Background: Increase of elderly people living alone has been a concern even in the Philippines where filial piety is widely practiced with the support of large number of young people. Objectives of this study were to ...Background: Increase of elderly people living alone has been a concern even in the Philippines where filial piety is widely practiced with the support of large number of young people. Objectives of this study were to examine the relationships between living alone with self-reported illness among community elderly and living alone with health facility utilization among sick community elderly in the Philippines. Methods: Data of 5577 elderly (aged ≥ 60 years) from the 2013 Philippines National Demographic and Health Survey were retrieved. Variables on living arrangements, self-reported illness, frequency of health facility visits, and admission to a health facility were used for analysis. Results: Among the elderly included in the analysis, 5.0% of them were living alone. Percentage of living alone was larger among rural elderly (6.0%) compared with urban elderly (3.6%);and among poor elderly (9.0%) compared with rich elderly (2.8%). Results of adjusted multivariate logistic regression analysis showed that the elderly living alone were more likely to report suffering from common colds (AOR 2.12;95% CI 1.57 - 2.86) or non-communicable diseases (AOR 2.18;95% CI 1.55 - 3.06), regardless of their socioeconomic status or insurance coverage. Among those who reported illness, the elderly living alone were more likely to visit a health facility with non-communicable disease (AOR 1.95;95% CI 1.22 - 3.14), after adjustment of other variables. Although elderly living alone who reported illness were likely to be admitted in a health facility, statistically significant association was not observed. Conclusion: Elderly living alone are more likely to report self-reported illness and use health facilities when they recognize their illness.展开更多
This study described the self-reported chronic diseases and health status and examined the factors that are associated with effective health service utilization. Descriptive and logistic regression analysis was perfor...This study described the self-reported chronic diseases and health status and examined the factors that are associated with effective health service utilization. Descriptive and logistic regression analysis was performed to determine the factors significantly associated with self-rated health, in-patient and out-patient utilization. Self-rated health status was ranked lower among rural residents, lower-income families, married persons, and those with chronic diseases. Chronic diseases such as hypertension, arthritis, melancholy, and diabetes were common and they are associated with poor health of Koreans. The presence of chronic diseases was significant in predicting the likelihood of poor health while socio-economic factors, rather than health-related need factors, had more predictive power of the use of health services. This study provides a unique contribution to the knowledge base of the Korean population. The study findings show that Koreans in poor health status were married, living in rural areas, having chronic diseases and lower income, with a high likelihood of health care utilization among employed individuals, which could significantly help in the public health policy required to address this issue.展开更多
The relation between seed viability and waterstatus in seed was studied.The experimentwas carried out at Zhongshan University.Seeds of hybrid rice Shanyou 63 were collectedfrom Guangdong Academy of Agriculture Sci-enc...The relation between seed viability and waterstatus in seed was studied.The experimentwas carried out at Zhongshan University.Seeds of hybrid rice Shanyou 63 were collectedfrom Guangdong Academy of Agriculture Sci-ences in 1993 and then stored for one year inopen air or with silica gel.Before and afterstorage,the relative content of free water andbound water in seeds were measured with展开更多
Introduction: Nigeria accounts for 150,000 infants born with the Sickle Cell Disease (SCD) every year. Children with SCD are affected by the deleterious effect of user fees which reduces affordability and utilization ...Introduction: Nigeria accounts for 150,000 infants born with the Sickle Cell Disease (SCD) every year. Children with SCD are affected by the deleterious effect of user fees which reduces affordability and utilization of health services. Evidences supported that institutionalized health insurance increases intensity of utilization. Methodology: The study was conducted at AKTH, Kano, and north-western, Nigeria. The study was retrospective comparative cross-sectional study. 100 patients were enrolled, 50 for each arm. Paediatric SCD clinic outpatients’ records and a specialty designed form containing the variables of interest were used. Data were analysed using Minitab 16. Proportions, percentages, tables, charts and chi squared test were used to compare the two groups. Result: The study found no association between the two groups in the likelihood of being insured based on age (χ<sup>2</sup> = 1.478), gender (χ<sup>2</sup> = 0.224) and dwellings (χ<sup>2</sup> = 0.062). On health services utilization and insurance status, the study revealed that follow up clinic visits, unscheduled clinic visits and emergency room visits were more likely among the insured group compared to the uninsured group. While the health status and insurance status of the two groups over 12 months period showed a significant association with the insured more likely to have improved health status compared to uninsured (χ<sup>2</sup> = 28.019, p = 0.0001). Similarly, health status and health services utilization were significantly associated with insurance status (χ<sup>2</sup> = 12.191, p = 0.002). Conclusion: The insurance status of children with SCD is associated with their health services utilization and health status. However, age, gender and dwellings were not associated with insurance status of children with SCD. Therefore, when expanding insurance coverage (NHIS) among children with SCD considerations have to be given to increase health services utilization and resultant improvement in health status as these have the potential of reducing morbidity and mortality among children with SCD.展开更多
Although mass livestock and poultry breeding brought magnificent econom-ic benefits to the society, it made great harm to the environment. By reviewing the current status of environmental pol ution caused by livestock...Although mass livestock and poultry breeding brought magnificent econom-ic benefits to the society, it made great harm to the environment. By reviewing the current status of environmental pol ution caused by livestock and poultry manure in China, harm-free treatment technology for livestock and poultry manure including fer-tilization technology, feed processing technology and energy technology were elabo-rated so as to address the existing issues in this regard and provide references for resource utilization and eliminating environmental pol ution through modified technical system and environment laws.展开更多
Objectives To assess the association of socioeconomic indicators with various chronic and acute illnesses and the utilization of public health care in a new town in Hong Kong, China. Methods Illness experience and soc...Objectives To assess the association of socioeconomic indicators with various chronic and acute illnesses and the utilization of public health care in a new town in Hong Kong, China. Methods Illness experience and socioeconomic and demographic data of 7570 residents from 2022 randomly selected households were collected through telephone interviews. The relationships between socioeconomic indicators and illnesses/choice of health care were explored using stepwise logistic regressions after adjusting for sex and age. Results Significant positive associations were noted between low household income and diabetes mellitus, any chronic illnesses among adults and flu among younger subjects; low educational level and accident-related illness among adults; being born in Chinese mainland and flu, any acute illness in adults. For the utilization of public health care, low household income was the most consistent risk factor. Conclusion This study did not demonstrate a unidirectional socioeconomic gradient in healt展开更多
Wetlands have immense poverty-fighting potentials and in Nigeria, more and more people are dependent on wetlands for their livelihoods. To examine the social factors affecting the current status of the wetlands utiliz...Wetlands have immense poverty-fighting potentials and in Nigeria, more and more people are dependent on wetlands for their livelihoods. To examine the social factors affecting the current status of the wetlands utilization for agriculture in Nigeda, a simple random sampling technique was used to select 200 farmers cultivating wetlands and a structured questionnaire was applied to elicit the information on the social factors. Data collected were described using frequency and percentage and a multiple regression analysis was used to identify significant variables that are determinants of wetland utilization. The results of the analysis showed that significant variables included crop preferences, farming system, culture, taste, land tenure, knowledge of wetland cultivation, perceived suitability, farmers' tribe, location of wetland, and farmers' age. it was concluded with suggestions for the right combination of policies, public awareness, and appropriate farming methods in order to improve wetland utilization in Nigeria.展开更多
With the rapid development of Camellia oleifera industry, more and more Camellia nut shells have been produced, leading to serious environmental pollution problem. This paper reviews the works on the characterization ...With the rapid development of Camellia oleifera industry, more and more Camellia nut shells have been produced, leading to serious environmental pollution problem. This paper reviews the works on the characterization of the physical and chemical properties of Camellia nut shells, active ingredient extraction, its application in chemical production, growing media and animal feed and its properties as a biomass. Based on the review, we proposed a novel all-component high value application strategy to covert camellia nut shells into high value biomasses, which could realize waste recycling and environmental protection.展开更多
A study was carried out to assess the nutritional status of under-five child population within cassava consuming community in Nambale of western Kenya. A structured questionnaire was used to collect socio economic dat...A study was carried out to assess the nutritional status of under-five child population within cassava consuming community in Nambale of western Kenya. A structured questionnaire was used to collect socio economic data, 24-hour food re-call and anthropometric measurements. Data were analyzed using Statistical Package for Social Sciences. Descriptive statistics were used while Pearson’s Chi Square and correlation coefficient (R) were used to test for statistical associations. A total of 320 households with 232 children participated. The findings showed nutrition status of children to be poor (50% changes in stunting could not be attributed to age of child or education level of the head of household. Farm ownership was a strong positive determinant of nutrition status, Pearson’s R = 0.233. This study has established that cassava cushions hunger and there is need to improve nutrient content.展开更多
The current status and development history of domestic and abroad research reactors (RRs) are mentioned.The representative RRs and their respective technology characteristics are introduced.The utilizations of China...The current status and development history of domestic and abroad research reactors (RRs) are mentioned.The representative RRs and their respective technology characteristics are introduced.The utilizations of China's RRs,mainly included as nuclear engineering technology,basic research applications of nuclear technology,teaching and personnel training,are explained.展开更多
Urban green space(UGS)is essential for sustainable urbanization and human well-being.The utilization status of UGS is closely related to the provision of ecosystem services for urban residents.Limitations on data avai...Urban green space(UGS)is essential for sustainable urbanization and human well-being.The utilization status of UGS is closely related to the provision of ecosystem services for urban residents.Limitations on data availability,however,have led to the absence of a comprehensive approach for evaluating the actual utilization status of UGS at a large scale.Furthermore,differences in actual UGS utilization between intra-urban and peri-urban areas have not received enough attention.This study used big data analysis by combining point of interest(POI)and land use and cover change(LUCC)to quantify the spatial patterns of UGS utilization,and to evaluate the actual utilization status of UGS in 366 cities on the Chinese mainland.We also explored the differences in the actual utilization of UGS in intra-urban and peri-urban areas.The results showed that 94.01%of UGS resources in China had not been utilized.There was a clear pattern of spatial mismatch between the stock and the actual utilization of UGS,especially in the north-western region indicated by the Hu Huanyong Line.The actual utilization rate of UGS was closely related to the regional develop-ment level.There was a certain mismatch between the actual utilization and stock of intraurban green space(IUGS).The hot spots of the actual utilization rate of IUGS were in Yunnan,Guizhou,and Sichuan Provinces in southwestern China.The differ-ences in UGS actual utilization rates between IUGS and peri-urban green space(PUGS)were small in eastern China,but large in south-western and northwestern China.The actual utilization rate of IUGS in most Chinese cities was significantly larger than that of PUGS,indicating that PUGS were not well utilized.Our results provide scientific support for urban and regional planners in targeting specific areas for UGS design and development,and in optimizing future UGS planning in China.展开更多
With the rapid development of its national economy,China has become a major producer and consumer of energy.To guarantee the sustainable development of power industry and national economy,China should exploit fossil a...With the rapid development of its national economy,China has become a major producer and consumer of energy.To guarantee the sustainable development of power industry and national economy,China should exploit fossil and renewable energy efficiently according to the development situation of generation resources.Firstly,this paper analyzes the utilization status of main generation resources in China,such as coal,hydropower and wind energy.Secondly,this paper illustrates the STEP model,which analyzes some issues for China’s generation resource utilization from political,economic,social and technological aspects.For example,the resource distribution is inconsistent with electricity demand,the renewable energy power output is intermittent,and there is some disruption in coal mining.Finally,combined with the utilization status and issues,this paper presents some improvement approaches from the perspectives of cost,efficiency and external influence.展开更多
Many patients with rare diseases not only suffer from more severe conditions but often receive less disease management, which is one significant public health concern globally. Few practice-based surveys focus on the ...Many patients with rare diseases not only suffer from more severe conditions but often receive less disease management, which is one significant public health concern globally. Few practice-based surveys focus on the care of patients with rare diseases. In the present study, we aimed to investigate medical service utilization, economic burden and health status of patients with rare diseases in China. A cross-sectional questionnaire survey focusing on patients with rare diseases was conducted. Descriptive analysis was conducted to examine the sociodemographic characteristics, medical service utilization, economic burden and health status. Logistic regression analysis was applied to explore influencing factors of self-rated health. A total of 982 patients with 81 types of diseases were included in this survey. We found that 58.2% of patients experienced misdiagnosis, and 35.2% of the patients were misdiagnosed for at least five times. Moreover, 65.8% of patients traveled to hospitals to seek medical services, and 92.1% of patients paid expenses for their treatment. However, only 1.3% of patients could afford their medical expenditure without debts, and 86.8% of patients regarded their health status as bad or moderate. Significant factors correlated with health status were economic status, gender, age, employment and household size. From this study, the accessibility of medical service utilization, the affordability of medical economic burden, and the condition of health status for patients with rare disease in China were considerably poor. Basic medical insurance did not play its role in improving the utilization of medical services and the affordability of medical costs. Social support should be encouraged to improve patients' health status.展开更多
Self health assessment is a simple indicator that is widely used for measuring an individual’s perception of his or her overall health. Many studies have been conducted by way of showing which particular aspects shou...Self health assessment is a simple indicator that is widely used for measuring an individual’s perception of his or her overall health. Many studies have been conducted by way of showing which particular aspects should be included in health self assessment, especially in developed world. In the developing world, however, very few studies have examined self health assessment. The aim of this study was to identify particular aspects and associations in self health assessment and differences between subgroups in Ulaanbaatar, Mongolia. The area sampling approach and Kish tables were used for selecting respondents. Total 500 respondents were surveyed by paper-based questionnaires. Spearman’s analysis and multiple logistic regression analysis were used to show relations between variables. Sociodemographic status, such as age and gender, proved to be important in self health assessment. Other factors affecting self health assessment included the number of family members, daily life and lifestyles, social environment, community motivation, and utilization of health services. Women, the elderly, or people with less-than- normal access to information suffer from poor self-assessed health. People who are socially inactive and who have poor living conditions are less likely to use health care services and are likely to assess their health as “poor.” In order to reduce the poor self-assessed health status it is important to address disparities in socioeconomic factors, such as age, gender, employment, and residential area. In addition, more attention should be paid to community and health services, as well as to health promotion and empowerment activities, including income-generation activities. Further research is also needed, however, for better understanding of about the local people and their health-related issues.展开更多
The major faced problems at present in Yangtze river basin are: ① uneffective control in river water pollution threatens seriously the safety of drinking water; ② shrinkage of lake area and serious eutrophication; ...The major faced problems at present in Yangtze river basin are: ① uneffective control in river water pollution threatens seriously the safety of drinking water; ② shrinkage of lake area and serious eutrophication; ③ soil-water losses degraded the ecological environment of the basin; ④ the impact of TGP and S-N water transfer project on water environment of the basin. In the light of above-mentioned problems, water resources utilization strategy must be adjusted and the sustainable social and economic development should be supported by sustainable water resources utilization, and it is necessary to take the following countermeasures: ① establishing overall flood control and disaster relief system; ② developing high water use efficiency agriculture; ③ taking "giving priority to water saving on the basis of pollution control" as urban water resources utilization strategy; ④ implementing comprehensive pollution control strategy with sources control as main point; ⑤ guaranteing water demand of the ecological environment; ⑥implementing the strategy of maintaining water resources supply and demand balance on the basis of water demand management; ⑦ studying countermeasures for the ecological and environmental impacts of trans-basin water transfer and western China devolopment. The key of realization of sustainable water resources utilization is to reform management and investment mechanism of water resources and water price policy. It is the only way to solve the water resources problems in Yangtze river basin as well as the whole China.展开更多
文摘Background: Increase of elderly people living alone has been a concern even in the Philippines where filial piety is widely practiced with the support of large number of young people. Objectives of this study were to examine the relationships between living alone with self-reported illness among community elderly and living alone with health facility utilization among sick community elderly in the Philippines. Methods: Data of 5577 elderly (aged ≥ 60 years) from the 2013 Philippines National Demographic and Health Survey were retrieved. Variables on living arrangements, self-reported illness, frequency of health facility visits, and admission to a health facility were used for analysis. Results: Among the elderly included in the analysis, 5.0% of them were living alone. Percentage of living alone was larger among rural elderly (6.0%) compared with urban elderly (3.6%);and among poor elderly (9.0%) compared with rich elderly (2.8%). Results of adjusted multivariate logistic regression analysis showed that the elderly living alone were more likely to report suffering from common colds (AOR 2.12;95% CI 1.57 - 2.86) or non-communicable diseases (AOR 2.18;95% CI 1.55 - 3.06), regardless of their socioeconomic status or insurance coverage. Among those who reported illness, the elderly living alone were more likely to visit a health facility with non-communicable disease (AOR 1.95;95% CI 1.22 - 3.14), after adjustment of other variables. Although elderly living alone who reported illness were likely to be admitted in a health facility, statistically significant association was not observed. Conclusion: Elderly living alone are more likely to report self-reported illness and use health facilities when they recognize their illness.
文摘This study described the self-reported chronic diseases and health status and examined the factors that are associated with effective health service utilization. Descriptive and logistic regression analysis was performed to determine the factors significantly associated with self-rated health, in-patient and out-patient utilization. Self-rated health status was ranked lower among rural residents, lower-income families, married persons, and those with chronic diseases. Chronic diseases such as hypertension, arthritis, melancholy, and diabetes were common and they are associated with poor health of Koreans. The presence of chronic diseases was significant in predicting the likelihood of poor health while socio-economic factors, rather than health-related need factors, had more predictive power of the use of health services. This study provides a unique contribution to the knowledge base of the Korean population. The study findings show that Koreans in poor health status were married, living in rural areas, having chronic diseases and lower income, with a high likelihood of health care utilization among employed individuals, which could significantly help in the public health policy required to address this issue.
文摘The relation between seed viability and waterstatus in seed was studied.The experimentwas carried out at Zhongshan University.Seeds of hybrid rice Shanyou 63 were collectedfrom Guangdong Academy of Agriculture Sci-ences in 1993 and then stored for one year inopen air or with silica gel.Before and afterstorage,the relative content of free water andbound water in seeds were measured with
文摘Introduction: Nigeria accounts for 150,000 infants born with the Sickle Cell Disease (SCD) every year. Children with SCD are affected by the deleterious effect of user fees which reduces affordability and utilization of health services. Evidences supported that institutionalized health insurance increases intensity of utilization. Methodology: The study was conducted at AKTH, Kano, and north-western, Nigeria. The study was retrospective comparative cross-sectional study. 100 patients were enrolled, 50 for each arm. Paediatric SCD clinic outpatients’ records and a specialty designed form containing the variables of interest were used. Data were analysed using Minitab 16. Proportions, percentages, tables, charts and chi squared test were used to compare the two groups. Result: The study found no association between the two groups in the likelihood of being insured based on age (χ<sup>2</sup> = 1.478), gender (χ<sup>2</sup> = 0.224) and dwellings (χ<sup>2</sup> = 0.062). On health services utilization and insurance status, the study revealed that follow up clinic visits, unscheduled clinic visits and emergency room visits were more likely among the insured group compared to the uninsured group. While the health status and insurance status of the two groups over 12 months period showed a significant association with the insured more likely to have improved health status compared to uninsured (χ<sup>2</sup> = 28.019, p = 0.0001). Similarly, health status and health services utilization were significantly associated with insurance status (χ<sup>2</sup> = 12.191, p = 0.002). Conclusion: The insurance status of children with SCD is associated with their health services utilization and health status. However, age, gender and dwellings were not associated with insurance status of children with SCD. Therefore, when expanding insurance coverage (NHIS) among children with SCD considerations have to be given to increase health services utilization and resultant improvement in health status as these have the potential of reducing morbidity and mortality among children with SCD.
基金Supported by Fundamental Research Funds for Guangxi Academy of Agricultural Sciences(201020)Science and Technology Development Fund(2012JM10)~~
文摘Although mass livestock and poultry breeding brought magnificent econom-ic benefits to the society, it made great harm to the environment. By reviewing the current status of environmental pol ution caused by livestock and poultry manure in China, harm-free treatment technology for livestock and poultry manure including fer-tilization technology, feed processing technology and energy technology were elabo-rated so as to address the existing issues in this regard and provide references for resource utilization and eliminating environmental pol ution through modified technical system and environment laws.
基金This study was support by a grant from the Social Service Committee of the Tai Po District Board.
文摘Objectives To assess the association of socioeconomic indicators with various chronic and acute illnesses and the utilization of public health care in a new town in Hong Kong, China. Methods Illness experience and socioeconomic and demographic data of 7570 residents from 2022 randomly selected households were collected through telephone interviews. The relationships between socioeconomic indicators and illnesses/choice of health care were explored using stepwise logistic regressions after adjusting for sex and age. Results Significant positive associations were noted between low household income and diabetes mellitus, any chronic illnesses among adults and flu among younger subjects; low educational level and accident-related illness among adults; being born in Chinese mainland and flu, any acute illness in adults. For the utilization of public health care, low household income was the most consistent risk factor. Conclusion This study did not demonstrate a unidirectional socioeconomic gradient in healt
文摘Wetlands have immense poverty-fighting potentials and in Nigeria, more and more people are dependent on wetlands for their livelihoods. To examine the social factors affecting the current status of the wetlands utilization for agriculture in Nigeda, a simple random sampling technique was used to select 200 farmers cultivating wetlands and a structured questionnaire was applied to elicit the information on the social factors. Data collected were described using frequency and percentage and a multiple regression analysis was used to identify significant variables that are determinants of wetland utilization. The results of the analysis showed that significant variables included crop preferences, farming system, culture, taste, land tenure, knowledge of wetland cultivation, perceived suitability, farmers' tribe, location of wetland, and farmers' age. it was concluded with suggestions for the right combination of policies, public awareness, and appropriate farming methods in order to improve wetland utilization in Nigeria.
文摘With the rapid development of Camellia oleifera industry, more and more Camellia nut shells have been produced, leading to serious environmental pollution problem. This paper reviews the works on the characterization of the physical and chemical properties of Camellia nut shells, active ingredient extraction, its application in chemical production, growing media and animal feed and its properties as a biomass. Based on the review, we proposed a novel all-component high value application strategy to covert camellia nut shells into high value biomasses, which could realize waste recycling and environmental protection.
文摘A study was carried out to assess the nutritional status of under-five child population within cassava consuming community in Nambale of western Kenya. A structured questionnaire was used to collect socio economic data, 24-hour food re-call and anthropometric measurements. Data were analyzed using Statistical Package for Social Sciences. Descriptive statistics were used while Pearson’s Chi Square and correlation coefficient (R) were used to test for statistical associations. A total of 320 households with 232 children participated. The findings showed nutrition status of children to be poor (50% changes in stunting could not be attributed to age of child or education level of the head of household. Farm ownership was a strong positive determinant of nutrition status, Pearson’s R = 0.233. This study has established that cassava cushions hunger and there is need to improve nutrient content.
文摘The current status and development history of domestic and abroad research reactors (RRs) are mentioned.The representative RRs and their respective technology characteristics are introduced.The utilizations of China's RRs,mainly included as nuclear engineering technology,basic research applications of nuclear technology,teaching and personnel training,are explained.
基金This work was supported by the Bureau of International Cooperation,Chinese Academy of Sciences[GJHZ202118]Major Special Project-the China High-Resolution Earth Observation System[30-Y30F06-9003-20/22].
文摘Urban green space(UGS)is essential for sustainable urbanization and human well-being.The utilization status of UGS is closely related to the provision of ecosystem services for urban residents.Limitations on data availability,however,have led to the absence of a comprehensive approach for evaluating the actual utilization status of UGS at a large scale.Furthermore,differences in actual UGS utilization between intra-urban and peri-urban areas have not received enough attention.This study used big data analysis by combining point of interest(POI)and land use and cover change(LUCC)to quantify the spatial patterns of UGS utilization,and to evaluate the actual utilization status of UGS in 366 cities on the Chinese mainland.We also explored the differences in the actual utilization of UGS in intra-urban and peri-urban areas.The results showed that 94.01%of UGS resources in China had not been utilized.There was a clear pattern of spatial mismatch between the stock and the actual utilization of UGS,especially in the north-western region indicated by the Hu Huanyong Line.The actual utilization rate of UGS was closely related to the regional develop-ment level.There was a certain mismatch between the actual utilization and stock of intraurban green space(IUGS).The hot spots of the actual utilization rate of IUGS were in Yunnan,Guizhou,and Sichuan Provinces in southwestern China.The differ-ences in UGS actual utilization rates between IUGS and peri-urban green space(PUGS)were small in eastern China,but large in south-western and northwestern China.The actual utilization rate of IUGS in most Chinese cities was significantly larger than that of PUGS,indicating that PUGS were not well utilized.Our results provide scientific support for urban and regional planners in targeting specific areas for UGS design and development,and in optimizing future UGS planning in China.
基金support by the National Natural Science Foundation of China(No.71273090)Fundamental Research Funds for the Central Universities(No.2015XS44)
文摘With the rapid development of its national economy,China has become a major producer and consumer of energy.To guarantee the sustainable development of power industry and national economy,China should exploit fossil and renewable energy efficiently according to the development situation of generation resources.Firstly,this paper analyzes the utilization status of main generation resources in China,such as coal,hydropower and wind energy.Secondly,this paper illustrates the STEP model,which analyzes some issues for China’s generation resource utilization from political,economic,social and technological aspects.For example,the resource distribution is inconsistent with electricity demand,the renewable energy power output is intermittent,and there is some disruption in coal mining.Finally,combined with the utilization status and issues,this paper presents some improvement approaches from the perspectives of cost,efficiency and external influence.
文摘Many patients with rare diseases not only suffer from more severe conditions but often receive less disease management, which is one significant public health concern globally. Few practice-based surveys focus on the care of patients with rare diseases. In the present study, we aimed to investigate medical service utilization, economic burden and health status of patients with rare diseases in China. A cross-sectional questionnaire survey focusing on patients with rare diseases was conducted. Descriptive analysis was conducted to examine the sociodemographic characteristics, medical service utilization, economic burden and health status. Logistic regression analysis was applied to explore influencing factors of self-rated health. A total of 982 patients with 81 types of diseases were included in this survey. We found that 58.2% of patients experienced misdiagnosis, and 35.2% of the patients were misdiagnosed for at least five times. Moreover, 65.8% of patients traveled to hospitals to seek medical services, and 92.1% of patients paid expenses for their treatment. However, only 1.3% of patients could afford their medical expenditure without debts, and 86.8% of patients regarded their health status as bad or moderate. Significant factors correlated with health status were economic status, gender, age, employment and household size. From this study, the accessibility of medical service utilization, the affordability of medical economic burden, and the condition of health status for patients with rare disease in China were considerably poor. Basic medical insurance did not play its role in improving the utilization of medical services and the affordability of medical costs. Social support should be encouraged to improve patients' health status.
文摘Self health assessment is a simple indicator that is widely used for measuring an individual’s perception of his or her overall health. Many studies have been conducted by way of showing which particular aspects should be included in health self assessment, especially in developed world. In the developing world, however, very few studies have examined self health assessment. The aim of this study was to identify particular aspects and associations in self health assessment and differences between subgroups in Ulaanbaatar, Mongolia. The area sampling approach and Kish tables were used for selecting respondents. Total 500 respondents were surveyed by paper-based questionnaires. Spearman’s analysis and multiple logistic regression analysis were used to show relations between variables. Sociodemographic status, such as age and gender, proved to be important in self health assessment. Other factors affecting self health assessment included the number of family members, daily life and lifestyles, social environment, community motivation, and utilization of health services. Women, the elderly, or people with less-than- normal access to information suffer from poor self-assessed health. People who are socially inactive and who have poor living conditions are less likely to use health care services and are likely to assess their health as “poor.” In order to reduce the poor self-assessed health status it is important to address disparities in socioeconomic factors, such as age, gender, employment, and residential area. In addition, more attention should be paid to community and health services, as well as to health promotion and empowerment activities, including income-generation activities. Further research is also needed, however, for better understanding of about the local people and their health-related issues.
文摘The major faced problems at present in Yangtze river basin are: ① uneffective control in river water pollution threatens seriously the safety of drinking water; ② shrinkage of lake area and serious eutrophication; ③ soil-water losses degraded the ecological environment of the basin; ④ the impact of TGP and S-N water transfer project on water environment of the basin. In the light of above-mentioned problems, water resources utilization strategy must be adjusted and the sustainable social and economic development should be supported by sustainable water resources utilization, and it is necessary to take the following countermeasures: ① establishing overall flood control and disaster relief system; ② developing high water use efficiency agriculture; ③ taking "giving priority to water saving on the basis of pollution control" as urban water resources utilization strategy; ④ implementing comprehensive pollution control strategy with sources control as main point; ⑤ guaranteing water demand of the ecological environment; ⑥implementing the strategy of maintaining water resources supply and demand balance on the basis of water demand management; ⑦ studying countermeasures for the ecological and environmental impacts of trans-basin water transfer and western China devolopment. The key of realization of sustainable water resources utilization is to reform management and investment mechanism of water resources and water price policy. It is the only way to solve the water resources problems in Yangtze river basin as well as the whole China.