With the rapid development of industrialisation and urbanisation, China is facing the challenge of severe HF (Haze-Fog) pollution. This essay compares the advantages and disadvantages of China’s HF management and sum...With the rapid development of industrialisation and urbanisation, China is facing the challenge of severe HF (Haze-Fog) pollution. This essay compares the advantages and disadvantages of China’s HF management and summarizes the important lessons China can teach the rest of the world about applying this tactic. China’s capabilities in the digital economy, National Innovation Demonstration Zones, and urban innovation systems are examined in this article, along with its shortcomings in information mechanisms and pollution sources. This essay also summarizes China’s achievements, particularly regarding local autonomy. The essay goes on to say, however, that China is probably going to be under more pressure to manage HF in the future, both in terms of long-term solutions and the economy.展开更多
On November 8, 2022, the symposium on “Deeply Studying and Implementing the Spirit of the 20thCPC National Congress and Adhering to the Chinese Path of Human Rights Development” was held by the China Society for Hum...On November 8, 2022, the symposium on “Deeply Studying and Implementing the Spirit of the 20thCPC National Congress and Adhering to the Chinese Path of Human Rights Development” was held by the China Society for Human Rights Studies in Beijing. Focusing on “the leadership of the CPC and human rights development”, “adapting Marxism to the Chinese context and the needs of our times and human rights theories in contemporary China”, “the Chinese path to modernization and the new form of human rights civilization”, “Chinese human rights solutions and global human rights governance”, “making a better China’s story of advancing human rights and constructing human rights discourse system”, and other topics, the participants reached broad consensus after discussion, and the symposium achieved fruitful results.展开更多
A sustainable management of national park requires collaboration between park staff, NGOs, local organizations and stakeholders, and government intervention. This collaboration promotes community-based welfare and ins...A sustainable management of national park requires collaboration between park staff, NGOs, local organizations and stakeholders, and government intervention. This collaboration promotes community-based welfare and inspires a sense of responsibility, thus promoting more benefits than conflicts. A survey administered to residents surrounding Nyungwe National Park was used to evaluate the relationship between Nyungwe National Park management and local communities. The residents acknowledged a positive attitude towards participating in conservation organizations where there was involvement, while a negative response revealed weak community mobilization. The community’s opinions about protection and tourism progression noted weak conflict resolution, but a positive attitude towards tourism activities in the area since they believed employment was likely as a result. In addition, the residents asked for support from government investments and stakeholders to develop the local private sector, and asked to be involved during the planning process. Approaches including the design of coordination mechanisms and integrated conservation and developments projects are suggested to promote a management structure leading to community involvement in conservation and tourism activities. This will increase visitor numbers and contribute to economic development not only in the region but also in the whole country. Empirical studies along with the factors shaping tourism and conservation activities should be considered as the basis for sustainable decision and policy making for sustainable management, and will contribute to government, stakeholders and park manager collaborations at Nyungwe national park.展开更多
Taking cadmium pollution in X River as an example, the interaction between National People's Congress and local government was de- scribed. How the local government transforms its role in environment protection with ...Taking cadmium pollution in X River as an example, the interaction between National People's Congress and local government was de- scribed. How the local government transforms its role in environment protection with the help of several deputies to National People's Congress was expounded from the angle of social construction, which also enlightened the way to build an environment protection road with Chinese characteristics.展开更多
The Philippines was in the 1960s a model of development in Asia and second to Japan,but occupies presently only the 11th position under South-East and East Asian countries in terms of GDP-per capita.The article explor...The Philippines was in the 1960s a model of development in Asia and second to Japan,but occupies presently only the 11th position under South-East and East Asian countries in terms of GDP-per capita.The article explores why this important Asian country with a long colonial past and enormous economic potential still ranks under lower-income countries and has in the last decades let pass by many other Asian countries.In answering this question,the approach of external triggers for accelerated development is being applied.In stark contrast to the success stories of the strongly outward-looking Asian countries like the four Tigers,later of Thailand and Vietnam the Philippines never developed a vision of an open economy connecting pro-actively to the world markets.Trade is hampered by a non-competitive and highly protected national economy.The existing FDI is more oriented to the profitable local markets.Foreign debts were never effectively used and international tourism was never well promoted.Linking these failures to the existing power structures in the country,it seems very much that the backward forces like the big landowners,the local producers and industrialists never wanted and continue not to want to open up the economy to international competition and governments are complacent with these groups.Various indicators demonstrate the long-term decline of the Philippines:Among them the slow growth of the GDP and the continuously high poverty rates.As the alliance of big business and policy holds firm no change in the failing nationalistic economic model can be detected leaving the bleak outlook that the economic decline will continue.展开更多
The New Magnitude National Standard of General Rules for Earthquake Magnitude( GB17740-2017) is the state mandatory standard. It was released on May 12,2017,by the General Administration of Quality Supervision,Inspect...The New Magnitude National Standard of General Rules for Earthquake Magnitude( GB17740-2017) is the state mandatory standard. It was released on May 12,2017,by the General Administration of Quality Supervision,Inspection and Quarantine of the Peoples Republic of China and the Standardization Administration of the Peoples Republic of China. This paper introduces the necessity of revising the national standard of magnitude,and the main contents,technical points and primary features of the new national standard of magnitude,so that it can be applied better in practice.展开更多
Background:The local pivotal method(LPM)utilizing auxiliary data in sample selection has recently been proposed as a sampling method for national forest inventories(NFIs).Its performance compared to simple random samp...Background:The local pivotal method(LPM)utilizing auxiliary data in sample selection has recently been proposed as a sampling method for national forest inventories(NFIs).Its performance compared to simple random sampling(SRS)and LPM with geographical coordinates has produced promising results in simulation studies.In this simulation study we compared all these sampling methods to systematic sampling.The LPM samples were selected solely using the coordinates(LPMxy)or,in addition to that,auxiliary remote sensing-based forest variables(RS variables).We utilized field measurement data(NFI-field)and Multi-Source NFI(MS-NFI)maps as target data,and independent MS-NFI maps as auxiliary data.The designs were compared using relative efficiency(RE);a ratio of mean squared errors of the reference sampling design against the studied design.Applying a method in NFI also requires a proven estimator for the variance.Therefore,three different variance estimators were evaluated against the empirical variance of replications:1)an estimator corresponding to SRS;2)a Grafström-Schelin estimator repurposed for LPM;and 3)a Matérn estimator applied in the Finnish NFI for systematic sampling design.Results:The LPMxy was nearly comparable with the systematic design for the most target variables.The REs of the LPM designs utilizing auxiliary data compared to the systematic design varied between 0.74–1.18,according to the studied target variable.The SRS estimator for variance was expectedly the most biased and conservative estimator.Similarly,the Grafström-Schelin estimator gave overestimates in the case of LPMxy.When the RS variables were utilized as auxiliary data,the Grafström-Schelin estimates tended to underestimate the empirical variance.In systematic sampling the Matérn and Grafström-Schelin estimators performed for practical purposes equally.Conclusions:LPM optimized for a specific variable tended to be more efficient than systematic sampling,but all of the considered LPM designs were less efficient than the systematic sampling design for some target variables.The Grafström-Schelin estimator could be used as such with LPMxy or instead of the Matérn estimator in systematic sampling.Further studies of the variance estimators are needed if other auxiliary variables are to be used in LPM.展开更多
Both Marxism and nationalism are among the most far-reaching thoughts in modern times.On dealing the ideological collision between Marxism and nationalism, "Difficult Dialogue" universally exists in the acad...Both Marxism and nationalism are among the most far-reaching thoughts in modern times.On dealing the ideological collision between Marxism and nationalism, "Difficult Dialogue" universally exists in the academic circle.Many scholars evaded,ridiculed or even negated classic Marxist writers' explications on nationalism.Though basically,classic Marxist writers criticize nationalism,it doesn' t mean that Marxism and nationalism inevitably oppose to each other.It is highly necessary to analyze the causes of the "difficult dialogue between Marxism and nationalism" and re-thinking classic Marxist writers' explications on nationalism.展开更多
The scientific work on collecting and studying life stories started in Latvia in late 1980s, and mainly was devoted to creation of a multi-voiced counteraction to Soviet-era history. In this article, a life story and ...The scientific work on collecting and studying life stories started in Latvia in late 1980s, and mainly was devoted to creation of a multi-voiced counteraction to Soviet-era history. In this article, a life story and associated discourse units illustrate not only a point about the speaker, but also about the facts and notions that are common to the post-war Latvia. Post-Soviet society still use to give different accounts of the same facts and of the reasons why they happened. Studying multiform social memories that are forming Latvian collective memory is a way to perceive the processes by which these common-sense notions are constructed. The article demonstrates how to use the life story as a source for local history research and at the same time for people self-awareness research. This article is devoted to the analysis of eye-witnesses' (materials gathered from 12 neighboring farmer families) narratives about the post-war reality, comparing the main presumptions of Soviet ideology, existing in Latvia and all other Baltic states, to real life. Provided those presumptions being myths--the term being understood in political science as deceit as a falsifying construct, the author analyses true life stories to show the real danger of intention to exist in some irrational, mythical sphere.展开更多
BACKGROUND Neoadjuvant chemoradiotherapy(nCRT)followed by resection and postoperative multi-agent chemotherapy(maChT)is the standard of care for locally advanced rectal cancer.Using this approach,maChT administration ...BACKGROUND Neoadjuvant chemoradiotherapy(nCRT)followed by resection and postoperative multi-agent chemotherapy(maChT)is the standard of care for locally advanced rectal cancer.Using this approach,maChT administration can be delayed for several months,leading to concern for distant metastases.To counteract this,a novel treatment approach known as total neoadjuvant therapy(TNT)has gained popularity,in which patients receive both maChT and nCRT prior to resection.We utilized the National Cancer Database to examine temporal trends in TNT usage,and any potential effect on survival.AIM To study the temporal trends in the usage of TNT and evaluate its efficacy compared to neoadjuvant chemoradiation.METHODS We queried the National Cancer Database for patients with locally advanced rectal cancer,Stage II-III,from 2004-2015 treated with nCRT or TNT.TNT was defined as maChT initiated≥90 d prior to nCRT initiation.Overall survival was calculated from the date of diagnosis to the date of last contact or death using Kaplan-Meier curves to present the cumulative probability of survival,with logrank statistics to assess significance.Multivariable cox regression was used to identify predictors of survival and propensity score analysis accounted for bias.RESULTS We identified 9066 eligible patients,with 8812 and 254 patients receiving neoadjuvant chemoradiation followed by maChT and TNT,respectively.Nodal involvement,stage III disease,and treatment in recent years were predictive of TNT use.There was greater use of TNT with more advanced stage,specifically>1 node involved(odds ratio[OR]=2.88,95%confidence interval[CI]:2.11-3.93,P<0.01)and stage III disease(OR=2.88,95%CI:2.11-3.93,P<0.01).From 2010 to 2012 the use of TNT increased(OR=2.41,95%CI:1.27-4.56,P<0.01)with a greater increase from 2013 to 2015(OR=6.62,95%CI:3.57-12.25,P<0.01).Both the TNT and neoadjuvant chemoradiation arms had a similar 5-year survival at 76%and 78%respectively.Multivariable analysis with propensity score demonstrated that increased age,high comorbidity score,higher grade,African American race,and female gender had worse overall survival.CONCLUSION Our data demonstrates a rising trend in TNT use,particularly in patients with worse disease.Patients treated with TNT and nCRT had similar survival.Randomized trials evaluating TNT are underway.展开更多
The goal of the paper is to discuss the explanation of commonly accepted goal of economy in a national level and the problems which threaten the goal. Though the leading economists of the 20th century have strictly su...The goal of the paper is to discuss the explanation of commonly accepted goal of economy in a national level and the problems which threaten the goal. Though the leading economists of the 20th century have strictly supported the necessity of close link between economics and morals, the mainstream economics mostly has regarded it as a problem of secondary importance. The paper discusses the deepest meaning of the generally accepted objective of economy--sustainable development, which necessarily should take into consideration the social dimension along with the economic and environmental. The different understandings of the wellbeing concept are considered and discussed, as it lies on the basis of the explanation of the goal--not any development, but development, which makes people happier. Next follows the discussion on the concepts of sustainability and its link with environment in a broader sense. It is followed by the discussion on the manipulations with human minds. The problem of the global and local economies is considered as a part of the discussion about the sustainability of economies of all levels. This leads to conclusions that social economics should be integrated in economic science as a substantial part. The idea of local economies is considered as an alternative to the present economic paradigm. The methodology of the conclusion making is based on qualitative historical analysis and empirical evaluation of the standpoints of the scientific discussion. The paper is mainly library-based. The ideas of world famous economists are taken from their own books in a printed form or that can be found in Internet. Conclusions are based on mainly qualitative comparison of the facts that arise from the theoretical discussion and empirical evidence of the study object manifestations in real life. Quantitative methods, briefly used, are basic econometrics--conventional correlation analysis, based on the statistic data of the World Bank. The scientific discussion has been approbated in students' audience in the study course of macroeconomics in BA School of Business and Finance, Riga, and Ventspils University College, and has been discussed in the fifth International Conference of Latvian Economic Association and Latvian Academy of Sciences.展开更多
The article examines a variety of local cultures in their relationship with modern Christianity as a global institution.The review summarizes three case studies conducted by the author in Israel and Canada over the pa...The article examines a variety of local cultures in their relationship with modern Christianity as a global institution.The review summarizes three case studies conducted by the author in Israel and Canada over the past decade.These studies,reviewed in the article through various lenses and considered as three different sociocultural narratives,tell the reader how music,consciously or unconsciously,determines the contours of the cultural and religious identity of the groups whose members are natives or resettled residents of the Holy Land,Old and New Worlds,China and Australia.An updated analysis of ethnographic data points to local cultures as the true indicators of global change.展开更多
By using top-down methods, periodizing exclusively along the Arab-Zionist conflict and basing on either Hebrew or Arab primary sources, leading scholars tend to ignore the existence of popular local identity shared by...By using top-down methods, periodizing exclusively along the Arab-Zionist conflict and basing on either Hebrew or Arab primary sources, leading scholars tend to ignore the existence of popular local identity shared by Jews and Arabs in center Palestine during late 19th-early 20th century. To explore this identity this paper suggests using history from below methods i.e. history of average citizens that looks into many individual's multi-dimensional life-experiences, particularly in Palestine mix areas, and based it on both Hebrew and Arabic sources. Through history from below this paper shows that joint Jewish-Arab local identity prevailed prior to the establishment of Jewish or Palestinian national movement and afterwards existed along with them till it was defeated by the escalating national conflict.展开更多
Climate change affects both men and women which,in turn,shapes their varied and contrasting perceptions of climate variability and change.This paper examined the gendered perceptions of climate variability and change ...Climate change affects both men and women which,in turn,shapes their varied and contrasting perceptions of climate variability and change.This paper examined the gendered perceptions of climate variability and change among local communities in Queen Elizabeth National Park in Uganda.The objectives are threefold:-identify climatic shocks faced by the local communities;examine the perceptions of men and women of climate variability and change;and to compare their perceptions with empirical meteorological data.This study employed both qualitative and quantitative methods,with data collected from 215 respondents using survey,interviews and focused group discussions.From the findings,indicators of climate variability and change included reduced flooding events,occurrence of human diseases,increasing crop pests and diseases,dry spells and intensity of rains.There was increasing significant temperatures while rainfall was declining.Both male and female significantly associated with increasing temperatures and reduced flooding events.While climatic shocks affected both males and females,the impact was more pronounced depending on distinct livelihood activities and roles and responsibilities undertaken.The study concluded that people’s perceptions of climate change should be taken on by the government and integrated in the national climate programs that support people’s livelihoods and survival mechanisms.展开更多
文摘With the rapid development of industrialisation and urbanisation, China is facing the challenge of severe HF (Haze-Fog) pollution. This essay compares the advantages and disadvantages of China’s HF management and summarizes the important lessons China can teach the rest of the world about applying this tactic. China’s capabilities in the digital economy, National Innovation Demonstration Zones, and urban innovation systems are examined in this article, along with its shortcomings in information mechanisms and pollution sources. This essay also summarizes China’s achievements, particularly regarding local autonomy. The essay goes on to say, however, that China is probably going to be under more pressure to manage HF in the future, both in terms of long-term solutions and the economy.
文摘On November 8, 2022, the symposium on “Deeply Studying and Implementing the Spirit of the 20thCPC National Congress and Adhering to the Chinese Path of Human Rights Development” was held by the China Society for Human Rights Studies in Beijing. Focusing on “the leadership of the CPC and human rights development”, “adapting Marxism to the Chinese context and the needs of our times and human rights theories in contemporary China”, “the Chinese path to modernization and the new form of human rights civilization”, “Chinese human rights solutions and global human rights governance”, “making a better China’s story of advancing human rights and constructing human rights discourse system”, and other topics, the participants reached broad consensus after discussion, and the symposium achieved fruitful results.
文摘A sustainable management of national park requires collaboration between park staff, NGOs, local organizations and stakeholders, and government intervention. This collaboration promotes community-based welfare and inspires a sense of responsibility, thus promoting more benefits than conflicts. A survey administered to residents surrounding Nyungwe National Park was used to evaluate the relationship between Nyungwe National Park management and local communities. The residents acknowledged a positive attitude towards participating in conservation organizations where there was involvement, while a negative response revealed weak community mobilization. The community’s opinions about protection and tourism progression noted weak conflict resolution, but a positive attitude towards tourism activities in the area since they believed employment was likely as a result. In addition, the residents asked for support from government investments and stakeholders to develop the local private sector, and asked to be involved during the planning process. Approaches including the design of coordination mechanisms and integrated conservation and developments projects are suggested to promote a management structure leading to community involvement in conservation and tourism activities. This will increase visitor numbers and contribute to economic development not only in the region but also in the whole country. Empirical studies along with the factors shaping tourism and conservation activities should be considered as the basis for sustainable decision and policy making for sustainable management, and will contribute to government, stakeholders and park manager collaborations at Nyungwe national park.
基金Supported by Particular Fund for Scientific Research in Universities
文摘Taking cadmium pollution in X River as an example, the interaction between National People's Congress and local government was de- scribed. How the local government transforms its role in environment protection with the help of several deputies to National People's Congress was expounded from the angle of social construction, which also enlightened the way to build an environment protection road with Chinese characteristics.
文摘The Philippines was in the 1960s a model of development in Asia and second to Japan,but occupies presently only the 11th position under South-East and East Asian countries in terms of GDP-per capita.The article explores why this important Asian country with a long colonial past and enormous economic potential still ranks under lower-income countries and has in the last decades let pass by many other Asian countries.In answering this question,the approach of external triggers for accelerated development is being applied.In stark contrast to the success stories of the strongly outward-looking Asian countries like the four Tigers,later of Thailand and Vietnam the Philippines never developed a vision of an open economy connecting pro-actively to the world markets.Trade is hampered by a non-competitive and highly protected national economy.The existing FDI is more oriented to the profitable local markets.Foreign debts were never effectively used and international tourism was never well promoted.Linking these failures to the existing power structures in the country,it seems very much that the backward forces like the big landowners,the local producers and industrialists never wanted and continue not to want to open up the economy to international competition and governments are complacent with these groups.Various indicators demonstrate the long-term decline of the Philippines:Among them the slow growth of the GDP and the continuously high poverty rates.As the alliance of big business and policy holds firm no change in the failing nationalistic economic model can be detected leaving the bleak outlook that the economic decline will continue.
基金the Regular Project of China Earthquake Administration(16A43ZX014)
文摘The New Magnitude National Standard of General Rules for Earthquake Magnitude( GB17740-2017) is the state mandatory standard. It was released on May 12,2017,by the General Administration of Quality Supervision,Inspection and Quarantine of the Peoples Republic of China and the Standardization Administration of the Peoples Republic of China. This paper introduces the necessity of revising the national standard of magnitude,and the main contents,technical points and primary features of the new national standard of magnitude,so that it can be applied better in practice.
基金the Ministry of Agriculture and Forestry key project“Puuta liikkeelle ja uusia tuotteita metsästä”(“Wood on the move and new products from forest”)Academy of Finland(project numbers 295100 , 306875).
文摘Background:The local pivotal method(LPM)utilizing auxiliary data in sample selection has recently been proposed as a sampling method for national forest inventories(NFIs).Its performance compared to simple random sampling(SRS)and LPM with geographical coordinates has produced promising results in simulation studies.In this simulation study we compared all these sampling methods to systematic sampling.The LPM samples were selected solely using the coordinates(LPMxy)or,in addition to that,auxiliary remote sensing-based forest variables(RS variables).We utilized field measurement data(NFI-field)and Multi-Source NFI(MS-NFI)maps as target data,and independent MS-NFI maps as auxiliary data.The designs were compared using relative efficiency(RE);a ratio of mean squared errors of the reference sampling design against the studied design.Applying a method in NFI also requires a proven estimator for the variance.Therefore,three different variance estimators were evaluated against the empirical variance of replications:1)an estimator corresponding to SRS;2)a Grafström-Schelin estimator repurposed for LPM;and 3)a Matérn estimator applied in the Finnish NFI for systematic sampling design.Results:The LPMxy was nearly comparable with the systematic design for the most target variables.The REs of the LPM designs utilizing auxiliary data compared to the systematic design varied between 0.74–1.18,according to the studied target variable.The SRS estimator for variance was expectedly the most biased and conservative estimator.Similarly,the Grafström-Schelin estimator gave overestimates in the case of LPMxy.When the RS variables were utilized as auxiliary data,the Grafström-Schelin estimates tended to underestimate the empirical variance.In systematic sampling the Matérn and Grafström-Schelin estimators performed for practical purposes equally.Conclusions:LPM optimized for a specific variable tended to be more efficient than systematic sampling,but all of the considered LPM designs were less efficient than the systematic sampling design for some target variables.The Grafström-Schelin estimator could be used as such with LPMxy or instead of the Matérn estimator in systematic sampling.Further studies of the variance estimators are needed if other auxiliary variables are to be used in LPM.
基金the phased achievement of the national social science fund-Study of Classic Marxist Writers'Explications on Nationalism and Its Contemporary Significance(No:10CMZ002)the national social science fund-Important Literature's Collation and Study of Major CPC Leader'Explications on Nationalism Each Period(No.:13CMZ002)China postdoctoral science foundation-Study of Classic Marxist Writers'Nation-state Theory and Practice(No.:2014M550120)
文摘Both Marxism and nationalism are among the most far-reaching thoughts in modern times.On dealing the ideological collision between Marxism and nationalism, "Difficult Dialogue" universally exists in the academic circle.Many scholars evaded,ridiculed or even negated classic Marxist writers' explications on nationalism.Though basically,classic Marxist writers criticize nationalism,it doesn' t mean that Marxism and nationalism inevitably oppose to each other.It is highly necessary to analyze the causes of the "difficult dialogue between Marxism and nationalism" and re-thinking classic Marxist writers' explications on nationalism.
文摘The scientific work on collecting and studying life stories started in Latvia in late 1980s, and mainly was devoted to creation of a multi-voiced counteraction to Soviet-era history. In this article, a life story and associated discourse units illustrate not only a point about the speaker, but also about the facts and notions that are common to the post-war Latvia. Post-Soviet society still use to give different accounts of the same facts and of the reasons why they happened. Studying multiform social memories that are forming Latvian collective memory is a way to perceive the processes by which these common-sense notions are constructed. The article demonstrates how to use the life story as a source for local history research and at the same time for people self-awareness research. This article is devoted to the analysis of eye-witnesses' (materials gathered from 12 neighboring farmer families) narratives about the post-war reality, comparing the main presumptions of Soviet ideology, existing in Latvia and all other Baltic states, to real life. Provided those presumptions being myths--the term being understood in political science as deceit as a falsifying construct, the author analyses true life stories to show the real danger of intention to exist in some irrational, mythical sphere.
文摘BACKGROUND Neoadjuvant chemoradiotherapy(nCRT)followed by resection and postoperative multi-agent chemotherapy(maChT)is the standard of care for locally advanced rectal cancer.Using this approach,maChT administration can be delayed for several months,leading to concern for distant metastases.To counteract this,a novel treatment approach known as total neoadjuvant therapy(TNT)has gained popularity,in which patients receive both maChT and nCRT prior to resection.We utilized the National Cancer Database to examine temporal trends in TNT usage,and any potential effect on survival.AIM To study the temporal trends in the usage of TNT and evaluate its efficacy compared to neoadjuvant chemoradiation.METHODS We queried the National Cancer Database for patients with locally advanced rectal cancer,Stage II-III,from 2004-2015 treated with nCRT or TNT.TNT was defined as maChT initiated≥90 d prior to nCRT initiation.Overall survival was calculated from the date of diagnosis to the date of last contact or death using Kaplan-Meier curves to present the cumulative probability of survival,with logrank statistics to assess significance.Multivariable cox regression was used to identify predictors of survival and propensity score analysis accounted for bias.RESULTS We identified 9066 eligible patients,with 8812 and 254 patients receiving neoadjuvant chemoradiation followed by maChT and TNT,respectively.Nodal involvement,stage III disease,and treatment in recent years were predictive of TNT use.There was greater use of TNT with more advanced stage,specifically>1 node involved(odds ratio[OR]=2.88,95%confidence interval[CI]:2.11-3.93,P<0.01)and stage III disease(OR=2.88,95%CI:2.11-3.93,P<0.01).From 2010 to 2012 the use of TNT increased(OR=2.41,95%CI:1.27-4.56,P<0.01)with a greater increase from 2013 to 2015(OR=6.62,95%CI:3.57-12.25,P<0.01).Both the TNT and neoadjuvant chemoradiation arms had a similar 5-year survival at 76%and 78%respectively.Multivariable analysis with propensity score demonstrated that increased age,high comorbidity score,higher grade,African American race,and female gender had worse overall survival.CONCLUSION Our data demonstrates a rising trend in TNT use,particularly in patients with worse disease.Patients treated with TNT and nCRT had similar survival.Randomized trials evaluating TNT are underway.
文摘The goal of the paper is to discuss the explanation of commonly accepted goal of economy in a national level and the problems which threaten the goal. Though the leading economists of the 20th century have strictly supported the necessity of close link between economics and morals, the mainstream economics mostly has regarded it as a problem of secondary importance. The paper discusses the deepest meaning of the generally accepted objective of economy--sustainable development, which necessarily should take into consideration the social dimension along with the economic and environmental. The different understandings of the wellbeing concept are considered and discussed, as it lies on the basis of the explanation of the goal--not any development, but development, which makes people happier. Next follows the discussion on the concepts of sustainability and its link with environment in a broader sense. It is followed by the discussion on the manipulations with human minds. The problem of the global and local economies is considered as a part of the discussion about the sustainability of economies of all levels. This leads to conclusions that social economics should be integrated in economic science as a substantial part. The idea of local economies is considered as an alternative to the present economic paradigm. The methodology of the conclusion making is based on qualitative historical analysis and empirical evaluation of the standpoints of the scientific discussion. The paper is mainly library-based. The ideas of world famous economists are taken from their own books in a printed form or that can be found in Internet. Conclusions are based on mainly qualitative comparison of the facts that arise from the theoretical discussion and empirical evidence of the study object manifestations in real life. Quantitative methods, briefly used, are basic econometrics--conventional correlation analysis, based on the statistic data of the World Bank. The scientific discussion has been approbated in students' audience in the study course of macroeconomics in BA School of Business and Finance, Riga, and Ventspils University College, and has been discussed in the fifth International Conference of Latvian Economic Association and Latvian Academy of Sciences.
文摘The article examines a variety of local cultures in their relationship with modern Christianity as a global institution.The review summarizes three case studies conducted by the author in Israel and Canada over the past decade.These studies,reviewed in the article through various lenses and considered as three different sociocultural narratives,tell the reader how music,consciously or unconsciously,determines the contours of the cultural and religious identity of the groups whose members are natives or resettled residents of the Holy Land,Old and New Worlds,China and Australia.An updated analysis of ethnographic data points to local cultures as the true indicators of global change.
文摘By using top-down methods, periodizing exclusively along the Arab-Zionist conflict and basing on either Hebrew or Arab primary sources, leading scholars tend to ignore the existence of popular local identity shared by Jews and Arabs in center Palestine during late 19th-early 20th century. To explore this identity this paper suggests using history from below methods i.e. history of average citizens that looks into many individual's multi-dimensional life-experiences, particularly in Palestine mix areas, and based it on both Hebrew and Arabic sources. Through history from below this paper shows that joint Jewish-Arab local identity prevailed prior to the establishment of Jewish or Palestinian national movement and afterwards existed along with them till it was defeated by the escalating national conflict.
基金This research was made possible by funding from BREAD-SIDA project.
文摘Climate change affects both men and women which,in turn,shapes their varied and contrasting perceptions of climate variability and change.This paper examined the gendered perceptions of climate variability and change among local communities in Queen Elizabeth National Park in Uganda.The objectives are threefold:-identify climatic shocks faced by the local communities;examine the perceptions of men and women of climate variability and change;and to compare their perceptions with empirical meteorological data.This study employed both qualitative and quantitative methods,with data collected from 215 respondents using survey,interviews and focused group discussions.From the findings,indicators of climate variability and change included reduced flooding events,occurrence of human diseases,increasing crop pests and diseases,dry spells and intensity of rains.There was increasing significant temperatures while rainfall was declining.Both male and female significantly associated with increasing temperatures and reduced flooding events.While climatic shocks affected both males and females,the impact was more pronounced depending on distinct livelihood activities and roles and responsibilities undertaken.The study concluded that people’s perceptions of climate change should be taken on by the government and integrated in the national climate programs that support people’s livelihoods and survival mechanisms.