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Background: This is a sub‐analysis of the Personalized Antithrombotic Therapy for Coronary Heart Disease after PCI (PATH‐PCI) trial in China to explore the relationship between smoking and outcomes following personalized antiplatelet therapy (PAT) in chronic coronary syndrome (CCS) patients undergoing percutaneous coronary intervention (PCI). Methods: As a single‐center, prospective, randomized controlled and open‐label trial, the PATH‐PCI trial randomized CCS patients undergoing PCI into standard group or personalized group guided by a novel platelet function test (PFT), from December 2016 to February 2018. All patients were divided into smokers and nonsmokers according to their smoking status. Subsequently, we underwent a 180‐day follow‐up evaluation. The primary endpoint was the net adverse clinical events (NACE). Results: Regardless of smoking status, in the incidence of NACE, there was a reduction with PAT but that the reductions are not statistically significant. In the incidence of bleeding events, we found no statistically significant difference between two groups (smokers: 2.0% vs. 1.4%, HR = 1.455, 95% confidence interval [CI]: 0.595−3.559, p =.412; nonsmokers: 2.2% vs. 1.8%, HR = 1.228, 95% CI: 0.530−2.842, p =.632). In smokers, PAT reduced major adverse cardiac and cerebrovascular events (MACCE) by 48.7% (3.0% vs. 5.9%, HR = 0.513, 95% CI: 0.290−0.908, p =.022), compared with standard antiplatelet therapy (SAT). PAT also reduced the major adverse cardiovascular events (MACE) but there was no statistically difference in the reductions (p >.05). In nonsmokers, PAT reduced MACCE and MACE by 51.5% (3.3% vs. 6.7%, HR = 0.485, 95% CI: 0.277−0.849, p =.011) and 63.5% (1.8% vs. 4.9%, HR = 0.365, 95% CI: 0.178−0.752, p =.006), respectively. When testing p‐values for interaction, we found there was no significant interaction of smoking status with treatment effects of PAT (pint‐NACE =.184, pint‐bleeding =.660). Conclusion: Regardless of smoking, PAT reduced the MACE and MACCE, with no significant difference in bleeding. This suggests that PAT was an recommendable regimen to CCS patients after PCI, taking into consideration both ischemic and bleeding risk. [ABSTRACT FROM AUTHOR]

Critical Zone Science (CZS) explores the deep evolution of landscapes from the base of the groundwater or the saprolite‐rock interface to the top of vegetation, the zone that supports all terrestrial life. Here we propose a framework for CZS to evolve further as a discipline, building on 1st generation CZOs in natural systems and 2nd generation CZOs in human‐modified systems, to incorporate human behaviour for more holistic understanding in a 3rd generation of CZOs. This concept was tested in the China‐UK CZO programme (2016–2020) that established four CZOs across China on different lithologies. Beyond conventional CZO insights into soil resources, biogeochemical cycling and hydrology across scales, surveys of farmers and local government officials led to insights into human‐environment interactions and key pressures affecting the socio‐economic livelihoods of local farmers. These learnings combined with the CZS data identified knowledge exchange (KE) opportunities to unravel diverse factors within the Land‐Water‐Food Nexus, that could directly improve local livelihoods and environmental conditions, such as reduction in fertilizer use, contributing toward Sustainable Development Goals (SDGs) and environmental policies. Through two‐way local KE, the local cultural context and socio‐economic considerations were more readily apparent alongside the environmental rationale for policy and local action to improve the sustainability of farming practices. Seeking solutions to understand and remediate CZ degradation caused by human‐decision making requires the co‐design of CZS that foregrounds human behavior and the opinions of those living in human modified CZOs. We show how a new transdisciplinary CZO approach for sustainable Earth futures can improve alignment of research with the practical needs of communities in stressed environments and their governments, supporting social‐ecological and planetary health research agendas and improving capacity to achieve SDGs. Plain Language Summary: Critical Zone Science (CZS) explores how landscapes evolve from below the Earth's surface to the top of trees, supporting life on Earth. CZS was established by studying pristine landscapes, with little or no human modification of the land, water and soil. These pristine natural systems are rare in our modern world. In this paper, we have proposed a new approach to CZS for studying the human‐modified landscapes that dominate our world. To help explain why this is needed, we have re‐drawn a diagram explaining how the critical zone works to show the role of humans. We also give examples of research in three regions of China where we learned from local farmers living in our study areas, to improve our scientific understanding and to try to align our research process to address the biggest pressures affecting their lives. This new approach to CZS can help focus research to directly support local people and improve our ability to achieve the United Nations Sustainable Development Goals. Key Points: Integrating local knowledge with critical zone science can improve interpretation of scientific findings and delivery of Sustainable Development GoalsThird generation science can improve alignment of research with the practical needs of communities and governmentsA new conceptual diagram for human‐modified critical zones is produced to illustrate transdisciplinary Critical Zone Observatories for sustainable Earth futures [ABSTRACT FROM AUTHOR]

There is a growing global emphasis on sustainable agriculture to reduce human impacts and improve delivery of Sustainable Development Goals (SDGs). With increasing investment in critical zone observatories (CZOs), it becomes important to understand how sustainable agricultural knowledge is produced, shared and used between different groups including farmers, scientists and government. To explore these issues, scientists leading the knowledge exchange (KE) component of a China‐UK CZO program studied three farming regions with contrasting geologies and varying economic levels, using a practice‐based research method. We demonstrate how additional funding for social science research allowed us to understand how farmers access and share farming knowledge through bonding, bridging and linking networks, and how this varies spatially, using interviews and survey questionnaires. Knowledge flows, barriers and opportunities for designing locally suited two‐way KE activities were identified. First, we highlight the need for a more locally, socially embedded and reflexive approach to build trust and better address pressing local environmental challenges. Second, we show how social science can usefully inform KE for collaborative, international development science, to draw on local knowledge, promote research impacts and capacity building while avoiding knowledge mismatches. Lastly, a blueprint for the design and funding of future CZOs, social‐ecological and planetary health research agendas that combine science, social science, local knowledge and KE is presented, including the need for substantive social science research to take place in addition to science research in human‐modified landscapes—enabling the CZ science to be better grounded in, informed by and useful to local communities. Plain Language Summary: There is a growing global need for sustainable agriculture to reduce human impacts on the environment. To do this, we need to have a better understanding of how sustainable agricultural knowledge is produced, shared and used between different groups including farmers, scientists and government. In this paper, we explored these issues in three farming regions in China, using a practice‐based research method where we interviewed and surveyed several 100 farmers. We found that in two of the three regions, farmers access and share farming knowledge through family networks, whilst in the third region farmers learned from a broader range of groups including scientists and government. We recommend that future science studies in stressed agricultural landscapes use a more local approach to build trust and carry out science that better addresses pressing local environmental challenges. This requires us to study people, the residents in these landscapes, using social science, alongside understanding how the landscape is functioning ecologically. Lastly, we propose a new "blueprint" for funding of future science, social‐ecological and planetary health research agendas that combine science, social science, local knowledge and knowledge exchange. This will enable environmental science to be better grounded in, informed by and useful to local communities. Key Points: A blueprint for future critical zone observatories and planetary health research is presented that combines science, social science and local knowledgeWe show how social science can usefully inform knowledge exchange (KE) for collaborative science, to build capacity while avoiding knowledge mismatchesSpatial variations in how farmers learn through bonding, bridging and linking networks exist, showing the need for a local approach to KE [ABSTRACT FROM AUTHOR]

Background: Little is known about the prognostic advantage of sex for pulmonary adenocarcinoma among Chinese patients. In this study, we aimed to investigate the true sex differences in prognosis by adjusting for confounders and to explore whether the differences were time‐varying. Methods: We identified 4438 lung adenocarcinoma patients who underwent surgery at a regional Cancer Center of China from 2008 to 2016, retrospectively. Sex, age group, smoking history, year of diagnosis and pathological stage were collected. Time‐dependent Cox regression models with inverse probability of treatment weighting (IPTW) based on propensity score were used to assess the effect of sex and account for confounders. Landmark analyses were conducted to assess survival before, and after, five years. Results: Of these patients, 1761 (39.7%) were men and 2677 (60.3%) were women. Median follow‐up time was 52.6 months. After IPTW adjustment, women were found to have significantly better survival than men varying with time in both crude and IPTW models (hazard ratio [HR] [t] = 0.453*1.015t, where t is the length of time from treatment and its unit is month, p < 0.001). Women had significantly better survival than men within 0–5 years after surgery (HR = 0.763, 95% CI: 0.649–0.897, p = 0.001), whereas there was no difference after five years (HR = 1.135, 95% CI: 0.803–1.605, p = 0.472). In subgroup analysis, women in the 61–71+ age group, in the more than 20 year packs group, pathological stage 0–IB group, and 2013–2016 diagnosis period group revealed the same prognostic pattern. Conclusions: Compared with men, women had better survival after surgical resection of lung adenocarcinoma, especially those who were older and nonsmokers or heavy‐smokers and were pathological stage 0–IB in early years, while the advantage for women diminished with time. [ABSTRACT FROM AUTHOR]

Overgrazing has caused serious grassland soil deterioration and significant soil organic carbon (SOC) losses. Controlled grazing is recommended for restoring grassland and enhancing SOC stocks. Studies have suggested that, in particular, labile organic carbon (C) is a sensitive indicator for soil degradation and SOC recovery, but few studies of the effect of different grassland management practices have been published so far. Here, we investigate the effects of long‐term grazing exclusion and short‐term rotational grazing with different grazing intensities on labile SOC, including hot water extractable organic C (HWEC) and particulate organic C (POC), as well as potential N mineralization (Nmin) rate in soils (0–10 cm) of two grasslands in Xilinhot, Inner Mongolia. Treatments include long‐term (34 years) exclusion, medium‐term (21 years) exclusion and continuous grazing (ambient grazing) at one of the sites, and we investigate no grazing, light grazing, moderate grazing and high‐grazing intensity at the study site for rotational grazing. Our results show that grazing exclusion significantly enhances labile SOC stocks and potential Nmin rate compared to ambient grazing (e.g., POC stock at long‐ and medium‐term exclusion and ambient grazing are 5.71 ± 0.94 Mg C ha−1, 3.25 ± 0.30 Mg C ha−1 and 2.12 ± 0.38 Mg C ha−1, respectively). However, after two decades of exclusion, the potential for further C sequestration is limited. Five years of rotational grazing significantly enhances HWEC, but not POC and potential Nmin rate, when comparing the highest grazing intensity (1.88 sheep ha−1 yr−1) with grazing exclusion during the same period. We conclude that rotational grazing may be a viable alternative to exclusion, offering a more rational use of grassland without causing soil C loss. We also show that HWEC is a particularly sensitive labile SOC indicator and is tightly correlated to POC and potential Nmin rate. Highlights: We investigated effects of grazing exclusion and rotational grazing on labile soil organic carbon.Grazing exclusion increased labile SOC and the highest level appeared in medium‐term exclusion.Five years of high‐intensity rotational grazing increased HWEC with no significant effects on POC.Rotational grazing is a viable alternative to grazing exclusion management. [ABSTRACT FROM AUTHOR]

Based on legitimacy and stakeholder theory, we investigate whether there is an association between the disclosure of corporate social responsibility reports and a firm's sales performance in China. The empirical results reveal that the return on sales and sales growth are positively associated with the level of corporate social responsibility reporting in China. This positive association is strengthened when firms have concentrated customers. Firms use corporate social responsibility reports to improve sales performance and attract customers, who are one of their major stakeholders, and retain their legitimacy. [ABSTRACT FROM AUTHOR]

This paper investigates intra-industry spillover effects of corporate scandals in China. We demonstrate how a contagion effect spreads to peer firms depending upon the quality of corporate governance and their political connections. Good corporate governance in peer firms reduces the contagion effect of scandals. External governance has a stronger influence on reducing the contagion effect of both financial and non-financial scandals, while ownership concentration and the quality of auditors play a more pronounced role in mitigating the contagion effect of financial scandals. State ownership helps to mitigate the negative influence of non-financial scandals in individual-owned firms, but not in state-owned enterprises. [ABSTRACT FROM AUTHOR]

This paper investigates the determinants of board composition and its consequences on firm value in China by focusing on the impact of ultimate owner type and financial needs under the institution environment with government intervention and weak investor protection. We find that State-Owned Enterprises ( SOEs) are more likely to choose politically connected directors without professional backgrounds, but non- SOEs are more likely to have independent directors, or politically connected directors with professional business backgrounds. Appointment of independent directors has no effect on firm value. Due to weak legal investor protection in China, a dominant shareholder can easily remove independent directors, as there is no mature market for directors. Politically connected directors without professional business backgrounds are negatively associated with a firm's value. Although such directors can help a company establish relationships with the government, their firms may suffer due to inferior professionalism. [ABSTRACT FROM AUTHOR]

Objectives Data regarding hypertension in elderly adults with chronic kidney disease ( CKD) remains limited. This study aimed to assess the epidemiological characteristics of hypertension in elderly adults with CKD using data from a nationwide survey. Design A nationwide, multicenter, cross-sectional study with a large sample. Setting The Survey of Prevalence, Awareness, and Treatment Rates in Chronic Kidney Disease Patients with Hypertension in China ( PATRIOTIC). Participants Participants in PATRIOTIC (aged ≥60; n = 2,414). Measurements Trained physicians measured blood pressure ( BP) using a standard protocol with a mercury sphygmomanometer at the time of admission. Results The prevalence, awareness, and treatment of hypertension in elderly adults with CKD were 82.0%, 90.7%, and 87.3%, respectively. The control of hypertension at BP less than 140/90 mmHg was 29.6% and at BP less than 130/80 mmHg it was 12.1%. No significant differences were noted in the prevalence, awareness, treatment, or control of hypertension in individuals with CKD divided into the age groups of 60 to 69, 70 to 79, and 80 and older ( P > .05). With increasing age, the proportion of isolated systolic hypertension in elderly adults with CKD with uncontrolled hypertension increased ( P = .02). Obesity ( P = .01), CKD Stages 4 and 5 ( P < .001), and concomitant diabetes mellitus ( P = .002) were significantly associated with uncontrolled hypertension in elderly adults with CKD, using the goal of BP less than 140/90 mmHg. Conclusion The prevalence of hypertension in elderly adults in China with CKD is high, and its control is poor. Most elderly adults with CKD with uncontrolled hypertension have systolic hypertension. Obesity, CKD Stages 4 and 5, and diabetes mellitus were adversely associated with greater uncontrolled hypertension in elderly adults with CKD. [ABSTRACT FROM AUTHOR]

This study examines whether family firms utilize IPO underpricing in order to retain family control as a means of avoiding outside blockholders. Using a sample of firms listed in Hong Kong where corporate ownership is concentrated, we find that larger IPO underpricing is associated with stronger family involvement, and with greater potential for diffusing ownership among family members. We further find evidence that firms with strong family involvement attract more subscription for their shares, have less concentrated outside blockholdings, and reduce ownership more slowly than do firms with weak family involvement, suggesting that family owners use underpricing to reduce outside blockholdings. We also find that firms controlled by family trusts have less IPO underpricing, suggesting that IPO underpricing and the family trust are effective substitute methods for retaining family control. [ABSTRACT FROM AUTHOR]

Abnormal salience attribution is implicated in heroin addiction. Previously, combining functional magnetic resonance imaging (fMRI) and a drug cue-reactivity task, we demonstrated abnormal patterns of subjective response and brain reactivity in heroin-dependent individuals. However, whether the changes in cue-induced brain response were related to relapse was unknown. In a prospective study, we recruited 49 heroin-dependent patients under methadone maintenance treatment, a gold standard treatment (average daily dose 41.8 ± 16.0 mg), and 20 healthy subjects to perform the heroin cue-reactivity task during fMRI. The patients' subjective craving was evaluated. They participated in a follow-up assessment for 3 months, during which heroin use was assessed and relapse was confirmed by self-reported relapse or urine toxicology. Differences between relapsers and non-relapsers were analyzed with respect to the results from heroin-cue responses. Compared with healthy subjects, relapsers and non-relapsers commonly demonstrated significantly increased brain responses during the processing of heroin cues in the mesolimbic system, prefrontal regions and visuospatial-attention regions. However, compared with non-relapsers, relapsers demonstrated significantly greater cue-induced craving and the brain response mainly in the bilateral nucleus accumbens/subcallosal cortex and cerebellum. Although the cue-induced heroin craving was low in absolute measures, the change in craving positively correlated with the activation of the nucleus accumbens/subcallosal cortex among the patients. These findings suggest that in treatment-seeking heroin-dependent individuals, greater cue-induced craving and greater specific regional activations might be related to reward/craving and memory retrieval processes. These responses may predict relapse and represent important targets for the development of new treatment for heroin addiction., (© 2014 Society for the Study of Addiction.)