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Linguistic exclusion in orthopedic research:Cultural adaptation,multilingual innovations,and pathways to global health equity
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作者 Qin-Zhi Liu Lei Zeng Nian-Zhe Sun 《World Journal of Orthopedics》 2025年第5期116-119,共4页
This editorial critically evaluated the recent study by AlMousa et al,which examined the impact of the Arabic version of the American Academy of Or-thopedic Surgeons Foot and Ankle Outcomes Questionnaire(AAOS-FAOQ)on ... This editorial critically evaluated the recent study by AlMousa et al,which examined the impact of the Arabic version of the American Academy of Or-thopedic Surgeons Foot and Ankle Outcomes Questionnaire(AAOS-FAOQ)on postoperative quality of life and recovery in Arabic-speaking patients with traumatic foot and ankle injuries.In the context of systemic linguistic exclusion in orthopedic research—where English-language journals dominated most publi-cations and non-English-speaking populations faced dual barriers of trial under-representation and semantic distortions(e.g.,mistranslations of terms like"joint instability"in Arabic)—AlMousa et al's work highlighted the transformative po-tential of culturally adapted methodologies.Their rigorous four-stage adaptation framework validated the Arabic AAOS-FAOQ as a reliable tool,enhancing ecological validity and reducing bias in patient-reported outcomes.However,limitations such as regional specificity(Gulf-centric sampling)and short follow-up periods(4 months)underscored broader challenges in non-English research:Redundant studies,prolonged hospital stays for limited English proficiency patients,and underrepresentation of certain ethnic groups in trials.To dismantle linguistic hegemony,we proposed semantic reconstruction(e.g.,integrating culturally specific indicators like"prayer posture"),dialect-aware neural tran-slation,and World Health Organization led terminology standardization.In line with these proposed solutions,AlMousa et al’s study exemplified how language-sensitive adaptations could bridge equity gaps,while future efforts would need to balance cultural specificity with cross-study comparability through AI-driven multilingual databases and policy mandates for cultural adaptation roadmaps. 展开更多
关键词 cultural adaptation semantic reconstruction dialect aware neural translation multilingual innovations global health equity foot ankle injuriesin systemic linguistic exclusion linguistic exclusion
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Cultural Adaptation of the Mental Health Literacy Scale
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作者 Anwar Khatib Avital Laufer +1 位作者 Michal Finkelstein Marc Gelkopf 《International Journal of Mental Health Promotion》 2025年第1期19-28,共10页
Background:Mental health literacy(MHL)refers to one’s knowledge and understanding of mental health disorders and their treatments.This literacy may be influenced by cultural norms and values that shape individuals’e... Background:Mental health literacy(MHL)refers to one’s knowledge and understanding of mental health disorders and their treatments.This literacy may be influenced by cultural norms and values that shape individuals’experiences,beliefs,attitudes,and behaviors regarding mental health.This study focuses on adapting the Mental health literacy scale(MHLS)for use in the multicultural context of Israel.Objectives include validating its construct,assessing its accuracy in measuring MHL in this diverse setting and examining and comparing levels of MHL across different cultural groups.Methods:The data collection included 1057 participants,representing all the ethnic groups of the Israeli population aged 18 and over.The tools included the MHLS and a demographic questionnaire.Confirmatory factor analysis(CFA)was employed to assess the original structure of the MHLS.Results:The results revealed that after evaluating the original MHLS,five items were excluded,leading to the validation of a modified version—Israeli mental health scale(IMHLS)with four factors and 25 items.CFA and reliability analyses supported an established and robust four-factor model.Significant ethnic differences in MHLS scores were identified,with Muslim participants showing the highest familiarity with mental disorders,followed by Druze and Christian participants,while Jewish participants had the lowest familiarity.Conclusion:The study concluded that the IMHLS is a valid and reliable tool for assessing MHL in Israel’s diverse and multicultural population.The revised scale better reflects the cultural nuances of the Israeli context.The significant ethnic differences that the study revealed in IMHLS emphasize the importance of culturally sensitive mental health interventions tailored to different ethnic groups in Israel. 展开更多
关键词 cultural adaptation mental health literacy scale multicultural society
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Identity Construction and Cultural Adaptation Among Chinese American College Students:A Survey-Based Analysis
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作者 QIN Suhan Lanzeng Sun 《Cultural and Religious Studies》 2025年第11期621-631,共11页
The problem of overseas Chinese identity is a hot spot in the field of overseas Chinese research in recent years.It reflects the Chinese’s cognition,emotion,and behavior of ethnic characteristics.This paper takes Chi... The problem of overseas Chinese identity is a hot spot in the field of overseas Chinese research in recent years.It reflects the Chinese’s cognition,emotion,and behavior of ethnic characteristics.This paper takes Chinese college students with American nationality as the research object,visiting universities in North Carolina and California as visiting scholars and doctoral students,and summarizes and analyzes the identity characteristics of contemporary Chinese American college students and puts forward corresponding suggestions through in-depth interviews with 46 Chinese American college students and 12 Chinese families. 展开更多
关键词 Chinese American college students identity characteristic cultural adaptation
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Cultural Integration and Adaptation Challenge:A Study of International Students in Wenzhou
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作者 Yujie Su Altayeb Salih Ahmed Mohammed +2 位作者 Yujun Yao Pingping Shi Yumeng Zhang 《教育技术与创新》 2025年第2期39-52,共14页
This study explores the cultural,social,and academic adaptation experiences of international students in Wenzhou,China.Based on surveys and interviews with 52 students from 20 countries—predominantly Morocco—the res... This study explores the cultural,social,and academic adaptation experiences of international students in Wenzhou,China.Based on surveys and interviews with 52 students from 20 countries—predominantly Morocco—the research investigates key challenges and coping strategies related to local integration.The findings indicate that while Wenzhou offers a generally supportive academic environment—enhanced by AI integration and practical teaching methods—language barriers continue to hinder students’daily life,academic engagement,and social interactions.Limited Mandarin proficiency made it difficult for many students to build friendships with locals and navigate everyday tasks.Cultural adaptation also presented obstacles,particularly in adjusting to local food and social norms.Despite these challenges,students employed various strategies to facilitate integration,such as attending HSK language courses,watching Chinese media,and initiating conversations with local peers.While most participants described the local community as welcoming,perceptions varied based on individual experiences and language ability.The study highlights the importance of enhanced language support and structured cross-cultural exchange initiatives in improving international students’experiences.It contributes to the broader discourse on international student mobility by offering insights from a second-tier Chinese city,emphasizing the role of institutional practices in shaping adaptation outcomes. 展开更多
关键词 international students adaptation challenges language barriers cultural adaptation
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Advancing global orthopedic research through culturally adapted outcome measures
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作者 Yao Peng Qiang-Qiang You +1 位作者 Fa Shu Jia-Qi Zhang 《World Journal of Orthopedics》 2025年第12期1-6,共6页
Patient-reported outcome measures(PROMs)are essential in orthopedic research and clinical practice,promoting standardized assessments of treatment efficacy and patient well-being.However,their validity across diverse ... Patient-reported outcome measures(PROMs)are essential in orthopedic research and clinical practice,promoting standardized assessments of treatment efficacy and patient well-being.However,their validity across diverse populations depends on rigorous processes of translation,cultural adaptation,and validation.AlMousa et al successfully validated the Arabic version of the American Academy of Orthopedic Surgeons Foot and Ankle Outcomes Questionnaire,demonstrating strong reliability and clinical applicability for Arabic-speaking patients with traumatic foot and ankle injuries.This article highlights the vital role of culturally adapted PROMs in expanding the global scope of orthopedic research,enhancing patient-centered care,and promoting international collaboration.By addressing linguistic and cultural barriers,such adaptations support a more comprehensive and inclusive approach to evidence-based medicine.Future research should aim to optimize the integration of adapted PROMs into clinical practice,evaluate their influences on treatment decision-making,and investigate their functions in largescale multicenter studies to further globally advance orthopedic research. 展开更多
关键词 Patient-reported outcome measures cultural adaptation Orthopedic research Foot and ankle injuries Evidence-based medicine
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Chinese Students’ Adaptation of Social Intercourse Influenced by Different Cultural Contexts of China and America in American Universities
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作者 于乐群 《英语广场(学术研究)》 2012年第2期102-103,共2页
1 Statement of the Purpose (1) Statement of the purpose The purpose of the research isto study Chinese studends' adaptation of social intercourse influenced by different cultural contexts of China and America in A... 1 Statement of the Purpose (1) Statement of the purpose The purpose of the research isto study Chinese studends' adaptation of social intercourse influenced by different cultural contexts of China and America in American universities.And the study will also try to find out the exact problems and obstacles during Chinese students' adapting period in American universities. 展开更多
关键词 In adaptation of Social Intercourse Influenced by Different cultural Contexts of China and America in American Universities Chinese Students
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Cultural Shock and Adaptation of International Students in China
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作者 WU Hui-nan LIU Ying-liang 《Journal of Literature and Art Studies》 2022年第6期685-690,共6页
Cultural shock and adaptation of international students have become a thriving field of study.This article reviews studies on international students in China and demonstrates an increasing favor for empirical research... Cultural shock and adaptation of international students have become a thriving field of study.This article reviews studies on international students in China and demonstrates an increasing favor for empirical research over nonempirical research in recent years and studies the current situation and problems of international students’cultural adaptation in China.This review ends with implications and directions for future research. 展开更多
关键词 cultural shock culture adaptation international students
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Innovative Research on Curriculum Design of Intangible Cultural Heritage Skill Activation and Art Practice
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作者 Jie Fan 《Journal of Educational Theory and Management》 2024年第4期50-54,共5页
This study takes as a case study the Zhuma culture of the ancient city of Yongning in Beijing to explore the crucial role of documentaries in intangible cultural heritage(ICH)education.As an audiovisual medium,documen... This study takes as a case study the Zhuma culture of the ancient city of Yongning in Beijing to explore the crucial role of documentaries in intangible cultural heritage(ICH)education.As an audiovisual medium,documentaries can convey the core values of intangible cultural heritage skills through multisensory narrative methods,enhancing the depth and breadth of cultural heritage.Based on cultural adaptation theory and innovation diffusion theory,this paper proposes an innovative framework for incorporating documentaries into the design of arts education curricula,promoting the integration of traditional skills and contemporary artistic expressions through modern audiovisual technology.Combining symbolic interaction theory and Toulmin’s argumentation model,this paper shows how to strengthen students’cognitive and critical thinking skills regarding the connotations of intangible cultural heritage through argumentation structures.The paper concludes that documentaries not only provide a practical pathway for the modern inheritance of intangible cultural heritage skills,but also offer effective theoretical support for innovation and curriculum design development in higher arts education. 展开更多
关键词 Intangible cultural heritage education Documentary film making Arts curriculum design cultural adaptation Innovation dissemination Toulmin model Symbolic interaction Zhuma culture
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Randomized control trial of a culturally adapted behavioral activation therapy for Muslim patients with depression in Pakistan
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作者 Saima Dawood Ghazala Mir Robert M West 《World Journal of Psychiatry》 SCIE 2023年第8期551-562,共12页
BACKGROUND Behavioral activation therapy(BA)is as effective as cognitive behavior therapy(CBT)in treating depression and can be delivered by practitioners with much less psychological training,making it particularly s... BACKGROUND Behavioral activation therapy(BA)is as effective as cognitive behavior therapy(CBT)in treating depression and can be delivered by practitioners with much less psychological training,making it particularly suitable for low resource settings.BA that is culturally adapted for Muslims(BA-M)is a culturally adapted form of BA that has been found acceptable and feasible for Muslims with depression in the United Kingdom and Turkey;however,this is the first time that its efficacy has been determined through a definitive randomized controlled trial.AIM To compare the effectiveness of BA-M with CBT for Muslim patients with depression in Pakistan.METHODS One hundred and eight patients were randomized 1:1 to treatment arms in a parallel-group randomized controlled trial in hospital or community sites in Lahore,Pakistan.Recruitment followed self-referral or referrals from clinicians,consultants or relevant professionals at each site.Four measures were recorded by blinded assessors:The patient health questionnaire-9(PHQ-9);the BA for depression scale short form(BADS-SF);symptom checklist-revised and the World Health Organization Quality-of-Life Brief Scale.All measures were recorded at baseline and post treatment;PHQ-9 and BADS-SF were also recorded at each session and at three month follow up.The primary analysis was to regress the PHQ-9 score after therapy upon the PHQ-9 score before therapy(baseline)and the type of therapy given,that is,analysis of covariance.In addition,analysis using PHQ-9 scores collected at each therapy session was employed in a 2-level regression model.RESULTS Patients in the BA-M arm experienced greater improvement in PHQ-9 score of 1.95 units compared to the CBT arm after adjusting for baseline values(P=0.006)The key reason behind this improvement was that patients were retained in therapy longer under BA-M,in which patients were retained for an average 0.75 sessions more than CBT patients(P=0.013).Patients also showed significant differences on physical(P<0.001),psychological(P=0.004)and social(P=0.047)domains of Quality of Life(QoL)at post treatment level,indicating an increased QoL in the BA-M group as compared to the treatment as usual group.Some baseline differences were noted in both groups for BA scores and two domains of QoL scale:Physical and environment,which might have influenced the results,though the BA-M group showed more improvement at completion of therapy.CONCLUSION Results proved the efficacy of BA-M in reducing symptoms for depressed patients in Pakistan,indicating BA-M is a promising treatment modality for depression in future,particularly in low resource settings. 展开更多
关键词 culturally adapted therapy Behavioral activation DEPRESSION Pakistan MUSLIM Randomized control trial
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Dietary management of patients with type 2 diabetes and chronic kidney disease:A comprehensive literature review
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作者 Asmaa AlShammari Ali AlSahow 《World Journal of Nephrology》 2025年第4期93-104,共12页
Comorbid type 2 diabetes mellitus(T2DM)and chronic kidney disease(CKD)pose significant global health challenges,particularly in the Middle East and North Africa region.This review synthesizes current evidence and clin... Comorbid type 2 diabetes mellitus(T2DM)and chronic kidney disease(CKD)pose significant global health challenges,particularly in the Middle East and North Africa region.This review synthesizes current evidence and clinical guidelines to inform dietary management,focusing on macronutrients(carbohydrates,protein,fats),micronutrients(potassium,phosphorus,sodium),and fluid intake.We evaluate culturally adapted strategies for the gulf cooperation council countries,where high rates of T2DM and CKD coincide with dietary practices high in refined carbohydrates and sodium.Key interventions include plant-based protein prioritization,glycemic control through carbohydrate moderation,and hearthealthy fats.Practical considerations for Ramadan fasting and electrolyte management are also discussed. 展开更多
关键词 Medical nutrition therapy DIABETES Chronic kidney disease Middle East and North Africa region cultural adaptation
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Applications and Challenges of ChatGPT in Translation:A Multidimensional Exploration of Theory and Practice
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作者 ZHAO Shujie 《Sino-US English Teaching》 2025年第2期35-41,共7页
This study aims to explore the potential and limitations of ChatGPT in translation,focusing on its application in Neural Machine Translation(NMT).By combining theoretical analysis with empirical research,the study eva... This study aims to explore the potential and limitations of ChatGPT in translation,focusing on its application in Neural Machine Translation(NMT).By combining theoretical analysis with empirical research,the study evaluates ChatGPT’s strengths and weaknesses.It reveals ChatGPT’s superior performance in handling technical documents with high translation quality and efficiency.However,its limitations become evident in addressing cultural nuances and emotional expressions,where semantic deviation or cultural loss often occurs.Moreover,ChatGPT struggles with creative translation,failing to convey the artistic style and emotional depth of original texts,such as literary works and advertisements.The study proposes optimized paths for human-machine collaboration,emphasizing the crucial role of human translators in cultural adaptation and quality assurance.It suggests incorporating multimodal data,dynamic feedback mechanisms,and pragmatic reasoning techniques to enhance machine translation capabilities.The findings conclude that while ChatGPT serves as an efficient translation tool,complex tasks require human-machine synergy to achieve high-quality cross-cultural communication. 展开更多
关键词 ChatGPT Neural Machine Translation(NMT) cultural adaptation translation ethics
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Open Arms Stories of Indonesians on life, language, and home in China
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作者 Antony Hardi 《China Report ASEAN》 2025年第4期34-35,共2页
When I first arrived in China 13 years ago,I had grand dreams of changing the world—but also a small fear of getting completely lost during my first time living abroad,far from home.I came as a student,eager to dive ... When I first arrived in China 13 years ago,I had grand dreams of changing the world—but also a small fear of getting completely lost during my first time living abroad,far from home.I came as a student,eager to dive into a new culture,but China had other plans.My journey took me from Guangzhou to Chengdu before I settled in Beijing for work.Along the way,I developed a fascination with Chinese dialects—an interest that grew into a full-blown academic obsession.I researched and wrote a 150,000-word dissertation on Chinese dialects,which,to my astonishment,earned me a Ph.D.If you’d told me years ago that my survival-level Mandarin would evolve into an academic pursuit,I would have laughed. 展开更多
关键词 cultural adaptation Indonesia academic pursuit
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SPECIAL ISSUE: RELIGION AND SOCIETY: CROSS-CULTURAL COMMUNICATION:The idea of humanity in Jewish tradition: from "the image of God" to the Jews of China
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作者 David Stern 《Social Sciences in China》 2010年第1期162-183,共22页
This paper explores the construction of the idea of "Humanity" in classical Jewish tradition and culture. The first half of the paper traces the history of the idea from the Biblical notion of human beings created ... This paper explores the construction of the idea of "Humanity" in classical Jewish tradition and culture. The first half of the paper traces the history of the idea from the Biblical notion of human beings created "in the image of God" through medieval interpretations of that phrase, and the implications of those traditions for conceptualizing Jewish-gentile relations, and in particular, the "humanity" of gentiles. The second half of the paper treats a very different construction of Jewish-gentile relations by looking at the phenomenon of inter-cultural adaptation and exchange as it has shaped Jewish diasporic culture; this discussion focuses upon one extreme case of Jewish-gentile syncretism, the medieval Kaifeng Jewish community in China. 展开更多
关键词 HUMANITY cultural adaptation Jews and gentiles Chinese Jews DIASPORA Bible
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Content validation of the Global Adolescent and Child Physical Activity Questionnaire(GAC-PAQ)in low-,middle-,and high-income countries across 6 continents
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作者 Richard Larouche Saulo Neves de Oliveira +45 位作者 Mahdi Rostami Haji Abadi Judy K.Benavides-Castro Olga L.Sarmiento Garazi Angulo Garay Gabriela Argumedo Joseph O.Ashaolu Ameneh Baghestani Jasmin Bhawra Javier Brazo-Sayavera Nutnaree Choonak Christine Delisle Nystrom Seth Evance Zdenek Hamrik Alejandra Jáuregui Piyakrita Kaewpikul Piyawat Katewongsa Anuradha Khadilkar Geoff Kira McPherry Kuntembwe Yang Liu Marie Lof Tom Loney Maria Lundgren Rubina Mandlik Martine Matapo-Kolisko Chidvilas More Tawonga W.Mwase-Vuma Nattaporn Nilwatta Adewale L.Oyeyemi Susan Paudel Nanthawan Pomkai Justin Richards Diego Augusto Santos Silva Melody Smith Narayan Subedi Dyah Anantalia Widyastari Oliver W.A.Wilson SaloméAubert Valerie Carson Rachel C.Colley Dale W.Esliger Nicholas Kuzik Taru Manyanga John J.Reilly Leigh M.Vanderloo Mark S.Tremblay 《Journal of Sport and Health Science》 2026年第2期52-67,共16页
Background:Investigators from low-,middle-,and high-income countries representing 6 continents contributed to the development of the Global Adolescent and Child Physical Activity Questionnaire(GAC-PAQ).The GAC-PAQ is ... Background:Investigators from low-,middle-,and high-income countries representing 6 continents contributed to the development of the Global Adolescent and Child Physical Activity Questionnaire(GAC-PAQ).The GAC-PAQ is designed to assess physical activity(PA)across all key domains(i.e.,school,chores,work/volunteering,transport,free time,outdoor time).It aimed to address multiple gaps in global PA surveillance(e.g.,omission of important PA domains,insufficient cultural adaptation,underrepresentation of rural areas in questionnaire validation studies).The purpose of this study was to assess the content validity of the GAC-PAQ among PA experts,8-to 17-year-olds,and one of their parents/guardians,and to discuss changes made to the questionnaire based on participants'feedback.Methods:Sixty-two experts in PA measurement and/or surveillance from 24 countries completed an online survey that included both closed-and open-ended questions about the content validity of the GAC-PAQ.The proportion of experts who agreed or strongly agreed with the items was calculated.Child-parent/guardian dyads from 15 countries(n=250;10-40 per country)participated in a structured cognitive interview to assess the clarity of the questions and response options,and they were encouraged to provide suggestions to improve clarity and facilitate completion of the questionnaire.Participating countries are:Aotearoa New Zealand,Brazil,Canada,China,Colombia,Czech Republic,India,Malawi,Mexico,Nepal,Nigeria,Spain,Sweden,Thailand,and the United Arab Emirates.Interviews were conducted in 13 different languages and structured by PA domain.Generic images were included to help participants in answering questions about PA intensity.Results:Expert agreement with the items for each domain exceeded 75%,and their qualitative feedback was used to revise the questionnaire before cognitive interviews.In general,participants found the questionnaire to be comprehensive.Adolescents(12-17 years)found it easier than children(8-11 years)to answer the questions.Several children struggled to answer questions about the duration and intensity of activities and/or concepts related to travel modes,active trips,and organized activities.Many parents/guardians were unsure about the frequency,duration,and intensity of their children's or adolescents'PA at school and/or recommended using more culturally relevant and appropriate images.Some participants misunderstood the concept of activities that“make you stronger”(intended to assess resistance activities)and/or struggled to differentiate between work,volunteering,and chores.Conclusion:Participants'feedback was used to develop a revised,simplified,and culturally adapted GAC-PAQ,which will be pilot-tested in all15 countries in an App that will include country-specific images and narration in local languages.Further research is needed to assess the reliability and validity of the revised GAC-PAQ. 展开更多
关键词 Measurement Surveillance Content validity Global health cultural adaptation
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LETTERS
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《Women of China》 2025年第6期11-11,共1页
Dear Women of China,I am Nwekeorji Juliet Ebele,a Nigerian doctoral student at Communication University of China.I'm writing to share my experiences in China,and my connection with your magazine.When I first arriv... Dear Women of China,I am Nwekeorji Juliet Ebele,a Nigerian doctoral student at Communication University of China.I'm writing to share my experiences in China,and my connection with your magazine.When I first arrived in China,I was both excited and a bit anxious about adapting to a new culture. 展开更多
关键词 ANXIETY cultural adaptation nigerian student EXCITEMENT communication university china magazine connection
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Aneuploidy in pluripotent stem cells and implications for cancerous transformation 被引量:1
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作者 Jie Na Duncan Baker +2 位作者 Jing Zhang Peter W. Andrews Ivana Barbaric 《Protein & Cell》 SCIE CAS CSCD 2014年第8期569-579,共11页
Owing to a unique set of attributes, human pluripotent stem cells (hPSCs) have emerged as a promising cell source for regenerative medicine, disease modeling and drug discovery. Assurance of genetic stability over l... Owing to a unique set of attributes, human pluripotent stem cells (hPSCs) have emerged as a promising cell source for regenerative medicine, disease modeling and drug discovery. Assurance of genetic stability over long term maintenance of hPSCs is pivotal in this endeavor, but hPSCs can adapt to life in culture by acquiring non-random genetic changes that render them more robust and easier to grow. In separate studies between 12.5% and 34% of hPSC lines were found to acquire chromosome abnormalities over time, with the incidence increasing with passage number. The predominant genetic changes found in hPSC lines involve changes in chromosome number and structure (particularly of chromosomes 1, 12, 17 and 20), remi- niscent of the changes observed in cancer cells. In this review, we summarize current knowledge on the causes and consequences of aneuploidy in hPSCs and highlight the potential links with genetic changes observed in human cancers and early embryos. We point to the need for comprehensive characterization of mechanisms underpinning both the acquisition of chromosomal abnormalities and selection pressures, which allow mutations to persist in hPSC cultures. Elucidation of these mechanisms will help to design culture conditions that minimize the appearance of aneuploid hPSCs. Moreover, aneuploidy in hPSCs may provide a unique platform to analyse the driving for- ces behind the genome evolution that may eventually lead to cancerous transformation. 展开更多
关键词 human pluripotent stem cells (hPSCs) culture adaptation ANEUPLOIDY CANCER genetic changes
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