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At pressent, there are many controversies in China about the recommendations in Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome (hereinafter referred to as the “Guidelines”) revised in 2021, and it's believed that some clauses lack theoretical support. Some researches in China have showed that sodium restriction and negative sodium balance are the only reason for hyponatremia. Sodium retention is the stress protective reaction mechanism for hyponatremia, not the basis for sodium restriction treatment. This article dialectically evaluates the relationship between peripheral circulation dysfunction, hepatorenal syndrome pathogenesis and diagnosis and treatment, and believes that the AASLD Guidelines have weakened the clinical guiding significance, and looks forward to the development of ascites and hepatorenal syndrome diagnosis and treatment guidelines with Chinese intellectual property rights and in line with Chinese clinical practice.

Background Enhanced recovery after surgery (ERAS) is a pathway designed to improve the care of surgical patients and achieve early recovery. The clinical outcomes and usage of key elements of ERAS pathways in total joint arthroplasty (TJA) need further reanalysis. This article aims to provide an overview of the latest clinical outcomes and current usage of key elements of ERAS pathways in TJA. Methods We undertook a systematic review of the PubMed, OVID, and EMBASE databases in February 2022. Studies investigating the clinical outcomes and usage of key elements of ERAS in TJA were included. The components of successful ERAS programs and their usage were further determined and discussed. Results Twenty‐four studies involving 216,708 patients assessed ERAS pathways for TJA. A total of 95.8% (23/24) of studies reported a reduced length of stay (LOS), followed by reduce overall opioid consumption or pain (87.5% [7/8]), save costs (85.7% [6/7]), improvements in patient‐reported outcomes or functional recovery (60% [6/10]), and reduced incidence of complications (50% [5/10]). In addition, preoperative patient education (79.2% [19/24]), anesthetic protocol (54.2% [13/24]), use of local anesthetics for infiltration analgesia or nerve blocks (79.2% [19/24]), perioperative oral analgesia (66.7% [16/24]), perioperative surgical factors including reduced use of tourniquets and drains (41.7% [10/24]), use of tranexamic acid (41.7% [10/24]) and early mobilization (100% [24/24]) were contemporary comparatively “active” components of ERAS. Conclusions ERAS for TJA has favorable clinical outcomes in terms of reducing LOS and overall pain, saving costs, accelerating functional recovery, and reducing complications, although the evidence is still low in quality. In the current clinical scenario, only some “active” components of the ERAS program are widely used.

Energy poverty, especially in rural areas, has become a central focus of scholarly and policy discussions. However, there is a significant gap in understanding the impact of religious beliefs on this phenomenon. This paper aims to fill this gap by utilizing household survey data from the China Labor-force Dynamics Survey (CLDS) spanning three waves (2012, 2014, and 2016) to examine the causal link between religious beliefs and energy poverty, covering clean energy accessibility and affordability among rural residents. Our analysis unveils a substantial positive influence of religious beliefs on the likelihood of experiencing energy poverty, especially concerning accessibility and affordability. This effect is notably pronounced among males, ethnic minorities, and low-income groups. Low income and education are recognized as pivotal mediating factors through which religious beliefs contribute to energy poverty. The findings of this study offer valuable insights for formulating strategies to mitigate energy poverty in rural China, with a particular emphasis on the role of religious beliefs. [ABSTRACT FROM AUTHOR]

Given that income disparity is expanding and diet‐related environmental footprints are increasing in urban China, this study aims to investigate the heterogeneity in these footprints across various income classes and examine the effect of income distribution on the total environmental footprints. Based on the quadratic almost ideal demand system model and taking into consideration the problems of endogeneity of food expenditure and zero expenditure, we estimate the income elasticities for 10 food categories across seven income classes and project the diet‐related environmental footprints under seven scenarios for various strategies of the income distribution. The results show that per capita diet‐related environmental footprints are greater for higher income classes than for lower income classes, as the former consume more animal‐based food. Compared with high‐income classes, income growth favouring low‐income classes results in a rather significant increase in diet‐related environmental footprints. With further economic growth, the lowest income group makes the greatest contribution to the increase in diet‐related environmental footprints. Thus, policymakers should promote a more sustainable diet on the road to alleviating income inequality to ensure sustainable environmental development. [ABSTRACT FROM AUTHOR]