Ophthalmic exam and ophthalmology residents’ subspecialty preference

AIM:To evaluate residents’perceptions and attitudes toward the various aspects of a comprehensive ophthalmic examination,and to determine if these factors correlate with their choices for fellowship and future career plans.METHODS:This is a cross-sectional study.A questionnaire on the perception of the ophthalmic exam was sent via SurveyMonkey to ophthalmology residents throughout Israel.Eighty of them(one-half of all ophthalmology residents in 2019)completed it.The first part related to how they perceived each component of the ophthalmic evaluation.The second part related to their future fellowship plans.The Chi-squared test was used to compare categorical variables and Student’s t-test and One-way ANOVA were used to compare continuous variables.Multivariate logistic regression analysis was applied as needed to detect interactions between variables and to exclude confounder effects.RESULTS:Slit-lamp examination of the anterior and posterior segments ranked as the most likeable aspects,whereas gonioscopy,ocular motility examination and visual acuity assessment were least likeable.Anterior segment and retina subspecialties were the ones most sought after.Forty-nine respondents(61.3%)noted a direct correlation between their preferred parts of comprehensive ophthalmic evaluations and their choice of subspecialty.Perceptions of selected components of those evaluations were significantly associated with responders’intentions to pursue anterior segment,retina,or oculoplastic fellowships(P<0.05).CONCLUSION:Perspectives of residents toward the ophthalmic examination,and most specifically its individual components,play an important role in their choice of subspecialty training.

Video Feedback Improves Anesthesia Residents'Communication Skill and Performance on Showing Empathy During Preoperative Interviews

Objective To determine the impact of scenario-based lecture and personalized video feedback on anesthesia residents'communication skills during preoperative visits.Methods A total of 24 anesthesia residents were randomly divided into a video group and a control group.Residents in both groups took part in a simulated interview and received a scenario-based lecture on how to communicate with patients during preoperative visits.Afterwards,residents in the video group received personalized video feedback recorded during the simulated interview.One week later all the residents undertook another simulated interview.The communication skills of all the residents were assessed using the Consultation and Relational Empathy measure(CARE)scale by two examiners and one standardized patient(SP),both of whom were blinded to the group allocation.Results CARE scores were comparable between the two groups before training,and significantly improved after training in both groups(all P<0.05).The video group showed significantly greater increase in CARE score after the training than the control group,especially assessed by the SP(t=6.980,P<0.001).There were significant correlations between the examiner-assessed scores and SP-assessed scores(both P=0.001).Conclusion Scenario-based lectures with simulated interviews provide a good method for training communication skills of anesthesia residents,and personalized video feedback can enhance their performance on showing empathy during preoperative interview.

Analysis of Influencing Factors on Fruit Consumption of Urban and Rural Residents in Beijing

In light of the rapid expansion of China s economy,there has been a notable shift in the consumption patterns of urban and rural residents.This is evident in the increased consumption of agricultural products,with fruit consumption representing a particularly pronounced trend.The 2023 Beijing Consumption Statistics indicate that demand for fruit is increasing,accompanied by heightened competition for quality and brands.The paper is based on research that examines the current situation of fruit consumption among urban and rural residents in Beijing.The results indicate that when urban and rural residents in Beijing purchase fruits,price is the most significant factor influencing fruit consumption.Taste,appearance,and variety are also considered to be important influencing factors,while the influence of factors such as fruit type,consumption pattern,and fruit brand is relatively minor.

The Impact of the Digital Economy on Rural Residents’Working Hours:Mechanisms and Empirical Evidence

The rapid development of the digital economy has provided a new impetus for rural residents to extend their working hours.Based on the data collected by the China Labor-force Dynamics Survey(CLDS)in 2014,2016,and 2018,this paper measured the development level of the digital economy in China from the perspectives of internet development and digital financial inclusion,and tested the mechanisms of how the digital economy affected rural residents’working hours.The results showed that the digital economy extended rural residents’working hours by expanding information channels and enhancing human capital,and this mechanism was affected by heterogeneity in rural residents’educational background,age,and social capital.Building on these findings,this paper holds that to increase rural residents’income by extending their working hours and achieving common prosperity for all,it is necessary to expand the opportunities for rural residents to participate in skills training and promote their accumulation of human capital.

Exploration of the Integration of Curriculum Ideology and Politics into the Educational Pathway of Standardized Training for General Practice Residents

In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice residents(commonly referred to as general resident training)is an unavoidable trend in the teaching field.Based on the actual situation of our unit at The First Affiliated Hospital of Xi’an Medical University,this paper emphasizes the necessity of incorporating ideological and political education into the general resident training curriculum,despite the absence of pertinent practical experience in how to effectively incorporate such courses into comprehensive residential training.In our hospital,we must assess the ideological and political education in the curriculum of general resident training,proposing a scientific,reasonable ideological and political education concept system for general practice courses,integrating ideological and political education with general practice resident training,and strengthening the team of ideological and political education physicians to teach them to carry out such education,this would foster enthusiasm and initiative.Strengthening admission education and training for general practice resident training,as well as regularly hosting symposiums to share ideas and understand the mission of doctors can provide effective experience for ideological and political education in general resident training courses.

Assessment of Online Transgender Healthcare Teaching Modules for Internal Medicine Residents and Fellows

Background: Transgender healthcare is not a formal learning requirement in Internal Medicine residency or fellowship. The National LGBTQ Task Force appealed to urgently train clinicians on the effective care of transgender patients. Few studies address the successful implementation of transgender healthcare teaching and education in graduate medical education. Purpose: The purpose was to design an online asynchronous curriculum to address the need for improved transgender healthcare education in graduate medical education and assess change in knowledge and comfort in transgender healthcare for residents and fellow learners. Methods: A 6-module curriculum was developed using established guidelines and ACGME competencies as a framework for content. To assess curriculum effectiveness, participants received anonymous pre- and post-curriculum surveys which included a multiple-choice knowledge assessment, Likert scale comfort questions focusing on healthcare skills, and open-ended feedback questions. Results: Twenty-six internal medicine residents and fellows participated in the curriculum (2022-2023). There was a 69% post-survey response rate. Participants improved their gender-affirming knowledge after completing the curriculum (p Conclusion: This online curriculum was successful in increasing knowledge and comfort in transgender care for IM residents and fellows. It provides a promising framework to address this gap in curricular content.

Application of BOPPPS + Mind Maps to Improve Clinical Competence of General Practitioner Residents: Taking Cough as an Example

Objective:To analyze the importance of general practitioner residents using the combined teaching method(BOPPPS+mind maps).Methods:From September 2023 to August 2024,a study was conducted with 6 control group participants receiving traditional teaching and 6 observation group participants receiving the combined teaching method(BOPPPS+mind maps).The study analyzed various indicators between the two groups(including mind map scores and assessment results).Results:Compared with the control group,the assessment scores of the observation group were significantly higher(P<0.05).Conclusion:The application of the combined teaching method(BOPPPS+mind maps)by general practitioner residents can significantly improve their comprehensive abilities.

The Prediction for the Consumer Price Index of Residents in Perspective of Time Series Method in Case of Chongqing

The consumer price index (CPI) measures the relative number of changes in the price level of consumer goods and services over time, reflecting the trend and degree of changes in the price level of goods and services purchased by residents. This article uses the ARMA model to analyze the fluctuation trend of the CPI (taking Chongqing as an example) and make short-term predictions. To test the predictive performance of the model, the observation values from January to December 2023 were retained as the reference object for evaluating the predictive accuracy of the model. Finally, through trial predictions of the data from May to August 2023, it was found that the constructed model had good fitting performance.

Change Trend of Chinese Urban Residents' Food-nitrogen Consumption

Change trend of Chinese urban residents＇ per capita food-nitrogen annual consumption from 1981 to 2007 was analyzed and predicted by using ARIMA time-series model in order to reveal the change of urban food-nitrogen consumption during the China＇s urbanization process.Results showed that after 1980s,the annual consumption of Chinese urban residents＇ food-nitrogen had a change trend of ＂ increase-decrease-increase＂ and generally presented as a slight increasing trend;With the acceleration of rapid economic development and urbanization process,Chinese urban residents＇ food-nitrogen consumption will still keep a rising trend in future,and also has a large rising space.

Strategies for Traditional Village Sustainable Development in Fuzhou City from the Perspective of Native Residents

Traditional village protection has been a hot topic recently. And traditional villages are far from meeting residents＇ demands in infrastructure as economic and social advances. Besides, local residents are not fully aware of cultural protection or inheritance, so that many traditional buildings long fallen into disrepair, have been replaced by new ones. In the meantime, the population of migrant workers is in- creasing, making cultural inheritance more difficult and causing decreasing of tradi- tional villages. Now, it is an important and tough job to release the conflict between increasing material needs of the people and historical cultural inheritance. In the re- search, field investigation was made on Dongkeng Village, Le＇an county to seek the optimal strategy for traditional village sustainable development from the perspective of importance on traditional village protection.

Cigarette smoking and alcohol drinking and esophageal cancer risk in Taiwan Residents women

AIM:To investigate the etiology of esophageal cancer among Taiwan Residents women.METHODS:This is a multi-center,hospital-based,case-control study.Case patients consisted of women who were newly diagnosed and pathology-proven to have esophageal squamous cell carcinoma(ESCC) from three large medical centers(one from Northern and two from Southern Taiwan,respectively)between August 2000 and December 2008.Each ESCC patient was matched with 4 healthy women based on age(within 3 years)and hospital of origin,from the Department of Preventive Medicine in each hospital.A total of 51 case patients and 204 controls,all women,were studied.RESULTS:Frequencies of smokers and drinkers among ESCC patients were 19.6%and 21.6%,respectively,which were significantly higher than smokers(4.4%) and drinkers(4.4%)among controls(OR=4.07,95%CI:1.36-12.16,P=0.01;OR=3.55,95%CI:1.03-12.27,P=0.04).Women who drank an amount of alcohol more than 158 g per week had a 20.58-fold greater risk(95%CI:1.72-245.62,P=0.02)of ESCC than those who never drank alcohol after adjusting for other covariates,although the sample size was small.CONCLUSION:Cigarette smoking and alcohol drinking,especially heavy drinking,are the major risks for developing ESCC in Taiwan Residents women.

Residents’ Attitudes Towards Tourism in a Globally Important Agricultural Heritage Systems Pilot Site: a Case Study in China

Globally Important Agricultural Heritage Systems (GIAHS) is a wide program to promote the conservation and adap-tive management of such systems and their associated landscapes, biodiversity, knowledge systems and cultures. Rice-Fish Systems (RFS) in Longxian village of China, as a traditional agricultural system, was selected as one of the five pilot sites of GIAHS in 2005. Researchers have paid more attention to the dynamic conser-vation and adaptive management of RFS because it is under severe threats from global development challenges. Tourism is suggested to be brought into the RFS conservation program as an alternative industry. This paper presents a comparative study of residents in three types of farm household in Longxian, seeking attitudes to the RFS conservation and tourism development and ways in which such information may guide future strategies. Results show resi-dents, belonging to the household type in which most family mem-bers are abroad, have the most positive attitudes to RFS conserva-tion and tourism development; while residents, as other household type in which less than 50% of family members are abroad, are the least sensitive group in these three household types, due to the motivation of moving abroad weakening their enthusiasm to participate in the local activities. Implications are discussed in the context of how resident attitudes will affect the future manage-ment of GIAHS conservation and tourism development, and then measures are put forward to foster tourism cooperation and multi-stakeholders process establishment.

Research on Consumption Structure of Rural Residents in Gansu Province Based on ELES Model

By using cross-section data on consumption structure of rural residents in Gansu Province in 2007 and 2008,this paper adopts ELES model to conduct empirical analysis on consumption structure of rural residents in Gansu Province.It indicates that in the current consumption structure of rural residents in Gansu Province,food expenditure is still at the most important and basic level;the overall consumption level of rural residents in Gansu Province is not high;at present,the consumption of rural residents in Gansu Province still hinges in a large measure on income,vulnerable to the price fluctuation.Consequently,increasing farmers' income and stabilizing the level of commodity price,turns out to be a foundation as well as an important approach to improve consumption structure of rural residents in Gansu Province.

Impacts of Social and Demographic Factors on Residents' Subjective Well-being in Rural China

The objective of social development is to construct a harmonious society.In China,the key to a harmonious society is the happiness of more than 900 million farmers living in the rural areas.This study aimed to measure rural residents' subjective well-being(SWB) through the day reconstruction method,as well as to analyze SWB's influencing factors through a variety of statistical methods.The results showed that the average U index was 12.79%,indicating that respondents were unhappy 12.79% of the time.Twenty-seven percent of the population had a U index greater than 0,with the average value being 47%,indicating that these people were unhappy 47% of the time.The study also found that SWB varied according to the characteristics of the respondents.Logistic regression analysis showed that social and demographic factors,including age,education,county,household size,generation number,per capita income,migration status and social networking,which significantly affected rural residents' SWB.The size of the impact varied with the different factors.

Comprehensive Evaluation on Consumption Structure of Rural Residents with Principal Component Analysis in China

In order to make analysis on consumption structure of rural residents,the paper makes a principle component analysis on consumption expenditure per capita of rural residents in different areas of 2009 based on statistics of China statistical yearbook of 2010.Selecting a principal component,the paper arranges 31 provinces in China in order.Shanghai lists the 1st place with highest marks;coastal provinces in southeastern part,the Northeast,Beijing and Tianjin are at the top;the northern and central parts with Hebei,Shanxi,Hubei as representatives scores minus which is a little lower than that of average;the western part,such as Guizhou,Xizang,Gansu and so on are in far behind.The paper also makes analysis on the consumption structure of rural residents and proposes suggestions on how to accelerate consumption of rural residents.

Spatial-temporal Characteristics and Factors Influencing Commuting Activities of Middle-class Residents in Guangzhou City, China

The middle class in metropolitan Chinese cities has become an important social group. With the rapid development of urbanization and constant advancement of suburbanization, the middle class has increasingly come to influence city traffic. Research into middle-class commuting activities thus has practical significance for improving traffic congestion and reducing the commuting burden in metropolitan cities. Based on a dataset formed by 816 completed surveys, this paper analyzes the commuting mode, time and distance of middle-class residents in Guangzhou City using the descriptive statistical method. The results indicate that private cars are the main commuting mode, followed by public transport. Meanwhile, middle-class residents mainly undertake medium-short time and medium-short distance commuting. The study subsequently uses multilevel logistic regression and multiple linear regression models to analyze the factors that influence commuting mode choice, time and distance. The gender, age, number of family cars, housing source and jobs-housing balance are the most important factors influencing commuting mode choice; housing, population density, jobs-housing balance and commuting mode significantly affect commuting time; and transport accessibility, jobs-housing balance and commuting mode are the notable factors affecting commuting distance. Finally, this paper analyzes what is affecting the commuting activities of middle-class residents and determines the differences in commuting activity characteristics and influence factors between middle-class and ordinary residents. Policy suggestions to improve urban planning and urban management are also proposed.

Flipped classroom approach to global outreach:cross-cultural teaching of horizontal strabismus to Chinese ophthalmology residents

AIM:To evaluate the flipped classroom model for teaching horizontal strabismus didactics in an ophthalmology residency program in China as part of a visiting professorship from the United States.METHODS:Residents from an ophthalmology residency program in China were invited to participate in flipped classroom sessions taught by an experienced American ophthalmology faculty in 2018.Residents were instructed to watch a pre-class video lecture prior to the in-class-casebased activity.Content tests(5 Ophthalmic Knowledge Assessment Program style questions)and surveys were administered before and after the classroom sessions(100%response rate).These results were compared to that of an American cohort who were taught the same content.RESULTS:The Chinese cohort of 12 residents preferred the flipped classroom to the traditional classroom at higher rates than the American cohort of 40 residents(92%vs 55%,P=0.04)and felt that all ophthalmology topics would be appropriate for the flipped classroom teaching style(P-values between 0.008 and<0.001).In both Chinese and American cohorts,we found that the exotropia curriculum saw a small but significant improvement in performance following the flipped classroom session(P=0.025 for Chinese residents;P=0.001 for US residents),whereas scores in both groups for the esotropia course did not significantly improve.CONCLUSION:This is the first study to evaluate the flipped classroom model implemented by a visiting ophthalmology professor in a global outreach setting.The flipped classroom sessions are viewed favorably by the Chinese residents relative to the US cohort with a modest impact on knowledge.Decreased in-person interpreter requirement and increased student engagement make this model valuable in cross-cultural visiting professorship settings.Finally,the flipped classroom may lend itself well to a virtual format to prevent the transmission of COVID-19,although such a format requires further study.

How does the construction of China’s ecological civilization affect the health burden of urban and rural residents?

Accelerating the construction of ecological civilization and promoting the management of health environment problems is one of the core elements of the implementation of the“Beautiful China”and“Healthy China”strategies with Chinese characteristics in the new era.Based on the scientific connotation of ecological civilization,this paper systematically assesses the level of interprovincial ecological civilization construction in China using the combined CRITIC empowerment method and explores the impact of ecological civilization construction on the health burden of urban and rural residents using interprovincial panel data from 2003 to 2018 with the help of panel feasible generalized least squares,simultaneous equation estimation,and the extended regression model.It is found that there is a significant inverted U-shaped relationship between provincial ecological civilization construction and urban and rural residents’economic health burden,as well as a significant U-shaped relationship between ecological civilization construction and urban and rural residents’disease burden.Fiscal decentralization,urbanization,and industrialization are the three important indirect mechanisms through which ecological civilization affects the health burden of urban and rural residents,and fiscal decentralization plays a typical role in crowding out the health effect of ecological civilization.In the eastern and central regions,ecological civilization construction has effectively reduced the health burden of urban and rural residents,but it is more significant for improving the economic health burden of rural residents.While the“catching-up trend”of the progress of ecological civilization construction in the western region is obvious,ecological civilization plays an important role in alleviating the economic health burden of urban residents.After the robustness test,the conclusion still holds.This study provides an important empirical basis for local governments to improve the accuracy of their policies in promoting the“Beautiful China”and“Healthy China”strategies.

Comparative Research on Prediction Model of China's Urban-rural Residents' Income Gap

By using the data concerning China's urban-rural residents' income gap from 1978 to 2010,this paper mainly researches the application of several kinds of models in predicting China's urban-rural residents' income gap.By conducting empirical analysis,we establish ARIMA prediction model,grey prediction model and quadratic-polynomial prediction model and conduct accuracy comparison.The results show that quadratic-polynomial prediction model has excellent fitting effect.By using quadratic-polynomial prediction model,this paper conducts prediction on trend of China's urban-rural residents' income gap from 2011 to 2013,and the prediction value of income gap of urban-rural residents in China from 2011 to 2013 is 14 173.20,15 212.92 and 16 289.67 yuan respectively.Finally,on the basis of analysis,corresponding countermeasures are put forward,in order to provide scientific basis for energy planning and policy formulation:first,strengthen government's function of public service,coordinate resources,and strive to provide an equal opportunity of development for social members,so as to promote people's welfare and promote social equality;second,breach industrial monopoly and bridge income gap between employees in monopoly industry and general industry;last but not the least,support,encourage and call for government to establish social relief fund,adjust residents' income distribution from the non-governmental perspective,and endeavor to promote the income level of low-income class.

Training program for caregivers to prevent pressure ulcers among elderly residents at geriatric homes

Objectives:Pressure ulcer(PU)is one of the most common problem among the bedridden elderly and has significantly more burden on elderly and caregivers.This study is aimed to evaluate the effects of the training program for caregivers to prevent PUs among elderly residents at geriatric homes.Methods:A quasi-experimental design was used to carry out the current study.A purposive sample comprised of all formal(39 nurses)or informal caregivers(39)and all immobilized elderly residents(35)who are found in all geriatric centers in Helwan district.A structured questionnaire was used to assess caregivers’socio-demographic characteristics,knowledge,attitude,and observational checklists for their practice for prevention of PU at pre-and posttest and during follow-up.Results:After the training program,there were improvements in the level of knowledge,practice,and positive attitude of caregivers about PU prevention with a statistically significant difference between pre-,post-,and follow-up training programs(P<0.001).Conclusions:The study revealed that the training program seemed to change the knowledge,practice,and attitude of the subjects to PU prevention.This,in turn,implies that adequate knowledge affects directly the elderly caregivers’attitudes as well as practice for prevention could be important in reducing the burden of PU among the elderly.Thus,conducting a training program for caregivers at different geriatric homes about caring skills for elders can prevent PU,and using spontaneous reposition is very effective to prevent PUs.