BACKGROUND Hepatocellular carcinoma(HCC)is notorious for its aggressive progression and dismal prognosis,with chromatin accessibility dynamics emerging as pivotal yet poorly understood drivers.AIM To dissect how multi...BACKGROUND Hepatocellular carcinoma(HCC)is notorious for its aggressive progression and dismal prognosis,with chromatin accessibility dynamics emerging as pivotal yet poorly understood drivers.AIM To dissect how multilayered chromatin regulation sustains oncogenic transcription and tumor-stroma crosstalk in HCC,we combined multiomics single cell analysis.METHODS We integrated single-cell RNA sequencing and paired single-cell assay for transposase-accessible chromatin with sequencing data of HCC samples,complemented by bulk RNA sequencing validation across The Cancer Genome Atlas,Liver Cancer Institute,and GSE25907 cohorts.Cell type-specific chromatin architectures were resolved via ArchR,with regulatory hubs identified through peak-to-gene linkages and coaccessibility networks.Functional validation employed A485-mediated histone 3 lysine 27 acetylation suppression and small interfering RNA targeting DGAT1.RESULTS Malignant hepatocytes exhibited expanded chromatin accessibility profiles,characterized by increased numbers of accessible peaks and larger physical regions despite reduced peak intensity.Enhancer-like peaks enriched in malignant regulation,forming long-range hubs.Eighteen enhancer-like peak-related genes showed tumor-specific overexpression and diagnostic accuracy,correlating with poor prognosis.Intercellular coaccessibility analysis revealed tumor-stroma symbiosis via shared chromatin states.Pharmacological histone 3 lysine 27 acetylation inhibition paradoxically downregulated DGAT1,the hub gene most strongly regulated by chromatin accessibility.DGAT1 knockdown suppressed cell proliferation.CONCLUSION Multilayered chromatin reprogramming sustains HCC progression through tumor-stroma crosstalk and DGAT1-related oncogenic transcription,defining targetable epigenetic vulnerabilities.展开更多
Ensuring the provision of accessible,affordable,and high-quality public services to all individuals aligns with one of the paramount aims of the United Nations’Sustainable Development Goals(SDGs).In the face of esca ...Ensuring the provision of accessible,affordable,and high-quality public services to all individuals aligns with one of the paramount aims of the United Nations’Sustainable Development Goals(SDGs).In the face of esca lating urbanization and a dwindling rural populace in China,reconstructing rural settlements to enhance public service accessibility has become a fundamental strategy for achieving the SDGs in rural areas.However,few stud ies have examined the optimal methods for rural settlement reconstruction that ensure accessible and equitable public services while considering multiple existing facilities and service provisions.This paper focuses on rural settlement reconstruction in the context of the SDGs,employing an inverted MCLP-CC(maximal coverage loca tion problem for complementary coverage)model to identify optimal rural settlements and a rank-based method for their relocation.Conducted in Changyuan,a county-level city in Henan Province,China,this study observed significant enhancements in both accessibility and equity following rural settlement reconstruction by utilizing the MH3SFCA(modified Huff 3-step floating catchment area)and the spatial Lorenz curve method.Remarkably,these improvements were achieved without the addition of new facilities,with the accessibility increasing by 44.21%,4.97%,and 3.11%;Gini coefficients decreasing by 19.53%,1.64%,and 3.18%;Ricci-Schutz coef-ficients decreasing by 21.09%,2.09%,and 4.33%for educational,medical,and cultural and sports facilities,respectively.It indicated that rural settlement reconstruction can bolster the accessibility and equity of public ser-vices by leveraging existing facilities.This paper provides a new framework for stakeholders to better reconstruct rural settlements and promote sustainable development in rural areas in China.展开更多
Objective:The scarcity of healthcare resources and inadequate access to medical services in rural and remote areas are pervasive challenges many countries face,particularly in the developing world.Telemedicine,with it...Objective:The scarcity of healthcare resources and inadequate access to medical services in rural and remote areas are pervasive challenges many countries face,particularly in the developing world.Telemedicine,with its capacity to overcome geographical barriers and provide patients with real‐time medical services,has shown considerable potential in addressing these issues,attracting wide-spread attention.Compact medical communities and family doctor systems play important roles in improving healthcare accessibility.However,despite the critical nature of patients'perceptions of healthcare accessibility,research in this domain is sparse.This study aimed to explore the impact of telemedicine on rural residents'perceived healthcare accessibility in China,analyze the mechanisms underpinning this relationship,and elucidate the roles of compact medical communities and the family doctor system.Methods:Survey data from 3311 rural residents were analyzed using a probit model,instrumental variables,and subgroup regression analyses to ascertain causal effects,perform heterogeneity analysis,examine mechanisms,and ascertain the robustness of the findings.Results:Telemedicine significantly enhanced rural residents'perceived healthcare accessibility,with particularly notable benefits for those in sparsely populated areas,regions with high‐speed internet access,within the purview of compact healthcare consortiums,and those with access to family doctor services.Furthermore,telemedicine improved rural residents'perceived healthcare accessibility by encouraging the use of primary care services.Conclusion:Telemedicine in China has played a significant role in improving the perceived healthcare accessibility among rural residents and aiding in the reduction of disparities in accessibility across different demographic groups.This is consistent with the broader objective of achieving universal health coverage.However,the efficacy of telemedicine in enhancing healthcare accessibility is contingent upon certain preconditions.Policymakers must confront local infrastructure challenges,particularly regarding internet connectivity,when expanding telemedicine services to ensure their effective operation.The synergistic interaction observed between telemedicine,the family doctor system,and compact medical communities highlights the importance of integrating telemedicine into existing healthcare systems.Such integration could enhance collaboration with current healthcare frameworks,ensuring the provision of safe,accessible,and affordable healthcare services,and promoting the health and well‐being of local populations.展开更多
Since the 1970s,a series of international and national sources have supported the principle of accessibility,which slowly has become a statuary norm and a legislative obligation.Each country has implemented accessibil...Since the 1970s,a series of international and national sources have supported the principle of accessibility,which slowly has become a statuary norm and a legislative obligation.Each country has implemented accessibility through a singular policy.But in addition to the accessibility of a place or an activity,to inform about what is accessible is very important as well,and has not really taken off.Indeed,for disabled people,the difficulty lies not only with access to places and the use of resources,but also with the visibility of these resources.This means that information concerning accessibility has to be disclosed and provided effectively to disabled people,those involved with them and the relevant institutions.In different countries all over the world,many labels and pictograms have been created for this purpose and give information relating to accessibility.Using a socio-historical approach,we will present and analyze the different types of icons,symbols,pictograms and labels that have been put in place around the world and in France:what are they used for and for whom are they made?We will show that they are pointers which firstly reflect the diversity and range within the target group concerned by accessibility,and secondly the evolution of accessibility as a dynamic and ecological principle.展开更多
Central nervous system(CNS) axons fail to regenerate following brain or spinal cord injury(SCI),which typically leads to permanent neurological deficits.Peripheral nervous system axons,howeve r,can regenerate followin...Central nervous system(CNS) axons fail to regenerate following brain or spinal cord injury(SCI),which typically leads to permanent neurological deficits.Peripheral nervous system axons,howeve r,can regenerate following injury.Understanding the mechanisms that underlie this difference is key to developing treatments for CNS neurological diseases and injuries characterized by axonal damage.To initiate repair after peripheral nerve injury,dorsal root ganglion(DRG) neurons mobilize a pro-regenerative gene expression program,which facilitates axon outgrowth.展开更多
The rise in online home delivery services(OHDS)has had a significant impact on how urban services are supplied and used in recent years.Studies on the spatial accessibility of OHDS are emerging,but few is known about ...The rise in online home delivery services(OHDS)has had a significant impact on how urban services are supplied and used in recent years.Studies on the spatial accessibility of OHDS are emerging,but few is known about the temporal dimension of OHDS accessibility as well as the geographic and socioeconomic differences in the spatiotemporal accessibility of OHDS.This study measures the spatiotemporal accessibility of four types of OHDS,namely leisure,fresh and convenient,medical,and catering services.The geographic and socioeconomic disparities in the spatiotemporal accessibility of these four types of OHDS are then identified using spatial statistical methods and the Kruskal-Wallis test(K-W test).The case study in Nanjing,China,suggests that:1)spatiotemporal accessibility better reflects the temporal variation of OHDS accessibility and avoids overestimation of OHDS accessibility when only considering its spatial dimension.2)The spatiotemporal accessibility of OHDS varies geographically and socioeconomically.Neighborhoods located in the main city or neighborhoods with higher housing prices,higher population density,and higher point of interest(POI)mix have better OHDS spatiotemporal accessibility.Our study contributes to the understanding of OHDS accessibility from a spatiotemporal perspective,and the empirical insights can assist policymakers in creating intervention plans that take into account variations in OHDS spatiotemporal accessibility.展开更多
Equal access to social infrastructures is a fundamental prerequisite for sustainable development,but has long been a great challenge worldwide.Previous studies have primarily focused on the accessibility to social inf...Equal access to social infrastructures is a fundamental prerequisite for sustainable development,but has long been a great challenge worldwide.Previous studies have primarily focused on the accessibility to social infras-tructures in urban areas across various scales,with less attention to rural areas,where inequality can be more severe.Particularly,few have investigated the disparities of accessibility to social infrastructures between urban and rural areas.Here,using the Changsha-Zhuzhou-Xiangtan urban agglomeration,China,as an example,we investigated the inequality of accessibility in both urban and rural areas,and further compared the urban-rural difference.Accessibility was measured by travel time of residents to infrastructures.We selected four types of social infrastructures including supermarkets,bus stops,primary schools,and health care,which were funda-mentally important to both urban and rural residents.We found large disparities in accessibility between urban and rural areas,ranging from 20 min to 2 h.Rural residents had to spend one to two more hours to bus stops than urban residents,and 20 min more to the other three types of infrastructures.Furthermore,accessibility to multiple infrastructures showed greater urban-rural differences.Rural residents in more than half of the towns had no access to any infrastructure within 15 min,while more than 60%of the urban residents could access to all infrastructures within 15 min.Our results revealed quantitative accessibility gap between urban and rural areas and underscored the necessity of social infrastructures planning to address such disparities.展开更多
Transportation accessibility has been treated as an important means of reducing the urban-rural income disparity.However,only a few studies have examined the effects of different types of transportation accessibility ...Transportation accessibility has been treated as an important means of reducing the urban-rural income disparity.However,only a few studies have examined the effects of different types of transportation accessibility on urban-rural income disparity and their spatial heterogeneity.Based on data from 285 prefecture-level(and above)Chinese cities in 2000,2005,2010,2015,and 2020,this study uses spatial econometric models to examine how highway accessibility and railway accessibility influence the urban-rural income disparity and to identify their spatial heterogeneity.The result reveals that highway accessibility and railway accessibility have‘coreperiphery’ring-like circle structures.The urban-rural income disparity exhibits strong spatial clustering effects.Both highway accessibility and railway accessibility are negatively associated with urban-rural income disparity,and the former having a greater effect size.Moreover,there is a substitution effect between highway accessibility and railway accessibility in the whole sample.Furthermore,these associations differ in geographic regions.In the central region,highway accessibility is more important in reducing the urban-rural income disparity,but its effect is weakened with the increase of railway accessibility.In the western region,railway accessibility has a larger effect on narrowing the urban-rural income disparity,and this effect is strengthened by the increase of highway accessibility.We conclude that improving transportation accessibility is conducive to reducing the urban-rural income disparity but its effect is spatial heterogenetic.Highways and railways should be developed in a coordinated manner to promote an integrated transport network system.展开更多
Understanding the spatial interaction among residents,cooling service,and heat risk area in complex urban areas is conducive to developing targeted management.However,traditional urban thermal environment assessments ...Understanding the spatial interaction among residents,cooling service,and heat risk area in complex urban areas is conducive to developing targeted management.However,traditional urban thermal environment assessments typically relied on simple linear integration of associated indicators,often neglecting the spatial interaction effect.To explore the spatial interaction among the three elements,this study proposes an accessibility-based urban thermal environment assessment framework.Using Zhengzhou,a rapidly urbanizing city,as an example,remotely sensed images from three periods(2010,2015 and 2020)were applied to extract urban green space(UGS)and hot island area(HIA).An improved two-step floating catchment area(2SFCA)method and bivariate local Moran’s I were employed to explore whether residents’clustering locations are more likely to access cooling service or to be exposed to heat risk.The results demonstrate that the UGS in the city has been expanding,whereas the HIA shrank within the inner city in 2015 and then increased in 2020.Even though the urban thermal environment may have improved in the last decade,the spatial interaction among the residents,cooling service and heat risk area could be exacerbated.Spatial autocorrelation shows an increase in locations that are disadvantageous for resident congregation.Even when sufficient cooling services were provided,residents in these areas could still be exposed to high heat risk.The developed urban thermal environment framework provides a novel insight into the residents’heat risk exposure and cooling service accessibility,and the findings could assist urban planners in targeting the improvement of extra heat exposure risk locations.展开更多
The scarcity of public resources and environmental pollution caused by rapid urbanization highlight the practical significance of parks in ensuring the sustainable development of a city.Therefore,the social equity of ...The scarcity of public resources and environmental pollution caused by rapid urbanization highlight the practical significance of parks in ensuring the sustainable development of a city.Therefore,the social equity of parks warrants further study.This paper proposes a fine-grained comprehensive evaluation framework that combines geographic accessibility models,geo-statistical analysis,and machine learning algorithms to explore social inequity in Taiyuan,China.In this framework,gini coefficient and lorentz curve express spatial equality,accessibility shows spatial equity,and ridge regression model handles the interdependence of variables with different dimensions to quantify the relative effects of local participants on changes in park accessibility.On this basis,the imbalance between vulnerable groups and park supply is analyzed to further understand the core concept of social equity.Results highlight serious spatial inequality in all three types of parks allocation of six urban areas,especially in community parks.The actual access level of people to parks is also stratified by their demographic and socioeconomic characteristics,revealing the social inequity in access to parks.Park distribution is indeed not conducive to some social vulnerable groups,whose contradiction between supply and demand is highly prominent in urban-rural junctions and new urban areas.This paper also confirms the unfair layout of public facilities can be observed in second-tier cities of China by highlighting the social inequity of parks in Taiyuan.The findings of this work have profound implications for urban planning and sustainable development.展开更多
The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facili...The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facilities is an inevitable requirement for promoting the construction of people centered cities.This paper takes the old urban area of Guangzhou as the research area,measures the accessibility of multiple types of public service facilities based on an improved two-step floating catchment method,and combines Palma Ratio and location quotient methods to explore the fairness of urban public service facilities from two dimensions:social equity and spatial equity,with supply and demand relationship analysis as the main line.Research has shown that:①there is a significant spatial difference in the accessibility of public service facilities in the old urban areas of Guangzhou,and the comprehensive accessibility is generally higher in the central and southeastern regions of the old urban areas with fewer residential populations;②from the perspective of social equity,the resource allocation of public service facilities in the old urban areas of Guangzhou is in a seriously unfair state(with a fairness index of 2.99),and there are also varying degrees of unfairness within the streets;③from the perspective of spatial equity,the location quotient of public service facilities in the old urban areas of Guangzhou shows a pattern of multil center circles decreasing,indicating a significant spatial mismatch between the accessibility supply side of public service facilities and the demand side of the residential population.The research conclusion will provide scientific basis for optimizing the allocation of urban public service facilities and ensuring the equalization of public services.展开更多
Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leadi...Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leading to infections such as hepatitis B, hepatitis C, and HIV. Despite the high prevalence of injuries, awareness of Post-Exposure Prophylaxis (PEP) accessibility is relatively high, with 84.0% of respondents aware of it. However, there are gaps in knowledge and implementation, as evidenced by variations in availability of PEP. Improving workplace safety measures, providing comprehensive training on injury prevention and PEP protocols, and ensuring consistent availability of PEP in healthcare facilities are crucial steps to safeguard the well-being of healthcare workers in Mogadishu, Somalia. Methods: A cross-sectional study was conducted among hospital workers in Mogadishu, Somalia, focusing on professionals from various healthcare facilities. The study targeted nurses, doctors, laboratory personnel, and pharmacists. Purposive sampling was employed, resulting in a sample size of 383 calculated using Fisher’s sample size formula. Data were collected using coded questionnaires entered into Microsoft Excel 2019 and analyzed with SPSS software to generate frequencies and proportions, presented through frequency tables and pie figures. Results: The study in Mogadishu, Somalia, examined the prevalence of occupational injuries and knowledge of Post-Exposure Prophylaxis (PEP) accessibility among healthcare workers. Findings indicate a high prevalence of injuries, with 61.1% reporting incidents, predominantly needle stick injuries (60.6%). Despite the majority seeking prompt medical attention (72.0%), work-related illnesses affected 53.2% of respondents, notably work-related stress (59.5%). While most received training on injury and illness prevention (68.9%), gaps exist in PEP awareness, with 16.0% unaware of it. Nonetheless, 84.0% were aware, predominantly through health facilities (52.0%). Availability of PEP was reported by 71.3% in healthcare facilities, with variations in shift availability. The majority reported guidelines for PEP use (55.7%). Efforts are needed to bolster PEP awareness and ensure consistent availability in healthcare facilities to safeguard worker health. Conclusion: High prevalence of occupational injuries among healthcare workers, with needle stick injuries being the most common (60.6%). Despite this, 84.0% of respondents were aware of Post-Exposure Prophylaxis (PEP), primarily learning about it from health facilities (52.0%). While 71.3% reported the availability of PEP in their facility, 28.7% noted its unavailability. These results emphasize the need for improved education and accessibility of PEP to mitigate occupational injury risks.展开更多
In Mali,access to healthcare is a major concern.It has been a national priority since the Alma-Ata Declaration in 1978.Since then,major efforts have been made by the State and its partners to achieve this objective.Th...In Mali,access to healthcare is a major concern.It has been a national priority since the Alma-Ata Declaration in 1978.Since then,major efforts have been made by the State and its partners to achieve this objective.These efforts appear insufficient in the Bougouni health district,wheremore than half the population is still far frombasic health services.Given this situation,it is essential to assess geographical accessibility to healthcare to identify the localities that have been left behind,hence the purpose of this research in the Bougouni District.Three types of data were used:the size of the population,the location of community health centers and the road network.Two consecutive stages summarize the approach used,the improved two-stage floating attraction area method(E2SFCA)was used to measure the spatial dimension of accessibility to health services.It was supplemented by spatial autocorrelation analyses,particularly the local Moran index,to detect clusters of localities with low or high spatial accessibility values.The results reveal strong spatial disparities in access to primary healthcare within and between communes and at the same time call into question the effectiveness of the policy of geographical coverage of the population in terms of basic healthcare.They also highlight the demographic pressure on existing health services and suggest ways of significantly improving geographical access to health services.展开更多
Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderso...Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.展开更多
The dissemination of Chinese culture is closely related to the influence of national culture.Chinese culture readers serve as important carriers for cultivating global competence among young people and disseminating C...The dissemination of Chinese culture is closely related to the influence of national culture.Chinese culture readers serve as important carriers for cultivating global competence among young people and disseminating Chinese culture.They are also important measures to help different cultures eliminate cultural barriers.However,the current Chinese culture readers are of various kinds,seldom testing the readability and rarely taking consideration of the target readers’accessibility.Therefore,this study explores the factors affecting the readability of different Chinese culture readers from the perspective of English global localization,aiming to explore the ways and methods to enhance the dissemination of Chinese culture.Meanwhile,it conducted a survey on the target readers’competence in language learning and culture awareness.展开更多
The Lanzhou-Urumqi high-speed railway is an important part of the railway network connecting Gansu,Qinghai,and Xinjiang,and it is of far-reaching significance in facilitating China’s western development.An accessibil...The Lanzhou-Urumqi high-speed railway is an important part of the railway network connecting Gansu,Qinghai,and Xinjiang,and it is of far-reaching significance in facilitating China’s western development.An accessibility model and a double difference model were built to analyze the impact of the Lanzhou-Urumqi high-speed railway on regional accessibility and economic development of the areas along the line before(2012-2014)and after(2017-2019)its opening.The results show that the regional accessibility remains unchanged before and after the operation of this railway line.However,there is a spatial difference in improvement,that of central cities being better.The opening of the high-speed railway is conducive to driving the overall economic development of the region and promoting the comprehensive and coordinated development of regional economies.展开更多
Ensuring healthy lives and promoting well-being for all ages is the 3rd Sustainable Development Goal(SDG).Inequality in access to health care remains one of the primary challenges in achieving the goal.With the ever-i...Ensuring healthy lives and promoting well-being for all ages is the 3rd Sustainable Development Goal(SDG).Inequality in access to health care remains one of the primary challenges in achieving the goal.With the ever-increasing expansion of urban areas and population growth,there is a need to regularly examine the pattern of accessibility of basic amenities across regions,States and urban areas.This study examined geographic access to Primary Health Care Facilities(PHCF)in Nigeria using the combination of open data and geospatial analysis techniques.Thus,showcasing an approach can be replicated across different regions in Sub-Saharan Africa due to issues of information gap.Data on elevation,location of health care facilities,population and network data were utilised.The result shows that PHCF aggregate at certain locations,e.g.major urban agglomerations,and transit route leading to these places.High concentrations are found in the capital city.The average travel time to the nearest PHCF is about 14 min(Standard Deviation±13.30 min)while the maximum is about 2 hours.Pockets of low accessibility areas exist across the Akwa Ibom State in the Niger Delta region of Nigeria.There is an indication that most places have good geographic access.Across the 1787 settlements identified in our dataset,98.3%are with good access(<30 min),27 settlements are located in the poor access class(31–60 min),while two settlements are within the very poor access class(>60 min).Geographic access is not the main limiting factor to health care access in the region.Therefore,computation of access to health care should take into consideration other dimensions of accessibility,to create a robust measure which will support effective and efficient health care planning and delivery.展开更多
This study examines the socio-spatial context of uneven development and the residential accessibility of green space in Dalian of Liaoning Province, China. The social fairness was analyzed with a community scale as th...This study examines the socio-spatial context of uneven development and the residential accessibility of green space in Dalian of Liaoning Province, China. The social fairness was analyzed with a community scale as the basis. We combined social scientific methods with a GIS method using a behavior accessibility model from the perspectives of fairness of urban green space allocation based on social geography, geographic information science, management science and many other related discipline theories. The results show that: 1) Most of the urban green space distribution presents an unbalanced phenomenon, and it does not match with the population distribution; 2) We found some differences in the accessibility of the population with different attributes and opportunities to use and enjoy the urban green spaces, mainly due to: the dual social and spatial attributes of the residents and the serious stratum differentiation generated were the internal causes; the residential space differentiation and the pursuit of economic and real estate development were the direct causes; and unreasonable planning, in regard to the fact that government policies did not give consideration to efficiency and fairness, was also an important factor.展开更多
Transport infrastructure plays an important role in shaping the configuration of spatial socio-economic structures and influences regional accessibility. This paper defines transport dominance from three aspects： qua...Transport infrastructure plays an important role in shaping the configuration of spatial socio-economic structures and influences regional accessibility. This paper defines transport dominance from three aspects： quafity, quantity, and advantage, measured by density, proximity, and accessibility indices. County is the basic unit for analysis. The results reveal： （1） Transport dominance statistically follows a partial normal distribution. A very few counties, 1.4% of the total, have extremely high transport dominance which strongly supports the socio-economic development in these areas. In contrast, one eighth of all counties have poor transport dominance which impedes local socio-economic development to some extent. The remaining areas, about 70% of the counties, have median transport dominance. （2） Transport dominance is spatially unevenly distributed, with values decreasing gradually from the coastal area to the inland area. Areas in the first-highest level of transport dominance are mainly concentrated in the Yangtze River Delta, the Greater Beijing area, and the Pearl River Delta. Areas in the second-highest level are focused in Chengdu, Chongqing, and Wuhan metropolitan areas. Provincial capitals and a few other counties belong to the third-highest level.展开更多
基金Supported by the Science and Technology Planning Project of Guangzhou,No.2024A03J0102the Natural Science Foundation of Guangdong Province for Distinguished Young Scholar,No.2022B1515020024+1 种基金National Natural Science Foundation of China,No.82070574the Key Research and Development Program of Guangzhou,No.2023B03J1298.
文摘BACKGROUND Hepatocellular carcinoma(HCC)is notorious for its aggressive progression and dismal prognosis,with chromatin accessibility dynamics emerging as pivotal yet poorly understood drivers.AIM To dissect how multilayered chromatin regulation sustains oncogenic transcription and tumor-stroma crosstalk in HCC,we combined multiomics single cell analysis.METHODS We integrated single-cell RNA sequencing and paired single-cell assay for transposase-accessible chromatin with sequencing data of HCC samples,complemented by bulk RNA sequencing validation across The Cancer Genome Atlas,Liver Cancer Institute,and GSE25907 cohorts.Cell type-specific chromatin architectures were resolved via ArchR,with regulatory hubs identified through peak-to-gene linkages and coaccessibility networks.Functional validation employed A485-mediated histone 3 lysine 27 acetylation suppression and small interfering RNA targeting DGAT1.RESULTS Malignant hepatocytes exhibited expanded chromatin accessibility profiles,characterized by increased numbers of accessible peaks and larger physical regions despite reduced peak intensity.Enhancer-like peaks enriched in malignant regulation,forming long-range hubs.Eighteen enhancer-like peak-related genes showed tumor-specific overexpression and diagnostic accuracy,correlating with poor prognosis.Intercellular coaccessibility analysis revealed tumor-stroma symbiosis via shared chromatin states.Pharmacological histone 3 lysine 27 acetylation inhibition paradoxically downregulated DGAT1,the hub gene most strongly regulated by chromatin accessibility.DGAT1 knockdown suppressed cell proliferation.CONCLUSION Multilayered chromatin reprogramming sustains HCC progression through tumor-stroma crosstalk and DGAT1-related oncogenic transcription,defining targetable epigenetic vulnerabilities.
基金funded by the National Nat-ural Science Foundation of China(Grants No.42371433,U2443214)National Key Project of High-Resolution Earth Observation System of China(Grant No.80Y50G19900122/23)Foundation of Key Laboratory of Soil andWater Conservation on the Loess Plateau ofMinistry ofWater Resources(Grant No.WSCLP202301).
文摘Ensuring the provision of accessible,affordable,and high-quality public services to all individuals aligns with one of the paramount aims of the United Nations’Sustainable Development Goals(SDGs).In the face of esca lating urbanization and a dwindling rural populace in China,reconstructing rural settlements to enhance public service accessibility has become a fundamental strategy for achieving the SDGs in rural areas.However,few stud ies have examined the optimal methods for rural settlement reconstruction that ensure accessible and equitable public services while considering multiple existing facilities and service provisions.This paper focuses on rural settlement reconstruction in the context of the SDGs,employing an inverted MCLP-CC(maximal coverage loca tion problem for complementary coverage)model to identify optimal rural settlements and a rank-based method for their relocation.Conducted in Changyuan,a county-level city in Henan Province,China,this study observed significant enhancements in both accessibility and equity following rural settlement reconstruction by utilizing the MH3SFCA(modified Huff 3-step floating catchment area)and the spatial Lorenz curve method.Remarkably,these improvements were achieved without the addition of new facilities,with the accessibility increasing by 44.21%,4.97%,and 3.11%;Gini coefficients decreasing by 19.53%,1.64%,and 3.18%;Ricci-Schutz coef-ficients decreasing by 21.09%,2.09%,and 4.33%for educational,medical,and cultural and sports facilities,respectively.It indicated that rural settlement reconstruction can bolster the accessibility and equity of public ser-vices by leveraging existing facilities.This paper provides a new framework for stakeholders to better reconstruct rural settlements and promote sustainable development in rural areas in China.
基金supported by the China National Health Development Rescarch Center Study on Total Health Insurance Package Payment and National Office for Philosophy and Social Sciences,National Social Science Fund of China(17ZDA121)Tsinghua University Dushi Program(2024Z11DSZ001).
文摘Objective:The scarcity of healthcare resources and inadequate access to medical services in rural and remote areas are pervasive challenges many countries face,particularly in the developing world.Telemedicine,with its capacity to overcome geographical barriers and provide patients with real‐time medical services,has shown considerable potential in addressing these issues,attracting wide-spread attention.Compact medical communities and family doctor systems play important roles in improving healthcare accessibility.However,despite the critical nature of patients'perceptions of healthcare accessibility,research in this domain is sparse.This study aimed to explore the impact of telemedicine on rural residents'perceived healthcare accessibility in China,analyze the mechanisms underpinning this relationship,and elucidate the roles of compact medical communities and the family doctor system.Methods:Survey data from 3311 rural residents were analyzed using a probit model,instrumental variables,and subgroup regression analyses to ascertain causal effects,perform heterogeneity analysis,examine mechanisms,and ascertain the robustness of the findings.Results:Telemedicine significantly enhanced rural residents'perceived healthcare accessibility,with particularly notable benefits for those in sparsely populated areas,regions with high‐speed internet access,within the purview of compact healthcare consortiums,and those with access to family doctor services.Furthermore,telemedicine improved rural residents'perceived healthcare accessibility by encouraging the use of primary care services.Conclusion:Telemedicine in China has played a significant role in improving the perceived healthcare accessibility among rural residents and aiding in the reduction of disparities in accessibility across different demographic groups.This is consistent with the broader objective of achieving universal health coverage.However,the efficacy of telemedicine in enhancing healthcare accessibility is contingent upon certain preconditions.Policymakers must confront local infrastructure challenges,particularly regarding internet connectivity,when expanding telemedicine services to ensure their effective operation.The synergistic interaction observed between telemedicine,the family doctor system,and compact medical communities highlights the importance of integrating telemedicine into existing healthcare systems.Such integration could enhance collaboration with current healthcare frameworks,ensuring the provision of safe,accessible,and affordable healthcare services,and promoting the health and well‐being of local populations.
文摘Since the 1970s,a series of international and national sources have supported the principle of accessibility,which slowly has become a statuary norm and a legislative obligation.Each country has implemented accessibility through a singular policy.But in addition to the accessibility of a place or an activity,to inform about what is accessible is very important as well,and has not really taken off.Indeed,for disabled people,the difficulty lies not only with access to places and the use of resources,but also with the visibility of these resources.This means that information concerning accessibility has to be disclosed and provided effectively to disabled people,those involved with them and the relevant institutions.In different countries all over the world,many labels and pictograms have been created for this purpose and give information relating to accessibility.Using a socio-historical approach,we will present and analyze the different types of icons,symbols,pictograms and labels that have been put in place around the world and in France:what are they used for and for whom are they made?We will show that they are pointers which firstly reflect the diversity and range within the target group concerned by accessibility,and secondly the evolution of accessibility as a dynamic and ecological principle.
基金supported by the Canada Foundation for Innovation (Project#44220)the Natural Sciences and Engineering Research Council of Canada (RGPIN-2024-03986)+3 种基金the Michael Smith Foundation for Health Research BCthe financial support of Health Canada,through the Canada Brain Research Fund,an innovative partnership between the Government of Canada (through Health Canada),Brain Canada Foundationthe Azrieli Foundationsupported by a Canadian Institutes of Health Research (CIHR) Canada Graduate Scholarship–Master’s Award。
文摘Central nervous system(CNS) axons fail to regenerate following brain or spinal cord injury(SCI),which typically leads to permanent neurological deficits.Peripheral nervous system axons,howeve r,can regenerate following injury.Understanding the mechanisms that underlie this difference is key to developing treatments for CNS neurological diseases and injuries characterized by axonal damage.To initiate repair after peripheral nerve injury,dorsal root ganglion(DRG) neurons mobilize a pro-regenerative gene expression program,which facilitates axon outgrowth.
基金Under the auspices of National Natural Science Foundation of China (No.42330510)。
文摘The rise in online home delivery services(OHDS)has had a significant impact on how urban services are supplied and used in recent years.Studies on the spatial accessibility of OHDS are emerging,but few is known about the temporal dimension of OHDS accessibility as well as the geographic and socioeconomic differences in the spatiotemporal accessibility of OHDS.This study measures the spatiotemporal accessibility of four types of OHDS,namely leisure,fresh and convenient,medical,and catering services.The geographic and socioeconomic disparities in the spatiotemporal accessibility of these four types of OHDS are then identified using spatial statistical methods and the Kruskal-Wallis test(K-W test).The case study in Nanjing,China,suggests that:1)spatiotemporal accessibility better reflects the temporal variation of OHDS accessibility and avoids overestimation of OHDS accessibility when only considering its spatial dimension.2)The spatiotemporal accessibility of OHDS varies geographically and socioeconomically.Neighborhoods located in the main city or neighborhoods with higher housing prices,higher population density,and higher point of interest(POI)mix have better OHDS spatiotemporal accessibility.Our study contributes to the understanding of OHDS accessibility from a spatiotemporal perspective,and the empirical insights can assist policymakers in creating intervention plans that take into account variations in OHDS spatiotemporal accessibility.
基金supported by funding from the National Natural Science Foundation of China(Grant No.U21A2010)the National Science Fund for Distinguished Young Scholars(Grant No.42225104)the National Key Research and Development Program(Grant No.2022YFF130110O).
文摘Equal access to social infrastructures is a fundamental prerequisite for sustainable development,but has long been a great challenge worldwide.Previous studies have primarily focused on the accessibility to social infras-tructures in urban areas across various scales,with less attention to rural areas,where inequality can be more severe.Particularly,few have investigated the disparities of accessibility to social infrastructures between urban and rural areas.Here,using the Changsha-Zhuzhou-Xiangtan urban agglomeration,China,as an example,we investigated the inequality of accessibility in both urban and rural areas,and further compared the urban-rural difference.Accessibility was measured by travel time of residents to infrastructures.We selected four types of social infrastructures including supermarkets,bus stops,primary schools,and health care,which were funda-mentally important to both urban and rural residents.We found large disparities in accessibility between urban and rural areas,ranging from 20 min to 2 h.Rural residents had to spend one to two more hours to bus stops than urban residents,and 20 min more to the other three types of infrastructures.Furthermore,accessibility to multiple infrastructures showed greater urban-rural differences.Rural residents in more than half of the towns had no access to any infrastructure within 15 min,while more than 60%of the urban residents could access to all infrastructures within 15 min.Our results revealed quantitative accessibility gap between urban and rural areas and underscored the necessity of social infrastructures planning to address such disparities.
基金Under the auspices of National Natural Science Foundation of China(No.42371214,42101184)Chenguang Program of Shanghai Education Development Foundation and Shanghai Municipal Education Commission(No.22CGA27)Funded Projects for the Academic Leaders and Academic Backbone,Shaanxi Normal University(No.18QNGG013)。
文摘Transportation accessibility has been treated as an important means of reducing the urban-rural income disparity.However,only a few studies have examined the effects of different types of transportation accessibility on urban-rural income disparity and their spatial heterogeneity.Based on data from 285 prefecture-level(and above)Chinese cities in 2000,2005,2010,2015,and 2020,this study uses spatial econometric models to examine how highway accessibility and railway accessibility influence the urban-rural income disparity and to identify their spatial heterogeneity.The result reveals that highway accessibility and railway accessibility have‘coreperiphery’ring-like circle structures.The urban-rural income disparity exhibits strong spatial clustering effects.Both highway accessibility and railway accessibility are negatively associated with urban-rural income disparity,and the former having a greater effect size.Moreover,there is a substitution effect between highway accessibility and railway accessibility in the whole sample.Furthermore,these associations differ in geographic regions.In the central region,highway accessibility is more important in reducing the urban-rural income disparity,but its effect is weakened with the increase of railway accessibility.In the western region,railway accessibility has a larger effect on narrowing the urban-rural income disparity,and this effect is strengthened by the increase of highway accessibility.We conclude that improving transportation accessibility is conducive to reducing the urban-rural income disparity but its effect is spatial heterogenetic.Highways and railways should be developed in a coordinated manner to promote an integrated transport network system.
基金funded by the Major Project of the National Social Science Foundation of China(Grant No.19ZDA088)the National Natural Science Foundation of China Projects(Grant No.72204101).
文摘Understanding the spatial interaction among residents,cooling service,and heat risk area in complex urban areas is conducive to developing targeted management.However,traditional urban thermal environment assessments typically relied on simple linear integration of associated indicators,often neglecting the spatial interaction effect.To explore the spatial interaction among the three elements,this study proposes an accessibility-based urban thermal environment assessment framework.Using Zhengzhou,a rapidly urbanizing city,as an example,remotely sensed images from three periods(2010,2015 and 2020)were applied to extract urban green space(UGS)and hot island area(HIA).An improved two-step floating catchment area(2SFCA)method and bivariate local Moran’s I were employed to explore whether residents’clustering locations are more likely to access cooling service or to be exposed to heat risk.The results demonstrate that the UGS in the city has been expanding,whereas the HIA shrank within the inner city in 2015 and then increased in 2020.Even though the urban thermal environment may have improved in the last decade,the spatial interaction among the residents,cooling service and heat risk area could be exacerbated.Spatial autocorrelation shows an increase in locations that are disadvantageous for resident congregation.Even when sufficient cooling services were provided,residents in these areas could still be exposed to high heat risk.The developed urban thermal environment framework provides a novel insight into the residents’heat risk exposure and cooling service accessibility,and the findings could assist urban planners in targeting the improvement of extra heat exposure risk locations.
基金supported by the National Natural Science Foundation of China[grant number 42071448]Beijing Key Laboratory of Urban Spatial Information Engineering[grant number 2020223]。
文摘The scarcity of public resources and environmental pollution caused by rapid urbanization highlight the practical significance of parks in ensuring the sustainable development of a city.Therefore,the social equity of parks warrants further study.This paper proposes a fine-grained comprehensive evaluation framework that combines geographic accessibility models,geo-statistical analysis,and machine learning algorithms to explore social inequity in Taiyuan,China.In this framework,gini coefficient and lorentz curve express spatial equality,accessibility shows spatial equity,and ridge regression model handles the interdependence of variables with different dimensions to quantify the relative effects of local participants on changes in park accessibility.On this basis,the imbalance between vulnerable groups and park supply is analyzed to further understand the core concept of social equity.Results highlight serious spatial inequality in all three types of parks allocation of six urban areas,especially in community parks.The actual access level of people to parks is also stratified by their demographic and socioeconomic characteristics,revealing the social inequity in access to parks.Park distribution is indeed not conducive to some social vulnerable groups,whose contradiction between supply and demand is highly prominent in urban-rural junctions and new urban areas.This paper also confirms the unfair layout of public facilities can be observed in second-tier cities of China by highlighting the social inequity of parks in Taiyuan.The findings of this work have profound implications for urban planning and sustainable development.
文摘The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facilities is an inevitable requirement for promoting the construction of people centered cities.This paper takes the old urban area of Guangzhou as the research area,measures the accessibility of multiple types of public service facilities based on an improved two-step floating catchment method,and combines Palma Ratio and location quotient methods to explore the fairness of urban public service facilities from two dimensions:social equity and spatial equity,with supply and demand relationship analysis as the main line.Research has shown that:①there is a significant spatial difference in the accessibility of public service facilities in the old urban areas of Guangzhou,and the comprehensive accessibility is generally higher in the central and southeastern regions of the old urban areas with fewer residential populations;②from the perspective of social equity,the resource allocation of public service facilities in the old urban areas of Guangzhou is in a seriously unfair state(with a fairness index of 2.99),and there are also varying degrees of unfairness within the streets;③from the perspective of spatial equity,the location quotient of public service facilities in the old urban areas of Guangzhou shows a pattern of multil center circles decreasing,indicating a significant spatial mismatch between the accessibility supply side of public service facilities and the demand side of the residential population.The research conclusion will provide scientific basis for optimizing the allocation of urban public service facilities and ensuring the equalization of public services.
文摘Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leading to infections such as hepatitis B, hepatitis C, and HIV. Despite the high prevalence of injuries, awareness of Post-Exposure Prophylaxis (PEP) accessibility is relatively high, with 84.0% of respondents aware of it. However, there are gaps in knowledge and implementation, as evidenced by variations in availability of PEP. Improving workplace safety measures, providing comprehensive training on injury prevention and PEP protocols, and ensuring consistent availability of PEP in healthcare facilities are crucial steps to safeguard the well-being of healthcare workers in Mogadishu, Somalia. Methods: A cross-sectional study was conducted among hospital workers in Mogadishu, Somalia, focusing on professionals from various healthcare facilities. The study targeted nurses, doctors, laboratory personnel, and pharmacists. Purposive sampling was employed, resulting in a sample size of 383 calculated using Fisher’s sample size formula. Data were collected using coded questionnaires entered into Microsoft Excel 2019 and analyzed with SPSS software to generate frequencies and proportions, presented through frequency tables and pie figures. Results: The study in Mogadishu, Somalia, examined the prevalence of occupational injuries and knowledge of Post-Exposure Prophylaxis (PEP) accessibility among healthcare workers. Findings indicate a high prevalence of injuries, with 61.1% reporting incidents, predominantly needle stick injuries (60.6%). Despite the majority seeking prompt medical attention (72.0%), work-related illnesses affected 53.2% of respondents, notably work-related stress (59.5%). While most received training on injury and illness prevention (68.9%), gaps exist in PEP awareness, with 16.0% unaware of it. Nonetheless, 84.0% were aware, predominantly through health facilities (52.0%). Availability of PEP was reported by 71.3% in healthcare facilities, with variations in shift availability. The majority reported guidelines for PEP use (55.7%). Efforts are needed to bolster PEP awareness and ensure consistent availability in healthcare facilities to safeguard worker health. Conclusion: High prevalence of occupational injuries among healthcare workers, with needle stick injuries being the most common (60.6%). Despite this, 84.0% of respondents were aware of Post-Exposure Prophylaxis (PEP), primarily learning about it from health facilities (52.0%). While 71.3% reported the availability of PEP in their facility, 28.7% noted its unavailability. These results emphasize the need for improved education and accessibility of PEP to mitigate occupational injury risks.
文摘In Mali,access to healthcare is a major concern.It has been a national priority since the Alma-Ata Declaration in 1978.Since then,major efforts have been made by the State and its partners to achieve this objective.These efforts appear insufficient in the Bougouni health district,wheremore than half the population is still far frombasic health services.Given this situation,it is essential to assess geographical accessibility to healthcare to identify the localities that have been left behind,hence the purpose of this research in the Bougouni District.Three types of data were used:the size of the population,the location of community health centers and the road network.Two consecutive stages summarize the approach used,the improved two-stage floating attraction area method(E2SFCA)was used to measure the spatial dimension of accessibility to health services.It was supplemented by spatial autocorrelation analyses,particularly the local Moran index,to detect clusters of localities with low or high spatial accessibility values.The results reveal strong spatial disparities in access to primary healthcare within and between communes and at the same time call into question the effectiveness of the policy of geographical coverage of the population in terms of basic healthcare.They also highlight the demographic pressure on existing health services and suggest ways of significantly improving geographical access to health services.
文摘Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.
文摘The dissemination of Chinese culture is closely related to the influence of national culture.Chinese culture readers serve as important carriers for cultivating global competence among young people and disseminating Chinese culture.They are also important measures to help different cultures eliminate cultural barriers.However,the current Chinese culture readers are of various kinds,seldom testing the readability and rarely taking consideration of the target readers’accessibility.Therefore,this study explores the factors affecting the readability of different Chinese culture readers from the perspective of English global localization,aiming to explore the ways and methods to enhance the dissemination of Chinese culture.Meanwhile,it conducted a survey on the target readers’competence in language learning and culture awareness.
文摘The Lanzhou-Urumqi high-speed railway is an important part of the railway network connecting Gansu,Qinghai,and Xinjiang,and it is of far-reaching significance in facilitating China’s western development.An accessibility model and a double difference model were built to analyze the impact of the Lanzhou-Urumqi high-speed railway on regional accessibility and economic development of the areas along the line before(2012-2014)and after(2017-2019)its opening.The results show that the regional accessibility remains unchanged before and after the operation of this railway line.However,there is a spatial difference in improvement,that of central cities being better.The opening of the high-speed railway is conducive to driving the overall economic development of the region and promoting the comprehensive and coordinated development of regional economies.
文摘Ensuring healthy lives and promoting well-being for all ages is the 3rd Sustainable Development Goal(SDG).Inequality in access to health care remains one of the primary challenges in achieving the goal.With the ever-increasing expansion of urban areas and population growth,there is a need to regularly examine the pattern of accessibility of basic amenities across regions,States and urban areas.This study examined geographic access to Primary Health Care Facilities(PHCF)in Nigeria using the combination of open data and geospatial analysis techniques.Thus,showcasing an approach can be replicated across different regions in Sub-Saharan Africa due to issues of information gap.Data on elevation,location of health care facilities,population and network data were utilised.The result shows that PHCF aggregate at certain locations,e.g.major urban agglomerations,and transit route leading to these places.High concentrations are found in the capital city.The average travel time to the nearest PHCF is about 14 min(Standard Deviation±13.30 min)while the maximum is about 2 hours.Pockets of low accessibility areas exist across the Akwa Ibom State in the Niger Delta region of Nigeria.There is an indication that most places have good geographic access.Across the 1787 settlements identified in our dataset,98.3%are with good access(<30 min),27 settlements are located in the poor access class(31–60 min),while two settlements are within the very poor access class(>60 min).Geographic access is not the main limiting factor to health care access in the region.Therefore,computation of access to health care should take into consideration other dimensions of accessibility,to create a robust measure which will support effective and efficient health care planning and delivery.
基金Under the auspices of National Natural Science Foundation of China(No.41471140)
文摘This study examines the socio-spatial context of uneven development and the residential accessibility of green space in Dalian of Liaoning Province, China. The social fairness was analyzed with a community scale as the basis. We combined social scientific methods with a GIS method using a behavior accessibility model from the perspectives of fairness of urban green space allocation based on social geography, geographic information science, management science and many other related discipline theories. The results show that: 1) Most of the urban green space distribution presents an unbalanced phenomenon, and it does not match with the population distribution; 2) We found some differences in the accessibility of the population with different attributes and opportunities to use and enjoy the urban green spaces, mainly due to: the dual social and spatial attributes of the residents and the serious stratum differentiation generated were the internal causes; the residential space differentiation and the pursuit of economic and real estate development were the direct causes; and unreasonable planning, in regard to the fact that government policies did not give consideration to efficiency and fairness, was also an important factor.
基金National Natural Science Foundation of China, No.40635026 40701045 Knowledge Innovation Program of the Chinese Academy of Sciences, No.KZCX2-YW-Q 10-4
文摘Transport infrastructure plays an important role in shaping the configuration of spatial socio-economic structures and influences regional accessibility. This paper defines transport dominance from three aspects： quafity, quantity, and advantage, measured by density, proximity, and accessibility indices. County is the basic unit for analysis. The results reveal： （1） Transport dominance statistically follows a partial normal distribution. A very few counties, 1.4% of the total, have extremely high transport dominance which strongly supports the socio-economic development in these areas. In contrast, one eighth of all counties have poor transport dominance which impedes local socio-economic development to some extent. The remaining areas, about 70% of the counties, have median transport dominance. （2） Transport dominance is spatially unevenly distributed, with values decreasing gradually from the coastal area to the inland area. Areas in the first-highest level of transport dominance are mainly concentrated in the Yangtze River Delta, the Greater Beijing area, and the Pearl River Delta. Areas in the second-highest level are focused in Chengdu, Chongqing, and Wuhan metropolitan areas. Provincial capitals and a few other counties belong to the third-highest level.
