Polychlorinated naphthalenes(PCNs)are detrimental to human health and the environment.With the commercial production of PCNs banned,unintentional releases have emerged as a significant environmental source.However,rel...Polychlorinated naphthalenes(PCNs)are detrimental to human health and the environment.With the commercial production of PCNs banned,unintentional releases have emerged as a significant environmental source.However,relevant information is still scarce.In this study,provincial emissions for eight PCNs homologues from 37 sources in the Chinese mainland during the period of 1960-2019 were estimated based on a source-specific and time-varying emission factor database.The results showed that the total PCNs emissions in 2019 reached 757.0 kg with Hebei ranked at the top among all the provinces and iron&steel industry as the biggest source.Low-chlorinated PCNs comprised 90%of emissions by mass,while highly chlorinated PCNs dominated in terms of toxicity,highlighting divergent priorities for mitigating emissions and safeguarding human health.The emissions showed an overall upward trend from 1960 to 2019 driven by emission increase from iron&steel industry in terms of source,and from North China and East China in terms of geographic area.Per-capita emissions followed an inverted U-shaped environmental Kuznets curvewhile emission intensities decreased with increasing per-capita Gross Domestic Product(GDP)following a nearly linear pattern when log-transformed.展开更多
Digital integration with the mainland injects new momentum into Macao’s efforts to branch out from volatile tourism and gaming industries.DIGITAL trade has become a new engine for the world economy and China’s growt...Digital integration with the mainland injects new momentum into Macao’s efforts to branch out from volatile tourism and gaming industries.DIGITAL trade has become a new engine for the world economy and China’s growth.Taking the opportunity of the development of the Guangdong-Macao In-Depth Cooperation Zone in Hengqin,Guangdong,Macao is integrating with the digital development of the Chinese mainland to inject new momentum into its economic diversification.展开更多
HE Tangs,a family of three from Hebei Province in north China,were full of gasps of admiration as they went on a Hengqin-Macao bay cruise in southern China.The cruise started from Hengqin,a small island with remarkabl...HE Tangs,a family of three from Hebei Province in north China,were full of gasps of admiration as they went on a Hengqin-Macao bay cruise in southern China.The cruise started from Hengqin,a small island with remarkable economic achievements on the Chinese mainland,and then went past the picturesque Macao Special Administrative Region.The passengers frantically clicked away at the passing landmarks-the 338-meter Macao Tower,one of Macao’s most iconic architectures,the four spectacular sea-crossing bridges connecting Macao Peninsula and Macao’s Taipa Island,and of course the Hong Kong-Zhu-hai-Macao Bridge,the longest bridge-cum-tunnel sea crossing in the world linking Hong Kong with the city of Zhuhai on the mainland.展开更多
In present paper the genus Rhithrogena Eaton from Chinese mainland, including a new species to science (Rhithrogena lutea, sp. nov.), 2 new record species from China (R. bajkovae Sowa, R. lepnevae Brodsky) and 3 known...In present paper the genus Rhithrogena Eaton from Chinese mainland, including a new species to science (Rhithrogena lutea, sp. nov.), 2 new record species from China (R. bajkovae Sowa, R. lepnevae Brodsky) and 3 known species [R. wuyinensis (Gui et al.) (comb. nov.), R. trispina Zhou et Zheng, R. orientalis You (= R. sangangensis You, new synonym)] are revised besed on the imaginal specimens. A key to 7 species imagos is provided. All materials in this study are deposited in Nanjing Normal University.展开更多
Five species of the genus Caenis from Chinese mainland are reviewed. Among them, C. parviforcipis (Zhou et al.) (nov. comb.) is transferred from the genus Brachycercus The larvae of the C. sinensis Gui et al. are desc...Five species of the genus Caenis from Chinese mainland are reviewed. Among them, C. parviforcipis (Zhou et al.) (nov. comb.) is transferred from the genus Brachycercus The larvae of the C. sinensis Gui et al. are described for the first time. The previously reported C. nigroforceps Zhou et al. is recognized as a new synonym of the Caenis rivulorum Eaton, and the report of C. nigropunctata Klapálek from China is confirmed. Both imagos and larvae of a new species C. melanoleuca, sp. nov. are described and illustrated in detail.展开更多
课程改革与社会变革紧密关联,课程改革不仅意味着要改变课程,使其朝教育理想奔走,同时要改变支持课程的社会条件和文化脉络。Curriculum Innovations in Changing Societies：Chinese Perspectives from Hong Kong,Taiwan and China'...课程改革与社会变革紧密关联,课程改革不仅意味着要改变课程,使其朝教育理想奔走,同时要改变支持课程的社会条件和文化脉络。Curriculum Innovations in Changing Societies：Chinese Perspectives from Hong Kong,Taiwan and China's Mainland（香港教育学院Edmond Hau-Fai Law教授和深圳大学李臣之教授主编，Sense Publichers，2013年出版）一书，正是很好地体现了这一点，让我们站在变化着的社会这一背景下，从多维度比较的视角，思考文化对课程的作用与影响，让我们从文化的层面看到了中国大陆、香港、台湾的课程发展、课程改变和课程改革。全书主要有以下四个特色。展开更多
Since the 21 st century, both Chinese Mainland and the United States have formulated foreign language education policiesbased on their national needs. This paper makes a comparative study of the value orientations of ...Since the 21 st century, both Chinese Mainland and the United States have formulated foreign language education policiesbased on their national needs. This paper makes a comparative study of the value orientations of foreign language education poli-cies in Chinese Mainland and the United States in the 21 st century and finds that both China and the United States have regardedtheir national interests as the essential value orientation of their foreign language education policies. To be specific,the core valueorientation of foreign language education policies in China is to enhance its cultural soft power.In contrast,the core value orienta-tion of foreign language education policies in the United States is to safeguard its national security. Through the comparison of thedifferent value orientations of foreign language education policies of the two countries, the paper provides some reference for the for-eign language education policy-making in Chinese Mainland.展开更多
Objective Since HFMD was designated as a class C communicable disease in May 2008,18 months surveillance data have been accumulated to December 2009.This article was to describe the distribution of HFMD for age,sex,ar...Objective Since HFMD was designated as a class C communicable disease in May 2008,18 months surveillance data have been accumulated to December 2009.This article was to describe the distribution of HFMD for age,sex,area,and time between 2008 and 2009,to reveal the characteristics of the epidemic.Methods We analyzed weekly reported cases of HFMD from May 2008 to December 2009,and presented data on the distribution of age,sex,area and time.A discrete Poisson model was used to detect spatial-temporal clusters of HFMD.Results More than 1 065 000 cases of HFMD were reported in China's Mainland from May 2008 to December 2009 （total incidence：12.47 per 10 000）.Male incidence was higher than female for all ages and 91.9% of patients were 5 years old.The incidence was highest in Beijing,Shanghai,Zhejiang and Hainan.The highest peak of HFMD cases was in April and the number of cases remained high from April to August.The spatial-temporal distribution detected four clusters.Conclusion Children 5 years old were susceptible to HFMD and we should be aware of their vulnerability.The incidence was higher in urban than rural areas,and an annual pandemic usually starts in April.展开更多
Electric power consumption(EPC)is one of the basic indices for evaluating electric power use.Obtaining timely and accurate data on the spatiotemporal dynamics of EPC is crucial for understanding and practical deployme...Electric power consumption(EPC)is one of the basic indices for evaluating electric power use.Obtaining timely and accurate data on the spatiotemporal dynamics of EPC is crucial for understanding and practical deployment of electric power resources.In this study,an EPC model was developed using stable nighttime lights time-series data from the Defense Meteorological Satellite Program Operational Linescan System(DMSP/OLS).The model was used to reconstruct the spatial patterns of EPC in Chinese Mainland at the county level from 1995 to 2008.In addition,the spatiotemporal dynamics of EPC were analyzed,and the fol-lowing conclusions were drawn.(1)The EPC model reliably represented the spatiotemporal dynamics of EPC in Chinese Mainland with approximately 70%accuracy.(2)The EPC in most regions of Chinese Mainland was at low to moderate levels,with marked temporal and spatial variations;of high-level EPC,58.26%was concentrated in eastern China.Six urban agglomerations(Beijing-Tianjin-Tangshan region,Shanghai-Nanjing-Hangzhou region,Pearl River Delta,Shandong Peninsula,middle-south of Liaoning Province,and Sichuan Basin)accounted for 10.69%of the total area of Chinese Mainland but consumed 39.23%of the electricity.(3)The EPC of most regions in Chinese Mainland increased from 1995 to 2008,and 64%of the mainland area showed a significant increase in EPC.Moderate increases in EPC were found in 61.62%of eastern China and 80.65%of central China from 1995 to 2008,whereas 75.69%of western China showed no significant increase in EPC.Meanwhile,77.27%,89.35%,and 66.72%of the Shanghai-Nanjing-Hangzhou region,Pearl River Delta,and Shandong Peninsula,respectively,showed high-speed increases in EPC.Moderate increases in EPC occurred in 71.12%and 72.13%of the Beijing-Tianjin-Tangshan region and middle-south of Liaoning Province,respectively,while no significant increase occurred in 56.34%of the Sichuan Basin.展开更多
AIM:To investigate the current status of peritoneal carcinomatosis(PC) management,as well as the usage of cytoreductive surgery(CRS) and hyperthermic intraperitoneal chemotherapy(HIPEC) in China's Mainland.METHODS...AIM:To investigate the current status of peritoneal carcinomatosis(PC) management,as well as the usage of cytoreductive surgery(CRS) and hyperthermic intraperitoneal chemotherapy(HIPEC) in China's Mainland.METHODS:A potentially curative therapeutic strategy for selecting patients with PC,known as "Techniques",consists of CRS in combination with HIPEC.A systemic search of published works and clinical trials was performed.Additional papers were retrieved by crosschecking references and obtaining information from Chinese oncologists and relevant conferences.One hundred and one papers and one registered clinical trial on HIPEC were included.RESULTS:A literature review identified 86 hospitals in 25 out of all 31 areas of China's Mainland that perform HIPEC.The earliest report included in our survey was published in 1993.Different approaches to HIPEC have been utilized,i.e.palliative,prophylactic,and possiblycurative treatment.Only one center has consistently performed HIPEC according to the "Sugarbaker Protocol",which involves evaluating the extent of PC with peritoneal cancer index and the results of CRS with the completeness of cytoreduction.Positive preliminary results were reported:7 of 21 patients with PC survived,free of tumors,during an 8-43-mo follow-up period.Hyperthermic strategies that include HIPEC have been practiced for a long time in China's Mainland,whereas the "Sugarbaker Protocol/Techniques" has been only rarely implemented in China.The Peritoneal Surface Oncology Group International hosts a biannual workshop with the intent to train more specialists in this field and provide support for the construction of quality treatment centers,especially in developing countries like China,whose population is huge and has a dramatically increased incidence of cancer.CONCLUSION:To popularize Sugarbaker Protocol/Techniques in China's Mainland in PC management arising from gastric cancer or colorectal cancer will be the responsibility of the upcoming Chinese Peritoneal Surface Oncology Group.展开更多
Introduction Over 300000 people in China die each year of hepatocellular carcinoma(HCC),which accounts for approximately half of HCCrelated deaths worldwide.Liver transplantation(LT)is generally recognized as one of t...Introduction Over 300000 people in China die each year of hepatocellular carcinoma(HCC),which accounts for approximately half of HCCrelated deaths worldwide.Liver transplantation(LT)is generally recognized as one of the most effective therapeutic approaches for end-stage liver diseases.Since the beginning of the second LT boom in the 1990s,LT in China has been developed rapidly with professional and large-scale trends,and it is approaching or has reached the level of developed countries in terms of quantity and quality.According to the China Liver Transplant Registry,the number of transplants for HCC accounted for 36.8%of the total number of LT cases during the past 5 years in the mainland of China.In order to develop an effective,safe and standardized protocol to guide the national LT practice,the clinical guidelines of LT for HCC was launched in 2014 by multidisciplinary experts from Chinese Society of Organ Transplantation,Chinese Medical Association and Chinese Association of Organ Transplantation,Chinese Medical Doctor Association.Recently,there have been new clinical and scientific advances in the field of LT and to keep abreast of these achievements,the original clinical practice guidelines need to be updated.展开更多
Hand, foot, and mouth disease （HFMD） is a common contagious illness which occurs worldwide both sporadically and in epidemics. The disease mainly affects, children and the typical symptoms, which may resolve spontan...Hand, foot, and mouth disease （HFMD） is a common contagious illness which occurs worldwide both sporadically and in epidemics. The disease mainly affects, children and the typical symptoms, which may resolve spontaneously, include mucocutaneous papulovesicular lesions on the hands, feet, mouth, and buttocks. In rare cases, however, the patients may also develop neurological complications such as neurogenic pulmonary edema,展开更多
To investigate the recurrence behaviors of segment-rupturing eathquakes on active faults of the Chinese mainland, thispaper analyzes quantitatively earthquake history of 19 fault segments based on earthquake dam of mu...To investigate the recurrence behaviors of segment-rupturing eathquakes on active faults of the Chinese mainland, thispaper analyzes quantitatively earthquake history of 19 fault segments based on earthquake dam of multi-cyclerecurrences. The result shows that, for these fault segments, eanhquake recurring at previous locations is mainlycharacterized by both quasi-periodic (in a ratio of about) and time-predictable (in a ratio of about) behaviors.For the first behavior. intrinsic uncertainty of recurrence interval accounts for 0. 15-0.40 of the average interval, andmagnitudes of event vary from cycle to cycle within the range of the mean magnitUde t0.5. For the second behavior,intrinsic uncertainty of recurrence interval ranges mostly from 0. 19 to 0.40 of the average interval, and for successivetwo cycles the maximum change of event magnitudes is as much as 1.7 magnitude-units. In addition, for a few casesthe first behavior coexists along with either the second or the slip-predictable behaviors.展开更多
AIM To assess the validity and reliability of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Colorectal Cancer 29 (EORTC QLQ-CR29) in Chinese patients with colorectal canc...AIM To assess the validity and reliability of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Colorectal Cancer 29 (EORTC QLQ-CR29) in Chinese patients with colorectal cancer (CRC). METHODS From March 2014 to January 2015, 356 patients with CRC from four different hospitals in China were enrolled in the study, and all patients self-administered the EORTC QLQ-CR29 and the quality of life core questionnaire (EORTC QLQ-C30). Evaluation of the scores was based on the Karnofsky Performance Scale (KPS). The reliability and validity of the questionnaires were assessed by Cronbach's proportional to coefficient, the Spearman correlation test and Wilcoxon rank sum test. RESULTS The EORTC QLQ-CR29 showed satisfactory reliability (proportional to > 0.7), although the urinary frequency and blood and mucus in stool dimensions had only moderate reliability (proportional to = 0.608). The multitrait scaling analyses showed good convergent (r > 0.4) and discriminant validity. Significant differences were obtained for each item in the different KPS subgroups (KPS <= 80; KPS > 80). Body image and most single- item dimensions showed statistically significant differences in patients with a stoma compared with the rest of the patients. CONCLUSION The EORTC QLQ-CR29 exhibits high validity and reliability in Chinese patients with CRC, and can therefore be recommended as a valuable tool for the assessment of quality of life in these patients.展开更多
Objective To compare the characteristics of suicides in the four main demographic groups： urban males, urban females, rural males and rural females in order to help clarify the demographic pattern of suicides in Chin...Objective To compare the characteristics of suicides in the four main demographic groups： urban males, urban females, rural males and rural females in order to help clarify the demographic pattern of suicides in China. Methods A detailed psychological autopsy survey instrument was independently administered to 895 suicide victims in family members and close associates from 23 geographically representative locations from around the country. Results Pesticide ingestion accounted for 58% （519） of all suicides and 61% （3181519） of deaths were due to unsuccessful medical resuscitation. A substantial proportion （37%） of suicide victims did not have a mental illness. Among the 563 victims with mental illness, only 13% （76/563） received psychiatric treatment. Compared to other demographic groups, young rural females who died from suicide had the highest rate of pesticide ingestion （79%）, the lowest prevalence of mental illness （39%）, and the highest acute stress from precipitating life events just prior to the suicide. Contusion Many suicides in China are impulsive acts of deliberate self-harm following acute interpersonal crises. Prevention of suicides in China must focus on improving awareness of psychological problems, improving mental health services, providing alternative social support networks for managing acute interpersonal conflicts, limiting access to pesticides, and improving the resuscitation skills of primary care providers.展开更多
For the two main recurrence behaviors of segment-rupturing earthquakes on active faults of the Chinese mainland,this paper establishes corresponding empirical distributions forearthquake recurrence interval. The resul...For the two main recurrence behaviors of segment-rupturing earthquakes on active faults of the Chinese mainland,this paper establishes corresponding empirical distributions forearthquake recurrence interval. The results show that, for the time-predictable recurrence, the normalized recurrence interval, T/Tt, obeys very well the lognormal distributions: LN (μ1=0.00, σ21 =0. 152), where, T is an observed recurrence interval, and Tt is the average recurrence interval that is correlative with the size of the preceding event. For the quasi-periodic recurrence, the normalized recurrence interval, T/T, follows the lognormal distribution : LN(μq=0.00, σ2q=0.242), where, T is the median of recurrence intervals for various cycles. A statistical test suggests that, there is no significant difference between the latter distribution, built by this paper, and the recurrence interval distribution for the characteristic earthquakes of the Circum-Pacific Plate boundaries (NB model). Accordingly, this paper combines these two distributions into one and obtains a more stable lognormal distribution :LN (μ = 0.00, σ2 = 0.222), for the quasi-periodic recurrence interval.展开更多
Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing c...Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing care;in 2010,the Chinese government has acknowledged the need to implement the TCM in China.Objective:This study has the following objectives:(1)perform a thorough review of the literature regarding the development and implementation of the TCM in China's Mainland within the past 5 years;(2)provide a comprehensive discussion of the current status,problems,and strategies related to the implementation of the TCM in China's Mainland;and(3)suggest strategies pertaining to the future of the TCM in China.Design:The current pertinent literature is systematically reviewed.Data sources:Systematic and manual searches in computerized databases for relevant studies regarding the TCM led to the inclusion of 26 papers in this review.Review methods:Abstracts that satisfied the inclusion criteria were reviewed independently by the two authors of this manuscript,and discrepancies were resolved through discussion.The same reviewers independently assessed the paper in its entirety for selected abstracts.Results:The present English literature reviewrevealed a paucity of updated information about the development and implementation of the TCM in China's Mainland.Nevertheless,the dramatic growth of the TCM in the past 5 years has had a vital impact within the society and in nursing development.This review also revealed numerous issues regarding the focus of the TCM.Overall implications for practiceandrecommendations for future researchare discussed.Conclusion:Despite the potential of this nursing model to have a successful and beneficial impact in China's Mainland,it remains an under-researched topic.Further research on education and training as well as premium policies for nurses under the TCM are needed.展开更多
基金supported by National Key R&D Program of China (No.2022YFC3105800)the National Natural Science Foundation of China (Nos.42277388,42230505,42206148,and 41907313)the Science and Technology Commission of Shanghai Municipality (No.19ZR1415100).
文摘Polychlorinated naphthalenes(PCNs)are detrimental to human health and the environment.With the commercial production of PCNs banned,unintentional releases have emerged as a significant environmental source.However,relevant information is still scarce.In this study,provincial emissions for eight PCNs homologues from 37 sources in the Chinese mainland during the period of 1960-2019 were estimated based on a source-specific and time-varying emission factor database.The results showed that the total PCNs emissions in 2019 reached 757.0 kg with Hebei ranked at the top among all the provinces and iron&steel industry as the biggest source.Low-chlorinated PCNs comprised 90%of emissions by mass,while highly chlorinated PCNs dominated in terms of toxicity,highlighting divergent priorities for mitigating emissions and safeguarding human health.The emissions showed an overall upward trend from 1960 to 2019 driven by emission increase from iron&steel industry in terms of source,and from North China and East China in terms of geographic area.Per-capita emissions followed an inverted U-shaped environmental Kuznets curvewhile emission intensities decreased with increasing per-capita Gross Domestic Product(GDP)following a nearly linear pattern when log-transformed.
文摘Digital integration with the mainland injects new momentum into Macao’s efforts to branch out from volatile tourism and gaming industries.DIGITAL trade has become a new engine for the world economy and China’s growth.Taking the opportunity of the development of the Guangdong-Macao In-Depth Cooperation Zone in Hengqin,Guangdong,Macao is integrating with the digital development of the Chinese mainland to inject new momentum into its economic diversification.
文摘HE Tangs,a family of three from Hebei Province in north China,were full of gasps of admiration as they went on a Hengqin-Macao bay cruise in southern China.The cruise started from Hengqin,a small island with remarkable economic achievements on the Chinese mainland,and then went past the picturesque Macao Special Administrative Region.The passengers frantically clicked away at the passing landmarks-the 338-meter Macao Tower,one of Macao’s most iconic architectures,the four spectacular sea-crossing bridges connecting Macao Peninsula and Macao’s Taipa Island,and of course the Hong Kong-Zhu-hai-Macao Bridge,the longest bridge-cum-tunnel sea crossing in the world linking Hong Kong with the city of Zhuhai on the mainland.
基金National Natural Sciences Foundation of China (30300037)
文摘In present paper the genus Rhithrogena Eaton from Chinese mainland, including a new species to science (Rhithrogena lutea, sp. nov.), 2 new record species from China (R. bajkovae Sowa, R. lepnevae Brodsky) and 3 known species [R. wuyinensis (Gui et al.) (comb. nov.), R. trispina Zhou et Zheng, R. orientalis You (= R. sangangensis You, new synonym)] are revised besed on the imaginal specimens. A key to 7 species imagos is provided. All materials in this study are deposited in Nanjing Normal University.
文摘Five species of the genus Caenis from Chinese mainland are reviewed. Among them, C. parviforcipis (Zhou et al.) (nov. comb.) is transferred from the genus Brachycercus The larvae of the C. sinensis Gui et al. are described for the first time. The previously reported C. nigroforceps Zhou et al. is recognized as a new synonym of the Caenis rivulorum Eaton, and the report of C. nigropunctata Klapálek from China is confirmed. Both imagos and larvae of a new species C. melanoleuca, sp. nov. are described and illustrated in detail.
文摘课程改革与社会变革紧密关联,课程改革不仅意味着要改变课程,使其朝教育理想奔走,同时要改变支持课程的社会条件和文化脉络。Curriculum Innovations in Changing Societies：Chinese Perspectives from Hong Kong,Taiwan and China's Mainland（香港教育学院Edmond Hau-Fai Law教授和深圳大学李臣之教授主编，Sense Publichers，2013年出版）一书，正是很好地体现了这一点，让我们站在变化着的社会这一背景下，从多维度比较的视角，思考文化对课程的作用与影响，让我们从文化的层面看到了中国大陆、香港、台湾的课程发展、课程改变和课程改革。全书主要有以下四个特色。
文摘Since the 21 st century, both Chinese Mainland and the United States have formulated foreign language education policiesbased on their national needs. This paper makes a comparative study of the value orientations of foreign language education poli-cies in Chinese Mainland and the United States in the 21 st century and finds that both China and the United States have regardedtheir national interests as the essential value orientation of their foreign language education policies. To be specific,the core valueorientation of foreign language education policies in China is to enhance its cultural soft power.In contrast,the core value orienta-tion of foreign language education policies in the United States is to safeguard its national security. Through the comparison of thedifferent value orientations of foreign language education policies of the two countries, the paper provides some reference for the for-eign language education policy-making in Chinese Mainland.
文摘Objective Since HFMD was designated as a class C communicable disease in May 2008,18 months surveillance data have been accumulated to December 2009.This article was to describe the distribution of HFMD for age,sex,area,and time between 2008 and 2009,to reveal the characteristics of the epidemic.Methods We analyzed weekly reported cases of HFMD from May 2008 to December 2009,and presented data on the distribution of age,sex,area and time.A discrete Poisson model was used to detect spatial-temporal clusters of HFMD.Results More than 1 065 000 cases of HFMD were reported in China's Mainland from May 2008 to December 2009 （total incidence：12.47 per 10 000）.Male incidence was higher than female for all ages and 91.9% of patients were 5 years old.The incidence was highest in Beijing,Shanghai,Zhejiang and Hainan.The highest peak of HFMD cases was in April and the number of cases remained high from April to August.The spatial-temporal distribution detected four clusters.Conclusion Children 5 years old were susceptible to HFMD and we should be aware of their vulnerability.The incidence was higher in urban than rural areas,and an annual pandemic usually starts in April.
基金The National Basic Research Program of China,No.2010CB950901National Natural Science Foundation of China,No.40971059
文摘Electric power consumption(EPC)is one of the basic indices for evaluating electric power use.Obtaining timely and accurate data on the spatiotemporal dynamics of EPC is crucial for understanding and practical deployment of electric power resources.In this study,an EPC model was developed using stable nighttime lights time-series data from the Defense Meteorological Satellite Program Operational Linescan System(DMSP/OLS).The model was used to reconstruct the spatial patterns of EPC in Chinese Mainland at the county level from 1995 to 2008.In addition,the spatiotemporal dynamics of EPC were analyzed,and the fol-lowing conclusions were drawn.(1)The EPC model reliably represented the spatiotemporal dynamics of EPC in Chinese Mainland with approximately 70%accuracy.(2)The EPC in most regions of Chinese Mainland was at low to moderate levels,with marked temporal and spatial variations;of high-level EPC,58.26%was concentrated in eastern China.Six urban agglomerations(Beijing-Tianjin-Tangshan region,Shanghai-Nanjing-Hangzhou region,Pearl River Delta,Shandong Peninsula,middle-south of Liaoning Province,and Sichuan Basin)accounted for 10.69%of the total area of Chinese Mainland but consumed 39.23%of the electricity.(3)The EPC of most regions in Chinese Mainland increased from 1995 to 2008,and 64%of the mainland area showed a significant increase in EPC.Moderate increases in EPC were found in 61.62%of eastern China and 80.65%of central China from 1995 to 2008,whereas 75.69%of western China showed no significant increase in EPC.Meanwhile,77.27%,89.35%,and 66.72%of the Shanghai-Nanjing-Hangzhou region,Pearl River Delta,and Shandong Peninsula,respectively,showed high-speed increases in EPC.Moderate increases in EPC occurred in 71.12%and 72.13%of the Beijing-Tianjin-Tangshan region and middle-south of Liaoning Province,respectively,while no significant increase occurred in 56.34%of the Sichuan Basin.
文摘AIM:To investigate the current status of peritoneal carcinomatosis(PC) management,as well as the usage of cytoreductive surgery(CRS) and hyperthermic intraperitoneal chemotherapy(HIPEC) in China's Mainland.METHODS:A potentially curative therapeutic strategy for selecting patients with PC,known as "Techniques",consists of CRS in combination with HIPEC.A systemic search of published works and clinical trials was performed.Additional papers were retrieved by crosschecking references and obtaining information from Chinese oncologists and relevant conferences.One hundred and one papers and one registered clinical trial on HIPEC were included.RESULTS:A literature review identified 86 hospitals in 25 out of all 31 areas of China's Mainland that perform HIPEC.The earliest report included in our survey was published in 1993.Different approaches to HIPEC have been utilized,i.e.palliative,prophylactic,and possiblycurative treatment.Only one center has consistently performed HIPEC according to the "Sugarbaker Protocol",which involves evaluating the extent of PC with peritoneal cancer index and the results of CRS with the completeness of cytoreduction.Positive preliminary results were reported:7 of 21 patients with PC survived,free of tumors,during an 8-43-mo follow-up period.Hyperthermic strategies that include HIPEC have been practiced for a long time in China's Mainland,whereas the "Sugarbaker Protocol/Techniques" has been only rarely implemented in China.The Peritoneal Surface Oncology Group International hosts a biannual workshop with the intent to train more specialists in this field and provide support for the construction of quality treatment centers,especially in developing countries like China,whose population is huge and has a dramatically increased incidence of cancer.CONCLUSION:To popularize Sugarbaker Protocol/Techniques in China's Mainland in PC management arising from gastric cancer or colorectal cancer will be the responsibility of the upcoming Chinese Peritoneal Surface Oncology Group.
基金supported by grants from the National Science and Technology Major Project(2017ZX10203205)The Changjiang Scholar Award(T2014146)
文摘Introduction Over 300000 people in China die each year of hepatocellular carcinoma(HCC),which accounts for approximately half of HCCrelated deaths worldwide.Liver transplantation(LT)is generally recognized as one of the most effective therapeutic approaches for end-stage liver diseases.Since the beginning of the second LT boom in the 1990s,LT in China has been developed rapidly with professional and large-scale trends,and it is approaching or has reached the level of developed countries in terms of quantity and quality.According to the China Liver Transplant Registry,the number of transplants for HCC accounted for 36.8%of the total number of LT cases during the past 5 years in the mainland of China.In order to develop an effective,safe and standardized protocol to guide the national LT practice,the clinical guidelines of LT for HCC was launched in 2014 by multidisciplinary experts from Chinese Society of Organ Transplantation,Chinese Medical Association and Chinese Association of Organ Transplantation,Chinese Medical Doctor Association.Recently,there have been new clinical and scientific advances in the field of LT and to keep abreast of these achievements,the original clinical practice guidelines need to be updated.
基金supported by National Foundation of China (project No.2013ZX10004-202)National Basic Research Program of China (973 Program,2011CB504902)National Natural Science Foundation of China (project Nos.30900063,81101303,81373049)
文摘Hand, foot, and mouth disease （HFMD） is a common contagious illness which occurs worldwide both sporadically and in epidemics. The disease mainly affects, children and the typical symptoms, which may resolve spontaneously, include mucocutaneous papulovesicular lesions on the hands, feet, mouth, and buttocks. In rare cases, however, the patients may also develop neurological complications such as neurogenic pulmonary edema,
文摘To investigate the recurrence behaviors of segment-rupturing eathquakes on active faults of the Chinese mainland, thispaper analyzes quantitatively earthquake history of 19 fault segments based on earthquake dam of multi-cyclerecurrences. The result shows that, for these fault segments, eanhquake recurring at previous locations is mainlycharacterized by both quasi-periodic (in a ratio of about) and time-predictable (in a ratio of about) behaviors.For the first behavior. intrinsic uncertainty of recurrence interval accounts for 0. 15-0.40 of the average interval, andmagnitudes of event vary from cycle to cycle within the range of the mean magnitUde t0.5. For the second behavior,intrinsic uncertainty of recurrence interval ranges mostly from 0. 19 to 0.40 of the average interval, and for successivetwo cycles the maximum change of event magnitudes is as much as 1.7 magnitude-units. In addition, for a few casesthe first behavior coexists along with either the second or the slip-predictable behaviors.
基金Supported by Science&Technology Innovation Commission of Shenzhen(to Lin JB)No.201404113000346 and No.JCYJ20140411150916744+1 种基金the Science &Technology Project of Shenzhen Longgang District,No.201406063001007 and No.YLWS20140606101914846the Science &Technology Project of Shenzhen Longgang District,No.20160607153104624(to Zhang YF)
文摘AIM To assess the validity and reliability of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Colorectal Cancer 29 (EORTC QLQ-CR29) in Chinese patients with colorectal cancer (CRC). METHODS From March 2014 to January 2015, 356 patients with CRC from four different hospitals in China were enrolled in the study, and all patients self-administered the EORTC QLQ-CR29 and the quality of life core questionnaire (EORTC QLQ-C30). Evaluation of the scores was based on the Karnofsky Performance Scale (KPS). The reliability and validity of the questionnaires were assessed by Cronbach's proportional to coefficient, the Spearman correlation test and Wilcoxon rank sum test. RESULTS The EORTC QLQ-CR29 showed satisfactory reliability (proportional to > 0.7), although the urinary frequency and blood and mucus in stool dimensions had only moderate reliability (proportional to = 0.608). The multitrait scaling analyses showed good convergent (r > 0.4) and discriminant validity. Significant differences were obtained for each item in the different KPS subgroups (KPS <= 80; KPS > 80). Body image and most single- item dimensions showed statistically significant differences in patients with a stoma compared with the rest of the patients. CONCLUSION The EORTC QLQ-CR29 exhibits high validity and reliability in Chinese patients with CRC, and can therefore be recommended as a valuable tool for the assessment of quality of life in these patients.
基金This project was supported by grants from the Ford Foundation, the Save the Children Fund, and Befrienders International.
文摘Objective To compare the characteristics of suicides in the four main demographic groups： urban males, urban females, rural males and rural females in order to help clarify the demographic pattern of suicides in China. Methods A detailed psychological autopsy survey instrument was independently administered to 895 suicide victims in family members and close associates from 23 geographically representative locations from around the country. Results Pesticide ingestion accounted for 58% （519） of all suicides and 61% （3181519） of deaths were due to unsuccessful medical resuscitation. A substantial proportion （37%） of suicide victims did not have a mental illness. Among the 563 victims with mental illness, only 13% （76/563） received psychiatric treatment. Compared to other demographic groups, young rural females who died from suicide had the highest rate of pesticide ingestion （79%）, the lowest prevalence of mental illness （39%）, and the highest acute stress from precipitating life events just prior to the suicide. Contusion Many suicides in China are impulsive acts of deliberate self-harm following acute interpersonal crises. Prevention of suicides in China must focus on improving awareness of psychological problems, improving mental health services, providing alternative social support networks for managing acute interpersonal conflicts, limiting access to pesticides, and improving the resuscitation skills of primary care providers.
文摘For the two main recurrence behaviors of segment-rupturing earthquakes on active faults of the Chinese mainland,this paper establishes corresponding empirical distributions forearthquake recurrence interval. The results show that, for the time-predictable recurrence, the normalized recurrence interval, T/Tt, obeys very well the lognormal distributions: LN (μ1=0.00, σ21 =0. 152), where, T is an observed recurrence interval, and Tt is the average recurrence interval that is correlative with the size of the preceding event. For the quasi-periodic recurrence, the normalized recurrence interval, T/T, follows the lognormal distribution : LN(μq=0.00, σ2q=0.242), where, T is the median of recurrence intervals for various cycles. A statistical test suggests that, there is no significant difference between the latter distribution, built by this paper, and the recurrence interval distribution for the characteristic earthquakes of the Circum-Pacific Plate boundaries (NB model). Accordingly, this paper combines these two distributions into one and obtains a more stable lognormal distribution :LN (μ = 0.00, σ2 = 0.222), for the quasi-periodic recurrence interval.
基金National Natural Science Foundation of China (Nos .30499340,30770015)Ministry of Science and Technology of the People's Republic of China (Nos .2006FY120100,2006FY110500-5)
文摘Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing care;in 2010,the Chinese government has acknowledged the need to implement the TCM in China.Objective:This study has the following objectives:(1)perform a thorough review of the literature regarding the development and implementation of the TCM in China's Mainland within the past 5 years;(2)provide a comprehensive discussion of the current status,problems,and strategies related to the implementation of the TCM in China's Mainland;and(3)suggest strategies pertaining to the future of the TCM in China.Design:The current pertinent literature is systematically reviewed.Data sources:Systematic and manual searches in computerized databases for relevant studies regarding the TCM led to the inclusion of 26 papers in this review.Review methods:Abstracts that satisfied the inclusion criteria were reviewed independently by the two authors of this manuscript,and discrepancies were resolved through discussion.The same reviewers independently assessed the paper in its entirety for selected abstracts.Results:The present English literature reviewrevealed a paucity of updated information about the development and implementation of the TCM in China's Mainland.Nevertheless,the dramatic growth of the TCM in the past 5 years has had a vital impact within the society and in nursing development.This review also revealed numerous issues regarding the focus of the TCM.Overall implications for practiceandrecommendations for future researchare discussed.Conclusion:Despite the potential of this nursing model to have a successful and beneficial impact in China's Mainland,it remains an under-researched topic.Further research on education and training as well as premium policies for nurses under the TCM are needed.
