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There is a growing awareness of the importance of financial management skills. However, few studies have systematically examined this topic in China's current higher education (HE) system. In this study, we examine whether enrolling in a finance-related program, either as a degree program or as an elective, improves students' financial literacy and habits. We conducted a mixed-method study with a sample of 1334 students from seven universities in central China. Multivariate regression, matching methods, and the inverse-probability-weighting methods were used for quantitative analysis. The results indicate that college students are generally dissatisfied with their financial situation. Enrolling in finance-related majors has little effect on improving students' financial habits, despite a substantial improvement in their financial literacy. In the current HE system, there is a significant lack of personal finance management training. Therefore, curriculum design and field practices regarding students' personal finance management skills should be introduced to enhance their financial habits.

Children's preschool years are crucial for the development of computational thinking (CT) skills. However, debate continues regarding whether CT should be developed through plugged-in or unplugged activities. This study investigated the similarities and differences between plugged-in and unplugged activities with similar learning content and assessment methods for cultivating computational thinking (CT) in young children. Twenty-four young children (aged 5-6 years) from a kindergarten in Foshan, China, were randomly assigned to either the plugged-in or unplugged group to participate in a five-week study. In the plugged-in group, Dodobot was used in the classroom, while in the unplugged group, unplugged materials such as paper, pencil and tangram puzzles were used. Research results indicate that 1) both plugged-in and unplugged activities significantly improved the young children's CT skills after a short-term educational intervention, but there were no significant differences between the two groups; 2) the extent to which the plugged-in and unplugged activities promoted subdimensions of CT was different, with the plugged-in group demonstrating significant improvements in hardware, algorithm, and modularity and the unplugged group demonstrating significant improvements in terms of representation; 3) the children from both the plugged-in and unplugged groups showed high motivation; And 4) the children in both the plugged-in and unplugged groups showed cooperative behaviors. The frequency of cooperative behavior was more related to materials, and cooperation quality was more related to teacher guidance.

Purpose: This study compares doctor staffing level and the scale of medical education in China with those of other countries and proposes policy recommendations for future adjustments to the scale of China's medical education. Design/Approach/Methods: This study employs a literature review and descriptive analysis. Findings: China had 1.98 medical doctors per 1,000 people in 2018, ranking 85th out of the 193 member-states of the World Health Organization (WHO). In 2017, China had 1.99 practicing doctors per 1,000 people, only ranking above Turkey (1.88) in Organisation for Economic Co-operation and Development (OECD) countries. China had only 10.28 medical graduates per 100,000 people--placing in the bottom third of OECD countries. China's provision of 1.4 medical schools per 10 million people was also significantly lower than the global average (3.9). However, the average number of students enrolled in medical schools (509) in China was significantly higher than the global average (160). Originality/Value: Although the scale of admission in undergraduate medical education must be expanded in China, this needs to be achieved while controlling the average number of medical students per school and reducing enrollment in low-quality medical schools. Furthermore, it is necessary to establish new medical schools while improving the operating level of existing ones.

This study examined the serial mediating effects of negative parenting and children's mastery motivation on the relationship between family socioeconomic status (SES) and internalizing and externalizing problem behaviors in Chinese preschoolers. A sample of 669 Chinese children between 3 and 6 years (M[subscript age] = 4.83, SD[subscript age] = 0.87, 50.4% girls) was recruited from 12 public kindergartens in a coastal city in southeastern China based on a stratified random sampling procedure. Their parents completed the Multidimensional Assessment of Parenting Scale (MAPS), Dimensions of Mastery Questionnaire for Preschool Children (DMQ 18), and Children's Problem Behaviors Scale (CPBS). Research Findings: (1) family SES was significantly related to reduced negative parenting and children's problem behaviors as well as increased children's mastery motivation; (2) family SES affected children's problem behaviors indirectly through the single mediating path of negative parenting and the single mediating path of children's mastery motivation; and (3) negative parenting and children's mastery motivation were identified the serial mediators between family SES and children's problem behaviors. Practice or Policy: This study has demonstrated how family SES would interact with negative parenting practices concerning early childhood development. The findings also indicated that strategies that assist parents in adopting positive parenting practices or facilitate the development of mastery motivation in children might reduce the occurrence of children's problem behaviors.

Symbolic competence is integral to intercultural teaching and learning, but limited research and teaching guidance exist in foreign language classrooms. This paper explores the use of critical incidents in developing the symbolic competence of advanced-level English as a Foreign Language (EFL) learners at a Chinese university. Mixed methods analyses of critical incidents written by students reveal all dimensions of symbolic competence, with prominent themes of diversified intercultural understanding, effective narrative control depicting a positive self-image, and growing perspective-taking awareness though limited evidence of exercising symbolic power. The study thus highlights the symbolic value of intercultural language teaching and suggests the potential benefits of critical incident writing for developing the symbolic dimension of intercultural competence.

This case study uses qualitative data generated over three years to explore how a Chinese expert teacher constructs her personal practical theory (PPT) about teaching. The data analysis showed that the teacher successfully constructed a personally relevant, institutionally expected, and socio-culturally embedded PPT that manifested her teaching beliefs. The teacher constructed the PPT through five essential and interrelated steps: (a) identifying effective teaching practice; (b) crystalising a core concept from effective teaching; (c) proposing theoretical tenets around the core concept; (d) configuring the theoretical tenets into a preliminary PPT; (e) refining the PPT in relevant communities. The theory construction experience deepened the teacher's understanding of teaching and enhanced her confidence in engaging with educational theories and university-based scholars. However, the teacher's lack of knowledge about educational theories and hands-on tools for theory construction posed significant challenges to the teacher. This study generates new empirical evidence and conceptual insights into teacher theory construction, enriching international discussions on the theory-practice gap in education. The research findings also suggest practical implications for frontline teachers, facilitating their engagement with theories to close the theory-practice divide in their situated contexts.

To explore and explain teaching and learnign issues in a current veterinary infectious disease course, the author proposed the concept of blended learning with a BOPPPS (bridge-in, objective, pre-test, participation learning, post-test, and summary) teaching model (BL-BOPPPS) based on the background of 'Internet plus education'. The study put blended learning (including 'flipped classroom' and the application of 'Rain Classroom' and 'presentation-assimilation-discussion (PAD)') combined with the BOPPPS online and offline model into practice and summarised the teaching effects and reflections that strengthened participatory learning and students' independent learning, thinking and innovation skills, in order to develop them as lifelong learners. This study also aims to provide a new theoretical basis and reference for teaching reform of veterinary infectious disease.

This study examines how novice teachers engage with the emotion of anger in their professional work. We generated 155 Chinese teachers' written reflections on how they felt, expressed, and regulated anger. The study revealed three findings: (1) the primary sources of the teachers' anger were related to students; (2) the majority of teachers tended to express anger destructively; (3) some teachers lacked emotional competence to regulate anger. The intensifying emotional labour in the teaching profession, the professional prematurity of novice teachers, and the stringent emotional rules in Chinese schools jointly contributed to the identified patterns. This study generates new insights into novice teachers' anger-related experiences, highlights the socio-cultural dimension of teacher anger, and suggests practical implications for supporting teachers in making sense of and acting on anger more consciously and effectively.

The mathematical abilities of children with autism spectrum condition have been understudied. Magnitude representation is a fundamental numerical ability that emerges early in development and is linked to children's learning of formal mathematics. It remains unclear about whether children with autism spectrum condition differ from their peers without autism spectrum condition in the precision of magnitude representations. This study recruited preschool-aged children with autism spectrum condition (N = 70; 64 boys, M[subscript age] = 5.20 years) and without autism spectrum condition (N = 117; 63 boys, M[subscript age] = 5.11 years), and tested their precision of magnitude representation with an approximate number comparison task (dot comparison). Children with autism spectrum condition exhibited the lower numerical comparison accuracy (i.e. the weaker magnitude representation) than their peers without autism spectrum condition, regardless of the congruency between numerosity and surface area of dots. Moreover, the lower numerical comparison accuracy was observed even controlling for multiple general cognitive abilities (working memory, inhibitory control, and nonverbal intelligence) and language abilities. In addition, the variability of the comparison accuracy was larger in children with autism spectrum condition than without autism spectrum condition. These findings suggest that children with autism spectrum condition are at risk of weaker magnitude representation from an early age, emphasizing the need for specialized mathematics education or interventions to support their learning.

In this paper, we discuss the teaching effects of augmented reality (AR) technology in German instruction. We conducted one prestudy and three formal studies on German learners in China's mainland and Taiwan region. In the formal studies, a total of 120 students participated in the survey, allowing us to compare the differences in interest in learning between AR picture books and traditional picture books. A total of 114 students took part in the survey, which enabled us to compare the contribution of AR picture books to teaching when students' satisfaction and German proficiency were different. To improve satisfaction, 514 students participated in the survey regarding the influence of the interactive narrative design effect and peer learning on satisfaction with using AR picture books. The results suggest that when learning German with AR picture books, satisfaction is the key construct that determines students' learning states.

Purpose: By reviewing policies on higher education for international students, this article aims to investigate the change of social-historical context, policy issue, and policy solution and provide implications for policymaking. Design/Approach/Methods: The study used qualitative text analysis. One hundred and twelve policy papers were collected from the PKULAW database and the Ministry of Education official website. Deductive categories were constructed under themes like social-historical context, policy issue, and policy solution separately. Findings: Four stages have emerged from the text analysis. The policy focus witnessed a shift from openness to expansion and then to quality. The policies made by the central government changed a lot accordingly. China is increasingly active in higher education internationalization and eager to make the education for international students an attractive brand with high quality. To realize this target, policies should be made based on different types of international students. Additionally, it is necessary that policies provide detailed guidance and accelerate capacity building in all majors. Originality/Value: This study contributes to existing knowledge of higher education for international students in China by providing qualitative policy text analysis, and the insights gained from this study may be of assistance to policymaking in the future.

The number of African students in China has significantly increased in the last two decades. This trend is closely related to China's engagement with Africa in all aspects and insufficient provision of higher education in many African countries. This study examines the degree to which African students are satisfied with their study and life experiences at a Chinese university through a mixed-methods approach. The findings indicate that African students are generally satisfied with their experiences and the extent to their satisfaction in teaching dimensions is higher than that in administrative dimensions. However, teacher's English proficiency, interaction between faculty and students, internship opportunities, and administration service quality have lower levels of satisfaction that could be improved. In regard to factors affecting satisfaction, African students' Chinese language proficiency level and the length of stay in China both influence their experiences. Additionally, the study discovers that self-funded students frequently have greater financial pressure and higher expectations for their study. The conclusion presents the research implications for enhancing the quality of Chinese higher education internationalization.

The use of increasingly popularized information technology to improve education poverty and then promote the balanced development of education has become the development trend of world education. On the road to poverty alleviation, China has firmly grasped information technology to encourage school reform in areas with scarce educational resources. Among them, "Triple Classroom" was the accurate result of the deep integration of education, teaching, and information technology. Driven by the "Triple Classroom" project, the Shi Shi Middle School in Chengdu, Sichuan Province, built the online open course with the "Shi Shi Xiang Yun (SSXY)" online school as a platform. Thus, they send high-quality educational resources to areas with scarce educational resources and effectively promote education quality improvement in marginal areas.

Taking the elementary students of grade 5 in Jiangsu Province as the object, the research is carried out on the family and peer factors that affect the academic pressure of elementary students. The results show that parent-child relationships and peer relationships are critical protective factors for elementary students' academic pressure. The parent-child relationship negatively predicts the academic pressure and affects its academic pressure through the peer relationship, while self-esteem regulates the relationship between the peer relationship and the academic pressure. The study results suggest that constructing a good parent-child relationship and peer relationship while improving children's self-esteem positively impacts elementary students to cope with academic pressure.

Based on the model of reading engagement processes within classroom contexts, this research examined the link between student-perceived reading strategy instruction (RSI) and reading comprehension via multiple mediators, including autonomous reading motivation and reading strategy use (RSU), among 5,275 Chinese fourth graders. Multilevel mediation analysis showed that the direct effect of student-perceived RSI on reading comprehension was not significant at the school level but was significant at the student level. Additionally, the indirect effect of student-perceived RSI on reading comprehension through (first) autonomous reading motivation and (second) RSU was significant at both the student and school levels. The results indicate that student-perceived RSI exerts beneficial effects on student reading learning by fostering autonomous reading motivation and RSU. These findings provide pedagogical implications for directions in future reading instruction.

This study investigated cross-cultural similarities and variations in children's developing understanding of mixed emotions. Four- to 9-year-old US (n = 56) and Chinese (n = 98) children listened to stories in which the protagonist encountered a situation combining positive and negative components. Children were asked whether the story protagonist would feel the appropriate positive emotion as well as the appropriate negative emotion. Despite being able to recall the positive and negative components of the stories, both US and Chinese children often agreed to only one emotion. However, when children did not agree to only one emotion, US children were more likely than Chinese children to agree to both emotions, whereas Chinese children were more likely than US children to deny both emotions. Overall, the findings confirm that the recognition of mixed emotions is challenging for children under the age of 10. They also suggest, however, that mixed emotions are conceptualized differently in the two cultures: US children tend to assume that positive and negative emotions can coexist whereas Chinese children tend to assume that they neutralize each other.

Objective: To explore the relationship between loneliness, self-efficacy, and satisfaction with life of Left-behind middle school students in China. Methods: A cluster random sampling method was used to study students from Left-behind middle schools in Binhai County of Jiangsu Province. The loneliness scale, general self-efficacy scale, and satisfaction with life scale were used to conduct questionnaire surveys. Results: Compared with non-left behind middle school students, Left-behind middle school students had higher loneliness, lower self-efficacy, and satisfaction with life. There were significant gender differences in loneliness and satisfaction with life of the two types of students. Whether to live in school or not had an insignificant impact on the loneliness and satisfaction with life of Left-behind middle school students. Loneliness had a significant negative predictive effect on the satisfaction with Left-behind middle school students' life and self-efficacy. In predicting satisfaction with life by loneliness, self-efficacy generally played a part of the mediating role, which could partially buffer the adverse effects of loneliness on student satisfaction with life. Conclusion: The mental health of left-behind middle school students should arouse the common concern of family, school and society. Try to do some intervention counseling in reducing the experience of loneliness and enhancing the sense of self-efficacy to improve their satisfaction with life and maintain a positive mental state.

Working memory (WM) has a limited capacity; however, this limitation can be mitigated by selecting individual items from the set currently held in WM for prioritization. The selection mechanism underlying this prioritization ability is referred to as the focus of attention (FOA) in WM. Although impressive progress has been achieved in recent years, a fundamental question remains unclear: Do perception and WM share one FOA? In the current study, we investigated the hypothesis that only a perceptual task tapping object-based attention can divert the FOA in WM. We adopted a retro-cue WM paradigm and inserted a perceptual task after the offset of the cue. Critically, we manipulated the type of attention (object-based attention in Experiments 1-3, feature-based attention in Experiment 4, and spatial attention in Experiment 5) consumed by the perceptual task. We found that participants were able to prioritize a retro-cued representation in WM, and the retro-cue benefit on memory accuracy was intact regardless of the perceptual task. Critically, the retro-cue benefit on the response time of WM task was significantly reduced only after an object-based attention perceptual task (Experiments 1, 2, 3a, and 3b), while remaining constant after a feature-based attention (Experiment 4) or spatial attention (Experiment 5) perceptual task. These results suggest that WM and perception share an object-based FOA, and an object-based attention perceptual task can divert the FOA in WM. Meanwhile, the current study further confirms that sustained attention is not necessary for selective maintenance in WM.

Research with adults has increasingly moved beyond the focus on a small set of allegedly basic emotions, each associated with a signature facial expression. That expansion has been accompanied by a greater emphasis on the potential variability of emotion concepts across different cultural settings. In this conceptual review of children's understanding of emotion, we argue that it is also important in developmental research to look beyond the small set of emotions associated with distinctive facial expressions. At the same time, we caution against any premature rejection of a universalist approach to children's understanding of emotion. We review three different lines of evidence in support of this stance: (1) children's ability to appropriately cite situational elicitors for emotions beyond the basic set; (2) their developing understanding of the relations between emotions and other mental processes; and (3) their realization that a person's facially expressed emotion may not indicate their felt emotion. In each of these three domains, we target studies that have included children from a variety of cultures to assess how far they respond similarly or differently. We conclude that there is robust evidence for similar conceptual progress in children's understanding of emotion across a range of cultural settings.

Visual working memory (WM) plays a pivotal role in integrating fragments into meaningful units, but no study has addressed how visual WM integration takes place in children. The current study examined whether WM integration emerges once preschoolers master Gestalt cue and can retain two representations in WM (automatic integration hypothesis), or still needs time to mature (maturation-of-integration hypothesis). Four experiments (N = 168, 81 females, 4- to 6-year-olds, Chinese, in Hangzhou, China, from 2016.10 to 2021.11) were conducted. Although 4-year-olds can retain two objects in WM and benefit from Gestalt cues in simultaneous display (Cohen's "ds" >1.00), they failed when memory arrays were presented sequentially. Meanwhile, 5- and 6-year-olds consistently demonstrated WM integration ability (all Cohen's "ds" >0.69), supporting the maturation-of-integration hypothesis.

Real world places are important for foreign language (FL) learning since they provide rich and authentic language and cultural contexts for learners. However, numerous FL learners are unable to travel to target-language environments for language learning purposes. This article develops the concept of telepresence-place-based FL learning and examines its design principles through a mixed-method case study. Eleven adult English learners in China and four native-speaking English instructors participated in a series of learning activities at an arboretum on the campus of a university in the US. Based on the analysis of surveys, interviews, field notes, and learning activity videos, the findings show that using telepresence robots outside the classroom provides unique learning affordance for learners, especially when proper design principles are followed in designing the learning activities.

This study explored the experiences of professionals and parents from the United Kingdom and China of autism-relevant policies, school involvement, and applied behavior analysis-based interventions. Semistructured interviews involving 36 parents and professionals and direct behavioral observations were carried out of five parents and three professionals. Results found: (1) a lack of autism support and applied behavior analysis-related services in both countries; (2) applied behavior analysis-based intervention was not as widely endorsed by healthcare or educational systems in the United Kingdom; Chinese parents faced challenges around inclusive education and accessing high-quality services and there was a social stigma attached to autism; (3) a limited awareness and application of early intensive behavior intervention in both regions; and (4) intervention fidelity with regards to the practice of one particular applied behavior analysis-based intervention, discrete trial teaching, was similar and increased with ongoing training. Professional and parental experiences were discussed in the context of policy and educational involvement. This study illustrates the need to support children with autism and to consider regional adaptations of evidence-based practice of behavior analysis for the affected population.

Research Findings: The impact of the newly launched "two-child policy" on young children's social development has not been empirically studied. This study examined the possible mediating and moderating factors in the relationship between parenting styles and social competence in Chinese preschoolers. A sample of only children (N[subscript only-child] only-child = 352, M[subscript age] = 3.96, SD = 0.62,) and children with siblings (N[subscript child-with-siblings] = 552, M[subscript age] = 4.02, SD = 0.64) was recruited from Fuzhou, China. Their parents completed the Children's Behavior Questionnaire (CBQ), Social Competence and Behavior Evaluation (SCBE), and Parenting Style and Dimension Questionnaire (PSDQ). The results indicated that: (1) the only children were more likely to have parents of authoritative and permissive parenting styles than the children with siblings; (2) the children with siblings had higher levels of self-regulation than the only children; (3) self-regulation mediated the relations between all dimensions of parenting styles and children's social competence; (4) singleton (only children or not) moderated the mediating effect of self-regulation in the relationships between permissive parenting style and children's social competence after controlling for child age and gender. Practices and Policy: The results have demonstrated the influence of the "two-child policy" and how such macro-contextual change interacts with key microsystems such as the family and parenting behaviors in relation to early development. The findings have several practical implications for parent education and home intervention.

Purpose: In recent years, private tutoring has become increasingly prevalent in China and has become both a dominant way for students to learn after school and a major component of family educational expenditure. This paper aims to analyze the factors that affect Chinese students' participation in private tutoring and the effectiveness of private tutoring. Design/Approach/Methods: We use data from the Programme for International Student Assessment (PISA) 2015 of Mainland China area and focus specifically on science-related private tutoring. Multilevel logistic model and hierarchical linear model based on coarsened exact matching (CEM) are used to conduct the investigations. Findings: Empirical results show that individual level factors including student's interest in science, educational expectations, and school-level factors such as school autonomy, science-related learning resources and school size pose a significant influence on the likelihood of participation in private tutoring. Moreover, science-related private tutoring has not significantly improved the overall scientific literacy scores of students. In addition, private tutoring has widened the performance gap among students from different socioeconomic backgrounds, with students from socioeconomically advantaged family experiencing more significant gains from tutoring. Originality/Value: These findings suggest that providing free high-quality tutoring to students from disadvantaged families might be an effective way of promoting educational equity.

Precise protein supplementation strategies for muscle improvement are still lacking. The timing or type of protein supplementation has been debated as a window of opportunity to improve muscle mass, strength, and physical performance. We conducted a network meta-analysis of randomized controlled trials with protein supplements and resistance training. PubMed, Web of Science, Cochrane Library, and SPORTDiscus databases were searched until May 1, 2023. We included 116 eligible trials with 4,711 participants that reported on 11 timing and 14 types of protein supplementation. Compared with placebo, protein supplementation after exercise (mean difference [MD]: 0.54 kg [95% confidence intervals 0.10, 0.99] for fat-free mass, MD: 0.34 kg [95% confidence intervals 0.10, 0.58] for skeletal muscle mass) and at night (MD: 2.85 kg [0.49, 5.22] for handgrip strength, MD: 12.12 kg [3.26, 20.99] for leg press strength) was most effective in improving muscle mass and strength, respectively (moderate certainty). Milk proteins (milk, whey protein, yogurt, casein, and bovine colostrum), red meat, and mixed protein were effective for gains in both muscle mass and strength (moderate certainty). No timing or type of protein showed a significant enhancement in physical performance (timed up-to-go test, 6-min walk test, and gait speed). Pre/postexercise and Night are key recommended times of protein intake to increase muscle mass and strength, respectively. Milk proteins are the preferred types of protein supplements for improving muscle mass and strength. Future randomized controlled trials that directly compare the effects of protein timing or types are needed. This trial was registered at International Prospective Register of Systematic Reviews as CRD42022358766. [ABSTRACT FROM AUTHOR]

This paper documents the structure and operations of student governments in contemporary Chinese higher education and their effect on college students' political trust and party membership. We first investigate the structure and power distribution within student governments in Chinese universities, specifically focusing on the autonomy of student governments and the degree to which they represent students. Second, using a large sample of college students, we examine how participating in student government affects their political trust and party membership. Our results show that student government in Chinese higher education possesses a complex, hierarchical matrix structure with two main parallel systems--the student union and the Chinese Communist Party system. We found that power distribution within student governments is rather uneven, and student organisations that are affiliated with the Chinese Communist Party have an unequal share of power. In addition, we found that students' cadre experience is highly appreciated in student cadre elections, and being a student cadre significantly affects their political trust and party membership during college.

Purpose: Given the unique features of the liver, it is necessary to combine immunotherapy with other therapies to improve its efficacy in patients of advanced cancer with liver metastases (LM). High-intensity focused ultrasound (HIFU) ablation is now widely used in clinical practice and can enhanced immune benefits. The study is intended to prospectively evaluate the safety and clinical feasibility of HIFU ablation in combination with systemic immunotherapy for patients with liver metastases. Methods: The study enrolled 14 patients with LM who received ultrasound-guided HIFU ablation combined with immune checkpoint inhibitors (ICIs) such as anti-programmed cell death protein 1 (anti-PD-1 agents manufactured in China) at Mianyang Central Hospital. Patients were followed up for adverse events (AEs) during the trial, using the CommonTerminology Criteria for Adverse Events v5.0(CTCAE v5.0) as the standard. Tumour response after treatment was assessed using computerized tomography. Results: The 14 patients (age range, 35–84 years) underwent HIFU ablation at 19 metastatic sites and systemic immunotherapy. The mean lesion volume was 179.9 cm3 (maximum: 733.1 cm3). Median follow-up for this trial was 9 months (range: 3–21) months. The study is clinically feasible and acceptable to patients. Conclusion: This prospective study confirmed that HIFU combined with immunotherapy is clinically feasible and safe for treating liver metastases. [ABSTRACT FROM AUTHOR]

This study investigates the relationship between three discourse synthesis skills (i.e., quotation, summarization, and connection) and students' overall integrated writing performance in Chinese, students' first language, and English, their second language. Hierarchical regression analyses revealed that 63.6% of the variance in students' overall Chinese integrated writing performance was accounted for by the three discourse synthesis skills, with connection and summarization contributed almost equally to the overall scores. In the English test, the three skills explained 47.9% of the variance. Cross-linguistic facilitation of the L1 discourse synthesis skills to the overall L2 integrated writing performance was observed, although the predictive strength of the three skills was comparatively low. Eye-tracking data together with subsequent stimulated-recall interviews illuminated the differences in students' approaches to discourse synthesis. Findings of the study support the decisive role of discourse synthesis abilities in both L1 and L2 integrated writing assessments. Implications for writing instruction are discussed.

Research Findings: This study aims to explore the relationships between Scientific Epistemic Beliefs (SEB), Science Teaching Beliefs (STB) and Science-specific Pedagogical Content Knowledge (Science-PCK) in preservice kindergarten teachers from China. Altogether 987 preservice teachers were randomly sampled from a teacher education institution and were invited to complete Scientific Epistemic Beliefs Scale, Teachers' Science Teaching Beliefs scale, and Science-PCK scale. Their personal information (such as age, gender and family income) was collected, and their work-orientated interest and anxiety were also surveyed. CFA and path analysis generated a model with excellent fit, CFI =0.946, TLI =0.886, NFI =0.923, RMSEA =0.045, X[superscript 2] = 29.864, df = 10, p <0.001. This model indicated that: (1) SEB strongly predicted STB and Science-PCK; (2) Science teaching anxiety partially mediated the association between SEB and STB; (3) STB partially mediated the association between SEB and Science-PCK; and (4) STB was a full mediator between Year/SES/Interest and Science-PCK. Practice or Policy: ECE teacher education program should be improved to pay more attention to SEB and STB training and to cater to individual differences in terms of Anxiety and SES backgrounds.

Applied behavior analysis (ABA)-based intervention is typically utilized to support children with autism spectrum disorders (ASD), which has been widely used across the world. However, little is known about the current extent of the utilization of applied behavior analysis for children with autism in China. This paper provides a systematic review on the ABA-based intervention studies conducted in Mainland China. Studies published in Chinese and English journals were included, and 35 empirical studies qualified for the selection criteria were analyzed. The results suggest that the Chinese ABA-based programs are generally effective. Among the overall publications on the ABA-based intervention, there is a limited number of empirical studies, but this type of studies increases in recent years. In addition, one characteristic of the Chinese programs is that parental involvement is emphasized. The review also reveals the wide use of non-behavioral eclectic methods and the limit in the experimental design in some Chinese studies. The implications of these findings for research and practice are discussed.

Background: Non-suicidal self-injury (NSSI) is a serious public health concern. Emotional insecurity is a crucial predictor of NSSI among adolescents. However, few studies have elucidated the specific mechanisms between emotional insecurity and NSSI. Methods: This study employed a longitudinal research design, using a sample of 886 Chinese early adolescents (Mage at T1 = 10.62 years, SD = 0.77 years; 47.40% females), and conducted two surveys six months apart to examine the mediating role of peer exclusion between emotional insecurity and NSSI, as well as the moderating effect of school climate. Results: The results indicated that peer exclusion significantly mediated the connection between emotional insecurity and adolescent NSSI. Moreover, school climate significantly moderated the connection between emotional insecurity and peer exclusion. Specifically, the impact of emotional insecurity on peer exclusion was significant only in adolescents who reported a negative school climate, but non-significant in those who reported a positive school climate. Conclusions: These findings provide a robust theoretical foundation and practical insights to help inform the prevention of and interventions for NSSI in adolescents. [ABSTRACT FROM AUTHOR]

Background: The SLC2A1 gene plays a vital role in brain energy metabolism. SLC2A1 variants have been reported to be associated with early-onset refractory seizures. This study aims to explore the association between the SLC2A1 gene and late-onset epilepsy. Methods: Trios-based whole-exome sequencing was performed on patients with epilepsy without acquired etiologies. The pathogenicity of the variants was assessed according to the American College of Medical Genetics and Genomics (ACMG) guidelines. Results: A total of 14 heterozygous SLC2A1 variants were identified in 16 unrelated families. The variants were evaluated as "pathogenic" or "likely pathogenic" according to the ACMG guidelines. Ten cases (62.5%) presented with infantile onset seizures and developmental delay/intellectual disability and were diagnosed with developmental and epileptic encephalopathy (DEE). The other six cases (37.5%) exhibited late-onset seizures and normal development. They were diagnosed with idiopathic partial epilepsy (n = 2) or idiopathic generalized epilepsy (n = 4). Further analysis showed that DEE-associated variants tended to cluster in the transmembrane region, whereas the mild epilepsy-associated variants tended to locate in regions outside the transmembrane region, suggesting a potential molecular sub-regional effect. A total of 15 cases had delayed diagnosis, with the longest delay being 22 years. The SLC2A1 expression stage, which is expressed at relatively high level throughout the whole life span, from the embryonic to adult stages with two peaks at approximately four and 14 years, is generally consistent with the seizure onset age. In addition, patients with early-onset age had variants that were potentially associated with severe damage, suggesting a potential correlation between the age of disease onset and the damaging effects of the variants. Conclusions: SLC2A1 variants are associated with late-onset epilepsy, which is consistent with the genetic-dependent stage feature of SLC2A1. Early genetic diagnosis is important for treatment of patients with SLC2A1 variants. [ABSTRACT FROM AUTHOR]

Objective: Tegoprazan represents a newly developed potassium-competitive acid blocker utilized for the treatment of acid-related disorders. The present study aimed to explore the therapeutic effectiveness of tegoprazan in Chinese individuals with duodenal ulcers (DU). Methods: In the current multicenter, randomized, double-blind, double-dummy, parallel-group, non-inferiority, phase III clinical trial, individuals with DU underwent randomization 1:1 to be administered tegoprazan 50 mg or lansoprazole 30 mg once daily. The primary efficacy endpoint was the 6-week cumulative endoscopic ulcer healing rate. Secondary endpoints included 4-week endoscopic ulcer healing rate and relief of DU-related gastrointestinal symptoms at weeks 2, 4, and 6. Safety analysis encompassed adverse events (AEs) and laboratory indexes. Results: The 6-week cumulative endoscopic ulcer healing rates were 96.9% (188/194) and 99.0% (189/191) in the tegoprazan and lansoprazole groups, respectively, indicating a difference of −2.0% (95% confidence interval (CI) = −4.9 to 0.8) in the full analysis set (FAS). The corresponding healing rates were 98.4% (185/188) and 99.5% (183/184) in the per-protocol set, respectively, indicating a difference of −1.1% (95% CI = −3.1 to 1.0). The 4-week healing rates in the tegoprazan and lansoprazole groups were 89.2% (173/194) and 88.5% (169/191) in the FAS, respectively, with a difference of 0.7% (95% CI = −5.6 to 7.0). Treatment-related AEs, all mild-to-moderate, were reported in 38.2% (78/204) and 48.2% (94/195) of participants in the tegoprazan and lansoprazole groups, respectively. Conclusions: Tegoprazan 50 mg once daily is effective and non-inferior to lansoprazole 30 mg once daily in Chinese patients with DU, showing a promising safety and tolerability profile. ClinicalTrials.gov registration number: NCT05010954. [ABSTRACT FROM AUTHOR]

Background: Pancreatic cancer (PC) is a malignant tumour with poor prognosis and high mortality, and high fasting plasma glucose (HFPG) is considered to be one of its important risk factors. Methods: PC disease burden data were obtained from the Global Burden of Disease Study 2021 (GBD 2021) database. Annual percent change (APC), average APC (AAPC), and 95% confidence interval (95% CI) were analysed using joinpoint linkpoint regression models to assess the trend of PC burden of disease between 1990 and 2021. An age-period-cohort model was used to estimate the independent effects of age, period, and cohort on PC burden, and data on PC mortality attributable to HFPG in China from 2022 to 2032 were analysed on the basis of a Bayesian age-period-cohort model projection. Results: The number of Pc deaths due to HFPG continue to rise in China from 1990 to 2021, with age-standardised mortality (ASMR) and age-standardised disability-adjusted life-year rates with increasing AAPC values of 1.12% (95% CI, 0.73-1.52) and 1.00% (95% CI, 0.63-1.37), respectively. Throughout the study, we found that the overall level of PC disease burden was significantly higher in men than that in women. In age-period-cohort analyses, the age effect of PC showed an increasing and then decreasing trend, the period effect showed an overall increasing trend during the study period, and the cohort effect showed an overall slow decreasing trend. In addition, the BAPC model predicted that ASMR is expected to decline significantly in both men and women from 2022 to 2032. Conclusions: It was found that PC attributable to HFPG was generally on the rise in China from 1990 to 2021 and has been on the decline in recent years, and projections suggest that the country's future PC disease burden will continue to show a downward trend. Age and period of birth are the main factors affecting the disease burden, especially in men and older age groups. Early prevention, regular screening, and research into the pathogenesis of PC have, therefore, become particularly important. [ABSTRACT FROM AUTHOR]

Background: Atrioventricular block (AVB) is common in the elderly and therefore considered to be a degenerative disease of the cardiac conduction system. However, there exist other etiologies contributing to AVB in young patients. This study aimed to determine the etiologies in patients aged before 60 years receiving their first pacemaker implantation for AVB in China. Methods and Results: Medical records and diagnostic tests of AVB patients were reviewed to identify the etiologies between 2010 and 2021 at Guangdong Provincial People's Hospital. Eight hundred and twenty‐six patients (median age 47 years; 47.9% males) were included. The etiologies were identified in 336 (40.7%) cases, including complications to cardiac surgery (n = 190 [23.0%]), myocarditis (n = 57 [6.9%]), myocardial infarction (n = 25 [3.0%]), complications to catheter‐based interventional procedures (n = 21 [2.5%]) and others (n = 43 [5.2%]). AVB caused by myocardial infarction was more common in men (5.8% vs. 0.5%, p <.001), while women received pacing treatment earlier (48 vs. 46 years, p =.019). Men were more likely to suffer from dilated cardiomyopathy (6.6% vs. 2.1%, p =.001) and atrial fibrillation/flutter (23.0% vs. 12.8%, p <.001). The number of first pacemaker implantation increased with age especially among patients with unclear etiologies. Conclusion: The etiology of AVB was only determined in approximately 40% of patients receiving their first pacemaker implantation aged before 60 years. The predominance of AVB with unknown etiology and potential gender differences warrants further studies. [ABSTRACT FROM AUTHOR]

TBM tunneling technology has the advantages of high tunneling efficiency, high safety and high labor efficiency in hard rock tunneling, due to its high mechanization, automation, multi-function integration, multi-process continuous operation and strong rock breaking ability. It has become an important technical means to alleviate the long construction cycle and mining imbalance of large metal mines in China. Based on the analysis and research of several TBM engineering cases in metal mine, the application prospect and economic benefit of TBM in hard rock construction to achieve speedy drivage was expounded. At the same time, the technical problems that needed to be solved in the popularization and application of TBM in metal mines were analyzed, and the development direction for the further development and application of TBM in metal mines was put forward. [ABSTRACT FROM AUTHOR]

Prostate cancer (PC) is an epithelial malignancy occurring in the prostate. PC ranks second in incidence among all male malignancies globally by the latest statistics from the World Health Organization. Notably, China has seen a more rapid increase in PC incidence compared to developed European and American nations. By 2022, the newly reported cases and deaths due to PC in China increased to 134,200 and 47,500, respectively. Thus, early diagnosis and standardized treatment for prostate cancer in China remain far-reaching objectives. Burgeoning research on advanced PC and castration-resistant prostate cancer in recent years have paved the way for a new era of integrated treatment methods including novel endocrine drugs, chemotherapy, targeted therapy, and immunotherapy. Future therapies involve precision treatment guided by genetic testing and individualized integrated treatment as part of a multidisciplinary integrated diagnosis and treatment model for PC. The Genitourinary Oncology Committee of the China Anti-Cancer Association (CACA-GU) has invited multidisciplinary experts across fields including surgery, oncology, pathology, radiology, herbal medicine, physiatry, and psychology to collaboratively write, discuss, and revise guidelines on managing PC. The CACA Guidelines for Holistic Integrative Management of Prostate Cancer includes epidemiology, screening and diagnosis, treatment for localized PC, diagnosis and treatment of PC recurrence after radical prostatectomy, management of metastatic PC, traditional Chinese medicine diagnosis and treatment of PC, and rehabilitation from PC. This guideline aims to standardize the clinical diagnosis and treatment management of PC in China. It is more aligned with China's clinical practice, highlights Chinese characteristics, and bears significant clinical importance. [ABSTRACT FROM AUTHOR]

Objective: This study aims to investigate the relationship between muscle strength, working memory, and activities of daily living (ADL) in older adults. Additionally, it seeks to clarify the pathways and effects of working memory in mediating the relationship between muscle strength and ADL. Methods: Using a cross-sectional study design, we recruited 245 older adults individuals from nursing homes. We collected data on grip strength, the 30-s sit-to-stand test, the N-back task, and ADL. The data were analyzed using independent sample t-tests, χ2 tests, correlation analysis, and structural equation modeling. Results: Grip strength significantly influenced ADL (effect size = -0.175, 95% CI: -0.226 to -0.124). Grip strength also had a significant direct effect on ADL (effect size = -0.114, 95% CI: -0.161 to -0.067). The 1-back task correct rate significantly mediated the relationship between grip strength and ADL (effect size = 0.054, 95% CI: -0.084 to -0.029). The 30-s sit-to-stand test significantly impacted ADL (effect size = -0.280, 95% CI: -0.358 to -0.203). It also had a significant direct effect on ADL (effect size = -0.095, 95% CI: -0.183 to -0.007). The 1-back task correct rate significantly mediated the relationship between the 30-s sit-to-stand test and ADL (effect size = -0.166, 95% CI: -0.236 to -0.106). Conclusion: There exists a strong correlation between muscle strength, working memory, and ADL. Increased muscle strength leads to better ADL performance and improved working memory tasks. Low cognitive load working memory tasks can mediate the relationship between muscle strength and ADL. Regular physical exercise can enhance muscle strength, slow down the decline of working memory, thereby maintaining or improving ADL in older adults. [ABSTRACT FROM AUTHOR]

This study aimed to examine the psychometric properties of the Chinese version of the family accommodation scale for obsessive–compulsive disorder (OCD) patient version (FAS-PV). A total of 171 adult OCD patients and 145 family members were enrolled in the present study. The majority of the adult OCD patients (89.5%) reported engaging in at least one accommodating behavior in the past week. The FAS-PV comprised three components that included (a) direct participation and facilitation, (b) provision of reassurance and assumption, and (c) modification of routines and avoidance. The FAS-PV demonstrated excellent internal consistency. The correlation between the total FAS-PV score and the criteria measure demonstrated excellent convergent validity when assessing the OCD symptom severity, global functioning, family functioning, and functioning impairment. The findings supported that the FAS-PV could be used widely in evaluating and identifying the accommodating behavior both in clinical and in research settings, especially in adult OCD patients who usually present to the clinic alone. [ABSTRACT FROM AUTHOR]

In midsummer 2023, a record‐breaking extreme heatwave hit North China, causing significant impacts on people's daily lives and production. This study comprehensively analysed the unique features of this extreme event based on five indices describing the intensity, frequency and impact range. The results show that four of these indices broke the historical record in 2023, and the spatial extent (Tmax >40°C) is the second highest in history. The number of hot days with Tmax >40°C (Tmax >35°C) even reached 23 times (4.2 times) the normal. The combined results of these five indices undoubtedly indicate that this heatwave event is featured by high intensity, long duration, numerous extremely hot days and wide impact range. Furthermore, physical mechanism study revealed that the abnormally warm high‐pressure system persisted in dominating North China, resulting in descending airflow and temperature increases. The enhanced and unprecedented westward extending Western North Pacific Subtropical High, the enhanced and eastward extending Iran Subtropical High and the abnormal high‐pressure over southwestern China form an east–west connected anomalous high‐pressure zone, blocking the water vapour transport from lower latitude oceans to North China. Noticeably, North China has experienced a reduction in precipitation since about 2 months preceding this extreme heatwave, leading to severe soil moisture deficiency and reduced evaporation. Consequently, it increased surface sensible heat flux that led to a rise in temperature. This local land‐atmosphere positive feedback mechanism plays a crucial role in the intensification and maintenance of this extreme heatwave event. [ABSTRACT FROM AUTHOR]

Introduction: The effects of exposure to particulate matter and frailty, as well as its exposure-response relationship, have not been effectively explored. This study aimed to explore the association between long-term exposure to particulate matter and frailty state and each dimension in Chinese middle-aged and older adults, in addition to the exposure-response relationship. Methods: The data were obtained from the National Urban Air Quality Real-Time Dissemination Platform and China Health and Retirement Longitudinal Study (CHARLS). Frailty was measured by a frailty index containing 39 indicators. Annual averages of seven pollutants were calculated from hourly monitoring data. We used multilevel regression modeling to explore the association between long-term exposure to particulate matter and frailty. Meanwhile, we explored the exposure-response relationship based on a multilevel generalized summation model. We performed a sensitivity analysis using a multi-pollution model and a quantile-based g-computation (QGC) model. Results: A total of 15,611 participants were included in the analysis. We find that long-term exposure to PM2.5 was associated with an increased risk of pre-frailty and frailty (all p < 0.05). PMc and PM10 exhibited similar associations. The exposure-response relationship between PM2.5 showed a linear relationship, whereas the exposure-response relationship between PM10, PMc showed a nonlinear relationship. Elevated PM2.5 concentrations showed significant positive associations with the number of chronic disease score, IADL score, and functional limitation status score (all p < 0.05). PM10 and PMc showed similar positive correlations. These results remained robust after sensitivity analyses using a multi-pollution model and QGC model. Conclusion: Chronic exposure to particulate matter was significantly associated with increased risk of frailty. The exposure-response relationship between PM2.5 concentration and frailty showed a linear relationship, and the exposure-response relationship between PM10 and PMc showed a nonlinear relationship. Exposure to a mixture of pollutants carried a higher risk of frailty than exposure to a single pollutant. [ABSTRACT FROM AUTHOR]

Objectives: This study investigates curcumin's neuroprotective role and its potential in promoting neurogenesis in progenitor cells within the brain. Notably, curcumin's antioxidant properties have been implicated in Alzheimer's disease treatment. However, the association between curcumin's antioxidative effects and its impact on neural stem cells (NSCs) remains to be elucidated. Methods: C17.2 neural stem cells were utilized as a model to simulate oxidative stress, induced by hydrogen peroxide (H2O2). We quantified the levels of superoxide dismutase (SOD), malondialdehyde (MDA), and intracellular reactive oxygen species (ROS), alongside the gene expression of SOD1 and SOD2, to assess intracellular oxidative stress. Additionally, Western blot analysis was conducted to measure the expressions of LC3‐II, Beclin‐1, and phosphorylated ERK (p‐ERK), thereby evaluating autophagy and ERK signaling pathway activation. Results: Treatment with curcumin resulted in a reduction of MDA and ROS levels, suggesting a protective effect on NSCs against oxidative damage induced by H2O2. Furthermore, a decrease in the relative expressions of LC3‐II, Beclin‐1, and p‐ERK was observed post‐curcumin treatment. Conclusions: The findings suggest that curcumin may confer protection against oxidative stress by attenuating autophagy and deactivating the ERK1/2 signaling pathways, which could contribute to therapeutic strategies for Alzheimer's disease. [ABSTRACT FROM AUTHOR]

Objective: Splenic flexure mobilization (SFM) is a major challenge in laparoscopic left hemicolectomy. This study aims to assess the safety and effectiveness of the pancreas-guided SFM technique during laparoscopic left hemicolectomy. Methods: From January 2018 to December 2023, 352 patients with left-sided colon cancer underwent laparoscopic left hemicolectomy. Based on the SFM method used, the patients were divided into the pancreas-guided group (167 cases) or the "Three Approaches Roundabout"/classic group (185 cases). Clinicopathologic characteristics and intraoperative and postoperative variables were compared between the two groups. Results: The two groups had no significant differences in baseline indicators (P > 0.05). All surgeries were successful without needing to convert to laparotomy, and there were no combined organ resections involving the spleen or pancreas in either group. The mean duration of surgery was significantly lower in the pancreas-guided group than in the classic group (P < 0.01). The median volume of intraoperative blood loss in the pancreas-guided group was lower than that in the classic group (P < 0.01). Through video playback, it was found that the retro-pancreatic space had been entered during operation in 8 cases (4.3%) in the classic group, while there were no such occurrences in the pancreas-guided group. This difference was statistically significant (P < 0.05). The difference in the number of lymph nodes cleared, postoperative hospital stays, and incidence of complications were not statistically significant (all P > 0.05) between the groups. Conclusion: The pancreas-guided SFM technique is a safe and feasible option for laparoscopic left hemicolectomy. Our study's findings suggest that this approach facilitates accurate access to the correct anatomic plane, potentially improving surgical efficiency. [ABSTRACT FROM AUTHOR]

This paper investigates the changes of gender wage gap in urban and rural areas and examines the effect of wage structure and unobserved characteristics on the gap by using the Chinese Household Income Project (CHIP) survey in 2013 and 2018. We document a significant increase of the gender wage gap in both areas as well as among rural‐to‐urban migrants. By applying Katz and Murphy's supply‐demand framework, we find that the demand has shifted toward younger, more educated workers, and the demand for male workers is higher than that for female workers during the time. The Blinder–Oaxaca decomposition of gender wage gap suggests that factors, such as occupation, parenthood status, and industry, have contributed to the expansion of wage gap. Furthermore, the Juhn–Murphy–Pierce decomposition of the change in gender wage gap implies that the expansion is owing to rising discrimination against females and gender‐specific factors such as observed and unobserved characteristics that have performed unfavorably for females. [ABSTRACT FROM AUTHOR]

Objectives: Osteoporosis is widely regarded as a typical aged-related disease caused by impaired bone remodeling. This research was designed to explore the protective effects of electroacupuncture (EA) on senile osteoporosis in a rat model and investigate the underlying mechanisms. Methods: Three-month-old rats were randomly selected as the youth group, and 24-month-old rats were randomly assigned to the elderly and EA groups. Rats in the EA group received 30 min of EA at bilateral SP10, ST36, K13 and GB34 daily, 5 days a week for 8 weeks. Bone mineral density (BMD), microstructure of the bone tissue, bone turnover biomarkers and expression level of autophagy-related proteins were detected. Results: Compared with the elderly group, EA treatment significantly increased BMD of the femur and ameliorated the microstructure. EA treatment increased trabecular bone volume ratio (= bone volume / total volume [BV/TV]) and trabecular number (Tb.N) and decreased trabecular separation (Tb.Sp) in senile osteoporosis rats. Compared with the elderly group, the serum N-terminal telopeptide of type I collagen (NTX1) level in the EA group was lower, and the serum procollagen type I N-terminal propeptide (PINP) concentration was higher. In addition, the expression of Beclin 1, microtubule-associated protein I light chain 3 (LC3B) and P62 was inhibited in the senile osteoporosis rats after EA treatment. Conclusions: EA can effectively alleviate aging-related bone loss and improve the microstructure of bone tissue in senile osteoporosis rats, and the regulation of autophagy might be one of the important mechanisms. [ABSTRACT FROM AUTHOR]