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Background Acupuncture is one of the non-pharmacological methods for the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS). The progression of research evidence on acupuncture for OSAHS to high quality islimited by the defects in the outcome indicators of randomized controlled trials (RCTs) of acupuncture for OSAHS. Therefore, it is of reference value to analyze the outcome indicators of RCTs of acupuncture for OSAHS. Objective To analyze the outcome indicators of RCTs of acupuncture for OSAHS in the past 10 years, clarify the existing problems and provide suggestions for the guidance of further studies. Methods CNKI, Wanfang Data, VIP, SinoMed, PubMed, Embase, Cochrane Library, Web of Science, Clinical Trials.gov were searched for the RCTs of acupuncture for OSAHS from 2012-01-01 to 2022-11-18 with a combination of subject terms and free terms. The Cochrane Risk of Bias Assessment Tool was used to evaluate the quality of the included literature and sort out outcome indicators. Results A total of 2 085 relevant papers were obtained from the preliminary search, and 12 papers were included after duplicating and multiple screening, and the outcome indicators were classified into traditional Chinese medicine (TCM) syndrome indicators, clinical symptom indicators, clinical efficacy indicators, neuroimaging indicators, polysomnography indicators, other examination indicators, serological indicators, life quality indicators and safety indicators. The most frequently reported outcome indicators were polysomnography indicators, followed by clinical symptom indicators. Conclusion The outcome indicators of RCTs of acupuncture for OSAHS have problems such as indistinguishable priorities, various clinical symptom indicators, inadequate application of serological indicators, limited safety evaluation, lack of standard for TCM characteristic syndrome differentiation indicators and long-term efficacy and economic evaluation. It is recommended to conduct more high-quality researches to strengthen the connection between TCM characteristic syndrome differentiation indicators, modern science and technology indicators and clinical studies, unify standard of syndrome differentiation of OSAHS, strengthen the awareness of conducting economic and safe clinical researches, so as to establish a core set of indicators of acupuncture treatment for OSAHS.

Since the 1990s, there has been a surge in ethnographic films by Han directors in China, highlighting the complex interplay of power dynamics between these filmmakers and the minority communities they portray. This study examines these dynamics through the lens of spirituality and cultural representation, focusing on the film “Ashiq: The Last Troubadour.” A case study and interviews with the director, Liu Xiangchen, reveal an essentialist portrayal of the Uygur Ashiq that emphasises their spiritual and cultural identity on Uighur language chant, inadvertently reinforcing Han dominance. The analysis suggests that while the director's intentions reflect a critical self‐awareness, the film perpetuates the marginalisation of the Ashiq. We argue that ethnographic cinema should offer a more nuanced depiction of ethnic minorities and their minority language to challenge social injustices further and promote inclusivity in China's diverse linguistic and cultural landscape. [ABSTRACT FROM AUTHOR]

The concept of sustainable tourism development is derived from sustainable development. Building tourism with the framework of sustainable development has become a necessary effective way. This study examined the abstracts and titles of 1783 sustainable development and 692 sustainable tourism development related papers from 2012 to 2021 as textual data sources through the Web of Science core database. Using text mining and semantic network as analysis methods, this paper summarizes eight main clusters of sustainable development and sustainable tourism development in the past 10 years. Based on this, this paper compares the differences between the two researches and explores four potential research areas in sustainable tourism development: (1) threats to sustainability; (2) ecology and health; (3) stakeholder cooperation and roles; and (4) tourism development planning. In addition, the visual network knowledge structure intuitively captures the relationship between the different keywords in the clustering, which provides an important reference value for broadening the future research direction of sustainable tourism development. [ABSTRACT FROM AUTHOR]

This research aimed to examine overtourism-related papers published in the Web of Science and to identify research structure framework through network analysis between key keywords. Accordingly, the abstract of 110 papers related to overtourism from 2018 to 2021 was reviewed through text mining using Python. Afterwards, clusters derived through semantic network analysis were found to be Positive/Negative Impact of Tourism Development , Economic Causes , Efforts for Sustainability ," and Necessity of Policy. Through this, it was intended to present countermeasures against overtourism and directions for establishing policies. In addition, by deriving the main keywords for each cluster, basic data that can examine the relationship between overtourism phenomena in more detail were provided and contributed to the literature. [ABSTRACT FROM AUTHOR]

In this study, an integrated ecological system was constructed to treat small scattered aquaculture wastewater in southern rural areas of China. The water outlet of 4 level wetlands was continuously monitored from July to December in 2017. Results showed the average concentrations of total nitrogen (TN), ammonia nitrogen (NH4+-N), nitrate nitrogen (NO3-N), total phosphorus (TP) and chemical oxygen demand (COD) were 43.64mg/L, 17.53mg/L, 1.71mg/L, 1.66mg/L and 51.39mg/L in the average effluent concentration of grade I wetland, respectively, and 8.35mg/L, 4.42mg/L, 0.24mg/L, 0.26mg/L, 21.32mg/L in the average effluent concentration of grade IV wetland, respectively. The removal rates were 81%, 75%, 86%, 85% and 59% for TN, NH4+-N, NO3-N, TP and COD in the integrated ecological system, respectively. The effluents from the integrated ecological system met the requirements of “Discharge Standard of Pollutants for Livestock and Poultry Breeding” (GB 18596-2001) and achieved “Discharge Standard of Pollutants for Municipal Wastewater Treatment Plant” (GB 18918-2002) the center two levels to discharge the standard. Obviously, the integrated ecological system could work efficiently in treating the rural scattered aquaculture wastewater, and also possess merits of low construction and operation costs and simple management method, which will be benefited to its application in the southern rural regions of China.

This study explores the antecedents and consequences of environmental, social and governance (ESG) execution in the case of Starbucks. Eco-friendliness, quarantining, food healthiness, and ethical governance are the elements of ESG implementation. The antecedents are hygiene, food healthiness, and the use of organic ingredients. The ESG execution attributes explained in this study are brand trust and repurchase intentions. Survey participants were recruited using Amazon Mechanical Turk to collect US market data. The resulting number of observations for the data analysis was 438. Structural equation modeling was used for statistical inference. The results indicate that food healthiness is positively influenced by hygiene and perceptions of organic food use. Brand trust is positively affected by eco-friendliness, quarantining, food healthiness, and ethical governance. Moreover, quarantining and brand trust positively impact repurchase intentions. This study contributes to the literature by validating the reliability of ESG theory in the food service business domain. [ABSTRACT FROM AUTHOR]