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Rural household energy consumption is an important component of national energy consumption and plays an important role in rural social and ecological environment developments. In this paper, energy consumption of 1440 households in 8 typical counties of 8 China's economic zones was investigated. The investigation data analysis revealed significant difference of different economic zones in rural household energy consumption level and structure. For 8 studying counties, the annual average energy consumption per capita was 26.7 GJ, 10.4 GJ the lowest (Shanghang County) and 86.6 GJ the highest (Shulan County). In energy consumption, straw, biogas, fuel wood and electricity accounted for 44.33%, 23.13%, 12.79% and 9.61%, respectively. Rural families with high incomes preferred commercial energies (e.g. electricity and liquefied petroleum gas (LPG)) to biomass energy (e.g. straw and fuel wood). The traditional biomass energy is still the main energy source for China's rural household. Research results provide references to understand current situations and future development of China's rural household energy consumption, and formulate related energy and environmental policies. [ABSTRACT FROM AUTHOR]

Deep parsing of Chinese sentences is a very challenging task due to their complexity such as ambiguous word boundaries and meanings. An alternative mode of Chinese language processing is to perform shallow parsing of Chinese sentences in which chunk segmentation plays an important role. In this paper, we present a chunk segmentation algorithm using a combined statistical and rule-based approach (CSRA). The decision rules for refining chunk segmentation are generated from incorrectly segmented chunks from a statistical model which is built on a training corpus. Experimental results show that the CSRA works well and produces satisfactory chunk segmentation results for subsequent processes such as chunk tagging and chunk collocation extraction. [ABSTRACT FROM AUTHOR]

In order to understand the basic character and development tendency of China’s rural household energy consumption, we present the total rural household energy consumption of 1998 in China, which was 340.97 million tce (tons of standard coal equivalent, 1 tce=7×106 kcal), according to statistics gathered from 30 provinces and 40.14% of which was commercial energy. This paper shows the correlation coefficients of the data, such as per-capita energy consumption of standard coal equivalent (PCEC), effective heat consumption for livelihood per capita per day (EHC), the proportion of commercial energy in EHC (PCE), annual electricity consumption for livelihood per capita (AEC) and so on. The paper suggests using EHC, PCE and AEC as the character indices to further reveal the correlation of per-capita income (PCI) and average annual temperature (AAT). [Copyright &y& Elsevier]

Common factors that influence Chinese rural household energy consumption are proposed and major demand characteristics of well-off rural areas are analyzed on the basis of survey data. A system of major characteristic indicators for rural household energy consumption includes effective heat consumption for livelihood per capita per day (EHC), the proportion of commercial energy in EHC (PCE) and annual electricity consumption for livelihood per capita (AEC). Typical values in three economic regions (out-of-poverty, well-off and rich areas) of China are also given. [Copyright &y& Elsevier]

The local biomass resources have been used in rural China for quite a long time, which has a close connection with and will inevitably affect the environment. In recent years, China has experienced rapid economic growth and equally rapid increases in energy use, especially commercial energy, in rural areas. As a result, energy induced environmental degradation has also increased in rural China. This paper discusses the relationship between China’s rural energy and its sustainable development. It brings forward the index system for appraising the sustainable development of rural energy (SDRE), calculates the weighing of each index with analytic hierarchy process (AHP), puts forward the quantification method and provides the basis for the research of the rural energy for sustainable development in different areas and periods. [Copyright &y& Elsevier]

Background: Suicide is an urgent public health challenge for China. This study aims to examine the prevalence, influence factors, and gender differences of suicidal ideation among general population in Northwestern Urban China.Methods: Data used in this study were derived from the third wave of a cohort study of a randomized community sample with 4291 participants (≥ 20 years) in 2008 in Lanzhou City and Baiyin City, Gansu Province. Data were collected via face-to-face interview by the trained interviewers. Descriptive analyses, chi-square tests and multivariate logistic regressions were performed by using Stata 12.0, as needed.Results: The prevalence of 12-month suicidal ideation was 4.29%, there was no significant difference between males and females [5.04% vs 3.62%, Adjusted Odds Ratio (AOR) = 0.83, p = 0.351]. Several risk factors for suicidal ideation were confirmed, including being unmarried (AOR = 1.55, p = 0.030), having depression symptoms (AOR = 2.33, p < 0.001), having other insurance (AOR = 1.83, p = 0.01) or no insurance (AOR = 1.73, p = 0.024). In addition, several influence factors were significantly different in males and females, such as being currently married (unmarried vs married, AOR = 1.84, p = 0.027, for females; no difference for males), feeling hopeless (hopless vs hopeful, AOR = 1.92, p = 0.06, for females; no difference for males), having other insurances (having other insurances vs having basic employee medical insurance, AOR = 1.92, p = 0.044, for males; no difference for females), having debts (having debts vs no debts, AOR = 2.69, p = 0.001, for males; no difference for females), currently smoking (smoking vs nonsmoking, AOR = 3.01, p = 0.019 for females, no difference for males), and currently drinking (drinking vs nondrinking, AOR =2.01, p = 0.022, for males; no difference for females).Discussion and Conclusion: These findings suggested that comprehensive suicide prevention strategies should be developed or strengthened in order to prevent suicide ideation in China, and the gender-specific differences need to be explored through further researches. [ABSTRACT FROM AUTHOR]

An EF4 supercellular tornado hit Funing County, Yancheng, Jiangsu Province, China, from about 1410 to 1500 local standard time 23 June 2016, causing 98 fatalities and 846 injuries. It was the deadliest tornado in the past 40 years in China. This paper documents the storm environment, evolution of the radar signatures, realtime operational tornado warning services, and the damage distribution during this event. The tornado was spawned from a supercell that developed ahead of an upper-level trough extending southwestward from a low pressure vortex in northeast China and dissipated following the occlusion of the tornado vortex. The radarbased rotational velocity of the mesocyclone peaked at 42.2ms21. The strength of the tornado vortex signature (gate-to-gate azimuthal radial velocity difference) peaked at 84.5ms21. Surface observations at 1-min intervals from a mesoscale network of in situ surface weather stations revealed the surface wind pattern associated with the mesocyclone, such as convergent and rotational flows. The tornado formed after the peak updraft strength of the supercell, producing a damage swath that was 34.5 km long and with a maximum width of 4.1 km. The review of the tornado warning process for this event reveals that there is much work to be done to develop operational tornado forecast and warning services for China. [ABSTRACT FROM AUTHOR]

Background: A lot of time and money was needed during the diagnosis and treatment process of leprosy, the delayed leprosy would also impair the labor capability of patients as well, and these put a heavy burden for the leprosy patients. The migrant leprosy patient is a special group and need more concern. Our goal was to assess the economic burden of leprosy on migrant and resident patient populations in Guangdong province, China.Methods: We conducted a population-based cross-sectional survey from February to July of 2016. A self-designed questionnaire was administered to leprosy patients who: (1) had registered in Leprosy Management Information System in China (LEPMIS) by the end of February 2016, (2) had received multiple drug treatment (MDT) drugs at a local leprosy control institution for three consecutive months or had had at least one physical check in the past half year, and (3) were willing to take part in the investigation and give informed written consent. Demographic characteristics, Financial and disease information, and costs before and after leprosy diagnosis were collected and compared using t-test and χ2 test.Results: A total of 254 participants completed the questionnaires, including 168 males and 86 females. Migrants and residents accounted for 33.9% and 66.1% of patients, respectively. Among migrant patients, the median cost before diagnosis was $131.6 (39.2-450.9), the median yearly cost of leprosy treatment after diagnosis was $300.6 (158.4-868.5), and the median yearly cost of leprosy complications was $69.5 (11-178.4). In comparison, among residents the median yearly costs were $152.4 (30.7-770.9) pre-diagnosis, $309.7 (103.2-1016.7) after diagnosis, and $91.9 (32.6-303.1) for leprosy complications. Base on this, we determined that the median yearly total expense after diagnosis amounted to 15% of migrant and 38% of resident patients' annual income.Conclusion: Leprosy places a heavy economic burden on both migrant and resident leprosy patients and governmental policies and programs could substantially alleviate this. Measures to implement more active surveillance and early diagnosis would benefit both populations, while labor protection and medical insurance are urgently needed for migrant patients and easier access to medical services and social aids could substantially decrease the burden of leprosy for resident patients. [ABSTRACT FROM AUTHOR]

Background: Depression and diabetes have been recognized as major public health issues in China, however, no studies to date examined the factors associated with the development of depression in patients with diabetes in China. This study aimed to estimate the prevalence of co-morbid depression among adults with type 2 diabetes mellitus (DM) and to examine the influence factors of co-morbid depression in a group of patients with type 2 DM. Methods: The study was conducted from March l to May 31, 2012, in the Department of Endocrinology of the First Affiliated Hospital of the General Hospital of the People's Liberation Army (PLA). A systematic random sample of 412 type 2 DM patients aged over 18 years was selected. A structured questionnaire was used for collecting the information about socio-demographic data, lifestyle factors and clinical characteristics. Depression and social support was evaluated by using the Chinese version of Beck Depression Inventory (BDI) and Social Support Rate Scale (SSRS), respectively. Weights and heights were measured. Hemoglobin A1c (HbA1c) was abstracted from each patient directly after the interview. Results: Of the total sample, 142 patients had depression according to the BDI scores (BDI scores ≥14), the prevalence of co-morbid depression in this study population was 5.7 % (142/2500). Of which, 56 had major depression (BDI ≥ 21), and 86 had moderate depression (BDI ≥ 14&BDI < 21). Logistic regression analysis indicated that a high HbA1c level, a high BMI, low quality health insurance, and being single, were significantly associated with the development of depression. However, a family history of diabetes and a high social support level are likely protective factors. Conclusions: The prevalence of co-morbid depression was 5.7 % among Chinese subjects with type 2 DM in this study. High HbA1c level, high BMI score, being single, low social support level, and low quality health insurance were associated with the presence of depression. These findings support a recommendation for routine screening and management in China for depression in patients with diabetes, especially for those in primary care, to reduce the number of the depressed or the misrecognized depressed diabetic patients. [ABSTRACT FROM AUTHOR]

Background: In 2009, health-care reform was launched to achieve universal health coverage in China. A good understanding of how China's health reforms are influencing village doctors' income structure will assist authorities to adjust related polices and ensure that village doctors employment conditions enable them to remain motivated and productive. This study aimed to investigate the village doctors' income structure and analyse how these health policies influenced it. Methods: Based on a review of the previous literature and qualitative study, village doctors' income structure was depicted and analysed. A qualitative study was conducted in six counties of six provinces in China from August 2013 to January 2014. Forty-nine village doctors participated in in-depth interviews designed to document their income structure and its influencing factors. The themes and subthemes of key factors influencing village doctors' income structure were analysed and determined by a thematic analysis approach and group discussion. Results: Several policies launched during China's 2009 health-care reform had major impact on village doctors. The National Essential Medicines System cancelled drug mark-ups, removing their primary source of income. The government implemented a series of measures to compensate, including paying them to implement public health activities and provide services covered by social health insurance, but these have also changed the village doctors' role. Moreover, integrated management of village doctors' activities by township-level staff has reduced their independence, and different counties' economic status and health reform processes have also led to inconsistencies in village doctors' payment. These changes have dramatically reduced village doctors' income and employment satisfaction. Conclusions: The health-care reform policies have had lasting impacts on village doctors' income structure since the policies' implementation in 2009. The village doctors have to rely on the salaries and subsidies from the government after the drug mark-up was cancelled. China's national health reforms are attempting to draw village doctors into the national health workforce, but the policies have impacted their income and independence. Further research into these concerns and monitoring of measures to adequately compensate village doctors should be undertaken. Reasonable compensation strategies should be established, and sufficient subsidies should be allocated in a timely manner. [ABSTRACT FROM AUTHOR]

Background: To effectively provide public health care for rural residents, the Ministry of Health formally unveiled the contract service policy in rural China in April 2013. As the counterpart to family medicine in some developed countries, the contract service established a compact between village doctors and local governments and a service agreement between doctors and their patients. This study is a rare attempt to explore the perspectives of health providers on the contract service policy, and investigate the demand side's attitude toward the public health services delivered under the contract policy. This evidence from Xinjian County, Jiangxi Province, the first and most representative pilot site of the contract service, could serve as a reference for policymakers to understand the initial effects of the policy, whereby they can regulate and amend some items before extending it to the whole country. Methods: Official documents were collected and semi-structured interviews with human resources and villagers in Xinjian County were conducted in September 2013. A purposive sampling method was used, and eight towns from the total 18 towns in Xinjian County were selected. Ultimately, eight managers (one in each township health center), 20 village doctors from eight clinics, and 11 villagers were interviewed. A thematic approach was used to analyze the data, which reflected the people's experiences brought about by the implementation of the contract service policy. Results: While the contract service actually promoted the supply side to provide more public health services to the villagers and contracted patients felt satisfied with the doctor-patient relationship, most health providers complained about the heavy workload, insufficient remuneration, staff shortage, lack of official identity and ineffective performance appraisal, in addition to contempt from some villagers and supervisors after the implementation of the contract service. Conclusions: Contract service is a crucial step for the government to promote public health services in rural areas. To inspire the positive perspective and optimal work performance of the health workforce, it is imperative for the Chinese government to fortify financial support to health providers, adopt an advanced management model and escalate administrative capacity. [ABSTRACT FROM AUTHOR]

Background: The village doctors have served rural residents for many decades in China, and their role in rural health system has been highly praised in the world; unfortunately, less attention has been paid to the health workforce during the ambitious healthcare reform in recent years. Therefore, we conducted a longitudinal study to explore the current situation and track the future evolution of the rural healthcare workforce.Methods: The self-administered structured Village Clinic Questionnaire and Village Doctor Questionnaire, which were modified from the official questionnaires of the Ministry of Health, were constructed after three focus groups, in-depth interviews in Hebei Province, and a pilot survey in Sichuan Province. Using a stratified multistage cluster sampling process, we gathered baseline data for a longitudinal survey of village doctors, village clinics from Changshu County, Liyang County, Yongchuan District, Mianzhu County, and Jingning County in China in 2011. Well-trained interviewers and strict procedures were employed to ensure the quality of this survey. Descriptive and correlation analyses were performed with Stata 12.0.Results: After four months of surveying, 1,982 Village Doctor Questionnaires were collected, and the response rate was 88.1%. There were 1,507 (76.0%) male and 475 (24.0%) female doctors, with an average age of 51.3 years. The majority of village doctors (58.5%) practiced both western medicine and Traditional Chinese Medicine, and 91.2% of the doctors received their education below college level. Their practice methods were not correlated with education level (P = 0.43), but closely related to the way they obtained their highest degree (that is, prior to starting work or as on-the-job training) (P < 0.01). The mean income of the village doctors was 1,817 (95% CI 1,733 to 1,900) RMB per month in 2011; only 757 (41.3%) doctors had pensions, and the self-reported expected pension was 1,965 RMB per month.Conclusions: Village doctors in rural China are facing critical challenges, including aging, gender imbalance, low education, and a lack of social protection. This study may be beneficial for making better policies for the development of the health workforce and China's healthcare reform. [ABSTRACT FROM AUTHOR]