575 results match your criteria China-an International Journal[Journal]


Potential transmission of SARS-CoV-2 on a flight from Singapore to Hanghzou, China: An epidemiological investigation.

Travel Med Infect Dis 2020 Jul 6:101816. Epub 2020 Jul 6.

Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. Electronic address:

Background: Between January 24, 2020 and February 15, 2020, an outbreak of COVID-19 occurred among 335 passengers on a flight from Singapore to Hangzhou in China. This study aimed to investigate the source of the outbreak and assess the risk of transmission of COVID-19 during the flight.

Method: Using a standardized questionnaire, we collected information on the travelers' demographic characteristics and illness before, during, and after the flight. Read More

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http://dx.doi.org/10.1016/j.tmaid.2020.101816DOI Listing

Prevalence of and factors associated with behavioral intention to take up home-based HIV self-testing among male clients of female sex workers in China - an application of the Theory of Planned Behavior.

AIDS Care 2020 Jun 28:1-10. Epub 2020 Jun 28.

Centre for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, People's Republic of China.

HIV self-testing (HIVST) is a useful means to increase coverage of HIV testing but under-utilized by male clients of female sex workers (MCFSW) in China. This study investigated the prevalence of and factors associated with behavioral intention to take up HIVST in the next year among MCFSW in Hong Kong, China. We recruited Chinse-speaking adult men who had patronized at least one female sex worker in the past six months. Read More

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http://dx.doi.org/10.1080/09540121.2020.1785996DOI Listing

Violent Injuries Among College Students in China: An Exploration of Gender Mental Stress Model.

Am J Mens Health 2020 May-Jun;14(3):1557988320936503

Public Health Studies Program, University of North Carolina Wilmington, NC, USA.

The purpose of this study was to explore the gender-specific mental stress model of violent injuries among Chinese college students. A cross-sectional, multistage sampling process was employed to recruit a total of 5025 college students from 22 universities in China. Survey respondents reported their exposure to violent injuries and noted individual and environmental factors that could relate to violent injuries. Read More

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http://dx.doi.org/10.1177/1557988320936503DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328062PMC

Quality of Respiratory Infection Disease Prevention in Outpatient and Emergency Departments in Hospitals in Inner Mongolia, China: An Exit Poll Survey.

Risk Manag Healthc Policy 2020 2;13:501-508. Epub 2020 Jun 2.

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Purpose: Measures to prevent respiratory infection diseases (RIDs) in hospitals are important to protect both patients and physicians. In 2003, an outbreak of severe acute respiratory syndrome occurred in Inner Mongolia Autonomous Region (IMAR) of China. We aimed to evaluate competency in RID prevention procedures in terms of hospital performance and physician behavior. Read More

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http://dx.doi.org/10.2147/RMHP.S248772DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276319PMC

Health information needs regarding diabetes mellitus in China: an internet-based analysis.

BMC Public Health 2020 Jun 23;20(1):990. Epub 2020 Jun 23.

Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, 200032, China.

Background: Today,. most people use the Internet to seek online health-related information from general public health-related websites and discussion groups. However, there are no Internet-based analyses of health information needs pertaining to diabetes in China until now. Read More

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http://dx.doi.org/10.1186/s12889-020-09132-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310401PMC

Inequality of household energy and water consumption in China: An input-output analysis.

J Environ Manage 2020 Sep 21;269:110716. Epub 2020 May 21.

The Administrative Centre for China's Agenda 21 (ACCA21), Ministry of Science and Technology (MOST), Beijing, 100038, China. Electronic address:

Household consumption activities affect energy and water consumption directly and indirectly. Based on input-output modeling, this paper divided Chinese urban and rural residents into 12 groups, and investigated the impact of the consumption activities of residents with different levels of income on China's energy and water consumption from the perspective of consumers. Two main results were found. Read More

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http://dx.doi.org/10.1016/j.jenvman.2020.110716DOI Listing
September 2020

Assessment of the air pollution emission reduction effect of the coal substitution policy in China: an improved grey modelling approach.

Environ Sci Pollut Res Int 2020 Jun 17. Epub 2020 Jun 17.

School of Business Administration, Zhejiang University of Finance & Economics, Hangzhou, 310018, People's Republic of China.

In recent years, the Chinese government has proposed a policy to replace coal use with natural gas and electricity in the northern region to reduce the air pollution caused by the large consumption of coal. In order to assess the air pollution reduction effect of the coal substitution policy in Liaoning Province, this paper proposes a data grouping grey model with a fractional order accumulation (FDGGM (1,1)). The empirical analysis results show that the new grey model can predict the monthly coal consumption more accurately than the traditional DGGM (1,1) model. Read More

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http://dx.doi.org/10.1007/s11356-020-09435-3DOI Listing

What factors influence PM emissions in China? An analysis of regional differences using a combined method of data envelopment analysis and logarithmic mean Divisia index.

Environ Sci Pollut Res Int 2020 Jun 16. Epub 2020 Jun 16.

Management School, China University of Mining and Technology, Xuzhou, 221116, China.

This study uses a combined data envelopment analysis and logarithmic mean Divisia index (DEA-LMDI) method to decompose affecting factors for PM emissions into effects related to the potential emission intensity (PEI), environmental efficiency and technology, production efficiency and technology, regional economic structure, and national economic growth, and investigates differences in the effects on PM emissions, considering the diversity among different areas and periods in China. This study provides a new insight in the decomposition method, which can decompose the emissions into new effects compared with the exiting studies. This study reveals that the regional environmental-based technology (EBT) effect is the key curbing factor for PM emissions, followed by the regional PEI effect. Read More

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http://dx.doi.org/10.1007/s11356-020-09605-3DOI Listing

Impacts of the zero mark-up drug policy on hospitalization expenses of COPD inpatients in Sichuan province, western China: an interrupted time series analysis.

BMC Health Serv Res 2020 Jun 8;20(1):519. Epub 2020 Jun 8.

Institute of Hospital Management, West China Hospital, Sichuan University, Guo Xue Xiang 37, Chengdu, 610041, People's Republic of China.

Background: Since 1950, the hospitals had been permitted to take a 15% mark-up of drug purchase price to remedy the loss of public hospitals and doctors' salaries in China due to tight government budget. This policy resulted in an increasing over-prescriptions which increased burden for patients eventually. The soaring medical expenditures prompted Chinese government to launch the zero mark-up drug policy (ZMDP) in 2009, which aims to eliminate physicians' financial incentives and lighten patients' economic burden through cancelling the 15% mark-up. Read More

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http://dx.doi.org/10.1186/s12913-020-05378-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282107PMC

Changes in colistin resistance and mcr-1 abundance in Escherichia coli of animal and human origins following the ban of colistin-positive additives in China: an epidemiological comparative study.

Lancet Infect Dis 2020 Jun 4. Epub 2020 Jun 4.

Beijing Advanced Innovation Center for Food Nutrition and Human Health, College of Veterinary Medicine, China Agricultural University, Beijing, China. Electronic address:

Background: Following the discovery and emergence of the plasmid-mediated colistin resistance gene, mcr-1, the Chinese government formally banned colistin as an animal growth promoter on April 30, 2017. Herein, we report patterns in colistin resistance and mcr-1 abundance in Escherichia coli from animals and humans between 2015 and 2019, to evaluate the effects of the colistin withdrawal.

Methods: We did an epidemiology comparative study to investigate: annual production and sales of colistin in agriculture across mainland China according to data from the China Veterinary Drug Association from 2015 to 2018; the prevalence of colistin-resistant E coli (CREC) in pigs and chickens in 23 Chinese provinces and municipalities as reported in the China Surveillance on Antimicrobial Resistance of Animal Origin database from Jan 1, 2015, to Dec 31, 2016, and Jan 1, 2017, to Dec 31, 2018; the presence of residual colistin and mcr-1 in faeces from 118 animal farms (60 pig, 29 chicken, and 29 cattle) across four provinces over July 1, 2017, to August 31, 2017, and July 1, 2018 to August 31, 2018; the prevalence of mcr-1-positive E coli (MCRPEC) carriage in healthy individuals attending routine hospital examinations across 24 provinces and municipalities from June 1 to July 30, 2019, comparing with equivalent 2016 data (June 1 to September 30) from our previous study in the same hospitals; and the patterns in CREC prevalence among hospital E coli infections across 26 provinces and municipalities from Jan 1, 2015, to Dec 31, 2016, and Jan 1, 2018, to Dec 31, 2019, reported on the China Antimicrobial Surveillance Network. Read More

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http://dx.doi.org/10.1016/S1473-3099(20)30149-3DOI Listing
June 2020
22.433 Impact Factor

COVID-19 and transplant research from China: An ethical dilemma.

J Heart Lung Transplant 2020 06 19;39(6):614-615. Epub 2020 Apr 19.

Heart Transplantation Unit, Sheba Medical Center, Ramat Gan, Israel; Tel Aviv University Faculty of Medicine, Tel Aviv, Israel.

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http://dx.doi.org/10.1016/j.healun.2020.04.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167293PMC

Family-Based Consent and Motivation for Cadaveric Organ Donation in China: An Ethical Exploration1.

J Med Philos 2019 09;44(5):534-553

Xi'an Jiaotong University, Xi'an, PRC.

This essay indicates that Confucian family-based ethics is by no means a stumbling block to organ donation in China. We contend that China should not change to an opt-out consent system in order to enhance donation because a "hard" opt-out system is unethical, and a "soft" opt-out system is unhelpful. We argue that the recently-introduced familist model of motivation for organ donation in mainland China can provide a proper incentive for donation. Read More

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http://dx.doi.org/10.1093/jmp/jhz022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263308PMC
September 2019

The Impact of COVID-19 on Tourist Satisfaction with B&B in Zhejiang, China: An Importance-Performance Analysis.

Int J Environ Res Public Health 2020 05 25;17(10). Epub 2020 May 25.

Faculty of Environmental Engineering, University of Kitakyushu, Fukuoka 8080135, Japan.

After the outbreak of COVID-19 (especially in the stage of tourism recovery), the bed and breakfast (B&B) tourism industry faced big challenges in improving its health strategies. B&Bs are very important for the tourism industry in China and many other countries. However, few studies have studied the impact of B&Bs, under COVID-19, on tourism in China. Read More

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http://dx.doi.org/10.3390/ijerph17103747DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277170PMC

Prevalence of Dysphagia in China: An Epidemiological Survey of 5943 Participants.

Dysphagia 2020 May 26. Epub 2020 May 26.

Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, Guangdong, China.

Objective: To determine the prevalence of dysphagia among an older population and patients with stroke, head and neck cancers (HNCs) or neurodegenerative diseases (NDDs) in China, to identify the factors associated with this condition, and to explore the relationship between dysphagia and nutritional status.

Methods: This study included participants 65 years and older living in the community or in nursing homes and patients who had sustained a stroke, HNC, or NDD also recruited in hospitals from 14 provinces of China. The presence of dysphagia was determined by use of a questionnaire, water swallowing test, and/or a videofluoroscopic swallowing study. Read More

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http://dx.doi.org/10.1007/s00455-020-10138-7DOI Listing

Physical multimorbidity, health service use, and catastrophic health expenditure by socioeconomic groups in China: an analysis of population-based panel data.

Lancet Glob Health 2020 Jun;8(6):e840-e849

The Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; Public Health Policy Evaluation Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.

Background: Multimorbidity, the presence of two or more mental or physical chronic non-communicable diseases, is a major challenge for the health system in China, which faces unprecedented ageing of its population. Here we examined the distribution of physical multimorbidity in relation to socioeconomic status; the association between physical multimorbidity, health-care service use, and catastrophic health expenditures; and whether these associations varied by socioeconomic group and social health insurance schemes.

Methods: In this population-based, panel data analysis, we used data from three waves of the nationally representative China Health and Retirement Longitudinal Study (CHARLS) for 2011, 2013, and 2015. Read More

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http://dx.doi.org/10.1016/S2214-109X(20)30127-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241981PMC

Immunogenicity of three sequential schedules with Sabin inactivated poliovirus vaccine and bivalent oral poliovirus vaccine in Zhejiang, China: an open-label, randomised, controlled trial.

Lancet Infect Dis 2020 May 19. Epub 2020 May 19.

National Immunisation Programme, Chinese Center for Disease Control and Prevention, Beijing, China. Electronic address:

Background: The globally synchronised introduction of inactivated poliovirus vaccine (IPV) and replacement of trivalent oral poliovirus vaccine (OPV) with bivalent OPV (bOPV) were successfully implemented in China's routine immunisation programme in May, 2016. In response to the global shortage of Salk-strain IPV, Sabin-strain IPV production was encouraged to develop and use in low-income and middle-income countries. We assessed the immunogenicity of the current routine poliovirus vaccination schedule in China and compared it with alternative schedules that use Sabin-strain IPV (sIPV) and bOPV. Read More

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http://dx.doi.org/10.1016/S1473-3099(19)30738-8DOI Listing
May 2020
22.433 Impact Factor

Epidemiology of traumatic brain injury-associated epilepsy in western China: An analysis of multicenter data.

Epilepsy Res 2020 Aug 11;164:106354. Epub 2020 May 11.

Department of Neurology, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu, 610041, Sichuan Province, China. Electronic address:

Objectives: This study aims to explore the probability of developing posttraumatic epilepsy (PTE) in the following 8 years after traumatic brain injury (TBI), the risk factors associated with PTE and its cumulative prevalence.

Methods: This is a retrospective follow-up study of patients with traumatic brain injury (TBI) discharged from the West China Hospital between January 1, 2011 and December 31, 2017, Chengdu Shang Jin Nan Fu Hospital and Sichuan Provincial People's Hospital from January 1, 2013 to March 1, 2015. We used forward stepwise method to build the final multivariate cox proportional hazard regression model to obtain estimates of hazard ratio (HR) of PTE and 95% confidence intervals (CI). Read More

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http://dx.doi.org/10.1016/j.eplepsyres.2020.106354DOI Listing

[Clinical features of coronavirus disease 2019 in children aged <18 years in Jiangxi, China: an analysis of 23 cases].

Zhongguo Dang Dai Er Ke Za Zhi 2020 May;22(5):419-424

Department of Pediatrics, Jiangxi Provincial Children's Hospital/Children's Hospital, Nanchang University, Nanchang 330006, China.

Objective: To study the clinical features of coronavirus disease 2019 (COVID-19) in children aged <18 years.

Methods: A retrospective analysis was performed from the medical data of 23 children, aged from 3 months to 17 years and 8 months, who were diagnosed with COVID-19 in Jiangxi, China from January 21 to February 29, 2020.

Results: Of the 23 children with COVID-19, 17 had family aggregation. Read More

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First, second and potential third generation spreads of the COVID-19 epidemic in mainland China: an early exploratory study incorporating location-based service data of mobile devices.

Int J Infect Dis 2020 May 17;96:489-495. Epub 2020 May 17.

School of Geography and Environment, Jiangxi Normal University, No. 99, Ziyang Rd., Nanchang 330022, China. Electronic address:

Objectives: The outbreak of atypical pneumonia caused by the novel coronavirus (COVID-19) has currently become a global concern. The generations of the epidemic spread are not well known, yet these are critical parameters to facilitate an understanding of the epidemic. A seafood wholesale market and Wuhan city, China, were recognized as the primary and secondary epidemic sources. Read More

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http://dx.doi.org/10.1016/j.ijid.2020.05.048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231483PMC

Corrrection: The Effect of Innovation-Driven Strategy on Green Economic Development in China-An Empirical Study of Smart Cities. Int. J. Environ. Res. Public Health 2019, 16(9), 1520.

Int J Environ Res Public Health 2020 May 12;17(10). Epub 2020 May 12.

Department of Management Science and Engineering, School of Business, Jiangnan University, 1800 Lihu Avenue, Wuxi 214122, China.

The authors wish to add the following correction to their paper published in the International Journal of Environmental Research and Public Health [... Read More

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http://dx.doi.org/10.3390/ijerph17103380DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277844PMC

Development and trend in the field of valvular heart disease in China: an analysis based on the National Natural Science Foundation of China.

Ann Transl Med 2020 Apr;8(7):449

Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Background: National Natural Science Foundation of China (NSFC) plays a vital role promoting advancement of science in China. The incidence and mortality rate of valvular heart disease (VHD) increase with aging population. Therefore, it is of significance to discuss the development and trend in the field of VHD and provide references for scholars to carry out further Foundations. Read More

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http://dx.doi.org/10.21037/atm.2020.03.165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210194PMC

Proposal for Unification of the Genus Metakosakonia and the Genus Phytobacter to a Single Genus Phytobacter and Reclassification of Metakosakonia massiliensis as Phytobacter massiliensis comb. nov.

Curr Microbiol 2020 Aug 30;77(8):1945-1954. Epub 2020 Apr 30.

Ministry of Agriculture Key Laboratory of Molecular Biology of Crop Pathogens and Insects, Zhejiang Province Key Laboratory of Biology of Crop Pathogens and Insects, Institute of Biotechnology, Zhejiang University, Hangzhou, 310058, China.

The genus Metakosakonia, as the closest phylogenetic neighbor of the genus Kosakonia within the family Enterobacteriaceae, when proposed in 2017, consisted of M. massiliensis JC163 and Metakosakonia spp. strains CAV1151 and GT-16. Read More

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http://dx.doi.org/10.1007/s00284-020-02004-4DOI Listing

Better Dietary Knowledge and Socioeconomic Status (SES), Better Body Mass Index? Evidence from China-An Unconditional Quantile Regression Approach.

Nutrients 2020 Apr 24;12(4). Epub 2020 Apr 24.

Department of Public Health Sciences, School of Medicine, University of California Davis, Davis, CA 95616, USA.

Obesity is a rapidly growing public health threat in China. Improvement of dietary knowledge may potentially reduce the risk of obesity and being overweight. However, existing studies focus on measuring the mean effects of nutrition knowledge on body mass index (BMI). Read More

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http://dx.doi.org/10.3390/nu12041197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231000PMC

Assessing an App-Based Child Restraint System Use Intervention in China: An RCT.

Am J Prev Med 2020 Apr 22. Epub 2020 Apr 22.

Injury Prevention Research Center, Shantou University Medical College, Shantou, China. Electronic address:

Introduction: While child restraint systems are effective in protecting children from crash-related injuries and deaths, their use in China is extremely low. This study assessed the effectiveness of child restraint system education with and without behavioral skills training on improved use and explored participants' views regarding content and delivery of an onsite intervention and online (WeChat) boosters.

Study Design: A randomized trial was conducted in 6 kindergartens from May 2017 to January 2018 in Shantou and Chaozhou, China. Read More

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http://dx.doi.org/10.1016/j.amepre.2020.02.003DOI Listing

The Effect of the No Pain Labor & Delivery-Global Health Initiative on Cesarean Delivery and Neonatal Outcomes in China: An Interrupted Time-Series Analysis.

Anesth Analg 2020 Apr 22. Epub 2020 Apr 22.

Department of Anesthesiology, Wexner Medical Center at The Ohio State University, Columbus, Ohio.

Background: The proportion of live births by cesarean delivery (CD) in China is significant, with some, particularly rural, provinces reporting up to 62.5%. The No Pain Labor & Delivery-Global Health Initiative (NPLD-GHI) was established to improve obstetric and neonatal outcomes in China, including through a reduction of CD through educational efforts. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004805DOI Listing

15-day mortality and associated risk factors for hospitalized patients with COVID-19 in Wuhan, China: an ambispective observational cohort study.

Intensive Care Med 2020 07 23;46(7):1472-1474. Epub 2020 Apr 23.

Department of Pulmonary and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, 430030, China.

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http://dx.doi.org/10.1007/s00134-020-06047-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176814PMC

Factors Affecting Preventive Treatment Outcomes for Patients With Newly Diagnosed Chronic Migraine and Their Compliance With Treatment Recommendations in Chongqing Province, China: An Open-Label Prospective Study With Retrospective Baseline.

Front Neurol 2020 9;11:227. Epub 2020 Apr 9.

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

This study aims to investigate the factors affecting the efficacy of first oral prophylaxis in patients with chronic migraine (CM) and to assess patient compliance with their medication regimens. To identify the therapeutic effect of prevention medication in 740 patients with newly diagnosed CM that did not receive any preventive treatments after 4 weeks in an open-label prospective study with retrospective baseline from January 2016 to January 2018, the factors that may affect the outcomes of preventive treatment were analyzed based on the demographic characteristics, migraine characteristics, family history of headache, and history of medication overuse. Moreover, the patients were followed up to evaluate their compliance with and the side effects of the medication at 4 weeks and at 12 weeks. Read More

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http://dx.doi.org/10.3389/fneur.2020.00227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161669PMC

Incidence of Adverse Drug Reactions in COVID-19 Patients in China: An Active Monitoring Study by Hospital Pharmacovigilance System.

Clin Pharmacol Ther 2020 Apr 23. Epub 2020 Apr 23.

The First Hospital of Changsha, Changsha, China.

To evaluate the incidence, type, and risk factors associated with adverse drug reactions (ADRs) among patients with coronavirus disease 2019 (COVID-19) by Hospital Pharmacovigilance System (CHPS). A retrospective analysis was performed on 217 patients with COVID-19 admitted to the First Hospital of Changsha in China, from January 17, 2020, to February 29, 2020. The active monitoring model in CHPS was used to detect ADR signals of the hospital information system. Read More

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http://dx.doi.org/10.1002/cpt.1866DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264575PMC

[Health economic evidence for colorectal cancer screening programs in China: an update from 2009-2018].

Zhonghua Liu Xing Bing Xue Za Zhi 2020 Mar;41(3):429-435

Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

This study was to systematically update the economic evaluation evidence of colorectal cancer screening in mainland China. Based on a systematic review published in 2015, we expanded the scope of retrieval database (PubMed, EMbase, The Cochrane Library, Web of Science, CNKI, Wanfang Data, VIP, CBM) and extended it to December 2018. Focusing on the evidence for nearly 10 years (2009-2018), basic characteristics and main results were extracted. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0254-6450.2020.03.028DOI Listing

Comparative study on prevalence of metabolic syndrome based on three criteria among adults in Zhejiang province, China: an observational study.

BMJ Open 2020 Apr 6;10(4):e035216. Epub 2020 Apr 6.

Department of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China

Objectives: In this study, we aimed to estimate the prevalence of metabolic syndrome (MetS) among Chinese adults, describe the disease components and compare utility of the existing international criteria and Chinese diagnostic criteria.

Design, Setting And Participants: A retrospective database analysis was conducted for one hospital in Zhejiang province, China. We analysed data (collected in 2017) from a total of 64 902 participants (37 500 males and 27 402 females), aged between 18 and 97 years, and who met the eligibility criteria. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-035216DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245414PMC
April 2020
2.063 Impact Factor

Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants.

BMC Health Serv Res 2020 Apr 6;20(1):282. Epub 2020 Apr 6.

Department of Health Management, School of Public Health, Fujian Medical University, Room 108 in the Building for School of Public Health, 1 Xuefubei Road, Minhou District, Fuzhou, 350122, China.

Background: Nowadays, irrational use of antimicrobials has threatened public health. It's necessary to expand the use of clinical practice guideline (CPG) on antimicrobial for facilitating the proper use of antimicrobial. However, the utilization status of CPG on antimicrobial and the influencing factors, especially the ones at the organizational level, remain largely unknown. Read More

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http://dx.doi.org/10.1186/s12913-020-05171-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137508PMC

Regional carbon imbalance within China: An application of the Kaya-Zenga index.

J Environ Manage 2020 May 6;262:110378. Epub 2020 Mar 6.

School of Economics, Fudan University, Shanghai, 200433, China. Electronic address:

Considering the enlarging inter-provincial disparities in China as regards carbon emissions and carbon intensity (carbon emissions per unit gross domestic product), this paper is the first study to investigate the inter-provincial carbon imbalance by constructing and employing the Kaya-Zenga index. We use China's panel data of provincial-level carbon emissions over 1995-2016 to quantitatively measure the levels of inter-provincial imbalance and polarization in carbon emissions and carbon intensity. Further, we decompose the Kaya-Zenga index into different contributing factors both regionally and structurally and perform a scenario analysis to identify the corresponding regionally differentiated countermeasures regarding carbon emission reduction. Read More

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http://dx.doi.org/10.1016/j.jenvman.2020.110378DOI Listing

Association between dairy consumption and prevalence of obesity in adult population of northeast China: An internet-based cross-sectional study.

Asia Pac J Clin Nutr 2020 ;29(1):110-119

Department of Nutrition and Food Hygiene, School of Public Health, Harbin Medical University, Harbin, PR China. Email:

Background And Objectives: Dairy has been shown to reduce the risk of obesity in many epidemiological studies. However, few studies have been fully conducted in China in this respect. We aimed to investigate the association between dairy consumption and prevalence of obesity in an adult Chinese population. Read More

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http://dx.doi.org/10.6133/apjcn.202003_29(1).0015DOI Listing
January 2020

Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study.

Lancet Infect Dis 2020 06 25;20(6):689-696. Epub 2020 Mar 25.

Department of Infectious Diseases, Wenzhou Central Hospital and Sixth People's Hospital of Wenzhou, Wenzhou, Zhejiang, China. Electronic address:

Background: Since December, 2019, an outbreak of coronavirus disease 2019 (COVID-19) has spread globally. Little is known about the epidemiological and clinical features of paediatric patients with COVID-19.

Methods: We retrospectively retrieved data for paediatric patients (aged 0-16 years) with confirmed COVID-19 from electronic medical records in three hospitals in Zhejiang, China. Read More

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http://dx.doi.org/10.1016/S1473-3099(20)30198-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158906PMC

[Priority setting in scaled-up cancer screening in China: an systematic review of economic evaluation evidences].

Zhonghua Yu Fang Yi Xue Za Zhi 2020 Mar;54(3):306-313

Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

The existed economic evaluations of cancer screening in Chinese population are almost all single-cancer focused, evidence on parallel comparison among multiple cancers is lacking. Thus, the aim of this study was, from a priority setting perspective, to compare the cost-effectiveness of six common cancers(colorectal cancer, breast cancer, liver cancer, lung cancer, esophageal cancer and stomach cancer) to facilitate policy making in future scaled-up screening in populations in China. Partially based on our previous single-cancer systematic reviews (colorectal cancer, breast cancer, liver cancer, and lung cancer), evidence of economic evaluations of cancer screening in populations in mainland China were systematically updated and integrated. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-9624.2020.03.012DOI Listing

Distribution and Antifungal Susceptibility of Candida Species Causing Candidemia in China: An Update From the CHIF-NET Study.

J Infect Dis 2020 Mar;221(Supplement_2):S139-S147

Department of Laboratory Medicine, Peking Union Medical College Hospital, Beijing, China.

Background: Candidemia is the most common, serious fungal infection and Candida antifungal resistance is a challenge. We report recent surveillance of candidemia in China.

Methods: The study encompassed 77 Chinese hospitals over 3 years. Read More

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http://dx.doi.org/10.1093/infdis/jiz573DOI Listing
March 2020
5.997 Impact Factor

Emergence of SARS-like coronavirus in China: An update.

J Infect 2020 05 13;80(5):e28-e29. Epub 2020 Mar 13.

College of Veterinary Medicine, South China Agricultural University, Guangzhou 510642, China; Guangdong Laboratory for Lingnan Modern Agriculture, Guangzhou, 510642, China; Key Laboratory of Zoonosis Prevention and Control of Guangdong Province, Guangzhou 510642, China. Electronic address:

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http://dx.doi.org/10.1016/j.jinf.2020.03.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102533PMC

Prevalence of smoking among adolescents in China: an updated systematic review and meta-analysis.

Public Health 2020 May 5;182:26-31. Epub 2020 Mar 5.

Shangrao Center for Disease Control and Prevention, Shangrao, JiangXi Province, China.

Objectives: Smoking is a major public health problem worldwide. Estimates for smoking prevalence among adolescents in different regions and in the whole of China are important for the development of public health policies. We conducted a systematic review and meta-analysis to estimate the prevalence of smoking among youth in China. Read More

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http://dx.doi.org/10.1016/j.puhe.2020.01.011DOI Listing

Family refusal of emergency medical treatment in China: An investigation from legal, empirical and ethical perspectives.

Bioethics 2020 03;34(3):306-317

School of Humanities and Social Sciences, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

This paper is an analysis of the limits of family authority to refuse life saving treatment for a family member (in the Chinese medical context). Family consent has long been praised and practiced in many non-Western cultural settings such as China and Japan. In contrast, the controversy of family refusal remains less examined despite its prevalence in low-income and middle-income countries. Read More

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http://dx.doi.org/10.1111/bioe.12728DOI Listing

Chinese social media suggest decreased vaccine acceptance in China: An observational study on Weibo following the 2018 Changchun Changsheng vaccine incident.

Vaccine 2020 Mar 22;38(13):2764-2770. Epub 2020 Feb 22.

The George Washington University, Department of Engineering Management and Systems Engineering, Washington, DC, United States; Institute for Data, Democracy, and Politics, The George Washington University, Washington, DC, United States.

China is home to the world's largest population, with the potential for disease outbreaks to affect billions. However, knowledge of Chinese vaccine acceptance trends is limited. In this work we use Chinese social media to track responses to the recent Changchun Changsheng Biotechnology vaccine scandal, which led to extensive discussion regarding vaccine safety and regulation in China. Read More

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http://dx.doi.org/10.1016/j.vaccine.2020.02.027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211271PMC

Multilevel factors associated with perpetration of five types of intimate partner violence among men who have sex with men in China: an ecological model-informed study.

AIDS Care 2020 Feb 25:1-12. Epub 2020 Feb 25.

School of Public Health, Sun Yat-sen University (North Campus), Guangzhou, People's Republic of China.

In China, intimate partner violence (IPV) among men who have sex with men remains poorly investigated. Informed by the ecological model, this study explored multilevel factors associated with perpetration of IPV among men who have sex with men. The participants were recruited from 15 cities in mainland China. Read More

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http://dx.doi.org/10.1080/09540121.2020.1734523DOI Listing
February 2020

Changes in maternal age and prevalence of congenital anomalies during the enactment of China's universal two-child policy (2013-2017) in Zhejiang Province, China: An observational study.

PLoS Med 2020 02 24;17(2):e1003047. Epub 2020 Feb 24.

Chronic Disease Research Institute, School of Public Health, and Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Background: China implemented a partial two-child policy (2013) followed by a universal two-child policy (2015), replacing the former one-child policy mandated by the government. The changes affect many aspects of China's population as well as maternal and infant health, but their potential impact on birth defects (BDs) remains unknown. In this study, we investigated the associations of these policy changes with BDs in Zhejiang Province, China. Read More

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http://dx.doi.org/10.1371/journal.pmed.1003047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039412PMC
February 2020

The disease burden attributable to 18 occupational risks in China: an analysis for the global burden of disease study 2017.

Environ Health 2020 Feb 19;19(1):21. Epub 2020 Feb 19.

National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 27 Nanwei Road, Xicheng District, Beijing, 100050, China.

Background: China has more than 18% of the global population and over 770 million workers. However, the burden of disease attributable to occupational risks is unavailable in China. We aimed to estimate the burden of disease attributable to occupational exposures at provincial levels from 1990 to 2017. Read More

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http://dx.doi.org/10.1186/s12940-020-00577-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031932PMC
February 2020
3.372 Impact Factor

Perceived benefits and costs of disclosing HIV diagnosis to family members among people living with HIV in Southern China: an application of a decision-making framework.

AIDS Care 2020 Feb 18:1-5. Epub 2020 Feb 18.

Guangxi Center for Disease Control and Prevention, Nanning, People's Republic of China.

People living with HIV (PLWH) would decide whether to disclose their HIV serostatus to others based on the weight of perceived benefits and costs for the disclosure. Using cross-sectional data from 1254 PLWH in Guangxi, China, the study aimed to examine a framework of disclosure decision-making in the context of disclosure to family members (parents and siblings) through exploring the associations between disclosure and perceived benefits and costs of disclosure at individual and interpersonal levels. Univariate and multivariate regression analyses showed that HIV disclosure was associated with perceived benefits at both individual level (stress relief and social support) and interpersonal level (educating others and promoting family stability), but was not associated with perceived costs at either individual level (stigma and confidentiality breaching) or interpersonal level (family conflicts and concerns). Read More

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http://dx.doi.org/10.1080/09540121.2020.1728217DOI Listing
February 2020

Evaluation of immunisation strategies for pertussis vaccines in Jinan, China - an interrupted time-series study.

Epidemiol Infect 2020 02 12;148:e26. Epub 2020 Feb 12.

Jinan Municipal Centre for Disease Control and Prevention, Jinan, China.

Studies in countries with high immunisation coverage suggest that the re-emergence of pertussis may be caused by a decreased duration of protection resulting from the replacement of whole-cell pertussis vaccine (WPV) with the acellular pertussis vaccine (APV). In China, WPV was introduced in 1978. The pertussis vaccination schedule advanced from an all-WPV schedule (1978-2007), to a mixed WPV/APV schedule (2008-2009), then to an all-APV schedule (2010-2016). Read More

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http://dx.doi.org/10.1017/S0950268820000102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026899PMC
February 2020

The changing modes of human immunodeficiency virus transmission and spatial variations among women in a minority prefecture in southwest China: An exploratory study.

Medicine (Baltimore) 2020 Feb;99(6):e18776

Department of Health Related Social and Behavioral Science, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu.

Liangshan Yi Autonomous Prefecture in Southwest China has a high human immunodeficiency virus (HIV) prevalence rate. This study examined the changing modes of HIV transmission among women with new HIV infections and explored the spatial heterogeneities in the factors associated with heterosexual transmission in this minority region.The data consisting of women with new HIV infections from 2011 to 2014 were collected from multiple sources. Read More

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http://dx.doi.org/10.1097/MD.0000000000018776DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015565PMC
February 2020

Wheat genetic gains for two distinct management schemes in China: An analysis of elite spring type genotypes.

PLoS One 2020 6;15(2):e0228823. Epub 2020 Feb 6.

Seed Management Department of Yunnan Province, Kunming, China.

The information collected through multi-environment testing of wheat genotypes not only provides basis to identify promising genotypes but also to ascertain their yield potential and the genetic gains. For this purpose, in the presented study, the data originated from the Yunnan provincial Regional Yield Trials (RYT) conducted during 2006 and 2018 was used. During this period, 107 genotypes were evaluated at 18 locations under Upland Wheat (UW) management scheme, while 116 genotypes were evaluated at 21 locations under Field Wheat (FW) management scheme. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0228823PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004340PMC
May 2020
3.234 Impact Factor

Intrathecal Morphine Infusion Therapy via a Percutaneous Port for Refractory Cancer Pain in China: An Efficacy, Safety and Cost Utilization Analysis.

J Pain Res 2020 23;13:231-237. Epub 2020 Jan 23.

Department of Pain Management, China-Japan Friendship Hospital, Beijing, People's Republic of China.

Purpose: Intrathecal morphine infusion therapy via a percutaneous port (IMITPP) has been used widely for its relatively low initial cost. However, there is scarce knowledge about IMITPP. In this study, we sought to evaluate efficacy, complications, and the interval required to achieve the cost equivalence of IMITPP in patients with refractory cancer pain in China. Read More

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http://dx.doi.org/10.2147/JPR.S233905DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6987534PMC
January 2020

Indoor polybrominated diphenyl ethers in urban China: An exposure and risk assessment based on settled dust from selected urban regions.

Sci Total Environ 2020 Apr 20;714:136808. Epub 2020 Jan 20.

Department of Energy and Environmental System Engineering, Zhejiang University of Science and Technology, Hangzhou 310023, China. Electronic address:

In this study, measurements of seven typical polybrominated diphenyl ethers (PBDEs) in indoor settled dust were summarized in selected urban regions of China. BDE-209 was the most dominant congener in settled dust (1.4-101 μg/g), with a mean contribution of 95%. Read More

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http://dx.doi.org/10.1016/j.scitotenv.2020.136808DOI Listing

Social transition and health inequality in China: an age-period-cohort analysis.

Authors:
J Jiang X Zhang

Public Health 2020 Mar 22;180:185-195. Epub 2020 Jan 22.

School of Health Sciences, Wuhan University, Wuhan, China. Electronic address:

Objectives: To examine self-rated health (SRH) trajectories by age, period and cohort in the dynamic environment of China and to focus on sex, educational, family economic status (FES) and regional disparities in these temporal trajectories.

Study Design: Repeated cross-sectional data from the World Value Survey from 1990 to 2012 (n = 7731) were used.

Methods: An age-period-cohort (APC) model with an intrinsic estimator method was applied, using SRH as a continuous variable to analyse SRH trajectories by age, period and cohort in different groups in China. Read More

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http://dx.doi.org/10.1016/j.puhe.2019.08.025DOI Listing