Contextualizing the revised Patient Perception of Patient-Centeredness (PPPC-R) scale in primary healthcare settings: a validity and reliability evaluation study.

Background: An English version of the Patient Perception of Patient-Centeredness (PPPC) scale was recently revised, and it is necessary to test this instrument in different primary care populations.

Aim: This study aimed to assess the validity and reliability of a Chinese version of the PPPC scale.

Design: A mixed method was used in this study.

A precision compost strategy aligning composts and application methods with target crops and growth environments can increase global food production.

Compost represents an important input for sustainable agriculture, but the use of diverse compost types causes uncertain outcomes. Here we performed a global meta-analysis with over 2,000 observations to determine whether a precision compost strategy (PCS) that aligns suitable composts and application methods with target crops and growth environments can advance sustainable food production. Eleven key predictors of compost (carbon-to-nutrient ratios, pH and salt content electric conductivity), management (nitrogen N supply) and biophysical settings (crop type, soil texture, soil organic carbon, pH, temperature and rainfall) determined 80% of the effect on crop yield, soil organic carbon and nitrous oxide emissions.

Optimizing plant density and balancing NPK inputs in combination with innovative fertilizer product for sustainable maize production in North China Plain.

Excessive NPK inputs but low grain yield and high environmental impact are common issues in maize production in North China Plain (NCP). The objective of our study was to test whether a combined strategy of optimizing plant density, balancing NPK input, and innovating one-time fertilizer products could achieve a more sustainable maize production in NCP. Thus, a field experiment was conducted at Luanna County NCP with the treatments of unfertilized control (CK), farmer practice (FP, conventional plant density and NPK input), conventional one-time urea-based coated fertilizer (CF, optimized plant density and NPK input), and five newly designed innovative one-time NPK fertilizers of ammonium sulphate and urea synergy (IF, optimized plant density and NPK input), innovative fertilizer with various additives of urea inhibitors (IF + UI), double inhibitors (IF + DI), micro-organisms (IF + MI), and trace elements (IF + TE).

Emotional State of Chinese Healthcare Workers During COVID-19 Pandemic.

Objective: Anti-epidemic work against coronavirus disease (COVID) has become routine work in China. Our study was intended to investigate the emotional and psychological state of healthcare workers and look for the association between sociodemographic factors/profession-related condition and emotional state.

Methods: A cross-sectional survey was conducted online among healthcare workers from various backgrounds.

Developing evidenced-based quality assessment checklist for real practice in primary health care using standardized patients: a systematic review.

Background: The aim of this review was to explore the quality assessment checklists development methods in previous researches using standardized patients (SPs), as well as to propose an evidence-based checklist development procedure for quality assessment of common conditions in primary health care (PHC) settings.

Methods: We conducted a systematic review of studies that described checklist development method and extracted the methodology in terms of the developer, the basis and processes. Based on that, we formulated the development procedure according to the recommendations of the WHO Handbook for Guideline Development.

Investigation on Household Medication-Taking Behavior and Affordability Among Patients Under Chronic Condition: A Survey Study in Gansu Province, China.

Aim: This study aimed to investigate the household medication-taking behavior and affordability of patients with chronic diseases in Gansu Province. As well as to propose suggestions to assist improvement of related policies.

Methods: A multistage stratified cluster sampling technique was used to select the research sites and households according to the WHO manual for the "Household Survey to Measure Access and Use of Medicines".

Towards the circular nitrogen economy - A global meta-analysis of composting technologies reveals much potential for mitigating nitrogen losses.

Composting is an important technology to treat biowastes and recycle nutrients, but incurs nitrogen (N) losses that lower the value of the final products and cause pollution. Technologies aimed at reducing N losses during composting have inconsistent outcomes. To deepen insight into mitigation options, we conducted a global meta-analysis based on 932 observations from 121 peer-reviewed published studies.