BackgroundIn China, demands for disease prevention and health care and the prevalence of chronic non-communicable diseases have increased. TCM and general hospitals are increasingly utilizing TCM strategies for chronic non-communicable disease care and prevention. This study aimed to investigate health care professionals’ (HCPs’) perceptions of TCM for prevention, their TCM knowledge, and their abilities to provide such services in TCM and general hospitals.MethodsThis cross-sectional study investigated Chinese medicine hospitals and Chinese medicine departments in general hospitals in five Chinese cities. A self-designed questionnaire used to study 400 HCPs focused on basic demographic data, the demand for and effects of TCM for prevention and treatment, and their perceptions of such service implementation. The data analysis included chi-squared tests and descriptive and multi-factor analyses.ResultsThe 335 HCP respondents comprised 230 (68.7%) females and 105 (31.3%) males, 75.5% of whom overall had knowledge of TCM preventive and health care services. Respondents older than 40 years (28.6%) had greater knowledge of and satisfaction with TCM for preventive and health care services than younger respondents. Moreover, 97.7% of the older respondents were clearly willing to provide TCM preventive services for chronic diseases, 67.8% of whom indicated that their hospitals already provided TCM for prevention and treatment. According to the chi-squared test results, the TCM service characteristics in hospitals, hospital outlooks regarding TCM and TCM development in hospitals were the primary factors affecting the respondents’ perceptions of TCM for chronic disease care and prevention. The multivariate analysis showed high satisfaction as significantly associated with older providers and those with lengthier work experience, particularly among those who worked in hospitals that provided typical TCM services and had positive attitudes towards TCM.ConclusionThe study HCPs had relatively satisfactory knowledge of and positive attitudes towards TCM for chronic disease care and prevention and would use it in practice. Their perceptions and satisfaction levels correlated closely with the successful application of TCM for preventive care and treatment in hospitals. While the use of TCM for prevention and treatment was well developed in some hospitals, further improvements are warranted.
Using the daily precipitation and temperature data of 101 meteorological stations in four provinces of central China (Henan, Hubei, Hunan, Jiangxi) from 1988 to 2017, we analyzed the temporal and spatial dynamics and periodicity of nine extreme climate indices in central China, using the predefined methods for analyzing extreme climate events, such as a M-K test, a linear trend analysis, and a wavelet analysis. The extreme climate characteristics and changes in central China in the past 30 years were revealed. The results showed that the CSDI was significantly reduced linearly at a rate of −0.19 d/10a, and the WSDI and TXx increased significantly at rates of 0.25 d/10a and 0.30℃/10a, respectively. The CDD decreased significantly at a rate of −1.67 d/10a. The duration of extreme low-temperature and drought events in central China showed a gradual shortening, while the duration of extreme high-temperature events and the high-temperature values increased. The results of the abrupt climate change test showed that some extreme climate indices in central China had significant abrupt climate changes after 2000. Analyzing the cyclicality of each index, it was determined that the extreme climate index in central China had a significant cyclical change every 2–4 years, and the change was more notable after 2000. Analyzing the spatial distribution of the extreme climate indices, it was determined that Jiangxi had the longest duration of all high-temperature events, and was the largest and longest of events of extreme precipitation. It was also determined that the Jiangxi region was at greater risk of extreme climate events in central China. The results of this study can provide a scientific basis for climate change trends, local disaster prevention, and mitigation management in central China.
with the rise and development of positive psychology, people concentrate more on their forte and positive psychological capacities. On this background, as a positive personal state, work engagement has become a new research hot spot in the fields of organizational behavior and human resource management. Based on previous study and interviews, this article takes female entrepreneurs as the research object and explores the influencing factors on work engagement of female entrepreneurs through quantitative study.
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