MADAGASCAR Colonial-Era Relics Reclaimed Madagascar has officially received colonial-era relics from France,marking a historic moment of remembrance and reconciliation.At a ceremony in Antananarivo on 2 September,thre...MADAGASCAR Colonial-Era Relics Reclaimed Madagascar has officially received colonial-era relics from France,marking a historic moment of remembrance and reconciliation.At a ceremony in Antananarivo on 2 September,three skulls of the Sakalava ethnic group were welcomed home after 128 years in France.One skull is believed to belong to King Toera.展开更多
BACKGROUND Septic shock,the most severe form of sepsis,remains a major global health challenge with high mortality.The coronavirus disease 2019(COVID-19)pandemic has exacerbated this burden,as severe acute respiratory...BACKGROUND Septic shock,the most severe form of sepsis,remains a major global health challenge with high mortality.The coronavirus disease 2019(COVID-19)pandemic has exacerbated this burden,as severe acute respiratory syndrome coronavirus 2 infection often leads to sepsis and septic shock.Racial and ethnic differences in critical illness outcomes are well-documented,but their impact on COVID-19 associated septic shock remains unclear.AIM To examine epidemiologic data to explore racial and ethnic differences in outcomes in COVID-19 associated septic shock.METHODS Using the National Inpatient Sample(2020–2021),we conducted a retrospective cohort study to assess racial and ethnic disparities in septic shock outcomes among adults(≥18 years)with concurrent COVID-19.Primary and secondary outcomes included in-hospital mortality,acute kidney injury(AKI),AKI requiring dialysis,and mechanical ventilation.Adjusted multivariable logistic regression accounted for demographics,comorbidities,hospital characteristics,and inhospital events.RESULTS Among 396795 weighted hospitalizations,Non-Hispanic Black(NHB)(25.3%)and Hispanic(30.4%)populations were younger and had greater comorbidity burdens than Non-Hispanic White(NHW)patients.Compared to NHW,adjusted analyses showed higher in-hospital mortality[adjusted odds ratio(aOR)=1.21,95%CI:1.15-1.27],mechanical ventilation use(aOR=1.19,95%CI:1.12-1.27)and AKI requiring dialysis(aOR=1.16,95%CI:1.07-1.25,P<0.001)among Hispanic patients.NHB patients had similar mortality to NHWs but had higher risk of mechanical ventilation(aOR=1.15,95%CI:1.09-1.22)and AKI requiring dialysis(aOR=1.65,95%CI:1.54-1.76).Mean length of stay and cost were longest and highest for Hispanic patients.CONCLUSION Our study showed that there was higher mortality in Hispanic patients,and higher renal and respiratory complication in both NHB and Hispanic groups compared to NHW group.Future research identifying the causes of the observed differences in complications are required to inform targeted strategies that may mitigate modifiable risk factors and optimize early detection of organ failure to optimize outcomes in this population.展开更多
The achievements which China’s Xinjiang Uygur Autonomous Region has made over the past seven decades demonstrate that the system of regional ethnic autonomy is a distinctive advantage of socialism with Chinese charac...The achievements which China’s Xinjiang Uygur Autonomous Region has made over the past seven decades demonstrate that the system of regional ethnic autonomy is a distinctive advantage of socialism with Chinese characteristics.展开更多
A site showcasing the rich history and diverse grassland cultures in north China.LOCATED in north China,the area of the present-day Inner Mongolia Autonomous Region–stretching over 2,400 kilometers east to west and 1...A site showcasing the rich history and diverse grassland cultures in north China.LOCATED in north China,the area of the present-day Inner Mongolia Autonomous Region–stretching over 2,400 kilometers east to west and 1,700 kilometers north to south-has been home to various ethnic groups throughout history.展开更多
BACKGROUND Sepsis and septic shock pose critical public health challenges with high mortality,particularly in critical care.While racial differences in sepsis incidence are documented,the impact of race on sepsis outc...BACKGROUND Sepsis and septic shock pose critical public health challenges with high mortality,particularly in critical care.While racial differences in sepsis incidence are documented,the impact of race on sepsis outcomes remains inconsistent.AIM To evaluate racial disparities in clinical outcomes among patients hospitalized with septic shock,focusing on in-hospital mortality,length of stay(LOS),and hospitalization costs.METHODS We conducted a retrospective cohort study using the National Inpatient Sample database from 2016 to 2021.Patients diagnosed with septic shock were identified using ICD-10 code R65.21.The primary outcome was in-hospital mortality;secondary outcomes included trends in septic shock hospitalizations,mortality,length of stay,and cost of hospitalizations.RESULTS Among 3581504 hospitalizations for septic shock,the racial distribution was 67%Non-Hispanic White(NHW),15%Non-Hispanic Black(NHB),11%Hispanic,and 7%other groups,with a mean age of 66.3 years.In-hospital mortality was 33.6%,highest among other racial groups(36.7%).Mortality was stable across racial groups from 2016-2019 but rose sharply in 2020-2021,especially among Hispanic patients.Adjusted in-hospital mortality were higher for NHB and Hispanic compared to NHW patients.NHB patients had the longest LOS,while other racial groups incurred the highest cost of hospitalizations.CONCLUSION We found higher mortality among NHB,Hispanic,and other racial groups in septic shock patients,likely driven by higher risk of in-hospital complications among these racial groups.This highlights the need for future research to identify the factors contributing to the adverse outcomes in these populations.展开更多
Currently,the century-long transformation is accelerating,nationalism,populism,and conservatism are interacting and surging,posing multiple challenges to international security.Based on sorting out the evolutionary lo...Currently,the century-long transformation is accelerating,nationalism,populism,and conservatism are interacting and surging,posing multiple challenges to international security.Based on sorting out the evolutionary logic and latest trends of these three ideological trends,this paper systematically analyzes their impacts on national sovereignty,multi-ethnic communities,and global governance,then proposes a systematic design for the ideological and political education in international security courses.Specifically,it includes:deepening the theoretical teaching system;innovating practical teaching carriers;strengthening the dimension of value guidance;and promoting interdisciplinary integrated teaching.This aims to provide a replicable and promotable paradigm for universities to build an international security course system and cultivate students with both theoretical research and governance capabilities.展开更多
BACKGROUND Metabolic dysfunction-associated steatohepatitis(MASH)is increasingly common,as is hepatocellular carcinoma(HCC)in the background of MASH.Liver transplantation(LT)provides superior long-term survival for pa...BACKGROUND Metabolic dysfunction-associated steatohepatitis(MASH)is increasingly common,as is hepatocellular carcinoma(HCC)in the background of MASH.Liver transplantation(LT)provides superior long-term survival for patients with unresectable MASH-HCC,but not all patients have equal access to transplant.MASH-HCC disproportionately affects Hispanic patients,but minorities are less likely to undergo LT for HCC.Additionally,females also undergo LT at lower rates than males.AIM To investigate whether race/ethnicity and sex affect LT waitlist outcomes.METHODS Records of adults with MASH-HCC in the United States Organ Procurement and Transplantation Network database listed for LT between 1/2015 and 12/2021 were analyzed.RESULTS Most of the 3810 patients waitlisted for LT for MASH-HCC were non-Hispanic(NH)white(71.2%)or Hispanic(23.4%),with only 49(1.1%)NH Black candidates.Hispanics underwent LT at lower rates than NH whites(71.6%vs 78.4%,P<0.001),but race/ethnicity did not affect waitlist mortality(P=0.06).Patients with Hispanic[hazard ratio(HR)=0.85,95%CI:0.77-0.95,P=0.002]or Asian(HR=0.79,95%CI:0.63-0.98,P=0.04)race/ethnicity were less likely to undergo LT.Women were also less likely to receive LT(male:HR=1.16,95%CI:1.04-1.29,P=0.01).Patients in regions 1 and 9 were less likely to be transplanted as well(P=0.07).CONCLUSION Hispanic patients are less likely to undergo LT for MASH-HCC,concerning given their susceptibility to MASH and HCC.There were very few NH Black candidates.Disparities were also unequal across regions,which is particularly concerning in states where at-risk populations have rising cancer incidence.Additional research is needed to identify strategies for mitigating these differences in access to LT for MASH-HCC.展开更多
The Bashu region is not only the cultural center of southwestern China but also an important cultural corridor for the interaction among various ethnic groups.Under the influence of multi-ethnic interactions,geographi...The Bashu region is not only the cultural center of southwestern China but also an important cultural corridor for the interaction among various ethnic groups.Under the influence of multi-ethnic interactions,geographical conditions,and historical changes,its music culture has developed a distinct characteristic of symbiotic integration,reflecting a cultural pattern of“diversity within unity.”Bashu music not only inherits the aesthetic system of Han culture but also deeply incorporates musical elements from minority ethnic groups,such as Tibetan,Qiang,Yi,and Miao.It showcases cultural characteristics that are diverse in tone,variable in rhythm,and complex in musical form.Music,as a medium of cultural identity,reflects the inclusiveness and sustainability of Bashu culture.In the context of globalization,studying Bashu music culture from the perspective of musical geography not only helps enhance our understanding of the Bashu music culture integration mechanism but also provides a theoretical reference for the holistic study of China’s multi-ethnic music culture.This research holds significant practical importance for the construction of ethnic cultural identity,the protection of intangible cultural heritage,and cultural exchanges in the context of the Belt and Road Initiative.展开更多
Based on deep realization in relationship between human beings and environment,Yi people gradually formed high level ecological wisdom,which not only protects the environment very well where they are living in,but als...Based on deep realization in relationship between human beings and environment,Yi people gradually formed high level ecological wisdom,which not only protects the environment very well where they are living in,but also maintains their survival and development.Importantly,such traditional ecological wisdom will be very helpful for environmental protection and sustainable development of human beings,especially in the background of modern industrial civilization.展开更多
Mountainous minority regions in China,characterized by abundant natural and cultural resources,ecologically fragile environments,and often geographically remote locations,pose distinct developmental challenges and opp...Mountainous minority regions in China,characterized by abundant natural and cultural resources,ecologically fragile environments,and often geographically remote locations,pose distinct developmental challenges and opportunities.Despite the complexity and typicality of Chinese mountainous ethnic minority regions in terms of eco-cultural tourism and land use dynamics,the interplay among tourism development,land use changes,and landscape ecological risk in these specific contexts has received insufficient attention.To explore how eco-cultural tourism development in ethnic minority mountainous regions affects land use and landscape ecology,this study investigates the evolution of land use in Southeast Guizhou Province from 1980-2020,integrating GIS spatial analysis,the landscape pattern index and landscape ecological risk index analysis.Over the past four decades(1980-2020),eco-cultural tourism has driven significant land use transformations characterized by substantial expansion of building land,growth of ecological land(notably forest land and water areas),and reduction of cultivated land.Concurrently,landscape ecological risk evolved through distinct phases-showing an overall increase during 1980-2000 with expanding medium-risk zones,followed by stabilization from 2000-2020.Tourism development accelerated these land transitions while fostering multifunctional compound land uses,enhancing both land value and utilization efficiency.Crucially,eco-cultural tourism in ethnic regions demonstrates capacity to reconcile ecological conservation with economic development,providing transferable models for similar regions globally.展开更多
Against the strategic backdrop of forging and strengthening the consciousness of the Chinese national community in the new era,universities in border areas,as crucial platforms for the integration of multi-ethnic cult...Against the strategic backdrop of forging and strengthening the consciousness of the Chinese national community in the new era,universities in border areas,as crucial platforms for the integration of multi-ethnic cultures,shoulder the significant mission of enhancing ethnic unity and promoting outstanding traditional Chinese culture.As an important carrier of Chinese culture,ethnic music not only contains profound historical memories and emotional identities but also demonstrates a powerful cultural and educational function in the teaching of border universities.Based on the actual situation of universities in border areas,this paper analyzes the unique value of ethnic music in cultivating students’national identity,cultural identity,and emotional identity,and explores effective paths for it to empower the forging and strengthening of the consciousness of the Chinese national community in teaching practice.By combining policy orientations and teaching status quo,the paper points out the main dilemmas such as single curriculum content,insufficient integration of ideological and political education,and a lack of practical resources,and proposes countermeasures such as strengthening the integration of ideological and political education,optimizing the curriculum structure,and expanding practical platforms.Through the deepening and innovation of ethnic music education,border universities can effectively enhance students’cultural consciousness and cultural confidence,providing solid educational support for forging and strengthening the consciousness of the Chinese national community.This paper has positive significance for promoting the high-quality development of education in border universities and constructing a new-era ethnic unity and progress education system.展开更多
KHOOMEI is a traditional throat-singing art created by the Mongolian ethnic group and is regarded as one of the oldest forms of this low rumbling vocal technique in the world.In 2006,Khoomei was included in China’s f...KHOOMEI is a traditional throat-singing art created by the Mongolian ethnic group and is regarded as one of the oldest forms of this low rumbling vocal technique in the world.In 2006,Khoomei was included in China’s first national list of intangible cultural heritage items,followed in 2009 by its inclusion on UNESCO’s Representative List of the Intangible Cultural Heritage of Humanity.展开更多
With the rapid development of China's economy and the government's issuance of a series of rural revitalization strategies,the design of rural landscapes has garnered increasing attention.However,some rural la...With the rapid development of China's economy and the government's issuance of a series of rural revitalization strategies,the design of rural landscapes has garnered increasing attention.However,some rural landscape designs have become more urbanized,neglecting the natural ecology,distinctive characteristics,and cultural heritage of rural areas,leading to a homogenized phenomenon.To address issues such as landscape homogenization and cultural erosion in traditional villages,this paper analyzes the current status of ethnic minority village landscapes and integrates landscape design principles to propose design strategies for rural landscapes in traditional ethnic minority villages in Hunan Province.It is intended to better achieve the construction of rural landscapes in traditional ethnic minority villages in Hunan Province.展开更多
The Xixia Imperial Mausoleums stand as a tangible testament to ancient China’s ethnic harmony,architectural artistry,and burial practices.Now,its World Heritage status makes it poised to captivate broader global audi...The Xixia Imperial Mausoleums stand as a tangible testament to ancient China’s ethnic harmony,architectural artistry,and burial practices.Now,its World Heritage status makes it poised to captivate broader global audiences.展开更多
People in ethnic costumes attend an activity to celebrate the Miao Sisters Festival in Taijiang County,Qiandongnan Miao and Dong Autonomous Prefecture in southwest China’s Guizhou Province,on April 12.(VCG).
Along the ancient Tea-Horse Road of thousands of miles between Sichuan and Xizang in Southwest China lies a centuries old courtyard.Commonly called the"Jiang Family Compound"or"Yu Xing Tea Store",t...Along the ancient Tea-Horse Road of thousands of miles between Sichuan and Xizang in Southwest China lies a centuries old courtyard.Commonly called the"Jiang Family Compound"or"Yu Xing Tea Store",this architecture situated in the old downtown area of Yingjing County in Ya'an City,Sichuan Province,was once the residence of the local tea merchants-the Jiang family.展开更多
Gosnell and colleagues executed a large-scale cohort investigation delineating ethnic disparities in outcomes among individuals with metabolic dysfunction–as-sociated steatotic liver disease/steatohepatitis(MASLD/MAS...Gosnell and colleagues executed a large-scale cohort investigation delineating ethnic disparities in outcomes among individuals with metabolic dysfunction–as-sociated steatotic liver disease/steatohepatitis(MASLD/MASH).Uncovering such heterogeneity is pivotal to optimising management and prognostication,notably for hepatocellular carcinoma,fibrotic progression,and all-cause mortality.The authors furnish granular trajectories for Hispanic vs non-Hispanic popula-tions across the United States and southeastern Texas,alongside a comprehensive appraisal of MASLD/MASH-related event rates.These insights provide an indispensable framework for early risk stratification and the tailoring of thera-peutic algorithms and surveillance regimens.The study underscores the necessity for nuanced appreciation of MASLD/MASH outcome profiles and associated management strategies,while interrogating regional variation in disease burden,the benefits of integrated metabolic care,and the potential of lifestyle inter-ventions to attenuate complications and improve prognosis.展开更多
The African continent habituated with volatile conflicts and protracted violence,be it intra-state or inter-state is also acquainted with multi-ethnic tensions breeding different militias.The trend,although not new,is...The African continent habituated with volatile conflicts and protracted violence,be it intra-state or inter-state is also acquainted with multi-ethnic tensions breeding different militias.The trend,although not new,is the expanding phenomenon of Jihadism and general terrorism.Some of these and other forms of conflicts summarize the geopolitics of Africa’s Great Lakes Region(AGLR).The bloodbath wherein the subregion engrosses itself is not solely guided by political considerations.Both endogenous and exogenous capitalist economic profit have stirred the system while ethnic politics and politics on ethnic leanings have amplified the scenario.The endeavors of both the international community and regional blocs appear deficient-a consequence of the frailty of the UN system and general multilateralism.Peace is possible for AGLR when humanity is placed over the tidal wave of capitalist profit,patriotism over toxic ethnicity and respect is accorded to international jurisprudence emblemed by the bona fide principle of pacta sunt Servanda,without neglecting the capacity of the youth and peace education.展开更多
BACKGROUND Prevalence of the main rheumatic diseases in the Republic of Sakha(Yakutia)[RS(Y)],one of the regions of the Russian Federation,differs from the other regions of the Russian Federation due to its ethnic and...BACKGROUND Prevalence of the main rheumatic diseases in the Republic of Sakha(Yakutia)[RS(Y)],one of the regions of the Russian Federation,differs from the other regions of the Russian Federation due to its ethnic and geographic features.Knowledge regarding the prevalence and structure of juvenile idiopathic arthritis(JIA)allows us to shape the work of the pediatric rheumatology service in the region correctly,and optimize the healthcare system and the need for medica-tions.AIM To describe the epidemiological,demographic,clinical,and laboratory characteristics of children with JIA in the RS(Y)and evaluate the main outcomes.METHODS This retrospective cohort study assessed all the data from the medical histories of the patients(n=225)diagnosed with JIA(2016-2023)in the Cardiorheumatology Department of the M.E.Nikolaev National Center of Medicine.Pearson'sχ²test,Fisher's exact test,Mann–Whitney and Kruskal-Wallis tests were used for statistical analyses.RESULTS The ethnic prevalence of JIA is higher in Sakha than in Russian children at 110.1 per 100000 children and 69.4 per 100000 children,respectively.The prevalence of JIA among boys and girls in Sakha was similar,unlike in Russians,where the number of girls predominated.The JIA categories were as follows:(1)Systemic arthritis:3.5%;(2)Oligoarthritis(persistent and extended):33.8%;(3)Rheumatoid factor(RF)(+)polyarthritis:0.9%;(4)RF(-)polyarthritis:14.7%;(5)Enthesitis-related arthritis(ERA):44%;and(6)Psoriatic arthritis:3.1%.Prevalence of the ERA category was 4.4 times higher in Sakha children,but the prevalence of systemic arthritis was 2.9 times lower compared to Russians(P=0.0005).The frequency of uveitis was 10.2%,and the frequency of human leukocyte antigen(HLA)B27 was 39.6%in JIA children.Biologic treatment was received by 40.4%of JIA children and 45.3%achieved remission.CONCLUSION Higher JIA prevalence,male and ERA predominance,related to a higher frequency of HLA B27 are typical in RS(Y).These data might improve the pediatric rheumatology health service.展开更多
文摘MADAGASCAR Colonial-Era Relics Reclaimed Madagascar has officially received colonial-era relics from France,marking a historic moment of remembrance and reconciliation.At a ceremony in Antananarivo on 2 September,three skulls of the Sakalava ethnic group were welcomed home after 128 years in France.One skull is believed to belong to King Toera.
文摘BACKGROUND Septic shock,the most severe form of sepsis,remains a major global health challenge with high mortality.The coronavirus disease 2019(COVID-19)pandemic has exacerbated this burden,as severe acute respiratory syndrome coronavirus 2 infection often leads to sepsis and septic shock.Racial and ethnic differences in critical illness outcomes are well-documented,but their impact on COVID-19 associated septic shock remains unclear.AIM To examine epidemiologic data to explore racial and ethnic differences in outcomes in COVID-19 associated septic shock.METHODS Using the National Inpatient Sample(2020–2021),we conducted a retrospective cohort study to assess racial and ethnic disparities in septic shock outcomes among adults(≥18 years)with concurrent COVID-19.Primary and secondary outcomes included in-hospital mortality,acute kidney injury(AKI),AKI requiring dialysis,and mechanical ventilation.Adjusted multivariable logistic regression accounted for demographics,comorbidities,hospital characteristics,and inhospital events.RESULTS Among 396795 weighted hospitalizations,Non-Hispanic Black(NHB)(25.3%)and Hispanic(30.4%)populations were younger and had greater comorbidity burdens than Non-Hispanic White(NHW)patients.Compared to NHW,adjusted analyses showed higher in-hospital mortality[adjusted odds ratio(aOR)=1.21,95%CI:1.15-1.27],mechanical ventilation use(aOR=1.19,95%CI:1.12-1.27)and AKI requiring dialysis(aOR=1.16,95%CI:1.07-1.25,P<0.001)among Hispanic patients.NHB patients had similar mortality to NHWs but had higher risk of mechanical ventilation(aOR=1.15,95%CI:1.09-1.22)and AKI requiring dialysis(aOR=1.65,95%CI:1.54-1.76).Mean length of stay and cost were longest and highest for Hispanic patients.CONCLUSION Our study showed that there was higher mortality in Hispanic patients,and higher renal and respiratory complication in both NHB and Hispanic groups compared to NHW group.Future research identifying the causes of the observed differences in complications are required to inform targeted strategies that may mitigate modifiable risk factors and optimize early detection of organ failure to optimize outcomes in this population.
文摘The achievements which China’s Xinjiang Uygur Autonomous Region has made over the past seven decades demonstrate that the system of regional ethnic autonomy is a distinctive advantage of socialism with Chinese characteristics.
文摘A site showcasing the rich history and diverse grassland cultures in north China.LOCATED in north China,the area of the present-day Inner Mongolia Autonomous Region–stretching over 2,400 kilometers east to west and 1,700 kilometers north to south-has been home to various ethnic groups throughout history.
文摘BACKGROUND Sepsis and septic shock pose critical public health challenges with high mortality,particularly in critical care.While racial differences in sepsis incidence are documented,the impact of race on sepsis outcomes remains inconsistent.AIM To evaluate racial disparities in clinical outcomes among patients hospitalized with septic shock,focusing on in-hospital mortality,length of stay(LOS),and hospitalization costs.METHODS We conducted a retrospective cohort study using the National Inpatient Sample database from 2016 to 2021.Patients diagnosed with septic shock were identified using ICD-10 code R65.21.The primary outcome was in-hospital mortality;secondary outcomes included trends in septic shock hospitalizations,mortality,length of stay,and cost of hospitalizations.RESULTS Among 3581504 hospitalizations for septic shock,the racial distribution was 67%Non-Hispanic White(NHW),15%Non-Hispanic Black(NHB),11%Hispanic,and 7%other groups,with a mean age of 66.3 years.In-hospital mortality was 33.6%,highest among other racial groups(36.7%).Mortality was stable across racial groups from 2016-2019 but rose sharply in 2020-2021,especially among Hispanic patients.Adjusted in-hospital mortality were higher for NHB and Hispanic compared to NHW patients.NHB patients had the longest LOS,while other racial groups incurred the highest cost of hospitalizations.CONCLUSION We found higher mortality among NHB,Hispanic,and other racial groups in septic shock patients,likely driven by higher risk of in-hospital complications among these racial groups.This highlights the need for future research to identify the factors contributing to the adverse outcomes in these populations.
基金2024 Ideological and Political Demonstration Project for Graduate Courses,Hebei Provincial Department of Education“Introduction to International Security”(Project No.:YKCSZ2024101)。
文摘Currently,the century-long transformation is accelerating,nationalism,populism,and conservatism are interacting and surging,posing multiple challenges to international security.Based on sorting out the evolutionary logic and latest trends of these three ideological trends,this paper systematically analyzes their impacts on national sovereignty,multi-ethnic communities,and global governance,then proposes a systematic design for the ideological and political education in international security courses.Specifically,it includes:deepening the theoretical teaching system;innovating practical teaching carriers;strengthening the dimension of value guidance;and promoting interdisciplinary integrated teaching.This aims to provide a replicable and promotable paradigm for universities to build an international security course system and cultivate students with both theoretical research and governance capabilities.
文摘BACKGROUND Metabolic dysfunction-associated steatohepatitis(MASH)is increasingly common,as is hepatocellular carcinoma(HCC)in the background of MASH.Liver transplantation(LT)provides superior long-term survival for patients with unresectable MASH-HCC,but not all patients have equal access to transplant.MASH-HCC disproportionately affects Hispanic patients,but minorities are less likely to undergo LT for HCC.Additionally,females also undergo LT at lower rates than males.AIM To investigate whether race/ethnicity and sex affect LT waitlist outcomes.METHODS Records of adults with MASH-HCC in the United States Organ Procurement and Transplantation Network database listed for LT between 1/2015 and 12/2021 were analyzed.RESULTS Most of the 3810 patients waitlisted for LT for MASH-HCC were non-Hispanic(NH)white(71.2%)or Hispanic(23.4%),with only 49(1.1%)NH Black candidates.Hispanics underwent LT at lower rates than NH whites(71.6%vs 78.4%,P<0.001),but race/ethnicity did not affect waitlist mortality(P=0.06).Patients with Hispanic[hazard ratio(HR)=0.85,95%CI:0.77-0.95,P=0.002]or Asian(HR=0.79,95%CI:0.63-0.98,P=0.04)race/ethnicity were less likely to undergo LT.Women were also less likely to receive LT(male:HR=1.16,95%CI:1.04-1.29,P=0.01).Patients in regions 1 and 9 were less likely to be transplanted as well(P=0.07).CONCLUSION Hispanic patients are less likely to undergo LT for MASH-HCC,concerning given their susceptibility to MASH and HCC.There were very few NH Black candidates.Disparities were also unequal across regions,which is particularly concerning in states where at-risk populations have rising cancer incidence.Additional research is needed to identify strategies for mitigating these differences in access to LT for MASH-HCC.
文摘The Bashu region is not only the cultural center of southwestern China but also an important cultural corridor for the interaction among various ethnic groups.Under the influence of multi-ethnic interactions,geographical conditions,and historical changes,its music culture has developed a distinct characteristic of symbiotic integration,reflecting a cultural pattern of“diversity within unity.”Bashu music not only inherits the aesthetic system of Han culture but also deeply incorporates musical elements from minority ethnic groups,such as Tibetan,Qiang,Yi,and Miao.It showcases cultural characteristics that are diverse in tone,variable in rhythm,and complex in musical form.Music,as a medium of cultural identity,reflects the inclusiveness and sustainability of Bashu culture.In the context of globalization,studying Bashu music culture from the perspective of musical geography not only helps enhance our understanding of the Bashu music culture integration mechanism but also provides a theoretical reference for the holistic study of China’s multi-ethnic music culture.This research holds significant practical importance for the construction of ethnic cultural identity,the protection of intangible cultural heritage,and cultural exchanges in the context of the Belt and Road Initiative.
文摘Based on deep realization in relationship between human beings and environment,Yi people gradually formed high level ecological wisdom,which not only protects the environment very well where they are living in,but also maintains their survival and development.Importantly,such traditional ecological wisdom will be very helpful for environmental protection and sustainable development of human beings,especially in the background of modern industrial civilization.
基金supported by the National Social Science Foundation of China(Grant No.20CMZ033)Fundamental Research Funds for the Central Universities(CCNU24ZZ125).
文摘Mountainous minority regions in China,characterized by abundant natural and cultural resources,ecologically fragile environments,and often geographically remote locations,pose distinct developmental challenges and opportunities.Despite the complexity and typicality of Chinese mountainous ethnic minority regions in terms of eco-cultural tourism and land use dynamics,the interplay among tourism development,land use changes,and landscape ecological risk in these specific contexts has received insufficient attention.To explore how eco-cultural tourism development in ethnic minority mountainous regions affects land use and landscape ecology,this study investigates the evolution of land use in Southeast Guizhou Province from 1980-2020,integrating GIS spatial analysis,the landscape pattern index and landscape ecological risk index analysis.Over the past four decades(1980-2020),eco-cultural tourism has driven significant land use transformations characterized by substantial expansion of building land,growth of ecological land(notably forest land and water areas),and reduction of cultivated land.Concurrently,landscape ecological risk evolved through distinct phases-showing an overall increase during 1980-2000 with expanding medium-risk zones,followed by stabilization from 2000-2020.Tourism development accelerated these land transitions while fostering multifunctional compound land uses,enhancing both land value and utilization efficiency.Crucially,eco-cultural tourism in ethnic regions demonstrates capacity to reconcile ecological conservation with economic development,providing transferable models for similar regions globally.
基金This paper is the research result of the 2023 Undergraduate Teaching Reform Project of Higher Education in Guangxi,“Research on the Teaching Practice Model of Minority Music in Universities under the Background of Forging and Strengthening the Consciousness of the Chinese National Community”(2023JGA234).
文摘Against the strategic backdrop of forging and strengthening the consciousness of the Chinese national community in the new era,universities in border areas,as crucial platforms for the integration of multi-ethnic cultures,shoulder the significant mission of enhancing ethnic unity and promoting outstanding traditional Chinese culture.As an important carrier of Chinese culture,ethnic music not only contains profound historical memories and emotional identities but also demonstrates a powerful cultural and educational function in the teaching of border universities.Based on the actual situation of universities in border areas,this paper analyzes the unique value of ethnic music in cultivating students’national identity,cultural identity,and emotional identity,and explores effective paths for it to empower the forging and strengthening of the consciousness of the Chinese national community in teaching practice.By combining policy orientations and teaching status quo,the paper points out the main dilemmas such as single curriculum content,insufficient integration of ideological and political education,and a lack of practical resources,and proposes countermeasures such as strengthening the integration of ideological and political education,optimizing the curriculum structure,and expanding practical platforms.Through the deepening and innovation of ethnic music education,border universities can effectively enhance students’cultural consciousness and cultural confidence,providing solid educational support for forging and strengthening the consciousness of the Chinese national community.This paper has positive significance for promoting the high-quality development of education in border universities and constructing a new-era ethnic unity and progress education system.
文摘KHOOMEI is a traditional throat-singing art created by the Mongolian ethnic group and is regarded as one of the oldest forms of this low rumbling vocal technique in the world.In 2006,Khoomei was included in China’s first national list of intangible cultural heritage items,followed in 2009 by its inclusion on UNESCO’s Representative List of the Intangible Cultural Heritage of Humanity.
基金Supported by Key Scientific Research Project of the Department of Education of Hunan Province in 2022"Research on Art and Design Strategies for Rural Revitalization in Ethnic Minority Traditional Villages of Hunan under the New Development Concept"(22A0396).
文摘With the rapid development of China's economy and the government's issuance of a series of rural revitalization strategies,the design of rural landscapes has garnered increasing attention.However,some rural landscape designs have become more urbanized,neglecting the natural ecology,distinctive characteristics,and cultural heritage of rural areas,leading to a homogenized phenomenon.To address issues such as landscape homogenization and cultural erosion in traditional villages,this paper analyzes the current status of ethnic minority village landscapes and integrates landscape design principles to propose design strategies for rural landscapes in traditional ethnic minority villages in Hunan Province.It is intended to better achieve the construction of rural landscapes in traditional ethnic minority villages in Hunan Province.
文摘The Xixia Imperial Mausoleums stand as a tangible testament to ancient China’s ethnic harmony,architectural artistry,and burial practices.Now,its World Heritage status makes it poised to captivate broader global audiences.
文摘People in ethnic costumes attend an activity to celebrate the Miao Sisters Festival in Taijiang County,Qiandongnan Miao and Dong Autonomous Prefecture in southwest China’s Guizhou Province,on April 12.(VCG).
文摘Along the ancient Tea-Horse Road of thousands of miles between Sichuan and Xizang in Southwest China lies a centuries old courtyard.Commonly called the"Jiang Family Compound"or"Yu Xing Tea Store",this architecture situated in the old downtown area of Yingjing County in Ya'an City,Sichuan Province,was once the residence of the local tea merchants-the Jiang family.
文摘Gosnell and colleagues executed a large-scale cohort investigation delineating ethnic disparities in outcomes among individuals with metabolic dysfunction–as-sociated steatotic liver disease/steatohepatitis(MASLD/MASH).Uncovering such heterogeneity is pivotal to optimising management and prognostication,notably for hepatocellular carcinoma,fibrotic progression,and all-cause mortality.The authors furnish granular trajectories for Hispanic vs non-Hispanic popula-tions across the United States and southeastern Texas,alongside a comprehensive appraisal of MASLD/MASH-related event rates.These insights provide an indispensable framework for early risk stratification and the tailoring of thera-peutic algorithms and surveillance regimens.The study underscores the necessity for nuanced appreciation of MASLD/MASH outcome profiles and associated management strategies,while interrogating regional variation in disease burden,the benefits of integrated metabolic care,and the potential of lifestyle inter-ventions to attenuate complications and improve prognosis.
文摘The African continent habituated with volatile conflicts and protracted violence,be it intra-state or inter-state is also acquainted with multi-ethnic tensions breeding different militias.The trend,although not new,is the expanding phenomenon of Jihadism and general terrorism.Some of these and other forms of conflicts summarize the geopolitics of Africa’s Great Lakes Region(AGLR).The bloodbath wherein the subregion engrosses itself is not solely guided by political considerations.Both endogenous and exogenous capitalist economic profit have stirred the system while ethnic politics and politics on ethnic leanings have amplified the scenario.The endeavors of both the international community and regional blocs appear deficient-a consequence of the frailty of the UN system and general multilateralism.Peace is possible for AGLR when humanity is placed over the tidal wave of capitalist profit,patriotism over toxic ethnicity and respect is accorded to international jurisprudence emblemed by the bona fide principle of pacta sunt Servanda,without neglecting the capacity of the youth and peace education.
文摘BACKGROUND Prevalence of the main rheumatic diseases in the Republic of Sakha(Yakutia)[RS(Y)],one of the regions of the Russian Federation,differs from the other regions of the Russian Federation due to its ethnic and geographic features.Knowledge regarding the prevalence and structure of juvenile idiopathic arthritis(JIA)allows us to shape the work of the pediatric rheumatology service in the region correctly,and optimize the healthcare system and the need for medica-tions.AIM To describe the epidemiological,demographic,clinical,and laboratory characteristics of children with JIA in the RS(Y)and evaluate the main outcomes.METHODS This retrospective cohort study assessed all the data from the medical histories of the patients(n=225)diagnosed with JIA(2016-2023)in the Cardiorheumatology Department of the M.E.Nikolaev National Center of Medicine.Pearson'sχ²test,Fisher's exact test,Mann–Whitney and Kruskal-Wallis tests were used for statistical analyses.RESULTS The ethnic prevalence of JIA is higher in Sakha than in Russian children at 110.1 per 100000 children and 69.4 per 100000 children,respectively.The prevalence of JIA among boys and girls in Sakha was similar,unlike in Russians,where the number of girls predominated.The JIA categories were as follows:(1)Systemic arthritis:3.5%;(2)Oligoarthritis(persistent and extended):33.8%;(3)Rheumatoid factor(RF)(+)polyarthritis:0.9%;(4)RF(-)polyarthritis:14.7%;(5)Enthesitis-related arthritis(ERA):44%;and(6)Psoriatic arthritis:3.1%.Prevalence of the ERA category was 4.4 times higher in Sakha children,but the prevalence of systemic arthritis was 2.9 times lower compared to Russians(P=0.0005).The frequency of uveitis was 10.2%,and the frequency of human leukocyte antigen(HLA)B27 was 39.6%in JIA children.Biologic treatment was received by 40.4%of JIA children and 45.3%achieved remission.CONCLUSION Higher JIA prevalence,male and ERA predominance,related to a higher frequency of HLA B27 are typical in RS(Y).These data might improve the pediatric rheumatology health service.
