26 research outputs found

    Application of modern timber structure in short and medium span bridges in China

    Get PDF
    Abstract: A series of problems about Chinese bridges with short and medium span recent years were analyzed in this paper. The necessity and feasibility of modern timber structure applied in short and medium span bridges in China were also put forward. The results showed that the short and medium span bridges had many problems, such as monotonous structural forms, serious environmental pollution, multiple bridge defects and difficulty in maintenance. With the development of connection and maintenance technology of modern timber structure and its advantages of light self-weight, environmental coordination, high carrying capacity, excellent durability and abundant structural forms, it was necessary and feasible to apply modern timber structure in short and medium span bridges in China. More emphasis on the construction of modern timber structure should be conducted to expand its application scopes and improve the construction proportion of short and medium span timber bridges

    Pressured HIV testing "in the name of love": a mixed methods analysis of pressured HIV testing among men who have sex with men in China.

    Get PDF
    INTRODUCTION: HIV testing has rapidly expanded into diverse, decentralized settings. While increasing accessibility to HIV testing is beneficial, it may lead to unintended consequences such as being pressured to test. We examined the frequency, correlates and contexts of pressured HIV testing among Chinese men who have sex with men (MSM) using mixed methods. METHODS: We conducted an online survey of MSM (N = 1044) in May 2017. Pressured HIV testing was defined as being forced to test for HIV. We conducted logistic regression analysis to determine the associations between pressured HIV testing and socio-demographic and sexual behavioural factors. Follow-up interviews (n = 17) were conducted with men who reported pressured testing and we analysed qualitative data using a thematic analysis approach. RESULTS: Ninety-six men (9.2%) reported experiencing pressure to test for HIV. Regular male sex partners were the most common source of pressure (61%, 59/96), and the most common form of pressure was a threat to end a relationship with the one who was being pressured (39%, 37/96). We found a higher risk of pressured testing in men who had only used HIV self-testing compared to men who had never self-tested (AOR 2.39 (95%CI: 1.38 to 4.14)). However, this relationship was only significant among men with low education (AOR 5.88 (95% CI: 1.92 to 17.99)) and not among men with high education (AOR 1.62 (95% CI: 0.85 to 3.10)). After pressured testing, about half of men subsequently tested for HIV (55%, 53/96) without pressure - none reported being diagnosed with HIV. Consistent with this finding, qualitative data suggest that perceptions of pressure existed on a continuum and depended on the relationship status of the one who pressured them. Although being pressured to test was accompanied by negative feelings, men who were pressured into testing often changed their attitude towards HIV testing, testing behaviours, sexual behaviours and relationship with the one who pressured them to test. CONCLUSION: Pressured HIV testing was reported among Chinese MSM, especially from men with low education levels and men who received HIV self-testing. However, in some circumstances, pressure to test helped MSM in several ways, challenging our understanding of the role of agency in the setting of HIV testing

    Crowdsourcing to expand HIV testing among men who have sex with men in China: A closed cohort stepped wedge cluster randomized controlled trial.

    Get PDF
    BACKGROUND: HIV testing rates are suboptimal among at-risk men. Crowdsourcing may be a useful tool for designing innovative, community-based HIV testing strategies to increase HIV testing. The purpose of this study was to use a stepped wedge cluster randomized controlled trial (RCT) to evaluate the effect of a crowdsourced HIV intervention on HIV testing uptake among men who have sex with men (MSM) in eight Chinese cities. METHODS AND FINDINGS: An HIV testing intervention was developed through a national image contest, a regional strategy designathon, and local message contests. The final intervention included a multimedia HIV testing campaign, an online HIV testing service, and local testing promotion campaigns tailored for MSM. This intervention was evaluated using a closed cohort stepped wedge cluster RCT in eight Chinese cities (Guangzhou, Shenzhen, Zhuhai, and Jiangmen in Guangdong province; Jinan, Qingdao, Yantai, and Jining in Shandong province) from August 2016 to August 2017. MSM were recruited through Blued, a social networking mobile application for MSM, from July 29 to August 21 of 2016. The primary outcome was self-reported HIV testing in the past 3 months. Secondary outcomes included HIV self-testing, facility-based HIV testing, condom use, and syphilis testing. Generalized linear mixed models (GLMMs) were used to analyze primary and secondary outcomes. We enrolled a total of 1,381 MSM. Most were ≤30 years old (82%), unmarried (86%), and had a college degree or higher (65%). The proportion of individuals receiving an HIV test during the intervention periods within a city was 8.9% (95% confidence interval [CI] 2.2-15.5) greater than during the control periods. In addition, the intention-to-treat analysis showed a higher probability of receiving an HIV test during the intervention periods as compared to the control periods (estimated risk ratio [RR] = 1.43, 95% CI 1.19-1.73). The intervention also increased HIV self-testing (RR = 1.89, 95% CI 1.50-2.38). There was no effect on facility-based HIV testing (RR = 1.00, 95% CI 0.79-1.26), condom use (RR = 1.00, 95% CI 0.86-1.17), or syphilis testing (RR = 0.92, 95% CI 0.70-1.21). A total of 48.6% (593/1,219) of participants reported that they received HIV self-testing. Among men who received two HIV tests, 32 individuals seroconverted during the 1-year study period. Study limitations include the use of self-reported HIV testing data among a subset of men and non-completion of the final survey by 23% of participants. Our study population was a young online group in urban China and the relevance of our findings to other populations will require further investigation. CONCLUSIONS: In this setting, crowdsourcing was effective for developing and strengthening community-based HIV testing services for MSM. Crowdsourced interventions may be an important tool for the scale-up of HIV testing services among MSM in low- and middle-income countries (LMIC). TRIAL REGISTRATION: ClinicalTrials.gov NCT02796963

    Cassava genome from a wild ancestor to cultivated varieties

    Get PDF
    Cassava is a major tropical food crop in the Euphorbiaceae family that has high carbohydrate production potential and adaptability to diverse environments. Here we present the draft genome sequences of a wild ancestor and a domesticated variety of cassava and comparative analyses with a partial inbred line. We identify 1,584 and 1,678 gene models specific to the wild and domesticated varieties, respectively, and discover high heterozygosity and millions of single-nucleotide variations. Our analyses reveal that genes involved in photosynthesis, starch accumulation and abiotic stresses have been positively selected, whereas those involved in cell wall biosynthesis and secondary metabolism, including cyanogenic glucoside formation, have been negatively selected in the cultivated varieties, reflecting the result of natural selection and domestication. Differences in microRNA genes and retrotransposon regulation could partly explain an increased carbon flux towards starch accumulation and reduced cyanogenic glucoside accumulation in domesticated cassava. These results may contribute to genetic improvement of cassava through better understanding of its biology

    INFLUENCE OF INTERNALIZING PROBLEMS ON ACADEMIC ACHIEVEMENT IN CHINESE ADOLESCENTS: THE MEDIATING EFFECT OF ATTENTION PROBLEMS

    No full text
    Adolescent mental health has become a public concern, and it is necessary to know how problem behaviors affect academic achievement. The current study surveyed 12,672 adolescents in eastern China, and results indicated clinical cut-offs on each problem behavior. We then examined how internalizing problems lead to negative academic results. Findings suggest Attention problems are a key factor. Anxiety/depression and somatic complaints have no direct effect on academic performance but are mediated by attention problems. This study can serve practice of schooling and parenting, and provide basis for developing clinical intervention strategy in [email protected]

    Research on the Application of Multi-Source Data Analysis for Bridge Safety Monitoring in the Reconstruction and Demolition Process

    No full text
    With the increase of bridge-required demolition/dismantling for reconstruction or modification, the early warning of construction emergencies is greatly needed for monitoring the structural safety of bridges under construction. In this paper, based on the multi-source data of nearby construction and demolition construction of a large-span RC arch bridge in China, the Analytic Hierarchy Process (AHP) method is adopted to analyze the multi-source data and set the early warning threshold for bridge safety in construction. According to the analytical results, a reasonable evaluation of AHP factors can improve the accuracy and timeliness of safety early warning in the structural safety monitoring of bridges during the construction process. The weight of the monitoring data in AHP should be assigned according to its reliability, stability, and importance. Bridge safety assessment of nearby construction having harmful vibration should prioritize dynamic bridge monitoring by cooperating with multi-source data, including stress, and deformation monitoring of the bridge is necessary. The assessment results proved that multi-source data, including but not limited to structural stress and deformation monitoring data, vibration data, theoretical prediction data, environment data such as temperature data, and construction/maintenance history data, are necessary for safety monitoring and early warning of construction with specifications related to bridge construction. The early warnings triggered by the evaluation results successfully ensure the safety status of the bridge during nearby construction and demolition construction, which shows the proposed method can provide a guideline for comprehensively evaluating and early warning of the status of bridge construction

    Research on Deformation Analysis and Rehabilitation for a Beam–Arch Combination Bridge Suffering an Extreme Temperature Field

    No full text
    In situ monitoring was conducted throughout the construction period to investigate the abnormal deformation of a bridge under construction subjected to sudden cooling by Typhoon Lekima. An FE model considering the temperature field based on measurement data was also established to reveal the exact causes of the bridge’s abnormal deformation and provide theoretical guidance for rehabilitation measures. The FE model simulation and measurement results showed that (1) the exact cause of the abnormal deformation of the bridge was the inconsistency of the temperature field between the top and bottom plates, and the sudden approach of the typhoon aggravated the inconsistency; (2) the abnormal deformation of the construction bridge caused by the typhoon could be addressed with rehabilitation before forming the bridge; (3) an extreme temperature field should be considered in the design of a beam–arch combination bridge. These results can provide a reference for the design and construction of similar bridges

    The impact of HIV self-testing on risk behaviors among men who have sex with men: a mixed-methods study

    Get PDF
    BackgroundMen who have sex with men (MSM) have a high prevalence of HIV and a low rate of HIV testing in China. HIV self-testing (HIVST) presents a viable strategy for expanding HIV testing among MSM. However, the impact of HIVST on risk behaviors among MSM remains controversial. Our study sought to ascertain this impact.MethodsFrom April 2021 to January 2022, a mixed-methods study was conducted in Qingdao City, employing both quantitative and qualitative methodologies. The quantitative component entailed a cohort study among MSM who had used HIVST. Generalized estimating equations fitting Poisson regressions were used to analyze the changes in risk behaviors of MSM in short time after HIVST (ST-HIVST) and longer time after HIVST (LT-HIVST) compared to before HIVST. Subsequently, we conducted in-depth interviews with 18 MSM who completed the follow-up to delve deeper into the impact of HIVST on MSM.ResultsA total of 410 MSM were recruited in the cohort, of whom 83 were lost to follow-up. Compared to before HIVST, there were no significant changes in risk behaviors in ST-HIVST (p > 0.05), while the proportion of recreational drugs abuse (20.7% vs. 33.3%), commercial sex (14.6% vs. 22.9%), and unprotected anal sex (95.9% vs. 98.5%) increased significantly in LT-HIVST (p < 0.05). Specific changes varied across demographic characteristics. According to qualitative interviews, MSM might have decreased risk perception and increased risk behaviors after HIVST.ConclusionThe use of HIVST may promote MSM to engage in risk behaviors. In the future, customized HIVST promotion programs need to be developed to expand HIV testing among MSM and simultaneously control their risk behaviors

    Consistently low prevalence of syphilis among female sex workers in Jinan, China: findings from two consecutive respondent driven sampling surveys.

    Get PDF
    BACKGROUND: Routine surveillance using convenient sampling found low prevalence of HIV and syphilis among female sex workers in China. Two consecutive surveys using respondent driven sampling were conducted in 2008 and 2009 to examine the prevalence of HIV and syphilis among female sex workers in Jinan, China. METHODS: A face-to-face interview was conducted to collect demographic, behavioral and service utilization information using a structured questionnaire. Blood samples were drawn for serological tests of HIV-1 antibody and syphilis antibody. Respondent Driven Sampling Analysis Tool was used to generate population level estimates. RESULTS: In 2008 and in 2009, 363 and 432 subjects were recruited and surveyed respectively. Prevalence of syphilis was 2.8% in 2008 and 2.2% in 2009, while no HIV case was found in both years. Results are comparable to those from routine sentinel surveillance system in the city. Only 60.8% subjects in 2008 and 48.3% in 2009 reported a consistent condom use with clients during the past month. Over 50% subjects had not been covered by any HIV-related services in the past year, with only 15.6% subjects in 2008 and 13.1% in 2009 ever tested for HIV. CONCLUSIONS: Despite the low prevalence of syphilis and HIV, risk behaviors are common. Targeted interventions to promote the safe sex and utilization of existing intervention services are still needed to keep the epidemic from growing
    corecore