Search Results (9,101)

Background: Varicella remains a prevalent vaccine-preventable disease, but breakthrough infections are increasingly reported. However, long-term, population-based studies investigating the temporal and demographic characteristics of breakthrough varicella remain limited. Methods: This retrospective study analyzed surveillance data from Jinhua City, China, from 2016 to 2024. Varicella case records were obtained from the China Information System for Disease Control and Prevention (CISDCP), while vaccination data were retrieved from the Zhejiang Provincial Immunization Program Information System (ISIS). Breakthrough cases were defined as infections occurring more than 42 days after administration of the varicella vaccine. Differences in breakthrough interval were analyzed across subgroups defined by dose, sex, age, population category, and vaccination type. A bivariate cubic regression model was used to assess the combined effect of initial vaccination age and dose interval on the breakthrough interval. Results: Among 28,778 reported varicella cases, 7373 (25.62%) were classified as breakthrough infections, with a significant upward trend over the 9-year period (p < 0.001). Most cases occurred in school-aged children, especially those aged 6–15 years. One-dose recipients consistently showed shorter breakthrough intervals than two-dose recipients (M = 62.10 vs. 120.10 months, p < 0.001). Breakthrough intervals also differed significantly by sex, age group, population category, and vaccination type (p < 0.05). Regression analysis revealed a negative correlation between the initial vaccination age, the dose interval, and the breakthrough interval (R² = 0.964, p < 0.001), with earlier and closely spaced vaccinations associated with longer protection. Conclusions: The present study demonstrates that a two-dose varicella vaccination schedule, when initiated at an earlier age and administered with a shorter interval between doses, provides more robust and longer-lasting protection. These results offer strong support for incorporating varicella vaccination into China’s National Immunization Program to enhance vaccine coverage and reduce the public health burden associated with breakthrough infections. Full article

In the southeast of China, seasonal rainfall intensity is high, the distribution of mountains and hills is extensive, and many small-scale, shallow landslides frequently occur after consecutive seasons of heavy rainfall. High-precision automated identification systems can quickly pinpoint the scope of the disaster and help with important decisions like evacuating people, managing engineering, and assessing damage. Many people have designed systems for detecting such shallow landslides, but few have designed systems that combine high resolution, high automation, and real-time capability of landslide identification. Taking accuracy, automation, and real-time capability into account, we designed an automatic rainfall-induced shallow landslide detection system based on deep learning and Unmanned Aerial Vehicle (UAV) images. The system uses UAVs to capture high-resolution imagery, the U-Net (a U-shaped convolutional neural network) to combine multi-scale features, an adaptive edge enhancement loss function to improve landslide boundary identification, and the development of the “UAV Cruise Geological Hazard AI Identification System” software with an automated processing chain. The system integrates UAV-specific preprocessing and achieves a processing speed of 30 s per square kilometer. It was validated in Wanli District, Nanchang City, Jiangxi Province. The results show a Mean Intersection over Union (MIoU) of 90.7% and a Pixel Accuracy of 92.3%. Compared with traditional methods, the system significantly improves the accuracy of landslide detection. Full article

With the rapid adoption of automated driving systems, ensuring safe and efficient driver takeover has become a crucial challenge for road safety. This study introduces a novel psychological framework for understanding and predicting takeover behavior in conditionally automated vehicles, leveraging an extended Theory of Planned Behavior (TPB) model enriched by real-world driver experience. Drawing on survey data from 385 automated driving system users recruited in Shaoguan City, China, through face-to-face questionnaire administration covering various ADS types (ACC, lane-keeping, automatic parking), we demonstrate that driver attitudes, perceived behavioral control, and subjective norms are significant determinants of takeover intention, collectively explaining nearly half of its variance (R² = 48.7%). Importantly, our analysis uncovers that both intention and perceived behavioral control have robust, direct effects on actual takeover behavior. Crucially, this work is among the first to reveal that individual user characteristics—such as driving experience and ADS (automated driving system) usage frequency—substantially moderate these psychological pathways: experienced or frequent users rely more on perceived control and attitude, while less experienced drivers are more susceptible to social influences. By advancing a multi-dimensional psychological model that integrates personal, social, and experiential moderators, our findings deliver actionable insights for the design of adaptive human–machine interfaces, tailored driver training, and targeted safety interventions in the context of automated driving. Using structural equation modeling with maximum likelihood estimation (χ²/df = 2.25, CFI = 0.941, RMSEA = 0.057), this psychological approach complements traditional engineering models by revealing that takeover behavior variance is explained at 58.3%. Full article

With the acceleration of urbanization in China, water resources have become a key factor restricting regional sustainable development. Current research primarily examines the temporal or spatial variations in the water resources ecological footprint (WREF), with limited emphasis on the integration of both spatial and temporal scales. In this study, we collected the data and information from the 2005–2022 Statistical Yearbook and Water Resources Bulletin of the Yangtze River Delta Urban Agglomeration (YRDUA), and calculated evaluation indicators: WREF, water resources ecological carrying capacity (WRECC), water resources ecological pressure (WREP), and water resources ecological surplus and deficit (WRESD). We primarily analyzed the temporal and spatial variation in the per capita WREF and used the method of Geodetector to explore factors driving its temporal and spatial variation in the YRDUA. The results showed that: (1) From 2005 to 2022, the per capita WREF (total water, agricultural water, and industrial water) of the YRDUA generally showed fluctuating declining trends, while the per capita WREF of domestic water and ecological water showed obvious growth. (2) The per capita WREF and the per capita WRECC were in the order of Jiangsu Province > Anhui Province > Shanghai City > Zhejiang Province. The spatial distribution of the per capita WREF was similar to those of the per capita WRECC, and most areas effectively consume water resources. (3) The explanatory power of the interaction between factors was greater than that of a single factor, indicating that the spatiotemporal variation in the per capita WREF of the YRDUA was affected by the combination of multiple factors and that there were regional differences in the major factors in the case of secondary metropolitan areas. (4) The per capita WREF of YRDUA was affected by natural resources, and the impact of the ecological condition on the per capita WREF increased gradually over time. The impact factors of secondary metropolitan areas also clearly changed over time. Our results showed that the ecological situation of per capita water resources in the YRDUA is generally good, with obvious spatial and temporal differences. Full article

Improving outdoor thermal comfort is a critical objective in urban design, particularly in densely built urban environments. Elevated semi-open spaces—outdoor areas located beneath raised building structures—have been recognized for enhancing pedestrian comfort by improving airflow and shading. However, previous studies primarily focused on warm or temperate climates, leaving a significant research gap regarding their thermal performance in cold climate zones characterized by extreme seasonal variations. Specifically, few studies have investigated how these spaces perform under conditions typical of northern Chinese cities like Xi’an, which is explicitly classified within the Cold Climate Zone according to China’s national standard GB 50176-2016 and experiences both severe summer heat and cold winter conditions. To address this gap, we conducted field measurements and numerical simulations using the ENVI-met model (v5.0) to systematically evaluate the microclimatic performance of elevated ground-floor spaces in Xi’an. Key microclimatic parameters—including air temperature, mean radiant temperature, relative humidity, and wind velocity—were assessed during representative summer and winter conditions. Our findings indicate that the height of the elevated structure significantly affects outdoor thermal comfort, identifying an optimal elevated height range of 3.6–4.3 m to effectively balance summer cooling and winter sheltering needs. These results provide valuable design guidance for architects and planners aiming to enhance outdoor thermal environments in cold climate regions facing distinct seasonal extremes. Full article

Achieving a win-win situation for both economy and ecology is crucial for promoting sustainable social development and shaping new advantages in high-quality developments. This article constructs an ecological economic resilience (EER) analysis framework by integrating both ecological and economic dimensions from a resilience perspective. Based on panel data from 290 cities in China, it explores the dynamic evolution characteristics, regional differences, and convergence trends of EER. The findings indicate that the EER has weakened nationwide and in the four major economic regions, overall tending towards stability. Significant disparities exist in EER, particularly pronounced in the northeast. There is $\sigma$ convergence in the nation as well as in the northeast and east regions. Additionally, both absolute and conditional $\beta$ convergence is evident nationwide and in all regions, with conditional convergence occurring at a faster pace. The research findings in this paper provide solid theoretical support for promoting regional coordinated development and constructing a new development paradigm. Full article

Accomplishing China’s national targets of carbon peaking and carbon neutrality necessitates proactive solutions, hinging critically on fundamentally transforming rural construction models. Current construction practices in rural areas are characterized by inefficiency, high resource consumption, and reliance on imported materials. These shortcomings not only jeopardize the attainment of climate objectives, but also hinder equitable development between urban and rural regions. Using the Digital Industrial Park in Yongtai County, Fuzhou City, as a case study, this study focuses on prefabricated public buildings in regions with extreme hot–humid climate, and innovatively integrates BIM (Building Information Modeling)-driven carbon modeling with the Gaussian Two-Step Floating Catchment Area (G2SFCA) method for spatial accessibility assessment to investigate the carbon emissions and economic benefits of prefabricated buildings during the embodied stage, and analyzes the spatial accessibility of prefabricated building material suppliers in Fuzhou City and identifies associated bottlenecks, seeking pathways to promote sustainable rural revitalization. Compared with traditional cast-in-situ buildings, embodied carbon emissions of prefabricated during their materialization phase significantly reduced. This dual-perspective approach ensures that the proposed solutions possess both technical rigor and logistical feasibility. Promoting this model across rural areas sharing similar climatic conditions would advance the construction industry’s progress towards the dual carbon goals. Full article

With deepening global higher education reforms, outcome-based education has emerged as the core paradigm for teaching model innovation. This study investigates the structural dependencies and teaching effectiveness of the Environmental Design curriculum at Hubei Engineering University in medium-sized cities, China, addressing challenges of enrollment decline and market contraction critical for urban sustainability. Using network analysis, we construct curriculum support and contribution networks and course temporal networks to assess structural dependencies and teaching effectiveness, revealing structural patterns and optimizing the OBE-based Environmental Design curriculum to enhance educational quality and student competencies. Analysis reveals computer basic courses as knowledge transmission hubs, creating a course network with a distinct core–periphery structure. Technical course reforms significantly outperform theoretical course reforms in improving student performance metrics, such as higher average scores, better grade distributions, and reduced performance gaps, while innovative practice courses show peripheral isolation patterns, indicating limited connectivity with core curriculum modules, which reduces their educational impact. These findings provide empirical insights for curriculum optimization, supporting urban sustainable development through enhanced professional talent cultivation equipped to address environmental challenges like sustainable design practices and resource-efficient urban planning. Network analysis applications introduce innovative frameworks for curriculum reform strategies. Future research expansion through larger sample validation will support urban sustainable development goals and enhance professional talent cultivation outcomes. Full article

Payments for Watershed services (PWSs) have been emerging as a critical tool for environmental governance in watershed, yet their comparative effectiveness across implementation models has remained poorly understood. Based on a comparative analysis of Eco-Compensation (EC) and Payments for Ecosystem Services (PESs) frameworks, examining both theoretical foundations and implementation practices, this study aims to quantitatively assess and compare the effectiveness of two dominant PWSs models—the EC-like model (Phase I: October 2008–April 2017) and the PESs-like model (Phase II: 2017–December 2021). Using the Liaohe River in China as a case study, utilizing ecosystem service value (ESV) as an indicator and employing the corrected unit-value transfer method, we compare the effectiveness of different PWSs models from October 2008 to December 2021. The results reveal the following: (1) Policy Efficiency: The PESs-like model demonstrated significantly greater effectiveness than the EC-like model, with annual average increases in ESV of 3.23 billion CNY (491 million USD) and 1.79 billion CNY (272 million USD). (2) Functional Drivers: Water regulation (45.1% of total ESV growth) and climate regulation (24.3%) were dominant services, with PESs-like interventions enhancing multifunctionality. (3) Stakeholder Impact: In the PESs-like model, the cities implementing inter-county direct payment showed higher growth efficiency than those without it. The operational efficiency of PWSs increases with the number of participating stakeholders, which explains why the PESs-like model demonstrates higher effectiveness than the EC-like model. Our findings offer empirical evidence and actionable policy implications for designing effective PWSs models across global watershed ecosystems. Full article

With the global economic restructuring and the consequent population mobility, urban shrinkage has become a common phenomenon. The Qinling–Daba Mountains, a zone with a key ecological function in China, have long experienced population decline and functional degradation. Clarifying the dynamics and influencing factors of urban shrinkage plays a vital role in supporting the sustainable development of the region. This study, using permanent resident population growth rates and nighttime light data, classified cities in the region into four spatial patterns: expansion–growth, intensive growth, expansion–shrinkage, and intensive shrinkage. It further examined the spatial characteristics of shrinkage across four periods (2005–2010, 2010–2015, 2015–2020, and 2020–2022). A Geographically and Temporally Weighted Regression (GTWR) model was applied to examine core influencing factors and their spatiotemporal heterogeneity. The results indicated the following: (1) The dominant pattern of urban shrinkage in the Qinling–Daba Mountains shifted from expansion–growth to expansion–shrinkage, highlighting the paradox of population decline alongside continued spatial expansion. (2) Three critical indicators significantly influenced urban shrinkage: the number of students enrolled in general secondary schools (X₅), the per capita disposable income of urban residents (X₇), and the number of commercial and residential service facilities (X₁₂), with their effects exhibiting significant spatiotemporal heterogeneity. Temporally, X₁₂ was the most influential factor in 2005 and 2010, while in 2015, 2020, and 2022, X₅ and X₇ became the dominant factors. Spatially, X₇ significantly affected both eastern and western areas; X₅’s influence was most pronounced in the west; and X₁₂ had the greatest impact in the east. This study explored the patterns and underlying drivers of urban shrinkage in underdeveloped areas, aiming to inform sustainable development practices in regions facing comparable challenges. Full article

Studying the impact of digital economy development on marine environmental quality has important theoretical and practical significance for achieving a win–win situation between high-quality economic development and high-level ecological environment protection. This article selects the marine environment of coastal provinces and cities in China from 2011 to 2022 as the research object and uses the entropy method to comprehensively evaluate the quality of marine environment and the level of digital economy. Also, we construct intermediary and threshold effect models to deeply explore the impact mechanism of digital economy development on marine environmental quality. We find that digital economy and marine environmental quality both show a wave-like rising trend, but the comprehensive level is relatively low. The development of the digital economy can effectively improve the level of marine environmental quality, and the digital economy promotes the improvement of marine environmental quality by improving the level of marine economy. The level of economic development and industrial scale has created a threshold effect in the process of promoting the development of marine environmental quality through the digital economy. Therefore, strengthening the digital governance of the marine environment and promoting the industrialization of marine ecology and the ecologicalization of marine industries will help promote the integrated development of the digital economy and marine environment. Full article

An in-depth understanding of the spatiotemporal heterogeneity of ecosystem service (ES) trade-offs and synergies, along with their driving factors, is crucial for formulating key ecological restoration strategies and effectively allocating ecological environmental resources in the Hulunbuir region. This study employed an integrated analytical approach combining the InVEST model, ArcGIS geospatial processing, R software environment, and Optimal Parameter Geographical Detector (OPGD). The spatiotemporal patterns and driving factors of the interaction of four major ES functions in Hulunbuir area from 2000 to 2020 were studied. The research findings are as follows: (1) carbon storage (CS) and soil conservation (SC) services in the Hulunbuir region mainly show a distribution pattern of high values in the central and northeast areas, with low values in the west and southeast. Water yield (WY) exhibits a distribution pattern characterized by high values in the central–western transition zone and southeast and low values in the west. For forage supply (FS), the overall pattern is higher in the west and lower in the east. (2) The trade-off relationships between CS and WY, CS and SC, and SC and WY are primarily concentrated in the western part of Hulunbuir, while the synergistic relationships are mainly observed in the central and eastern regions. In contrast, the trade-off relationships between CS and FS, as well as FS and WY, are predominantly located in the central and eastern parts of Hulunbuir, with the intensity of these trade-offs steadily increasing. The trade-off relationship between SC and FS is almost widespread throughout HulunBuir. (3) Fractional vegetation cover, mean annual precipitation, and land use type were the primary drivers affecting ESs. Among these factors, fractional vegetation cover demonstrates the highest explanatory power, with a q-value between 0.6 and 0.9. The slope and population density exhibit relatively weak explanatory power, with q-values ranging from 0.001 to 0.2. (4) The interactions between factors have a greater impact on the inter-relationships of ESs in the Hulunbuir region than individual factors alone. The research findings have facilitated the optimization and sustainable development of regional ES, providing a foundation for ecological conservation and restoration in Hulunbuir. Full article

Rickettsia, Anaplasma, and Ehrlichia species are emerging tick-borne pathogens that cause zoonotic diseases, including rickettsiosis, anaplasmosis, and ehrlichiosis in both human and animal populations. This study aimed to investigate the prevalence of these pathogens in cattle-associated ticks from Ganzhou City, Jiangxi Province, China. Through molecular characterization using multilocus sequence analysis (16S rRNA, gltA, groEL, and ompA genes), we analyzed 392 Rhipicephalus microplus ticks collected from March to September in 2022. The PCR results showed that eight Rickettsiales bacteria were detected, including two species of Rickettsia (51/392, 13.0%), four species of Anaplasma (52/392, 13.3%), and two species of Ehrlichia (70/392, 17.9%). Notably, the circulation of multiple pathogen species within R. microplus populations demonstrates significant microbial diversity in this region. Further consideration and investigation should be given to the possible occurrence of rickettsiosis, ehrlichiosis, and anaplasmosis in humans and domestic animals. Our study provides critical baseline data for developing targeted surveillance strategies and informing public health interventions against tick-borne diseases in southeastern China. Full article

The spatiotemporal evolution of the regional water use structure holds significant theoretical value for optimizing regional water resource allocation, adjusting industrial structures, and achieving sustainable water resource development. Shandong Province, located at the lowest reach of the Yellow River Basin in China, is a major economic, agricultural, and populous province, as well as a region with one of the most prominent water supply–demand imbalances in the country. As a result, exploring how water use patterns change over time and space in this region has become crucial. Using analytical methods like the Lorenz curve, Gini coefficient, cluster analysis, and spatial statistics, we examine shifts in Shandong’s water use structure from 2001 to 2023. We find that while agriculture remained the largest water consumer over this period, industrial, household, and ecological water use steadily increased, signaling a move toward more balanced resource distribution. Across Shandong’s 16 regions (cities), the water use patterns varied considerably, particularly in terms of agriculture, industry, and ecological needs. Among these, agricultural, industrial, and domestic water use were distributed relatively evenly, whereas ecological water use showed greater regional disparities. These results may have the potential to guide policymakers in refining water allocation strategies, improving industrial planning, and boosting the water use efficiency in Shandong and the country ore broadly. Full article

The sustainable development of Chinese cities is of long-term significance. Multiple environmental regulatory instruments aim to promote the parallel advancement of environmental conservation and economic growth. This study examines three batches of low-carbon city pilot (LCCP) programs, employing eco-efficiency as the outcome variable. Using conventional difference-in-differences (DID) models, time-varying DID models, and period-by-period propensity score matching DID (PSM-DID) models with city and time fixed effects, we investigate the comprehensive impact of pilot policies on both economic and environmental performance. Eco-efficiency, measured through the Data Envelopment Analysis (DEA) model, exhibits a strong correlation with energy consumption patterns, as carbon emissions and air pollutants predominantly originate from non-clean energy utilization. The analysis reveals that LCCP policies significantly enhance eco-efficiency. These findings demonstrate robustness across placebo tests, endogeneity treatments, and alternative outcome variable specifications. The first and third LCCP batches significantly improve eco-efficiency, whereas the second batch demonstrates no statistically significant effect. Significant impacts emerge in regions where cities hold pilot status while provinces do not; conversely, regions where both cities and provinces participate in pilot programs show no significant effects. Finally, from an energy consumption perspective, policy recommendations are proposed to further enhance eco-efficiency through regulatory instruments. Full article