Objective: This study aims to investigate the truth-telling status and the relevant factors of esophageal squamous cell carcinoma(ESCC) patients in Henan, China.Methods: A cross-sectional study from April to June 2015...Objective: This study aims to investigate the truth-telling status and the relevant factors of esophageal squamous cell carcinoma(ESCC) patients in Henan, China.Methods: A cross-sectional study from April to June 2015 using questionnaires was given to 301 family members of hospitalized ESCC patients based in three affiliated hospitals of Zhengzhou University(i.e., The First Hospital, The Second Hospital, and Tumor Hospital) and Anyang Tumor Hospital.Results: Among the 41.9%(126/301) hospitalized ESCC patients who knew of their true diagnoses, only 4.0% patients were informed by their corresponding responsible doctors, 39.7% by their family members, and 56.3% by themselves. Univariate analyses showed that disclosure of confirmed ESCC diagnosis to patients was correlated with gender, family history of cancer(FHC), education level, vocation, hospital administrative level, and attitudes of family members(P < 0.05). Furthermore,multivariate analysis indicated that attitude of family members was the most important and an independent factor for diagnosis disclosure. Those patients with a negative FHC, under-education, manual occupation, advanced stages, and hospitalized in municipal hospitals exhibited a low rate of truth telling.Conclusions: Truth telling for ESCC patients in Henan is not prevalent and may be improved through consultation with family members, particularly for patients with a negative FHC, poor education, manual occupation, and advanced stages.展开更多
Economic activity always has an impact on the environment, but the potential degree of this impact depends on consumption and production pattems. The aim of this paper is to analyse the environmental and well being im...Economic activity always has an impact on the environment, but the potential degree of this impact depends on consumption and production pattems. The aim of this paper is to analyse the environmental and well being impacts of consumption and production systems in Baltic Sea Region and draw conclusions about transferring of best practises in Latvia. This study is based on indicator analyses, focusing on data of environmental impacts from consumption and production in the region, and analyses drivers behind these impacts. The paper concludes two trends--Scandinavian countries and Germany which have more advanced economies demonstrate much higher ecoefficiency and environmental management practices compared to the new EU member states. The example of the Baltic Sea region shows that high income levels and a stable development path in the old EU member states provide grounds for technology advancement to reduce the environmental impact of production. However Baltic States and Poland on average demonstrate much more sustainable consumption patterns. But the trends in these countries are negative--they try to copy lifestyles and consumption patterns of more advanced economies with higher ecological footprint. Challenge for Latvia is to improve its ecoefficiency but at the same time develop more sustainable consumption patterns.展开更多
The development of the family-based handicraft industry in the Yangzi delta provided supplementary income and employment opportunities to auxiliary family members. But it did not replace subsistence farming as the pri...The development of the family-based handicraft industry in the Yangzi delta provided supplementary income and employment opportunities to auxiliary family members. But it did not replace subsistence farming as the primary method in which peasants made their living, and more importantly, it did not allow China to close the gap in the great divergence with the West. So why didn't the cotton-based handicraft industry catapult the Yangzi delta region into the modem era of industrialization? Why did the handicraft industry merely serve as a supplementary rather than an alternative means of livelihood? To understand the reasons why the handicraft industry did not transform China into an industrial and urban nation, it is important to examine the constraints in which population growth and land intensification had imposed on the peasants of the delta. These factors combined with the favorable geographical environment and commercial opportunities for trade in other regions, forced peasants to adopt the family-based handicraft industry as a supplementary source of income for survival. While the impact-response model may have suggested that it was the inability of the handicraft spinners and weavers to compete against British machines and the subsequent drop in cotton prices, a China-centered approach advocated by Paul Cohen would suggest domestic factors such as rapid population growth due to changes in taxation policies and the diminishing rate of return in labor, and the insufficient production office and grain may have been the real reasons that prevented the handicraft industry from developing into an alternative for farming.展开更多
The main objective of the present paper is to determine the potential impact the qualitative and quantitative tendencies in the labor market on the decisions which influence the design of monetary policy worldwide. Th...The main objective of the present paper is to determine the potential impact the qualitative and quantitative tendencies in the labor market on the decisions which influence the design of monetary policy worldwide. The analysis is focused on how human resources and phenomena associated with them could influence potential growth and, further on, how they can impact monetary policy decisions at national level for European countries outside the euro area and at ECB level for the euro zone countries. Moreover, the paper will envisage potential macroeconomic reactions (monetary decisions herewith included) to human resources dynamics. The economic variations are regarded through the perspective of growth potential shown by the Research & Development sector and also through the effects of labor force migration. The analysis of statistical data aims at pointing out the different economic perspectives in the European Union, the United States, and Japan, also considering the disparities between EU member states. The analysis is completed by the use of the ranking method, the conclusions stating once more the crucial importance of the human factor in drawing monetary policy decisions展开更多
The purposes of the research aim to: (1) investigate the rehabilitation of the orphans affected by the violence in the Deep South of Thailand; and (2) provide the guideline for the government and institutions to ...The purposes of the research aim to: (1) investigate the rehabilitation of the orphans affected by the violence in the Deep South of Thailand; and (2) provide the guideline for the government and institutions to find ways to rehabilitate the orphans affected by the violence in the Deep South of Thailand. The number of the orphans is drastically increasing because of the violence crisis for a long time since 2004. The government has the policy to rehabilitate the orphans affected by the violence and takes the scholarships for relief their mind related injury Surveillance. The orphans trust the civil society more than the public government. Some opinions suggest the education, the activities, i.e., sports, music to empower the orphans, and the roles of the family and family members are the most important to take care and rehabilitate the orphans by using the religion for conducting "the social well-being".展开更多
基金supported by grants from the National Natural Science Foundation of China(Grant No.81472323)Top Talent Support Project of Zhengzhou University(Grant No.ZDGD13001)Innovation Scientists and Technicians Troop Construction Projects of Henan Province,China(Grant No.3047)
文摘Objective: This study aims to investigate the truth-telling status and the relevant factors of esophageal squamous cell carcinoma(ESCC) patients in Henan, China.Methods: A cross-sectional study from April to June 2015 using questionnaires was given to 301 family members of hospitalized ESCC patients based in three affiliated hospitals of Zhengzhou University(i.e., The First Hospital, The Second Hospital, and Tumor Hospital) and Anyang Tumor Hospital.Results: Among the 41.9%(126/301) hospitalized ESCC patients who knew of their true diagnoses, only 4.0% patients were informed by their corresponding responsible doctors, 39.7% by their family members, and 56.3% by themselves. Univariate analyses showed that disclosure of confirmed ESCC diagnosis to patients was correlated with gender, family history of cancer(FHC), education level, vocation, hospital administrative level, and attitudes of family members(P < 0.05). Furthermore,multivariate analysis indicated that attitude of family members was the most important and an independent factor for diagnosis disclosure. Those patients with a negative FHC, under-education, manual occupation, advanced stages, and hospitalized in municipal hospitals exhibited a low rate of truth telling.Conclusions: Truth telling for ESCC patients in Henan is not prevalent and may be improved through consultation with family members, particularly for patients with a negative FHC, poor education, manual occupation, and advanced stages.
文摘Economic activity always has an impact on the environment, but the potential degree of this impact depends on consumption and production pattems. The aim of this paper is to analyse the environmental and well being impacts of consumption and production systems in Baltic Sea Region and draw conclusions about transferring of best practises in Latvia. This study is based on indicator analyses, focusing on data of environmental impacts from consumption and production in the region, and analyses drivers behind these impacts. The paper concludes two trends--Scandinavian countries and Germany which have more advanced economies demonstrate much higher ecoefficiency and environmental management practices compared to the new EU member states. The example of the Baltic Sea region shows that high income levels and a stable development path in the old EU member states provide grounds for technology advancement to reduce the environmental impact of production. However Baltic States and Poland on average demonstrate much more sustainable consumption patterns. But the trends in these countries are negative--they try to copy lifestyles and consumption patterns of more advanced economies with higher ecological footprint. Challenge for Latvia is to improve its ecoefficiency but at the same time develop more sustainable consumption patterns.
文摘The development of the family-based handicraft industry in the Yangzi delta provided supplementary income and employment opportunities to auxiliary family members. But it did not replace subsistence farming as the primary method in which peasants made their living, and more importantly, it did not allow China to close the gap in the great divergence with the West. So why didn't the cotton-based handicraft industry catapult the Yangzi delta region into the modem era of industrialization? Why did the handicraft industry merely serve as a supplementary rather than an alternative means of livelihood? To understand the reasons why the handicraft industry did not transform China into an industrial and urban nation, it is important to examine the constraints in which population growth and land intensification had imposed on the peasants of the delta. These factors combined with the favorable geographical environment and commercial opportunities for trade in other regions, forced peasants to adopt the family-based handicraft industry as a supplementary source of income for survival. While the impact-response model may have suggested that it was the inability of the handicraft spinners and weavers to compete against British machines and the subsequent drop in cotton prices, a China-centered approach advocated by Paul Cohen would suggest domestic factors such as rapid population growth due to changes in taxation policies and the diminishing rate of return in labor, and the insufficient production office and grain may have been the real reasons that prevented the handicraft industry from developing into an alternative for farming.
文摘The main objective of the present paper is to determine the potential impact the qualitative and quantitative tendencies in the labor market on the decisions which influence the design of monetary policy worldwide. The analysis is focused on how human resources and phenomena associated with them could influence potential growth and, further on, how they can impact monetary policy decisions at national level for European countries outside the euro area and at ECB level for the euro zone countries. Moreover, the paper will envisage potential macroeconomic reactions (monetary decisions herewith included) to human resources dynamics. The economic variations are regarded through the perspective of growth potential shown by the Research & Development sector and also through the effects of labor force migration. The analysis of statistical data aims at pointing out the different economic perspectives in the European Union, the United States, and Japan, also considering the disparities between EU member states. The analysis is completed by the use of the ranking method, the conclusions stating once more the crucial importance of the human factor in drawing monetary policy decisions
文摘The purposes of the research aim to: (1) investigate the rehabilitation of the orphans affected by the violence in the Deep South of Thailand; and (2) provide the guideline for the government and institutions to find ways to rehabilitate the orphans affected by the violence in the Deep South of Thailand. The number of the orphans is drastically increasing because of the violence crisis for a long time since 2004. The government has the policy to rehabilitate the orphans affected by the violence and takes the scholarships for relief their mind related injury Surveillance. The orphans trust the civil society more than the public government. Some opinions suggest the education, the activities, i.e., sports, music to empower the orphans, and the roles of the family and family members are the most important to take care and rehabilitate the orphans by using the religion for conducting "the social well-being".