The Emergence and Development of Social Assistance in Beijing

As an integral part of the social protection system, the social assistance program in China was fully implemented in all cities in 1999. In recent years, the government has made a further commitment to guide its development, extension, and institutionalization. Accordingly, it has grown dramatically in recent years both in terms of expenditure and number of recipients. It acts as a last resort ‘safety net’ for urban poverty-stricken residents and as a ‘shock absorber’ mitigating social tensions resulting from market-oriented reforms. This paper presents an analysis of the background and development of the social assistance program in Beijing, focusing on issues related to the design and implementation of the program. Relying as it does on a decentralized delivery structure at the neighborhood level, Beijing social assistance programs can have substantial variations in terms of practice and outcomes. This paper proposes that in the long term, China needs to design a more coherent and integrated social protection system

Health Service Access for Rural People Living with HIV/AIDS in China: A Critical Evaluation

The increasingly serious HIV/AIDS epidemic creates a significant burden for the public health system; however, little attention has been paid to the issue of health service access in rural China. Based on a qualitative study of 34 Chinese rural People Living with HIVIAIDS (PLWHA) and 13 health providers, this study fills a gap by examining health service access from both the demand and supply-side. Utilizing access theory, this study explores the availability, affordability and acceptability of health services in rural China. Moreover, this study focuses on access barriers and institutional obstacles that PLWHA meet during their illness and considers the influence of the current Chinese political philosophy of marketization and privatization of the health care systems

Pain perception of older adults in nursing home and home care settings: evidence from China

Background In the past decade, the number of long-term care (LTC) services for older adults in China has grown annually by an average of 10%. Older adults, their family members, and policymakers in China are concerned about patient outcomes in different care settings because older adults who have a similar functional status and LTC needs may choose either nursing home care or home care. The aim of this study was to compare pain perception in nursing home care and home care settings for physically dependent older adults in China. Methods Multi-stage sampling method was used to recruit respondents aged 65 and older from Yichang City, China, in 2015. The researchers employed a two-step analytical strategy—zero-inflated ordered probit regression followed by propensity score matching method—to model the effect of contrasting residence types on pain perception. Results Zero-inflated ordered probit regression analysis with participants unmatched (n = 484) showed that compared with older adults who received home care, those who received nursing home care did not have more severe pain (β = 0.088, SE = 0.196, p = 0.655). After propensity-score matching, the research found that older adults in the home care group perceived less pain compared with the nursing home group (β = 0.489, SE = 0.169, p = 0.004). Conclusions The older adults who received home care perceived significantly less pain than the nursing home residents. The pain of older adults may differ based on the type of LTC services and therapy intensity they received, and home care might lead to less pain and better comfort than nursing home care

Fine-Grained Extraction of Road Networks via Joint Learning of Connectivity and Segmentation

Road network extraction from satellite images is widely applicated in intelligent traffic management and autonomous driving fields. The high-resolution remote sensing images contain complex road areas and distracted background, which make it a challenge for road extraction. In this study, we present a stacked multitask network for end-to-end segmenting roads while preserving connectivity correctness. In the network, a global-aware module is introduced to enhance pixel-level road feature representation and eliminate background distraction from overhead images; a road-direction-related connectivity task is added to ensure that the network preserves the graph-level relationships of the road segments. We also develop a stacked multihead structure to jointly learn and effectively utilize the mutual information between connectivity learning and segmentation learning. We evaluate the performance of the proposed network on three public remote sensing datasets. The experimental results demonstrate that the network outperforms the state-of-the-art methods in terms of road segmentation accuracy and connectivity maintenance

Long-term exposure to ambient fine particulate matter and fasting blood glucose level in a Chinese elderly cohort

Fasting blood glucose level is the primary indicator for the diagnosis of diabetes. We aim to conduct a longitudinal study on the association between long-term fine particulate matter (PM2.5) exposure and fasting blood glucose concentrations. We recruited and followed up 1449 participants older than 65 years of age in 2009, 2012, 2014, and 2017 in eight counties in China. Fasting blood glucose was repeatedly measured 3697 times in total among these participants. Data on annual ground-level PM2.5 concentrations with a 0.01° spatial resolution from 2005 to 2016 were used to assess exposures. An increase of 10 μg/m3 in 3-year average exposure to PM2.5 was associated with an increase of 0.146 mmol/L (95% confidence interval [CI]: 0.045, 0.248) in fasting blood glucose in all participants. The association was more pronounced among the subgroup with diabetes compared to the subgroup without diabetes (P < .05). In conclusion, Long-term PM2.5 exposure was associated with an increase in fasting blood glucose levels among elderly people. Elderly individuals with diabetes are particularly vulnerable to high level exposures of PM2.5. SUMMARY: Long-term PM2.5 exposure was associated with an increase in fasting blood glucose levels among elderly people. Elderly individuals with diabetes are particularly vulnerable to high level exposures of PM2.5. Keywords: elderly; fasting blood glucose; fine particulate matter; long-term exposur

Integrated aquaculture contributes to the transfer of mcr-1 between animals and humans via the aquaculture supply chain

Background Since its discovery in 2015, the mobile colistin resistance gene mcr-1 has been reported in bacteria from > 50 countries. Although aquaculture-associated bacteria may act as a significant reservoir for colistin resistance, systematic investigations of mcr-1 in the aquaculture supply chain are scarce. Objectives We investigated the presence of colistin resistance determinants in the aquaculture supply chain in south China and determined their characteristics and relationships. Methods A total of 250 samples were collected from a duck-fish integrated fishery, slaughter house, and market in Guangdong Province, China, in July 2017. Colistin-resistant bacteria were isolated on colistin-supplemented CHROMagar Orientation plates, and the species were identified by matrix-assisted laser desorption/ionization time-of-flight assay. The presence of mcr genes was confirmed by polymerase chain reaction analysis. We examined the minimum inhibitory concentrations (MICs) of 16 antimicrobial agents against the isolates using agar diffusion and broth microdilution methods. Whole-genome sequencing (WGS) was used to explore the molecular characteristics and relationships of mcr-1-positive Escherichia coli (MCRPEC). Results Overall, 143 (57.2%) colistin-resistant bacteria were isolated, of which, 56 (22.4%, including 54 Escherichia coli and two Klebsiella pneumoniae) and four Aeromonas species were positive for mcr-1 and mcr-3, respectively. The animal-derived MCRPEC were significantly more prevalent in integrated fishery samples (40.0%) than those in market (4.8%, P 90%) but were susceptible to carbapenems and tigecycline. WGS analysis suggested that mcr-1 was mainly contained on plasmids, including IncHI2 (29.6%), IncI2 (27.8%), IncX4 (14.8%), and IncP (11.1%). Genomic analysis suggested mcr-1 transmission via the aquatic food chain. Conclusions MCRPEC were highly prevalent in the aquaculture supply chain, with the isolates showing resistance to most antibiotics. The data suggested mcr-1 could be transferred to humans via the aquatic food chain. Taking the “One Health” perspective, aquaculture should be incorporated into systematic surveillance programs with animal, human, and environmental monitoring

Fabrication of Porous TiO2 Hollow Spheres and Their Application in Gas Sensing

In this work, porous TiO2 hollow spheres with an average diameter of 100 nm and shell thickness of 20 nm were synthesized by a facile hydrothermal method with NH4HCO3 as the structure-directing agent, and the formation mechanism for this porous hollow structure was proved to be the Ostwald ripening process by tracking the morphology of the products at different reaction stages. The product was characterized by SEM, TEM, XRD and BET analyses, and the results show that the as-synthesized products are anatase phase with a high surface area up to 132.5 m2/g. Gas-sensing investigation reveals that the product possesses sensitive response to methanal gas at 200°C due to its high surface area

Family support for the rural elderly in China in the midst of economicreforms

published_or_final_versionSocial Work and Social AdministrationDoctoralDoctor of Philosoph

Flow Characteristics of the Raw Sewage for the Design of Sewage-Source Heat Pump Systems

The flow characteristics of raw sewage directly affect the technical and economic performance of sewage-source heat pump systems. The purpose of this research is to characterize the flow characteristics of sewage by experimental means. A sophisticated and flexible experimental apparatus was designed and constructed. Then the flow characteristics of the raw sewage were studied through laboratorial testing and theoretical analyses. Results indicated that raw sewage could be characterized as a power-law fluid with the rheological exponent n being 0.891 and the rheological coefficient k being 0.00175. In addition, the frictional loss factor formula in laminar flow for raw sewage was deduced by theoretical analysis of the power-law fluid. Furthermore, an explicit empirical formula for the frictional loss factor in turbulent flow was obtained through curve fitting of the experimental data. Finally, the equivalent viscosity of the raw sewage is defined in order to calculate the Reynolds number in turbulent flow regions; it was found that sewage had two to three times the viscosity of water at the same temperature. These results contributed to appropriate parameters of fluid properties when designing and operating sewage-source heat pump systems

A Distributed Reputation Control Architecture Based on Virtual Organizational Domains in the Grid Economy

The user and services provided by resources in Grid environments are dynamic. Therefore, the malicious nodes may exist in Grid system. It will significantly affect the Quality of Service (QOS) requirements of users, even lead to the economic loss of user in the Grid economic environment. So a certain resource management scheme has to be implemented in Grid economy environments to ensure the environments working properly and achieve better scalability. It is recognized an effective measure which uses Reputation to control the access of malicious nodes. In this paper, we design a distributed reputation control architecture which is based on Virtual Organizational Domains (VOD) and propose a reputation calculation algorithm which spans these domains. The inner structure and this framework are also detailed discussed here. At last, through the simulating experiments, it can be proved that this architecture could block the assessment of malicious nodes effectively and improve the efficient and stability of nodes in Grid economy environments