Search

Following China's rapid socioeconomic transition, the sexual attitudes and behaviours of Chinese youth have changed considerably, raising serious concerns about their sexual and reproductive health (SRH). While comprehensive and high-quality formal sexuality education has been shown to lead to safer sexual behaviour, the delivery of formal SRH education in China remains insufficient, especially in Western regions. This study used qualitative approaches to evaluate the implementation of a live-streaming comprehensive sexuality education (CSE) programme in Western China between 2019 and 2021. Nineteen participants were recruited to participate in this study. Ten face-to-face, semi-structured interviews were conducted privately with specialists, school principals, and live-streaming tutors. Two focus groups were conducted with classroom teachers and junior secondary students, respectively. Findings reveal that both programme implementers and students demonstrated high satisfaction with CSE implementation. They indicated that CSE provision helped enhance adolescents' SRH knowledge and attitudes so as to better prepare them for a healthy and secure future. Findings demonstrate the effectiveness, efficiency, relevance, sustainability, and scale-up possibilities of the both the CSE curriculum and the live-streaming delivery approach. Findings may help guide future implementation of CSE at all levels, and thus improve access to CSE for vulnerable populations and diminish SRH disparities more effectively. [ABSTRACT FROM AUTHOR]

Habitat selection in animals results from a careful balance of individual requirements, environmental conditions, and ecological disturbances. Preferences can vary across sexes and ages due to differences in survival and reproductive priorities. Despite this variability, most studies have traditionally focused on isolated aspects of either sex or age‐related differences in habitat selection, rather than considering a comprehensive range of influencing factors. The mountain dragon lizard (Diploderma splendidum) exemplifies a species adapted to shrub habitats in the dry‐hot river valleys of the lower Jinsha River, Western China, playing a crucial role in regional ecosystem stability. In this study, we examined the influence of 11 ecological factors on habitat selection by male and female D. splendidum across two distinct age classes (adult and juvenile) to explore sex and age‐related disparities. The lizards showed considerable similarity in habitat preferences, but notable differences in their selection of specific ecological factors. Compared to adult females, adult males displayed a preference for higher tree positions, lower light intensity, and moderate vegetation density. Compared to juvenile females, juvenile males favored higher tree positions, low rock formations, and shrubby grassland and forest. Compared to juvenile females, adult females preferred higher tree positions and habitats further from water. Compared to juvenile males, adult males preferred higher tree habitats. Overall, habitat selection complexity in D. splendidum was significantly influenced by sex and age factors. This study contributes to our understanding of how these lizards respond to different physiological structures and resource requirements. These findings enhance current knowledge on reptile habitat selection and provide theoretical insights crucial for ecological restoration and species protection in the hot and dry valley areas of Hengduan Mountain. [ABSTRACT FROM AUTHOR]

Background: In recent years, neonatal hearing screening (NHS) has gained rapid traction in both developed and developing nations. However, the efficacy of these efforts depends on comprehensive standardization across all screening facets. This study aimed to assess the status and quality of NHS by investigating the knowledge, attitudes, beliefs, and practices of hearing screening practitioners regarding NHS. Methods: A cross-sectional survey was conducted, and an online questionnaire based on the knowledge-attitude/belief (A/B)-practice model was distributed to all NHS practitioners in Luzhou, western China. Valid questionnaires were examined and uniformly graded. Results: A total of 63 valid questionnaires were collected. The practitioners were mainly female (96.83%), with nursing backgrounds (63.49%), and undergraduate degrees (66.67%). Most had ≤5 years of experience (74.60%) and had junior/intermediate titles (93.65%). The NHS within the Luzhou area started in 2006 with provincial institutions, expanding to 42 institutions by 2022. Statistically significant correlations were observed between the A/B score and the conducting years of each NHS institution (p <.05) as well as between the Knowledge (K) and Practice (P) scores (p <.01). No significant correlation was found between the K score, P score, A/B score, and working years of practitioners (p >.05), or in the total score of NHS institutions at different levels or in different counties by one-way ANOVA (p >.05). Conclusions: It has been 17 years since the first medical institution in Luzhou launched NHS, and the overall performance of practitioners from different institutions has been consistent in terms of their knowledge, attitudes, or level of practice. However, there is room for further improvement in both the professional development of individuals and aspects related to work, such as health education and long-term follow-up. [ABSTRACT FROM AUTHOR]

Abstract Background Rifampicin-resistant pulmonary tuberculosis (RR-PTB) presents a significant threat to global public health security. China bears a substantial burden of RR-PTB cases globally, with Guizhou Province experiencing particularly alarming trends, marked by a continual increase in patient numbers. Understanding the population characteristics and treatment modalities for RR-PTB is crucial for mitigating morbidity and mortality associated with this disease. Methods We gathered epidemiological, diagnostic, and treatment data of all RR-PTB cases recorded in Guizhou Province from January 1, 2017 to December 31, 2023. Utilizing composition ratios as the analytical metric, we employed Chi-square tests to examine the spatiotemporal distribution patterns of RR-PTB patients and the evolving trends among different patient classifications over the study period. Results In our study, 3396 cases of RR-PTB were analyzed, with an average age of 45 years. The number of RR-PTB patients rose significantly from 176 in 2017 to 960 in 2023, peaking notably among individuals aged 23–28 and 44–54, with a rising proportion in the 51–80 age group (P

Background: Rifampicin-resistant pulmonary tuberculosis (RR-PTB) presents a significant threat to global public health security. China bears a substantial burden of RR-PTB cases globally, with Guizhou Province experiencing particularly alarming trends, marked by a continual increase in patient numbers. Understanding the population characteristics and treatment modalities for RR-PTB is crucial for mitigating morbidity and mortality associated with this disease. Methods: We gathered epidemiological, diagnostic, and treatment data of all RR-PTB cases recorded in Guizhou Province from January 1, 2017 to December 31, 2023. Utilizing composition ratios as the analytical metric, we employed Chi-square tests to examine the spatiotemporal distribution patterns of RR-PTB patients and the evolving trends among different patient classifications over the study period. Results: In our study, 3396 cases of RR-PTB were analyzed, with an average age of 45 years. The number of RR-PTB patients rose significantly from 176 in 2017 to 960 in 2023, peaking notably among individuals aged 23–28 and 44–54, with a rising proportion in the 51–80 age group (P < 0.001). Since 2021, there has been a notable increase in the proportion of female patients. While individuals of Han ethnic group comprised the largest group, their proportion decreased over time (P < 0.001). Conversely, the Miao ethnicity showed an increasing trend (P < 0.05). The majority of patients were farmers, with their proportion showing an upward trajectory (P < 0.001), while students represented 4.33% of the cases. Geographically, most patients were registered in Guiyang and Zunyi, with a declining trend (P < 0.001), yet household addresses primarily clustered in Bijie, Tongren, and Zunyi. The proportion of floating population patients gradually decreased, alongside an increase in newly treated patients and those without prior anti-tuberculosis therapy. Additionally, there was a notable rise in molecular biological diagnostic drug sensitivity (real-time PCR and melting curve analysis) (P < 0.001). However, the cure rate declined, coupled with an increasing proportion of RR-PTB patients lost to follow-up and untreated (P < 0.05). Conclusions: Enhanced surveillance is crucial for detecting tuberculosis patients aged 23–28 and 44–54 years. The distribution of cases varies among nationalities and occupations, potentially influenced by cultural and environmental factors. Regional patterns in RR-PTB incidence suggest tailored prevention and control strategies are necessary. Despite molecular tests advances, challenges persist with low cure rates and high loss to follow-up. Strengthening long-term management, resource allocation, and social support systems for RR-PTB patients is essential. [ABSTRACT FROM AUTHOR]

Many rural youths in China receive a poor-quality, strict and exam-oriented education. In everyday and professional discourses, incorporating live-streaming technologies in rural schooling is tied to promises of improved educational quality and a narrowed urban‒rural education gap. Reflecting a dystopian ideology of meritocracy, this article investigates how live-streaming technologies transmit suzhi (human quality) education and downplay the exam-oriented education with which rural students and teachers are familiar. The authors argue that the two educational vehicles for meritocracy work together to channel students to a seemingly meritocratic pathway of social mobility but funnel rural students to an inferior educational track according to their rural registration and lower-class backgrounds. The online version of suzhi education complicates and even exacerbates the already fierce educational competition that rural students face. Rural students' low aspirations and their teachers' apathy towards live-streaming classes challenge the purportedly transformative effects of live-streaming technologies in China's rural schooling. [ABSTRACT FROM AUTHOR]

As it is an important industrial base in China, it is of great significance to improve the industrial carbon emission efficiency in the western region to promote the low-carbon sustainable development of the region. This paper selects the input–output panel data of 11 provinces in western China from 2010 to 2021, and adopts the three-stage DEA model to measure the industrial carbon emission efficiency in western China under a non-traditional geographic division at the overall and regional levels and analyze its influencing factors. The Dagum Gini coefficient, its decomposition method, and the kernel density estimation method are used to analyze the regional differences and dynamic evolution process of industrial carbon emission efficiency in the western region. The results of the study show that (1) after removing environmental and random factors, the industrial carbon emission efficiency in western China has been improved, but there are inter-regional differences, characterized by "the third region > the second region > the first region"; (2) the levels of green development, shared development, innovative development, and coordinated development have a positive impact on the improvement of industrial carbon emission efficiency in western China, while the level of industrialization has a relatively smaller influence, and economic development, government support, open development level, and energy consumption structure have not yet played a significant role; (3) the spatial differences in the efficiency of industrial carbon emissions in western China have generally increased during the sample period, with inter-regional differences being the main source; and (4) the industrial carbon emission efficiency in western China is characterized by overall improvements in time and space but with stage differences and multi-polarization of regional differences. This study has a certain reference value for improving industrial carbon emission efficiency in western China. [ABSTRACT FROM AUTHOR]

Background: Burnout is prevalent among pediatric residents. Self-efficacy and resilience, as concepts of positive psychology, may be protective factors for burnout. However, no current data demonstrates the mechanism of their interaction. Objectives: To investigate the pediatric residents' status of self-efficacy, resilience, and job burnout in a university-affiliated hospital in western China. To explore relationships among them, especially the mediating effects of resilience. Methods: The study was conducted with 190 pediatric residents from an A-Class women's and children's hospital in western China. Data included demographic characteristics, status of pediatric residents, measures of burnout (using the Physicians' Career Burnout Questionnaire), self-efficacy (using the General Self-Efficacy Scale) and resilience (using the Connor-Davidson Resilience Scale). Multiple regression analysis and mediation analysis with bootstrapping were used to identify whether resilience mediates the relationship between self-efficacy and burnout. Results: Female pediatric residents exhibited significantly lower self-efficacy (t = 2.53, p<0.05) and higher levels of job burnout (t=-2.64, p<0.01) compared to male residents. Residents in the standardized training stage experienced higher levels of job burnout compared to those who had completed the training, as indicated by t-values of -3.21, -2.13, and − 2.80 (p<0.05). Significant correlations (p ≤ 0.01) were found among self-efficacy, resilience, and burnout. Additionally, our findings indicated that pediatric residents' self-efficacy can positively predict job burnout and its three dimensions through a major mediating effect of resilience. Conclusions: The findings regarding the mediating effect of resilience on the influence of self-efficacy on burnout, and their association with gender and residency status, have practical implications for interventions aimed at reducing burnout and improving the well-being of pediatric residents. [ABSTRACT FROM AUTHOR]

Food, water, and energy (FWE) are foundational resources that sustain human well-being and societal advancement. The examination of climate change effects on FWE resources is imperative, particularly in regions abundant in natural resources but ecologically fragile. In this context, we investigated the spatiotemporal changes of FWE resources in China’s western frontiers, where both resource wealth and climate vulnerability are critical. This study proposes an innovative approach to comprehensively analyze the dynamics of food production, surface water, and solar energy from 2010 to 2021 by integrating easily accessible and widely applicable variables, and utilizing remote sensing and statistical data within a sustainable development framework. The results show that: (1) both crop yield and cropland area display an upward trend; (2) the expansion of overall surface water area in Xinjiang is mainly driven by changes in precipitation and temperature, while in Xizang, such a relationship is not evident; (3) Xinjiang and Xizang have advantages in solar photovoltaic (PV) development due to their abundant solar resources. Our results suggest that such spatiotemporal dynamics in food production, surface water and solar energy resources can intuitively reflect the sustainable development status of FWE resources in China’s western frontiers.

Abstract Background Burnout is prevalent among pediatric residents. Self-efficacy and resilience, as concepts of positive psychology, may be protective factors for burnout. However, no current data demonstrates the mechanism of their interaction. Objectives To investigate the pediatric residents’ status of self-efficacy, resilience, and job burnout in a university-affiliated hospital in western China. To explore relationships among them, especially the mediating effects of resilience. Methods The study was conducted with 190 pediatric residents from an A-Class women’s and children’s hospital in western China. Data included demographic characteristics, status of pediatric residents, measures of burnout (using the Physicians’ Career Burnout Questionnaire), self-efficacy (using the General Self-Efficacy Scale) and resilience (using the Connor-Davidson Resilience Scale). Multiple regression analysis and mediation analysis with bootstrapping were used to identify whether resilience mediates the relationship between self-efficacy and burnout. Results Female pediatric residents exhibited significantly lower self-efficacy (t = 2.53, p

Abstract Babesia spp. and Theileria spp. are tick-borne protozoan parasites with veterinary importance. In China, epidemiological and genetic investigations on many Babesia and Theileria species were still absent in many areas and many tick species. From Aug 2021 to May 2023, 645 ticks were collected from the body surface of domestic animals (camels, goats, sheep, and cattle) using tweezers in seven counties in three provinces including Xinjiang (Qitai, Mulei, Hutubi, and Shihezi counties), Chongqing (Youyang and Yunyang counties), and Qinghai (Huangzhong county). Three tick species were morphologically and molecularly identified (334 Hyalomma asiaticum from Xinjiang, 245 Rhipicephalus microplus from Chongqing, and 66 Haemaphysalis qinghaiensis from Qinghai). A total of three Babesia species and two Theileria species were detected targeting the 18S gene. The COI and cytb sequences were also recovered from Babesia strains for further identification. In R. microplus from Chongqing, Babesia bigemina, the agent of bovine babesiosis, was detected. Notably, in H. asiaticum ticks from Xinjiang, a putative novel genotype of Babesia caballi was identified (0.90%, 3/334), whose COI and cytb genes have as low as 85.82% and 90.64–90.91% nucleotide identities to currently available sequences. It is noteworthy whether the sequence differences of its cytb contribute to the drug resistance of this variant due to the involvement of cytb in the drug resistance of Babesia. In addition, Theileria orientalis and Theileria annulata were detected in R. microplus from Chongqing (12.20%, 31/245) and H. asiaticum from Xinjiang (1.50%, 5/334), respectively. These results suggest that these protozoan parasites may be circulating in domestic animals in these areas. The pathogenicity of the novel genotype of B. caballi also warrants further investigation.

In the context of studying the history of the Orthodox presence of Russia in Central Asia and Western China, we have analyzed the well-known narrative source – the note of schema-abbot Parthenius (Aggeyev 1806–1878) “First news of the Russians in Ghulja” from the point of view of its objectivity and correspondence to the historical events of the 3rd quarter of the XIXth century, associated with the annexation of Central Asian territories to the Russian Empire, such as the establishment of Russian consulates in Kuldzha and Chuguchak (1851), the fate of Russian trading posts during the Dungan uprising (1850s – 1860s), the Kuldzha campaign of General G. A. Kolpakovsky and the annexation of the Kuldzha region to the Turkestan General Government (1871), the first stages of negotiations on its return to China (1870s). We pay particular attention to the main plot of Parthenius’s narrative – the Orthodox Christianization of the Central Asian peoples who accepted Russian citizenship. The methodological basis was the methods of historical science (chronological, comparative, content analysis, etc.) with the involvement of the results of research by authoritative historians and archival documents from Russian archives that were not introduced into scientific circulation in order to comply with the principles of historicism and objectivity. In the process of research based on linking plots from the text of schema-abbot Parthenius (Ageev) to specific events from the history of the acquisition of Central Asian possessions by the Russian Empire, it was possible to reconstruct the picture described by Parthenius and correct the shortcomings made by the author. As the results of the analysis have shown, the picture presented by Parthenius, despite the deviations from the chronological and geographical framework, corresponds in the main to the real events and can serve as evidence of the voluntary acculturation of the population of the accession territories. In this respect, the Fr. Parthenius’ narrative is a valuable historical source that should be taken into account when reconstructing the processes of migration, assimilation and Christianization of the peoples of the Kyrgyz steppe and Western China.

Iron (Fe) has profound impacts on Earth's ecosystem and global biogeochemical cycles. Fe deposited onto glacier surfaces reduces snow and ice albedo, thereby accelerating glacier melting, and supplying downstream ecosystems with dissolved Fe. However, the origins of atmospheric Fe deposition in glacier regions of western China remain unclear. This study presents novel insights into Fe isotopic composition (refer to δ56Fe) and origins, gained from geochemical analysis of large‐scale cryoconite samples collected from glaciers in western China, which encompass the Tibetan Plateau (TP) and the Tianshan Mountains. Results showed that cryoconite δ56Fe ranged from −1.06 ± 0.07‰ to 0.33 ± 0.04‰, regardless of their concentration. Moreover, anomalous δ56Fe values deviating significantly from the upper continental crust values (with an average of 0.09‰) were detected, indicating a significant impact of anthropogenic Fe materials on the investigated glaciers. This impact was particularly prominent in the margin regions of the TP and its surroundings, but was less apparent in the interior and southern of the plateau. Using MixSIAR isotope mixing model, we determined that coal combustion and other anthropogenic combustion sources (such as liquid fuel combustion and steel smelting) contributed to cryoconite Fe in the range of 6.9%–43.1% and 0.8%–23.4%, respectively. Among these, coal combustion was the predominant anthropogenic source of cryoconite Fe in western China's glaciers. Compared with other sink areas in the Northern Hemisphere, glaciers in western China are obviously affected by anthropogenically sourced Fe. This study has significant implications for understanding glacier‐fed downstream ecosystems and the regional biogeochemical cycle. Plain Language Summary: Iron (Fe) has profound impacts on snow/ice albedo and the biogeochemical cycle of downstream ecosystems in glacier basins. However, the origins of atmospheric Fe deposition in remote glacier regions of western China remain unclear. Fe isotopes (refer to δ56Fe), serve as a distinctive tool for tracing the sources of aerosol Fe materials that leave their mark on glaciers. Based on a comprehensive data set of Fe isotopes within cryoconite samples collected from 12 high‐altitude glaciers spanning a broad spatial range in western China, this study found that remote glaciers in western China are significantly affected by anthropogenically sourced Fe, with potential implications for glacier‐fed downstream ecosystems and the regional biogeochemical cycle. Key Points: Remote glaciers in western China are significantly affected by anthropogenically sourced FeAnthropogenic Fe impact is particularly prominent in the marginal glacier regions of western ChinaCoal combustion provides the main anthropogenic source of cryoconite Fe in western China's glaciers [ABSTRACT FROM AUTHOR]

There is little available attenuation relationship for Arias Intensity (AI) in China. Empirical relationships between AI and peak ground acceleration (PGA) provide another option for predicting AI. We establish empirical relationships for AI and PGA for western China, utilizing 3,169 horizontal and 979 vertical strong motion records with PGA >0.01 g from 274 earthquakes (M[sub S] 4.0-8.0), originating in eight provinces in southwest (Yunnan, Sichuan) and northwest China (Gansu, Shaanxi, Ningxia, Qinghai, Inner Mongolia, and Xinjiang). The influences of M[sub S] epicenter distance, and site conditions indicators V[sub S30], generic site classes (i.e., rock and soil) are explored. The results show that the logarithm of AI increases linearly with the increase of the logarithm of PGA and M[sub S], and decreases with the logarithm of V[sub S30]. However, the influence of site conditions on AI-PAG relationships can't be recognized by the simple generic rock and soil site classes. The epicenter distance has little effect on the AI-PAG relationships. Empirical relationships are developed to estimate horizontal or vertical AI as a function of PGA (basic model), PGA and M[sub S] (model 2) for southwest, northwest, and western China, using all the records. Empirical relationships for AI as a function of PGA, M[sub S], and V[sub S30] (model 1) are established using the 2,248 horizontal (70.9% of the total) and 670 vertical (68.4% of the total) records with V[sub S30] between 148 and 841m/s. The notable disparity between model 1 of the southwest and northwest regions is chiefly attributed to local site conditions, indicating that the AI-PGA correlation is region-dependent. These findings enable one way of estimating AI for western China and will contribute to a better understanding of AI attenuation. [ABSTRACT FROM AUTHOR]

Babesia spp. and Theileria spp. are tick-borne protozoan parasites with veterinary importance. In China, epidemiological and genetic investigations on many Babesia and Theileria species were still absent in many areas and many tick species. From Aug 2021 to May 2023, 645 ticks were collected from the body surface of domestic animals (camels, goats, sheep, and cattle) using tweezers in seven counties in three provinces including Xinjiang (Qitai, Mulei, Hutubi, and Shihezi counties), Chongqing (Youyang and Yunyang counties), and Qinghai (Huangzhong county). Three tick species were morphologically and molecularly identified (334 Hyalomma asiaticum from Xinjiang, 245 Rhipicephalus microplus from Chongqing, and 66 Haemaphysalis qinghaiensis from Qinghai). A total of three Babesia species and two Theileria species were detected targeting the 18S gene. The COI and cytb sequences were also recovered from Babesia strains for further identification. In R. microplus from Chongqing, Babesia bigemina, the agent of bovine babesiosis, was detected. Notably, in H. asiaticum ticks from Xinjiang, a putative novel genotype of Babesia caballi was identified (0.90%, 3/334), whose COI and cytb genes have as low as 85.82% and 90.64–90.91% nucleotide identities to currently available sequences. It is noteworthy whether the sequence differences of its cytb contribute to the drug resistance of this variant due to the involvement of cytb in the drug resistance of Babesia. In addition, Theileria orientalis and Theileria annulata were detected in R. microplus from Chongqing (12.20%, 31/245) and H. asiaticum from Xinjiang (1.50%, 5/334), respectively. These results suggest that these protozoan parasites may be circulating in domestic animals in these areas. The pathogenicity of the novel genotype of B. caballi also warrants further investigation. [ABSTRACT FROM AUTHOR]

The market circulation system for agricultural products in less-developed regions lags behind; it fails to meet the requirements for efficient circulation. Therefore, it is crucial to explore the dynamic relationship between the Agricultural Products Circulation (APC) service industry and circulation efficiency. Using panel data from 29 regions in China, the entropy method measured the Development Level (DL) of the APC service industry, while the non-oriented super-efficiency Slacks-Based Measure (SBM) model was employed to assess the APC efficiency. A Panel Vector Autoregressive (PVAR) model was built for estimation. The impulse response function and variance decomposition were utilized to analyze the differences in the DL of the APC service industry, circulation efficiency, and their interaction mechanism across the Western, Central, and Eastern regions of China. The findings indicate that the DL of the APC service industry and APC efficiency in the less-developed regions of the West have a positive driving effect on each other. However, the magnitude of this effect was asymmetric and transient. The APC service industry’s DL and APC efficiency are more dependent on their inertia, and no efficient two-way feedback mechanism has been formed. This study provides a reference for the construction and sustainable development of modernized APC systems in less-developed regions. [ABSTRACT FROM AUTHOR]

The Cambrian Terreneuvian Yuertusi Formation of the Tarim Basin, regarded as a potential hydrocarbon source rock (TOCmax = 29.8 wt%), preserves the record of the Ediacaran to Cambrian Series 2 transition. This study presents a highresolution multi-proxy investigation of the Sugaitebulake and Yutixi sections of the NW Tarim Basin. Evidence of hydrothermal activity and euxinic conditions in the earliest Cambrian has been delineated by samples from the lower part of the Yuertusi Formation group A, featured by weakly positive Ce anomalies (Ce/Ce*avg = 0.46), extremely positive Eu anomalies (Eu/Eu*avg = 26.39), Y/Ho ratios (Y/Hoavg = 40.48) and several barite layers. Mo and U covariation suggests that the Yuertusi Formation group A and Xiaoerbulake Formation were deposited under sulfidic conditions, whereas the Ediacaran Qigebulake Formation, and Yuertusi Formation groups B and C and D accumulated under suboxic to anoxic conditions. The basin has been weakly restricted and characterized by elevated productivity (Ba-excessavg = 6,410.42 ppm) during Terreneuvian time. Suboxic conditions in late Ediacaran time (Qigebulake Formation) became euxinic conditions in association with increased sea level and productivity sustained by hydrothermal activity and upwelling, which have been preserved in the organic-rich lower part of the Yuertusi Formation. Suboxic conditions were reestablished during the Cambrian Terreneuvian time as reflected in the geochemistry of the upper part of the Yuertusi Formation. Euxinic conditions were once again established early in Cambrian Series 2 Xiaoerbulake Formation. Euxinic conditions were coincident with transgressions of the South Tianshan Ocean during that interval. The accumulation and preservation of organic matter of the Early Cambrian northern Tarim Platform reflect the interaction of hydrothermal activity, coastal upwelling, and sea level change. [ABSTRACT FROM AUTHOR]

The effect of low‐FODMAPs diet on irritable bowel syndrome (IBS) in Western China has not been reported. We aimed to investigate the effect of low‐FODMAPs diet on IBS patients in the area and whether low‐FODMAPs diet‐induced alterations of microbiota could be improved through probiotics. IBS patients were randomized to the control group, low‐FODMAPs diet group, probiotics group, or combined group. IBS Symptom Severity Score questionnaire (IBS‐SSS) and IBS Quality of Life Score questionnaire (IBS‐QOL) were completed at baseline, 2 and 4 weeks to evaluate the severity of symptoms. Fresh feces were collected for analyses of gut microbiota and short‐chain fatty acids at baseline and 4 weeks after intervention. Seventy‐three patients were included in the per protocol analysis. After intervention, there was significant improvement in IBS‐SSS in the low‐FODMAPs group (37.5%, 44.2%), probiotics group (51.4%, 62.0%), and combined group (34.1%, 40.4%) at both 2 weeks and 4 weeks, compared with the baseline (p <.05). In the low‐FODMAPs group, the abundance of several microbiota (Lachnoclostridium, Enterococcus, etc.) was significantly decreased. Furthermore, after the supplementation of probiotics in the combined group, the abundance of Genus_Ruminococcus, Coprococcus, Acidaminococcus, Ruminiclostridium, Akkermansia, Eggerthella, and Oxalobacter was significantly increased, which was associated with the improvements of symptoms score in the Pearson correlation analysis. Our study confirmed the effectiveness and safety of short‐term low‐FODMAPs diet in IBS symptoms based on the Chinese diet in Western China. The combination of low‐FODMAPs and probiotics plays a beneficial role in gut microbiota in IBS. [ABSTRACT FROM AUTHOR]

Currently, China has entered the development stage of a "low birth rate" demographically. There is a huge contradiction between the unbalanced and inadequate distribution of preschool education facilities (PEFs) and the people's expectations for "full and good education for children". This study took the Lingui New District, a typical new urban area in West China as the research area, and through the introduction of POI big data and GIS analysis methods, supplemented by GeoDA Bivariate Moran index analyses, established a kindergarten spatial database. The study found that preschool education facilities have problems such as insufficient quantity, uneven quality, low service coverage, poor accessibility, etc. Therefore, it is suggested to increase the proportion of public affordable preschool education facilities including kindergartens and nurseries, optimize the spatial distribution of preschool education, and improve the accessibility of preschool services to promote affordable, safe, and high-quality development of preschool education and to provide reference suggestions for the revision of relevant standards and the adjustment of the layout of preschool education in undeveloped regions of China. [ABSTRACT FROM AUTHOR]

Sustainability is a key factor in regional economic, social, and environmental development. In this study, we constructed a regional sustainability system of 24 indicators by combining the Sustainable Development Goals and triple-bottom-line model to evaluate sustainability in the provinces, autonomous regions, and municipalities (12 regions) of western China. We further propose a novel three-stage difference-driven model, which includes a dynamic objective weighting method that considers the correlation between indicators' status and development trends, introducing a time factor to highlight the difference in indicator values among different periods. Based on this model, the dynamic indicator weight, comprehensive sustainability performance, sustainability trends, and coordination among the various dimensions were analysed. The evaluation results indicated that regional sustainability was differentiated at the spatial level from 2000 to 2019. The sustainability performance and average annual growth rate in southwest China were superior to those in northwest China. The 12 regions performed better in social and environmental dimensions than in economic dimensions, implying that the economy is the main point of restriction for regional sustainable development. The coordinated development of these regions was not particularly high, with all coordination degrees below 0.7. Additionally, the average growth rates of the coupling degree and coupling coordination degree in the southwest were higher than those in the northwest. These findings can guide regional policymakers in formulating sustainable development measures. [ABSTRACT FROM AUTHOR]

Copyright of Publishing Journal is the property of Wuhan University, School of Information Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Along with the rapid development of Chinese modern design since the 1980s, modern design education has grown in China. Many studies have already been conducted to examine the key aspects of this historical phenomenon, e.g., heroic figures and well-known institutes. This article, however, investigates the anonymous activities of modern design education in Western China that have long been ignored because of their mundane function. Methods such as document analysis, questionnaire, interview, and subjective understanding are used to achieve the goal of this article. Through research on the School of Fine Arts in a University of Science and Engineering in Western China, as a typical case, this article reveals that although the school lags behind many other design schools, modern design education at the school has experienced sustained growth since its rise in the twenty-first century. The school has made achievements in a difficult situation but suffers from a series of disadvantages and problems. Additionally, modern design education at the school is facing new challenges resulting from changes related to raised standards and intense competition. In conclusion, the value of relatively unknown educational organisations of modern design is becoming clearer, since they are closely connected to the everyday life of ordinary people in Western China and take on a great deal of responsibility in serving the general populace and the vulnerable groups in society. This article, therefore, tries to call attention to anonymous modern design education whose aspects are disclosed through a case study. [ABSTRACT FROM AUTHOR]

The coordinated development of rural infrastructure and ecological environment is an effective way to improve agricultural productivity. The primary focus of the current research is how the two can work together to promote regional economic development in rural areas and in related fields. This study takes the western region as the research object, constructs an evaluation index system for rural infrastructure and ecological environment, and uses the Min-max Scaling method, coupling coordination model, gray GM (1, 1) model, and standard deviation elliptical model for evaluation. The trends and driving factors for the coordinated development of rural infrastructure and ecological coupling in the region from 2012 to 2021 are analyzed. The main results are as follows: (1) Except for Tibet, Qinghai, and Ningxia, the coupling degree of rural infrastructure and the ecological environment in western China reached the maximum level during the research period, also the coordination degree showed a gradual upward trend. (2) A prediction for the development and evolution of rural infrastructure and the ecological environment in western China indicates a trend of agglomerative development in the southern region. (3) By strengthening the construction of reservoirs, improving sanitary conditions, improving cultivated land use area and forest coverage, and controlling soil erosion, the coordinated development of the two can be effectively promoted. The purpose of this study is to promote the sustainable and coordinated development of rural infrastructure and ecological environment, and to provide a reference for policy formulation in the relevant sectors and other countries and regions with similar situations. [ABSTRACT FROM AUTHOR]

During our studying of the fauna of Tibet, China, many specimens of the subfamily Tachininae (Diptera, Tachinidae) were collected and examined. Three species are described here as new to science, Leskia latisurstyla sp. nov., Trichoformosomyia cuonaensis sp. nov., and Tachina jilongensis sp. nov., and two species, Nemoraea javana (Brauer & Bergenstamm, 1894) and N. echinata Mesnil, 1953, are newly recorded from Tibet. In addition to their descriptions, illustrations, and diagnoses, three identification keys are provided. The specimens in this study are kept in the Insect Collection of Shenyang Normal University, China (SYNU). [ABSTRACT FROM AUTHOR]

Healthcare-associated infections (HAIs) represent a major threat to patient safety and are associated with significant economic burden. Calculating the costs attributable to HAIs is challenging given the various sources of bias. Although HAIs as a reasonably preventable medical harm should have been closely linked to medical insurance incentives, there was little linkage between HAIs and medicare in western China owing to the lack of economic evaluation data. The present study aimed to generate estimates of the attributable costs associated with HAIs and the magnitude of costs growth. In this cohort study designed horizontally and vertically from 2016 to 2022, we compared outcomes of randomly sampling patients with HAIs and individually matched patients without HAIs in two cohorts at a 6-year interval at 34 hospitals in western China. The primary outcome was the direct medical cost for the entire hospital stay, converted to US dollars ($ for the benchmark year), discounted at 3% annually, and estimated separately in the full analysis set (FAS) and the per protocol set (PPS). We used multiple linear regression to adjust the discounted costs and to assess subgroups effects within each cohort. We nested a dynamic vertical comparison of costs attributable to HAIs between the front and rear cohorts. A total of 230 patients with HAIs in 2016 and 204 patients with HAIs in 2022 were enrolled. After a 1:1 match, all 431 pairs were recruited as FAS, of which 332 pairs as PPS met all matching restrictions. Compared to the 2016 cohort in FAS, the patients with HAIs in 2022 had a significantly older age (64.40 ± 16.45 years), higher repeat hospitalization rate (65 [32.02%] of 203), and lower immune function (69 [33.99%] of 203). The discounted costs and adjusted-discounted costs for patients with HAIs in the 2022 cohort were found to be significantly higher than those of patients without HAIs (discounted costs: $5484.60 [IQR 8426.03] vs $2554.04(4530.82), P < 0.001; adjusted-discounted costs: $5235.90 [3772.12] vs $3040.21(1823.36), P < 0.001, respectively), and also higher than those of patients with HAIs in the 2016 cohort (discounted costs: $5484.60 [8426.03] vs $3553.00 [6127.79], P < 0.001; adjusted-discounted costs: $5235.90 [3772.12] vs $3703.82 [3159.14], P < 0.001, respectively). In vertical comparison of PPS, the incremental costs of the 2022 cohort are 1.48 times higher than those of the 2016 cohort ($964.63(4076.15) vs $652.43 [2533.44], P = 0.084). This meticulously designed study in western China has successfully and accurately examined the economic burden attributable to HAIs. Their rapidly increasing tendency poses a serious challenge to patients, hospitals, and the medical insurance. A closer linkage between HAIs and ongoing motivating system changes is urgently needed in western China. • Rapidly increasing tendency of the economic burden attributable to HAIs poses a serious challenge. • A closer linkage between HAIs and ongoing reform of medical insurance payment is urgently needed. • Dynamic evaluation was beneficial for eliminating blindly optimistic views of low healthcare expenditures in western China. [ABSTRACT FROM AUTHOR]

There is little available attenuation relationship for Arias Intensity (AI) in China. Empirical relationships between AI and peak ground acceleration (PGA) provide another option for predicting AI. We establish empirical relationships for AI and PGA for western China, utilizing 3,169 horizontal and 979 vertical strong motion records with PGA ≥0.01 g from 274 earthquakes (MS 4.0–8.0), originating in eight provinces in southwest (Yunnan, Sichuan) and northwest China (Gansu, Shaanxi, Ningxia, Qinghai, Inner Mongolia, and Xinjiang). The influences of MS epicenter distance, and site conditions indicators VS30, generic site classes (i.e., rock and soil) are explored. The results show that the logarithm of AI increases linearly with the increase of the logarithm of PGA and MS, and decreases with the logarithm of VS30. However, the influence of site conditions on AI-PAG relationships can't be recognized by the simple generic rock and soil site classes. The epicenter distance has little effect on the AI-PAG relationships. Empirical relationships are developed to estimate horizontal or vertical AI as a function of PGA (basic model), PGA and MS (model 2) for southwest, northwest, and western China, using all the records. Empirical relationships for AI as a function of PGA, MS, and VS30 (model 1) are established using the 2,248 horizontal (70.9% of the total) and 670 vertical (68.4% of the total) records with VS30 between 148 and 841m/s. The notable disparity between model 1 of the southwest and northwest regions is chiefly attributed to local site conditions, indicating that the AI-PGA correlation is region-dependent. These findings enable one way of estimating AI for western China and will contribute to a better understanding of AI attenuation.

The Cambrian Terreneuvian Yuertusi Formation of the Tarim Basin, regarded as a potential hydrocarbon source rock (TOCmax = 29.8 wt%), preserves the record of the Ediacaran to Cambrian Series 2 transition. This study presents a high-resolution multi-proxy investigation of the Sugaitebulake and Yutixi sections of the NW Tarim Basin. Evidence of hydrothermal activity and euxinic conditions in the earliest Cambrian has been delineated by samples from the lower part of the Yuertusi Formation group A, featured by weakly positive Ce anomalies (Ce/Ce*avg. = 0.46), extremely positive Eu anomalies (Eu/Eu*avg. = 26.39), Y/Ho ratios (Y/Hoavg. = 40.48) and several barite layers. Mo and U covariation suggests that the Yuertusi Formation group A and Xiaoerbulake Formation were deposited under sulfidic conditions, whereas the Ediacaran Qigebulake Formation, and Yuertusi Formation groups B and C and D accumulated under suboxic to anoxic conditions. The basin has been weakly restricted and characterized by elevated productivity (Ba-excessavg. = 6,410.42 ppm) during Terreneuvian time. Suboxic conditions in late Ediacaran time (Qigebulake Formation) became euxinic conditions in association with increased sea level and productivity sustained by hydrothermal activity and upwelling, which have been preserved in the organic-rich lower part of the Yuertusi Formation. Suboxic conditions were reestablished during the Cambrian Terreneuvian time as reflected in the geochemistry of the upper part of the Yuertusi Formation. Euxinic conditions were once again established early in Cambrian Series 2 Xiaoerbulake Formation. Euxinic conditions were coincident with transgressions of the South Tianshan Ocean during that interval. The accumulation and preservation of organic matter of the Early Cambrian northern Tarim Platform reflect the interaction of hydrothermal activity, coastal upwelling, and sea level change.

The public health level in a country is closely related to national development and quality of life. In order to appraise the level of health services in the western region of China, panel data of 124 prefecture-level units covering the period 2011 to 2021 was used together with a health evaluation index system based on four dimensions: quality of life, environmental situation, the level of health services and longevity. To assess this, we used entropy weights, standard deviation and coefficient of variation together with the geographical detector model that measures the stratified spatial heterogeneity. The results show that although public health services have improved overall, the various dimensions are still not balanced as longevity did not match up everywhere. While the developmental level of the various health dimensions presents a pattern of a relatively smooth increasing gradient in the west-central- east direction, the situation with respect to the north-centralsouth is more uneven with both ups and downs. However, a trend of continuous enhancement of all health dimensions was found with a significant positive correlation of spatial clustering, with hotspots and ‘sub-hotspots’ contracting from north to south, while coldspots and ‘sub-coldspots’ expanded from west to east. This can be seen as the result of multiple factors, with the level of urbanization and economic level as the dominant factors and government guidance, agglomeration capacity and industrial structure being auxiliary.

Rapidly expanding urban areas constitute places of high-intensity energy consumption and, hence, major carbon emissions. There is an urgent need to systematically review the relationship between urban spatial expansion and carbon emissions at the city level, especially for cities in western China where development lags behind compared to other parts of the country, and differences among resource availability exist. Here, we conducted a systematic comparative analysis of carbon emissions and urban expansion indicators for urban spatial development. We introduce and apply an extension of the STIRPAT model to quantify the impact of urban spatial expansion on carbon emissions for the cities of Xi’an and Chengdu located in western China. The model findings indicate that both cities have reached the absolute and relative goal of carbon emissions, although they experienced a sprawling pattern. Moreover, population density for both cities displayed a negative relationship with carbon emissions, whereas road area per capita displayed a positive relationship. Since western cities have a later starting point for development, the empirical research on influencing variables of carbon emissions for western cities is important to local and regional urban spatial planning and governance. We propose further empirical studies regarding the gaps of existing urban spatial structure and low-carbon urban areas, in order to construct a systematic and scientifically sound approach to further low-carbon strategies in urban development.

BackgroundThis study aimed to understand the knowledge, attitude, and practice (KAP) of drug use among residents in western China and its influencing factors for accurately designing the knowledge, contents, and methods of popular science activities for safe drug use among residents to provide a reference for conducting rational drug use educational activities and improving residents’ level of safe drug use.MethodsA cross-sectional questionnaire survey was conducted to investigate the KAP of medication among western China residents and its influencing factors from March to April 2023. Each question option was assigned a score according to logic, and the risk factors for resident medication safety KAP were explored through univariate and logistic regression analyses.ResultsA total of 7,557 valid questionnaires were collected, with an effective recovery rate of 96.7%. The average scores of KAP were 72.77 ± 22.91, 32.89 ± 10.64, and 71.27 ± 19.09, respectively. In the evaluation criteria of the questionnaire, the score of medication knowledge reached “good,” and the score of attitude and practice was “average.” Multiple linear regression analysis indicated that male sex and low education level were significant factors affecting the lack of drug knowledge among residents. Old age and low education level were the factors of poor attitude toward medication. The low condition of medical security was a factor in residents’ irregular drug use behavior.ConclusionThe overall level of rational drug use among residents in western China is good, but there are still some inconsistencies. Rational drug use education should be conducted according to the risk points of residents in drug safety KAP to further improve the level of rational drug use of residents.

Ethnic minority women in rural parts of China remain excluded from many pathways to economic and social success, including most forms of traditional education. While technical and vocational education and training (TVET) offers an alternative, it carries a degree of stigma and its benefits for these communities are not well-documented. This study uses structured interviews with TVET graduates in a small Inner Mongolian city to explore the benefits and limitations of vocational training for the cultural, economic, and social empowerment of ethnic minority women. Ten participants in the city of Eu-Qi participated in semi-structured interviews. They reported on their experiences in secondary and tertiary TVET programs, their post-graduation careers, and life choices. The study identifies an overall positive trend of empowerment, growth, and self-actualization: these young women lived better lives, had more opportunities, greater friendships, and far more freedom than did women of the previous generation who had remained in rural villages in the surrounding parts of the Mongolian plateau. The systemic barriers they faced were still substantial, however, including a limited local job market and the stigmas attached to vocational schools. Future work should systematically evaluate how well China's vocational training policies are meeting stated goals, especially in ethnic minority regions. [ABSTRACT FROM AUTHOR]

This study is an investigation of the English language learning aspirations and deprivations of female rural migrant youth in technical and vocational education and training (TVET) schools in two locales in western China. This study adopted basic interpretive research focused on individual voices and experiences. The capability approach provided the conceptual framework. Participants in this research primarily aspired to learn English for instrumental purposes: to pass exams, earn higher degrees, find better jobs in cities, and support their children in learning English. A lack of English proficiency, economic situation, and living environment greatly limited their aspirations. Participants showed a spectrum of levels of aspirations of English learning. For participants with low levels of English proficiency, their English could neither support their educational and employment goals nor inspire them for greater future plans. Participants from the TVET–university joint program formulated a stronger and wider range of aspirations when compared to those encapsulated in secondary TVET. Recommendations include increasing opportunities for exposure to English, reforming exam-oriented English learning, enriching the prevailing culture of learning and the perceived value and social uses of English, increasing TVET school and university cooperation, and adapting the TVET English curriculum to economic imperatives. [ABSTRACT FROM AUTHOR]

Migration is a frequent phenomenon in human history. Previous studies mainly used migration as a simple process to account for any cultural changes observed in migrant communities. Recent studies, however, have recognized that migration is embedded in both environmental and social contexts, thus making it necessary to study the consequence of migration on a case-by-case basis. To better understand the changes associated with migrational processes, this case study investigates the subsistence pattern of a Neolithic site (5300-4700 cal. BP), Liujiazhai, in Northwestern Sichuan Highland by employing microbotanical residue analysis on pottery vessels. Our results on millet phytolith contribute to the overall picture of millet agriculture in Yangshao and Majiayao migrant communities and enrich our understanding of how varying crop patterns in Neolithic western China are likely a consequence of migration. In addition, we suggest that Liujiazhai migrants adapted to the high-altitude environment by utilizing more local wild plant resources. This study shows that, although Yangshao migrants were still connected to their homeland in terms of material culture, relocating to the challenging environment in NW Sichuan requires adaptive strategies that diverged the Yangshao migrants, including Liujiazhai, from their home culture. Hence, this study exemplifies how migration is an agent of change. [ABSTRACT FROM AUTHOR]

Cross-border investment is essential for western China's globalization. Global value chain (GVC) forms cross-border investment networks between industries in western China and overseas cities. Focusing on GVC, this study uses the social network analysis method, entropy method, multi-index comprehensive evaluation method, and quadratic assignment procedure analysis method to examine the characteristics and influencing factors of the urban networks of research and development (R&D), production, and sales formed as a result of the overseas investments of listed manufacturing companies in western China. Results showed that the three types of investment networks involved multiple industry types and multiple central cities with differentiated diversity and multicentrality. The R&D urban network's leading sub-industries were the mechanical equipment and instruments, medicine and biological products, and metal and nonmetal industries. The destination cities were mostly those home to educational and scientific research centers. The production urban network's leading sub-industries were the mechanical equipment, instrument, and food and beverage industries. The destination cities were mostly regional central cities in developing countries. The sales urban network's leading sub-industries were the mechanical equipment and instrument, metal and nonmetal, and petrochemical and plastics industries. The destination cities were numerous and scattered. In addition, the R&D urban network easily formed specialized clusters, core nodes easily controlled the production urban network, and individual nodes did not easily control the sales urban network. Technological and economic system advantages greatly impacted the three network types. Considering the different influencing factors, this study suggests optimizing the institutional investment environment to narrow the institutional gap, adjusting and optimizing the investment layout to expand overseas markets, and increasing R&D funds to stimulate technological progress and overseas investments in western China. [ABSTRACT FROM AUTHOR]

Western China is an inland region facing the problem of water scarcity due to its distance from the sea and mountainous topography. Studying the sustainability, spatial and temporal variation and drivers of water resources in western China is an important way to identify and solve water resources problems in the region. This study constructed a water resources sustainability evaluation index system, including four subsystems and 26 indicators, to examine the spatial, regional variation and temporal evolution of water resources sustainability in 12 provinces from 2012 to 2022. The results show that: (1) interannual trends show fluctuations and differences in resources, environment and socioeconomics; (2) the scores of the water resources and socio-economic subsystems are relatively average, while the water environment subsystem shows significant differences and the water ecology subsystem scores lower; (3) the global spatial agglomeration effect shows a fluctuating and expanding trend, with a significant positive spatial autocorrelation, mainly attributed to density excesses, followed by interand intra-regional differences, leading to an uneven distribution of spatial development, concentrated in two types of spatial agglomerations. Conclusions: Studies have shown that the level of water sustainability in western China is gradually improving and that spatial and temporal differences in water indices are gradually decreasing. [ABSTRACT FROM AUTHOR]

Currently, China has entered the development stage of a “low birth rate” demographically. There is a huge contradiction between the unbalanced and inadequate distribution of preschool education facilities (PEFs) and the people’s expectations for “full and good education for children”. This study took the Lingui New District, a typical new urban area in West China as the research area, and through the introduction of POI big data and GIS analysis methods, supplemented by GeoDA Bivariate Moran index analyses, established a kindergarten spatial database. The study found that preschool education facilities have problems such as insufficient quantity, uneven quality, low service coverage, poor accessibility, etc. Therefore, it is suggested to increase the proportion of public affordable preschool education facilities including kindergartens and nurseries, optimize the spatial distribution of preschool education, and improve the accessibility of preschool services to promote affordable, safe, and high-quality development of preschool education and to provide reference suggestions for the revision of relevant standards and the adjustment of the layout of preschool education in undeveloped regions of China.

Quaternary glaciations in western China have been investigated over the last century with the emphasis on the Tibetan Plateau and its adjacent regions. Earlier studies were mainly based on field observation and interpretation of geomorphic landforms and processes to identify and define past glacial sequences. The advent of absolute dating techniques, such as optically stimulated luminescence dating and cosmogenic radionuclide exposure dating, has revolutionized glacial chronological research in recent decades. Glacial chronologies have been established across various mountains, providing evidence to reject the Tibetan ice sheet hypothesis. Glacial advances generally occurred synchronously in this region, but the detailed timing, extent, and form of past glaciers vary at different locations. This review presents recent progress and challenges on reconstructing the timing and extent of Quaternary glaciations in western China, seeking to promote further studies and a broader interest from the physical geography community in this critical region. [ABSTRACT FROM AUTHOR]

The vast majority of rural settlements in Western China are located in the ecologically sensitive and diverse mountainous environment, which also experienced rapid changes in policy and institutional interventions over the past 40 years. At present, in the transitional period of "post-poverty alleviation," they have more opportunities to re-integrate themselves into the large regional development. However, there is a lack of systematic evaluation and cognition of the related functions of the spatial structure between the settlements at the regional village scale and town scale. Therefore, in this paper, the theory of complex adaptive system and its analytical NK model were introduced, and a quantitative measurement framework was constructed for the adaptability level of this kind of rural settlement spatial structure organization so as to explore the effective path for its global optimization. Taking Xinglong Town of Chongqing in the western mountainous area as an example, it was found from the analysis that (1) the number of villages at a high comprehensive adaptation level has increased over time, which has an obvious positive correlation with the construction of transportation network, and a structural adsorption effect. (2) The spatial structure of the rural settlement system in the region has changed from weak industrial nodes – traffic single branch connection – public service decentralized coverage in 2010 to the organizational adaptation characteristics of stable industrial agglomeration – traffic expansion and extension – public service continuous coverage in 2019. (3) The spatial elements related to industry and public service in each village have an increasingly significant impact on the reconstruction and differentiation of its spatial structure. Finally, based on the changing trend of adaptability level and the correlation characteristics of regional space, in this paper, the spatial structure optimization strategy of Xinglong Town is put forward, which provides a reference basis for the coordinated development of the town and village space under the township-level planning in the western region. [ABSTRACT FROM AUTHOR]

The variability of renewable energy generation and its mismatch with demand may lead to curtailment issues, which necessitates the deployment of energy storage on a significantly larger scale. A‐CAES is a promising technology for its green ability and technology maturity to serve as grid's load following. However, previous research mainly focuses on system analysis and core component optimal, and the performance of A‐CAES when constructing with renewable resources has not been fully addressed. In this paper, a comprehensive evaluation on A‐CAES is presented based on an annual photovoltaic (PV) output in western China. The A‐CAES is modeled from the systematic perspective and the PV output is classified into four types (sunny, mostly‐sunny, mostly‐cloudy, and cloudy). First, the performance with different weather and different rated power of A‐CAES is fully investigated. Then, performance availability with different rated power has been proposed—the optimal condition occurs with average 5.936 MWh/day capacity and 53.49% efficiency on 1800 kW rated power. The evaluation framework is suitable for evaluating the role of CAES with other sources and such result provides a reference for A‐CAES designing and further application. [ABSTRACT FROM AUTHOR]

The author analyzes the features and results of trade, economic and political relations of the Chinese province of Xinjiang with Soviet Russia and the USSR in 1921-1922. The main sources for the preparation of the article were historical and archival materials on the trade and economic relations of Xinjiang with Russia and the Soviet Union (1896-1949) in Chinese, as well as documents from a number of Moscow archives (the Russian State Archive of Economics, the Russian State Military Archive, the Archive of Foreign Policy of the Russian Federation). The analysis showed that during the period under review the Soviet-Xinjiang trade, economic and political relations were rather ambiguous. This is evidenced by statistical data on the volume of trade for 1921 and 1922, which, despite the measures taken by Moscow, did not increase. In addition, it should be emphasized that the range and list of goods supplied by the parties changed significantly. The author comes to the conclusion that in 1921-1922 there did not take place the final restoration and development of all-round ties between the Soviet Union and the Chinese province of Xinjiang. It was the Soviet leadership that was the initiator of the bilateral rapprochement.

Abstract Background Autoimmune encephalitis (AE) is a group of severe antibody-mediated brain diseases. The understanding of clinical management of AE has developed rapidly. However, the knowledge level of AE and barriers to effective treatment among neurologists remains unstudied. Methods We conducted a questionnaire survey among neurologist in western China on knowledge of AE, treatment practices, and perspectives on barriers to treatment. Results A total of 1113 neurologists were invited and 690 neurologists from 103 hospitals completed the questionnaire with a response rate of 61.9%. Respondents correctly answered 68.3% of medical questions about AE. Some respondents (12.4%) never assayed for diagnostic antibodies if patients had suspected AE. Half (52.3%) never prescribed immunosuppressants for AE patients, while another 7.6% did not know whether they should do so. Neurologists who never prescribed immunosuppressants were more likely to have less education, a less senior job title, and to practice in a smaller setting. Neurologists who did not know whether to prescribe immunosuppressants were associated with less AE knowledge. The most frequent barrier to treatment, according to respondents, was financial cost. Other barriers to treatment included patient refusal, insufficient AE knowledge, lack of access to AE guidelines, drugs or diagnostic test, etc. Conclusion Neurologists in western China lack AE knowledge. Medical education around AE is urgent needed and should be more targeted to individuals with less educated level or working in non-academic hospitals. Policies should be developed to increase the availability of AE related antibody testing or drugs and reduce the economic burden of disease.

Objective To investigate the knowledge acquisition status for blood transfusion of transfusion related medical staff in underdeveloped cities in western China and explore its influencing factors. Methods A questionnaire consisted of blood transfusion laws and regulations, clinical blood transfusion theory and blood transfusion technology was designed, randomly distributed to medical staff and blood transfusion departmenttechnicians of 17 secondary/tertiary hospitals in Wuwei and then collected on the spot. The knowledge acquisition of blood transfusion of each group was compared using statistical description method, and its influencing factors were analyzed by multivariate logistic regression analysis. Results A total of 507 questionnaires were issued, and 498 valid questionnaires (98.22%) were collected. The scores of transfusion related laws and regulations, blood transfusion theory and blood transfusion technology of doctor group(n=158), nurse group(n=239) and transfusion technician group(n=101)were 4.56-5.97(5.06±0.73)(P

Abstract Purpose This study aimed to examine the levels of physical activity (PA) among children and adolescents in western China, and the influence of parents on their PA, in the era of coronavirus disease 2019 (COVID-19). Methods This cross-sectional study used a multistage questionnaire to evaluate 4800 children and adolescents of grades 4–12 (9–17 years old) from 48 primary and secondary schools across 16 districts and counties in western China. In addition to PA, questionnaires collected data on demography, family structure, and exercise habits. Data were assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and analyzed using chi-square tests, t-tests, Spearman’s correlation, and logistic regression models in SPSS. Results In this study, a minority (42.1%, n = 1553) of children and adolescents met the daily exercise target (60 min) recommended by the World Health Organization (WHO). Moderate- to vigorous-intensity physical activity (MVPA) level of boys was significantly higher than that of girls. Regardless of sex, children with the highest MVPA levels were those in grades 4–6, and PA levels decreased with increasing age. Furthermore, for every hour of increase in the daily MVPA of parents, the MVPA also increased by 6.1–13.9 min in children and adolescents. Moreover, areas of higher economic development were associated with lower levels of MVPA. Conclusions Overall, this study found a low level of MVPA in children and adolescents of western China; both family structure and parental activity have a significant influence on the children's PA levels. Besides, the impact of COVID-19 on PA levels has not been entirely negative.