东亚新兴经济体的医院改革

随着社会经济的迅速发展,东亚新兴经济体国家和地区的社会福利状况逐渐引起国际社会的重视。东亚新兴经济体在医院改革中,从整合社会化医疗保险项目、控制行业机构、所有制管制、约束专业权力等多个方面入手,调整医疗服务供给体系与政府、患者、医疗保险支付方之间的关系,以及医疗服务供给体系的内部结构和内部关系,为中国的医疗服务改革提供了很多借鉴。     

Brucellosis as an Emerging Threat in Developing Economies: Lessons from Nigeria

Nigeria is the most populous country in Africa, has a large proportion of the world''s poor livestock keepers, and is a hotspot for neglected zoonoses. A review of the 127 accessible publications on brucellosis in Nigeria reveals only scant and fragmented evidence on its spatial and temporal distribution in different epidemiological contexts. The few bacteriological studies conducted demonstrate the existence of Brucella abortus in cattle and sheep, but evidence for B. melitensis in small ruminants is dated and unclear. The bulk of the evidence consists of seroprevalence studies, but test standardization and validation are not always adequately described, and misinterpretations exist with regard to sensitivity and/or specificity and ability to identify the infecting Brucella species. Despite this, early studies suggest that although brucellosis was endemic in extensive nomadic systems, seroprevalence was low, and brucellosis was not perceived as a real burden; recent studies, however, may reflect a changing trend. Concerning human brucellosis, no studies have identified the Brucella species and most reports provide only serological evidence of contact with Brucella in the classical risk groups; some suggest brucellosis misdiagnoses as malaria or other febrile conditions. The investigation of a severe outbreak that occurred in the late 1970s describes the emergence of animal and human disease caused by the settling of previously nomadic populations during the Sahelian drought. There appears to be an increasing risk of re-emergence of brucellosis in sub-Saharan Africa, as a result of the co-existence of pastoralist movements and the increase of intensive management resulting from growing urbanization and food demand. Highly contagious zoonoses like brucellosis pose a threat with far-reaching social and political consequences.     

Management of insecticides for use in disease vector control: Lessons from six countries in Asia and the Middle East

Interventions to control the vectors of human diseases, notably malaria, leishmaniasis and dengue, have relied mainly on the action of chemical insecticides. However, concerns have been raised regarding the management of insecticides in vector-borne disease-endemic countries. Our study aimed to analyze how vector control insecticides are managed in selected countries to extract lessons learned.A qualitative analysis of the situation of vector control insecticides management was conducted in six countries. Multi-stakeholder meetings and key informer interviews were conducted on aspects covering the pesticide lifecycle. Findings were compared and synthesized to extract lessons learned. Centrally executed guidelines and standards on the management of insecticides offered direction and control in most malaria programs, but were largely lacking from decentralized dengue programs, where practices of procurement, application, safety, storage, and disposal were variable between districts. Decentralized programs were better at facilitating participation of stakeholders and local communities and securing financing from local budgets. However, little coordination existed between malaria, visceral leishmaniasis and dengue programs within countries. Entomological capacity was concentrated in malaria programs at central level, while dengue and visceral leishmaniasis programs were missing out on expertise. Monitoring systems for insecticide resistance in malaria vectors were rarely used for dengue or visceral leishmaniasis vectors. Strategies for insecticide resistance management, where present, did not extend across programs or sectors in most countries. Dengue programs in most countries continued to rely on space spraying which, considering the realities on the ground, call for revision of international guidelines.Vector control programs in the selected countries were confronted with critical shortcomings in the procurement, application, safety measures, storage, and disposal of vector control insecticides, with implications for the efficiency, effectiveness, and safety of vector control. Further international support is needed to assist countries in situation analysis, action planning and development of national guidelines on vector control insecticide management.     

Population prehistory of East Asia and the pacific as viewed from craniofacial morphology: The basic populations in East Asia,VII

Distance analyses were applied to 11 craniofacial measurements recorded in samples from East and Southeast Asia, Australia, Melanesia, Polynesia, and Micronesia for the purpose of assessing the biological affinities and possible origins of these populations. A clear separation between Australomelanesians and other populations from East and Southeast Asia and the Pacific is evident. The craniofacial variations suggest that the generalized Asian populations (Negritos, Dayaks, Lesser Sunda Islands, etc.) represent at least part of the morphological background of not only the majority of present Southeast Asians, but also the Neolithic Jomon people and their lineage in Japan, Polynesians, and western Micronesians. The original craniofacial features of Southeast Asians may have occurred as the result of convergent microevolution due to similar environmental conditions such as tropical rain forest. This supports the local-evolution hypothesis for modern Southeast Asian craniofacial features. © 1993 Wiley-Liss, Inc.     

Lessons from Red Data Books: Plant Vulnerability Increases with Floral Complexity

The architectural complexity of flower structures (hereafter referred to as floral complexity) may be linked to pollination by specialized pollinators that can increase the probability of successful seed set. As plant—pollinator systems become fragile, a loss of such specialized pollinators could presumably result in an increased likelihood of pollination failure. This is an issue likely to be particularly evident in plants that are currently rare. Using a novel index describing floral complexity we explored whether this aspect of the structure of flowers could be used to predict vulnerability of plant species to extinction. To do this we defined plant vulnerability using the Red Data Book of Rare and Threatened Plants of Greece, a Mediterranean biodiversity hotspot. We also tested whether other intrinsic (e.g. life form, asexual reproduction) or extrinsic (e.g. habitat, altitude, range-restrictedness) factors could affect plant vulnerability. We found that plants with high floral complexity scores were significantly more likely to be vulnerable to extinction. Among all the floral complexity components only floral symmetry was found to have a significant effect, with radial-flower plants appearing to be less vulnerable. Life form was also a predictor of vulnerability, with woody perennial plants having significantly lower risk of extinction. Among the extrinsic factors, both habitat and maximum range were significantly associated with plant vulnerability (coastal plants and narrow-ranged plants are more likely to face higher risk). Although extrinsic and in particular anthropogenic factors determine plant extinction risk, intrinsic traits can indicate a plant’s proneness to vulnerability. This raises the potential threat of declining global pollinator diversity interacting with floral complexity to increase the vulnerability of individual plant species. There is potential scope for using plant—pollinator specializations to identify plant species particularly at risk and so target conservation efforts towards them.     

Lessons from seven sustainability indicator programs in developing countries of Asia

Sustainability indicator programs in developing countries are the poor cousin of ecological indicator research. While an enormous number of indicators for the monitoring of sustainable development exists, few meta-evaluations on these measurements have been conducted in developing countries. Yet, researchers developing new programs face the question: how shall we design our monitoring instrument to respond to the local challenges.By presenting a qualitative meta-performance evaluation of seven sustainability indicator programs on the municipal level in developing countries of Asia, we identify crucial success factors in this contribution. The research draws on 41 expert interviews in Indonesia, Thailand, China, and India, as well as on program-related documents. In the presented case studies, local contexts are intended to be diverse: obtained results should map success factors in different settings. A context-related list of good-practice factors is derived from the interview material via a Qualitative Content Analysis and assessed against the data.We identify crucial strengths and weaknesses of sustainability indicator programs in six dimensions and link the success factors to their contexts. The results include innovative approaches to indicator types, data collection and data quality control, and a correlation between the anchoring of programs in approved development plans and long-term implementation. The results can provide valuable guidance to users of existing sustainability indicator programs and planners of new programs.     

Origin of modern humans in East Asia: clues from the Y chromosome

East Asia is one of the most important regions for studying modern human origin and evolution. A lot of efforts have been made to detect the genetic diversity and to reconstruct the evolutionary history of East Asians, especially using Y chromosome genetic data, in recent years. The Y chromosome data supports the African origin of modern humans in East Asia and the later migration to East Asia through the southern tropic coastline route, and then the northward migration occurred, leading to peopling of the main continent. The genetic data of the Y chromosome reflects a clear prehistoric evolution and migration course of East Asians. As well, the Y chromosome data of East Asians provides clues to elucidate modern human origins and evolution in the neighboring regions, i.e. America, Oceania and the Pacific Islands.     

Origin of modern humans in East Asia: clues from the Y chromosome

East Asia is one of the most important regions for studying modern human origin and evolution. A lot of efforts have been made to detect the genetic diversity and to reconstruct the evolutionary history of East Asians, especially using Y chromosome genetic data, in recent years. The Y chromosome data supports the African origin of modern humans in East Asia and the later migration to East Asia through the southern tropic coastline route, and then the northward migration occurred, leading to peopling of the main continent. The genetic data of the Y chromosome reflects a clear prehistoric evolution and migration course of East Asians. As well, the Y chromosome data of East Asians provides clues to elucidate modern human origins and evolution in the neighboring regions, i.e. America, Oceania and the Pacific Islands.     

Moving from Rabies Research to Rabies Control: Lessons from India

BACKGROUND: Despite the availability of effective interventions and public recognition of the severity of the problem, rabies continues to suffer neglect by programme planners in India and other low and middle income countries. We investigate whether this state of 'policy impasse' is due to, at least in part, the research community not catering to the information needs of the policy makers. METHODS #ENTITYSTARTX00026; FINDINGS: Our objective was to review the research output on rabies from India and examine its alignment with national policy priorities. A systematic literature review of all rabies research articles published from India between 2001 and 2011 was conducted. The distribution of conducted research was compared to the findings of an earlier research prioritization exercise. It was found that a total of 93 research articles were published from India since 2001, out of which 61% consisted of laboratory based studies focussing on rabies virus. Animals were the least studied group, comprising only 8% of the research output. One third of the articles were published in three journals focussing on vaccines and infectious disease epidemiology and the top 4 institutions (2 each from the animal and human health sectors) collectively produced 49% of the national research output. Biomedical research related to development of new interventions dominated the total output as opposed to the identified priority domains of socio-politic-economic research, basic epidemiological research and research to improve existing interventions. CONCLUSION: The paper highlights the gaps between rabies research and policy needs, and makes the case for developing a strategic research agenda that focusses on rabies control as an expected outcome.     

Temperate forests in continental East Asia

In this editorial, we introduce a Special Feature focusing on various aspects of temperate forest vegetation on the East Asian mainland (China and Korea). The papers included in this Special Feature encompass a range of topics, including plot-based vegetation survey, analysis of vegetation change along broad-scale environmental gradients and dynamics of both successional and climax forests.     

Phylogenetic Relationships of Sheep Populations from Coastal Areas in East Asia

Using the method of random sampling in typical colonies of the central area of the habitat and several electrophoresis techniques, the variations of 12 structural loci encoding blood protein of 60 Small-tailed Han sheep were examined and compared with those of four other sheep populations from coastal areas in East Asia to explore their phylogenetic relationships. Average heterozygosity of the five populations was: Kharkhorin sheep 0.3447, Ulaanbaatar sheep 0.3285, Small-tailed Han sheep 0.3157, Hu sheep 0.3884, and Cham Tribe sheep 0.2300. The earlier researchers' conclusion through documentary research, indicating that Small-tailed Han sheep and Hu sheep both evolved from Mongolian sheep, was further verified by the results of this study. Hu sheep, Small-tailed Han sheep, and Cham Tribe sheep were decreasingly affected by the bloodline of Mongolian sheep. A partial founder population, i.e., Mongolian sheep forming current Small-tailed Han sheep, possibly made a contribution to the bloodline of Cham Tribe sheep.     

Sites of Desire, Economies of Pleasure: Sexualities in Asia and the Pacific

Sites of Desire, Economies of Pleasure: Sexualities in Asia and the Pacific. Lenore Manderson and Margaret Jolly. eds. Chicago: University of Chicago Press, 1997. 367 pp.     

来自东亚的黑耳属一新种,亚东黑耳

“亚东黑耳”是西藏近几年备受关注的一种特色野生珍稀食用菌,但对其分类学地位尚无定论。本文基于分子系统学和形态学研究了东亚、欧洲和北美洲与亚东黑耳相近的黑耳属标本,发现碟形黑耳Exidia recisa是个物种复合群,已知包括4个种,欧洲有碟形黑耳和浅波黑耳E. repanda两个种,北美洲有钝齿黑耳E. crenata,东亚的为1新种,本文将其描述为亚东黑耳Exidia yadongensis。这4个种在系统发育关系中相近,形态相似,但亚东黑耳的子实体边缘基本是全缘,担孢子大小为12-16×3-4μm (Q=3.62-3.83),而欧洲的碟形黑耳E. recisa和北美洲的钝齿黑耳E. crenata子实体边缘通常锯齿状,担孢子分别为13-15.5×2.8-3.8μm (Q=4.51)和12-14×3-4μm (Q=4.11),浅波黑耳E. repanda具有垫状至波浪状折叠的子实体,区别于其他3个种的盘状至耳状的子实体,其担孢子为12.7-15.7×2.8-3.7μm (Q=4.33-4.57)。此外,亚东黑耳具有树状分枝和叉形的子实层侧丝,但其他3个种只有树状分枝的子实层侧丝。尽管亚东黑耳广泛分布于东亚地区,但由于亚东黑耳的汉语名称已经在中国普遍使用,所以我们提出了上述拉丁学名。