Popular music and school music education: Chinese students' preferences and dilemmas in Shanghai, China

This empirical study investigates Chinese students’ popular music preferences in daily life and to what extent and in what ways they prefer learning popular music in school in Shanghai, China. Data were drawn from questionnaires completed by 1,730 secondary students (aged 12–17) and interviews with 60 students from 10 secondary schools, between September and October, 2011. Findings from these efforts were supplemented by and triangulated with data from interviews with 18 music teachers and school leaders. Findings revealed the cultural diversification and rational consumption of popular music by Chinese students in and out of school, as well as the cultural dilemmas those students confront due to their preferences for popular (Chinese and non-Chinese) and classical music in the school music curriculum. These findings can be interpreted as indicating that music and music education in formal or informal settings are complex cultural constructs that can be reinvented through the intertwined interplay of different actors concerned with the selection of music elements in a multileveled, multicultural world.postprin

Are litter, plastic and microplastic quantities increasing in the ocean?

Whilst both plastic production and inputs at sea have increased since the 1950s, several modelling studies predict a further increase in the coming years in these respective quantities. We compiled scientific literature on trends in marine litter, consisting largely of plastic and microplastics in the ocean, understanding that monitoring programs or assessments for these aspects are varied, frequently focusing on limited components of the marine environment in different locations, and covering a wide spectrum of marine litter types, with limited standardization. Here we discuss how trends in the amounts of litter in the marine environment can be compared with the information provided by models. Increasing amounts of plastic are found in some regions, especially in remote areas, but many repeated surveys and monitoring efforts have failed to demonstrate any consistent real temporal trend. An observed steady state situation of plastic quantities in many marine compartments and the fate and transport of plastic in the marine environment remain areas for much needed further research.info:eu-repo/semantics/publishedVersio

Equity in the delivery of community healthcare to older people: findings from 10/66 Dementia Research Group cross-sectional surveys in Latin America, China, India and Nigeria

<p>Abstract</p> <p>Background</p> <p>To describe patterns of recent health service utilisation, and consequent out-of-pocket expenses among older people in countries with low and middle incomes, and to assess the equity with which services are accessed and delivered.</p> <p>Methods</p> <p>17,944 people aged 65 years and over were assessed in one-phase population-based cross-sectional surveys in geographically-defined catchment areas in nine countries - urban and rural sites in China, India, Mexico and Peru, urban sites in Cuba, Dominican Republic, Puerto Rico and Venezuela, and a rural site in Nigeria. The main outcome was use of community health care services in the past 3 months. Independent associations were estimated with indicators of need (dementia, depression, physical impairments), predisposing factors (age, sex, and education), and enabling factors (household assets, pension receipt and health insurance) using Poisson regression to generate prevalence ratios and fixed effects meta-analysis to combine them.</p> <p>Results</p> <p>The proportion using healthcare services varied from 6% to 82% among sites. Number of physical impairments (pooled prevalence ratio 1.37, 95% CI 1.26-1.49) and ICD-10 depressive episode (pooled PR 1.21, 95% CI 1.07-1.38) were associated with service use, but dementia was inversely associated (pooled PR 0.93, 95% CI 0.90-0.97). Other correlates were female sex, higher education, more household assets, receiving a pension, and health insurance. Standardisation for age, sex, physical impairments, depression and dementia did not explain variation in service use. There was a strong borderline significant ecological correlation between the proportion of consultations requiring out-of-pocket costs and the prevalence of health service use (r = -0.50, p = 0.09).</p> <p>Conclusions</p> <p>While there was little evidence of ageism, inequity was apparent in the independent enabling effects of education and health insurance cover, the latter particularly in sites where out-of-pocket expenses were common, and private health insurance an important component of healthcare financing. Variation in service use among sites was most plausibly accounted for by stark differences in the extent of out-of-pocket expenses, and the ability of older people and their families to afford them. Health systems that finance medical services through out-of-pocket payments risk excluding the poorest older people, those without a secure regular income, and the uninsured.</p

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

Drivers of GHG emissions from dietary transition patterns in China: Supply versus demand options

Diets have been changing drastically in China in the recent decades and this change has contributed considerably to greenhouse gas (GHG) emissions. In determining effective mitigation strategies for future emissions, it is necessary to know how emissions related to diet vary over time in overall magnitude and due to compositional changes driven by socioeconomic dynamics. This study evaluates the change in dietary GHG emissions in China during the 1997–2011 period by linking environmentally extended input–output tables with individual daily food intake data. It further decomposes the contribution to GHG emission changes of various socioeconomic driving factors. The results show that GHG emissions related to national diet have been decreasing from 1,180 Mt CO2e to 640 Mt CO2e (a 54% decline), largely due to technical innovation that has reduced the emissions per calorie of food (135% of the total reduction). The change in dietary patterns has had mixed effects, with a decline in calorie intake reducing emissions by 21% while increases in animal‐sourced food consumption have raised emissions by 25%. Our findings stress the importance of technical progress in the historical change in dietary GHG emissions and suggest a focus on behavior changes for future research and policymaking, which has the potential to promote dietary changes toward less animal product consumption. Our findings highlight the importance of both technological and demand‐side behavioral options in reducing the impact of diets on GHG emissions