, although the intervention dose delivered and intervention reach seemed to vary between studies. Finally, studies generally tended to report no effects on health. Although a participatory approach could be promising in empowering pupils and promoting intervention acceptance, apparent differences in intervention implementation and limited effectiveness highlight the need to enhance participatory processes and intervention effectiveness.

Prevention of iron deficiency conditions in obese children

Background. Due to the progressive increase in childhood obesity, the effect of iron levels in the body on carbohydrate and lipid metabolism disorders and the relationship between these conditions are actively studied. It is proven that obesity in children is often associated with dysregulation of iron metabolism. The correlation between the body mass index and iron deficiency (ID) in children and adolescents was reported. Therefore, implementing preventive measures to correct the iron deficiency state (IDS), including the enrichment of the diet with foods containing easily digestible iron, is relevant and can be considered as one of the principles of an integrated approach to the treatment of obesity in childhood. Aim. To evaluate the effectiveness of dietary supplements "Kidz Tasty iron" for IDS prevention in obese children. Materials and methods. Thirty children aged 7–14 with exogenous constitutional obesity were followed up, 14 (47%) females and 16 (53%) males. All patients received a dietary supplement (DS), "Kidz Tasty iron," 10 mL once daily with meals according to the label for 1 month. The follow-up included data on signs and symptoms, medical history, evaluation of anthropometric data, evaluation of current nutrition status with the software "Optimal Nutrition 5.0", bioimpedance analysis of body composition, questionnaire on the assessment of ID symptoms and quality of life, general hematology and blood chemistry tests, validated for childhood. Results. The diets of obese children in the study had low iron content (33.3% of patients), which justifies the need for additional iron supplementation. While taking the dietary supplement "Kidz Tasty Iron," there was a positive clinical trend: decreased symptoms related to ID and clinical signs of ID, improved overall well-being, and increased quality of life. The improvement of the body composition of the studied children was represented by preservation and an increase (20% of patients) in the active cell mass in the studied children. Laboratory tests of iron metabolism improved in 9 children (30%). Most children reported the good organoleptic properties of the product. Adherence to the DS was 96.7%. Conclusion. The study results show the "Kidz Tasty iron" dietary supplement to be tolerable, safe, and effective, supporting its use in the complex therapy of children and adolescents with obesity, including for IDS prevention.

Early assessment of vision-related quality of life predicts long-term spectacle-wear compliance

Non-compliance with spectacle wear undermines global health initiatives aimed at eliminating uncorrected refractive error—a preventable cause of visual impairment—by providing free or affordable spectacles to underserved populations. Non-compliance, however, is often identified too late, delaying effective health promotion strategies. This study evaluates the association between early-assessed vision-related quality of life (QoL) following spectacle correction and long-term compliance in adults. A comprehensive eye examination was conducted on 3052 university students to identify those visually impaired (presenting acuity ≥ Snellen 6/12 in the better eye) due to uncorrected refractive error. After refractive correction, participants achieving a best-corrected visual acuity of Snellen 6/6 completed the National Eye Institute 25-item Visual Function Questionnaire (NEI-VFQ-25) at baseline and within the first week of correction. A 6-month follow-up assessed compliance with spectacle wear. The average baseline NEI-VFQ-25 score improved from 67.35 (± 13.53%) to 90.56 (± 8.45%) with spectacle correction (P < 0.001) in the first week, with individual changes ranging from 2 to 70%. After 6 months, only 54 (47%) out of the 115 eligible participants (58 females; ages 18 to 29) were compliant. Following the adjustment for covariates, the results revealed that gains in NEI-VFQ-25 score below 40 were significantly associated with reduced compliance over the 6-month period (OR: 0.39, 95% CI: 0.06–0.99, P = 0.047). This supports an association between early vision-related QoL and long-term compliance. Scheduling a short follow-up to assess vision-related QoL within the first week after dispensing spectacles may help identify potential non-compliant wearers early, allowing for timely interventions.

An integrated assessment of coastal habitat quality in Nantong, Jiangsu, China

An integrated assessment of coastal habitat quality in Nantong, Jiangsu, China

Water quality and pollution source apportionment responses to rainfall in steppe lake estuaries: A case study of Hulun Lake in northern China

Hulun Lake, the largest inland steppe lake in China, is encountering severe water quality degradation. Estuaries play important roles in material and energetic exchange between rivers and lakes. The water quality at the estuaries of Hulun Lake directly reflects the impact of both human activities and natural factors on the lake’s overall water quality, especially during rainfall events. From July 28, 2021, to August 4, 2021, water samples from 62 sites were collected in the three estuaries of Hulun Lake before and after a moderate rainfall event. 13 water parameters, including dissolved oxygen (DO), Turbidity (Tur), Total Nitrogen (TN), Total Phosphorus (TP), Total Organic Nitrogen (TON), and Total Organic Phosphorus (TOP) were measured. The spatio-temporal distribution of water quality in the estuaries was assessed based on water quality index (WQI). Besides, an improved approach integrating stepwise linear regression (SLR) and principal component analysis (PCA) was utilized to construct a WQImin model for an effective assessment of water quality in these estuaries. Furthermore, the absolute principal component scores-multiple linear regression (APCS-MLR) model was employed to identify and quantify the environmental drivers underlying the water quality in the estuaries. The results of WQI indicated that the water quality of the sites in the estuaries of Hulun Lake was “medium” or “poor”, both before and after the rainfall, with a general deterioration in water quality in response to the rainfall. The simplified WQImin model consisted of 5 crucial parameters (i.e., TN, TP, ammonium (NH4+-N), Tur, and permanganate index (CODMn)), and it performed well without parameter weights. Spatial differences in some water parameters among the estuaries were detected, which were attributed to the natural factors and human activities upstream. The principal environmental factors affecting the water quality in the estuaries consisted of hydrodynamic processes, internal phosphorus release, external phosphorus input, external nitrogen input, nitrification in the estuaries, and external organic input and internal organic release. Therefore, we propose basin management strategies such as limiting grazing pressure, adopting enclosed pasture, wetland restoration, optimizing water renewal cycle in Hulun Lake, and transboundary water quality management to tackle water contamination in Hulun Lake.

Assessment of isokinetic trunk muscle parameters, postural control and quality of life in sedentary and active older adults

Assessment of isokinetic trunk muscle parameters, postural control and quality of life in sedentary and active older adults

Assessment of groundwater quality for agricultural purposes in Qazvin Province, northwestern Iran: A fuzzy inference and indicator Kriging approach

Assessment of groundwater quality for agricultural purposes in Qazvin Province, northwestern Iran: A fuzzy inference and indicator Kriging approach