Cardiovascular diseases in European ethnic minorities: Beyond the traditional cardiovascular risk factors

This editorial is intended to be a reflection on cardiovascular disease(CVD)burden in European ethnic minorities.In some European countries,ethnic minority realities,due to their recent appearance,are still to be studied in depth.The experience of several European countries,where the migration processes started earlier,even more than a century ago,can help by being an example.Many studies have shown that major differences in CVD burden exist not only between countries,but also within the same country when considering different social strata and ethnic groups.The CV risk factors underlying heart disease have been well established.Important epidemiological studies have helped us understand that the underlying causes of heart disease as well as the behaviors that can help prevent them are the same.We are now well aware that CVD should be treated by considering a holistic approach.This is why the social determinants(SDs)of health that may worsen the disease burden or that,vice versa,may improve the treatment,and even more significantly,the prognosis of a patient’s illness should be taken into consideration.For ethnic minority patients,this holistic,hermeneutic approach is of importance.Several SDs of health that influence CVDs have been identified but their relevance for the health of ethnic minorities has not yet been clearly defined.In some European countries,most ethnic minorities are largely also religious minorities.Only a few studies have evaluated the role of religion,which is an important SD that affects the probability of having CV risk factors and diseases.Adolescents,particularly those belonging to the second generation,seem to be the weak link.If we believe that these young people are really citizens of their country of birth,then a way of recognizing their belonging to the community starts from a will to better understand their condition,in order to assist them while they grow physically and mentally.Thinking about safeguarding the health of this population should be more than a health task,rather a goal of social justice.

Predictive modeling for postoperative delirium in elderly patients with abdominal malignancies using synthetic minority oversampling technique

BACKGROUND Postoperative delirium,particularly prevalent in elderly patients after abdominal cancer surgery,presents significant challenges in clinical management.AIM To develop a synthetic minority oversampling technique(SMOTE)-based model for predicting postoperative delirium in elderly abdominal cancer patients.METHODS In this retrospective cohort study,we analyzed data from 611 elderly patients who underwent abdominal malignant tumor surgery at our hospital between September 2020 and October 2022.The incidence of postoperative delirium was recorded for 7 d post-surgery.Patients were divided into delirium and non-delirium groups based on the occurrence of postoperative delirium or not.A multivariate logistic regression model was used to identify risk factors and develop a predictive model for postoperative delirium.The SMOTE technique was applied to enhance the model by oversampling the delirium cases.The model’s predictive accuracy was then validated.RESULTS In our study involving 611 elderly patients with abdominal malignant tumors,multivariate logistic regression analysis identified significant risk factors for postoperative delirium.These included the Charlson comorbidity index,American Society of Anesthesiologists classification,history of cerebrovascular disease,surgical duration,perioperative blood transfusion,and postoperative pain score.The incidence rate of postoperative delirium in our study was 22.91%.The original predictive model(P1)exhibited an area under the receiver operating characteristic curve of 0.862.In comparison,the SMOTE-based logistic early warning model(P2),which utilized the SMOTE oversampling algorithm,showed a slightly lower but comparable area under the curve of 0.856,suggesting no significant difference in performance between the two predictive approaches.CONCLUSION This study confirms that the SMOTE-enhanced predictive model for postoperative delirium in elderly abdominal tumor patients shows performance equivalent to that of traditional methods,effectively addressing data imbalance.

4-连通P0-Minor-Free图的特征

设H和G是两个图,如果图H可以通过从图G的一个子图中收缩边然后删除产生的环和平行边得到,我们就把图H叫做图G的一个minor。如果图G没有同构于图H的minor,我们称图G为H-minor-free图。图论中很多猜想都与H-minor-free图有关,例如Hadwiger猜想和Tutte 4-流猜想等。为了推动这些猜想的解决,我们目前非常关注Petersen-minor-free图的结构。由于它们都是15条边的3-连通图,直接刻画起来比较困难。因此为了刻画Petersen-minor-free图,许多学者尝试对每个边数小于15的3-连通图进行刻画去接近Petersen-minor-free图。记P0为Petersen收缩两条完美匹配边和一条非完美匹配边得到的子图基础上添加一条边得到的13条边的图。本文下面将给出完整的4-连通P0-minor-free图的刻画。

Spiritual Forests—A Nature Conservation Model of Ethnic Minority Communities in Central Viet Nam

This paper aims to analyze and evaluate a model of forest conservation and management of ethnic minority (or indigenous) people in central Vietnam, often referred to as the spiritual forest. These forests, called sacred forest or ghost forests by the ethnic minority people in Thua Thien Hue province, have existed for a long time among forest residents. However, they have recently declined, both in quality and quantity, due to various factors, including changes in society, economy, environment, and perception, among other reasons. Based on research conducted in A Luoi district, Thua Thien Hue province with household interviews, group discussions, and field surveys, we find that spiritual forest retains religious and human significance. They are also often among the last remaining natural forests left due to deforestation by human activities. The research results indicate challenges that conservation of spiritual forest may face, while giving recommendations derived from communities for sustainable forest development and conservation in the region.

Diabetes in migrants and ethnic minorities in a changingWorld

On a worldwide scale, the total number of migrants exceeds 200 million and is not expected to reduce, fuelled by the economic crisis, terrorism and wars, generating increasing clinical and administrative problems to National Health Systems. Chronic non-communicable diseases(NCD), and specifically diabetes, are on the front-line, due to the high number of cases at risk, duration and cost of diseases, and availability of effective measures of prevention and treatment. We reviewed the documents of International Agencies on migration and performed a Pub Med search of existing literature, focusing on the differences in the prevalence of diabetes between migrants and native people, the prevalence of NCD in migrants vs rates in the countries of origin, diabetes convergence, risk of diabetes progression and standard of care in migrants. Even in universalistic healthcare systems, differences in socioeconomic status and barriers generated by the present culture of biomedicine make high-risk ethnic minorities under-treated and not protected against inequalities. Underutilization of drugs and primary care services in specific ethnic groups are far from being money-saving, and might produce higher hospitalization rates due to disease progression and complications. Efforts should be made to favor screening and treatment programs, to adapt education programs to specific cultures, and to develop community partnerships.

Current Status and Correlates of Modern Family Planning Utilization in Hard to Reach Ethnic Minorities: The Case of Gumuz, Northwest Ethiopia

Cognizant of multifaceted challenge of unwanted pregnancy, Ethiopia strives to increase utiliza-tion of modern family planning across the nation. Therefore, update on the current status of family planning utilization especially in hard to reach ethnic minorities is critical. The objective of this study was to assess level, and correlates of modern contraceptive utilization in a hard to reach ethnic minorities. A community based study was conducted in Dangur District, Beneshangul Gumuz Regional State July, 2013. A total of 530 married women were included in the study. Structured questionnaire was data collection tool. Data was analysed using SPSS version 20 for windows. Possible association and their strength were measured using odds ratio at 95% CI. Family planning utilization was 18.7% while nearly 27% of study participants had ever used family planning methods. The following variables were predictors of family planning utilization: number of alive children [AOR: 3.31, 95% CI (1.41 - 7.20)], good knowledge [AOR: 2.18, 95% CI (1.35 - 3.52)] and positive attitude [AOR: 1.58, 95% CI (1.03 - 2.50)]. The most outstanding finding of this study was that more than 80% of study participants still believe that many children means high income, and nearly 60% of them believe that family planning utilization decreases confidence among couples. This study witnessed how successful Ethiopia is in addressing reproductive health service inequalities in hard to reach communities. However, misconceptions surrounding family planning, and culture associated desire to have large family size should be addressed in a culture sensitive manner so that this success would further bear fruits.

Brief Analysis of Religious Sacrificial Activities in Agricultural Production of Ethnic Minorities in China

China is vast in territory and there are 55 ethnic minorities. Due to the geographical location,the experience in the development process and the stage of cultural development,ethnic minorities show great differences with Han people in many aspects,so that in the process of obtaining food,they manifest different cultural characteristics,especially the religious sacrifices and taboos present in the agricultural production process show more uniqueness and retain more primitive features.

Research on Traditional Herbal Medicine Culture of Guangxi Minorities

Guangxi Zluang Autoromous HRlegiom is a muli-ethnic area with l2.ethmic groups including Han Zuang,lao,Mliao,Dong,Mlaoma,Hti,,Jing,lYi,Siui,Celao,and Mlao.The traditional herbal melicime culure of Guangi ethnic minorties is an important comporent of the trxditional medlicine culture system of ethaie minorities in Guangi,andan exremely inportamt part of Chinas ethaic minoity medicine culture.Tle etihmic minorities of Gnamgi have acumulated rich experience in disease prevention andl treatment in the long process of prorluctiomn and life,and formed a unique minority medlical culture.

Tourism Activation of Ethnic Cultural Heritage:A Case Study of Buyi Ethnic Minorities in Guizhou Province

Two typical traditional villages of Buyi Minority were selected as specific cases to explore tourism revitalization of cultural heritage,namely Yinzhai Village in Guiding County and Ancient Nanlong Village in Xingyi City from Guizhou Province.The 2 villages adopted different modes in tourism development,thus tourism revitalization of their Buyi cultural heritage showed differentiated results,this paper compared the 2 cases to explore the options and impacts of different tourism revitalization modes for the cultural heritage of ethnic minorities.

A Socio-demographic Profile of the Calabrian Linguistic Minorities

In Italy it is possible to identify 11 linguistic groups of ancient settlement,divided as follows:border minorities,who speak a language of a neighboring state;minorities that occupy some internal areas as a consequence of emigrations and diasporas;the so-called residual groups of formerly majority populations.Three of these minority groups are present in Calabria:the Albanian minority,the Greek minority,and the Occitan minority.The Albanian community(Arbëreshë)is one of the most numerous.It is present in various areas of the South,but the most important colonies are found in Calabria.During the course of time these populations have undergone a strong assimilation process with the consequence that in many municipalities the spread of the Albanian language has been increasingly reduced or has completely disappeared.From 1951 onwards the Albanian-speaking communities of Calabria have shown the first signs of demographic malaise.The resident population gradually decreases and in many municipalities,especially the inland ones,there is a strong depopulation that still continues nowadays.In the Byzantine period the whole of Calabria was Hellenophone.Only the southern part of Calabria remained Hellenophone in the Norman age.Over time,the Grecanic area has been increasingly reduced and today it survives only in a limited area of the province of Reggio Calabria.Among the most remote causes of the decrease in Greek civilization we recall the abolition of the Greek rite in religious ceremonies,while after the Unity(Unita’d’Italia),an important role played the fight against the Greek language by the Italian school.Today this area has 11,211 residents and the speakers should be just 2,724.The Occitan-Waldensians are the smallest linguistic minority of Calabria.They came to Calabria,from Piedmont,towards the end of the 14th century to escape religious persecution.Today the Occitan-Waldensian colonies survive only in Guardia Piemontese,San Sisto dei Valdesi,and San Vincenzo la Costa,but the language is present only in Guardia Piemontese.The population of Guardia Piemontese,like that of many other Calabrian areas,experienced an intense migratory exodus after the Unification of Italy as well as a strong demographic malaise.Of these three Calabrian minority populations,which are characterized by a valuable cultural heritage,we will analyze the socio-demographic traits with the objective to grasp those potentialities(e.g.,cultural,touristic)in order to mitigate the phenomenon of depopulation which in these areas is more pronounced than in the remaining“Calabrese”territory.

The Excavation and Practical Significance of Folk Art Education Resources of Ethnic Minorities in Guangxi of china

Guangxi minority folk art education resources is a valuable treasure trove of art, realistic significance to mining and utilization of Guangxi minority folk art education resources. The practice proves that Guangxi minority folk art education resource is a typical folk art "Encyclopedia", is a folk song "epic" glorious and resplendent that is a piece of precious folk art "living fossil". Guangxi minority folk art education resources mining and utilization, enrich the arts and culture in Guangxi, China the students' national consciousness, and show the rich geographical and cultural characteristics.

海岸凤尾蕨(Pteris minor)的地理分布格局及保护价值分析

海岸凤尾蕨是海岸带少有的蕨类植物之一。由于其植株形态和傅氏凤尾蕨相似,因长期被误定为傅氏凤尾蕨而缺乏关注。其实,二者在生境、植株形态、孢子形态及染色体倍性上有明显区别。所以,海岸凤尾蕨由傅氏凤尾蕨的变种提升为种。为厘清海岸凤尾蕨的分布区域和生存现状,通过整理前人的采集记录和研究结果,结合野外考察,使用Arc-GIS 10.7软件构建海岸凤尾蕨不同范围的地理分布信息图,并依据IUCN 3.1的标准,对其保护价值进行评估。研究结果显示:(1)从世界地理分布格局来看,海岸凤尾蕨主要分布在亚洲;亚洲主要分布在中国、日本和菲律宾;中国主要分布在浙江、福建、澳门、香港和台湾;日本主要分布在琉球群岛;菲律宾主要分布在北部岛屿。(2)根据IUCN 3.1标准,海岸凤尾蕨的保护等级暂时定为近危(NT)。从目前的数据来看,海岸凤尾蕨的分布范围狭窄,其生境容易受到人类活动的干扰,却长期缺乏保护。因此,最后提出相应保护建议。

The Status Quo, Opportunity and Approach——the Development of Ethnic Minorities in the Context of the Belt and Road Initiative

Currently, China is advancing the Belt and Road Initiative, which creates a new opportunity of historical significance and provides guidance for the economic and social development of ethnic minority communities(particularly those in western China). Under the new historical conditions, it is necessary to innovate and improve China's regional aid policies and regional development strategies such as the "pairing assistance" and the Western Development, and organically combine them with the Belt and Road Initiative. In the meantime, China should revolve tightly around the internal and external "connectivity," and give full play to the functions of the "pairing assistance" policy and the "Western Development" strategy in a bid to boost the ethnic development of contemporary China within the framework of the Belt and Road Initiative.

The Right to Work of Chinese Ethnic Minorities:Replies to Concerns and Suggestions of the UN Human Rights Treaty Bodies

The UN Human Rights Treaty Bodies have repeatedly raised concerns about the Chinese government’s fulfillment of its obligations to safeguard the right to work of ethnic minorities, including the insufficiency of materials, the asymmetry of employment conditions between migrating Han and other ethnic groups, as well as so-called pervasive discrimination against non-Han ethnic workers. The UN Human Rights Treaty Bodies raised these concerns based on various facts and the rationality of their suggestions differ. China has replied accordingly. China should continue to reply based on the facts, and it should accept those suggestions that are reasonable and on facts.When addressing suggestions that are not based on facts, we should identify the nature of the problems and eliminate misunderstanding by clarifying the facts and encouraging friendly dialogue.

A minor emphasis on the outbreak of cutaneous leishmaniasis after devastating earthquakes in Turkey

Leishmaniasis is a serious parasitic disease caused by Leishmania species transmitted by the bite of sandflies. This disease is also an important public health problem. Clinical manifestations can be classified as cutaneous, mucocutaneous, and visceral leishmaniasis, depending on the species of parasite and the host’s immune status. Although the cutaneous form is not fatal, it often causes disfiguring scars on the skin[1].

Make All Ethnic Minorities Prosper, No Ethnic Minority Be Left Behind

Of the 55 ethnic minorities, 22 each has a population of less than 100,000. These minority people are relatively backwardin economic and social development and poverty haunts them. In 2005, the State Council launched a 5-year program to support the development of these small ethnic minorities and the State Development and Reform Commission and the State Commission for Ethnic Affairs have compiled a development program for these minority people. According to the programs, the State will commit 200 million yuan each year, totaling one billion yuan in five years, to the construction of infrastructure facilities in the areas inhabited by these minority people.

Minorities in China

I visited China last October at an invitation from the Chinese Association for International Understanding. During that visit I had the priviledge of visiting the minority village of Yi in ChuXiong Yi Autonomous Prefecture in Yunnan Province. After visiting the said village and staying overnight observing their habits culture etc,

Suggestions and Reflections on Inheritance Strategy of Traditional Residence Construction Technique of Ethnic Minorities in Western Hubei

The traditional residence of ethnic minorities in western Hubei has a long history,and their construction skills reflect the wisdom and culture of the nation.Due to the limitation of geographical environment,the development of modern cities and towns,and the influence of foreign culture,the inheritance of traditional construction skills is facing a great crisis.This paper analyzes the research status of traditional residence of ethnic minorities and summarizes the necessity of inheriting the traditional residence construction technique.Moreover,strategies and suggestions about inheritance are put forward from four aspects:the national policy guidance and local implementation,building characteristic area of traditional residence,establishing and improving the theoretical framework of building skills,and building digital platform.The ways and methods of integrating traditional construction skills and culture into the training process of colleges and universities are explored.

Equality and Self-government For Ethnic Minorities

The Chinese Government has always been keen to promote human rights in the interest of the country's 55 ethnic minority groups, regarding this as vital to promote the country's human rights cause as a whole. Following is an interview with Li Dek Su, an ethnic Korean who serves as minister in charge of the State Ethnic Affairs Commission. We hope that the interview will help give a better idea of the country's policies toward ethnic minorities and the achievements made under such policies.

Maternal-Fetal Pregnancy Complications of in Minors Raped with or without Physical Restraint in Eastern Democratic Republic of Congo

Introduction: Pregnancy resulting from rape is a public health and sexual and reproductive health issue, especially among minors. Rape can be perpetrated with or without physical restraint. The objective of the present study is to highlight the prevalence of physical coercion leading to pregnancy and the associated maternal-fetal complications. Methodology: This was a comparative descriptive and analytical cross-sectional study of complications associated with post-rape pregnancy by physical restraint among minors who were treated at the General Reference Hospital of Panzi over a two-year period from June 2020 to June 2022. A total of 140 minor survivors of violence with pregnancy were included in the study. Data were collected using a questionnaire, coded and analyzed in Excel and XLSTAT version 2014. Results: The prevalence of physical constraints was 65%. After mulltivariate analyses, denial of pregnancy (ORa: 9.64 95% CI: 1.1 - 81.2;p-value: 0.0370), attempted abortion (ORa: 56.1 95% CI: 1.5 - 2027.6;p-value: 0.0278) and agitation during delivery (ORa: 88.7 95% CI: 4.5 - 1715;p-value: 0.0030) were the complications associated with pregnancy in minors who experienced physical restraint rape. In addition, BMI was a factor in reducing the risk of physical restraint rape at the ORa of 0.5054 [0.3;0.8];p 0.006). Conclusion: Pregnancy among minors is a reality and occurs in a situation of physical coercion in the eastern Democratic Republic of Congo. These pregnancies are often associated with complications that require an intensive management system since they can jeopardize the maternal-fetal prognosis of minors.