Challenges and Opportunities to Conduct Cancer Care Research in China: Experience from a Pilot Project

Background: Cancer has become the leading cause of death in China. Effective cancer control and population science research programs are desperately needed in China. The China Medical Board (CMB) funding has provided us with an opportunity to build a research team specializing in cancer care utilization and access research and demonstrate the usefulness of the accrued data. The CMB-funded project will describe patterns of cancer screening, incidence, and treatment in Shandong Province in China and enable the researchers to understand possible causes of disparities in cancer control in China. Findings: Although CMB projects do not provide salary support for affiliated American faculty, they do provide Chinese scholars in the U.S. an excellent opportunity to help improve health care in China. There are many challenges and opportunities in health care service and utilization research in China. For example, public data for cancer care research does not exist. We had to acquire secondary data from several governmental organizations andreconciled regional variations in data management. After acquiring all the data, we could create the most comprehensive cancer access, utilization, and outcomes research database to date in China and possibly expand this research in Shandong and other provinces. Students and analysts need to be trained to ensure the confidentiality of data linked to personal identifiers of patients and providers. At the same time, users need to learn how to manipulate and analyze large scale, messy, secondary data. Discussion: We hope that the key findings will identify innovative scientific opportunities to improve cancer control and reduce inequities in communities. We intend to prepare manuscripts and reports in Chinese to disseminate findings to communities, policy makers, health care providers, and  the scientific community. From the policy perspective, this study is a demonstration project drawing policy makers’ attention to the importance of comprehensive cancer prevention and control data collection, both for accurate assessment and informed decision making with a high likelihood to effect desired change

How are individual-level social capital and poverty associated with health equity? A study from two Chinese cities

<p>Abstract</p> <p>Background</p> <p>A growing body of literature has demonstrated that higher social capital is associated with improved health conditions. However, some research indicated that the association between social capital and health was substantially attenuated after adjustment for material deprivation. Studies exploring the association between poverty, social capital and health still have some serious limitations. In China, health equity studies focusing on urban poor are scarce. The purpose of this study is therefore to examine how poverty and individual-level social capital in urban China are associated with health equity.</p> <p>Methods</p> <p>Our study is based on a household study sample consisting of 1605 participants in two Chinese cities. For all participants, data on personal characteristics, health status, health care utilisation and social capital were collected. Factor analysis was performed to extract social capital factors. Dichotomised social capital factors were used for logistic regression models. A synergy index (if it is above 1, we can know the existence of the co-operative effect) was computed to examine the interaction effect between lack of social capital and poverty.</p> <p>Results</p> <p>Results indicated the poor had an obviously higher probability of belonging to the low individual-level social capital group in all the five dimensions, with the adjusted odds ratios ranging from 1.42 to 2.12. When the other variables were controlled for in the total sample, neighbourhood cohesion (NC), and reciprocity and social support (RSS) were statistically associated with poor self-rated health (NC: OR = 1.40; RSS: OR = 1.34). However, for the non-poor sub-sample, no social capital variable was a statistically significant predictor. The synergy index between low individual-level NC and poverty, and between low individual-level RSS and poverty were 1.22 and 1.28, respectively, indicating an aggravating effect between them.</p> <p>Conclusion</p> <p>In this study, we have shown that the interaction effect between poverty and lack of social capital (NC and RSS) was a good predictor of poor SRH in urban China. Improving NC and RSS may be helpful in reducing health inequity; however, poverty reduction is more important and therefore should be implemented at the same time. Policies that attempt to improve health equity via social capital, but neglect poverty intervention, would be counter-productive.</p

Auditor Bargaining Power and Audit Fee Lowballing

Incoming auditors usually charge less audit fees to obtain the business (audit fee lowballing). Prior research shows that industry expert auditors have better expertise and resources to perform higher quality audit than the non-expert auditors. Consistent with this literature, we predict and find empirical evidence that the magnitude of lowballing will be significantly smaller for industry expert auditors comparing with non-experts auditors. This result adds new evidence of the impact of auditors’ barging power to the audit fee lowballing literature. 

Feature-Enhanced Network with Hybrid Debiasing Strategies for Unbiased Learning to Rank

Unbiased learning to rank (ULTR) aims to mitigate various biases existing in user clicks, such as position bias, trust bias, presentation bias, and learn an effective ranker. In this paper, we introduce our winning approach for the "Unbiased Learning to Rank" task in WSDM Cup 2023. We find that the provided data is severely biased so neural models trained directly with the top 10 results with click information are unsatisfactory. So we extract multiple heuristic-based features for multi-fields of the results, adjust the click labels, add true negatives, and re-weight the samples during model training. Since the propensities learned by existing ULTR methods are not decreasing w.r.t. positions, we also calibrate the propensities according to the click ratios and ensemble the models trained in two different ways. Our method won the 3rd prize with a DCG@10 score of 9.80, which is 1.1% worse than the 2nd and 25.3% higher than the 4th.Comment: 5 pages, 1 figure, WSDM Cup 202

Enhanced Electrokinetic Remediation of Cadmium (Cd)-Contaminated Soil with Interval Power Breaking

This study compared electrokinetic (EK) remediation with and without interval power breaking in the removal of total and plant available cadmium (Cd) in the soil. Two laboratory experiments, i.e. EK remediation with interval power breaking (24-12 h power-on-off cycles) and conventional EK remediation (continuous power supply), with the same accumulated time (192 h) of power supply, were conducted to remove soil Cd. After the EK remediation with interval power breaking, the total Cd removal efficiency in the soil rose to 38%, in comparison to 28% after the conventional EK remediation. As for the plant available Cd, the removal efficiency was enhanced from 52 to 63%. Additionally, the electric current during the EK remediation and electric conductivity after the EK remediation were higher in the soil treated by interval power breaking, which indicated an enhanced desorption and/or migration of charged species. It further meant that the higher removal efficiency of soil Cd by interval power breaking could be related to the enhanced desorption and/or migration of Cd species. This study indicated that both conventional EK remediation and EK remediation with interval power breaking were effective methods to remove soil Cd but EK remediation with interval power breaking was more efficient.Peer reviewe

Expression of CXCR4 and non-small cell lung cancer prognosis: a meta-analysis

PURPOSE: The prognostic value of aberrant C-X-C chemokine receptor type 4 (CXCR4) levels in NSCLC has been described in empirical studies. This meta-analysis evaluates the value of CXCR4 as a prognostic marker for NSCLC and determines the relationship between CXCR4 and clinicopathological features of NSCLC. METHODS: A comprehensive search of the English-language literature in PubMed, Embase, Google Scholar and Web of Science was performed. Articles containing sufficient published data to determine an estimate of the hazard ratio (HR) and a 95% confidence interval (95% CI) for over survival (OS) or disease-free survival (DFS) were selected. Of 417 potentially relevant studies, 10 eligible studies (1,334 NSCLC patients) met the inclusion criteria. RESULTS: Overall, high CXCR4 expression was significantly associated with a poor OS rate (HR=1.59, 95% CI=1.36-1.87, P \u3c 0.001) while the association with DFS was not statistically significant (HR=1.00, 95% CI=0.37-2.69, P=0.993). Stratified analysis by subcellular localization found that CXCR4 overexpression in the non-nucleus predicts poor OS (HR=1.65, 95% CI=1.40-1.95, P \u3c 0.001) and DFS (HR=3.06, 95% CI=2.15-4.37, P \u3c 0.001), but elevated CXCR4 expression in the nucleus was positively associated with DFS (HR=0.44, 95% CI=0.26-0.75, P=0.002). NSCLC patients with CXCR4 expression were more likely to be diagnosed with adenocarcinoma cancer (OR=1.45, 95% CI=1.07-1.95, P=0.016), lymph node involvement (OR=0.69, 95% CI=0.50-0.96, P=0.027), and distant metastasis (OR=0.36, 95% CI=0.14-0.93, P=0.035). CONCLUSION: Aberrant overexpression of CXCR4 is associated with worse overall survival, adenocarcinoma histology, distant metastasis, lymph node involvement in NSCLC

In situ electrokinetic (EK) remediation of the total and plant available cadmium (Cd) in paddy agricultural soil using low voltage gradients at pilot and full scales

Electrokinetic (EK) remediation has been widely studied at laboratory scales. However, field-scale research is far less. In this study, a 14-day EK remediation was carried out, in a field pilot (4 m2) test and a full-scale (200 m2) application for the first time, in a cadmium (Cd) contaminated paddy agricultural field near a mining area. A low voltage of 20 V was applied at both scales; voltage gradient was 20 V m & minus;1 and 4 V m & minus;1 at the pilot and full scales, respectively. Samples were taken from near the anode and cathode, and in the middle of the electric field, in the soil layers 0-10 cm, 10-20 cm, and 40-50 cm. After the EK remediation, a significant portion of the total Cd was removed in all the layers at the pilot scale, by 87%, 72%, and 54% from the top down, but only in the 0-10 cm layer at the full scale by 74%. As for the plant available (exchangeable and soluble) Cd, significant removal (64%) was only observed in the 0-10 cm layer at the pilot scale. The percentage reduction of the electrical conductivity and removal efficiency of the total Cd was higher near the anode than the cathode. The soil pH was elevated near the cathode but stayed below pH 6 due to the sufficient supply of lactic acid. After the EK remediation, the concentration of the total Cd dropped below the hazard threshold, i.e. 0.4 mg (kg dry wt soil)& minus;1 for agricultural paddy fields in China. A total energy of 2 kW & middot;h and 0.6 kW & middot;h was consumed at the pilot and full scales, respec-tively. This study showed a successful in situ EK remediation of Cd contaminated paddy agricultural soil, espe-cially in the surface layer, with low voltage and energy demand. (c) 2021 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).Peer reviewe