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
KING Gesar is an epic that is circulated among the Tibetan,Tu and Mongolian ethnic groups living in the Qinghai-Xizang Plateau and surrounding regions.This folk literary work recounts the heroic deeds of the ancient T...KING Gesar is an epic that is circulated among the Tibetan,Tu and Mongolian ethnic groups living in the Qinghai-Xizang Plateau and surrounding regions.This folk literary work recounts the heroic deeds of the ancient Tibetan hero King Gesar,who fearlessly led his armies through numerous battles and brought peace and prosperity to his people.展开更多
The cultivation of innovative talents has become the primary objective of talent development in colleges and universities and is also essential for the personal development of master's degree students.Ethnic medic...The cultivation of innovative talents has become the primary objective of talent development in colleges and universities and is also essential for the personal development of master's degree students.Ethnic medicine,a key discipline at Guangxi University of Chinese Medicine,aims to cultivate high-level master's degree talents who possess comprehensive qualities,strong innovative capabilities,and distinctive characteristics of Zhuang medicine.This program is designed to better serve the local economic development and social needs of Guangxi,thereby promoting the substantive advancement of higher education within traditional medical institutions.展开更多
Time has passed by,and this year marks the 60th anniversary of the establishment of the Xizang Autonomous Region.Over the past six decades,the system of regional ethnic autonomy has been successfully implemented.The f...Time has passed by,and this year marks the 60th anniversary of the establishment of the Xizang Autonomous Region.Over the past six decades,the system of regional ethnic autonomy has been successfully implemented.The freedom of religious belief has been fully respected and guaranteed.展开更多
At 4 pm,the first cinema in the Taxkorgan Tajik Autonomous County in Kashi Prefecture opened at the appointed time.The manager,He Xinyu,was prepared to welcome local filmgoers from various ethnic groups.Manager He can...At 4 pm,the first cinema in the Taxkorgan Tajik Autonomous County in Kashi Prefecture opened at the appointed time.The manager,He Xinyu,was prepared to welcome local filmgoers from various ethnic groups.Manager He can feel that for local residents,the cinema is more than a venue for entertainment-it is a space for connections and inspiration.“The cinema and these screening films,which screen simultaneously with those in other places,offer local residents a sense of belonging to a larger world and a fresh feeling of appreciating cultural products,which means a lot,”said He.展开更多
BACKGROUND Regulatory agencies are increasingly recognizing that minority trial repres-entation is inadequate,contributing to healthcare disparities.The scope of min-ority population disparities in clinical trial part...BACKGROUND Regulatory agencies are increasingly recognizing that minority trial repres-entation is inadequate,contributing to healthcare disparities.The scope of min-ority population disparities in clinical trial participation remains unclear,as previous studies have compiled enrollment data from published trials,which AIM To evaluate sex,racial and ethnic inequities in liver transplantation(LT)trials participation in the United States.METHODS We used data from completed United States liver transplant clinical trials registered and reported on the National Institute of Health(NIH)website(clincaltrials.gov).Demographic data,including race,ethnicity,sex,and age were collected.To make inferences to a larger population,95%CIs were computed for estimates in each demographic group using the Wilson method for binomial proportions.We also computed the simultaneous 95%CIs by applying a Bonferroni correction to reflect the multinomial distribution of race proportions.The numbers and percentages of racial/ethnic minority and female individuals compared with United States census data from 2010 and 2018.Secondary outcome measures were inclusion by trial funding source and year of completion.RESULTS A total of 69 United States based clinical trials involving 6990 participants were included in the analysis.Of these,35 trials(51%)were randomized,and 26(38%)were conducted across multiple United States regions.All trials reported sex,while 42(61%)reported race and 27(39%)reported ethnicity.Compared to United States census data,Asian individuals were overrepresented(9.3%;95%CI:8.1%-10.5%),whereas African American(7.8%;95%CI:6.7%-8.9%)and American Indian or Alaska Native individuals(0.4%;95%CI:0.1%-0.6%)were underrepresented.The proportion of White participants(75.9%;95%CI:74.1%-77.7%)was consistent with census estimates.Hispanic participants were underrepresented(13.3%;95%CI:12.2%-14.5%)regardless of the census year referenced.In industry-sponsored trials,Asian representation was three times higher than in the general population(15%).NIH funded trials showed overrepresentation of White participants(83.8%)and underrepresentation of Black participants(4.1%)relative to census data.Women comprised 31.1%of all participants(95%CI:30.0%-32.2%),in-dicating underrepresentation.Among trials that reported racial data,62(90%)did not include participants of American Indian or Alaska Native,Native Hawaiian,or Pacific Islander descent.CONCLUSION Our analysis indicates that women,African Americans,and Hispanic individuals are underrepresented in LT clinical trials compared to the general United States population.These results highlight the need for regulatory initiatives aimed at enhancing the inclusion of historically marginalized racial and ethnic groups in clinical re-search.展开更多
In contemporary China,nationalism under Xi Jinping operates through a dual mechanism that integrates domestic identity engineering with outward-facing narratives of moral leadership.This article argues that the Chines...In contemporary China,nationalism under Xi Jinping operates through a dual mechanism that integrates domestic identity engineering with outward-facing narratives of moral leadership.This article argues that the Chinese Communist Party(CCP)’s shift from describing China as a“unified multiethnic state”to promoting a“united community of the Chinese nation”(中华民族共同体)(China Daily,2017)marks a decisive ideological turn that normalizes assimilationist governance and reshapes the cultural and religious life of minority regions.Based on discourse analysis of Xi Jinping’s speeches,official policy documents,and ethnographic fieldwork conducted in Xinjiang in 2024,the study shows how this ideological shift produces a museumized multiculturalism that narrows space for ethnic autonomy and diversity.At the same time,China amplifies a peacebuilding discourse-particularly in its engagement with the Russo-Ukrainian war and conflicts in the Middle East-to present itself as a responsible global actor.The findings reveal three interlocking dynamics:First,cultural homogenization remains central to the Party’s long-term stability strategy;second,China’s civilizational rhetoric resonates most strongly where material partnerships outweigh normative concerns;and third,the contrast between domestic coercion and external reassurance functions not as a contradiction,but as a coherent political pattern.These dynamics show how nationalist ideology,cultural governance,and foreign-policy messaging form an integrated project that expands China’s influence while exposing the limits of its moral legitimacy.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
Gallbladder cancer(GBC)is a lethal biliary tract malignancy,which is infrequent in most developed countries,but common in many developing countries in specific geographical regions of the world.Non-specific symptoms l...Gallbladder cancer(GBC)is a lethal biliary tract malignancy,which is infrequent in most developed countries,but common in many developing countries in specific geographical regions of the world.Non-specific symptoms leading to late diagnosis is one of the primary factors contributing to poor prognosis in GBC.An understanding of the complex relationship between molecular genetics and epidemiological variances in the incidence rates of GBC is thus of utmost importance.Present review summarizes recent updates on population-specific dysregulated genetic expressions in the genesis of GBC,highlighting the pattern of ethno-geographic variations and on advances in targeted therapies conducted till date;points out the lacunae that deserve further attention and suggest possible new directions for future clinical trials in GBC.The review calls for the need of genetic screening of each GBC patients and for more extensive clinical trials on targeted therapies to move towards the goal of personalized medicine,bringing about more favourable survival outcomes.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
The elephant-foot drum is one of the most representative musical instrument of the Dai ethnic group.The drum-making skill was listed as a national intangible cultural heritage in 2011.The elephant-foot drum dance is v...The elephant-foot drum is one of the most representative musical instrument of the Dai ethnic group.The drum-making skill was listed as a national intangible cultural heritage in 2011.The elephant-foot drum dance is very popular among the Dai people.It can be danced by one or two people or a group of people.It is often performed during festivals.This form of dance was at first used to scare off evil(邪恶)and welcome the new year.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
Situated at a key junction of the Sichuan section of the South Asia Corridor on the Silk Road,Garze Tibetan Autonomous Prefecture in Sichuan Province is a cultural hub where multiple ethnic groups coexist.The region i...Situated at a key junction of the Sichuan section of the South Asia Corridor on the Silk Road,Garze Tibetan Autonomous Prefecture in Sichuan Province is a cultural hub where multiple ethnic groups coexist.The region is rich in profound cultural deposits.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
Aug.21,2025,witnessed the festive celebration of Xizang Autonomous Region's 60th founding anniversary.On the Potala Palace Square,Lhasa,around 20,000 people from all ethnic groups and all walks of life across Xiza...Aug.21,2025,witnessed the festive celebration of Xizang Autonomous Region's 60th founding anniversary.On the Potala Palace Square,Lhasa,around 20,000 people from all ethnic groups and all walks of life across Xizang joined in the grand gathering to express their sin cere love and best wishes for the great motherland China and loved Xizang.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KING Gesar is an epic that is circulated among the Tibetan,Tu and Mongolian ethnic groups living in the Qinghai-Xizang Plateau and surrounding regions.This folk literary work recounts the heroic deeds of the ancient Tibetan hero King Gesar,who fearlessly led his armies through numerous battles and brought peace and prosperity to his people.
基金Supported by Innovation Project of Guangxi Graduate Education of Guangxi University of Chinese Medicine(YJSJG201602)Special Project on Innovation and Entrepreneurship Education in Colleges and Universities under the"14 th Five-Year Plan"of Guangxi Education Science(2022ZJY2965).
文摘The cultivation of innovative talents has become the primary objective of talent development in colleges and universities and is also essential for the personal development of master's degree students.Ethnic medicine,a key discipline at Guangxi University of Chinese Medicine,aims to cultivate high-level master's degree talents who possess comprehensive qualities,strong innovative capabilities,and distinctive characteristics of Zhuang medicine.This program is designed to better serve the local economic development and social needs of Guangxi,thereby promoting the substantive advancement of higher education within traditional medical institutions.
文摘Time has passed by,and this year marks the 60th anniversary of the establishment of the Xizang Autonomous Region.Over the past six decades,the system of regional ethnic autonomy has been successfully implemented.The freedom of religious belief has been fully respected and guaranteed.
文摘At 4 pm,the first cinema in the Taxkorgan Tajik Autonomous County in Kashi Prefecture opened at the appointed time.The manager,He Xinyu,was prepared to welcome local filmgoers from various ethnic groups.Manager He can feel that for local residents,the cinema is more than a venue for entertainment-it is a space for connections and inspiration.“The cinema and these screening films,which screen simultaneously with those in other places,offer local residents a sense of belonging to a larger world and a fresh feeling of appreciating cultural products,which means a lot,”said He.
文摘BACKGROUND Regulatory agencies are increasingly recognizing that minority trial repres-entation is inadequate,contributing to healthcare disparities.The scope of min-ority population disparities in clinical trial participation remains unclear,as previous studies have compiled enrollment data from published trials,which AIM To evaluate sex,racial and ethnic inequities in liver transplantation(LT)trials participation in the United States.METHODS We used data from completed United States liver transplant clinical trials registered and reported on the National Institute of Health(NIH)website(clincaltrials.gov).Demographic data,including race,ethnicity,sex,and age were collected.To make inferences to a larger population,95%CIs were computed for estimates in each demographic group using the Wilson method for binomial proportions.We also computed the simultaneous 95%CIs by applying a Bonferroni correction to reflect the multinomial distribution of race proportions.The numbers and percentages of racial/ethnic minority and female individuals compared with United States census data from 2010 and 2018.Secondary outcome measures were inclusion by trial funding source and year of completion.RESULTS A total of 69 United States based clinical trials involving 6990 participants were included in the analysis.Of these,35 trials(51%)were randomized,and 26(38%)were conducted across multiple United States regions.All trials reported sex,while 42(61%)reported race and 27(39%)reported ethnicity.Compared to United States census data,Asian individuals were overrepresented(9.3%;95%CI:8.1%-10.5%),whereas African American(7.8%;95%CI:6.7%-8.9%)and American Indian or Alaska Native individuals(0.4%;95%CI:0.1%-0.6%)were underrepresented.The proportion of White participants(75.9%;95%CI:74.1%-77.7%)was consistent with census estimates.Hispanic participants were underrepresented(13.3%;95%CI:12.2%-14.5%)regardless of the census year referenced.In industry-sponsored trials,Asian representation was three times higher than in the general population(15%).NIH funded trials showed overrepresentation of White participants(83.8%)and underrepresentation of Black participants(4.1%)relative to census data.Women comprised 31.1%of all participants(95%CI:30.0%-32.2%),in-dicating underrepresentation.Among trials that reported racial data,62(90%)did not include participants of American Indian or Alaska Native,Native Hawaiian,or Pacific Islander descent.CONCLUSION Our analysis indicates that women,African Americans,and Hispanic individuals are underrepresented in LT clinical trials compared to the general United States population.These results highlight the need for regulatory initiatives aimed at enhancing the inclusion of historically marginalized racial and ethnic groups in clinical re-search.
文摘In contemporary China,nationalism under Xi Jinping operates through a dual mechanism that integrates domestic identity engineering with outward-facing narratives of moral leadership.This article argues that the Chinese Communist Party(CCP)’s shift from describing China as a“unified multiethnic state”to promoting a“united community of the Chinese nation”(中华民族共同体)(China Daily,2017)marks a decisive ideological turn that normalizes assimilationist governance and reshapes the cultural and religious life of minority regions.Based on discourse analysis of Xi Jinping’s speeches,official policy documents,and ethnographic fieldwork conducted in Xinjiang in 2024,the study shows how this ideological shift produces a museumized multiculturalism that narrows space for ethnic autonomy and diversity.At the same time,China amplifies a peacebuilding discourse-particularly in its engagement with the Russo-Ukrainian war and conflicts in the Middle East-to present itself as a responsible global actor.The findings reveal three interlocking dynamics:First,cultural homogenization remains central to the Party’s long-term stability strategy;second,China’s civilizational rhetoric resonates most strongly where material partnerships outweigh normative concerns;and third,the contrast between domestic coercion and external reassurance functions not as a contradiction,but as a coherent political pattern.These dynamics show how nationalist ideology,cultural governance,and foreign-policy messaging form an integrated project that expands China’s influence while exposing the limits of its moral legitimacy.
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.
文摘Gallbladder cancer(GBC)is a lethal biliary tract malignancy,which is infrequent in most developed countries,but common in many developing countries in specific geographical regions of the world.Non-specific symptoms leading to late diagnosis is one of the primary factors contributing to poor prognosis in GBC.An understanding of the complex relationship between molecular genetics and epidemiological variances in the incidence rates of GBC is thus of utmost importance.Present review summarizes recent updates on population-specific dysregulated genetic expressions in the genesis of GBC,highlighting the pattern of ethno-geographic variations and on advances in targeted therapies conducted till date;points out the lacunae that deserve further attention and suggest possible new directions for future clinical trials in GBC.The review calls for the need of genetic screening of each GBC patients and for more extensive clinical trials on targeted therapies to move towards the goal of personalized medicine,bringing about more favourable survival outcomes.
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The elephant-foot drum is one of the most representative musical instrument of the Dai ethnic group.The drum-making skill was listed as a national intangible cultural heritage in 2011.The elephant-foot drum dance is very popular among the Dai people.It can be danced by one or two people or a group of people.It is often performed during festivals.This form of dance was at first used to scare off evil(邪恶)and welcome the new year.
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Situated at a key junction of the Sichuan section of the South Asia Corridor on the Silk Road,Garze Tibetan Autonomous Prefecture in Sichuan Province is a cultural hub where multiple ethnic groups coexist.The region is rich in profound cultural deposits.
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.
文摘Aug.21,2025,witnessed the festive celebration of Xizang Autonomous Region's 60th founding anniversary.On the Potala Palace Square,Lhasa,around 20,000 people from all ethnic groups and all walks of life across Xizang joined in the grand gathering to express their sin cere love and best wishes for the great motherland China and loved Xizang.
