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The gamification of learning has increased in popularity in recent years as a tool for enhancing student engagement and attainment. In undergraduate chemistry courses, hybridization is a fundamental concept that students need to master in order to understand introductory organic and inorganic topics. This study focused on the development of a card game for use as a revision tool (i.e., a learning resource that can be used by students to engage with a topic they have previously encountered and develop their understanding of the topic in advance of an assessment) based on the topic of hybridization for students taking introductory chemistry courses. The game was designed to both engage students and support their learning. Covering the core concepts of hybridization, including molecular geometry, orbital character, and hybridization states, the speed-based game requires students to answer "question cards" before their opponents by placing down the correct "hybridization card". The game was implemented with chemistry cohorts at the University of Birmingham, United Kingdom, and Xi'an Jiatong-Liverpool University, China. The impact of the game on student learning was evaluated through pre- and postintervention quizzes, as well as a survey based on student impressions of the game play experience. Students responded positively about the game play experiences, and a comparison of quiz scores suggests a positive impact on student understanding of the topic.

This study takes a fresh look at vocabulary learning from the lens of professional translation practice and proposes integrating parallel texts with translation tasks to foster vocabulary learning. The study adopts a quasiexperimental design to examine the effectiveness of using parallel texts in pedagogical translation to foster EFL learners' lexical gains and vocabulary retention. It compares learners' foreign language vocabulary gains as a direct result of pedagogical translation tasks completed under two conditions: (1) Translation tasks with parallel texts (the "parallel-text approach") versus (2) translation tasks without parallel texts. A total of 40 Chinese EFL sophomores in social sciences participated in this study. The study consists of two experiments with identical procedures to allow all participants to swap roles and experience vocabulary learning under both conditions. Qualitative and quantitative data were retrieved from learners' drafts, revisions, and post-tests. The potential benefits of using parallel texts in pedagogical translation tasks were revealed in both between-group and within-subjects analyses. Empirical evidence of the pedagogical value of parallel texts may help language educators to innovate and facilitate learners to rethink their strategies.

The present study aims to compare the geometry standards in U.S. Common Core State Standards of Mathematics (CCSSM) and Chinese Compulsory Education Mathematics Curriculum Standards (CMCS) through the lens of van Hiele levels. The study considered a standard unit as one or multiple learning expectation(s) and placed each learning expectation into van Hiele levels. By examining the van Hiele level distributions of the learning expectations and major topics, this study investigated how CCSSM and CMCS propose the students' development of geometric thoughts. The findings reveal different emphases in geometry learning expectations of CCSSM and CMCS. Specifically, (a) Geometry standards in CCSSM are more general, whereas geometry standards in CMCS are more specific; (b) CMCS shows a more consistent progression through grade bands than CCSSM; (c) CCSSM makes more connections between various aspects within a topic and across multiple topics than CMCS; (d) CCSSM highlights Dynamic Geometry Environments (DGEs), whereas CMCS underscores abstract and rigor at the upper level. Implications of this study and suggestions for future revisions for both standards are discussed.

A recently introduced national policy in China, "Opinions on Promoting the Rotation of Principals and Teachers in Compulsory Education Schools within the County/District," mandates teacher mobility between urban and rural areas, thereby ensuring a more equitable distribution of human resources. This study investigated a key but understudied issue in the Chinese school system: factors influencing teachers' willingness to move. A survey questionnaire was distributed among 650 teachers in urban areas, since they are considered as more experienced, prepared, and qualified than their rural peers. Data were analysed using the chi-square test, Spearman and Pearson correlation analyses, and binary logistic regression analysis. Results showed significant differences in teachers' willingness to move, based on their teaching experiences, family status, and professional titles. The social responsibility of promoting educational equality and expectations of professional development encourage mobility, while familial obligations and adaptability concerns discourage them. The findings provide insight into the implementation of a policy compelling teachers to serve in unfamiliar settings and emphasize the necessity of appropriate physical, psychological, and professional support to encourage such mobility.

This paper explores the governmentality in Macao's higher education (HE) by exemplifying how neoliberalism and Chinese nationalism simultaneously inform the governmental rationalities and technologies in the city. Like many other systems, neoliberalism has substantially shaped Macao's HE. However, owing to post-colonial identity, Chinese nationalism has become a significant driving force in the development of Macao's HE after the handover. On the basis of governmentality and a qualitative single case approach, this paper demonstrates how the neoliberal logic and nationalist discourses frame the governmentality in post-colonial Macao's HE. The paper further argues that the recent development of the Guangdong-Hong Kong-Macao Greater Bay Area signifies an intensification of national integration that is deliberately associated with a wave of marketisation in HE. These developments represent the economic and political imperatives of Macao's HE policy and provide insights into Chineseness in HE within the contemporary political context.

I investigated U.S. elementary teacher candidates' global perspectives before and after completing a student teaching experience in the People's Republic of China (PRC). The samples, four elementary teacher candidates (TCs), purposely selected for the present study, completed student teaching in a Primary School in Xian, PRC, because they all come from Midwestern-culture family, complete teacher preparation course work, and are ready to do student teaching. I employed math lessons in this exploration of TCs' global perceptions, looking for modifications; my primary interest was in potential changes from provincial to more refined perspectives. It is worth noting that the questions may have may have communicated expectations that such changes would occur. Interviews and class observations were collected from the four candidates and analyzed by means of an axial coding process across the four candidates. Results demonstrated that pre-service teachers change from what I termed a "local" (or what might be termed "parochial)" perspective to more "global" views of schooling and culture. The four teacher candidates evinced this new sophisticated understanding along three axes, (1) the global cognitive development, (2) the social strategies change under different physical environments, and (3) noticing and appreciating cultural divergence. An evolving sense of justice appeared to connect the three concepts. A tangentially connected issue that came up, as might be expected, was the vulnerability of candidates' foreign communication skills. TCs' effectively developed their global perspectives in teaching math lessons and suggest that math or STEM may be better for acquiring global perspectives than are either social studies or language arts.

This study aimed to explore the experiences of Chinese EFL doctoral students in constructing their academic identities through critical argumentation in their thesis writing in an English as a Medium of Instruction (EMI) context. Data were collected through semi-structured interviews and document analysis. Narrative analysis was used to examine participants' thesis writing to gain insights into their experiences of academic identity construction. The results revealed that Chinese EFL doctoral students face challenges in developing a critical voice and authorial position, synthesizing multiple sources, and positioning themselves rhetorically in their writing. Furthermore, the results open possibilities for a broader understanding of academic writing that values international graduate student's educational background and cultural diversity in target English language discourse communities. While the narrative inquiry study on Chinese EFL doctoral students' academic identity construction through critical argumentation is insightful, there are several limitations to consider, mainly due to the small sample size of only two female Chinese respondents.

Conducted in a Chinese university, this study tracked eight students' changes in their beliefs and practices of translanguaging when developing academic literacies throughout a 14-week English for Academic Purposes (EAP) course, where translanguaging pedagogy was systematically planned and implemented. Data were collected from classroom observation, students' writing drafts and assignments before, during and after the course, and pre- and post-interviews and informal dialogic communication with the students and the teacher. Findings showed that the students generally started with monolingual and language separation beliefs. Throughout the course, the teacher's demonstration and encouragement of strategic translanguaging had different impact on individual students' beliefs and practices of translanguaging, and three typical patterns emerged: (1) deepening understanding and developing more strategic practice of translanguaging in academic activities, (2) gradual shifting from monolingual to multilingual mind-set, and (3) conflicting beliefs and lack of strategic practice of translanguaging. In light of these findings, this article examines translanguaging pedagogy with a critical lens, highlighting the complex and dynamic interaction between students' preexisting beliefs and language ideologies and their responsiveness to teacher's pedagogy. It also discusses the potential roles translanguaging pedagogy could play in university students' learning of academic language and content.

This paper addresses the student support systems available in Chinese schools, with reference to those available in Canadian schools, in order to understand the most effective foundations for academic success and student motivation. The focus of educational support within Chinese and Ontario schools is rooted around times of high-stress exams, such as the Senior High School Entrance Exam ("Zhongkao," [characters omitted) and the National Higher Education Entrance Exam ("Gaokao," [characters omitted]) in China, and the Education Quality and Accountability Office (EQAO) Literacy Exam and the Canadian Achievement Tests (CAT) in Ontario. I explore the available means through which schools provide guidance and additional support for students throughout the grades leading up to major examinations. This inquiry involves observation of various Chinese classrooms, research of literature examining stress levels and academic success, and observations of school programs and guidance facilities within the schools and communities.

Teacher resilience is regarded as a professional attribute that enables school teachers to cope with adversities in their work life in order to sustain continuous professional development. This paper aims to investigate the development of resilience among novice teachers in a primary school in rural China from a social ecological perspective. It attempts to trace the developmental paths of resilience among Chinese teachers working in an economically deprived area, and to elucidate their trials and tribulations as interactions with different social ecosystems affect the growth of their resilience. The paper's findings suggest that novice teachers working in rural education in China have to deal with context-specific adversities that are shaped by educational tradition and school reform. Accordingly, the resilience development of novice teachers follows three discernible pathways, which lead to different capabilities. In the process, the interplay of multifaceted situational factors and the interaction among different ecosystems yield a range of cumulative influences on their resilience development.

Social support and face-to-face learning may enhance outcomes for students who face barriers in accessing Massive Open Online Courses (MOOCs). This study investigated how self-identified volunteer leaders guide and foster interactions among small groups of students who face technical and conceptual barriers in accessing MOOC content. Several months prior to the start of the MOOC (Environmental Education: Transdisciplinary Approaches to Addressing Wicked Problems), registered students volunteered to lead small groups for participants whose primary language was other than English and where limited Internet access and cultural barriers curtailed access to and understanding of course materials and pedagogy. Results of a survey and in-depth interviews (N = 10) revealed that group leaders were instrumental in overcoming barriers related to language, content, cultural ways of learning, access, and time. Group leaders also fostered cooperative learning strategies, which helped students acquire course content, and encouraged collaborative group projects leading to groups adopting some features of online knowledge communities. The term "social learning MOOC" (slMOOC) is proposed to capture a growing trend of incorporating collaborative learning strategies in xMOOCs and to emphasize how MOOCs use interactive learning strategies to help students apply course content to local contexts and thus may contribute localized knowledge to globalized MOOC learning environments.

Theoretical ideas about globalization and internationalization of higher education emphasize the tension among different ideologies of higher education. According to literature, a competition among states, economy, knowledge, and status generates this tension to drive higher education development. This theoretical understanding not only shapes our global imaginations but also permeates the organizational behavior of universities. In this paper, we focus on the institutional logics that motivate universities in Kazakhstan to engage with China's ambitious Belt and Road Initiative (BRI). We investigate the ways that Kazakhstani higher education interprets and responds to China's vision of a global order. Based on interviews conducted at 10 higher education institutions (HEIs) in Kazakhstan, we argue that Kazakhstan's engagement with the BRI circumvents the cultural connectivity and global cooperation that are embraced by Chinese policy discourse and perpetuated by academic literature. Rather, institutional leaders in Kazakhstan operate with a utilitarian logic that seeks revenue generation, links with industry, and opportunities for students in employment and further education. The pursuit of these strategic outcomes demonstrates a bilateral engagement with China rather than the multilateral cooperation envisioned by policymakers. In a higher education system dominated by the state, the institutions in our study exhibit partial agency to accrue pragmatic benefits rather than concede to isomorphic pressures or mimic internationalization from neoliberal contexts. The discrepancy between policy discourse from China and policy reception in Kazakhstan raises questions about the rhetoric of a multipolar global order and the realities of international cooperation in higher education.

Recent research has focused either on the internationalisation of China's higher education (HE) as soft power, or on soft power with 'Chinese characteristics'. There is a paucity of research combining these two foci. This paper fills this gap by: (i) unravelling the meanings and features of the 'Chinese characteristics' embodied in the policies of President Xi Jinping's new regime that seeks to rejuvenate the 'civilisational state' through internationalising HE as soft power; (ii) analysing the implications and complications therein; and (iii) exploring the predicaments and paradoxes as China seeks to construct a Sino-centric world order alongside, if not atop, the Westphalian system. It demonstrates how the internationalisation of HE as soft power with 'Chinese characteristics': finds its legitimacy in a historico-cultural narrative; rides on the tide of the current global norms/practices; builds on national agenda/priorities; and is running into conflict with the West which is pursuing its own similar interests.

This article takes a policy-as-discourse approach to understanding how Chinese policy texts construct international students. This is important given the growth of China as a study destination, and the fact that the majority of the studies on Chinese internationalisation policy are descriptive, and poorly integrated with literature focused on other contexts. Drawing upon a thematic analysis of 19 policy texts, the article reveals that economic rationales are absent in the policy texts; it also reveals five somewhat contradictory ways in which international students are constructed in policies: As 'para-diplomats' and 'future elites', but also as sources of 'mutual exchange', of 'insufficient quality' and finally, as requiring 'guidance' to understand Chinese laws. The article also discusses these constructions and problems with the assumptions within them, and how such problems could be thought about differently, with reference to the 'critical internationalisation studies' literature developed largely with a focus on the Global North.

Drug traffickers perform many crime strategies to avoid legal sanctions. The use of any crime strategy is mainly for reducing the risk of arrest, which has been the focus of research on restrictive deterrence. This study aims to develop a Restrictive Deterrence Utility Scale (RDUS) to measure the effectiveness of crime strategies used in drug trafficking. Survey data were collected from August to October 2021, including 294 female drug offenders aged between 21 and 61 years serving sentences with a median length of around 10 years in a Southern city in Mainland China. Exploratory and confirmatory factor analysis was conducted for scale investigation. Three valid and reliable factors for the RDUS were found: anomaly avoidance, reduction of exposure time, and the use of weapons and tools. Composite reliability, convergent validity, discriminant validity of three factors were confirmed with Cronbach α being higher than 0.9, that being higher than correspondent Average Variance Extracted which all being higher than 0.5 and higher than correspondent factor correlation. The RDUS offers a helpful method for assessing the motivation for drug traffickers to persist in drug crime and for formulating appropriate interventions for drug prohibition. [ABSTRACT FROM AUTHOR]

Purpose: To examine if the association between age and post-stroke cognition is mediated by apathy. Methods: A cross-sectional investigation was carried out with 389 stroke survivors and informants. Data were collected through the Apathy Evaluation Scale (AES-C) and the Informant Questionnaire for Cognitive Decline in the Elderly (IQCODE). Bivariate analyses were conducted between the IQCODE total score and each of the demographic and clinical characteristics as well as apathy, while Baron and Kenny's 4-step approach was used to examine the mediating effect of apathy on the association between age and post-stroke cognition. Results: Participants were aged 64.3 years on average, with a mean IQCODE score of 97.6 (SD: 14.8) and a mean AES-C score of 41.3 (SD: 8.0). IQCODE scores were positively correlated with age (r = 0.32, p < 0.001) and apathy (r = 0.54, p < 0.001). Apathy contributed to 24% of the total effect of age on post-stroke cognition, exerting a significant mediating effect on the relationship between age and post-stroke cognition. Conclusions: Apathy may have a significant impact on the cognitive health of stroke survivors. Therefore, the early identification of apathy symptoms could facilitate consideration of potential interventions, such as multisensory and cognitive stimulation, designed to improve cognitive outcomes in this population. IMPLICATIONS FOR REHABILITATION: Cognitive impairment after stroke is common and has negative impacts on survivors' rehabilitation and quality of life. Ageing survivors are prone to mood disorders which may be associated with poorer cognitive outcomes. Apathy was found to significantly mediate the relationship between age and post-stroke cognition. Psychological assessments should be carried out regularly to improve cognitive outcomes through the timely recognition and management of apathy. [ABSTRACT FROM AUTHOR]

This article examines relationships between children and youths' judgments and their justifications of truth telling and verbal deception, in situational and cultural contexts. Han Chinese, Euro-Canadians and Chinese-Canadians, seven- to 17-years of age were presented competitive scenarios in which protagonists told either lies to protect, or truths to harm, various levels of collectivity. Participants evaluated protagonists' statements, using a 7-point scale, and justified their judgments. Cultural variations in moral evaluations emerged among the three groups of participants. Older Chinese participants reflected significant collective cultural values in their judgements; by contrast, Euro-Canadians identified more individualistically; and Chinese-Canadians demonstrated notable variability between these perspectives in their judgments. The article enhances understanding of situational and cultural sources in the development of moral reasoning within a sociocultural framework.

This paper provides a critical account of the role of universities in the development of innovation and technology in Hong Kong.To do so, the paper examines the political economy of Hong Kong's innovation and technology development. It outlines a finance-led regime, under which the vision of long-term innovation initiatives is transformed into short-term finance events, and the development of an entrepreneurial culture in society and in universities is neglected. The paper also suggests that the current research funding system and the rise of managerialism in the higher education sector restrict the development of academic entrepreneurship, though universities play a significant role in the innovation system. The paper closes by examining the recent changes in higher education policy and governance, the intensification of integration with mainland China and their implications for prospects of advocating a culture of innovation and promoting innovation and technology in Hong Kong.

In this essay, I consider the impacts of the pandemic and the recent political challenges to the global position of Hong Kong's higher education. To reveal the impacts, I examine what makes Hong Kong's academic model special, and assess the sustainability of this model in a post-pandemic era.

This paper aims to broaden the conceptual approaches to understanding the complexity of student mobility in higher education (HE) across the Taiwan Strait, thereby exemplifying a contradictory mix of collaboration and competition that involves interplay among the various forces associated with global, regional and national settings. To achieve this goal, the paper provides an abstraction of 'trichotomisation', which explains the significance of the concepts of globalism, regionalism and nationalism in understanding cross-Strait student mobility, and thus shows its threefold nature. Specifically, it considers the intensification of cross-Strait student mobility in HE and the counter-reaction as a manifestation of globalism, a form of regionalism, and an expression of nationalism.

This study is based on the belief that inquiry-based learning should be made an integral part of any student's learning, especially at university level. To find out the students' perceptions toward library user education, 426 questionnaire surveys have been collected from the Peking University (PKU), China and the University of Tsukuba (UT), Japan. The results of this study indicate that, compared with UT, PKU students on the whole expressed higher ratings in many areas toward the user education programs provided by their respective library, and they also had a more positive view about the professional competence of the user education (reference services) librarians. The researchers believed that the different perceptions found between the PKU and UT groups were a direct result of the distinctive learning practices and curricular requirements exercised between the two universities. There are not many articles that explore the relationship between inquiry-based learning and the library user education in Asia. The findings of this study are useful for identifying the different learning modes between these two groups of students, as well as other barriers that were preventing the library user education programs to be integrated into inquiry-based learning, and the university's core curriculum as a whole

This paper adopts an inductive analytical approach to reviewing the major state policies to reform teacher education in China. Based on the perceived impact on teachers and teacher education, 21 policy documents have been selected for this review. Five themes emerge in the analysis, which include: Expansion of teacher education by institutional diversification; structural changes through upgrading, merging and eliminating institutions and school; innovations on modes of teacher preparation, curricula and teaching practicum; certification and examinations; and strengthening teacher supply for the rural schools. The paper also analyses the contextual and systemic factors that affect the formulation and implementation of reform policies in teacher education and critically reflect the effect of these policies on Chinese teacher education.

This article offers a critical review of the impact of policy-induced changes on school teachers in the Chinese Mainland where educational reform has been an ongoing project for four decades. It addresses three aspects of the current state of teaching and the teaching profession: the contextual factors that have influenced their development; the state policies that effected the teachers; and the lessons that can be drawn from the reform experiences of the teachers. By examining the changes that have occurred in curriculum and teaching, teacher preparation and training, and teacher professionalism and leadership, this paper argues for a more inclusive approach to policy formulation and implementation that can accommodate the needs of frontline teachers serving in the diverse educational settings of Chinese schooling.

Background: Many individuals consider nocturia a significant nuisance, leading to a reduced health-related quality of life (HRQOL). However, there has been a lack of psychometrically sound patient-reported outcome measures to assess the impact of nocturia on patients in Chinese contexts. This study aimed to translate, culturally adapt, and validate the International Consultation on Incontinence Questionnaire Nocturia Quality of Life Module (ICIQ-NQOL) for use among primary care patients in Hong Kong, China. Additionally, it sought to investigate the mechanisms that link nocturia and sleep quality with HRQOL by employing moderated mediation analysis. Methods: The traditional Chinese version of the ICIQ-NQOL was developed through iterative translations, cognitive debriefing interviews, and panel reviews. The psychometric evaluation included assessments of factor structure, convergent validity, concurrent validity, known-group validity, internal consistency, test-retest reliability and responsiveness. Study instruments included the ICIQ-NQOL, International Prostate Symptom Score (IPSS), Pittsburgh Sleep Quality Index (PSQI), and a modified Incontinence Impact Questionnaire-Short Form (IIQ-7). Results: A total of 419 primary care patients were recruited from general outpatient clinics, among whom 228 experiencing an average of two or more nocturia episodes per night over the past four weeks. Confirmatory factor analysis supported the two-factor structure of the ICIQ-NQOL. Concurrent validity was confirmed by moderate correlations between the IIQ-7 total score and the total score as well as two domain scores of the ICIQ-NQOL (r ranging from 0.43 to 0.49, all p < 0.001). The ICIQ-NQOL also had moderate correlations with the IPSS total symptom score (r ranging from 0.40 to 0.48, all p < 0.001). Convergent validity was supported by moderate correlations between the global PSQI score and the total score as well as two domain scores of the ICIQ-NQOL (r ranging from 0.42 to 0.52, all p < 0.001). Known-group comparisons showed that the ICIQ-NQOL could differentiate between patients with and without nocturia in terms of sleep/energy domain score (p < 0.001), bother/concern domain score (p < 0.001), and total score (p < 0.001), each demonstrating a moderate Cohen's d effect size. Item-total correlations corrected for overlap exceeded 0.4, and Cronbach's alpha coefficients were greater than 0.7. Test-retest reliability was confirmed with intraclass correlation coefficients exceeding 0.7 among patients reporting no change in their nocturia symptoms at a 2-week follow-up. Regarding responsiveness, the Cohen's d effect sizes for differences in domain and total scores between the baseline and 2-week follow-up assessments were greater than 0.3 among patients showing improvement in nocturia. Our moderated mediation analysis indicated that sleep quality significantly moderated the impact of nocturia on HRQOL, with a notably stronger indirect effect among females compared to males. Conclusions: The ICIQ-NQOL is a reliable and valid instrument for assessing the HRQOL in primary care patients suffering from nocturia. The findings advocate for gender-specific approaches in the management and treatment of nocturia to optimize HRQOL. [ABSTRACT FROM AUTHOR]

Nitrogen (N) and phosphorus (P) fertilizers change the morphological structure and effectiveness of P in the soil, which in turn affects crop growth, yield, and quality. However, the effects and mechanism of combined N and P application on the content of P fractions and the transformation of effective forms in alfalfa (Medicago sativa L.) production is unclear. This experiment was conducted with four levels of N: 0 (N0), 60 (N1), 120 (N2) and 180 kg·ha-1 (N3); and two levels of P (P2O5): 0 (P0) and 100 kg·ha-1 (P1). The results indicated that, under the same N level, P application significantly increased soil total N, and total P, available P, and content of various forms of inorganic P when compared to no P application, while decreasing the content of various forms of organic P and pH value. In general, under P0 conditions, soil total N content tended to increase with increasing N application, while total P, available P content, pH, inorganic P content in all forms, and organic P content in all forms showed a decreasing trend. When compared to no N application, insoluble P (Fe-P, O-P, Ca10-P) of the N application treatments was reduced 2.80 - 22.72, 2.96 - 20.42, and 5.54 - 20.11%, respectively. Under P1 conditions, soil total N and O-P tended to increase with increasing N application, while, pH, Ca2-P, Al-P, Fe-P, Ca10-P, and organic P content of each form tended to decrease. Total P, available P, and labile organic P (LOP) of N application reduced 0.34 - 8.58, 4.76 - 19.38, and 6.27 - 14.93%, respectively, when compared to no application. Nitrogen fertilization reduced the soil Ca2-P ratio, while P fertilization reduced soil Fe-P, moderately resistant organic P (MROP), and highly resistant P (HROP) ratios, and combined N and P elevated the Ca8-P to LOP ratio. The results of redundancy analysis showed that soil total N content, available P content, and pH were the key factors affecting the conversion of P fractions in the soil. Nitrogen and P reduced the proportion of soil insoluble P, promoted the activation of soil organic P, resulting in accumulation of slow-acting P in the soil, thereby improving the efficiency of soil P in alfalfa production. [ABSTRACT FROM AUTHOR]

While the evidence for the implication of opioid receptors (OPr) in ageing is growing, there is, to our knowledge, no study focusing directly on changes in vivo cutaneous OPr expression with increasing age. We thus investigated OPr expression in 30 healthy female Asian volunteers in Southern China whose ages range from the early 20s to the early 60s. Excisional biopsies were taken from the sun‐exposed extensor area of the lower arm and the photo‐protected area of the upper inner arm. The thickness of the epidermal layers, melanin content, as well as expression of mu‐opioid receptors (MOPr) and delta‐opioid receptors (DOPr) were compared between different age ranges and photo‐exposure status. Significant increased epidermal hypertrophy on the extensor surface was observed. There was significant reduction of DOPr in the epidermis with increasing age, independent of photo‐ageing. The increase of melanin was significantly correlated with epidermal DOPr expression, not with MOPr expression. DOPr expression could thus serve as a marker for real biological ageing unaffected by chronic photo‐exposure. Additionally, DOPr expression was inversely correlated with the deposition of melanin. Based on these results, we hypothesise that regulation of DOPr expression could be used to improve aged skin, including hyperpigmentation. [ABSTRACT FROM AUTHOR]

Engaging with visual methodology literature and the concept of 'family display', this article examines how visual methods can generate new ways of understanding the (in)visibility of queer family life. Engaging Chinese lesbians in image-making and photo-elicitation interviews, I illustrate how visual methods give access to different ways of making sense of 'family', including the 'everyday', the 'imaginary', and the 'void'. By exploring the image-maker's intentions, the presence or absence of the image-maker, and diverse ways of displaying family, I show how visual methods can facilitate the display of family ties, tensions, and ideals. Adopted in an open format that allows flexibility and creativity, visual methods generate space for participants to communicate the unrealisable and unseeable and for researchers to examine how dominant heteronormative representations and discourses around the 'family' restrict possibilities of displaying family. I highlight the importance of maintaining openness and sensitivity to cultural peculiarities when adopting visual methods. [ABSTRACT FROM AUTHOR]

The coping behaviors of street-level bureaucrats have received increasing attention in the past decade. Although recent literature has explored the classification of coping behaviors and their antecedents, little is known about how coping behaviors connect street-level bureaucrats' mission attachment, their enforcement effectiveness, and psychological commitment to the organization. In this study, we developed a conceptual framework examining the mediating effects of "moving against regulatees," a coping behavior characterized by rigid enforcement of rules. Using survey data collected from frontline environmental law enforcement officers in China, we found that a strong attachment to the mission was positively related to the coping behavior of moving against regulatees. This behavior was also associated with increased enforcement effectiveness but decreased organizational commitment. The results highlight that, although moving against regulatees is positively associated with immediate enforcement outcomes, it may have a negative association with enforcement performance in the long run by eroding organizational commitment among street-level bureaucrats. [ABSTRACT FROM AUTHOR]

Clinical guidelines recommend the use of statins in the primary prevention of cardiovascular disease. However, there is uncertainty about the benefit of statin therapy in adults older than 75 years. This is in part due to the underrepresentation of this age group in published statin trials. The aim of this study is to evaluate the long-term effectiveness and safety of using statins for primary prevention of cardiovascular disease in adults older than 75 years. Visual Abstract. Benefits and Risks Associated With Statin Therapy for Primary Prevention in Old and Very Old Adults: Clinical guidelines recommend the use of statins in the primary prevention of cardiovascular disease. However, there is uncertainty about the benefit of statin therapy in adults older than 75 years. This is in part due to the underrepresentation of this age group in published statin trials. The aim of this study is to evaluate the long-term effectiveness and safety of using statins for primary prevention of cardiovascular disease in adults older than 75 years. Background: There is little consensus on using statins for primary prevention of cardiovascular diseases (CVDs) and all-cause mortality in adults aged 75 years or older due to the underrepresentation of this population in randomized controlled trials. Objective: To investigate the benefits and risks of using statins for primary prevention in old (aged 75 to 84 years) and very old (aged ≥85 years) adults. Design: Sequential target trial emulation comparing matched cohorts initiating versus not initiating statin therapy. Setting: Territory-wide public electronic medical records in Hong Kong. Participants: Persons aged 75 years or older who met indications for statin initiation from January 2008 to December 2015 were included. Participants with preexisting diagnosed CVDs at baseline, such as coronary heart disease (CHD), were excluded from the analysis. Among 69 981 eligible persons aged 75 to 84 years and 14 555 persons aged 85 years or older, 41 884 and 9457 had history of CHD equivalents (for example, diabetes) in the respective age groups. Intervention: Initiation of statin therapy. Measurements: Incidence of major CVDs (stroke, myocardial infarction, or heart failure), all-cause mortality, and major adverse events (myopathies and liver dysfunction). Results: Of 42 680 matched person-trials aged 75 to 84 years and 5390 matched person-trials aged 85 years or older (average follow-up, 5.3 years), 9676 and 1600 of them developed CVDs in each age group, respectively. Risk reduction for overall CVD incidence was found for initiating statin therapy in adults aged 75 to 84 years (5-year standardized risk reduction, 1.20% [95% CI, 0.57% to 1.82%] in the intention-to-treat [ITT] analysis; 5.00% [CI, 1.11% to 8.89%] in the per protocol [PP] analysis) and in those aged 85 years or older (ITT: 4.44% [CI, 1.40% to 7.48%]; PP: 12.50% [CI, 4.33% to 20.66%]). No significantly increased risks for myopathies and liver dysfunction were found in both age groups. Limitation: Unmeasured confounders, such as lifestyle factors of diet and physical activity, may exist. Conclusion: Reduction for CVDs after statin therapy were seen in patients aged 75 years or older without increasing risks for severe adverse effects. Of note, the benefits and safety of statin therapy were consistently found in adults aged 85 years or older. Primary Funding Source: Health Bureau, the Government of Hong Kong Special Administrative Region, China, and National Natural Science Foundation of China. [ABSTRACT FROM AUTHOR]

Background: The Project Yi Jin (PYJ), an alternative pathway for secondary school leavers and adults to further their education, has been receiving full support from the government, the Federation for Continuing Education in Tertiary Institutions (FCE) in Hong Kong and the public. Graduates of PYJ have the equivalent academic status of their counterparts in the main stream education. It was first implemented in 2000/01 by the FCE and has been offered to more than 35,000 students by 2006/07. With the success of the programme as a safety-net for a mass education system, it should continue to function more vigorously as new reforms are being implemented in the Hong Kong education scene in the future. The Chief Executive in his 2004 Policy Address has set out the direction to develop a new secondary and university system, i.e., (3+3) for secondary + 4 (tertiary) [the old one is (3+2+2)+3], to be launched in 2010/11, that will effectively prepare the next generation to cope with the challenges of the 21st century and the demands of the rapidly developing knowledge-based society. The new system, together with substantial modified curricula including the newly developed applied learning courses (ApL), is supposed to be able to look after all secondary students. Aims and focus of discussion: This paper aims to argue the necessity of launching a new version of Project Yi Jin (nPYJ) concurrently together with the new 3+3+4 academic system. In light of the contemporary global educational systems as compared to that of Hong Kong, it is postulated that the launching of nPYJ as a continuation of the successful PYJ is both legitimate and indispensable with regard to the carefully observed current global fashion of lifelong learning and continuing education in which diversity, equity, and flexibility are highly valued. Method: A comprehensive comparative review was carried out on eleven selected oriental and occidental countries and regions, namely, Australia, Canada, Germany, Japan, South Korea, United Kingdom, United States, China, Taiwan, Singapore and Macao, focusing on the worldwide trend of constant high school drop-out rate as well as the mentioned countries' respective senior secondary schooling articulation policy leading to higher education, in particular shedding light on the establishment of alternative pathways towards tertiary education alongside the conventional educational track. Conclusion: With the literature backdrop and empirical support, it is shown that high school drop-outs are inevitable no matter how well-defined an education system may be. Thus this is where the "safety-net" contingency plan is found essential. A new version of Project Yi Jin (nPYJ), to be offered in parallel with the Hong Kong's new 3+3+4 secondary academic curricula, is indispensable to the new educational structure in the territory which fundamentally helps transform the conventionally somewhat segregated and elite educational system into a mass one. Regarding the curricular design, both PYJ and nPYJ will focus on generic skills and a wide range of electives will be offered as well to arouse students' interest of study. (Contains 1 figure, 1 table and 5 footnotes.)

In Chinese societies, moral education has always been considered the most essential component of education because the nurturing of moral persons is the prime function of schooling. The implementation of moral education has relied on the inculcation of values that reflect moral ideals. The emergence of the Information Age, with a plethora of information and ideas being disseminated instantly through informational technologies, has altered the educational landscape of the world and challenged the conventional approach to moral education. Given this context, we argue that it is important for Chinese educators to find an alternative approach to moral education that can embrace the new realities of our networked world. In this approach, lofty moral ideals should give way to simple and easily understood concepts such as "respect," information and ideas in the "cyber world" should be exploited rather than shunned, and the genuine interests of children and youths should form the basis of moral education that is at once relevant and enlightening. In proposing this approach to moral education, we also assume that moral educators in Chinese societies, which include school teachers, parents, and organizers of nonformal education programs, would endeavor to understand the complex world of cyber realities and devise feasible ways to suit contextual educational needs. (Contains 15 footnotes.)

This article examines how lesbians and gay men imagine and build their 'intimate networks of care' and negotiate moral expectations towards intergenerational family care as they age. To date, little is known about the strength and complexities of different intimate ties or the role of intergenerational dynamics in shaping ageing sexual minority people's care needs and choices. Based on narrative interviews with ageing Chinese lesbians and gay men, the findings reveal their experiences of constantly juggling their ties with families of origin, moral values around intergenerational care and the urge to receive support from and offer support to chosen networks of people. Participants exercised agency in expanding their networks of care by building friendship and (online and offline) community networks for mutual care and support in later life. Nevertheless, as evidenced by the centrality of ageing with(out) children, and the moral obligation of caring for parents in participants' narratives, participants experienced tensions between enacting what was considered morally right/wrong and developing networks of care that were perceived as emotionally intimate. Linking relational sociology with the sociology of morality, we discuss the conceptual utility of 'intimate networks of care' for sociological theorising of the linkages between sexuality, care and relational lives. [ABSTRACT FROM AUTHOR]

Self-centered vs. collective-oriented perceptions and beliefs have bearings on an individual's behavior. In the context of the global coronavirus pandemic, this study attempts a cross-cultural analysis of public compliance with COVID-19 prevention measures in China and the United States. Using data collected from two parallel surveys, we explore how individualism and collectivism have affected respondents' efficacious beliefs, perception bias and compliance behaviors. Findings show that higher self-efficacy in individualistic cultures tends to produce a wider self-other perceptual gap. Further, we found that individual-referenced variables (i.e. self-efficacy and perceived media effects on threat perception on oneself) play a stronger role in predicting public compliance in America. In comparison, collective-oriented and other-referenced measures (i.e. collective efficacy and perceived media effects on threat perception on others) are a stronger predictor of compliance in China than in the United States. The theoretical implications of the culturally rooted locus of reference (self vs. others) for compliance behaviors are discussed. [ABSTRACT FROM AUTHOR]

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Previous research has considered the effects of content familiarity and task repetition on second language (L2) performance, but few studies have looked at the effect of these factors on learners' engagement in task performance. This study explores the influence of content familiarity and task repetition on English as a foreign language (EFL) learners' engagement in oral performance. Sixty EFL learners performed four narrative tasks with two familiar and two unfamiliar topics. They also repeated the same tasks to the same audience. Their oral production was analysed with various measures of behavioural and cognitive engagement. Stimulated recalls were collected from twenty-one participants to capture their emotional engagement. The participants were behaviourally and cognitively more engaged in tasks with familiar topics as well as having a more positive affective response to them. Repeating the tasks, however, negatively influenced behavioural and cognitive engagement, although the participants felt more relaxed and confident. In addition, the participants were more motivated to repeat unfamiliar topics, although they demonstrated more noticeable declines in their frequency of self-repair (an indicator of cognitive engagement) for these topics. These results provided empirical evidence for the relationship between task design and implementation factors and L2 task engagement. Teachers might base repetition decisions partially on learners' familiarity with the topic.

A year after the earthquake in Sichuan, China, a strength-based arts and play support program was launched to promote the well-being of young survivors, and this study was designed to examine its effectiveness. It was hypothesized that participation in the program would have direct positive effects on general self-efficacy and peer support, and that these would mediate the effect of the program on anxiety. One hundred twelve Grade 4 students joined the study, the measures of which included the General Self-Efficacy Scale, the Classmate Support Scale, and the Generalized Anxiety subscale in the Spence Children's Anxiety Scale. The results showed that participation in the program was associated with increased general self-efficacy and peer support, which lowered anxiety, although the relationship was not statistically significant. This study has provided insights for the development of a culturally sound arts and play program for young disaster victims in China.

Understanding the microstructure and macrostructure of passages is important for reading comprehension. What cognitive-linguistic skills may contribute to understanding these two levels of structures has rarely been investigated. The present study examined whether some word-level and text-level cognitive-linguistic skills may contribute differently to the understanding of microstructure and macrostructure respectively. Seventy-nine Chinese elementary school children were tested on some cognitive-linguistic skills and literacy skills. It was found that word reading fluency and syntactic skills predicted significantly the understanding of microstructure of passages after controlling for age and IQ; while morphological awareness, syntactic skills, and discourse skills contributed significantly to understanding of macrostructure. These findings suggest that syntactic skills facilitate children's access of meaning from grammatical structures, which is a fundamental process in gaining text meaning at any level of reading comprehension. Discourse skills also allow readers to understand the cohesive interlinks within and between sentences and is important for a macro level of passage understanding.

In this study, we examine whether Chinese Certified Public Accountant (CPA) firms with more partners available to perform audit engagements deliver higher quality services. Based on a sample of 2,990 company-year observations over the period of 2002 to 2015, we find that CPA firms with smaller staff–partner ratios are associated with a lower likelihood of restatements of their clients' financial statements. Interestingly, we find that this association is less evident when engagement partners have excessive workloads, suggesting the need to balance workloads across partners within a firm. Overall, our results highlight the importance of considering partner availability and its impacts on audit quality, which echo regulators' growing concern about the inadequate mix of audit experience, expertise, and supervision within CPA firms. Our study is timely and the results are informative to the recent policy debate. From a public policy perspective, our results suggest that CPA firms should be required to disclose information about the deployment of audit partners to help financial statement users make inferences about the quality of their work. [ABSTRACT FROM AUTHOR]

The ambitious targets of peaking CO2 emissions before 2030 and reaching carbon neutrality before 2060 (Goal 3060) have emerged as the driving force in the development of China's low-carbon energy policy. Adopting a systematic review approach, this article provides a timely analysis of key Chinese renewable energy and energy efficiency policies under Goal 3060 across five sectors: electricity, industry, transportation, buildings, and local governments. In addition, the review identifies challenges to be addressed and offers policy recommendations. There are five main conclusions: (1) expedite the development of market-based and network-based governance systems; (2) pursue the harmonization of policies by avoiding contradiction and fragmentation; (3) develop new policies, especially in the building and transportation sectors; (4) embrace surveillance technologies to improve implementation and compliance; and (5) ensure just transition by implementing policy to reduce the negative socioeconomic impacts on fossil fuels-based communities and workers. This review serves as a useful guide for scholars interested in China's clean and low-carbon energy transition. [ABSTRACT FROM AUTHOR]

Background and Objectives: Multimorbidity increases risks, such as polypharmacy, inappropriate prescription, and functional decline. It also increases medical care utilization by older adults, placing a burden on health care systems. This study evaluated the effectiveness of an integrated ambulatory care program for health care and medication use in patients with multimorbidity and polypharmacy. Methods: We conducted a retrospective clinical review of adults with multimorbidity and polypharmacy who attended an integrated ambulatory care program at a 1193-bed university hospital between July 1 and September 30, 2019. This program involves multidisciplinary teamwork, comprehensive assessments, medication reviews, and case management. Outcomes, including the frequency of outpatient visits, emergency department visits, hospitalizations, chronic prescription medications, potentially inappropriate medications (PIMs), health care costs, and total medical expenditure, were compared before and after the program. Results: The mean age of participants (n = 134) at baseline was 74.22 ± 9.75 years. The mean number of chronic diagnoses was 9.45 ± 3.38. Participants included 72 (53.7%) women. At the 1-year follow-up, participants showed a significant decrease in the annual frequency of outpatient visits (19.78 ± 9.98 to 13.90 ± 10.22, P < .001), emergency department visits (1.04 ± 1.70 to 0.73 ± 1.40, P = .029), and chronic disease medications (10.71 ± 3.96 to 9.57 ± 3.67, P < .001) across all age groups. There was also a reduction in the annual number of PIMs (from 1.31 ± 1.01 to 1.12 ± 0.93, P = .002) among patients aged 65 years. However, no effects were observed on annual hospitalization, duration of hospital stay, or total health care expenditure, possibly due to the high disease-related treatment cost for certain participants. Conclusions: Expanding integrated ambulatory care programs in Taiwan may help patients with multimorbidity reduce their use of outpatient and emergency services, chronic prescriptions, and PIMs. [ABSTRACT FROM AUTHOR]

Background: With the natural cessation of estrogen, after menopause, women, especially those who are overweight, are at a high risk for cardiovascular disease. Diet control and adequate physical activity (PA) are recommended as the essence of promoting cardiovascular health for women after menopause. Objective: The aim of this study was to examine the effects of a theory-based educational program on health behaviors and cardiovascular health outcomes among overweight postmenopausal Chinese women compared with conventional didactic education. Methods: In this randomized controlled trial, 288 participants were randomly allocated to intervention (n = 144) or control (n = 144) groups. The control group received conventional didactic education. The intervention group received a 3-month theory-based educational program. Primary outcomes were PA and dietary behavior. Secondary outcomes included cardiovascular health knowledge, self-efficacy in PA and diet, and cardiovascular health outcomes. Data were collected at baseline (T0), 3 months (T1), 6 months (T2), and 12 months (T3). Results: The intervention group demonstrated significantly greater improvements in PA, dietary behavior, self-efficacy in PA and diet, and several cardiovascular health outcomes (body weight, body mass index, waist circumference, blood pressure, and Framingham risk score [body mass index]) at postintervention compared with the control group (all P s <.05). These significant effects maintained at T2, and the effects on self-efficacy in PA and diet also were maintained at T3. Conclusions: A theory-based educational program may be an effective strategy for improving PA, dietary behavior, self-efficacy in PA and diet, and several cardiovascular health outcomes for overweight postmenopausal Chinese women. However, further strategies are needed to enhance the sustainability of the positive changes. [ABSTRACT FROM AUTHOR]