Rural settlement is the basic spatial unit for compact communities in rural area. Scientific exploration of spatial-temporal differentiation and its influencing factors is the premise of spatial layout rationalization...Rural settlement is the basic spatial unit for compact communities in rural area. Scientific exploration of spatial-temporal differentiation and its influencing factors is the premise of spatial layout rationalization. Based on land use data of Liangshan Yi Autonomous Prefecture(hereinafter referred to as Liangshan Prefecture) in Sichuan Province, China from 1980 to 2020, compactness index, fractal dimension, imbalance index, location entropy and the optimal parameters-based geographical detector(OPGD) model are used to analyze the spatial-temporal evolution of the morphological characteristics of rural settlements, and to explore the influence of natural geographical factors, socioeconomic factors, and policy factors on the spatial differentiation of rural settlements. The results show that:(1) From 1980 to 2020, the rural settlements area in Liangshan Prefecture increased by 15.96 km^(2). In space, the rural settlements are generally distributed in a local aggregation, dense in the middle and sparse around the periphery. In 2015, the spatial density and expansion index of rural settlements reached the peak.(2) From 1980 to 2020, the compactness index decreased from 0.7636 to 0.7496, the fractal dimension increased from 1.0283 to 1.0314, and the fragmentation index decreased from 0.1183 to 0.1047. The spatial morphological structure of rural settlements tended to be loose, the shape contour tended to be complex, the degree of fragmentation decreased, and the spatial distribution was significantly imbalanced.(3) The results of OPGD detection in 2015 show that the influence of each factor is slope(0.2371) > traffic accessibility(0.2098) > population(0.1403) > regional GDP(0.1325) > elevation(0.0987) > poverty alleviation(0). The results of OPGD detection in 2020 show that the influence of each factor is slope(0.2339) > traffic accessibility(0.2198) > population(0.1432) > regional GDP(0.1219) > poverty alleviation(0.0992) > elevation(0.093). Natural geographical factors(slope and elevation) are the basic factors affecting the spatial distribution of rural settlements, and rural settlements are widely distributed in the river valley plain and the second half mountain area. Socioeconomic factors(traffic accessibility, population, and regional GDP) have a greater impact on the spatial distribution of rural settlements, which is an important factor affecting the spatial distribution of rural settlements. Policy factors such as poverty alleviation relocation have an indispensable impact on the spatial distribution of rural settlements. The research results can provide decisionmaking basis for the spatial arrangement of rural settlements in Liangshan Prefecture, and optimize the implementation of rural revitalization policies.展开更多
Rural areas are crucial for a country’s sustainable economy.New strategies are needed to develop rural areas to improve the well-being of rural population and generate new job opportunities.This is especially importa...Rural areas are crucial for a country’s sustainable economy.New strategies are needed to develop rural areas to improve the well-being of rural population and generate new job opportunities.This is especially important in countries where agricultural production accounts for a significant share of the gross product,such as Russia.In this study,we identified the key indicators of satisfaction and differences between rural and urban citizens based on their social,economic,and environmental backgrounds,and determined whether there are well-being disparities between rural and urban areas in the Stavropol Territory,Russia.We collected primary data through a survey based on the European Social Survey framework to investigate the potential differences between rural and urban areas.By computing the regional well-being index using principal component analysis,we found that there was no statistically significant difference in well-being between rural and urban areas.Results of key indicators showed that rural residents felt psychologically more comfortable and safer,assessed their family relationships better,and adhered more to traditions and customs.However,urban residents showed better economic and social conditions(e.g.,infrastructures,medical care,education,and Internet access).The results of this study imply that we can better understand the local needs,advantages,and unique qualities,thereby gaining insight into the effectiveness of government programs.Policy-makers and local authorities can consider targeted interventions based on the findings of this study and strive to enhance the well-being of both urban and rural residents.展开更多
It is an important way to realize rural revitalization and sustainable development to guide rural settlement transition(RST)in an appropriate way.This paper uses actor network theory(ANT)to construct a theoretical fra...It is an important way to realize rural revitalization and sustainable development to guide rural settlement transition(RST)in an appropriate way.This paper uses actor network theory(ANT)to construct a theoretical framework for the study of RST.Taking two typical villages with different transition paths in rural areas of North China Plain as examples,this paper reveals the mechanism of RST and makes a comparative analysis.The results show that:1)after identifying problems and obligatory passage point,key actors recruit heterogeneous actors into the actor network by entrusting them with common interests,and realize RST under the system operation.2)Rural settlements under different transition paths have similarities in the problems to be solved,collective actions and policy factors,but there are differences in the transition process,mechanism and effect.The actor network and mechanism of RST through the path of new rural community construction are more complex and the transition effect is more thorough.In contrast,the degree of RST of retention development path is limited if there is no resource and location advantage.3)Based on the applicable conditions of different paths,this paper designs a logical framework of‘Situation-Structure-Behavior-Result’to scientifically guide the identification of RST paths under the background of rural revitalization.展开更多
The development of agro-industrial complex is important for ensuring national food security and national health.The development of rural areas is subject to the development of agriculture and local infrastructure,as w...The development of agro-industrial complex is important for ensuring national food security and national health.The development of rural areas is subject to the development of agriculture and local infrastructure,as well as the availability of various services.This study selected 15 indicators in 2021 to analyze the employment and development levels in rural areas of 71 regions of the Russian Federation using the analytical grouping method.The results indicated that 20 regions(Group 1)had the highest percentage of rural population(33.10%).The percentage of population engaged in agriculture had the highest value(12.40%)in 31 regions(Group 2).Moreover,20 regions(Group 3)had the highest investments in fixed assets at the expense of municipal budget(11.80 USD/person).Increasing the investments in fixed assets carried out from the budget of the municipality can improve the employment level in rural areas.Then,we used cluster analysis to divide 14 regions of the Volga Federal District in the Russian Federation into 3 clusters.Cluster 1 covered Kirov Region and Republic of Mari El;Cluster 2 included Ulyanovsk Region,Saratov Region,Nizhny Novgorod Region,Perm Territory,Orenburg Region,Chuvash Region,and Republic of Mordovia;and Cluster 3 contained Republic of Tatarstan,Samara Region,Udmurtian Republic,Penza Region,and Republic of Bashkortostan.Results indicated that the 2 regions of Cluster 1 need to increase the availability of resources and natural gas and improve the investment attractiveness of rural areas.The 7 regions of Cluster 2 needed to develop infrastructure,public services,and agricultural production.We found the highest employment level in rural areas,the largest investments in fixed assets at the expense of municipal budget,the largest residential building area per 10,000 persons,and the largest individual residential building area in the 5 regions of Cluster 3.This study makes it possible to draw up a comprehensive regional development program and proves the need for the development of rural areas,which is especially important for the sustainable development of the Russian Federation.展开更多
In recent years,China has continued to promote the strategy of rural revitalization.The rural tourism industry has developed rapidly in the context of rural revitalization.Now the rural B&B industry has become an ...In recent years,China has continued to promote the strategy of rural revitalization.The rural tourism industry has developed rapidly in the context of rural revitalization.Now the rural B&B industry has become an important pillar in solving the problem of rural tourism accommodation.Most of the villages in China have begun to carry out the construction of rural lodging,for example,there are residents who use idle houses to carry out construction on their own initiative and projects developed by village collectives,so the rural lodging industry has been vigorously developed.The vitality of supporting industries and landscape resources around the distribution of rural lodging has become a hot spot of rural issues research in recent years.Therefore,we can use the method of data analysis to analyze the industry and function of the public area around the distribution of rural B&B.Through the comparison of data and the interpretation of related cases,the core elements affecting the spatial vitality of B&B public areas can be identified.We will analyze and improve the related elements to find a reasonable way to enhance the spatial vitality value.Finally,the article will put forward suggestions to improve the related spatial vitality as a way to promote the development of rural B&B industry and the progress of rural tourism.展开更多
This study aims to provide electricity to a remote village in the Union of Comoros that has been affected by energy problems for over 40 years. The study uses a 50 kW diesel generator, a 10 kW wind turbine, 1500 kW ph...This study aims to provide electricity to a remote village in the Union of Comoros that has been affected by energy problems for over 40 years. The study uses a 50 kW diesel generator, a 10 kW wind turbine, 1500 kW photovoltaic solar panels, a converter, and storage batteries as the proposed sources. The main objective of this study is to conduct a detailed analysis and optimization of a hybrid diesel and renewable energy system to meet the electricity demand of a remote area village of 800 to 1500 inhabitants located in the north of Ngazidja Island in Comoros. The study uses the Hybrid Optimization Model for Electric Renewable (HOMER) Pro to conduct simulations and optimize the analysis using meteorological data from Comoros. The results show that hybrid combination is more profitable in terms of margin on economic cost with a less expensive investment. With a diesel cost of $1/L, an average wind speed of 5.09 m/s and a solar irradiation value of 6.14 kWh/m<sup>2</sup>/day, the system works well with a proportion of renewable energy production of 99.44% with an emission quantity of 1311.407 kg/year. 99.2% of the production comes from renewable sources with an estimated energy surplus of 2,125,344 kWh/year with the cost of electricity (COE) estimated at $0.18/kWh, presenting a cost-effective alternative compared to current market rates. These results present better optimization of the used hybrid energy system, satisfying energy demand and reducing the environmental impact.展开更多
Access to basic infrastructure and services is a factor in economic development and an important aspect in combatting social and spatial disparities. But this access is often subject to several constraints, including ...Access to basic infrastructure and services is a factor in economic development and an important aspect in combatting social and spatial disparities. But this access is often subject to several constraints, including geographical accessibility. In this article, we aim to analyze the geographical accessibility to basic infrastructure and services in the Niakhar area, using the improved two step floating catchment area method and local spatial association indicators. The results reveal that the areas with high accessibility to health and education infrastructures and services are mainly located along the south-east and north-west gradient, while those with low accessibility are found in the south-west and north-east center. They also show high accessibility to trade services in the center of the study area.展开更多
Passion and effort are what led to Wang Jing becoming a CEO in her 20s.She took on the role in June 2022.Though the e-commerce company she runs has only 10 employees,it’s playing a big role in boosting the economy of...Passion and effort are what led to Wang Jing becoming a CEO in her 20s.She took on the role in June 2022.Though the e-commerce company she runs has only 10 employees,it’s playing a big role in boosting the economy of the village where she was born.Wang,26,is one of the many village CEOs taking up roles across China in recent years.展开更多
Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderso...Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.展开更多
China has rolled out a guideline to advance the high-quality development of e-commerce in its rural areas,said the Ministry of Commerce(MOC)on 13 March.The guideline was jointly issued by nine departments,including th...China has rolled out a guideline to advance the high-quality development of e-commerce in its rural areas,said the Ministry of Commerce(MOC)on 13 March.The guideline was jointly issued by nine departments,including the MOC and the Cyberspace Administration of China.The move aims to ride the emerging digital economy wave to establish a new development pattern and improve rural consumption and the income of rural residents,the MOC said.展开更多
The problem of rural development arises from the evolution of rural regional system.It is urgent to deepen the research on the evolution process and mechanism of rural regional system.However,there are relatively few ...The problem of rural development arises from the evolution of rural regional system.It is urgent to deepen the research on the evolution process and mechanism of rural regional system.However,there are relatively few studies on rural development from the perspective of the evolution process,driving mechanism and evolution mechanism of rural regional system.Therefore,this study took Huang-Huai-Hai Area for example,started with the systematicness of the rural regional system,the spatio-temporal pattern and driving mechanism of rural regional system evolution,and further summarized and refined the evolution mechanism of the rural regional system.The methods of spatial pattern analysis,gray correlation degree and geographical detection were adopted.The results showed that the problems in rural areas were often dominated by one factor and produced by the joint action of many factors.Factors such as county urbanization,county economy,county public service,agricultural mechanization,surrounding cities and convenient transportation will affect the evolution of rural regional systems.Based on the evolution of the elements in the rural regional system,the evolution types of rural regional system can be divided into decline type,equilibrium type and growth type.This study can provide a reference for understanding the process of rural rise and fall and can also guide rural revitalization and rural sustainable development.展开更多
Addressing the issue of the healthy and coordinated development of the population and economic factors in rural areas will not only help consolidate and expand the achievements of poverty alleviation,but will also lay...Addressing the issue of the healthy and coordinated development of the population and economic factors in rural areas will not only help consolidate and expand the achievements of poverty alleviation,but will also lay a foundation for comprehensive rural revitalization.In this paper,the spatial coupling relationship between the population and economic factors in rural areas in the QinlingDaba Mountains,China,is explored to provide a reference for rural revitalization and regional sustainable development in poverty areas.Sixty-eight county units in rural areas in the Qinling-Daba Mountains,as well as the population and economic factors in rural areas,are used to study the spatial coupling relationship between population and economy,as well as the driving mechanism,in rural areas in the Qinling-Daba Mountains from 2010 to 2020.The results show that a population contraction phenomenon occurred in the rural areas in the Qinling-Daba Mountains,and the spatial agglomeration trends of the population and economic factors were consistent.The agglomeration was mainly located in the suburban areas of the municipal area,and the agglomeration degree was significantly higher in these areas than in other areas.In terms of the spatial distribution,the economic development level of the rural areas in the northeastern part of the Qinling-Daba Mountains was generally higher than that in the central and western parts,and the unbalanced trends of the population and economic spatial differentiation in the eastern and western regions were significant.The spatial coupling relationship between the population and economy changed from coordinated development to economic advancement.This was mainly due to the mutual restriction and joint actions of the industrial structure,capital situation,natural environment,policies,and institutional regulations,among which the industrial structure and capital status had significant effects.展开更多
The development of rural industries in Bijie City of Guizhou Province leads the comprehensive rural revitalization with industrial revitalization,takes high-quality development as the overall guide,focuses on industri...The development of rural industries in Bijie City of Guizhou Province leads the comprehensive rural revitalization with industrial revitalization,takes high-quality development as the overall guide,focuses on industrial scale,standardization,branding,and marketization,and strives to extend the industrial chain and enhance the value chain to achieve the prosperity of rural industries.In this study,it investigated the current situation of rural industry development in Bijie City(improving the quality and efficiency of characteristic industries,expanding the quantity and efficiency of agricultural products processing industry,recruiting and cultivating large business entities,expanding and strengthening the brand of agricultural products,and upgrading the rural tourism).Through analysis,it found that there are problems such as small scale of production enterprises,insufficient cultivation of independent brands,short industrial chain,low added value,weak market expansion ability,imperfect interest connection mechanism,and insufficient participation of farmers.Finally,it came up with countermeasures for the development of rural industries in Bijie City,including improving supporting facilities and building an extension base;strengthening leading enterprises and focus on deep processing;highlighting regional characteristics and paying close attention to the docking of production and marketing;enhancing the characteristic brand and strengthening the support of science and technology;promoting collaboration and support,and making innovation in the connection of interests.展开更多
Since China’s reform and opening up in 1978,the acceleration of industrialization and urbanization in China had led to dramatic changes in the pattern of urban-rural land use.In this paper,we focused on the rural ind...Since China’s reform and opening up in 1978,the acceleration of industrialization and urbanization in China had led to dramatic changes in the pattern of urban-rural land use.In this paper,we focused on the rural industrialized areas in central China(Xinxiang County and Changyuan City of Henan Province).We used the average nearest neighbor index,spatial statistical analysis,and a structural equation model to analyze the spatiotemporal evolution and influencing factors of urban-rural construction land based on multisource spatial data and survey data.The results showed that:1)from 1975 to 2019,the spatial distribution of urban-rural construction land in rural industrialized areas had evolved from homogeneous distribution to local agglomeration.In terms of comparative analysis of cases,the spatial distribution of urban-rural construction land in Changyuan City had shown a trend from diffusion to agglomeration,and Xinxiang County had overall shown a spatial change from homogenization to agglomeration and then to regional integration development.2)The hot spots with increased urban-rural construction land significantly expanded,and they had a high degree of spatial overlap with industrial development.Among them,Xinxiang County was concentrated in central and marginal areas,and Changyuan was mainly concentrated in central urban areas.3)From the evolution of spatial proximity of urban-rural construction land,rural industrialized areas generally decline,showing the characteristics of internal differentiation in the rate of change.4)Industrial development,social economy,the policy environment,and urban development played a positive role in promoting the expansion of urban-rural construction land in rural industrialized areas.To promote the optimal use of regional land and the integrated development of urban-rural areas,we should combine the advantages of regional endowment,formulate development strategies according to local conditions,and adjust the way that land is used in a timely manner.展开更多
Settlements and cultivated land are important production and living spaces in promoting rural revitalization.However,few studies have explored the relationship between rural settlements and cultivated land from spatio...Settlements and cultivated land are important production and living spaces in promoting rural revitalization.However,few studies have explored the relationship between rural settlements and cultivated land from spatiotemporal interaction perspective.This paper analyzed the spatiotemporal conversion and the interactive mechanism between rural settlements and cultivated land in a karst mountainous area(Qixingguan District of Guizhou Province)with fragile ecological environment in China during 2009–2018.The results showed that the expansion of rural settlements and the loss of cultivated land coexisted in Qixingguan District.Only 2.68%of the new cultivated land was reclaimed from rural settlements,whereas 85.45%of the new rural settlements occupied cultivated land.Six spatial expansion modes of rural settlements when occupying cultivated land were identified.Among these six modes,the area of the edge-expansion&along traffic roads(EA)mode accounted for 52.75%.The occupation by rural settlements made the cultivated land landscape more fragmented.The area ratio index of cultivated land to rural settlements(ARICR)of Qixingguan District averaged 18.75in 2009 and 17.21 in 2018,respectively.The ARICR reduced in all township administrative regions.Cultivated land with suitable slope condition for farming or without rocky desertification was more likely to be occupied by rural settlements.The probability of cultivated land occupied by rural settlements increased with the decrease of the distance to traffic roads,towns,and old rural settlements.The better the economic and social development of the township administrative regions,the more the ARICR decreased,while the richer the agricultural resources and the better the rural development of the township administrative regions,the less the ARICR decreased.The optimal reconstruction path of rural settlements,the comprehensive conservation path of cultivated land and the urban-rural integration development path in karst mountainous area were proposed.The findings would contribute to our understanding of the spatiotemporal interaction between rural settlements and cultivated land,and would provide a theoretical basis for promoting the coordinated development of rural man-land relationship and rural revitalization in karst areas.展开更多
The Rural Minimum Living Standard Guarantee(Rural Dibao)is an important unconditional cash transfer program to alleviate poverty in rural China.Despite the importance of children’s nutrition in breaking poverty cycle...The Rural Minimum Living Standard Guarantee(Rural Dibao)is an important unconditional cash transfer program to alleviate poverty in rural China.Despite the importance of children’s nutrition in breaking poverty cycles,little is known about the impact of Rural Dibao on child nutrition outcomes.Using China Family Panel Studies(CFPS),this paper examines the effects of Rural Dibao on child nutrition outcomes and investigates potential pathways and heterogeneous effects.We exploit propensity score matching and difference-in-differences techniques to evaluate the effects of the Rural Dibao program on child nutrition outcomes.Our results suggest that Rural Dibao significantly impacts the nutrition outcomes of children up to 15 years of age.Specifically,our results suggest that Rural Dibao improves child height-to-age z-scores by 1.05 standard deviations and lowers the probability of stunting by 11.9 percentage points.Additional analyses suggest that increased protein intake is the main pathway through which Rural Dibao participation contributes to better nutrition outcomes.We also find that the effect of the program is more pronounced among girls,children who are non-left-behind or live with highly educated mothers,and those from low-income families and poor areas.Our findings suggest that Rural Dibao participation helps improve child nutrition outcomes through improving diet quality.展开更多
Through the review of relevant literature in recent years,it is found that the incidence rate of metabolic diseases in rural areas is on the rise:The related factors that may cause diseases include diet structure,exer...Through the review of relevant literature in recent years,it is found that the incidence rate of metabolic diseases in rural areas is on the rise:The related factors that may cause diseases include diet structure,exercise habits,medical resources and other aspects.At the same time,there are some limitations in the intervention and treatment measures of this kind of disease.It is urgent to carry out in-depth exploration for the special conditions in rural areas.By reviewing the research progress related to metabolic diseases in rural areas,more new ideas are provided for the treatment and improvement of metabolic diseases in rural areas.展开更多
Over the past few decades,the Internet has rapidly diffused across China.The spread of the Internet has had a profound economic and social impact on Chinese rural areas.Existing research shows that Internet access sig...Over the past few decades,the Internet has rapidly diffused across China.The spread of the Internet has had a profound economic and social impact on Chinese rural areas.Existing research shows that Internet access significantly impacts agricultural production and improves smallholder farmers’income.Beyond these,the Internet can affect other dimensions of social welfare.However,research about the impact of Internet access on dietary quality in rural China remains scarce.This study utilizes multi-period panel data from Fixed Observation Point in rural China from 2009 to 2015 to estimate the impact of Internet access on dietary quality and food consumption of rural households and conducts a causal analysis.Regression models with time and household fixed effects allow robust estimation while reducing potential issues of unobserved heterogeneity.The estimates show that Internet access has significantly increased rural household dietary quality(measured by the Chinese Diet Balance Index).Further research finds that Internet access has increased the consumption of animal products,such as aquatic and dairy products.We also examine the underlying mechanisms.Internet access improves dietary quality and food consumption mainly through increasing household income and food expenditure.These results encourage the promotion of Internet access as a valuable tool for nutritional improvements,especially in rural areas.展开更多
A substantial reduction in groundwater level,exacerbated by coal mining activities,is intensifying water scarcity in western China’s ecologically fragile coal mining areas.China’s national strategic goal of achievin...A substantial reduction in groundwater level,exacerbated by coal mining activities,is intensifying water scarcity in western China’s ecologically fragile coal mining areas.China’s national strategic goal of achieving a carbon peak and carbon neutrality has made eco-friendly mining that prioritizes the protection and efficient use of water resources essential.Based on the resource characteristics of mine water and heat hazards,an intensive coal-water-thermal collaborative co-mining paradigm for the duration of the mining process is proposed.An integrated system for the production,supply,and storage of mining companion resources is achieved through technologies such as roof water inrush prevention and control,hydrothermal quality improvement,and deep-injection geological storage.An active preventive and control system achieved by adjusting the mining technology and a passive system centered on multiobjective drainage and grouting treatment are suggested,in accordance with the original geological characteristics and dynamic process of water inrush.By implementing advanced multi-objective drainage,specifically designed to address the“skylight-type”water inrush mode in the Yulin mining area of Shaanxi Province,a substantial reduction of 50%in water drillings and inflow was achieved,leading to stabilized water conditions that effectively ensure subsequent safe coal mining.An integrated-energy complementary model that incorporates the clean production concept of heat utilization is also proposed.The findings indicate a potential saving of 8419 t of standard coal by using water and air heat as an alternative heating source for the Xiaojihan coalmine,resulting in an impressive energy conservation of 50.2%and a notable 24.2%reduction in carbon emissions.The ultra-deep sustained water injection of 100 m^(3)·h^(-1)in a single well would not rupture the formation or cause water leakage,and 7.87×10^(5)t of mine water could be effectively stored in the Liujiagou Formation,presenting a viable method for mine-water management in the Ordos Basin and providing insights for green and low-carbon mining.展开更多
BACKGROUND The two-way relationship between periodontitis and type 2 diabetes mellitus(T2DM)is well established.Prolonged hyperglycemia contributes to increased periodontal destruction and severe periodontitis,accentu...BACKGROUND The two-way relationship between periodontitis and type 2 diabetes mellitus(T2DM)is well established.Prolonged hyperglycemia contributes to increased periodontal destruction and severe periodontitis,accentuating diabetic complications.An inflammatory link exists between diabetic retinopathy(DR)and periodontitis,but the studies regarding this association and the role of lipoprotein(a)[Lp(a)]and interleukin-6(IL-6)in these conditions are scarce in the literature.AIM To determine the correlation of periodontal inflamed surface area(PISA)with glycated Hb(HbA1c),serum IL-6 and Lp(a)in T2DM subjects with retinopathy.METHODS This cross-sectional study comprised 40 T2DM subjects with DR and 40 T2DM subjects without DR.All subjects were assessed for periodontal parameters[bleeding on probing(BOP),probing pocket depth,clinical attachment loss(CAL),oral hygiene index-simplified,plaque index(PI)and PISA],and systemic parameters[HbA1c,fasting plasma glucose and postprandial plasma glucose,fasting lipid profile,serum IL-6 and serum Lp(a)].RESULTS The proportion of periodontitis in T2DM with and without DR was 47.5%and 27.5%respectively.Severity of periodontitis,CAL,PISA,IL-6 and Lp(a)were higher in T2DM with DR group compared to T2DM without DR group.Significant difference was observed in the mean percentage of sites with BOP between T2DM with DR(69%)and T2DM without DR(41%),but there was no significant difference in PI(P>0.05).HbA1c was positively correlated with CAL(r=0.351,P=0.001),and PISA(r=0.393,P≤0.001)in study subjects.A positive correlation was found between PISA and IL-6(r=0.651,P<0.0001);PISA and Lp(a)(r=0.59,P<0.001);CAL and IL-6(r=0.527,P<0.0001)and CAL and Lp(a)(r=0.631,P<0.001)among study subjects.CONCLUSION Despite both groups having poor glycemic control and comparable plaque scores,the periodontal parameters were higher in DR as compared to T2DM without DR.Since a bidirectional link exists between periodontitis and DM,the presence of DR may have contributed to the severity of periodontal destruction and periodontitis may have influenced the progression of DR.展开更多
基金funded by the National Natural Science Foundation of China (Grant Nos. 41971015)Doctoral research program of China West Normal University (Grant Nos.19E067)。
文摘Rural settlement is the basic spatial unit for compact communities in rural area. Scientific exploration of spatial-temporal differentiation and its influencing factors is the premise of spatial layout rationalization. Based on land use data of Liangshan Yi Autonomous Prefecture(hereinafter referred to as Liangshan Prefecture) in Sichuan Province, China from 1980 to 2020, compactness index, fractal dimension, imbalance index, location entropy and the optimal parameters-based geographical detector(OPGD) model are used to analyze the spatial-temporal evolution of the morphological characteristics of rural settlements, and to explore the influence of natural geographical factors, socioeconomic factors, and policy factors on the spatial differentiation of rural settlements. The results show that:(1) From 1980 to 2020, the rural settlements area in Liangshan Prefecture increased by 15.96 km^(2). In space, the rural settlements are generally distributed in a local aggregation, dense in the middle and sparse around the periphery. In 2015, the spatial density and expansion index of rural settlements reached the peak.(2) From 1980 to 2020, the compactness index decreased from 0.7636 to 0.7496, the fractal dimension increased from 1.0283 to 1.0314, and the fragmentation index decreased from 0.1183 to 0.1047. The spatial morphological structure of rural settlements tended to be loose, the shape contour tended to be complex, the degree of fragmentation decreased, and the spatial distribution was significantly imbalanced.(3) The results of OPGD detection in 2015 show that the influence of each factor is slope(0.2371) > traffic accessibility(0.2098) > population(0.1403) > regional GDP(0.1325) > elevation(0.0987) > poverty alleviation(0). The results of OPGD detection in 2020 show that the influence of each factor is slope(0.2339) > traffic accessibility(0.2198) > population(0.1432) > regional GDP(0.1219) > poverty alleviation(0.0992) > elevation(0.093). Natural geographical factors(slope and elevation) are the basic factors affecting the spatial distribution of rural settlements, and rural settlements are widely distributed in the river valley plain and the second half mountain area. Socioeconomic factors(traffic accessibility, population, and regional GDP) have a greater impact on the spatial distribution of rural settlements, which is an important factor affecting the spatial distribution of rural settlements. Policy factors such as poverty alleviation relocation have an indispensable impact on the spatial distribution of rural settlements. The research results can provide decisionmaking basis for the spatial arrangement of rural settlements in Liangshan Prefecture, and optimize the implementation of rural revitalization policies.
基金supported by the Department of Economics,Faculty of Economics and Management,Czech University of Life Science,Czech(2021B0002).
文摘Rural areas are crucial for a country’s sustainable economy.New strategies are needed to develop rural areas to improve the well-being of rural population and generate new job opportunities.This is especially important in countries where agricultural production accounts for a significant share of the gross product,such as Russia.In this study,we identified the key indicators of satisfaction and differences between rural and urban citizens based on their social,economic,and environmental backgrounds,and determined whether there are well-being disparities between rural and urban areas in the Stavropol Territory,Russia.We collected primary data through a survey based on the European Social Survey framework to investigate the potential differences between rural and urban areas.By computing the regional well-being index using principal component analysis,we found that there was no statistically significant difference in well-being between rural and urban areas.Results of key indicators showed that rural residents felt psychologically more comfortable and safer,assessed their family relationships better,and adhered more to traditions and customs.However,urban residents showed better economic and social conditions(e.g.,infrastructures,medical care,education,and Internet access).The results of this study imply that we can better understand the local needs,advantages,and unique qualities,thereby gaining insight into the effectiveness of government programs.Policy-makers and local authorities can consider targeted interventions based on the findings of this study and strive to enhance the well-being of both urban and rural residents.
基金Under the auspices of the Taishan Scholars Project Special FundsNational Natural Science Fundation of China(No.42077434,42001199)Youth Innovation Technology Project of Higher School in Shandong Province(No.2019RWG016)。
文摘It is an important way to realize rural revitalization and sustainable development to guide rural settlement transition(RST)in an appropriate way.This paper uses actor network theory(ANT)to construct a theoretical framework for the study of RST.Taking two typical villages with different transition paths in rural areas of North China Plain as examples,this paper reveals the mechanism of RST and makes a comparative analysis.The results show that:1)after identifying problems and obligatory passage point,key actors recruit heterogeneous actors into the actor network by entrusting them with common interests,and realize RST under the system operation.2)Rural settlements under different transition paths have similarities in the problems to be solved,collective actions and policy factors,but there are differences in the transition process,mechanism and effect.The actor network and mechanism of RST through the path of new rural community construction are more complex and the transition effect is more thorough.In contrast,the degree of RST of retention development path is limited if there is no resource and location advantage.3)Based on the applicable conditions of different paths,this paper designs a logical framework of‘Situation-Structure-Behavior-Result’to scientifically guide the identification of RST paths under the background of rural revitalization.
文摘The development of agro-industrial complex is important for ensuring national food security and national health.The development of rural areas is subject to the development of agriculture and local infrastructure,as well as the availability of various services.This study selected 15 indicators in 2021 to analyze the employment and development levels in rural areas of 71 regions of the Russian Federation using the analytical grouping method.The results indicated that 20 regions(Group 1)had the highest percentage of rural population(33.10%).The percentage of population engaged in agriculture had the highest value(12.40%)in 31 regions(Group 2).Moreover,20 regions(Group 3)had the highest investments in fixed assets at the expense of municipal budget(11.80 USD/person).Increasing the investments in fixed assets carried out from the budget of the municipality can improve the employment level in rural areas.Then,we used cluster analysis to divide 14 regions of the Volga Federal District in the Russian Federation into 3 clusters.Cluster 1 covered Kirov Region and Republic of Mari El;Cluster 2 included Ulyanovsk Region,Saratov Region,Nizhny Novgorod Region,Perm Territory,Orenburg Region,Chuvash Region,and Republic of Mordovia;and Cluster 3 contained Republic of Tatarstan,Samara Region,Udmurtian Republic,Penza Region,and Republic of Bashkortostan.Results indicated that the 2 regions of Cluster 1 need to increase the availability of resources and natural gas and improve the investment attractiveness of rural areas.The 7 regions of Cluster 2 needed to develop infrastructure,public services,and agricultural production.We found the highest employment level in rural areas,the largest investments in fixed assets at the expense of municipal budget,the largest residential building area per 10,000 persons,and the largest individual residential building area in the 5 regions of Cluster 3.This study makes it possible to draw up a comprehensive regional development program and proves the need for the development of rural areas,which is especially important for the sustainable development of the Russian Federation.
基金Sponsored by Beijing Urban Governance Research Base of North China University of Technology(2024CSZL07).
文摘In recent years,China has continued to promote the strategy of rural revitalization.The rural tourism industry has developed rapidly in the context of rural revitalization.Now the rural B&B industry has become an important pillar in solving the problem of rural tourism accommodation.Most of the villages in China have begun to carry out the construction of rural lodging,for example,there are residents who use idle houses to carry out construction on their own initiative and projects developed by village collectives,so the rural lodging industry has been vigorously developed.The vitality of supporting industries and landscape resources around the distribution of rural lodging has become a hot spot of rural issues research in recent years.Therefore,we can use the method of data analysis to analyze the industry and function of the public area around the distribution of rural B&B.Through the comparison of data and the interpretation of related cases,the core elements affecting the spatial vitality of B&B public areas can be identified.We will analyze and improve the related elements to find a reasonable way to enhance the spatial vitality value.Finally,the article will put forward suggestions to improve the related spatial vitality as a way to promote the development of rural B&B industry and the progress of rural tourism.
文摘This study aims to provide electricity to a remote village in the Union of Comoros that has been affected by energy problems for over 40 years. The study uses a 50 kW diesel generator, a 10 kW wind turbine, 1500 kW photovoltaic solar panels, a converter, and storage batteries as the proposed sources. The main objective of this study is to conduct a detailed analysis and optimization of a hybrid diesel and renewable energy system to meet the electricity demand of a remote area village of 800 to 1500 inhabitants located in the north of Ngazidja Island in Comoros. The study uses the Hybrid Optimization Model for Electric Renewable (HOMER) Pro to conduct simulations and optimize the analysis using meteorological data from Comoros. The results show that hybrid combination is more profitable in terms of margin on economic cost with a less expensive investment. With a diesel cost of $1/L, an average wind speed of 5.09 m/s and a solar irradiation value of 6.14 kWh/m<sup>2</sup>/day, the system works well with a proportion of renewable energy production of 99.44% with an emission quantity of 1311.407 kg/year. 99.2% of the production comes from renewable sources with an estimated energy surplus of 2,125,344 kWh/year with the cost of electricity (COE) estimated at $0.18/kWh, presenting a cost-effective alternative compared to current market rates. These results present better optimization of the used hybrid energy system, satisfying energy demand and reducing the environmental impact.
文摘Access to basic infrastructure and services is a factor in economic development and an important aspect in combatting social and spatial disparities. But this access is often subject to several constraints, including geographical accessibility. In this article, we aim to analyze the geographical accessibility to basic infrastructure and services in the Niakhar area, using the improved two step floating catchment area method and local spatial association indicators. The results reveal that the areas with high accessibility to health and education infrastructures and services are mainly located along the south-east and north-west gradient, while those with low accessibility are found in the south-west and north-east center. They also show high accessibility to trade services in the center of the study area.
文摘Passion and effort are what led to Wang Jing becoming a CEO in her 20s.She took on the role in June 2022.Though the e-commerce company she runs has only 10 employees,it’s playing a big role in boosting the economy of the village where she was born.Wang,26,is one of the many village CEOs taking up roles across China in recent years.
文摘Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.
文摘China has rolled out a guideline to advance the high-quality development of e-commerce in its rural areas,said the Ministry of Commerce(MOC)on 13 March.The guideline was jointly issued by nine departments,including the MOC and the Cyberspace Administration of China.The move aims to ride the emerging digital economy wave to establish a new development pattern and improve rural consumption and the income of rural residents,the MOC said.
基金Under the auspices of Key projects of National Natural Science Foundation of China(No.41931293)。
文摘The problem of rural development arises from the evolution of rural regional system.It is urgent to deepen the research on the evolution process and mechanism of rural regional system.However,there are relatively few studies on rural development from the perspective of the evolution process,driving mechanism and evolution mechanism of rural regional system.Therefore,this study took Huang-Huai-Hai Area for example,started with the systematicness of the rural regional system,the spatio-temporal pattern and driving mechanism of rural regional system evolution,and further summarized and refined the evolution mechanism of the rural regional system.The methods of spatial pattern analysis,gray correlation degree and geographical detection were adopted.The results showed that the problems in rural areas were often dominated by one factor and produced by the joint action of many factors.Factors such as county urbanization,county economy,county public service,agricultural mechanization,surrounding cities and convenient transportation will affect the evolution of rural regional systems.Based on the evolution of the elements in the rural regional system,the evolution types of rural regional system can be divided into decline type,equilibrium type and growth type.This study can provide a reference for understanding the process of rural rise and fall and can also guide rural revitalization and rural sustainable development.
基金Under the auspices of National Natural Science Foundation of China(No.42071220,42371223)China Postdoctoral Science Foundation(No.2021M701053)Postgraduate Cultivating Innovation and Quality Improvement Action Plan of Henan University(No.SYLYC2022017)。
文摘Addressing the issue of the healthy and coordinated development of the population and economic factors in rural areas will not only help consolidate and expand the achievements of poverty alleviation,but will also lay a foundation for comprehensive rural revitalization.In this paper,the spatial coupling relationship between the population and economic factors in rural areas in the QinlingDaba Mountains,China,is explored to provide a reference for rural revitalization and regional sustainable development in poverty areas.Sixty-eight county units in rural areas in the Qinling-Daba Mountains,as well as the population and economic factors in rural areas,are used to study the spatial coupling relationship between population and economy,as well as the driving mechanism,in rural areas in the Qinling-Daba Mountains from 2010 to 2020.The results show that a population contraction phenomenon occurred in the rural areas in the Qinling-Daba Mountains,and the spatial agglomeration trends of the population and economic factors were consistent.The agglomeration was mainly located in the suburban areas of the municipal area,and the agglomeration degree was significantly higher in these areas than in other areas.In terms of the spatial distribution,the economic development level of the rural areas in the northeastern part of the Qinling-Daba Mountains was generally higher than that in the central and western parts,and the unbalanced trends of the population and economic spatial differentiation in the eastern and western regions were significant.The spatial coupling relationship between the population and economy changed from coordinated development to economic advancement.This was mainly due to the mutual restriction and joint actions of the industrial structure,capital situation,natural environment,policies,and institutional regulations,among which the industrial structure and capital status had significant effects.
文摘The development of rural industries in Bijie City of Guizhou Province leads the comprehensive rural revitalization with industrial revitalization,takes high-quality development as the overall guide,focuses on industrial scale,standardization,branding,and marketization,and strives to extend the industrial chain and enhance the value chain to achieve the prosperity of rural industries.In this study,it investigated the current situation of rural industry development in Bijie City(improving the quality and efficiency of characteristic industries,expanding the quantity and efficiency of agricultural products processing industry,recruiting and cultivating large business entities,expanding and strengthening the brand of agricultural products,and upgrading the rural tourism).Through analysis,it found that there are problems such as small scale of production enterprises,insufficient cultivation of independent brands,short industrial chain,low added value,weak market expansion ability,imperfect interest connection mechanism,and insufficient participation of farmers.Finally,it came up with countermeasures for the development of rural industries in Bijie City,including improving supporting facilities and building an extension base;strengthening leading enterprises and focus on deep processing;highlighting regional characteristics and paying close attention to the docking of production and marketing;enhancing the characteristic brand and strengthening the support of science and technology;promoting collaboration and support,and making innovation in the connection of interests.
基金Under the auspices of National Natural Science Foundation of China(No.42271225)Research Program Fund for Humanities and Social Sciences of the Ministry of Education of China(No.22YJA790050)+2 种基金Henan Provincial Planning Fund for Philosophy and Social Sciences(No.2022BJJ011)Postgraduate Cultivating Innovation Action Plan of Henan University(No.SYLYC2022014)Henan University of Economics and Law Huang Tingfang/Xinhe Young Scholars Program(No.13)。
文摘Since China’s reform and opening up in 1978,the acceleration of industrialization and urbanization in China had led to dramatic changes in the pattern of urban-rural land use.In this paper,we focused on the rural industrialized areas in central China(Xinxiang County and Changyuan City of Henan Province).We used the average nearest neighbor index,spatial statistical analysis,and a structural equation model to analyze the spatiotemporal evolution and influencing factors of urban-rural construction land based on multisource spatial data and survey data.The results showed that:1)from 1975 to 2019,the spatial distribution of urban-rural construction land in rural industrialized areas had evolved from homogeneous distribution to local agglomeration.In terms of comparative analysis of cases,the spatial distribution of urban-rural construction land in Changyuan City had shown a trend from diffusion to agglomeration,and Xinxiang County had overall shown a spatial change from homogenization to agglomeration and then to regional integration development.2)The hot spots with increased urban-rural construction land significantly expanded,and they had a high degree of spatial overlap with industrial development.Among them,Xinxiang County was concentrated in central and marginal areas,and Changyuan was mainly concentrated in central urban areas.3)From the evolution of spatial proximity of urban-rural construction land,rural industrialized areas generally decline,showing the characteristics of internal differentiation in the rate of change.4)Industrial development,social economy,the policy environment,and urban development played a positive role in promoting the expansion of urban-rural construction land in rural industrialized areas.To promote the optimal use of regional land and the integrated development of urban-rural areas,we should combine the advantages of regional endowment,formulate development strategies according to local conditions,and adjust the way that land is used in a timely manner.
基金Under the auspices of the National Natural Science Foundation of China(No.41871182)the Open Fund of Key Laboratory of National Geographic Census and Monitoring,Ministry of Natural Resources(No.2022NGCM10)。
文摘Settlements and cultivated land are important production and living spaces in promoting rural revitalization.However,few studies have explored the relationship between rural settlements and cultivated land from spatiotemporal interaction perspective.This paper analyzed the spatiotemporal conversion and the interactive mechanism between rural settlements and cultivated land in a karst mountainous area(Qixingguan District of Guizhou Province)with fragile ecological environment in China during 2009–2018.The results showed that the expansion of rural settlements and the loss of cultivated land coexisted in Qixingguan District.Only 2.68%of the new cultivated land was reclaimed from rural settlements,whereas 85.45%of the new rural settlements occupied cultivated land.Six spatial expansion modes of rural settlements when occupying cultivated land were identified.Among these six modes,the area of the edge-expansion&along traffic roads(EA)mode accounted for 52.75%.The occupation by rural settlements made the cultivated land landscape more fragmented.The area ratio index of cultivated land to rural settlements(ARICR)of Qixingguan District averaged 18.75in 2009 and 17.21 in 2018,respectively.The ARICR reduced in all township administrative regions.Cultivated land with suitable slope condition for farming or without rocky desertification was more likely to be occupied by rural settlements.The probability of cultivated land occupied by rural settlements increased with the decrease of the distance to traffic roads,towns,and old rural settlements.The better the economic and social development of the township administrative regions,the more the ARICR decreased,while the richer the agricultural resources and the better the rural development of the township administrative regions,the less the ARICR decreased.The optimal reconstruction path of rural settlements,the comprehensive conservation path of cultivated land and the urban-rural integration development path in karst mountainous area were proposed.The findings would contribute to our understanding of the spatiotemporal interaction between rural settlements and cultivated land,and would provide a theoretical basis for promoting the coordinated development of rural man-land relationship and rural revitalization in karst areas.
基金The authors are grateful for support from the National Social Science Fund of China(21AJL015).
文摘The Rural Minimum Living Standard Guarantee(Rural Dibao)is an important unconditional cash transfer program to alleviate poverty in rural China.Despite the importance of children’s nutrition in breaking poverty cycles,little is known about the impact of Rural Dibao on child nutrition outcomes.Using China Family Panel Studies(CFPS),this paper examines the effects of Rural Dibao on child nutrition outcomes and investigates potential pathways and heterogeneous effects.We exploit propensity score matching and difference-in-differences techniques to evaluate the effects of the Rural Dibao program on child nutrition outcomes.Our results suggest that Rural Dibao significantly impacts the nutrition outcomes of children up to 15 years of age.Specifically,our results suggest that Rural Dibao improves child height-to-age z-scores by 1.05 standard deviations and lowers the probability of stunting by 11.9 percentage points.Additional analyses suggest that increased protein intake is the main pathway through which Rural Dibao participation contributes to better nutrition outcomes.We also find that the effect of the program is more pronounced among girls,children who are non-left-behind or live with highly educated mothers,and those from low-income families and poor areas.Our findings suggest that Rural Dibao participation helps improve child nutrition outcomes through improving diet quality.
基金Supported by 2023 Jilin Province College Student Innovation and Entrepreneurship Training Program(S202310199042)Jilin Province Science and Technology Development Plan Project(YDZJ202201ZYTS195)+1 种基金2022 Jilin Province Traditional Chinese Medicine Technology Project(2022128)Youth Excellent Discipline Backbone Training Project in Changchun University of Chinese Medicine(202304).
文摘Through the review of relevant literature in recent years,it is found that the incidence rate of metabolic diseases in rural areas is on the rise:The related factors that may cause diseases include diet structure,exercise habits,medical resources and other aspects.At the same time,there are some limitations in the intervention and treatment measures of this kind of disease.It is urgent to carry out in-depth exploration for the special conditions in rural areas.By reviewing the research progress related to metabolic diseases in rural areas,more new ideas are provided for the treatment and improvement of metabolic diseases in rural areas.
基金This study was supported in part by the National Natural Science Foundation of China(71973136 and 72061147002)the 2115 Talent Development Program of China Agricultural University.
文摘Over the past few decades,the Internet has rapidly diffused across China.The spread of the Internet has had a profound economic and social impact on Chinese rural areas.Existing research shows that Internet access significantly impacts agricultural production and improves smallholder farmers’income.Beyond these,the Internet can affect other dimensions of social welfare.However,research about the impact of Internet access on dietary quality in rural China remains scarce.This study utilizes multi-period panel data from Fixed Observation Point in rural China from 2009 to 2015 to estimate the impact of Internet access on dietary quality and food consumption of rural households and conducts a causal analysis.Regression models with time and household fixed effects allow robust estimation while reducing potential issues of unobserved heterogeneity.The estimates show that Internet access has significantly increased rural household dietary quality(measured by the Chinese Diet Balance Index).Further research finds that Internet access has increased the consumption of animal products,such as aquatic and dairy products.We also examine the underlying mechanisms.Internet access improves dietary quality and food consumption mainly through increasing household income and food expenditure.These results encourage the promotion of Internet access as a valuable tool for nutritional improvements,especially in rural areas.
基金supported by the National Key Research and Development Program of China(2021YFC2902004)the National Natural Science Foundation of China(42072284,42027801,and 41877186).
文摘A substantial reduction in groundwater level,exacerbated by coal mining activities,is intensifying water scarcity in western China’s ecologically fragile coal mining areas.China’s national strategic goal of achieving a carbon peak and carbon neutrality has made eco-friendly mining that prioritizes the protection and efficient use of water resources essential.Based on the resource characteristics of mine water and heat hazards,an intensive coal-water-thermal collaborative co-mining paradigm for the duration of the mining process is proposed.An integrated system for the production,supply,and storage of mining companion resources is achieved through technologies such as roof water inrush prevention and control,hydrothermal quality improvement,and deep-injection geological storage.An active preventive and control system achieved by adjusting the mining technology and a passive system centered on multiobjective drainage and grouting treatment are suggested,in accordance with the original geological characteristics and dynamic process of water inrush.By implementing advanced multi-objective drainage,specifically designed to address the“skylight-type”water inrush mode in the Yulin mining area of Shaanxi Province,a substantial reduction of 50%in water drillings and inflow was achieved,leading to stabilized water conditions that effectively ensure subsequent safe coal mining.An integrated-energy complementary model that incorporates the clean production concept of heat utilization is also proposed.The findings indicate a potential saving of 8419 t of standard coal by using water and air heat as an alternative heating source for the Xiaojihan coalmine,resulting in an impressive energy conservation of 50.2%and a notable 24.2%reduction in carbon emissions.The ultra-deep sustained water injection of 100 m^(3)·h^(-1)in a single well would not rupture the formation or cause water leakage,and 7.87×10^(5)t of mine water could be effectively stored in the Liujiagou Formation,presenting a viable method for mine-water management in the Ordos Basin and providing insights for green and low-carbon mining.
文摘BACKGROUND The two-way relationship between periodontitis and type 2 diabetes mellitus(T2DM)is well established.Prolonged hyperglycemia contributes to increased periodontal destruction and severe periodontitis,accentuating diabetic complications.An inflammatory link exists between diabetic retinopathy(DR)and periodontitis,but the studies regarding this association and the role of lipoprotein(a)[Lp(a)]and interleukin-6(IL-6)in these conditions are scarce in the literature.AIM To determine the correlation of periodontal inflamed surface area(PISA)with glycated Hb(HbA1c),serum IL-6 and Lp(a)in T2DM subjects with retinopathy.METHODS This cross-sectional study comprised 40 T2DM subjects with DR and 40 T2DM subjects without DR.All subjects were assessed for periodontal parameters[bleeding on probing(BOP),probing pocket depth,clinical attachment loss(CAL),oral hygiene index-simplified,plaque index(PI)and PISA],and systemic parameters[HbA1c,fasting plasma glucose and postprandial plasma glucose,fasting lipid profile,serum IL-6 and serum Lp(a)].RESULTS The proportion of periodontitis in T2DM with and without DR was 47.5%and 27.5%respectively.Severity of periodontitis,CAL,PISA,IL-6 and Lp(a)were higher in T2DM with DR group compared to T2DM without DR group.Significant difference was observed in the mean percentage of sites with BOP between T2DM with DR(69%)and T2DM without DR(41%),but there was no significant difference in PI(P>0.05).HbA1c was positively correlated with CAL(r=0.351,P=0.001),and PISA(r=0.393,P≤0.001)in study subjects.A positive correlation was found between PISA and IL-6(r=0.651,P<0.0001);PISA and Lp(a)(r=0.59,P<0.001);CAL and IL-6(r=0.527,P<0.0001)and CAL and Lp(a)(r=0.631,P<0.001)among study subjects.CONCLUSION Despite both groups having poor glycemic control and comparable plaque scores,the periodontal parameters were higher in DR as compared to T2DM without DR.Since a bidirectional link exists between periodontitis and DM,the presence of DR may have contributed to the severity of periodontal destruction and periodontitis may have influenced the progression of DR.
