While people met in order to socialize on public spaces in the past, these areas are perceived as a ‘alone in the crowds’ by people who are in the loneliness of modern era, as well as these areas still serve as a so...While people met in order to socialize on public spaces in the past, these areas are perceived as a ‘alone in the crowds’ by people who are in the loneliness of modern era, as well as these areas still serve as a social area. Individuals from all of society, especially minority groups, feel that they are accepted and they show themselves in a way in the public space. Even though the perception and usage of public space have changed in time, people still feel free themselves in these areas. However, ‘terrorism’, which is a reality in today's world, is one of the cases which pose danger to the public spaces. Thus, the image of these areas has changed from “the areas where individuals they feel freer” to “the areas where people are vulnerable to many potential attacks”. This study tells you how the public perception has changed over time and examine the intended use of the public due to these changes. Terrorist activities increased all of the World and public spaces of the individual in the face of this reality, perception and Jane Jacobs, urban life and public relations with the charm of the terrorist phenomenon is one of the main problems the 21st century in the context of views on security are discussed. Also in this report, in order to provide a team recommendation for safe public space taking into account the author's views on security was available. For this purpose, the metropolis of Istanbul is selected as the study area were interviewed and the people living in Istanbul with internet environment. At the end of the 90s until today has changed the perception of how the public and in the public domain when individuals are discussed how they use.展开更多
Teenage pregnancy has been acknowledged as a global public health concern,especially in low-and middle-income nations[1].This is predominantly because teenagers are more likely to experience pregnancy complications(vi...Teenage pregnancy has been acknowledged as a global public health concern,especially in low-and middle-income nations[1].This is predominantly because teenagers are more likely to experience pregnancy complications(viz.anemia,obstructed labour,etc.),higher rates of maternal mortality,and neonatal complications,including mortality[1,2].It is not unusual that many teen mothers have to experience exclusion from their families and communities,which limits access to quality healthcare services and is a major reason for emotional stress and mental health problems[2].展开更多
Public data empower the development of digital economy.On the basis of conceptual definition and scope framing,the legal attributes of public data should be used to determine the attribution of the right to use,and to...Public data empower the development of digital economy.On the basis of conceptual definition and scope framing,the legal attributes of public data should be used to determine the attribution of the right to use,and to deduce the mechanism of utilization of public data with public nature as the logical starting point.Based on the current situa⁃tion,the use of public data faces multiple difficulties in terms of normative basis,boundary delimitation,procedural rules,and protection policies.Therefore,publicity should be the core principle and the principle of convenience should be deepened,so as to clarify the boundaries between the use of public data and the protection of personal information rights and interests as well as legitimate commercial behavior.As a single platform can hardly meet the requirements of use,it should optimize the service procedures to adapt to different stages of use,standardize the way of data use super⁃vision,and clarify the supervisory responsibilities of the government and the platform.展开更多
This letter evaluates Shahid et al’s study in 2025 on the rising hepatitis A virus(HAV)among adults in Pakistan,highlighting a shift in the virus’s epidemiology.Once primarily a childhood disease in low-income regio...This letter evaluates Shahid et al’s study in 2025 on the rising hepatitis A virus(HAV)among adults in Pakistan,highlighting a shift in the virus’s epidemiology.Once primarily a childhood disease in low-income regions,HAV is now increasingly affecting adults,also seen globally due to improved sanitation.The study highlights public health challenges from adult HAV infections,which can lead to complications like coagulopathy and acute liver failure.It also has limitations,including being a single-center study and lacking seroprevalence and socioeconomic data,indicating the need for further research.This letter calls for urgent public health measures to extend adult vaccination programs and improve sanitation to address the increasing HAV infection in adult populations.展开更多
In the context of rural revitalization,the landscape design of public spaces in Enshi Xiaomaopoying Village presents both new opportunities and challenges.This study explores the significance of integrating regional c...In the context of rural revitalization,the landscape design of public spaces in Enshi Xiaomaopoying Village presents both new opportunities and challenges.This study explores the significance of integrating regional culture into rural public spaces.Field research has been conducted to assess the current utilization of regional culture in the public spaces of Xiaomaopoying Village.Subsequently,design optimization strategies are analyzed and proposed.Additionally,the practical application of regional cultural elements is examined,in order to offer guidance for the application of cultural creation of traditional characteristic villages in rural public spaces.展开更多
BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T...BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T2DM).Based on conven-tional nursing methods,community home care has important clinical significance in controlling blood sugar and disease progression.AIM To explore the impact of community public health nursing on treatment effect,health cognition,and self-management in patients with T2DM.METHODS One hundred patients with T2DM were selected as the research subjects.The patients were divided into either a conventional nursing group or community nursing(CN)group using the random number table method.The conventional nursing group(50 cases)received routine care,while the CN group(50 cases)received community public health care in addition to routine care as that for the conventional nursing group.The rate of excellent and good blood glucose control,fasting blood glucose before and after care,2-h postprandial blood glucose,health cognition,and self-management ability,and patient satisfaction were compared between the two groups.RESULTS The CN group had a higher rate of excellent blood sugar control than the conventional nursing group(88%vs 70%,P<0.05).Before care,there was no significant difference in fasting blood glucose or 2-h postprandial blood glucose between the two groups of patients(P>0.05).After nursing,fasting blood glucose and 2-h postprandial blood glucose were reduced to varying degrees in both groups,and both blood glucose levels in the CN group were lower than those of the conventional nursing group(P<0.05).Compared with the scores before care,the cognitive level score for diabetes and self-management ability score improved after care in both groups.The cognitive level and self-management ability of patients in the CN group were higher than those of the conventional nursing group(P<0.05).The overall satisfaction of the CN group was better than that of the conventional nursing group(98%vs 86%,P<0.05).CONCLUSION Community public health care based on conventional care of T2DM can achieve better blood sugar control,and improve patients’health cognitive level and self-management ability.展开更多
Objective: This study aims to analyze the distribution of positive human papillomavirus (HPV) infections among women of appropriate age in Beiliu City during cervical cancer screening in 2024, providing data support f...Objective: This study aims to analyze the distribution of positive human papillomavirus (HPV) infections among women of appropriate age in Beiliu City during cervical cancer screening in 2024, providing data support for subsequent public health interventions. Methods: A retrospective analysis was conducted on the HPV test results from January 1, 2024, to November 30, 2024, at Beiliu Maternal and Child Health Hospital. We statistically analyzed the positive rates of different HPV genotypes and the co-infection status of multiple genotypes. Results: A total of 7558 individuals were tested, with 1103 positive cases identified, resulting in a positivity rate of 14.59%. Among these, HPV type 52 had the highest positive rate, accounting for 18.47%. The co-infection analysis showed that there were 788 cases with single genotype positivity, 236 with double genotype positivity, and 58 with triple genotype positivity, while cases with multiple genotypes simultaneously positive were relatively rare. Conclusion: The HPV infection rate among women of appropriate age in Beiliu City is relatively high, especially for high-risk HPV types. To reduce the future incidence of cervical cancer, it is recommended to enhance health education and vaccination efforts for this population.展开更多
With Beijing Huilongguan Sports and Cultural Park as the research object,this study was conducted to investigate public service satisfaction in the park by the Importance-Performance Analysis(IPA)method.A questionnair...With Beijing Huilongguan Sports and Cultural Park as the research object,this study was conducted to investigate public service satisfaction in the park by the Importance-Performance Analysis(IPA)method.A questionnaire covering six dimensions,including public transportation,sanitation and environment,and supporting facility construction,was designed.A total of 208 valid samples were collected,and SPSS was employed for reliability and validity tests as well as IPA analysis.The findings were as follows:①Visitors were generally quite satisfied with the overall public services in Huilongguan Sports and Cultural Park.②The highest satisfaction levels were observed in sanitation and environment services and the sports and cultural atmosphere,while lower satisfaction was noted for supporting facility construction and public information services.③The advantage enhancement zone includes sanitation and environment services and sports and cultural atmosphere;and the continuous maintenance zone includes public transportation services and security management amd maintenance;the subsequent opportunity zone includes supporting facility construction and public information services;and there are no dimensions in the urgent improvement zone.The study recommends strengthening the service connotations from three aspects:enhancing facilities with sports as the core,optimizing services with a people-centered approach,and upgrading the information platform through technological efficiency.Additionally,a multi-stakeholder collaborative mechanism involving the government in coordinating policy resources,the operator in improving implementation efficiency,and the public participating in supervision and evaluation is proposed to drive the enhancement of public service quality at Huilongguan Sports and Cultural Park.展开更多
BACKGROUND The coronavirus disease 2019(COVID-19)outbreak lasted several months,having started in December 2019.This study aimed to report the impacts of various factors on the depression levels of the general public ...BACKGROUND The coronavirus disease 2019(COVID-19)outbreak lasted several months,having started in December 2019.This study aimed to report the impacts of various factors on the depression levels of the general public and ascertain how emotional measures could be affected by psychosocial factors during the COVID-19 pandemic.AIM To investigate the depression levels of the general public in China during the COVID-19 pandemic.METHODS A total of 2001 self-reported questionnaires about Beck Depression Inventory(BDI)were collected on August 22,2022 via the website.Each questionnaire included four levels of depression and other demographic information.The BDI scores and incidences of different depression levels were compared between various groups of respondents.χ2 analysis and the two-tailed t-test were used to assess categorical and continuous data,respectively.Multiple linear regressions and logistic regressions were employed for correlation analysis.RESULTS The averaged BDI score in this study was higher than that for the non-epidemic periods,as reported in previous studies.Even higher BDI scores and incidences of moderate and severe depression were recorded for people who were quarantined for suspected COVID-19 infection,compared to the respondents who were not quarantined.The participants who did not take protective measures were associated with higher BDI scores than those who made efforts to keep themselves relatively safer.Similarly,the people who did not return to work had higher BDI scores compared to those managed to.A significant association existed between the depression levels of the subgroups and each of the factors,except gender and location of residence.However,quarantine was the most relative predictor for depression levels,followed by failure to take preventive measures and losing a partner,either through divorce or death.CONCLUSION Based on these data,psychological interventions for the various subpopulations in the general public can be implemented during and after the COVID-19 pandemic.Other countries can also use the data as a reference.展开更多
Significant progress has been made in cancer control in China over the past decades,but one of the crucial issues remains the low proportions of early-stage diseases among the leading cancers.Subnational cancer contro...Significant progress has been made in cancer control in China over the past decades,but one of the crucial issues remains the low proportions of early-stage diseases among the leading cancers.Subnational cancer control in China has diverse and specific features,especially in rural areas,where needs support to improve screening accessibility and medical intervention quality.Using cancer registry data from Yibin for a subnational observational study,urban-rural disparities in cancer incidence,mortality,and mortality indexes were analyzed.The crude incidence of all-site cancers was higher in urban districts.The crude mortality of all-site cancers was comparable between urban and rural areas,but the mortality index of all-site cancers was higher in rural areas.Awareness of cancer control both among public healthcare providers and the public should be enhanced to improve the early detection of cancers.In particular,more facilitated medical education and public health education are needed to improve domestic awareness of cancer control and increase the public awareness rate of core knowledge on cancer control.Massive and opportunistic screening and surveillance of high-risk subpopulations require more comprehensive encouragement and greater compliance.Therefore,increasing the detection rate of early-stage cancers is of paramount importance to substantially improve cancer survival rates in China.展开更多
This article attempts to distinguish public relations(PRs)from propaganda,within the context of information management.Speedy dissemination of information is an important feature of contemporary communication practice...This article attempts to distinguish public relations(PRs)from propaganda,within the context of information management.Speedy dissemination of information is an important feature of contemporary communication practice globally.In this era,the information content of communication is an important element requiring critical evaluation.This is so,because of the need to safeguard the information ecosystem,considering the thin line between public relations and propaganda.While both propaganda and public relations aim to shape perceptions,influence attitudes,and sway opinions,one key distinction lies in their ethical considerations.Public relations emphasize honesty,accuracy,accountability,and a commitment to the truth.In contrast,propaganda may involve manipulation,distortion,or even fabrication of information to advance a particular agenda,often at the expense of truth and transparency.Hinged on The Excellence Theory and the Two-Way Symmetrical Model,the paper focuses on the meeting points and differences between public relations and propaganda,with a view to safeguarding the integrity of the information ecosystem.The study adopted the survey research method,with interview as research instrument.The study discovered that while propaganda is not entirely a bad practice,it has a heavy tilt towards bias.It therefore recommends that deliberate steps be taken by relevant professional organisations and other stakeholders towards educating the citizens on ways of distinguishing between public relations and propaganda contents.展开更多
Objective This systematic review and meta-analysis aimed to identify the main factors influencing the public’s willingness to participate in out-of-hospital emergency care.Methods Studies were searched in online data...Objective This systematic review and meta-analysis aimed to identify the main factors influencing the public’s willingness to participate in out-of-hospital emergency care.Methods Studies were searched in online databases,including PubMed,Embase,Web of Science,and the Cochrane Library.The articles included in this review were published from inception to July 31,2024.The Iain Crombie assessment tool was used to assess study quality.Meta-analysis was performed using RevMan(version 5.4)software.The review protocol has been registered with PROSPERO(CRD42024570491).Results A total of 1,434 research articles were initially identified,among which 18 were incorporated into this study,and all of the included studies were cross-sectional.Meta-analysis results demonstrated that gender(male;OR=1.37,95%CI:1.28–1.47),profession(healthcare provider;OR=0.17,95%CI:0.06–0.47),knowledge and skill level(OR=1.63,95%CI:1.25–2.11),willingness to undergo training(OR=2.68,95%CI:1.89–3.79),interest in first aid(OR=2.08,95%CI:1.60–2.69),previous training(OR=2.14,95%CI:1.49–3.08),and previous first-aid experience(OR=1.70,95%CI:1.37–2.11)were the principal influencing factors of the public’s willingness to engage in out-of-hospital cardiopulmonary resuscitation.Conclusion Demographic factors,knowledge,belief,and behavior are crucial in influencing public emergency decision-making.Medical personnel could create specialized training programs based on relevant factors to enhance the public's willingness to engage in out-of-hospital CPR.展开更多
Human immunodeficiency virus continues to pose a severe global and national public health threat.In Pakistan,human immunodeficiency virus incidence has risen alarmingly,with over 9700 new cases reported in the first n...Human immunodeficiency virus continues to pose a severe global and national public health threat.In Pakistan,human immunodeficiency virus incidence has risen alarmingly,with over 9700 new cases reported in the first nine months of 2024 alone.Transmission is fueled by unsafe sex,needle-sharing,and systemic healthcare lapses,including unscreened transfusions and reused instruments.Sociocultural stigma,limited awareness,and poor treatment adherence especially in rural and underserved areas compound the crisis.Men,transgender individuals,and children represent increasingly affected groups.The role of international bodies such as World Health Organization,United Nations Development Programme,and United Nations Women has been critical in expanding community-based care and education programs.Effective biomedical tools like preexposure prophylaxis and post-exposure prophylaxis offer preventive pro-mise but remain underutilized.Pakistan urgently needs an integrated,multispectral response i.e.,enhancing surveillance,ensuring antiretroviral therapy access,improving healthcare worker training,and promoting harm reduction and eliminating certain stigmas to control the epidemic and prevent further escalation.展开更多
BACKGROUND Oesophageal cancer is a significant health concern worldwide,with high inci-dence and mortality rates.In China,the disease burden is particularly high,accounting for a substantial proportion of oesophageal ...BACKGROUND Oesophageal cancer is a significant health concern worldwide,with high inci-dence and mortality rates.In China,the disease burden is particularly high,accounting for a substantial proportion of oesophageal cancer cases and related deaths worldwide.AIM To explore the relationship between the mortality rate of oesophageal cancer patients and insurance type,out-of-pocket ratio,and the joint effects of insurance type and out-of-pocket ratio.METHODS The χ^(2) test was used to analyze patients’demographic and clinical characteristics.Multivariate logistic regression,the Cox proportional hazard model,and the competitive risk model were used to calculate the cumulative hazard ratios(HRs)of all-cause death and oesophageal cancer-specific death among patients with different types of insurance and out-of-pocket ratios.RESULTS Compared with patients covered by basic medical insurance for urban and rural residents,patients covered by urban employee basic medical insurance for urban workers(UEBMI)had a 23.30%increased risk of oesophageal cancer-specific death[HR=1.233,95%confidence interval(CI):1.093-1.391,P<0.005].Compared with patients in the low out-of-pocket ratio group,patients in the high out-of-pocket ratio group had a 25.80%reduction in the risk of oesophageal cancer-specific death(HR=0.742,95%CI:0.6555-0.84,P<0.005).With each 10%increase in the out-of-pocket ratio,the risk of oesophageal cancer-specific death decreased by 10.10%in patients covered by UEBMI.However,the risk of oesophageal cancer-specific death increased by 26.90%in patients in the high out-of-pocket ratio group.CONCLUSION This study reveals the relationships of the specific mortality rate of patients with oesophageal cancer with the out-of-pocket ratio and medical insurance types as well as their combined effects.This study provides practical suggestions and guidance for the formulation of relevant policies in this area.展开更多
The aim of this study is to develop an understanding on the contributing influences that occur among qualities of public space,public space aesthetics,the comfort derived in public space and public space accessibility...The aim of this study is to develop an understanding on the contributing influences that occur among qualities of public space,public space aesthetics,the comfort derived in public space and public space accessibility in science cities.This study seeks to investigate the extent at which public space attributes impact on one another.The emphasis accruing to open greenery including public spaces in the physical development of science cities necessitates the selection of Cyberjaya Malaysia as the study area.Survey questionnaires were used to investigate potential respondent’s perceptions on public space utilization and the feedback was validated with SEM(structural equation modelling).The findings indicated that the accessibility attributes significantly influenced other public space utilization attributes while good quality of public space influenced the comfort derived from it.Attractiveness of public space was found not capable to predict the comfort and good quality of public space.展开更多
As blockchain technology advances,non-fungible tokens(NFTs)are emerging as unconventional assets in the commercial market.However,it is necessary to establish a comprehensive NFT ecosystem that addresses the prevailin...As blockchain technology advances,non-fungible tokens(NFTs)are emerging as unconventional assets in the commercial market.However,it is necessary to establish a comprehensive NFT ecosystem that addresses the prevailing public concerns.This study aimed to bridge this gap by analyzing user-generated content on prominent social media platforms such as Twitter,Weibo,and Reddit.Employing text clustering and topic modeling techniques,such as Latent Dirichlet Allocation,we constructed an analytical framework to delve into the intricacies of the NFT ecosystem.Our investigation revealed seven distinct topics from Twitter and Reddit data and eight topics from Weibo data.Weibo users predominantly engaged in reviews and critiques,whereas Twitter and Reddit users emphasized personal experiences and perceptions.The NFT ecosystem encompasses several crucial elements,including transactions,customers,infrastructure,products,environments,and perceptions.By identifying the prevailing trends and common issues,this study offers valuable guidance for the development of NFT ecosystems.展开更多
English public speaking skill is highly valued in foreign language education in China’s universities.Courses are offered to improve students’English public speaking competence to meet the demand of the labor market ...English public speaking skill is highly valued in foreign language education in China’s universities.Courses are offered to improve students’English public speaking competence to meet the demand of the labor market and national development.This paper aims to explore English public speaking teaching strategies,focusing on developing students’sense of humor in public speaking.展开更多
This review aims to analyze the development and impact of Artificial Intelligence(AI)in the context of Saudi Arabia’s public healthcare system to fulfill Vision 2030 objectives.It is extensively devoted to AI technol...This review aims to analyze the development and impact of Artificial Intelligence(AI)in the context of Saudi Arabia’s public healthcare system to fulfill Vision 2030 objectives.It is extensively devoted to AI technology deployment relevant to disease management,healthcare delivery,epidemiology,and policy-making.However,its AI is culturally sensitive and ethically grounded in Islam.Based on the PRISMA framework,an SLR evaluated primary academic literature,cases,and practices of Saudi Arabia’s AI implementation in the public healthcare sector.Instead,it categorizes prior research based on how AI can work,the issues it poses,and its implications for the Kingdom’s healthcare system.The Saudi Arabian context analyses show that AI has increased the discreet prediction of diseases,resource management,and monitoring outbreaks during mass congregations such as hajj.Therefore,the study outlines critical areas for defining the potential for artificial intelligence and areas for enhancing digital development to support global healthcare progress.The key themes emerging from the review include Saudi Arabia:(i)the effectiveness of AI with human interaction for sustainable health services;(ii)conditions and quality control to enhance the quality of health care services using AI;(iii)environmental factors as influencing factors for public health care;(iv)Artificial Intelligence,and advanced decision-making technology for Middle Eastern health care systems.For policymakers,healthcare managers,and researchers who will engage with AI innovation,the review proclaims that AI applications should respect the country’s socio-cultural and ethical practices and pave the way for sustainable healthcare provision.More empirical research is needed on the implementation issues with AI,creating culturally appropriate models of AI,and finding new applications of AI to address the increasing demand for healthcare services in Saudi Arabia.展开更多
文摘While people met in order to socialize on public spaces in the past, these areas are perceived as a ‘alone in the crowds’ by people who are in the loneliness of modern era, as well as these areas still serve as a social area. Individuals from all of society, especially minority groups, feel that they are accepted and they show themselves in a way in the public space. Even though the perception and usage of public space have changed in time, people still feel free themselves in these areas. However, ‘terrorism’, which is a reality in today's world, is one of the cases which pose danger to the public spaces. Thus, the image of these areas has changed from “the areas where individuals they feel freer” to “the areas where people are vulnerable to many potential attacks”. This study tells you how the public perception has changed over time and examine the intended use of the public due to these changes. Terrorist activities increased all of the World and public spaces of the individual in the face of this reality, perception and Jane Jacobs, urban life and public relations with the charm of the terrorist phenomenon is one of the main problems the 21st century in the context of views on security are discussed. Also in this report, in order to provide a team recommendation for safe public space taking into account the author's views on security was available. For this purpose, the metropolis of Istanbul is selected as the study area were interviewed and the people living in Istanbul with internet environment. At the end of the 90s until today has changed the perception of how the public and in the public domain when individuals are discussed how they use.
文摘Teenage pregnancy has been acknowledged as a global public health concern,especially in low-and middle-income nations[1].This is predominantly because teenagers are more likely to experience pregnancy complications(viz.anemia,obstructed labour,etc.),higher rates of maternal mortality,and neonatal complications,including mortality[1,2].It is not unusual that many teen mothers have to experience exclusion from their families and communities,which limits access to quality healthcare services and is a major reason for emotional stress and mental health problems[2].
基金Key Project of Scientific Research in Universities in Anhui Province"Legislation Research on Intellectual Property Protection of Data"(2022AH050023)。
文摘Public data empower the development of digital economy.On the basis of conceptual definition and scope framing,the legal attributes of public data should be used to determine the attribution of the right to use,and to deduce the mechanism of utilization of public data with public nature as the logical starting point.Based on the current situa⁃tion,the use of public data faces multiple difficulties in terms of normative basis,boundary delimitation,procedural rules,and protection policies.Therefore,publicity should be the core principle and the principle of convenience should be deepened,so as to clarify the boundaries between the use of public data and the protection of personal information rights and interests as well as legitimate commercial behavior.As a single platform can hardly meet the requirements of use,it should optimize the service procedures to adapt to different stages of use,standardize the way of data use super⁃vision,and clarify the supervisory responsibilities of the government and the platform.
文摘This letter evaluates Shahid et al’s study in 2025 on the rising hepatitis A virus(HAV)among adults in Pakistan,highlighting a shift in the virus’s epidemiology.Once primarily a childhood disease in low-income regions,HAV is now increasingly affecting adults,also seen globally due to improved sanitation.The study highlights public health challenges from adult HAV infections,which can lead to complications like coagulopathy and acute liver failure.It also has limitations,including being a single-center study and lacking seroprevalence and socioeconomic data,indicating the need for further research.This letter calls for urgent public health measures to extend adult vaccination programs and improve sanitation to address the increasing HAV infection in adult populations.
文摘In the context of rural revitalization,the landscape design of public spaces in Enshi Xiaomaopoying Village presents both new opportunities and challenges.This study explores the significance of integrating regional culture into rural public spaces.Field research has been conducted to assess the current utilization of regional culture in the public spaces of Xiaomaopoying Village.Subsequently,design optimization strategies are analyzed and proposed.Additionally,the practical application of regional cultural elements is examined,in order to offer guidance for the application of cultural creation of traditional characteristic villages in rural public spaces.
文摘BACKGROUND At present,China has become the country with the largest number of individuals with diabetes mellitus(DM)in the world,with a total of approximately 140 million patients,the majority of whom have type 2 DM(T2DM).Based on conven-tional nursing methods,community home care has important clinical significance in controlling blood sugar and disease progression.AIM To explore the impact of community public health nursing on treatment effect,health cognition,and self-management in patients with T2DM.METHODS One hundred patients with T2DM were selected as the research subjects.The patients were divided into either a conventional nursing group or community nursing(CN)group using the random number table method.The conventional nursing group(50 cases)received routine care,while the CN group(50 cases)received community public health care in addition to routine care as that for the conventional nursing group.The rate of excellent and good blood glucose control,fasting blood glucose before and after care,2-h postprandial blood glucose,health cognition,and self-management ability,and patient satisfaction were compared between the two groups.RESULTS The CN group had a higher rate of excellent blood sugar control than the conventional nursing group(88%vs 70%,P<0.05).Before care,there was no significant difference in fasting blood glucose or 2-h postprandial blood glucose between the two groups of patients(P>0.05).After nursing,fasting blood glucose and 2-h postprandial blood glucose were reduced to varying degrees in both groups,and both blood glucose levels in the CN group were lower than those of the conventional nursing group(P<0.05).Compared with the scores before care,the cognitive level score for diabetes and self-management ability score improved after care in both groups.The cognitive level and self-management ability of patients in the CN group were higher than those of the conventional nursing group(P<0.05).The overall satisfaction of the CN group was better than that of the conventional nursing group(98%vs 86%,P<0.05).CONCLUSION Community public health care based on conventional care of T2DM can achieve better blood sugar control,and improve patients’health cognitive level and self-management ability.
文摘Objective: This study aims to analyze the distribution of positive human papillomavirus (HPV) infections among women of appropriate age in Beiliu City during cervical cancer screening in 2024, providing data support for subsequent public health interventions. Methods: A retrospective analysis was conducted on the HPV test results from January 1, 2024, to November 30, 2024, at Beiliu Maternal and Child Health Hospital. We statistically analyzed the positive rates of different HPV genotypes and the co-infection status of multiple genotypes. Results: A total of 7558 individuals were tested, with 1103 positive cases identified, resulting in a positivity rate of 14.59%. Among these, HPV type 52 had the highest positive rate, accounting for 18.47%. The co-infection analysis showed that there were 788 cases with single genotype positivity, 236 with double genotype positivity, and 58 with triple genotype positivity, while cases with multiple genotypes simultaneously positive were relatively rare. Conclusion: The HPV infection rate among women of appropriate age in Beiliu City is relatively high, especially for high-risk HPV types. To reduce the future incidence of cervical cancer, it is recommended to enhance health education and vaccination efforts for this population.
基金Sponsored by The Youth Project of National Social Science Foundation of China(21CTY007)Special Fund for Basic Scientific Research Business Expenses of Central Universities(2024DAWH008).
文摘With Beijing Huilongguan Sports and Cultural Park as the research object,this study was conducted to investigate public service satisfaction in the park by the Importance-Performance Analysis(IPA)method.A questionnaire covering six dimensions,including public transportation,sanitation and environment,and supporting facility construction,was designed.A total of 208 valid samples were collected,and SPSS was employed for reliability and validity tests as well as IPA analysis.The findings were as follows:①Visitors were generally quite satisfied with the overall public services in Huilongguan Sports and Cultural Park.②The highest satisfaction levels were observed in sanitation and environment services and the sports and cultural atmosphere,while lower satisfaction was noted for supporting facility construction and public information services.③The advantage enhancement zone includes sanitation and environment services and sports and cultural atmosphere;and the continuous maintenance zone includes public transportation services and security management amd maintenance;the subsequent opportunity zone includes supporting facility construction and public information services;and there are no dimensions in the urgent improvement zone.The study recommends strengthening the service connotations from three aspects:enhancing facilities with sports as the core,optimizing services with a people-centered approach,and upgrading the information platform through technological efficiency.Additionally,a multi-stakeholder collaborative mechanism involving the government in coordinating policy resources,the operator in improving implementation efficiency,and the public participating in supervision and evaluation is proposed to drive the enhancement of public service quality at Huilongguan Sports and Cultural Park.
文摘BACKGROUND The coronavirus disease 2019(COVID-19)outbreak lasted several months,having started in December 2019.This study aimed to report the impacts of various factors on the depression levels of the general public and ascertain how emotional measures could be affected by psychosocial factors during the COVID-19 pandemic.AIM To investigate the depression levels of the general public in China during the COVID-19 pandemic.METHODS A total of 2001 self-reported questionnaires about Beck Depression Inventory(BDI)were collected on August 22,2022 via the website.Each questionnaire included four levels of depression and other demographic information.The BDI scores and incidences of different depression levels were compared between various groups of respondents.χ2 analysis and the two-tailed t-test were used to assess categorical and continuous data,respectively.Multiple linear regressions and logistic regressions were employed for correlation analysis.RESULTS The averaged BDI score in this study was higher than that for the non-epidemic periods,as reported in previous studies.Even higher BDI scores and incidences of moderate and severe depression were recorded for people who were quarantined for suspected COVID-19 infection,compared to the respondents who were not quarantined.The participants who did not take protective measures were associated with higher BDI scores than those who made efforts to keep themselves relatively safer.Similarly,the people who did not return to work had higher BDI scores compared to those managed to.A significant association existed between the depression levels of the subgroups and each of the factors,except gender and location of residence.However,quarantine was the most relative predictor for depression levels,followed by failure to take preventive measures and losing a partner,either through divorce or death.CONCLUSION Based on these data,psychological interventions for the various subpopulations in the general public can be implemented during and after the COVID-19 pandemic.Other countries can also use the data as a reference.
基金Supported by Foundation of Science and Technology Department of Sichuan Province,China,No.23ZDYF0839Medical Research Project of Yibin Health Commission,No.2021-34+1 种基金Ya'an Science and Technology Plan of Economic and Social Development(Health Field),No.2024-1Ya’an Philosophic and Social Science Research Plan,No.YAA20240035.
文摘Significant progress has been made in cancer control in China over the past decades,but one of the crucial issues remains the low proportions of early-stage diseases among the leading cancers.Subnational cancer control in China has diverse and specific features,especially in rural areas,where needs support to improve screening accessibility and medical intervention quality.Using cancer registry data from Yibin for a subnational observational study,urban-rural disparities in cancer incidence,mortality,and mortality indexes were analyzed.The crude incidence of all-site cancers was higher in urban districts.The crude mortality of all-site cancers was comparable between urban and rural areas,but the mortality index of all-site cancers was higher in rural areas.Awareness of cancer control both among public healthcare providers and the public should be enhanced to improve the early detection of cancers.In particular,more facilitated medical education and public health education are needed to improve domestic awareness of cancer control and increase the public awareness rate of core knowledge on cancer control.Massive and opportunistic screening and surveillance of high-risk subpopulations require more comprehensive encouragement and greater compliance.Therefore,increasing the detection rate of early-stage cancers is of paramount importance to substantially improve cancer survival rates in China.
文摘This article attempts to distinguish public relations(PRs)from propaganda,within the context of information management.Speedy dissemination of information is an important feature of contemporary communication practice globally.In this era,the information content of communication is an important element requiring critical evaluation.This is so,because of the need to safeguard the information ecosystem,considering the thin line between public relations and propaganda.While both propaganda and public relations aim to shape perceptions,influence attitudes,and sway opinions,one key distinction lies in their ethical considerations.Public relations emphasize honesty,accuracy,accountability,and a commitment to the truth.In contrast,propaganda may involve manipulation,distortion,or even fabrication of information to advance a particular agenda,often at the expense of truth and transparency.Hinged on The Excellence Theory and the Two-Way Symmetrical Model,the paper focuses on the meeting points and differences between public relations and propaganda,with a view to safeguarding the integrity of the information ecosystem.The study adopted the survey research method,with interview as research instrument.The study discovered that while propaganda is not entirely a bad practice,it has a heavy tilt towards bias.It therefore recommends that deliberate steps be taken by relevant professional organisations and other stakeholders towards educating the citizens on ways of distinguishing between public relations and propaganda contents.
基金supported by Major Scientific Research Special Project for High-level Talents in Health and Wellness,Hunan Province(R2023072)Project of Hunan Provincial Department of Finance(2050205)Hunan Provincial Department of Finance Project(050205).
文摘Objective This systematic review and meta-analysis aimed to identify the main factors influencing the public’s willingness to participate in out-of-hospital emergency care.Methods Studies were searched in online databases,including PubMed,Embase,Web of Science,and the Cochrane Library.The articles included in this review were published from inception to July 31,2024.The Iain Crombie assessment tool was used to assess study quality.Meta-analysis was performed using RevMan(version 5.4)software.The review protocol has been registered with PROSPERO(CRD42024570491).Results A total of 1,434 research articles were initially identified,among which 18 were incorporated into this study,and all of the included studies were cross-sectional.Meta-analysis results demonstrated that gender(male;OR=1.37,95%CI:1.28–1.47),profession(healthcare provider;OR=0.17,95%CI:0.06–0.47),knowledge and skill level(OR=1.63,95%CI:1.25–2.11),willingness to undergo training(OR=2.68,95%CI:1.89–3.79),interest in first aid(OR=2.08,95%CI:1.60–2.69),previous training(OR=2.14,95%CI:1.49–3.08),and previous first-aid experience(OR=1.70,95%CI:1.37–2.11)were the principal influencing factors of the public’s willingness to engage in out-of-hospital cardiopulmonary resuscitation.Conclusion Demographic factors,knowledge,belief,and behavior are crucial in influencing public emergency decision-making.Medical personnel could create specialized training programs based on relevant factors to enhance the public's willingness to engage in out-of-hospital CPR.
文摘Human immunodeficiency virus continues to pose a severe global and national public health threat.In Pakistan,human immunodeficiency virus incidence has risen alarmingly,with over 9700 new cases reported in the first nine months of 2024 alone.Transmission is fueled by unsafe sex,needle-sharing,and systemic healthcare lapses,including unscreened transfusions and reused instruments.Sociocultural stigma,limited awareness,and poor treatment adherence especially in rural and underserved areas compound the crisis.Men,transgender individuals,and children represent increasingly affected groups.The role of international bodies such as World Health Organization,United Nations Development Programme,and United Nations Women has been critical in expanding community-based care and education programs.Effective biomedical tools like preexposure prophylaxis and post-exposure prophylaxis offer preventive pro-mise but remain underutilized.Pakistan urgently needs an integrated,multispectral response i.e.,enhancing surveillance,ensuring antiretroviral therapy access,improving healthcare worker training,and promoting harm reduction and eliminating certain stigmas to control the epidemic and prevent further escalation.
基金Supported by the Chongqing Science and Health Joint Medical Research Project,No.2024MSXM065.
文摘BACKGROUND Oesophageal cancer is a significant health concern worldwide,with high inci-dence and mortality rates.In China,the disease burden is particularly high,accounting for a substantial proportion of oesophageal cancer cases and related deaths worldwide.AIM To explore the relationship between the mortality rate of oesophageal cancer patients and insurance type,out-of-pocket ratio,and the joint effects of insurance type and out-of-pocket ratio.METHODS The χ^(2) test was used to analyze patients’demographic and clinical characteristics.Multivariate logistic regression,the Cox proportional hazard model,and the competitive risk model were used to calculate the cumulative hazard ratios(HRs)of all-cause death and oesophageal cancer-specific death among patients with different types of insurance and out-of-pocket ratios.RESULTS Compared with patients covered by basic medical insurance for urban and rural residents,patients covered by urban employee basic medical insurance for urban workers(UEBMI)had a 23.30%increased risk of oesophageal cancer-specific death[HR=1.233,95%confidence interval(CI):1.093-1.391,P<0.005].Compared with patients in the low out-of-pocket ratio group,patients in the high out-of-pocket ratio group had a 25.80%reduction in the risk of oesophageal cancer-specific death(HR=0.742,95%CI:0.6555-0.84,P<0.005).With each 10%increase in the out-of-pocket ratio,the risk of oesophageal cancer-specific death decreased by 10.10%in patients covered by UEBMI.However,the risk of oesophageal cancer-specific death increased by 26.90%in patients in the high out-of-pocket ratio group.CONCLUSION This study reveals the relationships of the specific mortality rate of patients with oesophageal cancer with the out-of-pocket ratio and medical insurance types as well as their combined effects.This study provides practical suggestions and guidance for the formulation of relevant policies in this area.
文摘The aim of this study is to develop an understanding on the contributing influences that occur among qualities of public space,public space aesthetics,the comfort derived in public space and public space accessibility in science cities.This study seeks to investigate the extent at which public space attributes impact on one another.The emphasis accruing to open greenery including public spaces in the physical development of science cities necessitates the selection of Cyberjaya Malaysia as the study area.Survey questionnaires were used to investigate potential respondent’s perceptions on public space utilization and the feedback was validated with SEM(structural equation modelling).The findings indicated that the accessibility attributes significantly influenced other public space utilization attributes while good quality of public space influenced the comfort derived from it.Attractiveness of public space was found not capable to predict the comfort and good quality of public space.
基金funded by the National Social Science Fund of China(22CTQ019).
文摘As blockchain technology advances,non-fungible tokens(NFTs)are emerging as unconventional assets in the commercial market.However,it is necessary to establish a comprehensive NFT ecosystem that addresses the prevailing public concerns.This study aimed to bridge this gap by analyzing user-generated content on prominent social media platforms such as Twitter,Weibo,and Reddit.Employing text clustering and topic modeling techniques,such as Latent Dirichlet Allocation,we constructed an analytical framework to delve into the intricacies of the NFT ecosystem.Our investigation revealed seven distinct topics from Twitter and Reddit data and eight topics from Weibo data.Weibo users predominantly engaged in reviews and critiques,whereas Twitter and Reddit users emphasized personal experiences and perceptions.The NFT ecosystem encompasses several crucial elements,including transactions,customers,infrastructure,products,environments,and perceptions.By identifying the prevailing trends and common issues,this study offers valuable guidance for the development of NFT ecosystems.
文摘English public speaking skill is highly valued in foreign language education in China’s universities.Courses are offered to improve students’English public speaking competence to meet the demand of the labor market and national development.This paper aims to explore English public speaking teaching strategies,focusing on developing students’sense of humor in public speaking.
基金funded by the Scientific ResearchDeanship at theUniversity ofHa’il-Saudi Arabia through project number-RG-23251.
文摘This review aims to analyze the development and impact of Artificial Intelligence(AI)in the context of Saudi Arabia’s public healthcare system to fulfill Vision 2030 objectives.It is extensively devoted to AI technology deployment relevant to disease management,healthcare delivery,epidemiology,and policy-making.However,its AI is culturally sensitive and ethically grounded in Islam.Based on the PRISMA framework,an SLR evaluated primary academic literature,cases,and practices of Saudi Arabia’s AI implementation in the public healthcare sector.Instead,it categorizes prior research based on how AI can work,the issues it poses,and its implications for the Kingdom’s healthcare system.The Saudi Arabian context analyses show that AI has increased the discreet prediction of diseases,resource management,and monitoring outbreaks during mass congregations such as hajj.Therefore,the study outlines critical areas for defining the potential for artificial intelligence and areas for enhancing digital development to support global healthcare progress.The key themes emerging from the review include Saudi Arabia:(i)the effectiveness of AI with human interaction for sustainable health services;(ii)conditions and quality control to enhance the quality of health care services using AI;(iii)environmental factors as influencing factors for public health care;(iv)Artificial Intelligence,and advanced decision-making technology for Middle Eastern health care systems.For policymakers,healthcare managers,and researchers who will engage with AI innovation,the review proclaims that AI applications should respect the country’s socio-cultural and ethical practices and pave the way for sustainable healthcare provision.More empirical research is needed on the implementation issues with AI,creating culturally appropriate models of AI,and finding new applications of AI to address the increasing demand for healthcare services in Saudi Arabia.
