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New medical risks affecting obstetrics after implementation of the two-child policy in China

null

《医学前沿（英文）》 2017年第11卷第4期页码 570-575 doi: 10.1007/s11684-017-0552-5

摘要：

China recently instituted a two-child policy in response to its aging population, declining workforce and demographic dividend, and the need to develop asocial economy. Additionally, women generally delay having a second child because of the overwhelming pressure in their lives. With the improvements in assisted fertility technologies in recent years, the number of elderly women attempting to bear children has increased. The quality of woman’s eggs and a man’s sperm declined dramatically with increasing age, leading to an increased risk of pregnancy-related complications among older women. Therefore, the types of fertility problems experienced by elderly females must be provided with considerable attention by obstetricians. This commentary article focuses on the medical problems faced by older second-child pregnant women. This work discusses their increased rates of infertility, spontaneous abortion, fetal malformation, gestational diabetes, cesarean section, placenta previa, postpartum hemorrhage, postpartum depression, and hypertensive disorders, which complicate pregnancy.

关键词： two-child policy birth defects cesarean delivery placenta previa

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广州市“单独二孩”登记群体特征分析

唐运革,李飞成,韩立薇

《中国工程科学》 2015年第17卷第6期页码 82-85

摘要：

目的：分析和预测生育政策调整对个体及社会带来的各种影响，及时防范这些影响可能导致的各种社会问题。方法：以广州市2 099对“单独二孩”登记夫妻群体为例，分析这一群体人口学等方面的特征。结果：符合“可生育二孩”政策的8万个家庭中受理申请者占26.7 %，有36.5 %的夫妇未确定生育第二胎的时间，35岁以上妇女占妇女总人数的15 %。结论：“单独二孩”政策的实施不会出现“人口暴增”现象，要特别注意高龄产妇生育风险的评估和保障。

关键词： “单独二孩” 群体特征广州市

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Eliminating mother-to-child transmission of HBV: progress and challenges in China

Wenzhan Jing, Jue Liu, Min Liu

《医学前沿（英文）》 2020年第14卷第1期页码 21-29 doi: 10.1007/s11684-020-0744-2

摘要： China has the world’s largest burden of hepatitis B virus (HBV) infection, but the country has made considerable progress in preventing its mother-to-child transmission (MTCT) in the past three decades. This feat is made possible due to the high coverage of birth-dose hepatitis B vaccine (HepB,>95%), hepatitis B surface antigen (HBsAg) screening for pregnant women (>99%), and hepatitis B immunoglobulin plus HepB for newborns whose mothers are HBsAg positive (>99%). Studies on the optimal antiviral treatment regimen for pregnant women with high HBV-DNA load have also been conducted. However, China still faces challenges in eliminating MTCT of HBV. The overall HBsAg prevalence among pregnant women is considered an intermediate endemic. The prevalence of HBsAg among pregnant women from remote, rural, or ethnic minority areas is higher than that of the national level because of limited health resources and public health education for HBV. The coverage for maternal and child healthcare and immunization services should be improved, especially in western regions. Integration of current services to prevent MTCT of HBV with other relevant health services can increase the acceptability, efficiency, and coverage of these services, particularly in remote areas and ethnic minority areas. By doing so, progress toward key milestones and targets to eliminate hepatitis B as the main public health threat by 2030 can be achieved.

关键词： hepatitis B virus mother-to-child transmission progress challenge

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育龄妇女非意愿妊娠原因分析与对策研究

王代权,刘长艳,向琼,马代慈

《中国工程科学》 2014年第16卷第5期页码 11-15

摘要：

采取整群抽样调查方法，对2011 年1 月—2013 年5 月在秭归县、夷陵区计划生育服务站因非意愿妊娠而实行人工终止妊娠对象，通过查阅病历资料和调查问卷，了解非意愿性妊娠原因及相关因素。1 360例非意愿妊娠中，未婚为21.62 %，已婚为78.38 %；人群分布在20～39 年龄段（73.82 %）；孕次分布主要在孕2～孕3 的对象为57.87 %；非意愿妊娠中避孕措施失败者为44.34 %，无措施者为55.66 %。避孕措施因素宫内节育器为10.51 %，避孕套为10.51 %，避孕药为8.24 %，外用为6.62 %，其他为8.46 %。存在侥幸心理和取出宫内节育器（IUD）后续措施没能跟进是无措施者导致非意愿妊娠的主要原因。避孕知识知晓率为98.90 %，对紧急避孕的知晓率仅为15.37 %，知道哺乳期需避孕者为18.38 %。医务人员、计生干部、宣传资料是已婚人群获取避孕知识的主要途径，农民及农民工对象获取免费服务高于城镇居民、国家工作人员、商业服务人员及外来流入人员。

关键词：育龄妇女非意愿妊娠人工流产影响因素

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Relationship between selenium concentration in child hair and the distribution of Kashin-Beck Disease

LI Shunjiang, YANG Linsheng, WANG Wuyi, LI Yonghua, LI Hairong, XIRAO Ruodeng

《医学前沿（英文）》 2007年第1卷第2期页码 223-225 doi: 10.1007/s11684-007-0043-1

摘要： The focus of this study is to determine the relationship between selenium (Se) concentrations in child hair and the distribution of Kashin-Beck disease (KBD) in Tibet. The hair of children in typical KBD-affected areas and non-disease areas was collected, and its Se concentrations were measured by atomic fluorescent spectrometry. The Se concentrations in child hair were (0.13±0.04) and (0.18±0.07) µg/g respectively in KBD areas and non-disease areas respectively, which are significantly different. In areas supplemented with Se in Tibet, the Se concentration of hair in KBD- affected areas was higher than that in non-diseased areas, being (0.28±0.03) and (0.18±0.04) µg/g respectively. There is a close relationship between the Se concentrations in hair and KBD distribution. Se supplement increase the Se concentrations in the human body. Appropriate Se supplementation is important to prevent KBD in Tibet.

关键词： different relationship non-disease selenium KBD distribution

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儿童乘员约束系统研究现状与展望

方园,吴光强

《中国工程科学》 2006年第8卷第8期页码 81-85

摘要：

儿童乘员约束系统也称儿童安全座椅，是一项新兴的研究领域。随着儿童乘员数量的上升，对于能够有效地保护儿童乘员安全的约束系统的研究具有特殊的重要意义。介绍了儿童乘员约束系统与成人乘员约束系统在分类和组成上的区别，以及相应的发展和健全的安全法规；展望了先进的设计理论、计算机仿真技术应用和系统型研究策略给儿童乘员约束系统研究开辟的前景。

关键词：儿童乘员约束系统安全座椅台车试验伤害评价指标评价程序

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Analysis of the current situation of environmental policy of China and establishment of distributed environmentalpolicy framework

Chaoyang FU,Wangfeng LI

《环境科学与工程前沿（英文）》 2015年第9卷第2期页码 310-316 doi: 10.1007/s11783-014-0658-9

摘要： In this study, China’s current macro-environmental policies as well as their implementation and management tools are analyzed. By using the basic economic methodology, detailed studies are conducted focusing on the implementation effect of contemporary China’s typical environmental policy of the total pollutant discharge quantity control type, and also the two types of environmental management tools are compared from the perspective of implementation costs and policy uncertainty. By introduction of distributed management tools into the implementation of environmental policies, market-oriented means and the methods of economic analysis are introduced into environmental policy decision-making mechanisms, which could afford a new method for changing the current relatively low efficiency of environmental policy, solving the problem of “government failure” in environmental policy implementation, and providing a new way to make environmental policy system more flexible and more efficient. It is of great practical significance to solve China's current structural, complex and accumulative environmental problems.

关键词： environmental policy distributed environment policy distributed parameter model lumped parameter model

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基于马尔可夫到达过程的两级可修备件（S-1，S）库存优化模型

陈童,黎放,狄鹏

《中国工程科学》 2015年第17卷第5期页码 113-119

摘要：

本文以两级可修备件库存系统为研究对象，采用马尔可夫到达过程（MAP）描述备件需求规律，考虑有限维修设施的情况，假设故障件维修时间、备件运输时间以及采购时间均服从phase-type（PH）分布，建立了一种描述能力更强、解析计算性更好的（S-1，S）库存优化模型，并推导出系统缺货量分布函数；然后通过算例演示了模型的优化效果，验证了模型的正确性和适用性。

关键词：（S-1，S）库存策略；两级库存；可修备件；马尔可夫到达过程

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China’s policy framework for carbon capture, utilization and storage: Review, analysis, and outlook

《能源前沿（英文）》 2023年第17卷第3期页码 400-411 doi: 10.1007/s11708-023-0862-z

摘要： Carbon capture, utilization, and storage (CCUS) is estimated to contribute substantial CO₂ emission reduction to carbon neutrality in China. There is yet a large gap between such enormous demand and the current capacity, and thus a sound enabling environment with sufficient policy support is imperative for CCUS development. This study reviewed 59 CCUS-related policy documents issued by the Chinese government as of July 2022, and found that a supporting policy framework for CCUS is taking embryonic form in China. More than ten departments of the central government have involved CCUS in their policies, of which the State Council, the National Development and Reform Commission (NDRC), the Ministry of Science and Technology (MOST), and the Ministry of Ecological Environment (MEE) have given the greatest attention with different focuses. Specific policy terms are further analyzed following the method of content analysis and categorized into supply-, environment- and demand-type policies. The results indicate that supply-type policies are unbalanced in policy objectives, as policy terms on technology research and demonstration greatly outnumber those on other objectives, and the attention to weak links and industrial sectors is far from sufficient. Environment-type policies, especially legislations, standards, and incentives, are inadequate in pertinence and operability. Demand-type policies are absent in the current policy system but is essential to drive the demand for the CCUS technology in domestic and foreign markets. To meet the reduction demand of China’s carbon neutral goal, policies need to be tailored according to needs of each specific technology and implemented in an orderly manner with well-balanced use on multiple objectives.

关键词： carbon capture utilization and storage (CCUS) policy content analysis China

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Hierarchical methodological framework to improve Policy Environmental Assessment: Based on policy layer

Yinglie ZHOU, Cunkuan BAO,

《环境科学与工程前沿（英文）》 2010年第4卷第1期页码 82-90 doi: 10.1007/s11783-010-0004-9

摘要： This study explores the current implementation challenges of the Policy Environmental Assessment (PEA), including the implementation of a far richer, more diverse (at macro level), and better understanding of PEA and integration with decision making. The results contribute to the analysis of PEA through different hierarchies of assessment. Stemming from the theory and practice of policy, a concept of PEA hierarchies is proposed including the uppermost PEA, upper-lower PEA, and lowermost PEA. Afterward, the differences of the three hierarchies are interpreted, in terms of aims, principles, processes, and methods. The evaluation of the policy environmental impacts from different lens helps solve the complexities of policies and identify opportunities for improvement of PEA.

关键词： Policy Environmental Assessment (PEA) policy hierarchy PEA hierarchy methodological framework

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Translating evidence into policy in China: opportunities and challenges

Jiyao Wang, Xuejuan Jin

《医学前沿（英文）》 2011年第5卷第3期页码 315-320 doi: 10.1007/s11684-011-0146-6

摘要： Research and evidence are critical for the formulation of policies and practices in support of health care. In the past two decades, the Chinese Clinical Epidemiology Network has been promoting evidence-based policy making in China. Evidence-based policy has become a major part of the government’s approach to policy making. The current article addresses the translation of evidence into health policies based on the expansion of evidence-based medicine in China. It also discusses the opportunities and challenges for certain evidence to be considered in policy making and practice in the future.

关键词： clinical epidemiology evidence-based decision making policy

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Moving policy and regulation forward for single-use plastic alternatives

《环境科学与工程前沿（英文）》 2021年第15卷第3期 doi: 10.1007/s11783-021-1423-5

摘要： Single-use plastics are often used once or cannot be reused for extended periods. They are widely consumed with the rapid development of social economy. The waste generated by single-use plastics threatens ecosystem health by entering the environment and ultimately restricts sustainable human development. The innovation of sustainable and environmentally friendly single-use plastic alternative materials and the joint participation of governments, enterprises and the public are promising technologies and management approaches that can solve the problem of single-use plastics wastes. The development of single-use plastic alternative products can be promoted fundamentally only by improving relevant legislation and standards, providing differentiated industrial policies, encouraging scientific and technological innovation and expanding public participation.

关键词： Single-use plastic alternatives Policy Regulation Sustainable development

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Towards the sustainable intensification of agriculture—a systems approach to policy formulation

Leslie G. FIRBANK

《农业科学与工程前沿（英文）》 2020年第7卷第1期页码 81-89 doi: 10.15302/J-FASE-2019291

摘要：

The sustainable intensification of agriculture involves providing sufficient food and other ecosystem services without going beyond the limits of the earth’s system. Here a project management approach is suggested to help guide agricultural policy to deliver these objectives. The first step is to agree measurable outcomes, integrating formal policy goals with the often much less formal and much more diverse goals of individual farmers. The second step is to assess current performance. Ideally, this will involve the use of farm-scale metrics that can feed into process models that address social and environmental domains as well as production issues that can be benchmarked and upscaled to landscape and country. Some policy goals can be delivered by supporting ad hoc interventions, while others require the redesign of the farming system. A pipeline of research, knowledge and capacity building is needed to ensure the continuous increase in farm performance. System models can help prioritise policy interventions. Formal optimization of land use is only appropriate if the policy goals are clear, and the constraints understood. In practice, the best approach may depend on the scale of action that is required, and on the amount of resource and infrastructure available to generate, implement and manage policy.

关键词： agricultural policy ecosystem services indicators of sustainable intensification knowledge exchange land use optimization

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Agriculture Green Development in China and the UK: common objectives and converging policy pathways

Yuelai LU, David NORSE, David POWLSON

《农业科学与工程前沿（英文）》 2020年第7卷第1期页码 98-105 doi: 10.15302/J-FASE-2019298

摘要：

This paper has three aims. First, to examine how the negative environmental consequences of intensive agriculture have driven China and the UK to shift away from narrowly focused farm output policies and adopt more holistic green development pathways. Second, to explore the policy objectives they have in common. Third, to assess the numerous opportunities for joint research and knowledge sharing through the Sustainable Agriculture Innovation Network and other existing institutional mechanisms. The intensification of agricultural production in the UK started several decades earlier than in China as did the negative environmental consequences of the farm practices. However, their strategies and policies for sustainable intensification and green development have much in common. These are set out in two main documents: the Chinese State Council guidelines for green agriculture and the UK Department for Environment, Food and Rural Affairs 25 Year Environment Plan. There are substantial mutual advantages from greater collaboration on problem identification and monitoring; the development of appropriate technological and management responses and the formulation of sound policies. To achieve this potential, it is recommended that further thought be given to how best to bring together all of the key stakeholders along the whole food chain.

关键词： Agriculture Green Development China policy UK

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Efficacy and safety of perioperative parecoxib for acute postoperative pain treatment in children: a meta-analysis

null

《医学前沿（英文）》 2015年第9卷第4期页码 496-507 doi: 10.1007/s11684-015-0414-y

摘要：

Perioperative parecoxib administration reduces postoperative pain, opioid consumption, and adverse events in adult patients. However, the efficacy and safety of parecoxib in children remain unclear. This meta-analysis included related published studies to address this concern. Eight databases in the literature until February 2015 were systematically explored to identify randomized controlled trials (RCTs) comparing perioperative parecoxib administration and placebo/standard treatments for acute postoperative pain in children. Primary outcomes were postoperative pain scores and adverse events. The Face, Legs, Activity, Crying, Consolability scale was used to score pain in children younger than 6 years, whereas the Visual Analog Scale was used in children older than 6 years. Secondary outcomes were sedation scores (measured using the Ramsay scale), agitation scores (measured using the Sedation-Agitation Scale), and opioid consumption. The methodological quality of RCTs was independently assessed in accordance with the “Risk of bias” of Cochrane Collaboration. Data were analyzed using Review Manager 5.2. Twelve RCTs involving 994 patients met the inclusion criteria. Compared with children who received placebo treatment, those who received parecoxib demonstrated lower early (2 h) and later (12 h) postoperative pain scores; lower incidence rates of postoperative nausea, vomiting, and agitation; higher early (1 h) postoperative sedation scores; and lower agitation scores. Similarly, children who received parecoxib had lower early (2 h) and later (12 h) postoperative pain scores, lower incidence rates of postoperative nausea and vomiting, and lower early (1 h) postoperative sedation scores compared with those who received standard treatments; however, these children showed no significant difference in agitation scores. Unfortunately, data on the effect of parecoxib on opioid consumption were insufficient. Overall, these results suggested that perioperative parecoxib administration was associated with less acute postoperative pain and fewer adverse events compared with placebo or standard treatments. Parecoxib administration also resulted in less emergence agitation compared with placebo treatment and less excessive sedation concern compared with standard treatments. However, the long-term effects, effects on opioid consumption, and patient satisfaction of parecoxib administration warrant further investigation.

关键词： NSAID cyclooxygenase 2 inhibitor child pain postoperative opioid placebo