Listening to Voices: Understanding Chinese Students' Journey at a Canadian University

This research explored the motivations of Chinese students to study in Canada and analyzed their cultural adaptation process at a Canadian university. This served the Canadian educational administrators and prospective Chinese students who were interested in studying in Canada. The following three research questions provided the direction for this study: 1 What are Chinese students’ motivations to study in Canada? 2 What are Chinese students’ experiences at Canadian universities and how do their motivations shape their journey in Canada? 3 What challenges and opportunities do Chinese students face in their cultural adaptation, and what strategies do Chinese students think can be applied by Canadian educational administrators to assist Chinese students? A qualitative approach was the research method utilized in this study. Using semi-structured life-story interviews, data were collected from a purposeful sample of four Chinese graduate students studying at a Canadian university. Utilizing a narrative research method, from an emic perspective, I listened to Chinese students’ voices and their life stories and to explore deeply their experiences in Canada. Three theoretical frameworks were employed to analyze the data. The synthesis model was used to explore the decision making process of participants to come to Canada; the push-pull model was employed to identify the factors attracting people to move to another country; and Self- Determined Theory was used to analyze the connection between participants’ motivations to study abroad and their subsequent cultural adaptation. Data collected from semi-structured interviews with four participants indicated that Chinese students were easily attracted to study in Canada by its favorable and tolerant environment, positive reputation for diversity, high quality post-secondary institutions and the possibility of securing a visa relatively easily. In their decision making process, Chinese students were influenced by some important factors: student characteristics, parental factors, and other external important factors. Among those factors influencing Chinese students’ decisions to move to Canada, family was recognized a very important factor and participants’ narratives suggested that having family connections in Canada could be a helpful factor for Chinese students to adapt to a new culture, which was reported as a best case scenario in this research. However, family also acted as a barrier for Chinese students to acquire English proficiency and interact with local people. Findings from this study supported earlier research that suggested students who were more self-determined to study abroad were more likely to succeed academically and had fewer traumas in navigating cross-cultural adaptations

The Role of Children’s Media Use in Teacher-Child Relationship, Classroom Adjustment and Performance When Transit to Primary School

Early transition from preschool to primary school is an important predictor that gives a lot of insight into the later years of formal schooling.In this process,teacher-child relationship is a determining factor on social and academic success when children make an attempt to adjust to the school environment.The major purpose of the study was to examine the teacher-child relationship in children’s media use with a focus on the teacher-child interaction,classroom adjustment and performance.Correlation and regression analyses were used to identify these variables.Participants were 250 children(N=250,121 girls,129 boys) across the first year of primary school. 250 families as well as the teachers of children were surveyed on the children’s media use and teacher-child relationship.Correlation analyses indicated that the quality of teacher-child relationship was linked to children’ media use.Key findings suggest that the longer the media is used by a child, the less likely he/she is to interact with the teacher.What’s more,the more the teacher assigns assignments through the mobile phone or tablet, the less child admires the teacher,which as well could reduce the class satisfaction via teacher-child interaction in sequence.Additionally,this study also indicates that media assignments by teachers is a new risk factor of negative relationship via teacher-child interaction. Keywords: children’s media use,transit to primary school,teacher-child relationship,classroom adjustment and performance DOI: 10.7176/JEP/11-6-01 Publication date: February 29th 202

Delivering universal health coverage for an aging population : an analysis of the Chinese rural health insurance program

There is now high level international commitment to the goal of universal health coverage. But how can countries make this a reality in the face of a limited budget and an aging population? Since 2008, China has been rolling out an ambitious reform program, which aims to achieve affordable health insurance coverage for all Chinese citizens. Under this reform program, Chinese living in rural areas are eligible to enroll in a subsidized scheme called the New Cooperative Medical System (NCMS). Using a three stage game model involving a government, a private fund manager and population, we explore the impact of population aging on NCMS. Our model highlights the role of government regulation and subsidy in ensuring operation efficiency of the system. We show that at optimality the government sets the operating framework for the fund manager to constrain the potential for monopoly profits. The Government subsidizes the scheme to prevent an adverse selection death spiral. However, the effectiveness of the subsidy in achieving this goal is moderated by the age structure of the population. Our model gives insights into the strengths of the NCMS framework and also can be used to support decisions about resource allocation and understand how scheme dynamics may unfold as the Chinese population ages further

Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China

OBJECTIVE To evaluate the relationship between ambient air pollutants and chronic obstructive pulmonary disease in relatively low-polluted areas in China. METHODS Atmospheric pollutants levels and meteorological data were obtained from January 2016 to December 2020. The medical database including daily hospital admissions for chronic obstructive pulmonary disease (ICD10: J44) was derived from the First Affiliated Hospital of Gannan Medical University. The generalized additive model was used to analyze the percentage change with 95% confidence interval in daily hospital admissions for chronic obstructive pulmonary disease associated with a 10 µg/m3 increase in atmospheric pollutants levels. RESULTS In total, occurred 4,980 chronic obstructive pulmonary disease hospital admissions (not including emergency department visits) during 2016–2020. The mean concentrations of daily PM2.5, PM10, SO2, NO2, O3, and CO were 37.5 μg/m3, 60.1 μg/m3, 18.7 μg/m3, 23.5 μg/m3, 70.0 μg/m3, and 1.2 mg/m3 in Ganzhou. Each 10 µg/m3 increment of PM2.5, PM10, NO2, and O3 were significantly associated with 2.8% (95%CI: 1.0–4.7), 1.3% (95%CI: 0.3–2.4), 2.8% (95%CI: 0.4–5.4), and 1.5% (95%CI: 0.2–2.7) elevation in daily chronic obstructive pulmonary disease hospital admissions. The estimates of delayed effects of PM2.5, PM10, NO2, and O3 were observed at lag6, lag6, lag8, lag1, respectively. The health effects of particulate pollutants (PM2.5 and PM10) may be independent of other pollutants. The adverse effects of air pollutants were more evident in the warm season (May–Oct) than in the cold season (Nov–Apr). CONCLUSION Our study demonstrated that elevated concentrations of atmospheric pollutant (PM2.5, PM10, NO2, and O3), especially particulate pollutants, can be associated with increased daily count of hospital admissions for chronic obstructive pulmonary disease , which may promote further understanding of the potential hazards of relatively low levels of air pollution on chronic obstructive pulmonary disease and other respiratory disorders

A Novel K-Means Clustered Support Vector Machine Technique for Prediction of Consumer Decision-Making Behaviour

A greater number of consumers are using social networks to express their feedback about the level of service provided by hotels. Online reviews from patrons can be used as a forum to enhance the level of service of hotels. Customer reviews are indeed a reliable and dependable source that aid diners in determining the quality of their cuisine. It is critical to develop techniques for evaluating client feedback on hotel services. In order to accurately anticipate the consumers' decision-making behaviors based on hotel internet evaluations, this study proposes a novel K-Means Clustered Support Vector Machine (KMC+SVM) technique. Principal Component Analysis (PCA) is employed to determine the characteristics from the preprocessed data while the Min-Max normalization approach is used to standardize the raw data. The performance of the suggested technique is then evaluated and contrasted with a few other methods that are currently in use in terms of accuracy, sensitivity, RMSE, and MAE. The findings demonstrated that segmenting customers based on their online evaluations can accurately predict their choices and assist hotel management in establishing priorities for service quality enhancements

Assessing equity of healthcare utilization in rural China: results from nationally representative surveys from 1993 to 2008

Background: The phenomenon of inequitable healthcare utilization in rural China interests policymakers and researchers; however, the inequity has not been actually measured to present the magnitude and trend using nationally representative data. Methods: Based on the National Health Service Survey (NHSS) in 1993, 1998, 2003, and 2008, the Probit model with the probability of outpatient visit and the probability of inpatient visit as the dependent variables is applied to estimate need-predicted healthcare utilization. Furthermore, need-standardized healthcare utilization is assessed through indirect standardization method. Concentration index is measured to reflect income-related inequity of healthcare utilization. Results: The concentration index of need-standardized outpatient utilization is 0.0486[95% confidence interval (0.0399, 0.0574)], 0.0310[95% confidence interval (0.0229, 0.0390)], 0.0167[95% confidence interval (0.0069, 0.0264)] and −0.0108[95% confidence interval (−0.0213, -0.0004)] in 1993, 1998, 2003 and 2008, respectively. For inpatient service, the concentration index is 0.0529[95% confidence interval (0.0349, 0.0709)], 0.1543[95% confidence interval (0.1356, 0.1730)], 0.2325[95% confidence interval (0.2132, 0.2518)] and 0.1313[95% confidence interval (0.1174, 0.1451)] in 1993, 1998, 2003 and 2008, respectively. Conclusions: Utilization of both outpatient and inpatient services was pro-rich in rural China with the exception of outpatient service in 2008. With the same needs for healthcare, rich rural residents utilized more healthcare service than poor rural residents. Compared to utilization of outpatient service, utilization of inpatient service was more inequitable. Inequity of utilization of outpatient service reduced gradually from 1993 to 2008; meanwhile, inequity of inpatient service utilization increased dramatically from 1993 to 2003 and decreased significantly from 2003 to 2008. Recent attempts in China to increase coverage of insurance and primary healthcare could be a contributing factor to counteract the inequity of outpatient utilization, but better benefit packages and delivery strategies still need to be tested and scaled up to reduce future inequity in inpatient utilization in rural China

Exosomes and exosome composite scaffolds in periodontal tissue engineering

Promoting complete periodontal regeneration of damaged periodontal tissues, including dental cementum, periodontal ligament, and alveolar bone, is one of the challenges in the treatment of periodontitis. Therefore, it is urgent to explore new treatment strategies for periodontitis. Exosomes generated from stem cells are now a promising alternative to stem cell therapy, with therapeutic results comparable to those of their blast cells. It has great potential in regulating immune function, inflammation, microbiota, and tissue regeneration and has shown good effects in periodontal tissue regeneration. In addition, periodontal tissue engineering combines exosomes with biomaterial scaffolds to maximize the therapeutic advantages of exosomes. Therefore, this article reviews the progress, challenges, and prospects of exosome and exosome-loaded composite scaffolds in periodontal regeneration

Synergistic protective effect of curcumin and resveratrol against oxidative stress in endothelial EAhy926 cells

Curcumin (C) and resveratrol (R) are two well-known nutraceuticals with strong antioxidant activity that can protect cells from oxidative stress. This study aims to investigate the synergy of CR combinations in protecting human endothelial EAhy926 cells against H2O2-induced oxidative stress and its related mechanisms. C and R as individual compounds as well as CR combinations at different ratios were screened for their protective effects against H2O2 (2.5 mM) induced cell death assessed by cell viability assays. The synergistic interaction was analysed using the combination index model. The effects of optimal CR combinations on caspase-3 activity, ROS level, SOD activity, NAD cellular production, expression of Nrf2 and HO-1, and Nrf2 translocation were determined. CR combinations produced a synergistic protection against that of H2O2-induced changes in cell viability, caspase-3 activity, and ROS production. The strongest effect was observed for CR with the ratio of 8 : 2. Further experiments showed that CR 8 : 2 exhibited significantly greater effects in increasing Nrf2 translocation and expressions of Nrf2 and HO-1 proteins, as well as SOD activity and total cellular NAD production, than that of C or R alone. The findings demonstrate that combination of C and R produced a strong synergy in activity against H2O2-induced oxidative stress in EAhy926 cells. The mechanism of this synergy involves the activation of Nrf2-HO-1 signaling pathway and promotion of antioxidant enzymes. Further studies on CR synergy may help develop a new combination therapy for endothelial dysfunction and other conditions related to oxidative stress

A Survey on Clinical Research Training Status and Needs in Public Hospitals from Shenzhen

Objective: To obtain information on the current clinical research training status and evaluate the training needs comprehensively for medical staff in hospitals.Methods: This survey was initiated and conducted by the Health and Family Planning Commission of Shenzhen in conjunction with the Peking University Clinical Research Institute (Shenzhen) from Sep 2016 through Nov 2016. It was planned that no less than 10% of the total staff from each participating hospital were invited to complete the survey. All participants filled out the questionnaire anonymously and voluntarily.Results: A total of 644 subjects from 12 hospitals completed the survey with the response rate of 28.7%. The majority of respondents (80%) have attended training related to clinical research knowledge and skills, however, medical research ethical aspects and statistics knowledge have been provided only for 40% and 27% of respondents, respectively. With regard to preference on training subjects and contents, Protocol design and development (74%) is ranked first, followed by the data analysis and summary (59%) among those researchers from medical professions. Project management and quality control course are mostly demanded for technicians and nurses (53%). Unpredictably, no more than 40% of the respondents consider that it is necessary to receive “Regulation and Research ethics” course even for those Principal investigators.Conclusions: Our survey results indicated that training subjects on protocol design and research ethics are urgently needed and relatively inadequate in China. An appropriate clinical research competency training model should be developed and provided for hospital staffs in China