Objective:Multi-center data on the current status and trends of breast reconstruction after mastectomy in China are lacking.Herein,we conducted a cross-sectional survey to investigate the current clinical practice pat...Objective:Multi-center data on the current status and trends of breast reconstruction after mastectomy in China are lacking.Herein,we conducted a cross-sectional survey to investigate the current clinical practice pattern of postmastectomy breast reconstruction among Chinese female patients with breast cancer.Methods:A standardized questionnaire used to collect information on breast reconstruction among females diagnosed with breast cancer was distributed by 31 members of the Chinese Society of Breast Surgery between January 1,2018 and December 31,2018.Information was collected on tumor characteristics,treatment,mesh application,nipple-areola complex(NAC)preservation,postoperative complications,bilateral reconstruction,patient satisfaction and local recurrence.The overall rate of breast reconstruction was assessed,and the characteristics were compared across patient groups with different reconstruction approaches.Results:A total of 1,554 patients underwent breast reconstruction after total mastectomy,with a reconstruction rate of 9.6%.Among them,1,190 were implant-based,and 262 underwent autologous reconstructions,while 102 cases underwent a combination of both.Patients who underwent implant-based reconstruction were younger than those who received autologous reconstruction(40.1±4.6 vs.45.0±5.9,P=0.004).Compared to patients with autologous reconstruction,mesh application(25.5%vs.6.5%),NAC preservation(51.8%vs.40.5%)and reconstruction failure(1.8%vs.0)were more frequently reported among those with implant-based reconstruction.There was no significant difference in general satisfaction across three reconstruction approaches,though patients with autologous reconstruction reported the highest aesthetic satisfaction among the three groups(P=0.044).Conclusions:Implant-based breast reconstruction remains the dominant choice among patients,while autologous reconstruction was associated with higher aesthetic satisfaction.Our multi-center investigation based on the findings of the tertiary hospitals of Chinese Society of Breast Surgery may guide a future series of clinical studies on breast reconstruction in China.展开更多
China is experiencing a fast process of farmland conversion which is conducted mainly by local governments to fuel economic development.Social tension is aroused and policy makers take great concerns on coordinating i...China is experiencing a fast process of farmland conversion which is conducted mainly by local governments to fuel economic development.Social tension is aroused and policy makers take great concerns on coordinating interests among different stakeholders,especially for increasing farmers′ interest.The purpose of this study is to get some insights related to land acquisition institution by exploring farmers′ perception to farmland conversion.Participatory Rural Appraisal(PRA) was applied for the investigation in peri-urban area,of Xining City,Qinghai Province,China.The total of 519 householders from 15 villages completed valid questionnaire survey from July to November,2012.The results indicate that farmland conversion has several impacts on farmers′ life.Most farmers are gradually adapting to city life.Higher living expenses and more income are perceived by farmers with average score of 4.21 and 2.69,respectively.The average scores of 2.38 and 2.46 are for improvement of life security and more job opportunities.Farmers expect to get some stable ways of compensation in addition to lump-sum compensation in cash.Stable subsidies every year and obtaining same number of land received strong proposal.And these two options are cited by 49.6% and 43.9% of respondents.Farmland conversion brings about cleaner living condition and more amenities,but lower air visibility and drier air.Results reflect landless farmers′ economic and life pressures and various demands.Local government should pay more attention to increase farmers′ income and improve rural security system.展开更多
Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related b...Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.展开更多
A cross-sectional online survey was conducted.A high proportion of the Chinese breast cancer(BC)physician respondents(n=77)would prescribe extended adjuvant endocrine therapy(AET)with aromatase inhibitors(AI)beyond 5 ...A cross-sectional online survey was conducted.A high proportion of the Chinese breast cancer(BC)physician respondents(n=77)would prescribe extended adjuvant endocrine therapy(AET)with aromatase inhibitors(AI)beyond 5 years for postmenopausal females with BC,especially those with higher risk.Respondents with≥15 years of clinical experience were more likely to prescribe a longer duration of AET for low-risk patients.Half of the respondents considered intermittent letrozole as an acceptable option.Most respondents would prescribe adjuvant chemotherapy to genomic high-intermediate risk[Oncotype DX recurrence score(RS)21-25]females aged≤50 years regardless of the clinical risk classification.展开更多
AIM:To develop the 17-item Asthenopia Survey Questionnaire(ASQ)-17 by Rasch analysis,and to generate a predictiveness score.METHODS:Totally 739 participants were recruited and 680 were involved in the result analysis ...AIM:To develop the 17-item Asthenopia Survey Questionnaire(ASQ)-17 by Rasch analysis,and to generate a predictiveness score.METHODS:Totally 739 participants were recruited and 680 were involved in the result analysis in this prospective,cross-sectional study.Three rounds of Rasch analysis were used to analyze the psychometric characteristics of items and options.RESULTS:Phase 1 assessed the original ASQ-19,adjusted the item scoring mode to a four-point Likert response rating scale and combined the 18th and 19th items into a new item.Phase 2 deleted the 11th item.Phases 3 and 4 assessed the new ASQ-17.All the evaluation indexes of ASQ-17 were acceptable.The Infit and Outfit MnSq values of items were 0.67-1.48,the variance explained by the principal component and the unexplained variance explained by the first contrast were 53.90%-59.40%and 1.50-1.80 in three dimensions.The curve peaks of scores in each dimension were separated and in the same order.The PSR and PSI values were 2.80 and 0.89,respectively.The mean scores of dimensions A(9.5±4.1 vs 3.5±3.2),B(7.3±3.3 vs 2.5±2.7),C(4.3±2.2 vs 1.4±2.0)and total(21.1±8.1 vs 7.4±7.0)in asthenopia participants were significantly higher than those without asthenopia(all P<0.001).The area under the curve in two groups was 0.899(P<0.001).Youden’s index was up to the maximum value of 0.784 when the cut-off value was 12.5.CONCLUSION:ASQ-17 has stronger option sorting and suitability than ASQ-19.It is an effective assessment tool for asthenopia with an optimal cut-off threshold value of 12.5,which is suitable for diagnosis and curative effect evaluation.展开更多
OBJECTIVE:To investigate how community residents in Beijing understood and used Traditional Chinese Medicine(TCM) in their medical practice.METHODS:This was a cross-sectional study conducted on 3410 community resident...OBJECTIVE:To investigate how community residents in Beijing understood and used Traditional Chinese Medicine(TCM) in their medical practice.METHODS:This was a cross-sectional study conducted on 3410 community residents from four large communities of Tongzhou district in Beijng,China.A validated, self-administered questionnaire comprised of three sections was used to gather the data.A systematic sampling procedure was applied to recruit the community residents.RESULTS:A total of 3410 participants completed the questionnaire survey.It showed that in highly educated residents, 33.4%(170) knew of the names of 3-10 Chinese herbals, 35.8%(182) knew of names of 3-10 traditional Chinese patent drug.Among all the respondent residents, 80.7%(2753)believed that TCM herbal therapy and TCM non-drug treatments were effective in disease treatment, health enhancement, 85.7%(2923) had taken traditional Chinese patent drug in their life,56.8%(1937) of residents had used herbal decoction, 40.0%(1365) had received non-drug treatment of TCM, such as acupuncture, massage, cupping, auricular acupuncture.Among the elderly residents, 11.4%(98) often used Chinese patent drug and 9.8%(85) often used herbal decoction.In addition, 70.8%(2415) of residents were willing to accept knowledge and information on TCM for health enhancement and disease prevention, such as medicated diet, medicinal tea, Tai Chi and Qi Gong, although 82.8%(2825) of residents had never used them.CONCLUSION:Chinese patent drug and herbal decoction are widely used in the communities in Beijing, and there existed a possible close correlation between high educational level and better understanding of TCM.Age and occupation also correlated with the attitude to TCM therapies.The characteristics of the residents should be considered seriously in the course of promoting the understanding and application of TCM.展开更多
Purpose: China Academic Library & Information System(CALIS) planned to launch an institutional repository(IR) project to promote IR development and open access at colleges and universities in China. In order to ge...Purpose: China Academic Library & Information System(CALIS) planned to launch an institutional repository(IR) project to promote IR development and open access at colleges and universities in China. In order to get to know the current state of IRs in academic institutions, with the help of Peking University Library, CALIS Administrative Center conducted this survey.Design/methodology/approach: We conducted an online survey of CALIS member libraries.Findings: Firstly, the development of IRs at China's colleges and universities is still in its infancy. Secondly, the Chinese colleges and universities have reached a consensus on the objective for having an IR. Thirdly, they are having high expectations of IR functions. Fourthly,they prefer to establish a centralized IR system at a minimum cost. Finally, there are both similarities and differences between the Chinese academic institutions and their counterparts in other countries in the state of IR development.Research limitations: The questionnaire needs to be improved because there is a lack of enough questions for those who do not plan to build an IR. Comparatively lower rate of valid questionnaire return can affect the accuracy of the results. It is hard to go into an in-depth discussion only based on the data collected from this questionnaire survey, and consequently,the findings from the survey can hardly present an accurate and comprehensive picture of the current state of IR development in the academic sector in China.Practical implications: The survey results provide essential foundation for CALIS IR project,and meanwhile the research can serve as a reference source for the future studies of the development of IRs at China's colleges and universities.Originality/value: It is the first national survey focused on the development of IRs in academic institutions in China.展开更多
A large number of theoretical and empirical studies on citation behavior have been conducted internationally. Although some theoretical studies on such topic have been carried out in China, few studies have focused sp...A large number of theoretical and empirical studies on citation behavior have been conducted internationally. Although some theoretical studies on such topic have been carried out in China, few studies have focused specifically on this area from an empirical perspective, resulting in the lack of literature on the findings of actual surveys. To address this challenge, we conducted two questionnaire surveys to understand the motivations of the researchers on citation. One survey covers the authors who published articles in Chinese Journal of Scientific and Technical Periodicals, while the other targets the most productive and most cited Chinese authors in library and information science. The results show that citation behavior is not only motivated by rational factors, but also by other social factors.展开更多
Local agricultural colleges and universities undertake the important task of training rural revitalization talents suitable for regional characteristics.Only by mastering students'satisfaction with teaching manage...Local agricultural colleges and universities undertake the important task of training rural revitalization talents suitable for regional characteristics.Only by mastering students'satisfaction with teaching management can we find the problems existing in teaching management.Taking Tianjin Agricultural University as an example,this paper analyzes the undergraduates'satisfaction with teaching management by questionnaire and SPSS24.0.The results show that undergraduates can actively and actively participate in undergraduate teaching management,but their satisfaction is not high.There are significant differences in teaching evaluation management satisfaction among students of different majors and grades.It is suggested to improve the level of teaching management from the aspects of guiding and cultivating a new concept of management and education,establishing and perfecting a scientific and rigorous teaching management system,strengthening the information-based construction of teaching management and strengthening personnel training.展开更多
For the aim at exploring differences on personality traits between excessive online game users and non-excessive users in Japan, an online survey was conducted using psychological scales measuring addictive tendencies...For the aim at exploring differences on personality traits between excessive online game users and non-excessive users in Japan, an online survey was conducted using psychological scales measuring addictive tendencies for online gaming, depressive tendencies, aggression, and self-concealment. The results revealed that excessive online game users having addictive tendencies in Japan had lack of self-esteem as one of depressive tendencies, high aggressive tendencies, and low tendency of self-disclosure, in contrast with non-excessive users. Moreover, it was suggested that these users had a confidence in the society based on contributive behaviors in multi-player groups of online gaming.展开更多
Experimental teaching is an important part of biology teaching in middle school.In the form of questionnaire,this paper conducts a survey on some leading teachers of biology in the middle schools in the Yangjiang area...Experimental teaching is an important part of biology teaching in middle school.In the form of questionnaire,this paper conducts a survey on some leading teachers of biology in the middle schools in the Yangjiang area about the biological experiment teaching in the implementation of the new curriculum,and analyzes the results of the survey.The problems and deficiencies in the implementation of biological experiment teaching in some middle schools in this area are found,and the relevant reform measures and suggestions are put forward in order to promote the better development of biological experiment teaching in middle schools.展开更多
Objective: The objective is to investigate the incidence and consequences of arterial line occlusion during invasive blood pressure monitoring in the form of questionnaire survey. Methods: The questionnaires were rand...Objective: The objective is to investigate the incidence and consequences of arterial line occlusion during invasive blood pressure monitoring in the form of questionnaire survey. Methods: The questionnaires were randomly distributed to the anesthesiologists who participated the 22<sup>nd</sup> annual meeting of Chinese society of anesthesiology. The main contents of this survey included the arterial line managing status, the incidence of arterial line occlusion, the effects of arterial line occlusion on the anesthesiologists’ therapy and consequences caused by arterial line occlusion. Results: Totally 294 questionnaires were collected, in which 261 questionnaires were valid. In all respondents, 28.3% expressed that they could not flush arterial line on time, and 95.4% had experienced flushing arterial line only or sometimes or occasionally when the arterial waveform was not normal. Furthermore, 93.9% had experienced partial occlusion of the arterial line, and 79.3% had experienced complete occlusion. According to the serious recall of the respondents, the incidence of partial arterial line occlusion was 17.7% ± 22.0%, and the incidence of complete arterial line occlusion was 3.6% ± 8.1%. For all the respondents, 89.7% had experienced suspecting arterial line occlusion while real hypotension occurred, 65.1% had experienced not treating hypotension timely due to this suspicion, and 31% had experienced serious consequences caused by this suspicion. Conclusion: The incidence of arterial line occlusion is high during invasive blood pressure monitoring, which is a threat to the patients’ safety. So, intensive attention should be paid to the arterial line management.展开更多
Objective： Hie （cold sensation） is one of the most well-known health complaints in Japan and elsewhere in East Asia. Those who suffer from severe hie are considered to have hiesho （cold disorder）. This study was ...Objective： Hie （cold sensation） is one of the most well-known health complaints in Japan and elsewhere in East Asia. Those who suffer from severe hie are considered to have hiesho （cold disorder）. This study was conducted to determine symptoms associated with hie in young females using a survey consisting of the hie scale and hie diary. Methods： Two hundred and seventy-one participants were included for the analysis. Survey forms were distributed to the participants. Diagnosis of hiesho was determined by using the hie scale. A discriminant score of over -0.38 was considered hiesho. The Short Form-8 Health Survey Standard Version （SF-8） was used to measure health-related quality of life （QOL）. The participants were also asked to respond to the questionnaire evaluating 14 physical and emotional symptoms, utilizing a six-level Likert scale item. Results： The 1st factor （hie factor） was correlated with hie （r= 0.546）, dry mouth （r= 0.332）, lower- extremity edema （r = 0.450）, headrushes （r=0.470）, shoulder stiffness （r = 0.311 ）, headrushes with chills （r = 0.726）, and fatigue （r= 0.359）. Cronbach＇s α of the 1st factor was 0.748, which indicated reliability between the items. When hie factor was the dependent variable, standardized partial regression coefficient was β=-0.387 for physical component score （P 〈 0.001） and β=-0.243 for mental component score （P 〈 0.001 ）. Conclusion： This study indicated that hiesho symptoms among young female adults were associated with bodily pain and general health perceptions of the SF-8 QOL survey.展开更多
With the world has become the global village,communication between countries is becoming increasingly common.As an important tool for international communication,English has become increasingly important.However,for s...With the world has become the global village,communication between countries is becoming increasingly common.As an important tool for international communication,English has become increasingly important.However,for students in private vocational colleges,English listening anxiety is a common phenomenon,which not only affects the learning ability of students but also restricts the improvement of their comprehensive English ability.In this study,242 first-year students of a private vocational college in Hainan,were used as the study objects,and the level,causes and influencing factors of their English listening anxiety were deeply analyzed via a questionnaire survey.Strategies to alleviate students’English listening anxiety were discussed from the three aspects of teachers,students and schools.The conclusions of this study have certain theoretical and practical significance for improving the the teaching state for English listening to college students from private higher colleges.Meanwhile,It can also enhancing the learning effect of students to English.The comprehensive use of various strategies can effectively relieve students’English listening anxiety,improve their English listening level and learning enthusiasm,and make great contributions to the future career development for them.However,owing to limitations in terms of research time and conditions,this study has several limitations.Future studies can further expand the research scope,increase the diversity and quantity of research samples,and adopt a combination of multiple research methods to conduct a more in-depth discussion on this issue.展开更多
Heating,Ventilation,andAir Conditioning(HVAC)systems are critical formaintaining thermal comfort in office environments which also crucial for occupant well-being and productivity.This study investigates the impact of...Heating,Ventilation,andAir Conditioning(HVAC)systems are critical formaintaining thermal comfort in office environments which also crucial for occupant well-being and productivity.This study investigates the impact of integrating ceiling fans with higher air conditioning setpoints on thermal comfort and energy efficiency in office environments.Field measurements and questionnaire surveys were conducted to evaluate thermal comfort and energysaving potential under varying conditions.Results show that increasing the AC setpoint from 25○C to 27○C,combined with ceiling fan operation,reduced power consumption by 10%,achieving significant energy savings.Survey data confirmed that 85%of participants reported consistent thermal sensations across all conditions,with ceiling fans effectively compensating for higher setpoints through enhanced air circulation.CFDsimulations revealed that mediumspeed ceiling fan operation produced the most uniformairflowdistribution,with an average air velocity of 0.45 m/s,and minimized temperature variations,ensuring balanced thermal conditions.Temperature analysis showed a reduction in hotspots and cold zones,maintaining an average temperature deviation of less than±0.5○C.Predicted Mean Vote(PMV)evaluations at a 27○C setpoint indicated improved thermal comfort,with average PMV values around−0.3,corresponding to a“neutral”thermal sensation.These findings demonstrate the effectiveness of integrating ceiling fans with HVAC systems in achieving energy efficiency and occupant comfort,offering a sustainable approach to reducing AC energy consumption in office environments.展开更多
This study investigates the application of Artificial Intelligence Generated Content(AIGC)in vocational education through a comprehensive questionnaire survey administered to vocational education instructors in China....This study investigates the application of Artificial Intelligence Generated Content(AIGC)in vocational education through a comprehensive questionnaire survey administered to vocational education instructors in China.It examines their awareness and utilization of AIGC,exploring its primary functions in teaching and the ethical challenges encountered.The findings reveal that the majority of teachers perceive AIGC as significantly contributing to instructional design and the provision of educational resources.While teachers generally acknowledge the educational potential of AIGC technology,they also express concerns regarding ethical issues such as privacy breaches,intellectual property infringements,and unequal access to technological resources.Consequently,AIGC technology possesses substantial potential for application within vocational education.However,its implementation must be accompanied by enhanced ethical education and technical training for both educators and students to ensure that AIGC effectively supports the reform and advancement of vocational education.展开更多
To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examin...To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examined changes in the number of antenatal checkups due to behavioral restrictions, visit restrictions at medical institutions, and the acceptance of COVID-19-infected pregnant and nursing mothers. An increased burden was observed at delivery hospitals, irrespective of whether they accepted infected pregnant and nursing mothers. Some medical institutions were unable to manage infected pregnant women and transferred them to other facilities, highlighting the need for role-sharing among institutions. The number of antenatal checkups showed a decreasing trend, indicating that the pandemic negatively affected checkup attendance. However, no clear increase in perinatal deaths was observed during the observation period, despite the reduction in the number of checkups.展开更多
The construction of human settlements plays a vital role in achieving sustainable development goals.With the growing population,both urban and rural planning—as well as the development of human settlements—on the Qi...The construction of human settlements plays a vital role in achieving sustainable development goals.With the growing population,both urban and rural planning—as well as the development of human settlements—on the Qinghai-Tibet Plateau in China have received increasing attention.This study proposed a comprehensive framework to assess the quality of human settlements and identify their limiting factors of Nyingchi City,southeastern Qinghai-Tibet Plateau of China.The framework integrated a region-specific evaluation system tailored to the plateau’s unique characteristics and utilized multi-source data collected through field-based questionnaires and remote sensing.Analytical methods employed include the Criteria Importance Through Intercriteria Correlation(CRITIC)weighting method,difference analysis for evaluating spatial and categorical variations,and a novel approach introduced in this study for identifying limiting factors.In August 2021,a questionnaire-based survey was conducted in the southeastern Qinghai-Tibet Plateau,yielding 823 valid responses.The average evaluation score for human settlement quality(HSQ)was(6.96±0.94),indicating that settlement conditions were approaching the satisfaction threshold.Notably,the score for the health dimension was(6.28±1.41),reflecting relatively underdeveloped health services in the region.From the perspective of spatial patterns,despite its favorable natural conditions,the HSQ in Medog County was relatively backward,reflecting uncoordinated development that warrants attention.Significant differences were observed in the perceptions of human settlements among different groups in terms of ethnicity,income,and educational background.Low ratings for income and employment conditions represented a major limitation to the local HSQ.The development of human settlements in the southeastern Qinghai-Tibet Plateau still needs further promotion due to population disparities and the challenges of creating a healthy environment in high-altitude regions.The results are valuable for improving human settlements in plateau regions,which can help make targeted policy recommendations.展开更多
Based on 1,003 articles about empirical research on interpreting teaching from 2002 to 2022 retrieved from China National Knowledge Internet,this paper extracts three main research methods,uncovering common problems i...Based on 1,003 articles about empirical research on interpreting teaching from 2002 to 2022 retrieved from China National Knowledge Internet,this paper extracts three main research methods,uncovering common problems in interpreting education and practical teaching suggestions:(1)Corpus-based researches collect numerous audios to study typical mistakes made by interpreting learners,particularly pause and self-repair,and suggest interpreting teaching improve learners’ability to use language chunks and encourage students to interpret smoothly;(2)Questionnaire surveys help understand requirements for professional interpreters and how interpreting teaching meets market demands;(3)Teaching experiments last for one to two semesters,addressing issues like outdated teaching materials and modes,and show how teaching materials and modes integrate modern technology.But empirical researches need to build new corpora,professional interpreters’corpora and address problems that haven’t been adequately discussed.This paper is helpful for improving interpreting education in China and other countries and for making clear tasks to be fulfilled in empirical research on interpreting education.展开更多
Mount Tai Scenic Area has achieved certain results in the construction of accessible tourism facilities,realizing the exploration of digital and intelligent transformation in traditional mountain scenic areas.In this ...Mount Tai Scenic Area has achieved certain results in the construction of accessible tourism facilities,realizing the exploration of digital and intelligent transformation in traditional mountain scenic areas.In this study,using questionnaire surveys and in-depth interviews,the development of accessible tourism in Mount Tai Scenic Area was investigated and analyzed.Some countermeasures were put forward,including strengthening information guidance services,enhancing awareness and skills in accessibility services,improving feedback mechanisms for continuous refinement,and strengthening collaborations in the fields of the disabled and accessibility development,aiming to further promote humanistic care and enhance service satisfaction at the scenic area.展开更多
基金supported by the Project of the Science and Technology Commission of Beijing Municipality(No.D16110000816002,No.Z181100002218001)。
文摘Objective:Multi-center data on the current status and trends of breast reconstruction after mastectomy in China are lacking.Herein,we conducted a cross-sectional survey to investigate the current clinical practice pattern of postmastectomy breast reconstruction among Chinese female patients with breast cancer.Methods:A standardized questionnaire used to collect information on breast reconstruction among females diagnosed with breast cancer was distributed by 31 members of the Chinese Society of Breast Surgery between January 1,2018 and December 31,2018.Information was collected on tumor characteristics,treatment,mesh application,nipple-areola complex(NAC)preservation,postoperative complications,bilateral reconstruction,patient satisfaction and local recurrence.The overall rate of breast reconstruction was assessed,and the characteristics were compared across patient groups with different reconstruction approaches.Results:A total of 1,554 patients underwent breast reconstruction after total mastectomy,with a reconstruction rate of 9.6%.Among them,1,190 were implant-based,and 262 underwent autologous reconstructions,while 102 cases underwent a combination of both.Patients who underwent implant-based reconstruction were younger than those who received autologous reconstruction(40.1±4.6 vs.45.0±5.9,P=0.004).Compared to patients with autologous reconstruction,mesh application(25.5%vs.6.5%),NAC preservation(51.8%vs.40.5%)and reconstruction failure(1.8%vs.0)were more frequently reported among those with implant-based reconstruction.There was no significant difference in general satisfaction across three reconstruction approaches,though patients with autologous reconstruction reported the highest aesthetic satisfaction among the three groups(P=0.044).Conclusions:Implant-based breast reconstruction remains the dominant choice among patients,while autologous reconstruction was associated with higher aesthetic satisfaction.Our multi-center investigation based on the findings of the tertiary hospitals of Chinese Society of Breast Surgery may guide a future series of clinical studies on breast reconstruction in China.
基金Under the auspices of National Natural Science Foundation of China(No.40971051)
文摘China is experiencing a fast process of farmland conversion which is conducted mainly by local governments to fuel economic development.Social tension is aroused and policy makers take great concerns on coordinating interests among different stakeholders,especially for increasing farmers′ interest.The purpose of this study is to get some insights related to land acquisition institution by exploring farmers′ perception to farmland conversion.Participatory Rural Appraisal(PRA) was applied for the investigation in peri-urban area,of Xining City,Qinghai Province,China.The total of 519 householders from 15 villages completed valid questionnaire survey from July to November,2012.The results indicate that farmland conversion has several impacts on farmers′ life.Most farmers are gradually adapting to city life.Higher living expenses and more income are perceived by farmers with average score of 4.21 and 2.69,respectively.The average scores of 2.38 and 2.46 are for improvement of life security and more job opportunities.Farmers expect to get some stable ways of compensation in addition to lump-sum compensation in cash.Stable subsidies every year and obtaining same number of land received strong proposal.And these two options are cited by 49.6% and 43.9% of respondents.Farmland conversion brings about cleaner living condition and more amenities,but lower air visibility and drier air.Results reflect landless farmers′ economic and life pressures and various demands.Local government should pay more attention to increase farmers′ income and improve rural security system.
基金funded with the Hunan Key Laboratory Platform for Nursing(2017TP1004)。
文摘Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.
文摘A cross-sectional online survey was conducted.A high proportion of the Chinese breast cancer(BC)physician respondents(n=77)would prescribe extended adjuvant endocrine therapy(AET)with aromatase inhibitors(AI)beyond 5 years for postmenopausal females with BC,especially those with higher risk.Respondents with≥15 years of clinical experience were more likely to prescribe a longer duration of AET for low-risk patients.Half of the respondents considered intermittent letrozole as an acceptable option.Most respondents would prescribe adjuvant chemotherapy to genomic high-intermediate risk[Oncotype DX recurrence score(RS)21-25]females aged≤50 years regardless of the clinical risk classification.
基金Supported by Wenzhou Science and Technology Bureau Project(No.Y2020036)the National Science Foundation of China(No.82000861)National Key Research and Development Program of China(No.2020YFC2008200).
文摘AIM:To develop the 17-item Asthenopia Survey Questionnaire(ASQ)-17 by Rasch analysis,and to generate a predictiveness score.METHODS:Totally 739 participants were recruited and 680 were involved in the result analysis in this prospective,cross-sectional study.Three rounds of Rasch analysis were used to analyze the psychometric characteristics of items and options.RESULTS:Phase 1 assessed the original ASQ-19,adjusted the item scoring mode to a four-point Likert response rating scale and combined the 18th and 19th items into a new item.Phase 2 deleted the 11th item.Phases 3 and 4 assessed the new ASQ-17.All the evaluation indexes of ASQ-17 were acceptable.The Infit and Outfit MnSq values of items were 0.67-1.48,the variance explained by the principal component and the unexplained variance explained by the first contrast were 53.90%-59.40%and 1.50-1.80 in three dimensions.The curve peaks of scores in each dimension were separated and in the same order.The PSR and PSI values were 2.80 and 0.89,respectively.The mean scores of dimensions A(9.5±4.1 vs 3.5±3.2),B(7.3±3.3 vs 2.5±2.7),C(4.3±2.2 vs 1.4±2.0)and total(21.1±8.1 vs 7.4±7.0)in asthenopia participants were significantly higher than those without asthenopia(all P<0.001).The area under the curve in two groups was 0.899(P<0.001).Youden’s index was up to the maximum value of 0.784 when the cut-off value was 12.5.CONCLUSION:ASQ-17 has stronger option sorting and suitability than ASQ-19.It is an effective assessment tool for asthenopia with an optimal cut-off threshold value of 12.5,which is suitable for diagnosis and curative effect evaluation.
基金Supported by the Beijing Municipal Science&Technology Commission(Popularized the Technologies of Chinese Medicine for Prevention and Treatment of Hypertension,Diabetes Mellitus,and Cerebrovascular Diseases in Communities,No.Z121100000312006)Tradition Chinese Medicine National Professional Project 2012(Management Pattern of Preventing and Treating Chronic Diseases using Chinese Medicine in Communities,No.201207012)
文摘OBJECTIVE:To investigate how community residents in Beijing understood and used Traditional Chinese Medicine(TCM) in their medical practice.METHODS:This was a cross-sectional study conducted on 3410 community residents from four large communities of Tongzhou district in Beijng,China.A validated, self-administered questionnaire comprised of three sections was used to gather the data.A systematic sampling procedure was applied to recruit the community residents.RESULTS:A total of 3410 participants completed the questionnaire survey.It showed that in highly educated residents, 33.4%(170) knew of the names of 3-10 Chinese herbals, 35.8%(182) knew of names of 3-10 traditional Chinese patent drug.Among all the respondent residents, 80.7%(2753)believed that TCM herbal therapy and TCM non-drug treatments were effective in disease treatment, health enhancement, 85.7%(2923) had taken traditional Chinese patent drug in their life,56.8%(1937) of residents had used herbal decoction, 40.0%(1365) had received non-drug treatment of TCM, such as acupuncture, massage, cupping, auricular acupuncture.Among the elderly residents, 11.4%(98) often used Chinese patent drug and 9.8%(85) often used herbal decoction.In addition, 70.8%(2415) of residents were willing to accept knowledge and information on TCM for health enhancement and disease prevention, such as medicated diet, medicinal tea, Tai Chi and Qi Gong, although 82.8%(2825) of residents had never used them.CONCLUSION:Chinese patent drug and herbal decoction are widely used in the communities in Beijing, and there existed a possible close correlation between high educational level and better understanding of TCM.Age and occupation also correlated with the attitude to TCM therapies.The characteristics of the residents should be considered seriously in the course of promoting the understanding and application of TCM.
文摘Purpose: China Academic Library & Information System(CALIS) planned to launch an institutional repository(IR) project to promote IR development and open access at colleges and universities in China. In order to get to know the current state of IRs in academic institutions, with the help of Peking University Library, CALIS Administrative Center conducted this survey.Design/methodology/approach: We conducted an online survey of CALIS member libraries.Findings: Firstly, the development of IRs at China's colleges and universities is still in its infancy. Secondly, the Chinese colleges and universities have reached a consensus on the objective for having an IR. Thirdly, they are having high expectations of IR functions. Fourthly,they prefer to establish a centralized IR system at a minimum cost. Finally, there are both similarities and differences between the Chinese academic institutions and their counterparts in other countries in the state of IR development.Research limitations: The questionnaire needs to be improved because there is a lack of enough questions for those who do not plan to build an IR. Comparatively lower rate of valid questionnaire return can affect the accuracy of the results. It is hard to go into an in-depth discussion only based on the data collected from this questionnaire survey, and consequently,the findings from the survey can hardly present an accurate and comprehensive picture of the current state of IR development in the academic sector in China.Practical implications: The survey results provide essential foundation for CALIS IR project,and meanwhile the research can serve as a reference source for the future studies of the development of IRs at China's colleges and universities.Originality/value: It is the first national survey focused on the development of IRs in academic institutions in China.
基金supported by National Natural Science Foundation of China(Grant No.70673019)
文摘A large number of theoretical and empirical studies on citation behavior have been conducted internationally. Although some theoretical studies on such topic have been carried out in China, few studies have focused specifically on this area from an empirical perspective, resulting in the lack of literature on the findings of actual surveys. To address this challenge, we conducted two questionnaire surveys to understand the motivations of the researchers on citation. One survey covers the authors who published articles in Chinese Journal of Scientific and Technical Periodicals, while the other targets the most productive and most cited Chinese authors in library and information science. The results show that citation behavior is not only motivated by rational factors, but also by other social factors.
基金Education and Teaching Research and Reform Project of Tianjin Agricultural University—"Survey and Research on Students'Satisfaction with Undergraduate Teaching Management in Tianjin Agricultural University"(2018-B-31)。
文摘Local agricultural colleges and universities undertake the important task of training rural revitalization talents suitable for regional characteristics.Only by mastering students'satisfaction with teaching management can we find the problems existing in teaching management.Taking Tianjin Agricultural University as an example,this paper analyzes the undergraduates'satisfaction with teaching management by questionnaire and SPSS24.0.The results show that undergraduates can actively and actively participate in undergraduate teaching management,but their satisfaction is not high.There are significant differences in teaching evaluation management satisfaction among students of different majors and grades.It is suggested to improve the level of teaching management from the aspects of guiding and cultivating a new concept of management and education,establishing and perfecting a scientific and rigorous teaching management system,strengthening the information-based construction of teaching management and strengthening personnel training.
文摘For the aim at exploring differences on personality traits between excessive online game users and non-excessive users in Japan, an online survey was conducted using psychological scales measuring addictive tendencies for online gaming, depressive tendencies, aggression, and self-concealment. The results revealed that excessive online game users having addictive tendencies in Japan had lack of self-esteem as one of depressive tendencies, high aggressive tendencies, and low tendency of self-disclosure, in contrast with non-excessive users. Moreover, it was suggested that these users had a confidence in the society based on contributive behaviors in multi-player groups of online gaming.
基金Key Education Research Project of Zhaoqing Education Development Research Institute(ZQJYY2019044).
文摘Experimental teaching is an important part of biology teaching in middle school.In the form of questionnaire,this paper conducts a survey on some leading teachers of biology in the middle schools in the Yangjiang area about the biological experiment teaching in the implementation of the new curriculum,and analyzes the results of the survey.The problems and deficiencies in the implementation of biological experiment teaching in some middle schools in this area are found,and the relevant reform measures and suggestions are put forward in order to promote the better development of biological experiment teaching in middle schools.
文摘Objective: The objective is to investigate the incidence and consequences of arterial line occlusion during invasive blood pressure monitoring in the form of questionnaire survey. Methods: The questionnaires were randomly distributed to the anesthesiologists who participated the 22<sup>nd</sup> annual meeting of Chinese society of anesthesiology. The main contents of this survey included the arterial line managing status, the incidence of arterial line occlusion, the effects of arterial line occlusion on the anesthesiologists’ therapy and consequences caused by arterial line occlusion. Results: Totally 294 questionnaires were collected, in which 261 questionnaires were valid. In all respondents, 28.3% expressed that they could not flush arterial line on time, and 95.4% had experienced flushing arterial line only or sometimes or occasionally when the arterial waveform was not normal. Furthermore, 93.9% had experienced partial occlusion of the arterial line, and 79.3% had experienced complete occlusion. According to the serious recall of the respondents, the incidence of partial arterial line occlusion was 17.7% ± 22.0%, and the incidence of complete arterial line occlusion was 3.6% ± 8.1%. For all the respondents, 89.7% had experienced suspecting arterial line occlusion while real hypotension occurred, 65.1% had experienced not treating hypotension timely due to this suspicion, and 31% had experienced serious consequences caused by this suspicion. Conclusion: The incidence of arterial line occlusion is high during invasive blood pressure monitoring, which is a threat to the patients’ safety. So, intensive attention should be paid to the arterial line management.
基金supported by Tsukuba University of Technology,Promotional Projects for Advanced Education and Research
文摘Objective： Hie （cold sensation） is one of the most well-known health complaints in Japan and elsewhere in East Asia. Those who suffer from severe hie are considered to have hiesho （cold disorder）. This study was conducted to determine symptoms associated with hie in young females using a survey consisting of the hie scale and hie diary. Methods： Two hundred and seventy-one participants were included for the analysis. Survey forms were distributed to the participants. Diagnosis of hiesho was determined by using the hie scale. A discriminant score of over -0.38 was considered hiesho. The Short Form-8 Health Survey Standard Version （SF-8） was used to measure health-related quality of life （QOL）. The participants were also asked to respond to the questionnaire evaluating 14 physical and emotional symptoms, utilizing a six-level Likert scale item. Results： The 1st factor （hie factor） was correlated with hie （r= 0.546）, dry mouth （r= 0.332）, lower- extremity edema （r = 0.450）, headrushes （r=0.470）, shoulder stiffness （r = 0.311 ）, headrushes with chills （r = 0.726）, and fatigue （r= 0.359）. Cronbach＇s α of the 1st factor was 0.748, which indicated reliability between the items. When hie factor was the dependent variable, standardized partial regression coefficient was β=-0.387 for physical component score （P 〈 0.001） and β=-0.243 for mental component score （P 〈 0.001 ）. Conclusion： This study indicated that hiesho symptoms among young female adults were associated with bodily pain and general health perceptions of the SF-8 QOL survey.
文摘With the world has become the global village,communication between countries is becoming increasingly common.As an important tool for international communication,English has become increasingly important.However,for students in private vocational colleges,English listening anxiety is a common phenomenon,which not only affects the learning ability of students but also restricts the improvement of their comprehensive English ability.In this study,242 first-year students of a private vocational college in Hainan,were used as the study objects,and the level,causes and influencing factors of their English listening anxiety were deeply analyzed via a questionnaire survey.Strategies to alleviate students’English listening anxiety were discussed from the three aspects of teachers,students and schools.The conclusions of this study have certain theoretical and practical significance for improving the the teaching state for English listening to college students from private higher colleges.Meanwhile,It can also enhancing the learning effect of students to English.The comprehensive use of various strategies can effectively relieve students’English listening anxiety,improve their English listening level and learning enthusiasm,and make great contributions to the future career development for them.However,owing to limitations in terms of research time and conditions,this study has several limitations.Future studies can further expand the research scope,increase the diversity and quantity of research samples,and adopt a combination of multiple research methods to conduct a more in-depth discussion on this issue.
基金support by the National Science and Technology Council under Grant No.NSTC 112-2221-E-167-017-MY3.
文摘Heating,Ventilation,andAir Conditioning(HVAC)systems are critical formaintaining thermal comfort in office environments which also crucial for occupant well-being and productivity.This study investigates the impact of integrating ceiling fans with higher air conditioning setpoints on thermal comfort and energy efficiency in office environments.Field measurements and questionnaire surveys were conducted to evaluate thermal comfort and energysaving potential under varying conditions.Results show that increasing the AC setpoint from 25○C to 27○C,combined with ceiling fan operation,reduced power consumption by 10%,achieving significant energy savings.Survey data confirmed that 85%of participants reported consistent thermal sensations across all conditions,with ceiling fans effectively compensating for higher setpoints through enhanced air circulation.CFDsimulations revealed that mediumspeed ceiling fan operation produced the most uniformairflowdistribution,with an average air velocity of 0.45 m/s,and minimized temperature variations,ensuring balanced thermal conditions.Temperature analysis showed a reduction in hotspots and cold zones,maintaining an average temperature deviation of less than±0.5○C.Predicted Mean Vote(PMV)evaluations at a 27○C setpoint indicated improved thermal comfort,with average PMV values around−0.3,corresponding to a“neutral”thermal sensation.These findings demonstrate the effectiveness of integrating ceiling fans with HVAC systems in achieving energy efficiency and occupant comfort,offering a sustainable approach to reducing AC energy consumption in office environments.
基金supported by the Fujian Province Education Science "14th Five-Year Plan" 2023 Annual Project(FJJKGZ23-055)the 2023 Fujian Province Vocational Education Research Project (GA2023007)。
文摘This study investigates the application of Artificial Intelligence Generated Content(AIGC)in vocational education through a comprehensive questionnaire survey administered to vocational education instructors in China.It examines their awareness and utilization of AIGC,exploring its primary functions in teaching and the ethical challenges encountered.The findings reveal that the majority of teachers perceive AIGC as significantly contributing to instructional design and the provision of educational resources.While teachers generally acknowledge the educational potential of AIGC technology,they also express concerns regarding ethical issues such as privacy breaches,intellectual property infringements,and unequal access to technological resources.Consequently,AIGC technology possesses substantial potential for application within vocational education.However,its implementation must be accompanied by enhanced ethical education and technical training for both educators and students to ensure that AIGC effectively supports the reform and advancement of vocational education.
文摘To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examined changes in the number of antenatal checkups due to behavioral restrictions, visit restrictions at medical institutions, and the acceptance of COVID-19-infected pregnant and nursing mothers. An increased burden was observed at delivery hospitals, irrespective of whether they accepted infected pregnant and nursing mothers. Some medical institutions were unable to manage infected pregnant women and transferred them to other facilities, highlighting the need for role-sharing among institutions. The number of antenatal checkups showed a decreasing trend, indicating that the pandemic negatively affected checkup attendance. However, no clear increase in perinatal deaths was observed during the observation period, despite the reduction in the number of checkups.
基金Under the auspices of the Second Tibetan Plateau Scientific Expedition and Research Program(STEP,No.2019QZKK0608)。
文摘The construction of human settlements plays a vital role in achieving sustainable development goals.With the growing population,both urban and rural planning—as well as the development of human settlements—on the Qinghai-Tibet Plateau in China have received increasing attention.This study proposed a comprehensive framework to assess the quality of human settlements and identify their limiting factors of Nyingchi City,southeastern Qinghai-Tibet Plateau of China.The framework integrated a region-specific evaluation system tailored to the plateau’s unique characteristics and utilized multi-source data collected through field-based questionnaires and remote sensing.Analytical methods employed include the Criteria Importance Through Intercriteria Correlation(CRITIC)weighting method,difference analysis for evaluating spatial and categorical variations,and a novel approach introduced in this study for identifying limiting factors.In August 2021,a questionnaire-based survey was conducted in the southeastern Qinghai-Tibet Plateau,yielding 823 valid responses.The average evaluation score for human settlement quality(HSQ)was(6.96±0.94),indicating that settlement conditions were approaching the satisfaction threshold.Notably,the score for the health dimension was(6.28±1.41),reflecting relatively underdeveloped health services in the region.From the perspective of spatial patterns,despite its favorable natural conditions,the HSQ in Medog County was relatively backward,reflecting uncoordinated development that warrants attention.Significant differences were observed in the perceptions of human settlements among different groups in terms of ethnicity,income,and educational background.Low ratings for income and employment conditions represented a major limitation to the local HSQ.The development of human settlements in the southeastern Qinghai-Tibet Plateau still needs further promotion due to population disparities and the challenges of creating a healthy environment in high-altitude regions.The results are valuable for improving human settlements in plateau regions,which can help make targeted policy recommendations.
基金USST Construction Project of English-taught Courses for International Students in 2024Key Course Construction Project in Universities of Shanghai in 2024USST Teaching Achievement Award(postgraduate)Cultivation Project in 2024。
文摘Based on 1,003 articles about empirical research on interpreting teaching from 2002 to 2022 retrieved from China National Knowledge Internet,this paper extracts three main research methods,uncovering common problems in interpreting education and practical teaching suggestions:(1)Corpus-based researches collect numerous audios to study typical mistakes made by interpreting learners,particularly pause and self-repair,and suggest interpreting teaching improve learners’ability to use language chunks and encourage students to interpret smoothly;(2)Questionnaire surveys help understand requirements for professional interpreters and how interpreting teaching meets market demands;(3)Teaching experiments last for one to two semesters,addressing issues like outdated teaching materials and modes,and show how teaching materials and modes integrate modern technology.But empirical researches need to build new corpora,professional interpreters’corpora and address problems that haven’t been adequately discussed.This paper is helpful for improving interpreting education in China and other countries and for making clear tasks to be fulfilled in empirical research on interpreting education.
基金Sponsored by Tai’an Science and Technology Innovation Development Project(Policy Guidance Category)(2024ZC042)Research Project of Inner Mongolia Autonomous Region Center for the Theoretical System of Socialism with Chinese Characteristics(2024ZZB018).
文摘Mount Tai Scenic Area has achieved certain results in the construction of accessible tourism facilities,realizing the exploration of digital and intelligent transformation in traditional mountain scenic areas.In this study,using questionnaire surveys and in-depth interviews,the development of accessible tourism in Mount Tai Scenic Area was investigated and analyzed.Some countermeasures were put forward,including strengthening information guidance services,enhancing awareness and skills in accessibility services,improving feedback mechanisms for continuous refinement,and strengthening collaborations in the fields of the disabled and accessibility development,aiming to further promote humanistic care and enhance service satisfaction at the scenic area.
