In this paper we adopt annual land use conditions change data, land sifting data, social, economic and population data and environment information of nine districts and four counties in Xi＇an city from 1980 to 2000 t...In this paper we adopt annual land use conditions change data, land sifting data, social, economic and population data and environment information of nine districts and four counties in Xi＇an city from 1980 to 2000 to analyze its structural and degree change of land use since the 1980s, and calculate the benefits and transformation of land use type. The results show that the non-agricultural land increased rapidly, especially the urban and rural residential spots and industrial and mining （RIM） land use increased mostly rapidly, an increase of 64%. Meanwhile, the intensity of land exploitation was accelerating, land was transformed to industries with better benefit and areas experiencing faster urbanization process. By analyzing the harmonious degree of land exploitation in economic and environmental aspects, we find out that the land use imbalance mainly existed in the municipal area of Xi＇an, and the imbalance index of land use based on GDP and non-agricultural population were respectively 12.37 and 14.67 in 2000, which were far higher than those in other regions. Nevertheless the environmental harmonious degree in the municipal area of Xi＇an ranges between 0.6 and 0.8, which was better than that of suburban area. Some proposals addressing to the problems of harmonious level in all scales, resources utilization, projects management and feasibility analysis and intensive urbanization are also put forward.展开更多
Background: Diabetes mellitus (DM) challenges health and quality of life of patients, families, and communities. Patients with comorbid depression are more likely to develop macrovascular and microvascular complicatio...Background: Diabetes mellitus (DM) challenges health and quality of life of patients, families, and communities. Patients with comorbid depression are more likely to develop macrovascular and microvascular complications. The aim was to assess glycemic control and adherence in diabetic patients with comorbid depression. Further, the study evaluated the relationship between adherence and the physician-patient relationship. Methods: The study was conducted at Al-Agouza Family Medicine Center (AFMC) between February 2018 and March 2020. The included patients were between 35 - 80 years of age;had type 2 diabetes with hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dl, and scored between 11 - 30 on the Beck Depression Inventory (BDI). Logistic regression, chi-square, and analysis of variance (ANOVA) were used to assess the relationship between depression, adherence, physician-patient relationship, and other variables. Results: The study included 100 eligible patients with a median BDI score of 20 (10 - 30). The median diabetic panel for patients was FBS 188 (126 - 348) mg/dl, PPS 282.50 (162 - 448) mg/dl, and HbA1c 9.5 (6.6 - 14.0)%. Depression and regular follow-up visits were statistically associated with improvement of diabetes symptoms (p = 0.019). There was a significant relationship (p 0.001) between adherence, regular follow-up visits, and knowledge of DM. Further, there was a significant relationship between the physician-patient relationship and DM improvement (p = 0.047). Conclusion: Physician-patient relationship was paramount to improving adherence and positive diabetes care. Our findings suggest a shift to a physician-patient relationship model with mutual agreement on medical decisions is highly recommended.展开更多
The harmony of a relationship between teachers and students is a powerful promotion to the students＇ mental health. A ＂shared＂ relationship between teachers and students is advocated now. In the construction of a h...The harmony of a relationship between teachers and students is a powerful promotion to the students＇ mental health. A ＂shared＂ relationship between teachers and students is advocated now. In the construction of a harmonious relationship between teachers and students, the positions of the teachers and students in teaching should be first made clear, and then an effective mental communication between teachers and students is necessarily available.展开更多
基金Key scientific research project of Shaanxi Normal University Natural Science Basic Research Plan in Shaanxi Province of China, No.2004D04
文摘In this paper we adopt annual land use conditions change data, land sifting data, social, economic and population data and environment information of nine districts and four counties in Xi＇an city from 1980 to 2000 to analyze its structural and degree change of land use since the 1980s, and calculate the benefits and transformation of land use type. The results show that the non-agricultural land increased rapidly, especially the urban and rural residential spots and industrial and mining （RIM） land use increased mostly rapidly, an increase of 64%. Meanwhile, the intensity of land exploitation was accelerating, land was transformed to industries with better benefit and areas experiencing faster urbanization process. By analyzing the harmonious degree of land exploitation in economic and environmental aspects, we find out that the land use imbalance mainly existed in the municipal area of Xi＇an, and the imbalance index of land use based on GDP and non-agricultural population were respectively 12.37 and 14.67 in 2000, which were far higher than those in other regions. Nevertheless the environmental harmonious degree in the municipal area of Xi＇an ranges between 0.6 and 0.8, which was better than that of suburban area. Some proposals addressing to the problems of harmonious level in all scales, resources utilization, projects management and feasibility analysis and intensive urbanization are also put forward.
文摘Background: Diabetes mellitus (DM) challenges health and quality of life of patients, families, and communities. Patients with comorbid depression are more likely to develop macrovascular and microvascular complications. The aim was to assess glycemic control and adherence in diabetic patients with comorbid depression. Further, the study evaluated the relationship between adherence and the physician-patient relationship. Methods: The study was conducted at Al-Agouza Family Medicine Center (AFMC) between February 2018 and March 2020. The included patients were between 35 - 80 years of age;had type 2 diabetes with hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dl, and scored between 11 - 30 on the Beck Depression Inventory (BDI). Logistic regression, chi-square, and analysis of variance (ANOVA) were used to assess the relationship between depression, adherence, physician-patient relationship, and other variables. Results: The study included 100 eligible patients with a median BDI score of 20 (10 - 30). The median diabetic panel for patients was FBS 188 (126 - 348) mg/dl, PPS 282.50 (162 - 448) mg/dl, and HbA1c 9.5 (6.6 - 14.0)%. Depression and regular follow-up visits were statistically associated with improvement of diabetes symptoms (p = 0.019). There was a significant relationship (p 0.001) between adherence, regular follow-up visits, and knowledge of DM. Further, there was a significant relationship between the physician-patient relationship and DM improvement (p = 0.047). Conclusion: Physician-patient relationship was paramount to improving adherence and positive diabetes care. Our findings suggest a shift to a physician-patient relationship model with mutual agreement on medical decisions is highly recommended.
文摘The harmony of a relationship between teachers and students is a powerful promotion to the students＇ mental health. A ＂shared＂ relationship between teachers and students is advocated now. In the construction of a harmonious relationship between teachers and students, the positions of the teachers and students in teaching should be first made clear, and then an effective mental communication between teachers and students is necessarily available.
