An indirect estimation of x-ray spectrum via convolutional neural network and transmission measurement.

Objective.In this work, we aim to propose an accurate and robust spectrum estimation method by synergistically combining x-ray imaging physics with a convolutional neural network (CNN).Approach.The approach relies on transmission measurements, and the estimated spectrum is formulated as a convolutional summation of a few model spectra generated using Monte Carlo simulation. The difference between the actual and estimated projections is utilized as the loss function to train the network. We contrasted this approach with the weighted sums of model spectra approach previously proposed. Comprehensive studies were performed to demonstrate the robustness and accuracy of the proposed approach in various scenarios.Main results.The results show the desirable accuracy of the CNN-based method for spectrum estimation. The ME and NRMSE were -0.021 keV and 3.04% for 80 kVp, and 0.006 keV and 4.44% for 100 kVp, superior to the previous approach. The robustness test and experimental study also demonstrated superior performances. The CNN-based approach yielded remarkably consistent results in phantoms with various material combinations, and the CNN-based approach was robust concerning spectrum generators and calibration phantoms.Significance. We proposed a method for estimating the real spectrum by integrating a deep learning model with real imaging physics. The results demonstrated that this method was accurate and robust in estimating the spectrum, and it is potentially helpful for broad x-ray imaging tasks.

Anthropological responses to environmental challenges in SAARC nations: A comparative analysis.

The purpose of the study is to investigate the relationships and potential impacts of environmental pollutants, human resources, GDP, sustainable power sources, financial assets, and SAARC countries from 1995 to 2022. Board cointegration tests, D-H causality, cross-sectional reliance (CSD), Saville and Holdsworth Restricted (SHL), and the DSK Appraisal Strategy were among the logical techniques employed to discover long-term connections between these components. Results demonstrate that GDP growth, renewable energy sources (REC), and environmental pollution (ENP) all contribute to SAARC countries' progress. However, future opportunities and HR are negatively impacted by increased ecological pollution. The results of the two-way causality test demonstrate a strong correlation between HR and future possibilities. Opportunities for the SAARC countries are closely related to the growth of total national output, the use of green electricity, and public support sources. Ideas for tackling future projects are presented in the paper's conclusion. These include facilitating financial development, reducing ecological pollution, financing the progress of human resources, and promoting the use of sustainable power sources.

Household Health-Related Social Needs in Newborns and Infant Behavioral Functioning at 6 Months.

Importance: Dysfunctional patterns of behavior during infancy can predict the emergence of mental health disorders later in childhood. The Baby Pediatric Symptom Checklist (BPSC) can identify indicators of behavioral disorders among children aged 0 to 18 months. Understanding the association of early health-related social needs (HRSNs) with poor infant behavioral functioning can inform interventions to promote early childhood mental well-being. Objective: To examine the association between household HRSNs in the first 4 months of life and BPSC results at 6 months. Design, Setting, and Participants: This was a retrospective cohort analysis of longitudinal electronic health record data. Covariates were selected based on the biopsychosocial ecological model. Logistic regression analyses examined the association of HRSN domains and the number of HRSNs with the 6-month BPSC outcomes. Participants were recruited from 6 primary care clinics within 1 health system. Children aged 5 to 8 months who were evaluated for 6-month well-child visits between March 30, 2021, and June 30, 2022, were included in the study. Exposure: Responses to the first HRSN screening tool that a caregiver completed for infants between 0 and 4 months of age. HRSN domains were examined individually and as the number of positive HRSNs. Main Outcome and Measures: BPSC screen identified for clinical review due to 1 or more elevated subscales (inflexibility, irritability, and difficulty with routines) at 6 months. Results: A total of 1541 children (mean [SD] age, 6.1 [0.5] months; 775 female [50.3%]) were included in the study. A total of 405 children (26.3%) had a BPSC screen identified for clinical review, and 328 caregivers (21.3%) reported at least 1 HRSN. Food insecurity (174 [11.3%]) and benefits issues (169 [11.0%]) were the most frequently reported HRSN. Children in households with food insecurity had statistically significant higher odds of inflexibility (adjusted odds ratio [aOR], 1.73; 95% CI, 1.14-2.63), difficulty with routines (aOR, 1.64; 95% CI, 1.05-2.57), and irritability (aOR, 1.86; 95% CI, 1.13-3.08) than children in households without food insecurity. Children in households with benefits issues had statistically significant higher odds of difficulty with routines (aOR, 1.70; 95% CI, 1.10-2.65) and irritability (aOR, 1.70; 95% CI, 1.03-2.82). Children in households with 2 or more HRSNs had consistently higher odds of having a BPSC screen identified for clinical review (aOR, 2.16; 95% CI, 1.38-3.39) compared with children with no HRSNs. Conclusions and Relevance: Results of this cohort study suggest that household food insecurity, benefits issues, and the number of HRSNs were significantly associated with a BPSC screen identified for clinical review at 6 months of age. These findings highlight the urgency of intervening on HRSNs in the newborn period to prevent adverse infant behavioral outcomes.

Racial Disparities in Pediatric Inflammatory Bowel Disease Care: Differences in Outcomes and Health Service Utilization Between Black and White Children.

OBJECTIVE: To describe racial inequities in pediatric inflammatory bowel disease care and explore potential drivers. METHODS: We undertook a single-center, comparative cohort study of newly diagnosed Black and non-Hispanic White patients with inflammatory bowel disease, aged <21 years, from January 2013 through 2020. Primary outcome was corticosteroid-free remission (CSFR) at 1 year. Other longitudinal outcomes included sustained CSFR, time to anti-tumor necrosis factor therapy, and evaluation of health service utilization. RESULTS: Among 519 children (89% White, 11% Black), 73% presented with Crohn's disease and 27% with ulcerative colitis. Disease phenotype did not differ by race. More patients from Black families had public insurance (58% vs 30%, P < .001). Black patients were less likely to achieve CSFR 1-year post diagnosis (OR: 0.52, 95% CI:0.3-0.9) and less likely to achieve sustained CSFR (OR: 0.48, 95% CI: 0.25-0.92). When adjusted by insurance type, differences by race to 1-year CSFR were no longer significant (aOR: 0.58; 95% CI: 0.33, 1.04; P = .07). Black patients were more likely to transition from remission to a worsened state, and less likely to transition to remission. We found no differences in biologic therapy utilization or surgical outcomes by race. Black patients had fewer gastroenterology clinic visits and 2-fold increased odds for emergency department visits. CONCLUSIONS: We observed no differences by race in phenotypic presentation and medication usage. Black patients had half the odds of achieving clinical remission, but a degree of this was mediated by insurance status. Understanding the cause of such differences will require further exploration of social determinants of health.

How does financial development reduce carbon emissions: evidence from BRI countries.

Low-carbon development in BRI countries is crucial to the global response to climate change. As an important factor in promoting economic growth, financial development has a great impact on BRI countries' carbon emissions. This paper applies the panel data of 43 BRI countries for the period 1997-2019 to investigate the influence of financial development on carbon emissions. The two-tier stochastic Frontier model is employed to decompose the restraining and rebounding effects of financial development. The results show that financial development has both restraining and rebounding effects on carbon emissions, and the rebounding effect is less than the restraining effect, resulting in a positive net effect. The average restraining effect is 0.165, and the average rebounding effect is 0.018, causing the net effect of financial development on carbon emissions to have an average value of 0.147. The restraining effect decreases year by year, implying there is a blocking point to release the restraining effect. Moreover, technological progress strengthens the restraining effect, while the increase in energy consumption weakens the restraining effect. The findings indicate that excavating the restraining effect of financial development, promoting technological progress, and reducing fossil energy consumption is crucial to promoting the low-carbon development of BRI countries.

CYP1B1 Gene Polymorphism Based on Health Monitoring and Nursing Methods after Minimally Invasive Surgery for Lung Cancer.

The rapid development of science and technology has become an indispensable part of human life. Minimally invasive lung cancer surgery, that is, thoracoscopic surgery and da Vinci robotic surgery, has many advantages over previous surgeries, there is no need to make a large incision in the chest, the patient after such surgery, and recovery is also better and can also reduce the incision of the operation. Therefore, with the rapid development of science and technology today, how to detect changes in patients' health and establish an intelligent health monitoring system has become a development trend. This paper proposes to apply health monitoring in CYP1B1 gene polymorphism and nursing after clinical treatment of minimally invasive lung cancer surgery, after analyzing the society's demand for real-time health monitoring in this paper. It also studies the health monitoring system based on the advantages of smart phones. The system is suitable for the Android operating system and can monitor the temperature, weight, and other data of the human body. The experimental results show that the data value of the information displayed by the android software has a high degree of matching with the measured value, which basically keeps floating around 80, and the data consistency is strong.

A perspective of ecological civilization: research on the spatial coupling and coordination of the energy-economy-environment system in the Yangtze River Economic Belt.

The concept of sustainable economic development as the core promotes socio-economic progress and rapid economic development. Nevertheless, in the new era of China, the contradiction between socio-economic development and environmental sustainability is still prominent. In order to deal with the coordinated development relationship among regional economy, energy, and environment, this paper constructs an energy-economy-environment (3E) index system from the perspective of green development and ecological integrity. On this basis, the distance-based coupling coordinated degree (CCD) model and dynamically comprehensive coordination degree model were used to evaluate the coupling coordinated development levels of 11 provinces (cities) along the Yangtze River Economic Belt (YREB) from 2008 to 2017. Then, a spatial econometric model was used to explore the spatial effects of the regional 3E system of the YREB. The results indicated that (1) the overall coordination of the 3E system in the provinces (cities) along the YREB shows an increasing trend. However, change paths varied with the provinces (cities) due to the influence of regional policies; (2) the CCD of the 3E system in the YREB differed spatially significantly, showing a stepped distribution of "high in the east and low in the west"; (3) the 3E system in the YREB had a positive spatial correlation and showed the characteristics of aggregation, with Jiangsu and Zhejiang provinces mainly showing "high-high" agglomeration and Sichuan showing "high-low" aggregation, while the rest of the provinces had the characteristics of random distribution in terms of spatial effects. The research process and results show that combining the ecological civilization concept and the CCD model can provide the vision and indicators for evaluating and researching the regional 3E system.

Distributions, origins, and health-risk assessment of nitrate in groundwater in typical alluvial-pluvial fans, North China Plain.

High concentration of nitrate (NO3-) in groundwater is a major concern because of its complex origin and harmful effects on human health. This study aims to investigate the distributions of nitrate in various aquifers and in areas with different land use types in alluvial-pluvial fans in North China Plain, to identify dominant sources and factors using hydrochemical data and principal component analysis, and to conduct health-risk assessment of groundwater nitrate using the models recommended by USEPA. Results show that approximately 76.1% groundwater in fissured aquifers showed high-NO3- (> 50 mg/L), and was 2.7 times of that in granular aquifers. In fissured aquifers, the proportion of high-NO3- groundwater (PHNG-WHO) in peri-urban areas was more than 1.3 times of those in other areas. Similarly, in shallow granular aquifers, the PHNG-WHO in peri-urban areas was also higher than that in other areas. By contrast, in deep granular aquifers, the PHNG-WHO in urbanized areas was 2.8 and 5.2 times of that in peri-urban areas and farmland, respectively. High NO3- levels in both granular and fissured aquifers originated mainly from domestic sewage and animal waste, and fertilizers are also important sources of NO3- in fissured aquifers. Intensive groundwater exploitation aggravated nitrate contamination because more thickness of vadose zones resulting from over-exploitation is in favor of nitrification. Risk assessment of groundwater nitrate indicated about 43.3%, 45.6%, and 54.2% of the groundwater samples showed unacceptable non-carcinogenic risk to adult males, adult females, and children, respectively. The proportion of samples with health risks had a significant positive correlation with the urbanization level. Our study indicates that several effective measures for pollution prevention, such as strengthening sewage treatment and prohibiting groundwater over-exploitation, must be adopted so as to ensure the sustainable management of groundwater and the safety of drinking water.

Analysing the phenotype development of soybean plants using low-cost 3D reconstruction.

With the development of digital agriculture, 3D reconstruction technology has been widely used to analyse crop phenotypes. To date, most research on 3D reconstruction of field crops has been limited to analysis of population characteristics. Therefore, in this study, we propose a method based on low-cost 3D reconstruction technology to analyse the phenotype development during the whole growth period. Based on the phenotypic parameters extracted from the 3D reconstruction model, we identified the "phenotypic fingerprint" of the relevant phenotypes throughout the whole growth period of soybean plants and completed analysis of the plant growth patterns using a logistic growth model. The phenotypic fingerprint showed that, before the R3 period, the growth of the five varieties was similar. After the R5 period, the differences among the five cultivars gradually increased. This result indicates that the phenotypic fingerprint can accurately reveal the patterns of phenotypic changes. The logistic growth model of soybean plants revealed the time points of maximum growth rate of the five soybean varieties, and this information can provide a basis for developing guidelines for water and fertiliser application to crops. These findings will provide effective guidance for breeding and field management of soybean and other crops.

A formative assessment of gender awareness and ability of staff based on the service programs of the All-China Women's Federation: The case of the "3861 My Home" program.

In order to achieve "gender mainstreaming" which is a global strategy to promote the development of women, it has in recent years been a major task for the All-China Women's Federation (ACWF) to improve the gender awareness and ability of policy makers and implementers. Thus, researchers should constantly propose and evaluate various possible attempts to improve gender awareness and the ability of individuals. There are few empirical studies on the assessment of gender awareness and the improvement of the ability of staff who have been trained and educated. Research studies focusing on the promotion of gender-sensitive awareness and ability of staff by participating in programs are even rarer. This study presents a specific case, namely the evaluation of promoting social service workers' gender awareness and ability within the implementation of the "3861 My Home" program. Based on this case, this study examines how to promote gender awareness and ability of social service workers through the implementation of the service program of Women's Federation, and also assesses the quality of the results of this implementation. Moreover, this study also contributes to the literature pertaining to assessing the development of social service workers' gender awareness and ability. In addition, the study provides an option for enhancing the gender awareness and ability of social service workers in addition to training: The participatory learning or action pertaining to gender awareness and ability based on the Women's Federation programs are able to effectively improve the gender awareness and ability of staff.

Net ecosystem carbon and greenhouse gas budgets in fiber and cereal cropping systems.

To assess the contributions of fiber and cereal production on climate change, the net ecosystem exchange of carbon dioxide (CO2), main exchanges of non-CO2 carbon, and methane (CH4) and nitrous oxide (N2O) fluxes were continuously monitored throughout two year-round crop cycles (Y1 and Y2: 1st and 2nd year-round crop cycles, respectively) using eddy covariance, biometric observation, and static chamber methods in typical cotton and wheat-maize rotational cropping systems in China. The evaluation of net ecosystem carbon budgets (NECBs: considering net ecosystem CO2 exchange and non-CO2 carbon exchanges by fertilization, seeding, and harvest) and greenhouse gas budgets (GHGBs: adding CH4 and N2O fluxes to the NECBs based on CO2 equivalents) showed that the cotton cropping system persistently functioned as an intensive carbon (-1527 and -974 kg C ha-1 yr-1) and greenhouse gas (GHG) source (5618 and 3591 kg CO2-eq ha-1 yr-1) because of the large CO2 emissions during the long fallow periods (5748 and 5160 kg CO2 ha-1 in Y1 and Y2, respectively). The wheat-maize cropping system had high net ecosystem production (NEP) and low harvest index and therefore, served as a notable carbon sink (1461 kg C ha-1 yr-1 in Y2). Although high irrigation water and chemical fertilizer inputs stimulated N2O emissions, the wheat-maize cropping system still behaved as an important GHG sink (-4257 kg CO2-eq ha-1 yr-1 in Y2) because of the tremendous net carbon sequestration. However, in Y1 incidental wind damage lowered the NEP and turned the wheat-maize cropping system into a GHG source (2144 kg CO2-eq ha-1 yr-1). The NEP, NECBs, and GHGBs of the double cropping system generally exceeded those of the single cropping system. The traditional rotation between double and single cropping systems should be restored to maintain soil carbon storage and alleviate the radiative forcing effects of cotton production.

Bayesian selective response-adaptive design using the historical control.

High quality historical control data, if incorporated, may reduce sample size, trial cost, and duration. A too optimistic use of the data, however, may result in bias under prior-data conflict. Motivated by well-publicized two-arm comparative trials in stroke, we propose a Bayesian design that both adaptively incorporates historical control data and selectively adapt the treatment allocation ratios within an ongoing trial responsively to the relative treatment effects. The proposed design differs from existing designs that borrow from historical controls. As opposed to reducing the number of subjects assigned to the control arm blindly, this design does so adaptively to the relative treatment effects only if evaluation of cumulated current trial data combined with the historical control suggests the superiority of the intervention arm. We used the effective historical sample size approach to quantify borrowed information on the control arm and modified the treatment allocation rules of the doubly adaptive biased coin design to incorporate the quantity. The modified allocation rules were then implemented under the Bayesian framework with commensurate priors addressing prior-data conflict. Trials were also more frequently concluded earlier in line with the underlying truth, reducing trial cost, and duration and yielded parameter estimates with smaller standard errors.

Heavy metal(loid)s and organic contaminants in groundwater in the Pearl River Delta that has undergone three decades of urbanization and industrialization: Distributions, sources, and driving forces.

Urbanization and industrialization have increased groundwater resource demands, and may drive the change of heavy metal(loid)s and organic chemicals in groundwater in the Pearl River Delta (PRD), southern China. Thus, a comprehensive understanding of the distributions, sources, and driving forces of heavy metal(loid)s and organic chemicals in groundwater in the PRD is vital for water resource management in this region. In this study, eight heavy metal(loid)s and fifty-five organic chemicals in groundwater across the PRD were investigated. The results show that undrinkable groundwater related to heavy metal(loid)s was mainly due to high concentrations of Fe (19.3%) and As (6.8%). Eighteen organic contaminants were detected in groundwater in the PRD, where the most frequently detected organic contaminant was naphthalene, and its detection rate was 2.51%. In 5.3% of all groundwater samples, one or more organic contaminants were found. All detected organic contaminants, except ones without allowable limits, in groundwater were at concentrations below allowable limits of China. The mean concentrations of heavy metal(loid)s in granular aquifers were higher than those in fissured and karst aquifers, especially for Fe and As. Except Se, the mean concentrations of other heavy metal(loid)s and the frequency of detection of organic contaminants in groundwater in urbanized and peri-urban areas were higher than those in non-urbanized areas, especially for Hg, Co, and organic contaminants. Fe, As, and Se in groundwater mainly originated from the release of Fe/As/Se rich sediments. The former two were driven by reduction reactions, while the latter was driven by oxidation resulting from the infiltration of NO3-. In contrast, other five heavy metal(loid)s and organic contaminants in groundwater mainly originated from the anthropogenic sources, such as the infiltration of industrial sewage. It is evident that urbanization and industrialization are two powerful driving forces for heavy metal(loid)s and organic contaminants in groundwater in the PRD.

Assessment of sleep quality using cardiopulmonary coupling analysis in patients with Parkinson's disease.

Objectives: To assess the sleep quality of patients with Parkinson's disease (PD) and evaluate the effect of cardiopulmonary coupling (CPC) analysis on sleep quality and its correlation with subjective complaints in patients with PD. Methods: Our study included 42 patients with PD and 30 healthy controls. CPC analysis and the Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the sleep quality of subjects. Results: High-frequency coupling (HFC) and sleep efficiency were significantly lower in the PD than in the control group, whereas very low-frequency coupling (VLFC) and sleep latency were significantly higher in the PD than in the control group. PSQI scores were significantly higher in the PD than in the control group (all p < .05). The PSQI score showed a negative correlation with the HFC ratio in the PD group (r = -.478, p = .001). Factors related to the occurrence of PD with poor sleep quality were the unified Parkinson's disease rating scale (UPDRS) score and nocturia. Conclusions: The sleep quality of patients with PD was generally decreased. CPC analysis can reflect the subjective sleep quality of patients with PD and serve as an effective sleep monitoring tool.

Improving rice production sustainability by reducing water demand and greenhouse gas emissions with biodegradable films.

In China, rice production is facing unprecedented challenges, including the increasing demand, looming water crisis and on-going climate change. Thus, producing more rice at lower environmental cost is required for future development, i.e., the use of less water and the production of fewer greenhouse gas (GHG) per unit of rice. Ground cover rice production systems (GCRPSs) could potentially address these concerns, although no studies have systematically and simultaneously evaluated the benefits of GCRPS regarding yields and considering water use and GHG emissions. This study reports the results of a 2-year study comparing conventional paddy and various GCRPS practices. Relative to conventional paddy, GCRPSs had greater rice yields and nitrogen use efficiencies (8.5% and 70%, respectively), required less irrigation (-64%) and resulted in less total CH4 and N2O emissions (-54%). On average, annual emission factors of N2O were 1.67% and 2.00% for conventional paddy and GCRPS, respectively. A cost-benefit analysis considering yields, GHG emissions, water demand and labor and mulching costs indicated GCRPSs are an environmentally and economically profitable technology. Furthermore, substituting the polyethylene film with a biodegradable film resulted in comparable benefits of yield and climate. Overall, GCRPSs, particularly with biodegradable films, provide a promising solution for farmers to secure or even increase yields while reducing the environmental footprint.

Why informally employed Chinese women do not go to the doctor.

Informal employment, in which workers have no security of employment and receive few or no health insurance benefits, has risen sharply in urban China in the last decade. The percentage of women in informal employment in China is higher than in the formal employment sector; 'feminization' has thus become a key feature of informal employment in China. A feminized informal labor sector has far-reaching effects on the status of women's health and on women's health-seeking behavior. To better understand this behavior, especially barriers to health seeking, we conducted 34 interviews informally employed women in Guangzhou, China. For comparative purposes, we also interviewed 22 men in the informal labor sector. Findings reveal that compared with men, women have more serious health problems but report seeking medical attention less frequently. Financial constraints, distrust of doctors and medical expenses, unfriendly treatment environments and traditional attitudes about health and illness among women were the main barriers to health seeking. Implications for health promotion are discussed.

Rapid and sensitive detection of microcystin by immunosensor based on nuclear magnetic resonance.

A stable and sensitive toxin residues immunosensor based on the relaxation of magnetic nanoparticles was developed. The method was performed in one reaction and offered sensitive, fast detection of target toxin residues in water. The target analyte, microcystin-LR (MC-LR) in Tai lake water, competed with the antigens on the surface of the magnetic nanoparticles and then influenced the formation of aggregates of the magnetic nanoparticles. Accordingly, the magnetic relaxation time of the magnetic nanoparticles was changed under the effect of the target analyte. The calibration curve was deduced at different concentrations of the target analyte. The limit of detection (LOD) of MC-LR was 0.6 ng g(-1) and the detection range was 1-18 ng g(-1). Another important feature of the developed method was the easy operation: only two steps were needed (1) to mix the magnetic nanoparticle solution with the sample solution and (2) read the results through the instrument. Therefore, the developed method may be a useful tool for toxin residues sensing and may find widespread applications.

Clinical assessment for three routes of hysterectomy.

BACKGROUND: Hysterectomy is a very common surgery in gynecology. Ideal surgery for hysterectomy is microinvasive with few complications. There are three major routes of hysterectomy that are currently used. The aim of this study was to identify the differences of peri-operative outcome among the patients who underwent the three different approaches. METHODS: One hundred and one women undergoing hysterectomy for myoma had the procedure performed by laparoscopic assisted vaginal hysterectomy (LAVH), total vaginal hysterectomy (TVH) or total abdominal hysterectomy (TAH) in a randomized study. We compared the course of peri-operative and post-operative outcome for the three different approaches. RESULTS: were evaluated by linear regression analysis, Fisher's exact test and Student's t test for independent samples. RESULTS: The operation time among the three procedures was not significantly different (P > 0.05). The amount of blood loss in the TVH group was less than in the LAVH and TAH groups (P < 0.05). The pain score 3 hours after operation in the LAVH group was significantly lower than in the TAH and TVH groups (P < 0.001). The pain scores in the LAVH and TVH groups were lower than in the TAH group at 24 and 48 hours after operation (P < 0.01). The women who underwent LAVH and TVH had a shorter hospitalization stay (P < 0.001). The highest body temperature after operation in the TAH group was higher than that in LAVH and TVH groups (P < 0.001). CONCLUSIONS: LAVH and TVH are better procedures for women requiring hysterectomy. The peri-operative and post-operative courses of TVH are better than LAVH, excluding the pain score 3 hours after operation. Vaginal hysterectomy is the most cost-effective approach but the final choice for the route of hysterectomy can depend on many factors such as gynecological disease, patients' health status and experiences of the gynecologist.

The epidemiology and burden of rotavirus in China: a review of the literature from 1983 to 2005.

We reviewed studies of rotavirus in MEDLINE and the Chinese literature to get a preliminary estimate of the burden of rotavirus gastroenteritis in China and the epidemiology of the disease. Studies were selected if they were conducted for a period 1 year or more, had more than 100 patients enrolled, and used an accepted diagnostic test. Overall, in 27 reports of children hospitalized for diarrhea in urban areas and 3 in rural areas, 44 and 33%, respectively, had rotavirus identified as the etiologic agent. Rotavirus was less commonly detected in children with milder illness seen in clinics (26% in urban and 28% in rural areas) and those cared for in the community (9%). The four main strains of rotavirus in circulation worldwide were also found in China and while G1 was the predominant strain overall, G3 emerged to be the most common strain in 9 of the 12 most recent studies. The disease has a distinct winter seasonal pattern and affects most children in their first 2 years of life. Although further studies are required to fully assess the burden of rotavirus diarrhea before decisions can be made about vaccine use, this review suggests that development and implementation of rotavirus vaccines should be a national priority.

Tourism's impacts on natural resources: A positive case from China.

Tourism development may result in negative impacts on natural resources owing to overuse and mismanagement. However, tourism may also play positive roles in natural resource conservation, which has rarely been verified in practice, although some researchers have demonstrated this in theory. In this article, taking the Jiuzhaigou Biosphere Reserve as a case study area, we conducted an analysis for the environmental impacts from tourism development based on social survey and interpretation of remote sensing images. The results show that the natural environment was not degraded and some indicators are even improving because all the residents have participated in tourism and given up farming and hunting. It is concluded that it is possible to use tourism as a way to balance natural resource conservation and economic development under the preconditions of making effective policies to encourage and help local people participate in tourism business and to benefit from it.