Residents play a fundamental role in the quality of tourists’experiences and satisfaction derived from a visit and,thus,in the success of a tourism destination.This paper addresses the perceptions that residents have...Residents play a fundamental role in the quality of tourists’experiences and satisfaction derived from a visit and,thus,in the success of a tourism destination.This paper addresses the perceptions that residents have the impacts of tourism on Madeira Island,a mature tourism destination.Based on data extracted from a survey administered to residents during August and September 2018,we inquired on the extent to which they maintain a positive perception of the impacts of the tourist industry.The survey tried to address the residents’perceptions of economic,cultural,social,or environmental impacts.In the analysis of the data,both descriptive and multivariable statistical methods were used.The empirical results attained indicate that residents feel that there is no excess of tourism on the island.They do not fail to realize that there are a few negative consequences,but the positive ones got better scores on average.Being an inhabitant of an urban or a rural site did not seem to influence differently the perceptions gathered on the contribution of tourism to the overall development of Madeira Island.This type of analysis can serve as a useful tool for tourism planners and managers in order to prevent or minimize eventual negative impacts of the tourism industry as felt by the local inhabitants and,thus,for creating the required policies.展开更多
The evacuation of people under threat is an effective disaster prevention and mitigation measure in response to flash floods and geological hazards,and it is also an essential element of pre-disaster planning.However,...The evacuation of people under threat is an effective disaster prevention and mitigation measure in response to flash floods and geological hazards,and it is also an essential element of pre-disaster planning.However,the effect of the interactions between perception factors on residents'willingness to evacuate is an urgent problem to be solved.Therefore,this paper introduces risk,stakeholder,and protective action perceptions from the protective action decision model as the main explanatory variables.These three core perceptions are subdivided into affective risk perception,cognitive risk perception,government perception,other-stakeholder perception,resourcerelated attributes,and hazard-related attributes.A questionnaire survey was conducted from June to July 2023 among residents of mountainous communities in nine villages in three towns in Sichuan Province,China.359 cross-sectional data were analyzed using structural equation modeling to explore the effects of six perception factors on evacuation intentions.The results of the study showed that:(1)affective risk perception,government perception,other-stakeholder perception,and hazard-related attributes all directly and positively influence residents'intentions to evacuate;(2)cognitive risk perception is mediated by stakeholder and protective action perceptions,which indirectly and positively affect residents'intentions to evacuate.Based on the hypothesized paths,strategies to improve residents'willingness to evacuate are discussed from the perspective of three core perceptions:strengthening disaster risk education,improving residents'cohesion,and building government credibility.The results of this study can provide theoretical support and practical suggestions for emergency management departments to formulate emergency evacuation strategies,which can aid decision-makers in better understanding residents'intentions to evacuate,optimizing evacuation information dissemination pathways,and strengthening disaster risk management capabilities.展开更多
BACKGROUND: We compare educational environments(i.e. physical, emotional and intellectual experiences) of emergency medicine(EM) residents training in the United States of America(USA) and Saudi Arabia(SA).METHODS: A ...BACKGROUND: We compare educational environments(i.e. physical, emotional and intellectual experiences) of emergency medicine(EM) residents training in the United States of America(USA) and Saudi Arabia(SA).METHODS: A cross-sectional survey study was conducted using an adapted version of the validated Postgraduate Hospital Educational Environment Measure(PHEEM) survey instrument from April 2015 through June 2016 to compare educational environments in all emergency medicine residency programs in SA and three selected programs in the USA with a history of training Saudi physicians. Overall scores were compared across programs, and for subscales(autonomy, teaching, and social Support), using chi-squared, t-tests, and analysis of variance.RESULTS: A total of 219 surveys were returned for 260 residents across six programs(3 SA, 3 USA), with a response rate of 84%. Program-specific response rates varied from 79%–100%. All six residencies were qualitatively rated as "more positive than negative but room for improvement". Quantitative PHEEM scores for the USA programs were significantly higher: 118.7 compared to 109.9 for SA, P=0.001. In subscales, perceptions of social support were not different between the two countries(P=0.243); however, role autonomy(P<0.001) and teaching(P=0.005) were better in USA programs. There were no significant differences by post-graduate training year.CONCLUSION: EM residents in all three emergency medicine residency programs in SA and the three USA programs studied perceive their training as high quality in general, but with room for improvements. USA residency programs scored higher in overall quality. This was driven by more favorable perceptions of role autonomy and teaching. Understanding how residents perceive their programs may help drive targeted quality improvement efforts.展开更多
Multi-linguistic landscape such as Macao＇s street names consisting of Chinese and Portuguese is regarded as a significant cultural artifact. However, the studies of street names of tourism destinations are rare in to...Multi-linguistic landscape such as Macao＇s street names consisting of Chinese and Portuguese is regarded as a significant cultural artifact. However, the studies of street names of tourism destinations are rare in tourism field. This study therefore attempts to investigate the relationship between Macao＇s street names and residents＇ perceptions, and to identify residents＇ support for Macao＇s street names as a tourism attraction. Appropriately statistical analyses such as frequency analysis, independent-samples t-test, and analysis of variance （ANOVA） were used to achieve the objectives. The results of study show that trilingual street names consisting of Chinese, Portuguese, and English might satisfy residents＇ needs more than bilingual street names written in Chinese and Portuguese. Besides, residents with longer length-of-residence or residents who are willing to work in tourism related industry have a tendency to support Macao＇s street names for becoming tourism attraction.展开更多
Aim: This research aims to evaluate patient-centeredness and communication skills from the patients’ point of view and that of the physicians’ point of view and compares the two outcomes. Methods: This was a cross-s...Aim: This research aims to evaluate patient-centeredness and communication skills from the patients’ point of view and that of the physicians’ point of view and compares the two outcomes. Methods: This was a cross-sectional study with a convenient sample of 418 patients and 94 residents. Instrument of the study was a structured questionnaire that aimed to evaluate patient centeredness and communication skills of the residents. Results: Residents gave themselves a significantly higher score than the score given to them by patients in most studied aspects such as the extent to which the doctor discussed the patient’s problem, the extent to which the doctor explained the problem, the doctor introduced himself, the doctor greeted the patient properly and others. The only aspect for which patients gave residents higher score than that residents gave themselves was the extent to which the doctor asked the patient about what is expected to be done (ECG, CT scan, giving antibiotics, …). Conclusion: A transformation from doctor centered approach to patient centered approach is needed.展开更多
[Objective] The study aims to put forward some countermeasures on rural tourism development in 'Beijing-tianjin Passageway' area, and make some planning, in order to improve the healthy development of rural to...[Objective] The study aims to put forward some countermeasures on rural tourism development in 'Beijing-tianjin Passageway' area, and make some planning, in order to improve the healthy development of rural tourism by investigating residents′ perception to tourism influence, participation level to tourism and the effects of rural tourism development on local economy, social culture and environment. [Method] Residents′ perception is established by questionnaire, it includes 33 perceptions, such as 10 economic perceptions, 11 tourism social culture perceptions, 7 tourism environment perceptions and 5 total tourism perceptions. Using 5 points system to make quantitative determination, 1 indicates extremely opposing, 2 indicates opposing, 3 indicates unknown, 4 indicates approving, 5 indicates extremely approving, questionnaire is analyzed by relative statistics. [Result] The results show that: ①the perception of positive influence of villagers is stronger than negative influence; ②the concern to economical influence of villagers is stronger than social cultural and environmental influence; ③villagers hold reasonable support to the integral development of tourism. [Conclusion] According to the conclusion and the suggestion that villagers offer, it proposes the following countermeasures: ①to pay attention to the villagers′ benefits and take part in tourism planning; ②to attach importance to the education of villagers′ and enhance the involvement; ③ to strengthen the reception management and standardize the industry standards; ④to step up publicity and expand the scale of tourism.展开更多
This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discom...This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discomfort,but also carry a significant emotional burden,often exacerbated by social stigma.Psycho-logical factors,including stress,anxiety,and depression,activate neuroendocrine pathways,such as the hypothalamic–pituitary–adrenal axis,disrupting the gut microbiota and leading to dysbiosis.This disruption can delay wound healing,prolong hospital stay,and intensify pain.Drawing on the findings of Hou et al,our article highlights the critical role of illness perception and negative emotions in shaping recovery outcomes.It advocates for a holistic approach that integrates psychological support and gut microbiota modulation,to enhance healing and improve overall patient outcomes.展开更多
Tourism can have both positive and negative outcomes for residents in tourism destinations, It is a good method to analyze the status of tourism impact by means of investigating residents＇ perceptions of it. Various ...Tourism can have both positive and negative outcomes for residents in tourism destinations, It is a good method to analyze the status of tourism impact by means of investigating residents＇ perceptions of it. Various methods have been used in previous authoritative studies. However, owing to inherent imprecision, difficulties always exist in some conventional methodologies when describing the interpretation of linguistic or measured uncertainties for real-world randoln phenomena. The purpose of this research is to present the fuzzy synthetic evaluation method to investigate residents＇ perceptions of tourisln impacts. At first, basic attributes and a hierarchical framework of tourism impacts are defined and formed. Secondly, the weighted vectors are determined according to the knowledge and experience of experts. Thirdly, the weighted evaluation matrices are aggregated to get the fuzzy sets of tourism impacts. In the last stage, the final fuzzy sets are defuzzified to get the rank of the residents＇ perceptions of tourism impacts. A case study in Jiuzhaigou National Park of China is provided to demonstrate the application of this method.展开更多
Objectives Diabetes remains a major global health challenge in China.Artificial intelligence(AI)has demonstrated considerable potential in improving diabetes management.This study aimed to assess healthcare providers...Objectives Diabetes remains a major global health challenge in China.Artificial intelligence(AI)has demonstrated considerable potential in improving diabetes management.This study aimed to assess healthcare providers’perceptions regarding AI in diabetes care across China.Methods A cross-sectional survey was conducted using snowball sampling from November 12 to November 24,2024.We selected 514 physicians and nurses by a snowball sampling method from healthcare providers across 30 cities or provinces in China.The self-developed questionnaire comprised five sections with 19 questions assessing medical workers’demographic characteristics,AI-related experience and interest,awareness,attitudes,and concerns regarding AI in diabetes care.Statistical analysis was performed using t-test,analysis of variance(ANOVA),and linear regression.Results Among them,20.0%and 48.1%of respondents had participated in AI-related research and training,while 85.4%expressed moderate to high interest in AI training for diabetes care.Most respondents reported partial awareness of AI in diabetes care,and only 12.6%exhibited a comprehensive or substantial understanding.Attitudes toward AI in diabetes care were generally positive,with a mean score of 24.50±3.38.Nurses demonstrated significantly higher scores than physicians(P<0.05).Greater awareness,prior AI training experience,and higher interest in AI training in diabetes care were strongly associated with more positive attitudes(P<0.05).Key concerns regarding AI included trust issues from AI-clinician inconsistencies(77.2%),increased workload and clinical workflow disruptions(63.4%),and incomplete legal and regulatory frameworks(60.3%).Only 34.2%of respondents expressed concerns about job displacement,indicating general confidence in their professional roles.Conclusions While Chinese healthcare providers show moderate awareness of AI in diabetes care,their attitudes are generally positive,and they are considerably interested in future training.Tailored,role-specific AI training is essential for equitable and effective integration into clinical practice.Additionally,transparent,reliable,ethical AI models must be prioritized to alleviate practitioners’concerns.展开更多
Based on the continuous downturn puzzle of Chinese dairy consumption,with the perception of consumption risk as a starting point,the paper deeply analyzes the main factors which cause the downturn of dairy product con...Based on the continuous downturn puzzle of Chinese dairy consumption,with the perception of consumption risk as a starting point,the paper deeply analyzes the main factors which cause the downturn of dairy product consumption of Chinese residents. The results show that the income elasticity of dairy consumption of Chinese urban residents is still notable; the occurrence of dairy safety incidents improves the perception of consumption risk,and accordingly it reduces the promoting role of income to the dairy consumption; the safety incident is the key factor which leads to the fall of dairy consumption of urban residents in recent years,and the perception of consumption risk of lower income group is clearly higher than that of higher income group.展开更多
With the rapid development of rural tourism in China,community residents,as important stakeholders in the development of rural tourism,their perceptions and attitudes directly affect the sustainable and healthy develo...With the rapid development of rural tourism in China,community residents,as important stakeholders in the development of rural tourism,their perceptions and attitudes directly affect the sustainable and healthy development of local rural tourism.Taking the community residents of Xiaogucheng Village in Hangzhou as the research object,using the methods of field interviews and questionnaires,a multiple regression model was established to conduct an empirical analysis on the perception and main factors affecting the development of rural tourism of community residents.The results show that the development of rural tourism in villages with better economic development is not as popular as expected;Where community residents have made ideological progress and are willing to participate in tourism development,the development effect of rural tourism is remarkable;In addition,community residents also hope that their personal abilities can be combined with rural tourism for common development;The destruction of community environment has a slight impact on the development of rural tourism,which shows that the attention is not enough.Finally,based on the analysis conclusion,it provides new ideas and inspiration for the sustainable development of rural tourism:improving the community residents’participation in rural tourism system,establishing the guidance mechanism of community residents’tourism vocational education,and consolidating the achievements of community ecological environment management.展开更多
In this article,comparative research on residents' effect perception,participation capacity and willingness on Pro-poor Tourism( PPT) is given based on the questionnaire carried out in Wulong County and Fengjie Co...In this article,comparative research on residents' effect perception,participation capacity and willingness on Pro-poor Tourism( PPT) is given based on the questionnaire carried out in Wulong County and Fengjie County in Three Gorges Area,Chongqing,China. Some technologies,such as SPSS 13. 0,ANOVA and T-test are applied to analyze the data and results show Wulong residents' perception behavior is better than that of Fengjie residents. Moreover,the residents with different demographic characteristics have different participation behavior.Finally,multiple regression analysis is applied to identify the key factors influencing residents' perception behavior,that is participation willingness and positive economic effect perception,positive social and cultural effect perception and participation capacity.展开更多
Based on the questionnaire investigation, the authors make a comparative study on local residents′ perception of tourism impacts in Xidi, Zhouzhuang and Jiuhua Mountain. The result shows that residents of the three p...Based on the questionnaire investigation, the authors make a comparative study on local residents′ perception of tourism impacts in Xidi, Zhouzhuang and Jiuhua Mountain. The result shows that residents of the three places tend to have strong and consistent perception of its positive economic, socio-cultural and environmental impacts, but distinctly diverse ones of its negative impacts. Residents in Xidi and Zhouzhuang also have noticeable perception of its negative environmental impacts while those in Jiuhua Mountain have weaker perception of them. The research confirms the fact that residents are more liable to have positive perceptions at the early stage of the life cycle of the tourist places. The authors conclude that there exists a nonlinear relationship between residents′ perception and tourism development stages, and that tourism socio-cultural impact may appear at an early stage of tourism development instead of being no universal.展开更多
Tephritid fruit flies are considered one of the world’s most notorious pests of horticultural crops, including mango (Mangefera indica L.) in Sierra Leone, causing extensive direct and indirect damage. A survey was c...Tephritid fruit flies are considered one of the world’s most notorious pests of horticultural crops, including mango (Mangefera indica L.) in Sierra Leone, causing extensive direct and indirect damage. A survey was conducted among 60 mango farmers in 7 districts in Sierra Leone between June and August, 2022, to assess their perceptions regarding fruit fly pest status and the current management options adopted for the control of this pest. Semi-structured questions designed in an open and closed-ended fashion were used for the study. The majority (83%) of the farmers were already aware of the fruit fly problem in the country with 62% perceiving it to be very severe. The majority (60%) of farmers, however, demonstrated poor knowledge of identifying fruit fly species, especially Bactrocera dorsalis, Ceratitis capitata, and Ceratitis cosyra. Farmers were more conversant about the direct damage symptoms to host fruits and the economic impact of fruit flies. A total of 32% of growers took no action to control fruit flies on their farms. Sixty-nine percent (69%) of the farmers adopted cultural control measures, like practicing prompt harvesting, collection and disposal of infested fruits, and weeding to maintain better sanitary conditions on their farms. Recommended fruit fly management strategies such as the use of botanicals and resistant varieties were either unknown or inaccessible to growers. A total of 52% applied chemicals that were not recommended for the control of fruit flies without considering their environmental and health risks. It is important to train fruit growers to improve their capabilities for fruit fly management through extension agents that are appropriate for helping them acquire basic knowledge of fruit fly pests and their management.展开更多
Objective: The health-related quality of life (HRQoL) theory was used to assess the health quality of elderly residents in Southwest China. This was done by using the European Five-Dimensional Health Scale in a compre...Objective: The health-related quality of life (HRQoL) theory was used to assess the health quality of elderly residents in Southwest China. This was done by using the European Five-Dimensional Health Scale in a comprehensive manner and by analysing the factors influencing it. The findings will provide new perspectives and ideas for improving the health-related quality of life of the elderly population and enhancing the precise health management of elderly residents. Methods: The response data of 1892 elderly residents in southwestern China were included in the analysis based on the CLHLS data. The factors influencing the occurrence of problems, EQ-VAS scores and health utility values were analysed by logistic regression, multiple linear regression and Tobit regression, respectively. Results: The primary health concerns among the elderly population in the Southwest region were limited ability to perform daily activities and pain or discomfort. These individuals exhibited an EQ-VAS self-assessment score of 66.51 ± 14.87 and a health utility value of 0.87 (0.70, 1.00). Gender, age, regular medical check-ups, exercise habits and the prevalence of chronic diseases are the main influencing factors. Conclusions: The health quality of elderly people in Southwest China needs to be improved, and a comprehensive management strategy can be adopted in terms of lifestyle management, health needs management and disease management to improve the quality of their healthy lives and promote the development of healthy ageing.展开更多
Valley economy is a type of economy that comprehensively utilizes the natural economic and social resources of the region based on environmental protection. This economy utilizes the basic role of the market in dispos...Valley economy is a type of economy that comprehensively utilizes the natural economic and social resources of the region based on environmental protection. This economy utilizes the basic role of the market in disposing resources and achieving regional development and social progress. In this paper we studied the town of Yanqi, a valley resort that has developed tourism-based valley economy for several years in the mountainous area of Beijing. This research identifies the spatial differentiation of tourism-related economic, socio-cultural, and environmental impact and level of support for tourism according to the perception and attitude of residents of Yanqi. The research area was divided into three zones(i.e., core, transition, and peripheral)according to the standard proposed by Jaakson. The residents in all three zones showed a positive attitude toward the tourism industry, and the residents in the core zone had a stronger perception toward the impact of tourism. However, several items indicated the converse. Correlation analysis and analysis of variance were used to explore the correlative factors associated with the attitudes of residents toward the tourism industry. Results indicated major differences among the three zones. Multiple factors, including natural conditions, policies, scenic spots, dependence on the tourism industry, and external investment in the three zones resulted in the spatial differentiation of the perception and attitude of residents toward the impact of tourism.展开更多
From the perspective of urban memory, the paper made empirical analysis of residents' perception after the trip to the historic and cultural block, by selecting Confucius Temple of Nanjing as the typical case, usi...From the perspective of urban memory, the paper made empirical analysis of residents' perception after the trip to the historic and cultural block, by selecting Confucius Temple of Nanjing as the typical case, using questionnaire survey, mathematical statistics and structural equation model. The results indicated that residents had different perceptions after the trip of different elements of the urban memory and some important influential factors were discussed. Moreover, some implications for local governments and planning department were proposed.展开更多
Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured...Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured interviews were conducted between April 1 and June 30,2022.Nine multiparas and thirteen health-related professionals were purposefully sampled until data saturation was reached.A thematic analysis approach was applied to the interview transcripts,utilizing dual independent coding and consensus validation in NVivo 12.0.Results:The data generated two overarching categories:1)balanced decision-making on the appropriate birth intervals and 2)internal and external determinants integrated with health and societal considerations.Four key themes emerged following the two categories:1)consistency and discrepancy between the actual and recommended birth intervals of multiparas;2)health-and developmentoriented professional recommendations;3)internal determinants related to individual-level factors;and 4)external determinants related to child-related factors,family support,and social security.Weighing women's reproductive health and career development,multiparas and health-related professionals perceived a length between 18 and 36 months as the appropriate Bl.Conclusion:Multiparas and health-related professionals shaped their balanced recommendations on a relatively appropriate birth interval ranging from 18 to 36 months,which was influenced by women's individual-level factors,child-related factors,family support,and social security.Targeted social and healthcare services should be offered to women and their families during the Bls.展开更多
Background:Despite self-determination theory’s prominence,few studies examine BPN in China’s ethnic frontier regions.Therefore,this study investigates and analyzes the current situation of community residents with d...Background:Despite self-determination theory’s prominence,few studies examine BPN in China’s ethnic frontier regions.Therefore,this study investigates and analyzes the current situation of community residents with different demographic characteristics in Yanbian in the three basic psychological needs of competency needs,autonomy needs and attribution needs,so as to provide reference for the construction of community service in Yanbian area.Methods:A survey was conducted among 234 residents in four communities in Yanbian from September to October 2024.The equal probability random sampling method was used to collect data by using a general information questionnaire and basic psychological demand scale,and SPSS 28.0 was used for analysis.Through single factor analysis,Pearson correlation analysis and multiple linear regression analysis,the influencing factors and correlation of basic psychological needs of community residents in Yanbian area were discussed.Results:The basic psychological needs of residents were above the middle level;there is a significant positive correlation between economic status and the three dimensions of basic psychological needs(P<0.001).There is a significant positive correlation between the three dimensions of competence demand(β=2.028,P<0.001),autonomy demand(β=2.022,P<0.001),and attribution demand(β=2.693,P<0.001).Conclusion:The satisfaction degree of basic psychological needs of community residents in Yanbian is significantly affected by economic situation,which urges nurses to advocate for economic empowerment programs in community health and provides an empirical basis for the construction of a psychological service system in this area.At the same time,it is proposed that the region can respond by improving social support and improving employment results.展开更多
Standardized residency training programs primarily focus on developing clinical diagnostic and treatment skills,often allocating limited time to research activities.However,enhancing research skills is of paramount im...Standardized residency training programs primarily focus on developing clinical diagnostic and treatment skills,often allocating limited time to research activities.However,enhancing research skills is of paramount importance for residents,as it fosters critical thinking,problem-solving abilities,and a deeper understanding of applying scientific principles to clinical practice.This paper explores the necessity and significance of integrating research training into residency programs,emphasizing its role in cultivating well-rounded physicians capable of advancing medical knowledge.This study proposes a competency-based research training model that encompasses research literacy,study design,biostatistics,and scientific writing.Additionally,online asynchronous training modules,robust mentorship,and balanced time management strategies are recommended to enhance residents’research engagement without compromising clinical training.By implementing these measures,residency programs can improve residents’research capabilities,contributing to both individual professional growth and the broader advancement of medical science.展开更多
文摘Residents play a fundamental role in the quality of tourists’experiences and satisfaction derived from a visit and,thus,in the success of a tourism destination.This paper addresses the perceptions that residents have the impacts of tourism on Madeira Island,a mature tourism destination.Based on data extracted from a survey administered to residents during August and September 2018,we inquired on the extent to which they maintain a positive perception of the impacts of the tourist industry.The survey tried to address the residents’perceptions of economic,cultural,social,or environmental impacts.In the analysis of the data,both descriptive and multivariable statistical methods were used.The empirical results attained indicate that residents feel that there is no excess of tourism on the island.They do not fail to realize that there are a few negative consequences,but the positive ones got better scores on average.Being an inhabitant of an urban or a rural site did not seem to influence differently the perceptions gathered on the contribution of tourism to the overall development of Madeira Island.This type of analysis can serve as a useful tool for tourism planners and managers in order to prevent or minimize eventual negative impacts of the tourism industry as felt by the local inhabitants and,thus,for creating the required policies.
基金supported by the National Natural Science Foundation of China(U20A20111)the National key R&D Program(2022YFC3080100)。
文摘The evacuation of people under threat is an effective disaster prevention and mitigation measure in response to flash floods and geological hazards,and it is also an essential element of pre-disaster planning.However,the effect of the interactions between perception factors on residents'willingness to evacuate is an urgent problem to be solved.Therefore,this paper introduces risk,stakeholder,and protective action perceptions from the protective action decision model as the main explanatory variables.These three core perceptions are subdivided into affective risk perception,cognitive risk perception,government perception,other-stakeholder perception,resourcerelated attributes,and hazard-related attributes.A questionnaire survey was conducted from June to July 2023 among residents of mountainous communities in nine villages in three towns in Sichuan Province,China.359 cross-sectional data were analyzed using structural equation modeling to explore the effects of six perception factors on evacuation intentions.The results of the study showed that:(1)affective risk perception,government perception,other-stakeholder perception,and hazard-related attributes all directly and positively influence residents'intentions to evacuate;(2)cognitive risk perception is mediated by stakeholder and protective action perceptions,which indirectly and positively affect residents'intentions to evacuate.Based on the hypothesized paths,strategies to improve residents'willingness to evacuate are discussed from the perspective of three core perceptions:strengthening disaster risk education,improving residents'cohesion,and building government credibility.The results of this study can provide theoretical support and practical suggestions for emergency management departments to formulate emergency evacuation strategies,which can aid decision-makers in better understanding residents'intentions to evacuate,optimizing evacuation information dissemination pathways,and strengthening disaster risk management capabilities.
文摘BACKGROUND: We compare educational environments(i.e. physical, emotional and intellectual experiences) of emergency medicine(EM) residents training in the United States of America(USA) and Saudi Arabia(SA).METHODS: A cross-sectional survey study was conducted using an adapted version of the validated Postgraduate Hospital Educational Environment Measure(PHEEM) survey instrument from April 2015 through June 2016 to compare educational environments in all emergency medicine residency programs in SA and three selected programs in the USA with a history of training Saudi physicians. Overall scores were compared across programs, and for subscales(autonomy, teaching, and social Support), using chi-squared, t-tests, and analysis of variance.RESULTS: A total of 219 surveys were returned for 260 residents across six programs(3 SA, 3 USA), with a response rate of 84%. Program-specific response rates varied from 79%–100%. All six residencies were qualitatively rated as "more positive than negative but room for improvement". Quantitative PHEEM scores for the USA programs were significantly higher: 118.7 compared to 109.9 for SA, P=0.001. In subscales, perceptions of social support were not different between the two countries(P=0.243); however, role autonomy(P<0.001) and teaching(P=0.005) were better in USA programs. There were no significant differences by post-graduate training year.CONCLUSION: EM residents in all three emergency medicine residency programs in SA and the three USA programs studied perceive their training as high quality in general, but with room for improvements. USA residency programs scored higher in overall quality. This was driven by more favorable perceptions of role autonomy and teaching. Understanding how residents perceive their programs may help drive targeted quality improvement efforts.
文摘Multi-linguistic landscape such as Macao＇s street names consisting of Chinese and Portuguese is regarded as a significant cultural artifact. However, the studies of street names of tourism destinations are rare in tourism field. This study therefore attempts to investigate the relationship between Macao＇s street names and residents＇ perceptions, and to identify residents＇ support for Macao＇s street names as a tourism attraction. Appropriately statistical analyses such as frequency analysis, independent-samples t-test, and analysis of variance （ANOVA） were used to achieve the objectives. The results of study show that trilingual street names consisting of Chinese, Portuguese, and English might satisfy residents＇ needs more than bilingual street names written in Chinese and Portuguese. Besides, residents with longer length-of-residence or residents who are willing to work in tourism related industry have a tendency to support Macao＇s street names for becoming tourism attraction.
文摘Aim: This research aims to evaluate patient-centeredness and communication skills from the patients’ point of view and that of the physicians’ point of view and compares the two outcomes. Methods: This was a cross-sectional study with a convenient sample of 418 patients and 94 residents. Instrument of the study was a structured questionnaire that aimed to evaluate patient centeredness and communication skills of the residents. Results: Residents gave themselves a significantly higher score than the score given to them by patients in most studied aspects such as the extent to which the doctor discussed the patient’s problem, the extent to which the doctor explained the problem, the doctor introduced himself, the doctor greeted the patient properly and others. The only aspect for which patients gave residents higher score than that residents gave themselves was the extent to which the doctor asked the patient about what is expected to be done (ECG, CT scan, giving antibiotics, …). Conclusion: A transformation from doctor centered approach to patient centered approach is needed.
文摘[Objective] The study aims to put forward some countermeasures on rural tourism development in 'Beijing-tianjin Passageway' area, and make some planning, in order to improve the healthy development of rural tourism by investigating residents′ perception to tourism influence, participation level to tourism and the effects of rural tourism development on local economy, social culture and environment. [Method] Residents′ perception is established by questionnaire, it includes 33 perceptions, such as 10 economic perceptions, 11 tourism social culture perceptions, 7 tourism environment perceptions and 5 total tourism perceptions. Using 5 points system to make quantitative determination, 1 indicates extremely opposing, 2 indicates opposing, 3 indicates unknown, 4 indicates approving, 5 indicates extremely approving, questionnaire is analyzed by relative statistics. [Result] The results show that: ①the perception of positive influence of villagers is stronger than negative influence; ②the concern to economical influence of villagers is stronger than social cultural and environmental influence; ③villagers hold reasonable support to the integral development of tourism. [Conclusion] According to the conclusion and the suggestion that villagers offer, it proposes the following countermeasures: ①to pay attention to the villagers′ benefits and take part in tourism planning; ②to attach importance to the education of villagers′ and enhance the involvement; ③ to strengthen the reception management and standardize the industry standards; ④to step up publicity and expand the scale of tourism.
文摘This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discomfort,but also carry a significant emotional burden,often exacerbated by social stigma.Psycho-logical factors,including stress,anxiety,and depression,activate neuroendocrine pathways,such as the hypothalamic–pituitary–adrenal axis,disrupting the gut microbiota and leading to dysbiosis.This disruption can delay wound healing,prolong hospital stay,and intensify pain.Drawing on the findings of Hou et al,our article highlights the critical role of illness perception and negative emotions in shaping recovery outcomes.It advocates for a holistic approach that integrates psychological support and gut microbiota modulation,to enhance healing and improve overall patient outcomes.
基金Under the auspices of Canadian International Development Agency Project (No. S-61562) Ecotourism Planning and Management in Dalian City of Dalian Science&Technology Bureau(No.2004B3SF171)
文摘Tourism can have both positive and negative outcomes for residents in tourism destinations, It is a good method to analyze the status of tourism impact by means of investigating residents＇ perceptions of it. Various methods have been used in previous authoritative studies. However, owing to inherent imprecision, difficulties always exist in some conventional methodologies when describing the interpretation of linguistic or measured uncertainties for real-world randoln phenomena. The purpose of this research is to present the fuzzy synthetic evaluation method to investigate residents＇ perceptions of tourisln impacts. At first, basic attributes and a hierarchical framework of tourism impacts are defined and formed. Secondly, the weighted vectors are determined according to the knowledge and experience of experts. Thirdly, the weighted evaluation matrices are aggregated to get the fuzzy sets of tourism impacts. In the last stage, the final fuzzy sets are defuzzified to get the rank of the residents＇ perceptions of tourism impacts. A case study in Jiuzhaigou National Park of China is provided to demonstrate the application of this method.
基金supported by the Jiangsu Provincial Department of Science and Technology Social Development Project(No.BE2020787)。
文摘Objectives Diabetes remains a major global health challenge in China.Artificial intelligence(AI)has demonstrated considerable potential in improving diabetes management.This study aimed to assess healthcare providers’perceptions regarding AI in diabetes care across China.Methods A cross-sectional survey was conducted using snowball sampling from November 12 to November 24,2024.We selected 514 physicians and nurses by a snowball sampling method from healthcare providers across 30 cities or provinces in China.The self-developed questionnaire comprised five sections with 19 questions assessing medical workers’demographic characteristics,AI-related experience and interest,awareness,attitudes,and concerns regarding AI in diabetes care.Statistical analysis was performed using t-test,analysis of variance(ANOVA),and linear regression.Results Among them,20.0%and 48.1%of respondents had participated in AI-related research and training,while 85.4%expressed moderate to high interest in AI training for diabetes care.Most respondents reported partial awareness of AI in diabetes care,and only 12.6%exhibited a comprehensive or substantial understanding.Attitudes toward AI in diabetes care were generally positive,with a mean score of 24.50±3.38.Nurses demonstrated significantly higher scores than physicians(P<0.05).Greater awareness,prior AI training experience,and higher interest in AI training in diabetes care were strongly associated with more positive attitudes(P<0.05).Key concerns regarding AI included trust issues from AI-clinician inconsistencies(77.2%),increased workload and clinical workflow disruptions(63.4%),and incomplete legal and regulatory frameworks(60.3%).Only 34.2%of respondents expressed concerns about job displacement,indicating general confidence in their professional roles.Conclusions While Chinese healthcare providers show moderate awareness of AI in diabetes care,their attitudes are generally positive,and they are considerably interested in future training.Tailored,role-specific AI training is essential for equitable and effective integration into clinical practice.Additionally,transparent,reliable,ethical AI models must be prioritized to alleviate practitioners’concerns.
基金Supported by Agricultural Production,Market Circulation Management and Information Service Key Technology Research and Demonstration Project(2012BAH20B04)National Natural Science Foundation of China(71203221)Beijing Innovation Team Project of Dairy Industry Technology System
文摘Based on the continuous downturn puzzle of Chinese dairy consumption,with the perception of consumption risk as a starting point,the paper deeply analyzes the main factors which cause the downturn of dairy product consumption of Chinese residents. The results show that the income elasticity of dairy consumption of Chinese urban residents is still notable; the occurrence of dairy safety incidents improves the perception of consumption risk,and accordingly it reduces the promoting role of income to the dairy consumption; the safety incident is the key factor which leads to the fall of dairy consumption of urban residents in recent years,and the perception of consumption risk of lower income group is clearly higher than that of higher income group.
基金supported by the Soft Science Project of Zhejiang Province(Grant No.2020C 35084)Scientific Research Project of Qianjiang College of Hangzhou Normal University
文摘With the rapid development of rural tourism in China,community residents,as important stakeholders in the development of rural tourism,their perceptions and attitudes directly affect the sustainable and healthy development of local rural tourism.Taking the community residents of Xiaogucheng Village in Hangzhou as the research object,using the methods of field interviews and questionnaires,a multiple regression model was established to conduct an empirical analysis on the perception and main factors affecting the development of rural tourism of community residents.The results show that the development of rural tourism in villages with better economic development is not as popular as expected;Where community residents have made ideological progress and are willing to participate in tourism development,the development effect of rural tourism is remarkable;In addition,community residents also hope that their personal abilities can be combined with rural tourism for common development;The destruction of community environment has a slight impact on the development of rural tourism,which shows that the attention is not enough.Finally,based on the analysis conclusion,it provides new ideas and inspiration for the sustainable development of rural tourism:improving the community residents’participation in rural tourism system,establishing the guidance mechanism of community residents’tourism vocational education,and consolidating the achievements of community ecological environment management.
基金Supported by Chongqing Social Science Planning Project(2012BS44)Special Funds of Central Universities Basic Research Funds under Southwest University(SWU1309219)
文摘In this article,comparative research on residents' effect perception,participation capacity and willingness on Pro-poor Tourism( PPT) is given based on the questionnaire carried out in Wulong County and Fengjie County in Three Gorges Area,Chongqing,China. Some technologies,such as SPSS 13. 0,ANOVA and T-test are applied to analyze the data and results show Wulong residents' perception behavior is better than that of Fengjie residents. Moreover,the residents with different demographic characteristics have different participation behavior.Finally,multiple regression analysis is applied to identify the key factors influencing residents' perception behavior,that is participation willingness and positive economic effect perception,positive social and cultural effect perception and participation capacity.
基金Undertheauspicesof the Fund Project of Anhui Provincial Education Office (No. 2003kj155)
文摘Based on the questionnaire investigation, the authors make a comparative study on local residents′ perception of tourism impacts in Xidi, Zhouzhuang and Jiuhua Mountain. The result shows that residents of the three places tend to have strong and consistent perception of its positive economic, socio-cultural and environmental impacts, but distinctly diverse ones of its negative impacts. Residents in Xidi and Zhouzhuang also have noticeable perception of its negative environmental impacts while those in Jiuhua Mountain have weaker perception of them. The research confirms the fact that residents are more liable to have positive perceptions at the early stage of the life cycle of the tourist places. The authors conclude that there exists a nonlinear relationship between residents′ perception and tourism development stages, and that tourism socio-cultural impact may appear at an early stage of tourism development instead of being no universal.
文摘Tephritid fruit flies are considered one of the world’s most notorious pests of horticultural crops, including mango (Mangefera indica L.) in Sierra Leone, causing extensive direct and indirect damage. A survey was conducted among 60 mango farmers in 7 districts in Sierra Leone between June and August, 2022, to assess their perceptions regarding fruit fly pest status and the current management options adopted for the control of this pest. Semi-structured questions designed in an open and closed-ended fashion were used for the study. The majority (83%) of the farmers were already aware of the fruit fly problem in the country with 62% perceiving it to be very severe. The majority (60%) of farmers, however, demonstrated poor knowledge of identifying fruit fly species, especially Bactrocera dorsalis, Ceratitis capitata, and Ceratitis cosyra. Farmers were more conversant about the direct damage symptoms to host fruits and the economic impact of fruit flies. A total of 32% of growers took no action to control fruit flies on their farms. Sixty-nine percent (69%) of the farmers adopted cultural control measures, like practicing prompt harvesting, collection and disposal of infested fruits, and weeding to maintain better sanitary conditions on their farms. Recommended fruit fly management strategies such as the use of botanicals and resistant varieties were either unknown or inaccessible to growers. A total of 52% applied chemicals that were not recommended for the control of fruit flies without considering their environmental and health risks. It is important to train fruit growers to improve their capabilities for fruit fly management through extension agents that are appropriate for helping them acquire basic knowledge of fruit fly pests and their management.
文摘Objective: The health-related quality of life (HRQoL) theory was used to assess the health quality of elderly residents in Southwest China. This was done by using the European Five-Dimensional Health Scale in a comprehensive manner and by analysing the factors influencing it. The findings will provide new perspectives and ideas for improving the health-related quality of life of the elderly population and enhancing the precise health management of elderly residents. Methods: The response data of 1892 elderly residents in southwestern China were included in the analysis based on the CLHLS data. The factors influencing the occurrence of problems, EQ-VAS scores and health utility values were analysed by logistic regression, multiple linear regression and Tobit regression, respectively. Results: The primary health concerns among the elderly population in the Southwest region were limited ability to perform daily activities and pain or discomfort. These individuals exhibited an EQ-VAS self-assessment score of 66.51 ± 14.87 and a health utility value of 0.87 (0.70, 1.00). Gender, age, regular medical check-ups, exercise habits and the prevalence of chronic diseases are the main influencing factors. Conclusions: The health quality of elderly people in Southwest China needs to be improved, and a comprehensive management strategy can be adopted in terms of lifestyle management, health needs management and disease management to improve the quality of their healthy lives and promote the development of healthy ageing.
基金funded by Nation Science Foundation Project "Spatial Distribution and Optimized Model of Recreation Land in Suburban Areas" (Grant No. 41071110)
文摘Valley economy is a type of economy that comprehensively utilizes the natural economic and social resources of the region based on environmental protection. This economy utilizes the basic role of the market in disposing resources and achieving regional development and social progress. In this paper we studied the town of Yanqi, a valley resort that has developed tourism-based valley economy for several years in the mountainous area of Beijing. This research identifies the spatial differentiation of tourism-related economic, socio-cultural, and environmental impact and level of support for tourism according to the perception and attitude of residents of Yanqi. The research area was divided into three zones(i.e., core, transition, and peripheral)according to the standard proposed by Jaakson. The residents in all three zones showed a positive attitude toward the tourism industry, and the residents in the core zone had a stronger perception toward the impact of tourism. However, several items indicated the converse. Correlation analysis and analysis of variance were used to explore the correlative factors associated with the attitudes of residents toward the tourism industry. Results indicated major differences among the three zones. Multiple factors, including natural conditions, policies, scenic spots, dependence on the tourism industry, and external investment in the three zones resulted in the spatial differentiation of the perception and attitude of residents toward the impact of tourism.
基金Sponsored by National Natural Science Foundation of China(41401152)Youth Funds of Humanities and Social Sciences Research of the Ministry of Education(14YJCZH228)+1 种基金Domestic Senior Visiting Scholar Foundation of Jiangsu Provincial Higher Vocational Colleges(2015FX036)Key Project of Humanities and Social Sciences Foundation of Nanjing Institute of Industry Technology(YK13-05-03)
文摘From the perspective of urban memory, the paper made empirical analysis of residents' perception after the trip to the historic and cultural block, by selecting Confucius Temple of Nanjing as the typical case, using questionnaire survey, mathematical statistics and structural equation model. The results indicated that residents had different perceptions after the trip of different elements of the urban memory and some important influential factors were discussed. Moreover, some implications for local governments and planning department were proposed.
基金supported by the Key Discipline Program of the Fifth Round of the Three-Year Public Health Action Plan(2020-2022 Year)of Shanghai,China(GWV-10.1-XK08).
文摘Objectives:This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals(Bis)and key determinants.Methods:In-depth semi-structured interviews were conducted between April 1 and June 30,2022.Nine multiparas and thirteen health-related professionals were purposefully sampled until data saturation was reached.A thematic analysis approach was applied to the interview transcripts,utilizing dual independent coding and consensus validation in NVivo 12.0.Results:The data generated two overarching categories:1)balanced decision-making on the appropriate birth intervals and 2)internal and external determinants integrated with health and societal considerations.Four key themes emerged following the two categories:1)consistency and discrepancy between the actual and recommended birth intervals of multiparas;2)health-and developmentoriented professional recommendations;3)internal determinants related to individual-level factors;and 4)external determinants related to child-related factors,family support,and social security.Weighing women's reproductive health and career development,multiparas and health-related professionals perceived a length between 18 and 36 months as the appropriate Bl.Conclusion:Multiparas and health-related professionals shaped their balanced recommendations on a relatively appropriate birth interval ranging from 18 to 36 months,which was influenced by women's individual-level factors,child-related factors,family support,and social security.Targeted social and healthcare services should be offered to women and their families during the Bls.
基金supported in part by the 2025 Yanbian University College Students’Innovation and Entrepreneurship Training Program.
文摘Background:Despite self-determination theory’s prominence,few studies examine BPN in China’s ethnic frontier regions.Therefore,this study investigates and analyzes the current situation of community residents with different demographic characteristics in Yanbian in the three basic psychological needs of competency needs,autonomy needs and attribution needs,so as to provide reference for the construction of community service in Yanbian area.Methods:A survey was conducted among 234 residents in four communities in Yanbian from September to October 2024.The equal probability random sampling method was used to collect data by using a general information questionnaire and basic psychological demand scale,and SPSS 28.0 was used for analysis.Through single factor analysis,Pearson correlation analysis and multiple linear regression analysis,the influencing factors and correlation of basic psychological needs of community residents in Yanbian area were discussed.Results:The basic psychological needs of residents were above the middle level;there is a significant positive correlation between economic status and the three dimensions of basic psychological needs(P<0.001).There is a significant positive correlation between the three dimensions of competence demand(β=2.028,P<0.001),autonomy demand(β=2.022,P<0.001),and attribution demand(β=2.693,P<0.001).Conclusion:The satisfaction degree of basic psychological needs of community residents in Yanbian is significantly affected by economic situation,which urges nurses to advocate for economic empowerment programs in community health and provides an empirical basis for the construction of a psychological service system in this area.At the same time,it is proposed that the region can respond by improving social support and improving employment results.
基金Research on the Construction of a Course Ideological and Political Education System and Evaluation Framework for the“Traditional Chinese Medicine Internal Medicine”Course(Project No.:2025J0459)Open Research Fund Program of Yunnan Key Laboratory of Integrated Traditional Chinese(Project No.:CWCD2023-002,CWCD2023-003&CWCD2023-009)+2 种基金Western Medicine for Chronic Disease in Prevention and TreatmentYunnan 047 Key Laboratory of Yi Dai Medicine and Yi Medicine(Project No.:2024SS24047)Yunnan 025 Key Laboratory of Yi Dai Medicine and Yi Medicine(Project No.:2024SS24025)。
文摘Standardized residency training programs primarily focus on developing clinical diagnostic and treatment skills,often allocating limited time to research activities.However,enhancing research skills is of paramount importance for residents,as it fosters critical thinking,problem-solving abilities,and a deeper understanding of applying scientific principles to clinical practice.This paper explores the necessity and significance of integrating research training into residency programs,emphasizing its role in cultivating well-rounded physicians capable of advancing medical knowledge.This study proposes a competency-based research training model that encompasses research literacy,study design,biostatistics,and scientific writing.Additionally,online asynchronous training modules,robust mentorship,and balanced time management strategies are recommended to enhance residents’research engagement without compromising clinical training.By implementing these measures,residency programs can improve residents’research capabilities,contributing to both individual professional growth and the broader advancement of medical science.
