Purpose: The aim of this study is to compare how Chinese and Zambian pregnant women respond to nutrition and exercise. Methods: This is a cross-sectional study with data that was conducted in Chingola City, Zambia, an...Purpose: The aim of this study is to compare how Chinese and Zambian pregnant women respond to nutrition and exercise. Methods: This is a cross-sectional study with data that was conducted in Chingola City, Zambia, and Hangzhou City, China, using an online survey between September 1, 2023 and February 28, 2024. The subjects were divided into two groups (the China group and the Zambia group) according to their nationality. Results: A total of 210 participants were included through a questionnaire survey, 104 from China and 106 from Zambia. In terms of nutrient supplementation and whether to choose takeout weekly, 100% of Chinese pregnant women chose yes, while 100% of Zambian pregnant women chose no (P 0.05). The proportion of pregnant women in the China group choosing moderate or intense activities was higher than that in the Zambia group. In terms of daily exercise time, the proportion of Chinese pregnant women choosing 13 - 30 minutes or 30 - 60 minutes was significantly higher than that of Zambian pregnant women (P Conclusion: From the findings in our study, it can be observed that although pregnancy is an experience that many women may go through, lifestyle habits during pregnancy can vary from culture to culture or ethnicity.展开更多
A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general pra...A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general practice teaching clinic are presented with a view to promoting the development of general practice and cultivating more excellent successors in general practice.展开更多
Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationshi...Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18-25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18-25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.展开更多
Cancer stands as a prominent public health concern in China, with elusive intervention targets due to unidentified high-risk causal factors for most cancers. Consequently, emphasis has shifted towards screening, diagn...Cancer stands as a prominent public health concern in China, with elusive intervention targets due to unidentified high-risk causal factors for most cancers. Consequently, emphasis has shifted towards screening, diagnosing, and treating early cancer cases within the general population. However, China faces considerable obstacles in its cancer prevention and control efforts, attributing to the complexity and heterogeneity of the occurrence, progression, and prognosis of malignant tumors across populations, time, and regions. Taking esophageal cancer screening practices as an example, this review outlines the importance and assessment of cancer screening, delineating major challenges in China's cancer prevention and control: 1) limited comprehension of cancer's natural history;2) lack of “China Evidence” supporting screening effectiveness and value;3) compromised efficiency and accuracy in current screening modality;and 4) insufficient sustainability of the current screening practices and translation of relevant scientific research achievements. To address these challenges, we propose potential coping strategies: 1)establishing tailored technologies and pathways for cancer prevention and control based on population-based and clinical epidemiological studies using high-quality designs;2) breaking conventional constraints to establish a novel cancer screening strategy aligned with real-world needs;and 3) establishing enhanced communication platforms among scientific research teams, policymakers, and industrial institutions to foster collaboration and innovation.展开更多
Rotational grazing is considered as one of the nature-based solutions(NbS)to grassland protection by natural scientists.However,its effects on improving grassland quality are still unclear when it is adopted by herder...Rotational grazing is considered as one of the nature-based solutions(NbS)to grassland protection by natural scientists.However,its effects on improving grassland quality are still unclear when it is adopted by herders.Using a householdlevel panel data from field survey in two main pastoral provinces of China,empirical results from fixed-effect model and instrumental approach show that rotational grazing practices have insignificant short-term effects on grassland quality,but have positive long-term effects.In addition,rotational grazing practices can improve grassland quality when villages invest public infrastructure or herders have private supporting measures for more efficiency livestock production.Further analysis shows that herders adopting rotational grazing have higher grazing intensity,higher supplementary intensity and more livestock-house-feeding days,which indicate herders can utilize more efficient livestock management without increasing pressure on natural grassland.We also find that herders with pastoral income are more likely to adopt rotational grazing practice.These insightful findings offer policy implications on promoting grassroot NbS for ecosystem protection and resource utilization in developing pastoral countries.展开更多
Objective:To access the level of knowledge,perceptions,and practice towards adverse events following immunization(AEFI)surveillance among vaccination workers in Zhejiang province,China.Methods:This was a cross-section...Objective:To access the level of knowledge,perceptions,and practice towards adverse events following immunization(AEFI)surveillance among vaccination workers in Zhejiang province,China.Methods:This was a cross-sectional survey involving 768 vaccination workers.Data were collected using self-administered questionnaires and analyzed by using SAS 9.3 software.Knowledge,perceptions,and practice on AEFI surveillance were summarized using frequency tables.The mean±SD value was used as the cut-off for defining good(values≥mean)and poor(values<mean)knowledge,perceptions or practice.Binary logistic regression analysis was used to determine sociodemographic variables associated with knowledge,perceptions,and practice towards AEFI.Results:The proportions of good knowledge,perceptions and practice on AEFI surveillance were 78.13%,57.81%and 66.15%,respectively.Having a higher education background,longer years of experience,previous training on AEFI and≥30 years of age were factors associated with good knowledge,perceptions and practice on AEFI surveillance among vaccination workers.Conclusions:Over half of the respondents had good knowledge,perceptions and practice on AEFI surveillance work.Interventions on improving the vaccination workers’knowledge,perceptions and practice on AEFI surveillance should be considered in order to develop a more effective surveillance system.展开更多
There is a need and opportunity for China to develop education and practice innovations given that advance practice nurses (APNs) improve health care and outcomes.The China Medical Board (CMB)China Nursing Network (CC...There is a need and opportunity for China to develop education and practice innovations given that advance practice nurses (APNs) improve health care and outcomes.The China Medical Board (CMB)China Nursing Network (CCNN) began planning for an Advanced Nursing Practice Program for education and career development that will facilitate CCNN's contributions to meeting national nursing policy priorities.This paper presents the discussion,recommendations and action plans developed at the inaugural planning meeting on June 26,2015 at Fudan University in Shanghai.The recommendations are:Develop standards for advanced nursing practice;Develop Master's level curricula based on the standards;Commence pilot projects across a number of University affiliated hospitals;and Prepare clinical tutors and faculty.The strategic directions and actions are: Develop a clinical career ladder system;Expand the nursing role from hospital to community;and Build a specialty nurse accreditation system.展开更多
The multi-sited practices (MSP) policy in China is expected to exert found implications upon uneven distribution of high-quality medical resources,coupled with the widespread phenomenon of physician's informal pra...The multi-sited practices (MSP) policy in China is expected to exert found implications upon uneven distribution of high-quality medical resources,coupled with the widespread phenomenon of physician's informal practices on multiple sites.Since 2009,the Chinese government has upheld a policy that allows medical doctors to take on secondary jobs for the purpose of encouraging talented physicians to work in medical institutions and underdeveloped areas where their expertise is badly needed.This paper focuses on the MSP policy in China by examining how it has been implemented at the national and provincial levels through a review of government documents,statistical information,academic papers,and newspaper accounts.Despite the MSP policy is to offer incentive to physicians at first-tier public hospitals to work in primary care centers or areas where their expertise,the evidence is hard to find.This paper identifies several outstanding challenges to the MSP policy:(1) The importance of the MSP policy which is made by the central government is perceived differently at the provincial level by health officials and hospital administrators;(2) Interest in implementing the policy varies among physicians and hospitals;(3) Concerns about quality control and legal responsibilities for medical doctors to take on secondary jobs are widespread.China's MSP policy differs from the 'dual practice' policy in many countries because of its top-down approach,with its emphasis on government's role and administrative intervention.This paper's findings may be useful for other developing countries where medical expertise is unevenly distributed due to market forces.On the special occasion of the Alma Ata Declaration's 40th anniversary and for the sake of promoting Universal Health Coverage,this paper also aims at sharing with other countries China's experience in trying to develop an adequate force of primary care professionals.At the end of this paper,a four-point proposal is made for policy makers in China.展开更多
Soil erosion and nutrient loss due to erosion are world-wide problems. Similar to soil loss by erosion, soil nitrogen (N) loss by erosion in small catchments is affected by vegetation coverage. The practice of compreh...Soil erosion and nutrient loss due to erosion are world-wide problems. Similar to soil loss by erosion, soil nitrogen (N) loss by erosion in small catchments is affected by vegetation coverage. The practice of comprehensive management for catchments mainly by adjusting cropland, grassland and woodland areas was widely adopted to reduce soil and water loss in catchments of the Chinese Loess Plateau. Three experiments under natural and artificial rainfall conditions on N loss by erosion for a model catchment and for an actual catchment in Zhifanggou of Ansai County in China was performed to determine the relationships between comprehensive management and N loss by runoff in small catchments. The results for vegetation coverage of 60%, 40%, 20% and 0 show that runoff loss of ammonium, nitrate, and total N were 87.08, 44.31, 25.16, 13.71 kg/km(2); 85.50, 74.06, 63.95, 56.23 kg/km(2); and 0.18, 1.18, 1.98, 7.51 t/ km(2), respectively. Due to reduction in the size of cropped area on steeply sloping land, soil N loss by erosion in the catchments was decreased by 15.8% as compared with that in 1992, i.e., from 8 758.5 kg in 1992 to 7 562.2 kg in 1998. Whereas, catchments act as a filter for ammonium and nitrate in rain, the catchment filtering effects on nitrate is remarkably higher than that on ammonium. The enrichment of < 20 mum aggregate in sediment results in the enrichment of organic matter and total N in flood sediment. Greater vegetation coverage can effectively decrease soil erosion and total N loss. However, soil mineral N loss increased as vegetation coverage increased.展开更多
The effects of selected land management practices （cross-sloping tillage, ridge culture, organic manure, and straw mulch） on soil water conservation in a southwestern mountainous area, China, were studied during Nov...The effects of selected land management practices （cross-sloping tillage, ridge culture, organic manure, and straw mulch） on soil water conservation in a southwestern mountainous area, China, were studied during November 2002 to November 2004. The experimental field is divided into three parts based on soil layer depths, 0-60 cm （part Ⅰ）, 0-40 cm （part Ⅱ）, and 0- 20 cm （part Ⅲ）, and they all had the same slope azimuth （SE）, slope （10°）, and slope type （linear）. The experimental plots were subjected to the following treatments： cross-sloping tillage （CST）; cross-sloping tillage with organic manure （CST/ OM）; cross-sloping tillage with straw mulch （CST/SM）; contour ridge culture （CRC）; contour ridge culture with organic manure （CRC/OM）; and contour ridge culture with straw mulch （CRC/SM）, to identify the effects of management practices on soil water. Water contents were determined for soil samples collected, using a 2.2 cm diameter manual probe. Soil water was monitored once every five days from Nov. 20, 2002 to Nov. 20, 2004. The results indicated that, in the study stages, an integration of rainfall, evaporative losses, and crop transcription controlled the basic tendencies of profile （mean） soil water, while land management practices, to a certain extent, only modified its amount, distribution, and routing. Moreover, these modifications also mainly focused on the first 20 cm depth of topsoil layer. When each management practice was compared with control treatment, season changes of profile （mean） soil water were pronounced, while interannual changes among them were not significant. More comparisons indicated that, in the study stages, contour ridge culture had better effects than cross-sloping tillage. And under the same tillage, the combination of organic manure could achieve more than straw mulch. These management practices should be recommended considering the effectiveness of soil and water management techniques in the southwestern mountainous area, China.展开更多
This paper provides an overview of Advanced Practice Nursing(APN)in the USA,Canada,Australia and Hong Kong.It is based upon documents presented to the China Medical Board(CMB)China Nursing Network(CNN)as background fo...This paper provides an overview of Advanced Practice Nursing(APN)in the USA,Canada,Australia and Hong Kong.It is based upon documents presented to the China Medical Board(CMB)China Nursing Network(CNN)as background for discussions held by the CNN in Shanghai.It discusses the APN role in these countries and regions according to topics identified by the CNN.These are APN educational preparation;role legitimacy;capacity requirements;scope of practice,domains of activities and limited rights for prescription and referral;professional promotion ladder;accreditation system;and,perfor-mance evaluation system.Both Canada and Australia have adapted many aspects of the USA model of APN to fit their specific legislative requirements and local conditions.Hong Kong has taken a different path which may be of interest in the Chinese context.展开更多
The soil and water conservation practices of ecological restoration(ER),fish scale pit(FP),furrow and ridge tillage across the slope(FR),shrub strips(SS),and vegetation-covered ridge(VR)are characteristic of the Jixin...The soil and water conservation practices of ecological restoration(ER),fish scale pit(FP),furrow and ridge tillage across the slope(FR),shrub strips(SS),and vegetation-covered ridge(VR)are characteristic of the Jixing small watershed of the low mountain and hilly region of Jilin Province,Northeast China.This study aims to elucidate the effects of soil and water conservation practices on soil conditions after the short-term implementation of practices.Soil samples were collected from five soil and water conservation sites(ER,FP,FR,SS,and VR)and two controls(BL and CT)to investigate their properties.To evaluate the influence of soil and water conservation practices on soil quality,an integrated quantitative index,soil quality index(QI),was developed to compare the soil quality under the different soil and water conservation practices.The results show that not all soil and water conservation practices can improve the soil conditions and not all soil properties,especially soil organic carbon(SOC),can be recovered under soil and water conservation practice in short-term.Moreover,the QI in the five soil and water conservation practices and two controls was in the following order:ER>VR>BL>FR>CT>SS>FP.ER exhibited a higher soil quality value on a slope scale.In the low mountain and hilly region of Northeast China,ER is a better choice than the conversion of farmlands to planted grasslands and woodlands early in the soil and water conservation program.展开更多
Problems associated with land degradation are serious in China. Sloping land in South China has experienced a decline in crop productivity by 30-60% due to soil erosion and it has been predicted that most topsoil will...Problems associated with land degradation are serious in China. Sloping land in South China has experienced a decline in crop productivity by 30-60% due to soil erosion and it has been predicted that most topsoil will be lost within the next 100 years if current erosion rates continue. Considering these situations, an agro-environmental research and development project （Sustainable Highland Agriculture in South-East Asia- SHASEA） was conducted in a catchment in Yunnan Province, China, to address the objectives of increasing crop productivity in sustainable and environmentally-friendly ways. A range of cropping practices was developed and implemented in a rural upland catchment （Wang Jia）. At the end of the project, farmers were surveyed to evaluate project effectiveness. All farmers from Wang Jia Catchment, who were involved in project implementation, were surveyed. A sample of farmers working in an adjacent catchment （not associated with the project） was surveyed for comparative purposes. Farmers had different perceptions of the cropping practices employed. Contour cultivation was preferred and likely to be adopted. Others practices such as straw mulching and intercropping were seen as less appropriate and unlikely to be adopted. Polythene mulch was recognized as effective, but likely to be adopted only if financial returns were favourable. The availability of relevant information had an important impact on the extent of technology testing by farmers and their willingness to adopt the practices in the future.展开更多
Agriculture is a large source of carbon emissions. The cropland practices of fertilizer substitution, crop straw and conservation tillage are beneficial and help to rebuild local soil carbon stocks and reduce soil car...Agriculture is a large source of carbon emissions. The cropland practices of fertilizer substitution, crop straw and conservation tillage are beneficial and help to rebuild local soil carbon stocks and reduce soil carbon emissions, in addition to reducing the consumption of fertilizers and fossil fuels. These improved cropland practices can directly and indirectly mitigatecarbon emissions, benefiting the sustainability of croplands. For these three improved practices, we estimated carbon mitigation potentials in rice, wheat and maize croplands in China. The combined contribution of these practices to carbon mitigation was 38.8 Tg C yr-1, with fertilizer substitution, crop straw return, and conservation tillage contributing 26.6, 3.6 and 8.6 Tg C yr-1, respectively. Rice, wheat and maize croplands had potentials to mitigate 13.4, 11.9 and 15.5 Tg C yr-1, respectively, with the combined direct and indirectpotential of 33.8 and 5.0 Tg C yr-1. Because of differences in local climate and specific diets, the regional cropland carbon mitigation potentials differed greatly among provinces in China. In China, 18 provinces had a "target surplus" for which the carbon mitigation from these three practices was larger than the mitigation target set for 2020. At the national level, a net "target surplus"of 4.84 Tg C yr-1 would be attained for Chinese croplands with full implementation of the three improved practices. Regional cooperation must be developed to achieve carbon mitigation targets using such measures as carbon trading, establishing regional associations, and strengthening research programs to improve practices.展开更多
Since May 2018,the planning,construction and functioning of China Seismic Experimental Site(CSES)has attracted much attention in earthquake science(CSES,2020 a,b,c;Wu,2020;Li et al.,2021).Different from traditional ea...Since May 2018,the planning,construction and functioning of China Seismic Experimental Site(CSES)has attracted much attention in earthquake science(CSES,2020 a,b,c;Wu,2020;Li et al.,2021).Different from traditional earthquake prediction experiment projects,such as the Parkfield earthquake prediction experiment(Roeloffs,2000).展开更多
The evaluation of marine function zoning （hereinafter referred to as MFZ） is an important part of MFZ. This paper studies the principles of MFZ evaluation and the evaluation procedures. It is proposed that three mai...The evaluation of marine function zoning （hereinafter referred to as MFZ） is an important part of MFZ. This paper studies the principles of MFZ evaluation and the evaluation procedures. It is proposed that three main aspects, including the evaluation of MFZ implementation situation, the evaluation of the performance effects and the evaluation of the changes of dependent conditions, are the top priorities in establishing an evaluation indicator system framework. The evaluation of MFZ implementation situation includes assessing the general situation of MFZ and the degree of implementation and public participation. The evaluation of the performance effects involves the assessments of the achievements and the existing problems in the rectification and standardization of utilizing the sea areas, protecting marine resources and environment, and promoting marine economic development. The evaluation of the changes of dependent conditions includes the assessments and measurements of the changes in the social and economic conditions, the use demands of marine industries, marine resource conditions and marine environmental conditions. This paper provides the means of integrating quantitative and qualitative approaches into the scientific and systematic evaluation on MFZ. The evaluation results can determine whether MFZ needs to be altered or not. The results also provide an important reference basis for determining whether a slight or great alteration is justified. To illustrate the utility of the MFZ evaluation indicator system, an evaluation example is given. Further studies are needed to make the evaluation of MFZ more scientific, reasonable, fair and effective.展开更多
With the development of marine economy in coastal provinces and cities,there comes a series of environmental problems. Marine regional management,as a completely new marine management mode,transforms traditional manag...With the development of marine economy in coastal provinces and cities,there comes a series of environmental problems. Marine regional management,as a completely new marine management mode,transforms traditional management mode and can protect marine ecosystem. Thus,the marine regional management is feasible and applicable in China. This paper firstly discussed connotation and development of the marine regional management in China and pointed that the marine regional management is integrated management of a certain marine region. Next,it summarized characteristics of the marine regional management at current stage,for example,land-based pollution of trans-geographic system and marine management under regional government cooperative mechanism. Finally,it came up with recommendations including combining theory and practice of the marine regional management,and establishing marine regional management system as soon as possible,to realize benign interaction and sustainable development of marine economy and ecological environment.展开更多
India and China, even though close in distance, but distant in relationship. Recently, the world has witnessed the improvement of the bilateral relations between the two big nations. The White Horse Temple, as a site ...India and China, even though close in distance, but distant in relationship. Recently, the world has witnessed the improvement of the bilateral relations between the two big nations. The White Horse Temple, as a site constructed by discourses has transformed from‘the first government-funded temple in China'to one of the symbols of China-India friendship in the cultural exchange between the two nations. Critical discourse analysis(CDA) is an interdisciplinary approach to the study of discourse that views language as a form of social practice and focuses on the ways social and political domination are reproduced in text and talk. This paper, starts from the perspective of critical discourse analysis, is exploratory in that it aims to see how the discursive practice of the White Horse Temple constitutes the discourse of China-India relationship and is constituted by the power relationship between the two nations.展开更多
HIV/AIDS remains one of the world’s most significant public health challenges, particularly in low and middle-income region. China has witnessed a moderate effect of global HIV/AIDS endemic for which HIV/AIDS awarene...HIV/AIDS remains one of the world’s most significant public health challenges, particularly in low and middle-income region. China has witnessed a moderate effect of global HIV/AIDS endemic for which HIV/AIDS awareness and prevention program have been developed and conducted. In China the university students are among the affected target population because of the recent development of casual attitude towards sex, the rapid economic revolution and degradation of traditional value. The purpose of this paper is to describe HIV/AIDS knowledge, attitudes, and practice and identify personal risk behaviors among students in China. Selection of the articles suitable for the review was done from 2007 to 2016 on the basis of their study regarding HIV/AIDS in accordance with different students of schools, undergraduate and postgraduate study. Knowledge of the students is accordance with their education level while attitude have no relation with the knowledge and still there is unsafe sexual practice present among students. Although students have good knowledge regarding HIV/AIDS, they have still negative attitude towards HIV/AIDS patients. There are still misconceptions especially concerning mosquitos and kissing as routes of transmission of HIV. There is difficulty in separating HIV from AIDS by many students. Due to insufficient knowledge regarding HIV/AIDS among school students many of them believe that there is a medicine that can cure HIV/AIDS. Comparatively Students are more focused on knowledge regarding HIV/AIDS rather than developing and maintaining safe sexual behavior among the students. We believe that the review will help to focus further into the more effective attitude based implementation of knowledge and practice among Chinese students.展开更多
This article found that Chinese international payment＇s practice conflicted with the western macroeconomic theory. Therefore, through combining the actual conditions of China, and comparing China with the United Stat...This article found that Chinese international payment＇s practice conflicted with the western macroeconomic theory. Therefore, through combining the actual conditions of China, and comparing China with the United States, this article analyzed the reason causing this kind of conflict, and provided a consulting conclusion.展开更多
文摘Purpose: The aim of this study is to compare how Chinese and Zambian pregnant women respond to nutrition and exercise. Methods: This is a cross-sectional study with data that was conducted in Chingola City, Zambia, and Hangzhou City, China, using an online survey between September 1, 2023 and February 28, 2024. The subjects were divided into two groups (the China group and the Zambia group) according to their nationality. Results: A total of 210 participants were included through a questionnaire survey, 104 from China and 106 from Zambia. In terms of nutrient supplementation and whether to choose takeout weekly, 100% of Chinese pregnant women chose yes, while 100% of Zambian pregnant women chose no (P 0.05). The proportion of pregnant women in the China group choosing moderate or intense activities was higher than that in the Zambia group. In terms of daily exercise time, the proportion of Chinese pregnant women choosing 13 - 30 minutes or 30 - 60 minutes was significantly higher than that of Zambian pregnant women (P Conclusion: From the findings in our study, it can be observed that although pregnancy is an experience that many women may go through, lifestyle habits during pregnancy can vary from culture to culture or ethnicity.
文摘A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general practice teaching clinic are presented with a view to promoting the development of general practice and cultivating more excellent successors in general practice.
文摘Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18-25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18-25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.
基金supported by the National Key R&D Program of China (No. 2021YFC2500405)。
文摘Cancer stands as a prominent public health concern in China, with elusive intervention targets due to unidentified high-risk causal factors for most cancers. Consequently, emphasis has shifted towards screening, diagnosing, and treating early cancer cases within the general population. However, China faces considerable obstacles in its cancer prevention and control efforts, attributing to the complexity and heterogeneity of the occurrence, progression, and prognosis of malignant tumors across populations, time, and regions. Taking esophageal cancer screening practices as an example, this review outlines the importance and assessment of cancer screening, delineating major challenges in China's cancer prevention and control: 1) limited comprehension of cancer's natural history;2) lack of “China Evidence” supporting screening effectiveness and value;3) compromised efficiency and accuracy in current screening modality;and 4) insufficient sustainability of the current screening practices and translation of relevant scientific research achievements. To address these challenges, we propose potential coping strategies: 1)establishing tailored technologies and pathways for cancer prevention and control based on population-based and clinical epidemiological studies using high-quality designs;2) breaking conventional constraints to establish a novel cancer screening strategy aligned with real-world needs;and 3) establishing enhanced communication platforms among scientific research teams, policymakers, and industrial institutions to foster collaboration and innovation.
基金supported by the National Natural Science Foundation of China(72173004 and 71773003)the Major Consulting Project of Chinese Academy of Engineering(2022-HZ-09)。
文摘Rotational grazing is considered as one of the nature-based solutions(NbS)to grassland protection by natural scientists.However,its effects on improving grassland quality are still unclear when it is adopted by herders.Using a householdlevel panel data from field survey in two main pastoral provinces of China,empirical results from fixed-effect model and instrumental approach show that rotational grazing practices have insignificant short-term effects on grassland quality,but have positive long-term effects.In addition,rotational grazing practices can improve grassland quality when villages invest public infrastructure or herders have private supporting measures for more efficiency livestock production.Further analysis shows that herders adopting rotational grazing have higher grazing intensity,higher supplementary intensity and more livestock-house-feeding days,which indicate herders can utilize more efficient livestock management without increasing pressure on natural grassland.We also find that herders with pastoral income are more likely to adopt rotational grazing practice.These insightful findings offer policy implications on promoting grassroot NbS for ecosystem protection and resource utilization in developing pastoral countries.
基金funded by medical and health science and technology project of Zhejiang province (Grant number:2023KY633)
文摘Objective:To access the level of knowledge,perceptions,and practice towards adverse events following immunization(AEFI)surveillance among vaccination workers in Zhejiang province,China.Methods:This was a cross-sectional survey involving 768 vaccination workers.Data were collected using self-administered questionnaires and analyzed by using SAS 9.3 software.Knowledge,perceptions,and practice on AEFI surveillance were summarized using frequency tables.The mean±SD value was used as the cut-off for defining good(values≥mean)and poor(values<mean)knowledge,perceptions or practice.Binary logistic regression analysis was used to determine sociodemographic variables associated with knowledge,perceptions,and practice towards AEFI.Results:The proportions of good knowledge,perceptions and practice on AEFI surveillance were 78.13%,57.81%and 66.15%,respectively.Having a higher education background,longer years of experience,previous training on AEFI and≥30 years of age were factors associated with good knowledge,perceptions and practice on AEFI surveillance among vaccination workers.Conclusions:Over half of the respondents had good knowledge,perceptions and practice on AEFI surveillance work.Interventions on improving the vaccination workers’knowledge,perceptions and practice on AEFI surveillance should be considered in order to develop a more effective surveillance system.
文摘There is a need and opportunity for China to develop education and practice innovations given that advance practice nurses (APNs) improve health care and outcomes.The China Medical Board (CMB)China Nursing Network (CCNN) began planning for an Advanced Nursing Practice Program for education and career development that will facilitate CCNN's contributions to meeting national nursing policy priorities.This paper presents the discussion,recommendations and action plans developed at the inaugural planning meeting on June 26,2015 at Fudan University in Shanghai.The recommendations are:Develop standards for advanced nursing practice;Develop Master's level curricula based on the standards;Commence pilot projects across a number of University affiliated hospitals;and Prepare clinical tutors and faculty.The strategic directions and actions are: Develop a clinical career ladder system;Expand the nursing role from hospital to community;and Build a specialty nurse accreditation system.
文摘The multi-sited practices (MSP) policy in China is expected to exert found implications upon uneven distribution of high-quality medical resources,coupled with the widespread phenomenon of physician's informal practices on multiple sites.Since 2009,the Chinese government has upheld a policy that allows medical doctors to take on secondary jobs for the purpose of encouraging talented physicians to work in medical institutions and underdeveloped areas where their expertise is badly needed.This paper focuses on the MSP policy in China by examining how it has been implemented at the national and provincial levels through a review of government documents,statistical information,academic papers,and newspaper accounts.Despite the MSP policy is to offer incentive to physicians at first-tier public hospitals to work in primary care centers or areas where their expertise,the evidence is hard to find.This paper identifies several outstanding challenges to the MSP policy:(1) The importance of the MSP policy which is made by the central government is perceived differently at the provincial level by health officials and hospital administrators;(2) Interest in implementing the policy varies among physicians and hospitals;(3) Concerns about quality control and legal responsibilities for medical doctors to take on secondary jobs are widespread.China's MSP policy differs from the 'dual practice' policy in many countries because of its top-down approach,with its emphasis on government's role and administrative intervention.This paper's findings may be useful for other developing countries where medical expertise is unevenly distributed due to market forces.On the special occasion of the Alma Ata Declaration's 40th anniversary and for the sake of promoting Universal Health Coverage,this paper also aims at sharing with other countries China's experience in trying to develop an adequate force of primary care professionals.At the end of this paper,a four-point proposal is made for policy makers in China.
文摘Soil erosion and nutrient loss due to erosion are world-wide problems. Similar to soil loss by erosion, soil nitrogen (N) loss by erosion in small catchments is affected by vegetation coverage. The practice of comprehensive management for catchments mainly by adjusting cropland, grassland and woodland areas was widely adopted to reduce soil and water loss in catchments of the Chinese Loess Plateau. Three experiments under natural and artificial rainfall conditions on N loss by erosion for a model catchment and for an actual catchment in Zhifanggou of Ansai County in China was performed to determine the relationships between comprehensive management and N loss by runoff in small catchments. The results for vegetation coverage of 60%, 40%, 20% and 0 show that runoff loss of ammonium, nitrate, and total N were 87.08, 44.31, 25.16, 13.71 kg/km(2); 85.50, 74.06, 63.95, 56.23 kg/km(2); and 0.18, 1.18, 1.98, 7.51 t/ km(2), respectively. Due to reduction in the size of cropped area on steeply sloping land, soil N loss by erosion in the catchments was decreased by 15.8% as compared with that in 1992, i.e., from 8 758.5 kg in 1992 to 7 562.2 kg in 1998. Whereas, catchments act as a filter for ammonium and nitrate in rain, the catchment filtering effects on nitrate is remarkably higher than that on ammonium. The enrichment of < 20 mum aggregate in sediment results in the enrichment of organic matter and total N in flood sediment. Greater vegetation coverage can effectively decrease soil erosion and total N loss. However, soil mineral N loss increased as vegetation coverage increased.
文摘The effects of selected land management practices （cross-sloping tillage, ridge culture, organic manure, and straw mulch） on soil water conservation in a southwestern mountainous area, China, were studied during November 2002 to November 2004. The experimental field is divided into three parts based on soil layer depths, 0-60 cm （part Ⅰ）, 0-40 cm （part Ⅱ）, and 0- 20 cm （part Ⅲ）, and they all had the same slope azimuth （SE）, slope （10°）, and slope type （linear）. The experimental plots were subjected to the following treatments： cross-sloping tillage （CST）; cross-sloping tillage with organic manure （CST/ OM）; cross-sloping tillage with straw mulch （CST/SM）; contour ridge culture （CRC）; contour ridge culture with organic manure （CRC/OM）; and contour ridge culture with straw mulch （CRC/SM）, to identify the effects of management practices on soil water. Water contents were determined for soil samples collected, using a 2.2 cm diameter manual probe. Soil water was monitored once every five days from Nov. 20, 2002 to Nov. 20, 2004. The results indicated that, in the study stages, an integration of rainfall, evaporative losses, and crop transcription controlled the basic tendencies of profile （mean） soil water, while land management practices, to a certain extent, only modified its amount, distribution, and routing. Moreover, these modifications also mainly focused on the first 20 cm depth of topsoil layer. When each management practice was compared with control treatment, season changes of profile （mean） soil water were pronounced, while interannual changes among them were not significant. More comparisons indicated that, in the study stages, contour ridge culture had better effects than cross-sloping tillage. And under the same tillage, the combination of organic manure could achieve more than straw mulch. These management practices should be recommended considering the effectiveness of soil and water management techniques in the southwestern mountainous area, China.
文摘This paper provides an overview of Advanced Practice Nursing(APN)in the USA,Canada,Australia and Hong Kong.It is based upon documents presented to the China Medical Board(CMB)China Nursing Network(CNN)as background for discussions held by the CNN in Shanghai.It discusses the APN role in these countries and regions according to topics identified by the CNN.These are APN educational preparation;role legitimacy;capacity requirements;scope of practice,domains of activities and limited rights for prescription and referral;professional promotion ladder;accreditation system;and,perfor-mance evaluation system.Both Canada and Australia have adapted many aspects of the USA model of APN to fit their specific legislative requirements and local conditions.Hong Kong has taken a different path which may be of interest in the Chinese context.
基金Under the auspices of Foundation of State Key Laboratory of Soil Erosion and Dryland Farming on the Loess Plateau(No.10501-1210)National Natural Science Foundation of China(No.31101606)+1 种基金Basic Scientific Research Operating Expenses of Jilin University(No.200903377)National Key Projects in National Science&Technology Program during the 12th Five-Year Plan Period of China(No.2011BAD16B10-3,2012BAD04B02-3)
文摘The soil and water conservation practices of ecological restoration(ER),fish scale pit(FP),furrow and ridge tillage across the slope(FR),shrub strips(SS),and vegetation-covered ridge(VR)are characteristic of the Jixing small watershed of the low mountain and hilly region of Jilin Province,Northeast China.This study aims to elucidate the effects of soil and water conservation practices on soil conditions after the short-term implementation of practices.Soil samples were collected from five soil and water conservation sites(ER,FP,FR,SS,and VR)and two controls(BL and CT)to investigate their properties.To evaluate the influence of soil and water conservation practices on soil quality,an integrated quantitative index,soil quality index(QI),was developed to compare the soil quality under the different soil and water conservation practices.The results show that not all soil and water conservation practices can improve the soil conditions and not all soil properties,especially soil organic carbon(SOC),can be recovered under soil and water conservation practice in short-term.Moreover,the QI in the five soil and water conservation practices and two controls was in the following order:ER>VR>BL>FR>CT>SS>FP.ER exhibited a higher soil quality value on a slope scale.In the low mountain and hilly region of Northeast China,ER is a better choice than the conversion of farmlands to planted grasslands and woodlands early in the soil and water conservation program.
文摘Problems associated with land degradation are serious in China. Sloping land in South China has experienced a decline in crop productivity by 30-60% due to soil erosion and it has been predicted that most topsoil will be lost within the next 100 years if current erosion rates continue. Considering these situations, an agro-environmental research and development project （Sustainable Highland Agriculture in South-East Asia- SHASEA） was conducted in a catchment in Yunnan Province, China, to address the objectives of increasing crop productivity in sustainable and environmentally-friendly ways. A range of cropping practices was developed and implemented in a rural upland catchment （Wang Jia）. At the end of the project, farmers were surveyed to evaluate project effectiveness. All farmers from Wang Jia Catchment, who were involved in project implementation, were surveyed. A sample of farmers working in an adjacent catchment （not associated with the project） was surveyed for comparative purposes. Farmers had different perceptions of the cropping practices employed. Contour cultivation was preferred and likely to be adopted. Others practices such as straw mulching and intercropping were seen as less appropriate and unlikely to be adopted. Polythene mulch was recognized as effective, but likely to be adopted only if financial returns were favourable. The availability of relevant information had an important impact on the extent of technology testing by farmers and their willingness to adopt the practices in the future.
基金supported by the National Science and Technology Major Project(2015ZX07203-005)the National Program for Support of Top-notch Young Professionals
文摘Agriculture is a large source of carbon emissions. The cropland practices of fertilizer substitution, crop straw and conservation tillage are beneficial and help to rebuild local soil carbon stocks and reduce soil carbon emissions, in addition to reducing the consumption of fertilizers and fossil fuels. These improved cropland practices can directly and indirectly mitigatecarbon emissions, benefiting the sustainability of croplands. For these three improved practices, we estimated carbon mitigation potentials in rice, wheat and maize croplands in China. The combined contribution of these practices to carbon mitigation was 38.8 Tg C yr-1, with fertilizer substitution, crop straw return, and conservation tillage contributing 26.6, 3.6 and 8.6 Tg C yr-1, respectively. Rice, wheat and maize croplands had potentials to mitigate 13.4, 11.9 and 15.5 Tg C yr-1, respectively, with the combined direct and indirectpotential of 33.8 and 5.0 Tg C yr-1. Because of differences in local climate and specific diets, the regional cropland carbon mitigation potentials differed greatly among provinces in China. In China, 18 provinces had a "target surplus" for which the carbon mitigation from these three practices was larger than the mitigation target set for 2020. At the national level, a net "target surplus"of 4.84 Tg C yr-1 would be attained for Chinese croplands with full implementation of the three improved practices. Regional cooperation must be developed to achieve carbon mitigation targets using such measures as carbon trading, establishing regional associations, and strengthening research programs to improve practices.
基金granted by National Natural Science Foundation of China(NSFC,Grant No.U2039207).
文摘Since May 2018,the planning,construction and functioning of China Seismic Experimental Site(CSES)has attracted much attention in earthquake science(CSES,2020 a,b,c;Wu,2020;Li et al.,2021).Different from traditional earthquake prediction experiment projects,such as the Parkfield earthquake prediction experiment(Roeloffs,2000).
文摘The evaluation of marine function zoning （hereinafter referred to as MFZ） is an important part of MFZ. This paper studies the principles of MFZ evaluation and the evaluation procedures. It is proposed that three main aspects, including the evaluation of MFZ implementation situation, the evaluation of the performance effects and the evaluation of the changes of dependent conditions, are the top priorities in establishing an evaluation indicator system framework. The evaluation of MFZ implementation situation includes assessing the general situation of MFZ and the degree of implementation and public participation. The evaluation of the performance effects involves the assessments of the achievements and the existing problems in the rectification and standardization of utilizing the sea areas, protecting marine resources and environment, and promoting marine economic development. The evaluation of the changes of dependent conditions includes the assessments and measurements of the changes in the social and economic conditions, the use demands of marine industries, marine resource conditions and marine environmental conditions. This paper provides the means of integrating quantitative and qualitative approaches into the scientific and systematic evaluation on MFZ. The evaluation results can determine whether MFZ needs to be altered or not. The results also provide an important reference basis for determining whether a slight or great alteration is justified. To illustrate the utility of the MFZ evaluation indicator system, an evaluation example is given. Further studies are needed to make the evaluation of MFZ more scientific, reasonable, fair and effective.
文摘With the development of marine economy in coastal provinces and cities,there comes a series of environmental problems. Marine regional management,as a completely new marine management mode,transforms traditional management mode and can protect marine ecosystem. Thus,the marine regional management is feasible and applicable in China. This paper firstly discussed connotation and development of the marine regional management in China and pointed that the marine regional management is integrated management of a certain marine region. Next,it summarized characteristics of the marine regional management at current stage,for example,land-based pollution of trans-geographic system and marine management under regional government cooperative mechanism. Finally,it came up with recommendations including combining theory and practice of the marine regional management,and establishing marine regional management system as soon as possible,to realize benign interaction and sustainable development of marine economy and ecological environment.
文摘India and China, even though close in distance, but distant in relationship. Recently, the world has witnessed the improvement of the bilateral relations between the two big nations. The White Horse Temple, as a site constructed by discourses has transformed from‘the first government-funded temple in China'to one of the symbols of China-India friendship in the cultural exchange between the two nations. Critical discourse analysis(CDA) is an interdisciplinary approach to the study of discourse that views language as a form of social practice and focuses on the ways social and political domination are reproduced in text and talk. This paper, starts from the perspective of critical discourse analysis, is exploratory in that it aims to see how the discursive practice of the White Horse Temple constitutes the discourse of China-India relationship and is constituted by the power relationship between the two nations.
文摘HIV/AIDS remains one of the world’s most significant public health challenges, particularly in low and middle-income region. China has witnessed a moderate effect of global HIV/AIDS endemic for which HIV/AIDS awareness and prevention program have been developed and conducted. In China the university students are among the affected target population because of the recent development of casual attitude towards sex, the rapid economic revolution and degradation of traditional value. The purpose of this paper is to describe HIV/AIDS knowledge, attitudes, and practice and identify personal risk behaviors among students in China. Selection of the articles suitable for the review was done from 2007 to 2016 on the basis of their study regarding HIV/AIDS in accordance with different students of schools, undergraduate and postgraduate study. Knowledge of the students is accordance with their education level while attitude have no relation with the knowledge and still there is unsafe sexual practice present among students. Although students have good knowledge regarding HIV/AIDS, they have still negative attitude towards HIV/AIDS patients. There are still misconceptions especially concerning mosquitos and kissing as routes of transmission of HIV. There is difficulty in separating HIV from AIDS by many students. Due to insufficient knowledge regarding HIV/AIDS among school students many of them believe that there is a medicine that can cure HIV/AIDS. Comparatively Students are more focused on knowledge regarding HIV/AIDS rather than developing and maintaining safe sexual behavior among the students. We believe that the review will help to focus further into the more effective attitude based implementation of knowledge and practice among Chinese students.
文摘This article found that Chinese international payment＇s practice conflicted with the western macroeconomic theory. Therefore, through combining the actual conditions of China, and comparing China with the United States, this article analyzed the reason causing this kind of conflict, and provided a consulting conclusion.
