Short-term effects of low-level PM_(2.5),PM_(10),O_(3),and tropical meteorological conditions on emergency department visits for respiratory diseases in Haikou,China

Objective:To assess the correlation between atmospheric pollutants,meteorological factors,and emergency department visits for respiratory diseases in Haikou City.Methods:Daily data on atmospheric pollutants,meteorological factors,and emergency department visits for respiratory diseases in Haikou City from 2018 to 2021 were collected.The Spearman rank correlation test was used to analyze the correlation,and a distributed lag non-linear model was employed to analyze the health effects and lag impacts of environmental factors.Subgroup analyses were conducted based on sex and age.Results:According to the criteria of International Classification of Diseases(ICD-10:J00-J99),a total of 221913 cases were included,accounting for 21.3%of the total emergency department visits in Haikou City.For every 1℃increase in temperature,the risk of emergency department visits increased by 1.029%(95%CI 1.016%-1.042%).Relative humidity greater than 80%reduced the risk of visits,while higher atmospheric pressure(>1010 hpa)also decreased the likelihood of daily emergency department visits.Higher concentrations of PM_(2.5)(30-50μg/m^(3)),PM10(>60μg/m^(3)),and O_(3)(75-125μg/m^(3))were associated with increased visits.Higher temperatures(>25℃)have a greater impact on females and children aged 0-14 years,while males are more sensitive to low atmospheric pressure.Individuals aged 65 and above exhibited increased sensitivity to O_(3)concentration,and the effects of PM2.5,PM10,and O_(3)are more pronounced in individuals over 14 years old.Conclusions:Short-term exposure to high temperatures,particulate matter pollutants(PM_(2.5)and PM_(10)),and ozone(O_(3))is associated with increased emergency department visits for respiratory diseases.

Letters and Visits System Optimization and Implementation

The letters and visits system plays a vital role in government work, serving as a crucial tool for supervising law enforcement and administrative conduct, ensuring public officials’ integrity, and promoting governance by law. As Chinese citizens’ political awareness grows, the volume of letters and visits has increased steadily. This paper reviews the current state of letters and visits information construction, identifies challenges and problems in system integration, presents integration ideas for existing systems, and proposes an innovative approach to letters and visits system integration. This research aims to provide valuable insights and guidance for other units undertaking similar system integration efforts.

A NEW DAY FOR CHINA-VIETNAM RELATIONS Chinese President Xi Jinping’s fruitful visit to Vietnam

Chinese President Xi Jinping made a state visit to Vietnam from December 12 to 13,2023.During the two-day visit,China and Vietnam issued a joint statement on continuing to deepen and elevate their comprehensive strategic cooperative partnership and building a community with a shared future that carries strategic significance.The two sides also signed more than 30 agreements on bilateral cooperation.These developments injected strong momentum into China-Vietnam relations and elevated bilateral ties to a new height.

基于VisIt的全球科学数据并行可视化--以大气温度场为例

针对当前大规模全球科学数据可视化中存在的单机可视化数据量有限、从底层开发并行可视化系统难度大等问题,该文基于分布式环境和VisIt,提出了一种简便、开放而又有效的大规模全球科学数据可视化方法。介绍了VisIt的体系结构及运行机制,给出了自定义数据的并行可视化方法;并基于NCEP数据集及全球空间格网,在小规模集群环境下实现了小粒度适应性球体退化八叉树格网(SDOG)下的全球大气温度场的并行可视化。VisIt的并行可视化性能测试结果表明:通过增加计算节点,VisIt能有效摆脱传统单机可视化对数据量的限制,可实现大规模全球科学数据的并行可视化。

VisIt在数值模拟软件中的应用

基于高性能计算机的科学计算可视化软件应用日益广泛,但其软件结构通常不能充分利用高性能计算环境中的各种资源,造成可视化效率不高。本文首先介绍一种分布式并行可视化工具VisIt;然后给出自主开发的数值计算集成系统的数据后处理方法;为有效管理模拟对象的计算结果,编码实现了多种数据存取管理模块,并在VisIt基础上开发了能够对数据进行读取和显示的接口程序,通过该接口可以显示多种科学数据的模拟对象信息以及诊断信息。可视化实例表明,使用基于VisIt数据后处理的数值计算系统能有效使用高性能计算环境中的资源,提高可视化效率。

基于VisIt与地球系统格网的并行可视化实验

利用集群架构和分布式并行可视化工具VisIt,编写了自定义插件,实现了基于大规模地球系统格网组织下的全球科学数据并行可视化,并设计实验对其并行可视化性能进行了对比分析。实验发现:VisIt完成一次渲染的加速比及并行效率随着核数的增加逐渐降低;采用GPU渲染,可以很好地提高并行渲染的效率。但在核数和GPU个数同步增加的情况下,由于核间通信、GPU间通信以及核-GPU间通信等,VisIt一次渲染的并行运行时间并无明显降低。随着数据量增加,VisIt对单位数据量的运行时间却逐渐减低。实验表明,VisIt可较高效地完成大数据量的并行渲染。该方法和结论可供地学领域大规模海量数据可视化研究参考。

基于Visit OpenGL组件实现飞行过程实时仿真回放研究

提出了一种利用Visit OpenGL组件建立某型飞机飞行过程实时仿真的方法。该方法采用计算机图形技术和多媒体技术,能够建立逼真的三维视景。依据飞参数据驱动飞机、仪表实时地进行仿真回放。该系统已得到广泛应用。该系统的使用,对飞行事故调查、飞行质量的监控都有着重大意义,为飞行训练提供了有力的保障。

基于VISIT算法设计模糊分类器的进化方法

介绍了在没有数据分布先验知识的情况下,用进化方法直接从训练数据中建立紧致模糊分类系统的方法。使用VISIT算法获取每个个体模糊系统,再用遗传算法从中搜索最优的模糊系统。规则和隶属函数是在进化过程中自动建立和优化的。为了同时有效地评价系统的精度和紧致性,用一个模糊专家系统作适应度函数。在2个基准分类问题上的实验结果表明了新方法的有效性。

Chinese Cuisine Through Foreign Visitors' Eyes

Chinese food may seem a litde bit overwhelming to the foreign eye.My parents just visited me in Beijing,and I was really unsure of where to take them.Do I take them to a Sichuan restaurant first?Or a Beijingstyle restaurant?Do they have to eat duck,or dumplings,or should I just take them on a noodle tour of China?Will they

Association between Fine Particulate Air Pollution and Outpatient Visits for Eczema in Beijing, China: A Time-series Analysis

Eczema is a very common inflammatory skin disease characterized by patches of erythematous,itchy, cracked, and scaly skin.According to the 2010 Global Burden of Disease Study, the global prevalence of eczema is 3.33% and the leading cause of skin condition-based disability-adjusted life years is eczema[1].The large health burden brought about by eczema suggests high direct medical costs and health care utilization[2].Thus, eczema prevention is of great importance in efforts to eliminate the public health burden of the disease.

USERS′ PERCEPTION OF KOWLOON PARK, HONG KONG:VISITING PATTERNS AND SCENIC ASPECTS

Hong Kong is a hyper-dense city with 7x10(6) people living in an area of 1100km(2). One way to improve the livability of compacted and congested cities like Hong Kong is through the provision of urban parks, an aspect that has largely been under-researched. This study focuses on how users perceive and utilize various facilities in the Kowloon Park. The findings revealed that the Kowloon Park is one of the most preferred parks in Hong Kong for both local residents and tourists. Users were quite satisfied with the park's facilities. Notably, the most important component of an urban park is its greenery. This is followed by water elements, seating places, and facilities for various recreational activities. The improvements users would like to see in urban parks include good design and management, meeting users' needs, overcoming barriers to use, and providing a high quality and varied experience for different groups in the community. The findings of this study provide a good basis to address park management issues from the users' perspective. In particular, parks should provide easy access, encourage optimum usage and enable complimentary improvements to the environment.

Impacts of COVID-19 pandemic on urban park visitation:a global analysis

The COVID-19 pandemic has resulted in over 33 million confirmed cases and over 1 million deaths globally,as of 1 October 2020.During the lockdown and restrictions placed on public activities and gatherings,green spaces have become one of the only sources of resilience amidst the coronavirus pandemic,in part because of their positive effects on psychological,physical and social cohesion and spiritual wellness.This study analyzes the impacts of COVID-19 and government response policies to the pandemic on park visitation at global,regional and national levels and assesses the importance of parks during this global pandemic.The data we collected primarily from Google’s Community Mobility Reports and the Oxford Coronavirus Government Response Tracker.The results for most countries included in the analysis show that park visitation has increased since February 16th,2020 compared to visitor numbers prior to the COVID-19 pandemic.Restrictions on social gathering,movement,and the closure of workplace and indoor recreational places,are correlated with more visits to parks.Stay-at-home restrictions and government stringency index are negatively associated with park visits at a global scale.Demand from residents for parks and outdoor green spaces has increased since the outbreak began,and highlights the important role and benefits provided by parks,especially urban and community parks,under the COVID-19 pandemic.We provide recommendations for park managers and other decision-makers in terms of park management and planning during health crises,as well as for park design and development.In particular,parks could be utilized during pandemics to increase the physical and mental health and social well-being of individuals.

Association between Ambient Air Pollution and Outpatient Visits for Acute Bronchitis in a Chinese City

Objective To investigate the short-term association between outdoor air pollution and outpatient visits for acute bronchitis,which is a rare subject of research in the mainland of China.Methods A time-series analysis was conducted to examine the association of outdoor air pollutants with hospital outpatient visits in Shanghai by using two-year daily data（2010-2011）.Results Outdoor air pollution was found to be associated with an increased risk of outpatient visits for acute bronchitis in Shanghai.The effect estimates of air pollutants varied with the lag structures of the concentrations of the pollutants.For lag06,a 10 μg/m3 increase in the concentrations of PM10,SO2,and NO2 corresponded to 0.94%（95% CI：0.83%,1.05%）,11.12%（95% CI：10.76%,11.48%）,and 4.84%（95% CI：4.49%,5.18%） increases in hospital visits for acute bronchitis,respectively.These associations appeared to be stronger in females（P〈0.05）.Between-age differences were significant for SO2（P〈0.05）,and between-season differences were also significant for SO2（P〈0.05）.Conclusion Our analyses have provided the first evidence that the current air pollution level in China has an effect on acute bronchitis and that the rationale for further limiting air pollution levels in Shanghai should be strengthened.

U.S. national parks accessibility and visitation

Accessibility is a factor affecting national park visitation.However,the effect of accessibility on national park visitation is not fully understood.This paper examines the relationship between U.S.national park visitation and accessibility.First,the global and local accessibility indexes of each park unit are computed based on an accessibility model that takes into account the surrounding population and its proximity to the park unit.Integrated in the model is a distance decay coefficient that is derived from U.S.national park visitor surveys and therefore pertinent to the case of study.Then correlation analysis is performed between park visitation and accessibility based on park types,regions,and visitation types.Results show that total visitation is positively related to accessibility in National Memorials,Military Parks and Battlefield Parks/Sites but negatively related to accessibility in national parks and national monuments.However,recreational overnight stay visits are commonly negatively correlated to accessibility for almost all park types.Moreover,local accessibility index displays enhanced correlation coefficients with improved significance levels in many categories of analysis.Results suggest that historical/cultural national parks which often show positive correlations tend to attract more local visitors,but nature-based parks which mainly show negative correlations tend to attract more distant visitors.

Impact of switching from ranibizumab to aflibercept on the number of intravitreous injection and follow up visit in wet AMD:results of real life ELU study

●AIM:To study if one of the two molecules could lead to a lower number of follow up visits and intra-vitreous injection(IVI)with the same efficacy.●METHODS:ELU(or"elected"in French)study is a retrospective study conducted in real life in patients presenting suboptimal response after ranibizumab IVI(phase 1)and secondary switched to aflibercept(phase 2).The number of follow up visits and IVI were compared in both phases.Visual acuity(VA)evolution and"switching"reasons were secondary analyzed.●RESULTS:We retrospectively included data of 33 patients(38 eyes)with age-related macular degeneration(AMD;mean age:77±7.7 y).The number of monthly follow up visits[median(Q1;Q3)]:was significantly lower with aflibercept(phase 2),respectively 1.0(0.81;1.49)visits in phase 1,versus 0.79(0.67;0.86)visits in phase 2.The median number of monthly IVI also significantly decreased in phase 2,respectively 0.67(0.55;0.90)IVI in phase 1,versus 0.55(0.45;0.67)IVI in phase 2.The mean VA evolution(VA final-VA initial)was similar in both phases,(P>0.05).Whatever the reason for"switching"(loss of efficacy,tachyphylaxis,tolerance problems),there was no incidence on VA evolution over the time.●CONCLUSION:Our results show that switching from ranibizumab to aflibercept in"suboptimal"patients significantly reduce the number of follow up visits and IVI,with a comparable efficacy.This decrease in visit number could improve patients’quality of life and reduce surgical risk by reducing the number of injections.

Effects of PM2.5 Exposure in Different Air Quality Grades on Daily Outpatient Visits for Childhood Asthma in Shijiazhuang, China

Asthma is a common chronic inflammatory disorder that is more prevalent in children than in adults.China has seen an increasing prevalence of childhood asthma in recentdecades[1].Earlier studies have shown that air particulate matter (PM),particularly fine particulate matter(PM2.5)[2],is an important factor triggering childhood asthma. Since nationalPM2.5data were nota vailabl euntil 2013,

Home visits in brain tumor patient: how nurse and family members cooperate in tumor patient's family self-care

Purposes： We reported the roles and fimctions of nurses in home visits for brain tumor patients using the family health assessment guide in the study. Methods： One patient of brain glioma was chosen as the case illustration. The nurses assessed the patients＇ situation, their families and living environment individually. All these factors were analyzed together. Results： The nurses then implemented their knowledge and skills to adopt different measures in different conditions, investigated the patients＇ health problems and carried out personalized effective actions. Conclusions： Nurses should put effort into community nursing to allow patients to live in a safe environment, to satisfy the health needs of human being and their needs for health knowledge, and enhance their self-care abilities.

Ambient Temperature and Outpatient Visits for Acute Exacerbation of Chronic Bronchitis in Shanghai: A Time Series Analysis

The association between ambient temperature and acute exacerbation of chronic bronchitis （AECB） was still unknown. Therefore, we performed an epidemiological study in a large hospital of Shanghai to explore the relationship about temperature and outpatient visit for AECB. We adopted a quasi-Poisson generalized additive models and distributed lag nonlinear models to estimate the accumulative effects of temperature on AECB across multiple days. We found significant non-linear effects of cold temperature on hospital visits for AECB, and the potential effect of cold temperature might last more than 2 weeks. The relative risks of extreme cold （first percentiles of temperature throughout the study period） and cold （10th percentile of temperature） temperature over lags 0-14 d were 2.98 [95% confidence intervals （CI）： 1.77, 5.04] and 1.63 （95% Ch 1.21, 2.19）, compared with the 25th percentile of temperature. However, we found no positive association between hospital visits and hot weather. This study showed that exposure to both extreme cold and cold temperatures were associated with increased outpatient visits for AECB in a large hospital of Shanghai.

The emerging concept of travel therapy in health science:Will it be applied to tourists visiting sub-frigid climate zones?

Have you ever thought that taking a tourism-related trip could contribute to your well-being or even improve your health status?Have you considered that tourism research could play a role in health science by showcasing new ways of thinking?Tourism scholars have recently contemplated tourism's place in public/global health[1]as a means of enriching the well-being of people living with conditions such as dementia.A seminal study using an interdisciplinary approach[2]integrated expertise in tourism,psychology,marketing,and medical science and proposed tourism as a dementia intervention based on positive psychology.

Permitted Visits to the ICU or Not—Children and Parents’ Experiences

Introduction: Children need intensive care in the first days after open-heart surgery. In some hospitals visits to Intensive Care Units (ICU), are not allowed, even by parents. Aim: The study aimed to illuminate the experiences of children and parents regarding permission or not to visit the ICU. Subjects and Methods: Twenty children aged between 8 and 15 years with planned open-heart surgery, together with their parents, were chosen consecutively to participate in the study. They were divided into two groups. Group 1, followed the routine with no visits by parents allowed to the ICU. Group 2 were allowed such visits. Data were collected through open interviews with parents and children, following an interview guide. Results “Missing” was the overall theme illustrated in the findings, with two major categories;“being seen” and “taking care” being developed. The parents trusted the expert knowledge of the medical staff but Missing was strongly expressed and influenced the feelings within the categories in Group 1. Parents felt they were not seen and the lack of information made them anxious, frightened and feel they were losing control over their parenthood. They asked to see their children only briefly to allay their fears. They knew their children’s needs and thought they could help by taking care of practical issues to improve their well-being. All children in this group felt sad and abandoned. The families in Group 2 felt happy and confident despite not being allowed to stay with children all the time. The parents felt included in their care, which had a positive effect on the children.