Risk assessment and zoning are very important to risk management. In this study, a land subsidence risk assessment index was proposed based on the Disaster Risk Index. The cumulative subsidence volume, the land subsidence velocity, and the groundwater exploitation intensity were collected, analyzed, and put together to create a land subsidence hazard evaluation map in Tianjin coastal area. The population density, Gross Domestic Product per square kilometer, and construction land proportion were adopted as indexes to create the vulnerability map. In addition, the capability of land subsidence prevention and reduction was also assessed. Finally, the land subsidence risk map was created by combing the hazard, vulnerability, and the capability of land subsidence prevention and reduction map. Specifically, the land subsidence risk was classified into five levels, i.e., very high, high, medium, low, and very low. The result of this research could provide a solid basis for the sustainable development as well as disaster prevention policy-making of Tianjin city.

Abstract:Rapid population growth and increased economic activity impose an urgent challenge on the sustainability of water resources in Beijing. Understanding the spatial and temporal variability of precipitation is of the upmost importance in order to sustain the region's water resources. Two time series, one long term (1724-2010) from a single meteorological station and a shorter time series from 20 different meteorological stations within the Beijing area, were analysed using Linear Regression, Moving Average, Mann-Kendall, Rescaled Range and Spatial Interpolation methods. Results from both the long-and short-term meteorological data show a mean annual precipitation rate of 600 mm and 540 mm respectively. Annual precipitation rates have decreased during the 21st century by an estimated 100 mm or 16% in comparison to the 1990s. The 1980-2010 data show an increase in precipitation during the early 1990s followed by a sharp decrease during the subsequent years. The change of annual precipitation with time is more random and diverse in comparison to space. The main local impact factors (terrain, urbanization and elevation) and how they work on the local precipitation especially the spatial diversity are identified qualitatively. Generally speaking, (1) the annual precipitation of the plain area is more than that of the mountainous area (terrain effect), (2) the annual precipitation of the urban area in the plain area is obviously more than that of the surrounding suburb area (urbanization effect) and (3) the annual precipitation of the lower location is approximately more than that of the higher location (elevation effect).

Since the 1980s, dozens of Chinese government documents on teacher education reform have been published. These documents have influenced the direction of teacher education change in China and will continue to do so in the years ahead. The first wave of documents focused on recovering the teacher education system. A second wave centered on building a mechanism of quality assurance for teaching as a profession. A third wave concentrated on raising the quality of teacher education. This paper summarizes the implementation of these documents and comments on the benefits and challenges of the major components of the three waves of reform as they relate to teacher education.

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Objective To compare administration of incidence reporting systems for healthcare risk management in the United Kingdom, the United States, Canada, Australia, and Taiwan, and to provide evidence and recommendations for healthcare risk management policy in China. Methods We searched the official websites of the healthcare risk management agencies of the four countries and one district for laws, regulatory documents, research reports, reviews, and evaluation forms concerned with healthcare risk management and assessment. Descriptive comparative analysis was performed on relevant documents. Results (1) A total of 142 documents were included in this study. The United States had the most relevant documents (68). (2) The type of incidents from reporting systems has expanded from medication errors and hospital-acquired infections to near-misses, and now includes all patient safety incidents. (3) The incidence-reporting systems can be grouped into two models: government-led and legal/regulatory/NGO-collaborative. (4) In two cases, reporting systems were established for specific incident types: One for death or serious injury events (the sentinel events database in Britain, SIRL), and one for healthcare-associated infections (NHSN in America). (5) Compared to the four countries, Taiwan's system put more emphasis on public welfare, confidentiality, and information sharing. The contents of reporting there covered every aspect of risk management to create a more secure environment. Conclusion (1) Britain's national reporting and learning system was representative of a government-led model; (2) The United States was the earliest country to have a reporting system, which included a limited range of incident types. Management of incidents became more reliable with increased application of laws, regulations, and guidances; (3) Both the Canadian and the Australian systems drew from the American experience and are still developing; (4) The Taiwanese system was comprehensive and is an instructional case. This is the second article in a series of comparative analyses of healthcare risk management. These articles focus on the concepts, policies and regulations, institutional management, incidence reporting systems, and tools of risk assessment and performance evaluation of healthcare risk management, as well as early warning systems, in the United Kingdom, the United States, Canada, Australia, and Taiwan. The purpose of this series is to provide evidence and policy recommendations on International comparative analyses of incidents reporting systems national healthcare risk management for health policy decision makers. In this article, we report on management mechanisms of incident reporting systems for healthcare risk management. MethodsSee article one in this series for search methods, inclusion criteria, quality assessment, data selection extraction, and analysis (1). In keeping with the aims of the study and the principles of non-classical systematic review, we mainly searched official websites. We used a simple classific...

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Internet hospitals, as a new forum for doctors to conduct diagnosis and treatment activities based on the internet, are emerging in China and have become integral to the development of the medical field in conjunction with increasing reforms and policies in China’s medical and health system. Here, we take the Internet Hospital of the First Affiliated Hospital, Zhejiang University (FAHZU Internet Hospital) as an example to discuss the operations and functional positioning of developing internet hospital medical services in relation to physical hospitals. This viewpoint considers the platform operation, management, and network security of FAHZU Internet Hospital, and summarizes the advantages and limitations in the operation to provide a reference for other areas with interest in developing internet hospitals.