Search

Antibiotic overprescription in China has long been considered a problem on the supply side, linked to the financial incentives of physicians. Based on the conversation analysis of 187 video-recorded naturally occurring medical consultations in Chinese paediatric primary care settings, this study finds that the driving force behind the problem of antibiotic overprescription in China has changed. Physicians use a low-authority communication style to recommend treatment, displaying a low level of medical authority and a willingness to accommodate caregivers' preferences in antibiotic prescribing decisions. The problem is now attributed to physician-caregiver interaction, doctor-patient relationship and the antibiotic-saturated prescribing culture. Practice implications involve deepening the understanding of the evolving nature of the antibiotic overprescription problem in China, building trust between physicians and patients/caregivers in order to facilitate the physicians' role as the gatekeeper of antibiotics and providing training programmes to help physicians develop effective communication skills., (© 2023 Foundation for the Sociology of Health & Illness.)

In today's world of rapidly expanding economies, the fundamental aim of most nations is to raise the quality of living for their citizens. The investigation aims to analyze how environmental rules affect the emergence of environmentally conscious economies. This research focused on China's 26 provinces to investigate the elements influencing green economic development. These components included information and communication technology (ICT), industrial structure (IND), human capital (EDU), and foreign direct investment. Spatial modeling and SBM methods were utilized to show that there is still a connection between the variables after all these years using yearly time series data that began in 2000. Overall, the results suggest that environmental regulation helps green economic development (GDE), whereas industrial structure significantly hinders. Similar to the previous point, information and communication technology has a favorable influence on building a sustainable economy. The problem of ensuring long-term economic growth via information and communication technology is complicated and has scholars engaged in exciting discussion. The expansion of the green economy is also affected by factors such as human capital and foreign direct investment. This study's findings illuminate the economic effects of environmental regulations and support the contention that such laws are necessary for accomplishing the win-win goals of green economic development and environmental protection. This means that the research provides a fresh perspective to consider the monetary effects of environmental restrictions., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

The Information and Communication Technology (ICT) industry takes on critical significance in promoting economic development and reducing carbon emissions. From the agglomeration perspective, how the ICT industry agglomeration affects carbon emission efficiency (CEE) in 30 provinces in China from 2006 to 2020 is innovatively investigated. We measured CEE using a dynamic directional distance function-based DEA model. Then, based on the research hypotheses, the specific impact and transmission mechanism of ICT industrial agglomeration on CEE are revealed using a spatial Dubin model and a threshold panel model. The results show that: (1) the ICT industry agglomeration exerts a remarkable inverted "U-shaped" effect on CEE. This non-linear effect is significant in the eastern and central regions, but not in the western region. (2) ICT industry agglomeration can affect CEE in neighboring regions. The spatial spillover effect shows an inverted "U-shaped" in the central region, positive in the western region, and insignificant in the eastern region. (3) when green technology innovation exceeds the threshold value (4.948), ICT industry agglomeration positively affects CEE, and when energy structure exceeds the threshold value (0.389), their marginal effects are significantly negative. The threshold effect also shows regional heterogeneity. This research proposes policy recommendations focusing on accelerating the ICT industry transformation, leveraging the spillover and technological advantages of agglomeration, and enhancing regional cooperation., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Urban digitalization is a critical focus for economic development and the low carbon transition. Recognizing how urban digitalization influences carbon emissions efficiency (CEE) is of great practical significance to high-quality urban development. Previous studies have lacked a systematic exploration of the internal mechanisms and dynamic effects of urban digitalization on CEE. Based on data from 2011 to 2019 at the municipal level in China, this paper adopts efficiency analysis and entropy value method to measure urban digitalization development and CEE and analyze their spatial-temporal evolution characteristics. Moreover, this paper empirically tests the overall, time, and spatial effects of urban digitalization on CEE, as well as the effect pathways. According to the findings, urban digitalization has a significant stimulative influence on CEE. The promotion effect shows a trend of increasing over time. Urban digitalization has a positive spatial spillover effect on the CEE of surrounding cities, which is conducive to accelerating the integration process of low-carbon development among cities. Urban digitalization improves CEE by raising the level of human and information communications technology capital and optimizing the industrial structures. The above conclusions still hold after robustness and endogenous tests. In addition, compared to cities in the eastern part of China and those with low levels of digitalization, those in the central and western parts of the country, and those with high levels of digitalization show a more significant boost to CEE as a result of urban digitalization. These discoveries have policy design reference value for the region to enhance its urban digitalization development strategy and achieve a transition to green development., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

This paper summarizes some hot communication topics in the first half year in 2013 by combining academic views of some scholars. These topics include the reasons of network colony event, media mass try to adapt in network times, how journalists use SNS, the female gender of the mass media, analyze the report of national influence published by BBC, the situation of foreign investment in Chinese media. [ABSTRACT FROM AUTHOR]

As the aging population, including frail older people, continues to grow in Mainland China, quality of life and end-of-life care for frail older people has attracted much attention. Advance care planning is an effective way to improve end-of-life care for people with advanced diseases, and it is widely used in developed countries; however, it is a new concept in Mainland China. The effects of advance care planning and its acceptability in Mainland China are uncertain because of its culture-sensitive characteristics. The objective of this article is to discuss the serious social issue of caring for frail older people and illustrate the possibility of implementing advance care planning in nursing homes in Mainland China through a review of relevant literature, which will focus on legislation, healthcare system engagement, public engagement, and cultural issues. Recommendations to promote and implement advance care planning include choosing nursing homes as a proper setting, establishing an ethical climate, and enhancing public awareness. [ABSTRACT FROM AUTHOR]

In the context of globalization, the integration of cultural elements into scientific research, particularly through the incorporation of traditional Chinese cultural motifs in scientific illustrations, represents a novel frontier in enhancing the universality and appeal of scientific discoveries. This paper explores the innovative practice of embedding traditional Chinese cultural elements into scientific paper illustrations, highlighting its significant role in augmenting the global appeal of research findings, promoting diversity and innovation in scientific inquiry, and facilitating cross-cultural understanding. Through a series of case studies, including symbolic representations of ancient myths and the use of traditional themes to elucidate complex scientific phenomena, we demonstrate how this cultural integration not only makes scientific content more accessible and engaging but also fosters a deeper appreciation of Chinese heritage among international audiences. This approach not only bridges the gap between science and culture but also contributes to a more inclusive and interconnected global scientific community, underscoring the importance of cultural diversity in enriching scientific exploration and communication. [ABSTRACT FROM AUTHOR]

Purpose — The aims of this article are to describe the current status, usage, and acceptance of domestic preprint servers in mainland China by investigating three integrated preprint servers in mainland China. These are the Qiji e-print archive (Qiji), the Chinese Preprint Server (CPS), Chinese Science Papers Online (CSPO)., Design/methodology/approach — This research gives a quantitative analysis of the submission numbers to three preprint servers, the subject distribution and citations. An investigation of university websites and their policies was also carried out. Findings — Preprint submissions have a strong correlation with official promotion and policies. The preprints communication pattern in mainland China concentrates on the disciplines of physics, mathematics and computer science which reflects international preprint communication behaviour. As yet the domestic preprint servers in mainland China attract little attention from excellent scholars and have a low impact on scientific communication. Research limitations/implications — No author survey was conducted. Originality/value — This is the first paper to characterize the usage and acceptance of domestic preprint servers in mainland China using a quantitative method. [ABSTRACT FROM AUTHOR]

Foreign firms working in the People's Republic of China (PRC) are usually aware that the earlier they can discover what projects have been approved the easier it is for them to become involved. Very little, however, seems to have been written about the actual process by which projects are in fact decided upon and resources allocated. This case study examines the steps by which a proposal for a pulp mill moved in the space of less than two years from its originator in a remote county to the agenda of the Sixth National People's Congress in Beijing. The dramatic opening up of the PRC to outside influences is clearly demonstrated by the fact that a foreign banker, a Hong Kong entrepreneur and an overseas consultant all played important roles in establishing the feasibility of the project at the early stages. The involvement of various official bodies, including the United Nations Development Programme (UNDP) in Beijing, in the decision process is traced and the way in which personal links and informal methods of communication helped the proposal to get bureaucratic approval very quickly is shown. [ABSTRACT FROM AUTHOR]

Background: We are making progress in the fight against health-related misinformation, but mass participation and active engagement are far from adequate. Focusing on pre-professional medical students with above-average medical knowledge, our study examined whether and how third-person perceptions (TPP), which hypothesize that people tend to perceive media messages as having a greater effect on others than on themselves, would motivate their actions against misinformation., Methods: We collected the cross-sectional data through a self-administered paper-and-pencil survey of 1,500 medical students in China during April 2022., Results: Structural equation modeling (SEM) analysis, showed that TPP was negatively associated with medical students' actions against digital misinformation, including rebuttal of misinformation and promotion of corrective information. However, self-efficacy and collectivism served as positive predictors of both actions. Additionally, we found professional identification failed to play a significant role in influencing TPP, while digital misinformation self-efficacy was found to broaden the third-person perceptual gap and collectivism tended to reduce the perceptual bias significantly., Conclusions: Our study contributes both to theory and practice. It extends the third-person effect theory by moving beyond the examination of restrictive actions and toward the exploration of corrective and promotional actions in the context of misinformation., It also lends a new perspective to the current efforts to counter digital misinformation; involving pre-professionals (in this case, medical students) in the fight., (© 2024. The Author(s).)

Since the issuance of the "Guiding Opinions on Vigorously Developing Sports Tourism" in 2016, the integration of sports and tourism has become a strategy in regional economic development. It creates new economic growth points, enhances local images, and promotes cultural communication. In the context of the "Tourism Makes Xinjiang Thrive" strategy, quantitatively investigating the integration of the sports and tourism industries helps people to better understand their interaction which can serve as the valuable input in policy-making for the comprehensive development of a region. This paper uses entropy weight method, stochastic frontier analysis and coupling coordination model to quantitatively analyze the effect of sports tourism industry integration in Xinjiang from the perspective of integration path. Meanwhile, the Dagum Gini coefficient and nuclear density estimation were used to analyze the regional differences and dynamic evolution of industrial integration quality. The result shows that (1) The sports and tourism integration quality in Xinjiang has not reached the optimal goal of complete integration. In the process of mutual industrial promotion, tourism promotes a higher degree of integration with the sports industry. (2) The industrial integration quality shows a phenomenon of "imbalance and inadequacy" among the regions. The regions with high quality of industrial integration were Urumqi, Ili, Kashgar, Altay and Changji, which have rich sports tourism resources. (3) The overall spatial difference in the quality of industrial integration presented a fluctuation downtrend. The difference between the tourism industrial belts was very significant., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Zhang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

The heart and soul of the Chinese people and the greatest cultural soft power of contemporary China are excellent Chinese healthy cultural environments. Short video platforms and short videos have a chance to develop as the Internet revolution continues to intensify and mobile clients gain popularity. This essay examines the challenges involved in producing brief videos that promote a healthy cultural environment in the new context of internet plus, as well as the means of transmitting such videos and creative methods for doing so. Excellent communication content is created in this paper from two perspectives of visual presentation and in-depth meaning, allowing users to fully understand the connotation of a healthy cultural environment. Through the theme of a healthy cultural environment, topic discussion and characteristic activities will be carried out to encourage users' spontaneous sharing of the interactive behavior of communication and the fission communication of brief videos of a healthy environment. This paper develops a model for intelligent recommendation and short video content analysis based on this. In order to further encourage the creative dissemination and development of short videos about healthy cultural environments, the model is used to choose high-quality videos and accurately recommend them to the appropriate users and to serve as an example of how a quick video can be used to communicate innovation and a healthy cultural environment. [ABSTRACT FROM AUTHOR]

With the development of society, the number of autistic children in China is increasing, which not only makes the family's happiness very low, but also seriously affects the development of teenagers and society. Among the symptoms of autistic children, early childhood communication skills have received extensive attention. In traditional rehabilitation training, with a lack of parents' participation, most of the training cannot arouse the interest of autistic children, so the treatment effect is not obvious. Based on this, this paper proposes the application of family sports games to improve the early communication ability of autistic children. This article aims to investigate the role of family sports games in promoting the development of early communication skills in autistic children. This paper uses the fuzzy comprehensive evaluation method to score the comprehensive ability of family sports games. The experimental results of this paper show that before the experiment, the comprehensive scores of children's communication ability in the control group and the experimental group were 18.92 and 18, respectively, which were generally low, and there was no significant difference. This shows that the communication skills of the two groups of children before the experiment are relatively poor. After the test, the children's comprehensive score of communication ability in the experimental group increased by 35.8 points, and the difference was significant, indicating that family sports games have a great impact on the development of children's communication ability. [ABSTRACT FROM AUTHOR]

Objective: This study was designed to produce a new parent‐report measure, the Diagnostic Receptive Expressive Assessment of Mandarin‐Infant Toddler Assessment of Communication and Language (DREAM‐IT) in order to provide norms for the developmental skills of children aged 0–36 months in four areas: expressive language, receptive language, cognitive play and social skills. Methodology: The scale was designed to be both broader and deeper than existing instruments that neglect one or more of these significant domains involved in early language. Items were chosen by a group of specialists with clinical experience working with the age group and with attention to the developmental literature. Caregivers were tested individually by a trained person who asked the questions and provided examples. In addition to an extensive health questionnaire, caregivers answered questions in Mandarin about their child's behaviour using a scale of 'not yet', 'sometimes' or 'always' or listing out words and/or sounds understood or said by the child. The 476 participating caregivers were recruited at maternal and child healthcare clinics centred in Chengdu, China, 191 of whom were tested a second time seven months later. The children were sampled in three‐month age‐bands from 0 to 36 months. The sample was balanced for child gender by age band, and parental education was balanced. Caregivers of 0–24‐month‐old children and caregivers of 12–36 months were each asked a different set of questions, to determine the appropriate age range and cutoff points for each question, requiring the sample size to be doubled for children aged 12–24 months. Results: The results were subject to item‐response theory analysis to remove outlying items, and the resulting internal reliability was high for each domain (average Cronbach's alpha=0.87). The final instrument (between 67 and 113 questions in total) was refined to include the least redundant questions that had the highest intercorrelations, with attention paid to coverage of all domains across the age range. Two scales were developed: one for children 0–18 months, the second for children aged 18–36 months. The longitudinal design permitted the creation of growth curves and norms for each domain for six‐month intervals from 0 to 36 months. A small sample of 32 parents of children with Down syndrome aged 18–36 months provided validation that the scales are highly sensitive to developmental delay. Conclusion: The instrument shows considerable promise for detecting early communication problems in children in China. WHAT THIS PAPER ADDS: What is already known on the subject: In China, efforts were made in recent years to develop language assessments for infants and toddlers, but limitations existed with the domains included and number of items included per age group. Many clinical practitioners also continued to rely on language subtests of general developmental scales, which were limited in depth and breadth of language skills tested and were never intended for diagnosis of language delay. What this paper adds to existing knowledge: This paper discusses the development of a valid caregiver report instrument for early communication and language skills of infants and toddlers in mainland China. The Diagnostic Receptive Expressive Assessment of Mandarin‐Infant Toddler (DREAM‐IT) includes foundational domains necessary for language and communication development in young children (receptive language, expressive language, cognitive play and social communication domains). The results show strong internal reliability (Cronbach's alpha) for each domain on a sample of 716 children sampled in three‐month age bands from 0 to 36 months. The external validity proved strong when tested on a group of 32 young children with Down syndrome. What are the potential or actual clinical implications of this work?: Besides helping to inform the diagnosis of language delays in infants and toddlers in China, the caregiver report instrument has special features to support clinical practitioners in a field that is just emerging in China. The unique support features include the automatic generation of a profile of relative strengths and weaknesses of the child on the report and the recommendation of child‐specific caregiver coaching videos on a companion app. [ABSTRACT FROM AUTHOR]

This paper provides an in-depth analysis of timbre-speech spectrograms in instrumental music, designs a model analysis of rehabilitation occupational therapy techniques based on the analysis of timbre-speech spectrograms in instrumental music, and tests the models for comparison. Starting from the mechanism of human articulation, this paper models the process of human expression as a time-varying linear system consisting of excitation, vocal tract, and radiation models. The system's overall architecture is designed according to the characteristics of Chinese speech and everyday speech rehabilitation theory (HSL theory). The dual judgment of temporal threshold and short-time average energy realized the phonetic length training. Tone and clear tone training were achieved by linear predictive coding technique (LPC) and autocorrelation function. Using the DTW technique, isolated word speech recognition was achieved by extracting Mel-scale Frequency Cepstral Coefficients (MFCC) parameters of speech signals. The system designs corresponding training scenes for each training module according to the extracted speech parameters, combines the multimedia speech spectrogram motion situation with the speech parameters, and finally presents the training content as a speech spectrogram, and evaluates the training results through human-machine interaction to stimulate the interest of rehabilitation therapy and realize the speech rehabilitation training of patients. After analyzing the pre- and post-test data, it was found that the p -values of all three groups were <0.05, which was judged to be significantly different. Also, all subjects changed their behavioral data during the treatment. Therefore, it was concluded that the music therapy technique could improve the patients' active gaze communication ability, verbal command ability, and active question-answering ability after summarizing the data, i.e., the hypothesis of this experiment is valid. Therefore, it is believed that the technique of timbre-speech spectrogram analysis in instrumental music can achieve the effect of rehabilitation therapy to a certain extent. [ABSTRACT FROM AUTHOR]

Background: Higher vocational education is an essential part of the higher education system that complements conventional education. In the context of information and communication technology (ICT) development and academic competition, more and more literature has proved the importance of ICT use in educational development (academic achievement and mental health) and the relationship between information literacy and the educational development of higher vocational students. Objectives: Based on one of the most extensive surveys of higher vocational students, the study combined the Opportunity‐Propensity (O‐P) framework and ecological model to explore the direct effects of different types of ICT use on educational development and the indirect effects from psychological and social factors. Methods: The data involved 28,956 students from seven higher vocational colleges. The class fixed effect and causal mediation analysis models verified the results. Results and Conclusion: The results found differential effects of different types of ICT use on academic achievement and mental health. Information literacy ability can improve the academic achievement of higher vocational students, but at the cost of mental health. ICT use not only directly impacts the academic achievement and mental health, but also has an indirect impact through psychological factors represented by self‐efficacy and technostress and social factors represented by social support. Implications: This study promotes integrating and expanding the O‐P framework and ecological model, enriching the relevant research in ICT use and educational development. Meanwhile, it also provides practical suggestions for realizing rational interventions in ICT use and improving the educational development level of higher vocational students. Lay Description: What is already known about this topic: Information and communication technology (ICT) use is closely related to the educational development of higher vocational students.The trend of ICT use in higher vocational education has become increasingly apparent.The effects of ICT use are heterogeneous among groups with different information literacy. What this paper adds: O‐P framework and ecological model provide the perspective of theoretical integration.The impact of different types of ICT use on educational development varies.Information literacy can improve academic achievement at the cost of mental health.Psychological and social factors play a mediating role in educational development. Implications for practice and/or policy: The research is helpful to guide students to allocate their time reasonably for different ICT uses.Mental health counselling should be strengthened while cultivating information literacy ability.Develop appropriate ICT usage strategies for students with different information literacy.It is helpful to develop appropriate interventions from a psychological and social perspective. [ABSTRACT FROM AUTHOR]

Background Study: Technology‐supported learning environments, act as significant observational and enabling indicators for evaluating and encouraging the digital revolution of education, are of vital importance in current educational research. Keeping track of the dynamics of technology‐supported learning environment research allows for the enrichment of theoretical studies and a prompt innovation of talent‐training environments. Objectives: The present study carried out a bibliometric analysis of the core collection of WoS database over the last two decades. Method: This study is a bibliometric research. We applied CiteSpace and VOSviewer for co‐occurrence and evolution analysis. In addition, we extracted the fundamental ideas and thoughts through reading and analysis. Results: First, the study found that technology‐supported learning environment research is in a growth phase, with core journals such as Interactive Learning Environments or Computers & Education. The findings show that a core research team comprised of such scholars as Hwang Gwo‐Jen, Lester James C. and Wong Lung‐Hsiang. Key nations of publishing and research strength are from China, the United States, the United Kingdom and the Netherlands. Second, the hot topics in research on technology‐supported learning environments were virtual learning environments, technology‐enabled learning environments and interactive learning environments. Nine study specifics were derived from these three topics such as moulding function, generating scenario, stimulating sensation, effect verification, design idea, research reflection, inquiry and research, virtual community, and mixed environment. Lastly, the frontier evolution offers a pattern of development from enhancing performance to changing mode to incorporating experience. Conclusion: Looking ahead, our research recommendations for the field of technology‐supported learning environments include a multifaceted approach. We should aim to enhance research designs and methodologies, develop contemporary guiding theories and strive for a balanced representation across various educational domains, expanding our scope to encompass all academic disciplines. In terms of practical application, it is imperative to focus on the design and implementation of technology‐supported learning environments from three critical perspectives: "change‐demand," "student‐learning" and "online‐offline." These approaches will collectively ensure that technology‐supported learning environments are both innovative and responsive to the diverse needs of the educational landscape. Lay Description: What is already known about this topic: Technology‐supported learning environments are currently a focal and hot research topic in the field of education.Although numerous studies have been conducted on the learning environment of technical support, there has yet to be a systematic and comprehensive review of the related research. What this paper adds: This study provides a comprehensive review of research on the technology‐supported learning environments over the past two decades.This study primarily presents an overview of research on the technology‐supported learning environments over the past two decades, focusing on main literature, research strength, hot topics and frontier evolution. Implications for practice and/or policy: Researchers need to further advance research on technology‐supported learning environments by enriching research designs and methods, constructing up‐to‐date guiding theories and achieving a balance across different educational domains while extending the reach to all disciplines.Educational practitioners need to pay attention to the design and implementation of technology‐supported learning environments from the three viewpoints of "change‐demand," "student‐learning" and "online‐offline." [ABSTRACT FROM AUTHOR]

The popularity of social networks turns them into a legal method for promoting a healthy lifestyle, which benefits not only people but also different countries' governments. This research paper aimed to examine the Keep fitness app integrated into WeChat, Weibo and QQ as regards long-term improvements in health-related behaviors (physical activity, nutrition, health responsibility, spiritual growth, interpersonal relationships and stress management) and assess the associated risk of increased social media addiction. Students from Lishui University in China (N  = 300) participated in this study, and they were formed into control and experimental groups. The Healthy Lifestyle Behavior Scale and Social Media Disorder Scale were used as psychometric instruments. The Keep app was found to improve respondents' scores on the parameters of physical activity, nutrition and health responsibility (P  = 0.00). However, the level of dependence on social media did not change in either the control or the experimental group during the year of research (P  ≥ 0.05). It is concluded that fitness apps can be an effective tool to promote healthy lifestyles among young people in China and other countries. The feasibility of government investment in fitness apps to promote healthy lifestyles is substantiated. [ABSTRACT FROM AUTHOR]

In the era of the digital economy, the information and communication technology (ICT) industry has opened up a new round of expansion, while forming co-located development in the space. ICT industrial co-agglomeration has tremendous advantages in promoting economic development and achieving carbon neutrality goals. This paper analyzes the spatio-temporal characteristics of ICT industrial co-agglomeration and carbon productivity from 2009 to 2019 in China. It empirically explores the impact of ICT industrial co-agglomeration on carbon productivity using a systematic GMM model. Additionally, it analyses the spatial and temporal heterogeneity of ICT industrial co-agglomeration and other factors affecting carbon productivity using a geographically and temporally weighted regression (GTWR) model. The findings are as follows: (1) China's ICT industrial co-agglomeration and carbon productivity show an upward trend. Additionally, their characteristic of regional distribution is east-high and west-low. (2) ICT industrial co-agglomeration has a positive association with carbon productivity. (3) The impact of ICT industrial co-agglomeration on carbon productivity has significant spatial and temporal heterogeneity. The regression coefficient of ICT industrial co-agglomeration increases continuously during the study period, and the degree of impact is relatively larger in Northern China. As the degree of ICT industrial co-agglomeration continues to increase, its positive impact on carbon productivity across China is deepening. The findings of this paper complete the research on the impact of ICT industrial co-agglomeration on carbon productivity, and the related policy recommendations provide useful references for the digital economy and sustainable development.

It is an objective reality that deaf-mute people have difficulty seeking medical treatment. Due to the lack of sign language interpreters, most hospitals in China currently do not have the ability to interpret sign language. Normal medical treatment is a luxury for deaf people. In this paper, we propose a sign language recognition system: Heart-Speaker. Heart-Speaker is applied to a deaf-mute consultation scenario. The system provides a low-cost solution for the difficult problem of treating deaf-mute patients. The doctor only needs to point the Heart-Speaker at the deaf patient and the system automatically captures the sign language movements and translates the sign language semantics. When a doctor issues a diagnosis or asks a patient a question, the system displays the corresponding sign language video and subtitles to meet the needs of two-way communication between doctors and patients. The system uses the MobileNet-YOLOv3 model to recognize sign language. It meets the needs of running on embedded terminals and provides favorable recognition accuracy. We performed experiments to verify the accuracy of the measurements. The experimental results show that the accuracy rate of Heart-Speaker in recognizing sign language can reach 90.77%.

With the development of The Times, social events are increasing, and emergency management has gradually become the main helper to solve the crisis in the public domain. By observing the current situation of many countries and regions, we can find that various types of public crises often occur in many countries and regions in the world, which have severely affected people's daily life, lives, and property. Through long-term research and analysis, it can be known that the emergency management mechanism currently established in China has certain shortcomings. The communication problem of emergency information is likely to cause the emergency work to not proceed smoothly. In addition, problems in the communication channels of emergency information are likely to cause problems in the cooperation of various departments when people carry out emergency management work, and the efficiency of the government in dealing with problems will also be reduced in real scenarios. In order to improve the efficiency of emergency information management, this paper aims at the various problems existing and facing in the construction of emergency management system. On this basis, the integration of various relevant emergency information management plan models is analyzed and sorted out, and based on the research and integration of the development of artificial intelligence algorithms. The main research results of emergency information management at home and abroad are comprehensively studied and evaluated. Finally, a QG algorithm based on more model fusion is developed. In the process of analysis, this article uses artificial intelligence algorithms to build a prediction model of multiple modes and collects the data needed to build the model by random extraction. Through the analysis of different data sets, it is used as the basic training data for prediction. Through comprehensive analysis, the model constructed in this paper can promote the sharing of emergency information among departments to a certain extent., Competing Interests: The author(s) declare that they have no conflicts of interest., (Copyright © 2022 Liping Lei.)

Background: As adequate support, virtual reality (VR) has been increasingly introduced into the classroom to help students learn a new language. However, empirical studies exploring the educational potential of using 360° spherical video‐based virtual reality (SVVR) in high‐school Chinese language classrooms are still lacking. Objectives: A mind mapping‐based SVVR learning system is proposed for international high‐school students' Chinese courses and examines its effects on improving Chinese learning achievements and perceptions among Grade 10 students who learn Chinese as a foreign language. Methods: This study adopted a quasi‐experiment design. Participants (N = 66) were assigned to one of three conditions: mind mapping‐based SVVR (MMBSVVR), conventional SVVR (CSVVR), or traditional lecturing (TL). Our mixed‐method approach employed pre‐and post‐tests to measure Chinese learning achievements, questionnaires to measure Chinese learning motivation, problem‐solving ability, and self‐efficacy, and semi‐structured interviews to further explore students' feelings and attitudes about Chinese courses in corresponding learning environments. Results and Conclusions: The results showed that the MMBSVVR classroom significantly improved high students' Chinese learning achievements in Chinese vocabulary and making sentence, problem‐solving ability, and self‐efficacy. Moreover, SVVR stimulates students' learning interest and class participation, and mind mapping provides students with a clear guide to arrange the knowledge. These findings help interpret the relationships between MMBSVVR and learning achievements, Chinese learning motivation, problem‐solving ability, and self‐efficacy in an international high school Chinese courses, thus providing insight on integrating MMBSVVR into existing classrooms. Lay Description: What is Already Known about this Topic: By creating fully immersive 3D environments, 360° spherical video‐based virtual reality (SVVR) in promoting language learning has been confirmed by many scholars with a focus on English language learning.Mind mapping effectively enables second language learners to review and retain new words in the target language meaningfully. Also, it can create a more vivid learning atmosphere through images and graphics and promote learners' memory and learning motivation. What This Paper Adds: A mind mapping‐based SVVR learning system has been developed with the support of the constructivism theory.A mind mapping‐based SVVR learning system is proposed to facilitate international students' Chinese learning performance in Chinese vocabulary acquisition and sentence construction.In addition to promoting international students' learning outcomes, the proposed approach indicated promising results in learning motivation, problem‐solving ability, and self‐efficacy. Implications for Practice and/or Policy: This study provides an evidence base for further research through the utilization of VR learning environments in Chinese language classrooms.This study advocates introducing SVVR technology in the Chinese learning classrooms to increase the learning context for international students. It is also worth encouraging scholars to design VR learning systems with different learning strategies.Due to the cognitive requirements of the Chinese language learning process, it is necessary to introduce mind maps in the SVVR learning system to assist students in constructing knowledge and combining prior and new knowledge to generate long‐term memory. [ABSTRACT FROM AUTHOR]

Research Background . With the enhancement of China's international influence, China has stepped into the international ecological environment in the fields of economy, politics, culture, art, and so on, accompanied by the spread of China's culture and literature. China's 5000-year-old cultural history and artistic characteristics are integrated into the ecological field of the international environment. Research Purpose . The international spread of Chinese literature also has a certain impact on the physical and mental health of teenagers. This paper studies and discusses the impact of international communication of Chinese literature on teenagers' physical and mental health in the digital humanistic environment. Under the development environment of Digital Humanities in China, the impact of Chinese literature on the healthy psychology of teenagers, the impact content, and the characteristics of each were evaluated. Through the comparison of physical and mental health growth of adolescents in different ages, the characteristics of physical and mental health of adolescents are explored. The coupling degree of physical and mental health of adolescents in different development environments is compared and analyzed. Research Results . Through the research, it is found that with the development of Digital Humanities, the spread of Chinese literature with internationalization has a positive impact on the physical and mental health and psychological quality construction of teenagers and plays a promoting role in promoting mental health, increasing personal quality, and improving teenagers' correct values. The various ideological and moral qualities of Chinese literature can play a greater role in helping and growing up the physical and mental health education of young people in the new era and are also the literary value of promoting the quality education of the next generation of young people in the world., Competing Interests: There is no potential conflict of interest in our paper, and all authors have seen the manuscript and approved to submit to your journal., (Copyright © 2022 Xiaoyi Wang et al.)

In recent years, doctor-patient communication in the context of traditional Chinese medicine (TCM) has attracted increasing attention. Highly influenced by ancient Chinese philosophy, TCM is unique in its exemplification of Chinese wisdom, particularly with respect to how the idea of zhěngtǐguān (整体观) (lit. whole body concept), realized as "the idea of the whole" or simply "holism," is valued and realized in TCM consultations. Adopting an interactional analytical approach, our study aims to illustrate how TCM doctors and patients co-construct a medical consultation that can exemplify the idea of holism. Based on a spoken corpus of Mandarin Chinese totaling 443 minutes in length, this paper identifies instances of what can be labeled as the voice of TCM (VOTCM) in a typical TCM consultation that reflect the idea of holism and describes and analyzes the communicative routines that are specific to these TCM consultations. It is observed that the steps and strategies involved in the consultation not only illustrate the collaborative co-construction of holism but also point to the holistic aspect of TCM philosophy, particularly topics related to the different body parts and the lifeworld. The diagnostic explanations provided by doctors and the co-topical talks between doctors and patients at various stages of the consultation also play an important role in the co-construction and realization of holism. [ABSTRACT FROM AUTHOR]

By considering environmental factors in the earliest stage of decision-making, strategic environmental assessment (SEA) is seen as an important preventive measure to realize sustainable development. Despite a great expansion of SEA effectiveness research in the past 10 years, no study statistically reviews how frequently the evaluation criteria are adopted. The present meta-analysis considers 68 academic papers published from 2009 to 2019, with 41 articles relating to the international context and 27 relating to China. After ascertaining the number of times each criterion is mentioned, the adoption frequency is calculated and a comparison is made between the Chinese and international contexts. The result reveals that the criteria adopted in studies evaluating China's SEA largely accord with those used to evaluate international SEA. Both focus on procedural and contextual effectiveness. The distribution of substantive and normative effectiveness evaluation criteria is very similar. However, the significant differences lie in the criteria of assessment methods and communication, which are all of the drawbacks influencing SEA implementation in China. In addition, the problems of China's SEA pointed out by past scholars are statistically analyzed. Integr Environ Assess Manag 2022;18:997-1006. © 2021 SETAC., (© 2021 SETAC.)

There is a growing tendency for users to expect conversational agents (CAs) to recognise social cues and follow interpersonal communication principles to enhance their subjective evaluation. Therefore, this paper studies how personal pronouns should be used by CAs in response to users. We conducted a 3 (CAs' personal pronoun) × 3 (users' personal pronoun) × 2 (participants'gender) mixed design. this study used mixed methods based on an experimental design, including ratings, forced choices and interviews, for mutual confirmation. The findings indicate that first, users prefer that CAs use second-person pronouns. Second, there is also turn-taking and convergence tendency between users and CAs in personal pronoun use. Third, there are gender differences in personal pronoun preferences and relationship positions toward CAs. These results can inform personalised voice interaction and humanlike design and help build closer relationships between users and CAs in future human–computer interactions. [ABSTRACT FROM AUTHOR]

The Journey to the West, based on the story of Chen Xuanzang's learning from the scriptures in the Tang Dynasty, was finally written by Wu Cheng'en in the Ming Dynasty, which deeply reflected the social reality at that time. It was not only the first romantic novel about ghosts and gods in ancient China, but also a masterpiece of romanticism in the history of world literature. The hero of the story, Monkey King, has been constantly mythologized in the process of China's folk communication, becoming a household name hero and a cultural sign. Taking the Monkey King as the research object, this paper discusses its cross-media transformation from the perspective of semiotics, in order to provide some reference for China's excellent traditional literature to go out. [ABSTRACT FROM AUTHOR]

Shaanxi is one of China's most important cradles of civilization. The main vein of Chinese culture is rich history and culture, and brilliant red culture embodies the essence of socialist core values. It is still relatively weak to deeply analyze the related research of Shaanxi Province's cultural province construction on the basis of studying the achievements of cultural development in foreign countries and China and combining with the reality of Shaanxi Province. In this paper, a BPNN (BP neural network) model is selected to study the comprehensive evaluation of tourism competitiveness of smart tourism cities, and the software is used to realize the simulation of the comprehensive evaluation system of tourism competitiveness of smart tourism cities, which more comprehensively and objectively reflects the level of comprehensive competitiveness of each city. It is believed that there are some problems in Shaanxi regional cultural communication, such as insufficient exploration of content resources, insufficient communication channels, and low audience awareness, hoping to provide ideas and reference for further exploring the promotion of cultural communication power., Competing Interests: The authors declare that they have no conflicts of interest., (Copyright © 2022 Dan Xie and Chao Yin.)

This study examined the perceptions and experiences of a teacher and students in a Shanghai public primary school when digital games were used in a second‐grade math class. The participants included one teacher and 45 students. Data collection methods included classroom observation, focus‐group and individual interviews, and document analysis. Digital gameplay, when used once daily over a 6‐day period, was found to enhance student engagement and interest in learning; many students, however, were concerned about its effect on academic achievement and eyesight. The teacher employed a "making thinking visible" approach using pencil and paper and problem‐solving strategies to help students understand the game's mathematical principles and master mathematical knowledge. Obstacles included large class size, difficulty evaluating learning outcomes, balancing fun and learning, and effective game–classroom integration. This study found that exam‐oriented education and traditional teacher‐centred teaching in China influenced participants' perceptions and experiences of digital game‐based learning. Lay Description: What is already known about this topic: Digital game‐based learning is effective and leads to a more relaxed learning environment that promotes students' engagement, interest, motivation, and confidence.Learning with digital games helps students acquire mathematics knowledge more effectively than traditional classroom lectures.Digital game‐based learning is helpful in math class as it makes students feel challenged and more capable, thereby improving self‐efficacy and task persistence. What this paper adds: Mathematics teachers and students have a contradictory attitude that shows both approval and concern towards game‐based learning.In the Chinese context, exam‐oriented culture is an important factor that influences the teacher's and students' perceptions and experiences of digital game‐based learning.While digital game‐based learning helps students' engagement and interest in math, it also faces numerous challenges such as large class size, balancing fun and learning, and effective game–classroom integration. Implications for practice and/or policy: Digital game‐based learning may be more effective when combined with pencil and paper to write down the process and make thinking visible.Fun and learning should be balanced in digital game‐based learning.Teachers need training and support for digital game‐centred programmes to succeed. [ABSTRACT FROM AUTHOR]

Aim: The aim of the study was to examine whether patient–provider communication interacts with treatment outcomes to influence patients' risk perception. Background: Medical uncertainties and risks are among the most serious problems faced by patients. This is exacerbated by communication failure in patient–provider relationships and poor treatment outcomes. However, we do not know how communication and treatment outcomes shape patients' risk perception and concern about uncertainty. Design The study is a two‐by‐two between‐subjects design. Methods: Two studies were conducted and data were collected in 2019. Each study used a different research design and different samples: Study 1 used a scenario experiment with 120 undergraduate students; and Study 2 surveyed 200 inpatients in clinical settings. Results: The convergent results found a significant interaction between patient–provider communication and treatment outcome on the perception of medical risks among the participants. Conclusion: Patient–provider communication interacts with treatment outcome to influence patients' perceived risk about uncertainties for healthcare. Clinicians and nurses should be aware of the effects of patient–provider communication on patients' risk perception in their concerns about the uncertainties of treatment and pay much more attention to good healthcare relationship building in addition to the improvement of objective treatment outcome. SUMMARY STATEMENT: What is already known about this topic? Medical uncertainties and risks are exacerbated by communication failure in healthcare relationship.Communicating information to patients is important when they are evaluating the risks and benefits of treatment.Current theories to explain medical risk assume particular psychological processes to reproduce empirical observations of financial risk‐sensitive behaviour. What this paper adds? A scenario experiment explored the interaction effect of patient‐provider communication and treatment outcomes on the perceived risk of medical treatment.We verified the results in the clinical context and revealed a significant interaction of patient‐provider communication with patients' perceived risk of treatment outcomes.Our model predicts that patients' risk perceptions are both path dependent and affected by the patient‐provider communication and treatment outcome. The implications of this paper: Healthcare providers, for example, physicians and nurses, are reminded to adhere to preferred communication and relationship building methods, in support of good treatment outcomes.Providing patients with humanized support and compassion from healthcare professionals may help them understand their illness and symptoms as well as improve their concerns about the uncertainties of treatment. [ABSTRACT FROM AUTHOR]

In the past two decades, corporate hypocrisy has become a phenomenon that cannot be ignored in Corporate Social Responsibility (CSR) practice (Wagner et al., 2009) and has thus become a concern for management scholars (Cho and Lee, 2019). Using smartPLS, based on attribution theory, this paper takes 28 Chinese listed enterprises as examples to explore the influence of CSR motivation on its communication and implementation, as well as the impact of CSR implementation and promotion on consumers' perception of corporate hypocrisy. The research finds a negative correlation between value-driven motivation and corporate hypocrisy and a positive correlation of performance-driven motivation and stakeholder-driven motivation with corporate hypocrisy. The theoretical contribution of this paper is mainly reflected in the following four aspects. (1) It describes the scale of CSR implementation research and enriches the measurement tools of CSR implementation. (2) It enriches and expands research results in the field of CSR motivation perception. From the perspective of CSR and attribution theory, this study explores the influence of consumers' perception of CSR motivation on CSR communication and CSR implementation. (3) It supplements research results in the field of corporate hypocrisy. The influence of CSR communication and CSR implementation on corporate hypocrisy is clarified. (4) It clarifies the impact of CSR communication on CSR implementation so as to help enterprises better match CSR communication strategy and CSR implementation in practice and reduce consumers' perception of corporate hypocrisy. It is suggested that enterprises find their own positioning on CSR motivation, which provides a reference with which enterprises can make better decisions on CSR communication strategy after implementing CSR behavior and provides empirical evidence for the research on CSR motivation perception and corporate hypocrisy in China. [ABSTRACT FROM AUTHOR]

Background: Considerable evidence suggests that students' achievement emotions are important contributors to their learning and success online. It is, therefore, essential to understand and support students' emotional experiences to enhance online education, especially under the COVID‐19 context. However, to date, very few studies have investigated how students' achievement emotions might be affected by teaching and learning factors in online learning environments. Objectives: Based on Pekrun's (2006) control‐value theory of achievement emotions, this study examined the influence of students' perceived online teaching quality and appraisals of control and value on their achievement emotions in an online second language (L2) learning context instigated by the COVID‐19. Methods: Data were collected using an online survey of 1503 undergraduates from ten universities across different regions of China. Confirmatory factor analyses (CFA) were performed to test the validity of the instruments and structural equation modelling were conducted to examine the relations between L2 teaching and learning variables. Results and Conclusions: Results revealed that perceived teacher internet and communication technology competence had positive effects on enjoyment, but negative effects on anxiety and boredom, and these effects were fully mediated by perceived control and/or value. Perceived chaotic teaching structure (CTS) had reverse effects for the three emotions. Perceived CTS effects on enjoyment and anxiety were fully and partially mediated by perceived control, respectively. Takeaways: Online teaching quality is critical for students' appraisals and emotions towards L2 learning. Teachers should strive to improve online teaching quality and design interventions targeting students' perceived control and value to temper their affective experiences associated with the crisis‐prompted online teaching practices. Lay Description: What is already known about this topic: Teachers' internet and communication technology (ICT) competence and pedagogical design can enhance students' e‐learning efficacy, motivation and interests.Students' perceived control and value can influence their achievement emotions in online learning.Teacher's ICT competence and pedagogical design can impact students' emotions in online learning. What this paper adds: Perceived teacher ICT competence and chaotic teaching structures can have differential impact on students' perceived control and value for e‐learning.Perceived control and intrinsic value differently mediated the effects of the two teaching factors on students' emotions for e‐learning.Perceived teacher ICT competence and chaotic teaching structures can have both direct and indirect effects on students' e‐learning emotions via perceived control and value. Implications for practice and/or policy: Teacher training and development programs should prepare teachers for varying teaching formats including unplanned online teaching due to a forced switch to remote teaching.Teachers should acquaint themselves with using various online platforms and software to communicate the goals, expectations, structures and requirements of their language lessons to students' in a clear manner.Online language teaching interventions aiming to increase or decrease a specific emotion could directly target specific combinations of teaching characteristics and appraisals. [ABSTRACT FROM AUTHOR]

Copyright of Railway Signalling & Communication Engineering is the property of Railway Signalling & Communication Engineering and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The large-scale exchange and spread of traditional Chinese medicine (TCM) in the West began in the 17th century. From the first English Chinese medicine book "gout collection" published in London in 1676, the British began to understand the mysterious and ancient oriental medicine of TCM. Britain is one of the earliest countries where TCM began to spread. TCM is an important carrier of China's excellent traditional culture. With the development of the world's medical technology and the continuous improvement of China's cultural soft power, the cross-cultural communication of TCM has become a characteristic business card for China to go to the world. For the research of a work, we must start from the source, so it is very important to first count the history of TCM external communication, and then systematically analyze and study the various phenomena in this history, so as to summarize the experience and inadequacy of TCM external communication process, and provide feasible guidance for future TCM research, And promote the effective development of TCM, and ultimately spread TCM culture to the international community more comprehensively and accurately. Although the greater than 300 hundred years' history of traditional Chinese medicine (TCM) spreading throughout Britain has been continuously mentioned in literature, studies on the historical development of TCM in Britain are rare. In this paper, the authors gathered information including the chronological statistics and stages of the 300 hundred years' dissemination of TCM in Britain, in order to provide more historical data and research materials for the spread of Chinese medicine in Britain.

Purpose The purpose of this paper is to explore the relationship between different mechanisms for integrating national archival resources, leading to the development of a knowledge management-based framework for facilitating the optimal utilization of national archives resources in China.Design/methodology/approach The study adopts a mixed-methods approach consisting of a review of existing mechanisms for integrating national archival resources and site visits and interviews for investigating the effectiveness of these mechanisms in real world practices for managing and utilizing national archives resources in China.Findings The knowledge management-based framework is shown to be useful for building interdependence, interconnections and interactions between diversified integration mechanisms to meet national, societal and public needs in China. The framework is significant for rearranging the role of knowledge management in collaboration to protect the value of national archives resources as the knowledge asset of a state. It can reengineer the knowledge management activities in communication to share the value of national archives resources as the knowledge asset of a society. Furthermore, the framework can reconfigure knowledge management artifacts in connectivity to increase the value of national archives resources as the knowledge asset of the public.Research limitations/implications The review of the related literature is selective rather than comprehensive, and the interviews are based on a self-selected convenience sample, which is rather skewed demographically.Practical implications The proposed framework can be used to guide the development of a national strategy for the effective integration of national archives resources to promote a better delivery of public-centric knowledge services in a specific society.Originality/value This study provides a knowledge management framework for the effective integration of national archives resources toward their optimal utilization. It contributes to the examination of the role of different integration mechanisms in interactive knowledge management processes and the advancement of academic debate on the effectiveness of these mechanisms for the integration of national archives resources to facilitate their optimal utilization in China. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to investigate the underlying mechanism of the community climate on knowledge-sharing intention in virtual communities. Based on social cognitive theory, a theoretical model was developed and empirically tested using a web-based survey of 525 members from an online question and answer (Q&A) community in China. Results showed that knowledge-sharing self-efficacy and outcome expectation played a chain mediation role in the relationship between the community climate and knowledge-sharing intention. This study is among the first to examine whether and how community climate influences knowledge sharing. Our research findings unpack the mechanism of the community climate on knowledge-sharing intention, and provide practical insights on how to use community climate to facilitate users to share knowledge in online Q&A communities. [ABSTRACT FROM AUTHOR]

Objective: Currently, there are no self‐management resources in Australia that support both Chinese immigrant patients affected by cancer and their caregivers. This paper reports on the development and acceptability assessment of a self‐management intervention (WeCope) in terms of its scope, social and cultural relevance and sensitivity. Methods: Using a community participatory approach in this qualitative study, patients, caregivers and community members took part in semi‐structured focus groups or interviews in Cantonese, Mandarin or English to develop and provide feedback on the acceptability of 'WeCope'. Content analysis was performed on the transcripts using inductive (codes) and deductive (themes and categories) methods. Results: Patients (n = 17), caregivers (n = 10) and community members (n = 2) participated. Four themes were developed, guided by the framework of cultural sensitivity in interventions: (1) content preference and satisfaction; (2) perceived usefulness and usability; (3) cultural relevance and acceptability; and (4) layout and presentation. Participants most commonly wanted more information about treatment‐related issues (n = 14) and available support services (n = 14). Conclusion: Chinese patients and caregivers expressed overall satisfaction with the WeCope resource and provided suggestions for improvement, including provision of more treatment‐related information and contact details for available support while reducing the overall resource length. [ABSTRACT FROM AUTHOR]

Why you should read this article?: • To familiarise yourself with the healthcare needs of overseas Chinese students • To understand the barriers experienced by overseas Chinese students when accessing UK student primary healthcare • To enhance your knowledge of strategies to increase access to healthcare services for this population Individuals from China comprise the largest cohort of international students in the UK, making up almost one quarter of those coming to the country to study. The large Chinese student population at UK universities means there are considerable numbers each year who require access to student primary healthcare. This article describes a literature and narrative review that aimed to critically review the evidence concerning whether the primary healthcare needs of overseas Chinese students studying at UK universities are being met. Three themes were identified: primary healthcare accessibility and potential barriers for overseas Chinese students; health-seeking behaviour and health needs; and cultural and spiritual foundations of health needs and trusted health-seeking frameworks. [ABSTRACT FROM AUTHOR]

Accessible summary: What is known on the subject: Low utilization of the family‐oriented community rehabilitation services is a threatening challenge facing low‐ and middle‐ income countries.Family caregiver's trust in community healthcare providers is the precondition of service utilization and is shaped by their perceived quality of primary healthcare services from previous experience.Most of the studies concerning the relationship between perceived quality and institutional trust were conducted in western countries, resulting in limited attention paid to conditions in non‐western countries. Which aspect of quality predicts institutional trust in China has not been studied yet. What the paper adds to existing knowledge: In China's context, institutional trust was generally associated with communication, worry relief and risk of privacy leak, but not with technical competence.Significant rural–urban disparity was observed: among rural respondents, institutional trust was associated with technical competence, communication and risk of privacy leak, but not with worry relief; institutional trust was only associated with worry relief in urban respondents. What are the implications for practice: Mental health nurses training or working with community healthcare workers may improve their technical and communicative competence. Priorities may differ between rural and urban areas.Mental health nurses or community healthcare workers may provide more family‐oriented psycho‐education to rural families, and more emotional support to urban families.Wider public anti‐stigma initiatives are needed to reduce the affiliated stigma of families of persons diagnosed with a severe mental illness. Introduction: Prior studies suggested that caregiver's trust in community healthcare providers is the precondition of the utilization of community‐based rehabilitation services and is shaped by their perceived quality of primary healthcare services. Nevertheless, the research conducted in non‐western countries is scarce, and which aspect of quality is associated with institutional trust in China has not been studied. Aim: To explore the association between perceived quality of primary healthcare services and institutional trust in China's context. Methods: This cross‐sectional study was conducted with 796 family caregivers from Eastern, Central and Western China between August 2018 and October 2019. Perceived quality of primary healthcare services was measured by technical competence, communication, worry relief and risk of privacy leak. Results: Institutional trust was generally associated with communication, worry relief and risk of privacy leak, but not with technical competence. Among rural respondents, institutional trust was associated with technical competence, communication and risk of privacy leak, but not with worry relief. Contrary finding was observed in urban respondents. Discussion and implications for practice: With rural–urban disparity considered, strategies such as improving the technical and communicative competence of community healthcare workers, providing family‐oriented psycho‐education and emotional support, and promoting public anti‐stigma initiatives may be worth consideration. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to further explore the co-citation and bibliographic-coupling relationship among the core authors in the field of Chinese information science (IS), to expose research activity and author impact, and to make induction analyses about Chinese IS research patterns and theme evolution. Design/methodology/approach – The research data include 8,567 papers and 70,947 cited articles in the IS field indexed by Chinese Social Sciences Citation Index from 2000 to 2009. Author co-citation analysis, author bibliographic-coupling analysis, social network analysis, and factor analysis were combined to explore co-citation and bibliographic-coupling relationships and to identify research groups and subjects. Findings – Scholars with greatest impact are different from the most active scholars of Chinese IS; there is no uniform impact pattern forming since authors’ impact subjects are scattered and not steady; while authors’ research activities present higher independence and concentration, there is still no steady research pattern due to no deep research existing. Furthermore, Chinese IS studies can be delineated by: foundation or extension. The research subjects of these two parts, as well as their corresponding/contributing authors, are different under different views. The general research status of core authors is concentrated, while their impact is broad. Originality/value – The combined use of some related methods could enrich the development and methodology research of the discipline, and the results establish a reference point on the development of IS research. [ABSTRACT FROM AUTHOR]

The news media play an important role in creating and disseminating geopolitical discourse. This paper explores the role of news maps in geopolitical discourse with reference to the potential super-power status of key states, specifically China and Russia as members of the BRIC group (Brazil, Russia, India and China), and in the case of Russia, the NORCs (Northern Rim Countries – Canada, Russia, several Scandinavian states and the USA). It also explores references to 'threats' to a stable interstate system (resource wars, regional instability, 'rouge states'). The paper argues that the concept of the state as 'power container' provides a key to understanding how maps operate as a significant element within geopolitical discourse. Maps provide spatial and geostrategic context to the narratives being deployed by news providers on such matters as China's projection of power. The paper is based on the findings of a comprehensive survey of maps in the UK 'quality press' in 2009. [ABSTRACT FROM AUTHOR]

Copyright of Media, Culture & Public Relations is the property of Croatian Communication Association / Hrvatsko Komunikolosko Drustvo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: The paper characterizes outpatient communication in a major cancer hospital in southern China with regard to the structure, style and focus of doctor-patient communication., Method: Fifty-one encounters between doctors and patients were recorded in the outpatient department of the cancer hospital and analysed inductively to identify patterns of doctor-patient outpatient communication., Results: Outpatient communication in the cancer hospital is characterized by structuralized conversation, doctor domination of the conversation and a focus on technology during communication. These characteristics suggest an extreme inequality of power between Chinese doctors and patients at the individual level. They are also shaped by the institutional environment of Chinese hospitals., Discussion: Measures should be taken at both the interpersonal and institutional level to improve doctor-patient communication. At the micro-interpersonal level, public education and professional skills training are needed to improve communication and promote mutual understanding between patients and doctors. At the macro-institutional level, changes are needed in terms of transforming the structural factors that shape doctor-patient communication., Conclusions: Structuralized conversation, doctor domination of the conversation and a focus on technology during outpatient encounters present challenges to effective doctor-patient communication. These patterns are shaped by the institutional environment of Chinese hospitals and suggest the extreme power imbalance between Chinese doctors and patients., (© 2019 The Authors. Health Expectations published by John Wiley & Sons Ltd.)

The Chinese health care system has suffered from severe tension between patients and doctors during the past decade. Patient-centered communication (PCC) may play a significant role in mitigating this problem. With a general basis of the pathway model linking communication to health, this paper illustrates social mechanisms that underlie how PCC improves health outcomes in China. Using three-wave panel data collected in China, the results showed that PCC failed to directly influence health. Instead, PCC at Wave 1 predicted patient satisfaction and patient trust at Wave 2, which in turn enhanced self-reported health outcomes at Wave 3. In addition, bonding social capital positively moderated the effect of PCC on patient trust.

This paper uses the industry of origin approach to analyze value added and labor productivity outcomes arising from progressive liberalization of government and from statutory board control of transport and communications in Singapore. The paper compares these outcomes with those from the market-orientated, more privatized transport and communications sector in Hong Kong, for the benchmark year 2004 and a review period from 1990 to 2005. The study is among the first to carefully compare labor productivity in specific sectors between the two countries. Although Singapore generally recorded higher levels of labor productivity, there was some catch-up by Hong Kong in the later part of the review period. There was also substantial variation in labor productivity performance within sectoral branches in the two sectors. The study suggests there is some evidence that the different political–economic structures and policy approaches to deregulation and liberalization played a role in determining productivity performance in the transport and communications sectors in Singapore and Hong Kong. The analysis infers a potential, increasing focus on privatization as the driving force for further liberalization of the transport and communications sector in Singapore. [ABSTRACT FROM AUTHOR]