ABSTRACT
BACKGROUND: Since the 20th century, pursuing Universal Health Coverage (UHC) has emerged as an important developmental objective in numerous countries and across the global health community. With the intricate ramifications of population mobility (PM), the government faces a mounting imperative to judiciously deploy health expenditure to realise UHC effectively. OBJECTIVE: This study aimed to construct a comprehensive UHC index for China, assess the spatial effects of Government Health Expenditure (GHE) on UHC, and explore the moderating effects of PM on this association. METHOD: A Dynamic Spatial Durbin Model (DSDM) was employed to investigate the influence of the GHE on UHC. Therefore, we tested the moderating effect of PM. RESULTS: In the short-term, the GHE negatively impacted local UHC. However, it enhanced the UHC in neighbouring regions. Over the long term, GHE improved local UHC but decreased UHC in neighbouring regions. In the short-term, when the PM exceeded 1.42, the GHE increased the local UHC. Over the long term, when the PM exceeded 1.107, the GHE impeded local UHC. If the PM exceeded 0.91 in the long term, the GHE promoted UHC in neighbouring regions. The results of this study offer a partial explanation of GHE decisions and behaviours. CONCLUSIONS: To enhance UHC, a viable strategy involves augmenting vertical transfer payments from the central government to local governments. Local governments should institute healthcare systems tailored to the urban scale and developmental stages, with due consideration for PM. Optimising the information disclosure mechanism is also a worthwhile endeavour.
Subject(s)
Delivery of Health Care , Health Expenditures , Humans , Global Health , Government , ChinaABSTRACT
Empathy, the ability to understand and respond to the experiences of others, is an important skill for maintaining good relationships throughout one's life. Previous research indicated that emotional empathy remained stable or even increased in older adults compared to younger adults, while cognitive empathy showed age-related deficits. Based on the selective engagement hypothesis, this deficit was not caused by a decline in cognitive functioning, but by a lack of willingness to judge the target person's emotions more precisely, that is, by a lack of interaction motivation. In order to provide more evidence on the causes of empathic aging in older adults, the current study investigated the influence of interaction motivation on empathy in older adults in an Eastern cultural context (China) based on the selective engagement hypothesis. This study used older adults and younger adults as subjects. Through two experiments, empathy was measured by the multiple empathy test (Experiment 1) and film tasks (Experiment 2); at the same time, use accountability instructions (Experiment 1), the age-related events (Experiment 2) to manipulate interaction motivation. The results showed that emotional empathy was significantly higher in older adults than in younger adults, regardless of whether interaction motivation was elicited. In terms of cognitive empathy, when there is no motivation, the cognitive empathy of older adults is significantly lower than that of younger adults. When the interaction motivation is stimulated, the cognitive empathy of older adults is no less than that of younger adults. This suggested that empathic aging in older adults was not a permanent decline in cognitive empathy, but rather a decline in interaction motivation, supporting the selective engagement hypothesis.
Subject(s)
Empathy , Motivation , Humans , Aged , Aging , Emotions , CognitionABSTRACT
Faces and Chinese characters are both objects of perceptual expertise. In this study, we investigated the characteristics of interhemispheric transmission times (IHTTs) in both transmission direction and transmission efficiency during the processing of objects of perceptual expertise. A total of 112 participants engaged in a divided visual field paradigm for faces, Chinese characters, and houses in both upright and inverted orientations. The N170 amplitudes elicited by the objects of perceptual expertise (faces and Chinese characters) involved in this study were larger than those elicited by the non-perceptual expertise objects (houses). We used the latencies of the N170 component of the event-related potential (ERP) recorded in the left and right hemispheres to calculate the IHTTs. For all objects, the N170-related IHTTs from the right to the left hemispheres were shorter than those in the opposite direction. Essentially, the N170-related IHTTs for faces were shorter, that is, more efficient than those for Chinese characters and houses. This result indicates that the IHTTs during perceptual expertise and non-perceptual expertise object processing share a common transmission direction advantage, but transmission efficiency is face-specific.
Subject(s)
Electroencephalography , Functional Laterality , Humans , Face , Photic Stimulation , Evoked Potentials , Pattern Recognition, VisualABSTRACT
Background: As the role of emotional intelligence has been increasingly explored, researchers generally agree that emotional intelligence is a better predictor of individual success. And fortunately, emotional intelligence is somewhat easily shaped. Schools are important microsites for the shaping of an individual's emotional intelligence. Good teacher-student relationship contribute to the shaping and development of students' emotional intelligence. Objective: Based on the theory of developmental contextualism, the current study aims to identify the relationship between good teacher-student relationship and students' emotional intelligence, and the mediating roles of students' openness and emotional intelligence. Methods: In this study, a total of 352 adolescents (11-15 years old) from two schools were surveyed using the teacher-student relationship scale, big five inventory openness subscale, and emotional intelligence scale. Results: Teacher-student relationship were positively correlated with students' openness, empathy, and emotional intelligence. Teacher-student relationship positively predicted students' emotional intelligence; students' openness and empathy played a fully mediating role in teacher-student relationship and emotional intelligence. Conclusion: The closeness and supportiveness of the teacher-student relationship were positively related to students' openness, empathy, and emotional intelligence were positively correlated.
ABSTRACT
To investigate the effects of left-behind children's empathy and coping styles on school adjustment, 605 left-behind children in the third grade from three rural elementary schools in Suzhou, Anhui Province were selected to complete the Chinese version of the Interpersonal Reaction Index Scale, the Coping Style Scale, and the School Adjustment Behavior Scale for Primary and Secondary School Students. The results showed that (1) emotional empathy positively predicted children's social competence, and negatively predicted children's antisocial behavior; cognitive empathy positively predicted children's social competence; (2) the role of positive coping styles mediated the relationship between cognitive empathy and social competence, and that between cognitive empathy and antisocial behavior; negative coping styles mediated the relationship between cognitive empathy and antisocial behavior; both positive and negative coping styles mediated the relationship between emotional empathy and social competence, and that between emotional empathy and antisocial behavior. The findings of the study are valuable for understanding the relationship between empathy and school adjustment, which also helps to enhance the school adjustment of left-behind children.
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Genetic mutations in heat shock factor 4 (Hsf4) is associated with both congenital and age-related cataracts. Hsf4 regulates lens development through its ability to both activate and inhibit transcription. Previous studies suggested Hsf4 is involved in modulating cellular senescence depending on p21cip1 and p27 kip1 expression in MEF cells. Here, we found that Hsf4 acts as a suppressor of p21cip1 expression and plays an anti-senescence role during lens development. Knocking out Hsf4 facilitated UVB-induced cellular senescence in mouse lens epithelial cells (mLECs). p21cip1 was upregulated at both the mRNA and protein levels in HSF4-/- mLECs under control and UVB-treated conditions, and knockdown of p21cip1 by siRNA alleviated UVB-induced cellular senescence. HSF4 directly bound to the p21cip1 promoter and increased H3K27m3 levels at the p21cip1 proximal promoter region by recruiting the methyltransferase EZH2. In animal models, p21cip1 was gradually upregulated in wild-type mouse lenses with increasing age, while Hsf4 levels decreased. We generated a Hsf4 mutant mice line (Hsf4del-42) which displayed obvious congenital cataract phenotype. The expression of p21cip1 and senescence-associated cytokines were induced in the cataractous lenses of Hsf4del-42 mice. H3K27m3 and EZH2 levels decreased in p21cip1 promoters in the lenses of Hsf4del-42 mice. The SA-ß-Gal activities were positive in lens epithelia of aged Hsf4null zebrafish compared to wild-type lenses. p21cip1 and senescence-associated cytokines levels were also upregulated in lenses of Hsf4null zebrafish. Accordingly, we propose that HSF4 plays a protective role in lens epithelial cells against cellular senescence during lens development and aging, partly by fine-tuning p21cip1 expression.
Subject(s)
Cyclin-Dependent Kinase Inhibitor p21/genetics , Heat Shock Transcription Factors/deficiency , Lens, Crystalline/pathology , Zebrafish Proteins/deficiency , Zebrafish Proteins/genetics , Aging/genetics , Animals , Animals, Genetically Modified , Cataract/genetics , Cataract/pathology , Cell Line , Cellular Senescence/genetics , Cellular Senescence/radiation effects , DNA Methylation , Disease Models, Animal , Enhancer of Zeste Homolog 2 Protein/metabolism , Epithelial Cells/pathology , Epithelial Cells/radiation effects , Gene Expression Regulation, Developmental , Gene Knockout Techniques , Heat Shock Transcription Factors/genetics , Histones/genetics , Histones/metabolism , Humans , Lens, Crystalline/cytology , Lens, Crystalline/growth & development , Lens, Crystalline/radiation effects , Mice , Promoter Regions, Genetic , Ultraviolet Rays/adverse effects , Zebrafish , Zebrafish Proteins/metabolismABSTRACT
Recent studies have investigated whether conscious awareness is necessary for semantic integration. Although results have varied, simultaneous presentation of words have consistently led to greater semantic integration than sequential presentation in a single location. The current studies were designed to investigate whether the disadvantage of sequential presentation for unconscious semantic integration is specific to unfamiliar word-by-word presentation in one location or extends to the more natural reading conditions of viewing items sequentially from left to right. In Experiment 1, when the first three characters of Chinese idioms were presented simultaneously under masked conditions, performance on a separate two-alternative forced-choice recognition task was at chance level. Despite being unaware of the identity of prime characters, participants were faster to indicate that a subsequent item was a Chinese character when it was congruent with the beginning of the idiom, thus providing evidence of semantic integration. In contrast, when the three (Experiment 2) or two (Experiment 3) prime characters were presented sequentially in time from left to right, there was no evidence of semantic integration. These results indicate that unconscious semantic integration is more limited than previously reported, and may require simultaneous visual presentation.
Subject(s)
Semantics , Consciousness , Dyslexia , HumansABSTRACT
In the present study, we showed evidence of an integration between two unconscious semantic representations. In experiment 1, two masked Chinese words of the same or different categories ("orange apple" or "grape hammer") were simultaneously presented in the prime, followed by two Chinese words also of same or different categories in the target. We examined possible prime/target visual feature priming, semantic category priming and motor response priming effects. Moreover, two ISI intervals (53, 163 ms) between the prime and the target words were used to examine the positive and negative priming. The results revealed a negative motor response priming and a positive semantic category priming effect independent of the ISI when the target words were of the same category. Experiment 2 eliminated an alternative interpretation of the effect based on different number of category words changed across the prime and the target. Experiment 3 eliminated a potential confound of unequal numbers of trials for motor congruent and incongruent conditions in Experiment 1. Overall, these results indicated an integration between the meanings of the two subliminally perceived words in the prime. The difference between simultaneous and sequential presentations, and the reason why positive priming was not observed when the interval between the prime and the target was short were discussed in the context of unconscious semantic integration.
Subject(s)
Reaction Time/physiology , Repetition Priming/physiology , Semantics , Adult , China , Female , Humans , Male , Young AdultABSTRACT
The transplant of small-diameter tissue engineering blood vessels (small-diameter TEBVs) (<6 mm) in vascular replacement therapy often fails because of early onset thrombosis and long-standing chronic inflammation. The specific inflammation state involved in small-diameter TEBVs transplants remains unclear, and whether promoting inflammation resolution would be useful for small-diameter TEBVs therapy need study. The neural protuberant orientation factor 1 (Netrin-1) is found present in endothelial cells of natural blood vessels and has anti-inflammatory effects. This work generates netrin-1-modified small-diameter TEBVs by using layer-by-layer self-assembly to resolve the inflammation. The results show that netrin-1 reprograms macrophages (MΦ) to assume an anti-inflammatory phenotype and promotes the infiltration and subsequent efflux of MΦ from inflamed sites over time, which improves the local microenvironment and the function of early homing endothelial progenitor cells (EPCs). Small-diameter TEBVs modified by netrin-1 achieve endothelialization after 30 d and retain patency at 14 months. These findings suggest that promoting the resolution of inflammation in time is necessary to induce endothelialization of small-diameter TEBVs and prevent early thrombosis and problems associated with chronic inflammation. Furthermore, this work finds that the MΦ-derived exosomes can target and regulate EPCs, which may serve as a useful treatment for other inflammatory diseases.
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AIM: To investigate the genetic mutations that are associated the hereditary autosomal dominant cataract in a Chinese family. METHODS: A Chinese family consisting of 20 cataract patients (including 9 male and 11 female) and 2 unaffected individuals from 5 generations were diagnosed to be a typical autosomal dominant cataract pedigree. Genomic DNA samples were extracted from the peripheral blood cells of the participants in this pedigree. Exon sequence was used for genetic mutation screening. In silico analysis was used to study the structure characteristics of connexin 46 (CX46) mutant. Immunoblotting was conduceted for testing the expression of CX46. RESULTS: To determine the involved genetic mutations, 11 well-known cataract-associated genes (cryaa, cryab, crybb1, crybb2, crygc, crygd, Gja3, Gja8, Hsf4, Mip and Pitx3) were chosen for genetic mutation test by using exon sequencing. A novel cytosine insertion at position 1195 of CX46 cDNA (c.1194_1195ins C) was found in the samples of 5 tested cataract patients but not in the unaffected 2 individuals nor in normal controls, which resulted in 30 amino acids more extension in CX46C-terminus (cx46fs400) compared with the wild-type CX46. In silico protein structure analysis indicated that the mutant showed distinctive hydrophobicity and protein secondary structure compared with the wild-type CX46. The immunoblot results revealed that CX46 protein, which expressed in the aging cataract lens tissues, was absence in the proband lens. In contrast, CX50, alpha A-crystallin and alphaB-crystallin expressed equally in both proband and aging cataract tissues. Those results revealed that the cx46fs400 mutation could impair CX46 protein expression. CONCLUSION: The insertion of cytosine at position 1195 of CX46 cDNA is a novel mutation site that is associated with the autosomal dominant cataracts in this Chinese family. The C-terminal frameshift mutation is involved in regulating CX46 protein expression.
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Activation of Heat shock factor 4-mediated heat shock response is closely associated with postnatal lens development. HSF4 controls the expression of small heat shock proteins (e.g. HSP25 and CRYAB) in lens epithelial cells. However, their roles in modulating lens epithelium homeostasis remain unclear. In this paper, we find that HSF4 is developmentally expressed in mouse lens epithelium and fiber tissue. HSF4 and alpha B-crystallin can selectively protect lens epithelial cells from cisplatin and H2O2 induced apoptosis by stabilizing mitochondrial membrane potential (ΔYm) and reducing ROS production. In addition, to our surprise, HSF4 is involved in upregulating lysosome activity. We found mLEC/HA-Hsf4 cells to have increased DLAD expression, lysosome acidity, cathepsin B activity, and degradation of plasmid DNA and GFP-LC3 protein when compared to mLEC/Hsf4-/- cells. Knocking down Cryab from mLEC/HA-Hsf4 cells inhibits HSF4-mediated lysosome acidification, while overexpression of CRYAB can upregulate cathepsin B activity in mLEC/Hsf4-/- cells. CRAYAB can interact with ATP6V1/A the A subunit of the H+ pump vacuolar ATPase, and is colocalized to lamp1 and lamp2 in the lysosome. Collectively, these results suggest that in addition to modulating anti-apoptosis, HSF4 is able to regulate lysosome activity by at least controlling alpha B-crystallin expression, shedding light on a novel molecular mechanism of HSF4 in regulating lens epithelial cell homeostasis.