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The Evaluation Of Anti-Factor Xa Levels In Hospitalised Patients Receiving Low Molecular Weight Heparin (Lmwh): A Prospective Study, Tandzile Thandwayinkosi Simelane Jul 2025

The Evaluation Of Anti-Factor Xa Levels In Hospitalised Patients Receiving Low Molecular Weight Heparin (Lmwh): A Prospective Study, Tandzile Thandwayinkosi Simelane

Master of Medicine in Clinical Pathology

Background 

Patients admitted to the hospital have been reported to have coagulation abnormalities due to various factors including immobilisation, preexisting disease, and current illness. The overall incidence of venous thromboembolism (VTE) in critically ill patients varies from 15% to well over 50%, even with the use of prophylactic measures in most patients. Low molecular weight heparin (LMWH) and unfractionated heparin (UFH) are the recommended drugs for VTE prophylaxis in inpatient care. Although not standardly recommended, the laboratory can offer monitoring of anti-Factor Xa using the gold standard method of chromogenic anti-Factor X assay. The anti-Factor Xa levels are notably affected …


Phylogenomic And Population Genomic Analyses Of Ultraconserved Elements Reveal Deep Coalescence And Introgression Shaped Diversification Patterns In Lamprologine Cichlids Of The Congo River, Fernando Alda, S. Elizabeth Alter, Naoko P. Kurata, Prosanta Chakrabarty, Melanie L J Stiassny Jul 2025

Phylogenomic And Population Genomic Analyses Of Ultraconserved Elements Reveal Deep Coalescence And Introgression Shaped Diversification Patterns In Lamprologine Cichlids Of The Congo River, Fernando Alda, S. Elizabeth Alter, Naoko P. Kurata, Prosanta Chakrabarty, Melanie L J Stiassny

Biology, Agriculture and Chemistry Faculty Publications and Presentations

Understanding the drivers of diversification is a central goal in evolutionary biology but can be challenging when lineages radiate quickly and/or hybridize frequently. Cichlids in the tribe Lamprologini, an exceptionally diverse clade found in the Congo basin, exemplify these issues: their evolutionary history has been difficult to untangle with previous data sets, particularly with regard to river-dwelling lineages in the genus Lamprologus. This clade notably includes the only known blind and depigmented cichlid, Lamprologus lethops. Here, we reconstructed the evolutionary, population, and biogeographic history of a Lamprologus clade from the Congo River by leveraging genomic data and sampling over 50 …


The Use Of Visuals In Preschool Settings To Improve Student Engagement And Student Participation At Group Timet, Lexie Flug Jul 2025

The Use Of Visuals In Preschool Settings To Improve Student Engagement And Student Participation At Group Timet, Lexie Flug

Master's Theses & Capstone Projects

Engagement are participation in early childhood are essential for social growth and child development. Distractions at group time are a barrier to student engagement and participation. These distractions lead to less instructional time. Research shows higher levels of engagement and participation increase academic success. This inquiry-based research study aims to determine if the visual support of "Give Me 5" increases student engagement and participation at group time. The study utilized a qualitative approach, using classroom observations and teacher questionnaires for a preschool classroom. The findings revealed that implementing visual support at group time increased student participation with a slight increase …


The Importance Of Collaboration Between Teachers And Mental Health Professionals To Support Trauma-Impacted Students, Kimberly Lemonds Jul 2025

The Importance Of Collaboration Between Teachers And Mental Health Professionals To Support Trauma-Impacted Students, Kimberly Lemonds

Master's Theses & Capstone Projects

Students impacted by trauma face emotional and behavioral challenges that affect their learning and social development. Collaboration between early childhood educators and mental health professionals is critical to providing effective support, yet this partnership often remains informal and inconsistent. This inquiry-based mixed-methods study explored how such collaboration functions in an early childhood center serving preschool and kindergarten students. Data from surveys and interviews with educators and mental health staff revealed barriers including limited time, unclear roles, and insufficient training. Despite these challenges, participants emphasized the benefits of structured communication, joint professional development, and school-community partnerships. The study highlights the need …


Sel Integration Into The Kindergarten Curriculum, Brooke Kingsley Jul 2025

Sel Integration Into The Kindergarten Curriculum, Brooke Kingsley

Master's Theses & Capstone Projects

This inquiry-based research project investigates the effectiveness and efficiency of integrating social emotional learning (SEL) into the kindergarten curriculum. With a growing number of young learners entering school lacking foundational emotional regulation and social skills, the study examines how explicit SEL instruction can be embedded meaningfully into daily academic routines. The researcher used qualitative methods, including teacher surveys, reflective journaling, literature review, and analysis of classroom behavior artifacts from a rural Iowa school district. Six kindergarten teachers participated in the survey, providing insight into current SEL integration strategies, perceived effectiveness, and common barriers. Results showed that while all teachers integrate …


Project-Based Learning Vs Traditional Teaching Methods, James Kingsley Jul 2025

Project-Based Learning Vs Traditional Teaching Methods, James Kingsley

Master's Theses & Capstone Projects

This study explored how teachers compare Project-Based Learning (PBL) with traditional teaching methods in elementary classrooms. Many schools today still rely heavily on lectures, worksheets, and test-based instruction, which can leave students feeling disconnected and unmotivated. This research began with the problem that students often lose interest in learning when it feels disconnected from the real world. The purpose of this study was to better understand teacher's perspectives on PBL and whether they believe it increases student engagement, learning, and life skills. Using a mixed-methods survey with both multiple choice and open-ended questions, the study gathered responses from elementary educators …


Front Cover And Inner Cover Jul 2025

Front Cover And Inner Cover

City University of New York Law Review

No abstract provided.


A Call To Care: An Investigation Of Rhetorical Inquiry In First-Year Composition Educators, Madison Brooke Naimo Jul 2025

A Call To Care: An Investigation Of Rhetorical Inquiry In First-Year Composition Educators, Madison Brooke Naimo

Theses and Dissertations

Throughout colleges and universities across the country, First-Year Composition is known to be a general education course requirement that commonly works to set students up for academic success throughout their postsecondary educational journey and pursuits. This general education course works to focus on developing composition-based skill sets that help students in various academic areas and disciplines of study throughout their undergraduate degree completion (Kinnevay, 1971; The Council of Writing Program Administrators, 2014). While much scholarship in First-Year Composition has focused on student growth and development, there have been minimal practical considerations and examinations of a large stakeholder in this education …


China-Taliban Security Ties: A Reimagining Of South Asia's Security Discourse, Amit Kumar Mr., Veena Ramachandran Jul 2025

China-Taliban Security Ties: A Reimagining Of South Asia's Security Discourse, Amit Kumar Mr., Veena Ramachandran

Journal of Strategic Security

This article examines how China constructs a distinct security discourse on terrorism through its engagement with the Taliban in Afghanistan. Moving beyond traditional materialist interpretations of security, the study draws on critical security studies to explore how China uses language, representation, and institutional practices to frame terrorism and project itself as a regional stabilizer. The Taliban’s return to power in 2021 has prompted China to expand its strategic presence in South Asia, particularly through economic diplomacy, intelligence cooperation, and regional multilateral and minilateral forums. Through qualitative discourse analysis of Chinese official statements, white papers, SCO documents, and state media narratives, …


Chronic Illness Education 2025: Dealing Anxiety In Teenage, Aida Mouzoon, Emily Crisan, Emma Saito, Feeda Elahresh, Hussan Ali, Jackson Bennett, Noah Rollison, Shihabaldean Shalabi Jul 2025

Chronic Illness Education 2025: Dealing Anxiety In Teenage, Aida Mouzoon, Emily Crisan, Emma Saito, Feeda Elahresh, Hussan Ali, Jackson Bennett, Noah Rollison, Shihabaldean Shalabi

Patient Education Projects

No abstract provided.


Chronic Illness Education 2025: Hypertension And The Case Of Mrs.Dash, Brandon Brown, Charlotte Turner, Connor Mcginnis, Jacob Airas, Maria Awad, Pranav Nair, Shruthi Sunilkumar, Yusra Sannah Jul 2025

Chronic Illness Education 2025: Hypertension And The Case Of Mrs.Dash, Brandon Brown, Charlotte Turner, Connor Mcginnis, Jacob Airas, Maria Awad, Pranav Nair, Shruthi Sunilkumar, Yusra Sannah

Patient Education Projects

No abstract provided.


Chronic Illness Education 2025: Prevention And Management, Alyusuf Elnaggar, Brenna Hairston, Carly Ghanem, Fatima Bhatti, James Wairagu, Lucy Yu, Najeeb Baig, Ryan Murphy Jul 2025

Chronic Illness Education 2025: Prevention And Management, Alyusuf Elnaggar, Brenna Hairston, Carly Ghanem, Fatima Bhatti, James Wairagu, Lucy Yu, Najeeb Baig, Ryan Murphy

Patient Education Projects

No abstract provided.


Chronic Illness Education 2025: Risk Factors And Prevention Of Cardiovascular Disease, Christopher Matti, Clayton Kramm, Ghala Alhasan, Hadi Elmenini, Julia Miller, Maxine Kugelmas, Moshood Osinusi, Nievalinda Strong Jul 2025

Chronic Illness Education 2025: Risk Factors And Prevention Of Cardiovascular Disease, Christopher Matti, Clayton Kramm, Ghala Alhasan, Hadi Elmenini, Julia Miller, Maxine Kugelmas, Moshood Osinusi, Nievalinda Strong

Patient Education Projects

No abstract provided.


Friends Of The Hilton M. Briggs Library, Summer 2025, Hilton M. Briggs Library Jul 2025

Friends Of The Hilton M. Briggs Library, Summer 2025, Hilton M. Briggs Library

Friends of the Hilton M. Briggs Library Newsletters

Volume 10, Issue 3
Features:
Ben Reifel films opening to the public, thanks to Mary Chilton DAR grant
Dean of the Library
Briggs Library Helps SDSU Faculty Save Big on Publishing Fees
Kott retires from Briggs Library
Two Student Assistant Excellence Awards presented in spring semester


Foreword: Children And Constitutions In The Anthropocene Era, Catherine Smith Jul 2025

Foreword: Children And Constitutions In The Anthropocene Era, Catherine Smith

Washington and Lee Law Review

In Spring 2025, the Washington and Lee Law Review held its Lara D. Gass Symposium, Children and Constitutions in the Anthropocene Era. It consisted of a keynote address by Julia Olson, Co-Executive Director and Chief Legal Counsel of Our Children’s Trust, and three panels: “Children, Climate Change, and State Constitutions”; “The U.S. Constitutions and the Meaning of ‘We the [Young] People’”; and “Youth-Powered Litigation and Global Constitutionalism.” The heavily attended Symposium was a tour-de-force in the field of children’s rights.

As climate chaos mounts, young people around the world are pressing courts to reconceptualize the meaning of liberty, equality, and …


The Effect Of An Interdisciplinary Project On Students’ Understandings Of Mathematical Interdisciplinarity: A Qualitative Action Research Study, Jaime Krause Jul 2025

The Effect Of An Interdisciplinary Project On Students’ Understandings Of Mathematical Interdisciplinarity: A Qualitative Action Research Study, Jaime Krause

Theses and Dissertations

The siloed nature of education has likely caused some high school students to not recognize the interdisciplinary nature of mathematics, leading them to misunderstand its relationship to other subject areas. A misunderstanding of mathematical interdisciplinarity can cause issues when these students approach interdisciplinary problems later in life. The purpose of this study was to observe, investigate, and analyze the ways in which students understand mathematical interdisciplinarity following a collaborative and interdisciplinary project. I implemented a descriptive qualitative action research approach to determine how a collaborative interdisciplinary project on NASA technology in a high school mathematics course affects students’ understandings of …


Crosssections, Summer 2025, University Of Northern Iowa. Department Of Physics. Jul 2025

Crosssections, Summer 2025, University Of Northern Iowa. Department Of Physics.

CrossSections

Contents:

A Message from the Department Head, Dr. Paul Shand --- 1
Department Happenings --- 3
Faculty Profile - Takeshi Yasuda --- 7
Student Profile - Brandon Schmidt --- 8
Student Research --- 9
Student Focus --- 10
Physics Education --- 13
Alumni Profile - Roger Burkhart --- 14
Alumni News - Sterling Hartman --- 16
New Physics --- 17


Black Steel In The Hour Of Chaos: Hip-Hop And The Carceral State In The East San Francisco Bay Area, William Maclane Hull Jul 2025

Black Steel In The Hour Of Chaos: Hip-Hop And The Carceral State In The East San Francisco Bay Area, William Maclane Hull

Theses and Dissertations

“Black Steel in the Hour of Chaos: Hip-Hop and the Carceral State in the East San Francisco Bay Area” explores the histories of urban redevelopment and deindustrialization, racialized poverty, police and the carceral system, and hip-hop culture in Oakland and other parts of the eastern San Francisco Bay Area. It explores East Bay politics and urban development in the 1900s, which resulted in the flight of industries and wealthy white residents to the suburbs and the erosion of public services. Black community organizations and funk music alike articulated the damages done by these processes in the 1960s. Subsequently, politicians and …


Investigating The Ecology Of The Homeless Court: The Promise Of Quasi-Experimental And Statistical Learning Methods, Dylan Wong Jul 2025

Investigating The Ecology Of The Homeless Court: The Promise Of Quasi-Experimental And Statistical Learning Methods, Dylan Wong

Theses and Dissertations

Interactions with the legal system are a crucial factor in maintaining homelessness. Difficulties in addressing legal issues are barriers to accessing services and finding employment and housing. Across the United States, the homeless court is an emerging legal program that has been developed to break this cycle, but they appear to face numerous capacity and coordination problems. Few empirical and systematic investigations have been conducted on homeless court programs. Further, previous studies of homeless courts focus their process and outcome measures on the priorities of the legal system. An investigation into the ecology, or environmental context, of homeless persons would …


Increasing Professional School Counseling Advocacy Skills For The Practicing Secondary School Counselor, Beverly Denise Mccullough Jul 2025

Increasing Professional School Counseling Advocacy Skills For The Practicing Secondary School Counselor, Beverly Denise Mccullough

Theses and Dissertations

This problem of practice addresses increasing Professional School Counselor (PSC) advocacy skills for the practicing secondary school counselor. Improvement science is the framework used to help solve this problem. The PSC improvement team consisted of a team of seven licensed professional school counselors, all with career experience in the secondary school setting. The team began their work with the goal of understanding the current system by participating in an initial empathy interview. Immediately after the empathy interview was concluded, each committee member completed an initial assessment of the School Counselor Self Advocacy Questionnaire (SCSAQ) to be used as an initial …


An Exploration Of The Effect Of Covid Restrictions On Maternity Care In Uganda, Hellen Kyakuwaire, Grace Edwards, Ahmed Mohammed Sarki Jul 2025

An Exploration Of The Effect Of Covid Restrictions On Maternity Care In Uganda, Hellen Kyakuwaire, Grace Edwards, Ahmed Mohammed Sarki

Journal of Asian Midwives (JAM)

Background: Uganda responded aggressively to the worldwide spread of COVID-19 by imposing a total lockdown, which forbade movement of the whole population, including pregnant women and other vulnerable groups. This phenomenological study explored pregnant women’s experiences during the total lockdown in Uganda and identified factors that influenced the quality of healthcare for pregnant women during the lockdown.
Methods: Thirty-two newly delivered women were selected across a wide geographical area to represent rural and urban areas. The sample was selected from women who had given birth at the selected health facilities from March 18, 2020, to April 30, 2020. …


The Impact Of The Covid-19 Pandemic On Maternity Care Services: Lived Experiences Of Midwives In Indonesia, Mergy Gayatri, Oluwadamilare Akingbade, Indhar Wahyu Wira Harjo, Adepegba Folasade Rebecca, Salako Faith Adebola Jul 2025

The Impact Of The Covid-19 Pandemic On Maternity Care Services: Lived Experiences Of Midwives In Indonesia, Mergy Gayatri, Oluwadamilare Akingbade, Indhar Wahyu Wira Harjo, Adepegba Folasade Rebecca, Salako Faith Adebola

Journal of Asian Midwives (JAM)

Background: There have been fundamental changes in global maternity care in response to the COVID-19 pandemic across the globe. However, there are limited studies in Indonesia that have explored the changes experienced by midwives in various health facilities during the COVID-19 pandemic.
Method: A qualitative phenomenological study was conducted among midwives with at least three years of clinical experience in midwifery practice and practicing at different levels of healthcare. Semi-structured interviews were conducted through WhatsApp or Phone calls, as face-to-face interviews were impossible during the pandemic. Data were analyzed using thematic analysis.
Results: In total, 24 midwives …


The Relationship Between Sleep Quality And Physical Fitness Toward The Menstrual Cycle In High School Students, Surya Adi Saputra, Raja Mohammed Firhan Bin Raja Azidin, Alifia Candra Puriastuti, Dessy Amelia, Zumroh Hasanah, Anggi Renawati Jul 2025

The Relationship Between Sleep Quality And Physical Fitness Toward The Menstrual Cycle In High School Students, Surya Adi Saputra, Raja Mohammed Firhan Bin Raja Azidin, Alifia Candra Puriastuti, Dessy Amelia, Zumroh Hasanah, Anggi Renawati

Journal of Asian Midwives (JAM)

Background: Sleep is essential for maintaining physical fitness and overall health, as it helps the body recover from intense physical activity and maintains endurance. Physical fitness is determined by heredity, gender, age, body composition, activity, and exercise. Adequate sleep positively impacts overall health, while poorer sleep can negatively affect the body. Teenagers often prefer excessive screen time and oversleep, which can affect their sleep quality. Physical fitness is related to physical activity, and the more often an individual engages in physical activities, the better their fitness. This condition can also impact reproductive health, as hormonal disorders can affect the menstrual …


Knowledge, Attitudes, And Practices Of Healthcare Workers Regarding Early Childhood Development: A Mixed-Methods Study At Secondary Care Maternal And Child Care Hospitals In Karachi, Pakistan, Sarosh Hirani, Shelina Bhamani, Hajra Malik, Samira Lakhani, Adeeb Kanji, Khairunnissa Hooda Jul 2025

Knowledge, Attitudes, And Practices Of Healthcare Workers Regarding Early Childhood Development: A Mixed-Methods Study At Secondary Care Maternal And Child Care Hospitals In Karachi, Pakistan, Sarosh Hirani, Shelina Bhamani, Hajra Malik, Samira Lakhani, Adeeb Kanji, Khairunnissa Hooda

Journal of Asian Midwives (JAM)

Introduction: Early childhood development (ECD) is a critical period that lays the foundation for a child's future growth and overall well-being. Healthcare settings play a significant role in shaping these developmental outcomes. However, there is limited research evaluating healthcare professionals' knowledge, attitude, and practices on ECD in Pakistan. This study aims to assess the awareness, attitudes, and practices of healthcare providers working in secondary hospitals regarding ECD.
Methods: A sequential explanatory mixed-methods approach was used. The study initially recruited healthcare workers, including physicians, nurses, trainees, and midwives from two secondary care hospitals. Participants completed the Caregiver Knowledge of Child Development …


Peer Mentorship Of Midwifery Faculty In Bangladesh: A Process Evaluation, Pronita Raha, Joy Kemp, Farida Begum, Rowsan Ara, Vibhavendra S. Raghuvanshi, Nabila Purno, Daniel Novak, Hoque Emdadul Hoque Jul 2025

Peer Mentorship Of Midwifery Faculty In Bangladesh: A Process Evaluation, Pronita Raha, Joy Kemp, Farida Begum, Rowsan Ara, Vibhavendra S. Raghuvanshi, Nabila Purno, Daniel Novak, Hoque Emdadul Hoque

Journal of Asian Midwives (JAM)

Development of midwifery faculty is key to strengthening quality midwifery education. This article presents a process evaluation of a peer mentorship programme, implemented between 2021 and 2023, for around 370 midwifery faculty in Bangladesh, including 40 newly deployed faculty. 20 peer mentors, prepared by international midwifery faculty, conducted quarterly visits to public midwifery education institutions (MEIs) to provide mentorship support to midwifery faculty and to monitor the quality of midwifery education. A digital community of practice was also created. Data were collected with a checklist based on the World Health Organization (WHO) midwifery educator competencies and entered into a digital …


Effects Of World Health Organization’S Educational Interventions On Clinical Competency Of Community Midwives In Managing Postpartum Hemorrhage, Afifah Abu-Ul-Hayat, Sarfaraz Masih, Madiha Mukhtar Jul 2025

Effects Of World Health Organization’S Educational Interventions On Clinical Competency Of Community Midwives In Managing Postpartum Hemorrhage, Afifah Abu-Ul-Hayat, Sarfaraz Masih, Madiha Mukhtar

Journal of Asian Midwives (JAM)

Background: Postpartum hemorrhage (PPH) is considered to be one of the most important causes of maternal mortality especially in low resource countries such as Pakistan. Community midwives (CMWs) have a very important role in the provision of midwifery care and their clinical competency are very crucial for the handling of PPH. This study evaluates the effect of a World Health Organization (WHO)-based educational intervention on the clinical competency of CMWs in Hazara Town, Quetta, in managing PPH.
Objective: This study aimed to determine the effectiveness of a WHO based educational intervention on improving the clinical competency of CMWs in managing …


Perceptions Of Risky Sexual Behavior Among Female Students: A Qualitative Analysis Of Contributing Factors, Consequences, And Prevention Strategies, Leila Bozorgian, Fatemeh Ansari, Fatemeh Janipour, Solmaz Mohammadi Jul 2025

Perceptions Of Risky Sexual Behavior Among Female Students: A Qualitative Analysis Of Contributing Factors, Consequences, And Prevention Strategies, Leila Bozorgian, Fatemeh Ansari, Fatemeh Janipour, Solmaz Mohammadi

Journal of Asian Midwives (JAM)

Background: Risky behaviors among young people are a significant concern for societies worldwide, leading to physical and psychosocial damage. Despite efforts to raise awareness about such risky behaviors over the past two decades, their prevalence continues to rise. Therefore, this study aimed to explain perceptions of the prevalence of risky sexual behaviors among female students.
Methods: A qualitative descriptive study using a conventional content analysis approach was conducted from August to mid-September 2024 in Yasoj, Iran. The study participants were selected using purposive sampling. The data were collected using semi-structured interviews conducted with 18 female students. Data collection …


Development And Validation Of Risk Assessment Tools For Hypertensive Disorder In Pregnancy, Vanitha K, Hepsibah Sharmil, Vijayalakshmi Kandasamy Jul 2025

Development And Validation Of Risk Assessment Tools For Hypertensive Disorder In Pregnancy, Vanitha K, Hepsibah Sharmil, Vijayalakshmi Kandasamy

Journal of Asian Midwives (JAM)

Aims and Background: Hypertensive disorders in pregnancy (HDP) have significant impact on both mothers and newborns leading to complications such as Eclampsia, Preterm delivery, Renal and cardiac problems, Intra Uterine Growth Retardation (IUGR) and Intra Uterine Fetal Death (IUFD). Early screening of hypertensive disorders in pregnancy is essential in the prevention and management of these complications. This research study aims to develop and validate a risk assessment tool for hypertensive disorders in pregnancy.
Materials and methods: A mixed-method research was carried out from December 2023 to December 2024 consisting of two steps. Step one involved the development of …


Thematic Hotspots And Strategy Analysis Of International Ai Regulatory Texts Based On Lda Models, Taitian Mao, Yihe Peng Jul 2025

Thematic Hotspots And Strategy Analysis Of International Ai Regulatory Texts Based On Lda Models, Taitian Mao, Yihe Peng

Journal of Scientific Information Research

[Purpose/significance]This article conducts an in-depth exploration of international artificial intelligence (AI) regulatory policies and gains insights into the regulatory focuses and trends of various countries, with the aim of providing valuable references for global AI governance strategies.

[Method/process] This paper applies the LDA topic clustering analysis method to conduct an in-depth study of twenty-seven international policy documents. The aim is to accurately identify the topics, analyze the key theme words, and further reveal the regulatory hotspots in the field of artificial intelligence.

[Results/conclusion] The study reveals six core regulatory themes: systemic risk assessment, ethical and legal regulation, social impact governance, …


Research On The Evaluation Of Information Ecological Environment Quality For Online Health Communities, Qingwei Li, Yan Xu, Xueqin Zhao Jul 2025

Research On The Evaluation Of Information Ecological Environment Quality For Online Health Communities, Qingwei Li, Yan Xu, Xueqin Zhao

Journal of Scientific Information Research

[Purpose/significance] To evaluate the information ecological environment quality of online health communities, reveal the problems existing in the information ecological environment quality of online health communities, and put forward specific suggestions, in order to provide reference for the healthy development of online health communities.

[Method/process] Firstly, the evaluation index system of online health community information ecological environment quality was constructed through literature investigation and expert investigation. Secondly, AHP is used to construct the evaluation index hierarchy model of online health community information ecological environment quality and calculate the weight of each index. Finally, the fuzzy comprehensive evaluation method is used …