Search

Background: Psychological birth trauma exhibits a high incidence worldwide, resulting in a wide range of negative impacts on mothers, infants, couples, families and society at large through the maternal-centered ripple effect. However, there is currently limited research on psychological birth trauma in China. Social support and pregnancy stress are important influencing factors of psychological birth trauma. Consequently, this study aimed to explore predictors of pregnancy stress and psychological birth trauma in women undergoing vaginal delivery in China. Methods: This cross-sectional study was performed at a single medical center between December 2021 and May 2022 in Hangzhou, China. Participants were selected using a convenience sampling technique. A total of 351 postpartum women within one week after vaginal delivery were included. Questionnaires were used to collect sociodemographic and obstetric characteristics and scores on the Pregnancy Stress Rating Scale (PSRS), City Birth Trauma Scale (City BiTS), Social Support Rating Scale (SSRS) and Family Adaptation Partnership Growth Affection and Resolve index (Family APGAR). Both univariate analysis and multiple linear regression analysis were conducted to assess predictors of pregnancy stress and psychological birth trauma. Results: The median (IQR) of PSRS and City BiTS scores were 10.00 (14.00) and 3.00 (9.00), respectively. The incidence of postpartum posttraumatic stress disorder was 4.0% (14/351). Parity, social support, family support and level of education were predictors of pregnancy stress. Delivery complications, psychological traumatic event, pregnancy stress and family support were predictors of psychological birth trauma (P < 0.05). Conclusion: Pregnancy stress is related to social support, family support and some sociodemographic and obstetric characteristics. Psychological birth trauma is correlated with delivery complications, psychological traumatic event, pregnancy stress and family support. Consequently, enhancing social support, especially family support, for pregnant women as a means of reducing pregnancy stress can effectively prevent psychological birth trauma. [ABSTRACT FROM AUTHOR]

There have been ongoing discussions about the most recent curriculum reform in China. The new curriculum aims at a more quality-oriented ("suzhi") education and producing more well-rounded citizens to meet the challenges of global competition. However, it is questioned how "suzhi" education is possible with entrance examination still being the sole sorting mechanism. A semester-long ethnography in a rural middle school in northwest China reveals how rural students face many challenges with the new curriculum. Based on interviews, analyses of textbooks, and observations of classroom teaching, the study examines how rural students question the relevance of their curriculum and further the meaning of formal schooling. In addition to the dichotomy between an exam-oriented and quality-oriented curriculum, students are also troubled by the dichotomy between general/academic education and relevant/practical education. The study raises concerns about the urban-centered curriculum and how the rural community's absence in the picture has led to rural students' increasing disengagement in schooling and even dropout. It also reveals how the substance of "suzhi" education and the new curriculum have further reduced rural students' chance to move upward socially. The article concludes by pushing for discussions on how formal schooling can better serve rural children and youth. (Contains 3 notes.)

Based on an ethnographic study in a rural middle school in Northwest China, the author explores how the transition of the rural countryside, specifically townization, has challenged the urban-rural dichotomy being reproduced in and by formal schooling. Rural students express criticism of the chaos, pollution, and corruption they have experienced during townization, which also penetrate the school walls and become part of their daily schooling experience. Students' resistance to townization corresponds to their resistance to schooling. The author analyzes three groups of rural youth (conformists, reformers, and rebels), and how their resistance is limiting and even self-defeating, yet also has potential for being liberating.

Objective. This study focused on mood regulations and their association with sociodemographic status, exercise pattern, and physical conditions of adults and older adults in China who did not undergo interventions. Method. Data were based on the 2016 to 2018 Guangdong National Physique Monitoring data, in which 5242 participants aged 20-69 years were recruited. Multiple statistical analysis methods, such as descriptive and logistic regression analyses, were used to study each exercise motivation and its association with influencing factors, including sociodemographic characteristics, exercise measurements, and physical conditions. An exercise index for mental health was also used to investigate the number and types of people who were more likely to meet the index. Results. We observed that 44.9% (2355/5242) of participants did not engage in physical exercise in this study. Only older participants (40 to 69 years old) and those with an average level of education (high school/technical secondary school) showed a significant association with exercising for mood regulation. Few people met the index that is good for mental health (16.64% [872/5242] met index 1, and 2.84% (149/5242) met index 2), and higher education showed a significant association with a reduction in the mental health burden and the prevention of depression. Conclusion. This study found that motivating people to be more active and educating them on the potential mental health benefits of exercise could help them to exercise more. [ABSTRACT FROM AUTHOR]

There have been ongoing discussions about the most recent curriculum reform in China. The new curriculum aims at a more quality-oriented (suzhi) education and producing more well-rounded citizens to meet the challenges of global competition. However, it is questioned how suzhi education is possible with entrance examination still being the sole sorting mechanism. A semester-long ethnography in a rural middle school in northwest China reveals how rural students face many challenges with the new curriculum. Based on interviews, analyses of textbooks, and observations of classroom teaching, the study examines how rural students question the relevance of their curriculum and further the meaning of formal schooling. In addition to the dichotomy between an exam-oriented and quality-oriented curriculum, students are also troubled by the dichotomy between general/academic education and relevant/practical education. The study raises concerns about the urban-centered curriculum and how the rural community's absence in the picture has led to rural students' increasing disengagement in schooling and even dropout. It also reveals how the substance of suzhi education and the new curriculum have further reduced rural students' chance to move upward socially. The article concludes by pushing for discussions on how formal schooling can better serve rural children and youth. [ABSTRACT FROM AUTHOR]

Based on an ethnographic study in a rural middle school in Northwest China, the author explores how the transition of the rural countryside, specifically townization, has challenged the urban–rural dichotomy being reproduced in and by formal schooling. Rural students express criticism of the chaos, pollution, and corruption they have experienced during townization, which also penetrate the school walls and become part of their daily schooling experience. Students’ resistance to townization corresponds to their resistance to schooling. The author analyzes three groups of rural youth (conformists, reformers, and rebels), and how their resistance is limiting and even self-defeating, yet also has potential for being liberating. [ABSTRACT FROM PUBLISHER]

Focuses on the globalization and localization of higher education in China. Background on interrelated trends in Chinese higher education, as of January 2005; Number of students studying in post-secondary schools in China in 2004; Role of the Chinese state in the decentralization of higher education.

Background: Sarcopenia, an age-related disorder characterized by loss of skeletal muscle mass and function, is recently recognized as a complication in elderly patients with type 2 diabetes mellitus (T2DM). Skeletal muscles play a crucial role in glycemic metabolism, utilizing around 80% of blood glucose. Accordingly, we aimed to explore the relationship between glucose metabolism and muscle mass in T2DM., Methods: We employed the AWGS 2019 criteria for diagnosing low muscle mass and 1999 World Health Organization (WHO) diabetes diagnostic standards. This study included data of 191 individuals aged 60 and above with T2DM of Shanghai Pudong Hospital from November 2021 to November 2022. Fasting C-peptide (FPCP), fasting plasma glucose (FPG), 2-hour postprandial plasma glucose (PPG) and postprandial 2-hour C-peptide (PPCP), glycated hemoglobin A1c (HbA1c), glycated albumin (GA), serum lipids spectrum, renal and hepatic function, hemoglobin, and hormone were measured. Based on the findings of univariate analysis, logistic regression and receiver operating characteristic (ROC) curves were established., Results: Participants with low muscle mass had significantly lower alanine and aspartate aminotransferase, and both FPCP and PPCP levels (P < 0.05). Compared with those without low muscle mass, low muscle mass group had significantly higher FPG, HbA1c, GA levels (P < 0.05). Body fat (BF, OR = 1.181) was an independent risk factor for low muscle mass. PPCP (OR = 0.497), BMI (OR = 0.548), and female (OR = 0.050) were identified as protective factors for low skeletal muscle. The AUC of BMI was the highest, followed by the PPCP, gender and BF (0.810, 0.675, 0.647, and 0.639, respectively), and the AUC of the combination of the above four parameters reached 0.895., Conclusions: In this cross-sectional study, BMI, Female, and PPCP associated with T2DM were protective factors for low muscle mass. BF was associated with T2DM and risk factor for low muscle mass., (© 2024. The Author(s).)