s To validate our revised syndromic algorithms of the management of sexually trans mitted diseases and determine their sensitivity, specificity, positive predictiv e value and cost effectiveness Methods Patients w...s To validate our revised syndromic algorithms of the management of sexually trans mitted diseases and determine their sensitivity, specificity, positive predictiv e value and cost effectiveness Methods Patients with either urethral discharge, vaginal discharge or genital ulcer, wer e selected during their first visits to three urban sexually transmitted disease clinics in Fujian Province, China They were managed syndromically according t o our revised flowcharts The etiology of the syndromes was detected by laborat ory testing The data were analyzed using EPI INFO V6 0 software Results A total of 736 patients were enrolled into the study In male patients with ur ethral discharge, the sensitivities for gonococcal and chlamydial infections wer e 96 7% and 100%, respectively, using the syndromic approach The total positi ve predictive value was 73% In female patients with vaginal discharge, the sen sitivity was 90 8%, specificity 46 9%, positive predictive value 50 9%, and n egative predictive value 89 3% for the diagnosis of gonorrhea and/or chlamydial infection by syndromic approach In patients with genital ulcer, the sensitivi ties were 78 3% and 75 8%, specificities of 83 6% and 42 9%, and positive pr edictive values of 60 0% and 41 0% for the diagnosis of syphilis and genital h erpes, respectively, using the syndromic approach Cost effectiveness analysi s indicated that the average cost of treatment for a patient with urethral disch arge was RMB 46 03 yuan using syndromic management, in comparison with RMB 149 19 yuan by etiological management Conclusions The syndromic management of urethral discharge was relatively effective and suit ed clinical application The specificity and positive predictive value for sy ndromic management of vaginal discharge are not satisfactory The revised flowc hart of genital ulcer syndrome could be suitable for use in clinical settings Further validation and revision are needed for syndromic approaches of vaginal d ischarge and genital ulcer展开更多
In China, as in other countries of the world, communities, which are often considered as self-governing social organizations, are shaped and influenced by many factors. Different from other studies, this paper approac...In China, as in other countries of the world, communities, which are often considered as self-governing social organizations, are shaped and influenced by many factors. Different from other studies, this paper approaches the issue of community shaping from a planning perspective and tries to answer the questions of how Chinese communities have been physically shaped throughout history and what influences the planning policies have on communities’ scales, forms, and functions. Hereby, the planning policies concern not only the spatial organization, but also the social management of communities. The research is elaborated chronologically, dividing the history of community development in China roughly into four periods according to socio-economic development trends, planning objectives, and community characters. The narration is mainly based on literature work and case studies, with a focus on the social and spatial characters of urban communities. The paper concludes that before the modernization of China, Chinese communities were mainly shaped into a gated Li-Fang pattern by traditional city building principles, in accordance with the regulations on social management, in spite of the terminological changes in different dynasties and the opening of gated communities during certain dynasties. In the thirty years of the planned economy, Chinese communities were mainly shaped into inward Danwei(or work unit) communities of perimeter blocks by the urban planning institution, which was regarded as a technical tool of the planned socio-economic development to support national industrialization. In the next thirty years of economic transition, Chinese communities were further shaped into gated commodity housing communities of super blocks under the influence of reforms and the guidance of urban planning regulations. In the period of new urbanization, Chinese communities face the challenge of transforming towards a dense grid, with narrow streets and small blocks, and promoting public engagement in community building, in view of the requirements for quality-oriented development.展开更多
文摘s To validate our revised syndromic algorithms of the management of sexually trans mitted diseases and determine their sensitivity, specificity, positive predictiv e value and cost effectiveness Methods Patients with either urethral discharge, vaginal discharge or genital ulcer, wer e selected during their first visits to three urban sexually transmitted disease clinics in Fujian Province, China They were managed syndromically according t o our revised flowcharts The etiology of the syndromes was detected by laborat ory testing The data were analyzed using EPI INFO V6 0 software Results A total of 736 patients were enrolled into the study In male patients with ur ethral discharge, the sensitivities for gonococcal and chlamydial infections wer e 96 7% and 100%, respectively, using the syndromic approach The total positi ve predictive value was 73% In female patients with vaginal discharge, the sen sitivity was 90 8%, specificity 46 9%, positive predictive value 50 9%, and n egative predictive value 89 3% for the diagnosis of gonorrhea and/or chlamydial infection by syndromic approach In patients with genital ulcer, the sensitivi ties were 78 3% and 75 8%, specificities of 83 6% and 42 9%, and positive pr edictive values of 60 0% and 41 0% for the diagnosis of syphilis and genital h erpes, respectively, using the syndromic approach Cost effectiveness analysi s indicated that the average cost of treatment for a patient with urethral disch arge was RMB 46 03 yuan using syndromic management, in comparison with RMB 149 19 yuan by etiological management Conclusions The syndromic management of urethral discharge was relatively effective and suit ed clinical application The specificity and positive predictive value for sy ndromic management of vaginal discharge are not satisfactory The revised flowc hart of genital ulcer syndrome could be suitable for use in clinical settings Further validation and revision are needed for syndromic approaches of vaginal d ischarge and genital ulcer
基金based on a presentation made on the International Seminar of Spatialized Governmentality: China & the Global Context which is part of the Collective Forms in China project funded by the British Academy under the Humanities and Social Sciences Tackling the UK’s International Challenges 2017 Programmefunding from the European Union’s Horizon 2020 Research and Innovation Programme under Grant Agreement No. 770141
文摘In China, as in other countries of the world, communities, which are often considered as self-governing social organizations, are shaped and influenced by many factors. Different from other studies, this paper approaches the issue of community shaping from a planning perspective and tries to answer the questions of how Chinese communities have been physically shaped throughout history and what influences the planning policies have on communities’ scales, forms, and functions. Hereby, the planning policies concern not only the spatial organization, but also the social management of communities. The research is elaborated chronologically, dividing the history of community development in China roughly into four periods according to socio-economic development trends, planning objectives, and community characters. The narration is mainly based on literature work and case studies, with a focus on the social and spatial characters of urban communities. The paper concludes that before the modernization of China, Chinese communities were mainly shaped into a gated Li-Fang pattern by traditional city building principles, in accordance with the regulations on social management, in spite of the terminological changes in different dynasties and the opening of gated communities during certain dynasties. In the thirty years of the planned economy, Chinese communities were mainly shaped into inward Danwei(or work unit) communities of perimeter blocks by the urban planning institution, which was regarded as a technical tool of the planned socio-economic development to support national industrialization. In the next thirty years of economic transition, Chinese communities were further shaped into gated commodity housing communities of super blocks under the influence of reforms and the guidance of urban planning regulations. In the period of new urbanization, Chinese communities face the challenge of transforming towards a dense grid, with narrow streets and small blocks, and promoting public engagement in community building, in view of the requirements for quality-oriented development.
