Abstract Background: Expanding nursing workload is a worldwide problem. However, any nursing workload assessment (NWA) tool requires complicated analyses of the nursing job profile. To determine the imbalance in time assignments across all nursing operations and to reduce nursing workload, a nursing job survey was conducted. Methods: A total of 25 major job categories, common to all hospital wards, were identified, and an NWA tool was developed for efficient analyses to feature easy/flexible entry of the time spent for each job category and real-time visual profiling of job time allocation. The profile could be divided by job categories, wards, shifts, and years. Results: From the preliminary analyses, undesirable time allocation was revealed in several job categories, especially the time for recording and other nonessential nursing operations. Using the analytical functions of the NWA tool between 2014 and 2016, a series of corrective measures were successfully taken to many job categories, and they were found to be effective. Consequently, excessive overtime workload was reduced from 125 min/day/nurse in 2014 to 100 and 100 min/day/ nurse in 2015 and 2016, respectively. Conclusion: Notable improvements in nursing workload and time allocation for attentive patient care could be achieved employing the novel user-aimed NWA tool.

Abstract Purpose: The purpose of this study was to investigate the effects of two different postures (sitting and standing) and three different ambient temperatures (10℃, 20℃, and 30℃) on heart rate variability (HRV) among healthy young adults. Methods: Twelve young adult volunteers (males 6, females 6) were recruited. Following acclimatization to any the room temperature (10℃, 20℃ or 30℃), 5-min measurements of HRV were conducted in sitting and standing postures of the subjects. Results: Compared to the sitting posture, measurements obtained in the standing posture revealed a significant decrease in high-frequency power/HF, root mean square of successive differences between RR intervals, standard deviation of Poincaré plot perpendicular to the line-of-identity or SD1 and SD1/standard deviation of Poincaré plot along the line-of-identity or SD2, and a significant increase in lowfrequency power/LF and LF/HF under all experimental conditions (p<0.05 to 0.005). Majority of HRV parameters showed significant differences while the values obtained under 10℃ were compared with 20℃ and 30℃ conditions, respectively (p<0.05 to 0.001). Conclusions: Our findings suggest the predominance of sympathetic tone in the standing compared with sitting posture. Furthermore, colder conditions caused a predominance of the parasympathetic activity in both sitting and standing postures, and such effects of ambient temperature on the sympathovagal balance were stronger in the latter posture.

Abstract Background: Recently, the importance of nutritional management in pressure ulcer control has been pointed out. In this study, we analyzed the relationship between nutritional indicators and the presence or absence of pressure ulcers in order to reveal the importance of nutritional management in pressure ulcer control. Method: We investigated 407 inpatients for blood tests, height, weight, BMI, the Ohura-Hotta (OH) scale, nutrition method, living independence, and the presence or absence of pressure ulcers. Results: In the comparison of patients with and without pressure ulcer, significant differences were found in gender, nutrition method, serum total protein, serum albumin, hemoglobin concentration, and the OH scales. Multiple logistic regression analysis showed that gender, intravenous nutrition, serum albumin levels, and the OH scale were associated with the presence or absence of pressure ulcers. The results suggest that not only the OH scale, but the nutritional support was also important in the prediction of the pressure ulcer. It was suggested that shifting from intravenous feeding to tube feeding or oral feeding is important. Conclusion: we found that pressure ulcer was related to gender, intravenous nutrition, serum albumin level and the OH scale. The importance of nutritional management for pressure ulcer prevention was confirmed.

Abstract Objectives: This study examined the short-term outcomes of endovascular therapy (EVT) with the GORE VIABAHN VBX (VBX) which is a balloon-expandable covered stent in patients with aortoiliac occlusive disease (AIOD) and acute limb ischemia (ALI). Methods: This was a single-center retrospective review of patients with AIOD and ALI who underwent EVT with the VBX between December 2018 and January 2021. Primary, assisted, and secondary patency rates were assessed, along with 30-day mortality rates. Results: Twenty-two patients underwent EVT with the VBX; 18 patients had AIOD, whereas 4 had ALI. The incidence of TransAtlantic Intersociety Classification II D lesions was 50% (n=9). Technical success was 100%. One patient with unilateral common iliac artery stenosis developed an intraoperative dissection of the distal edge of the VBX, which required an additional self-expanding VIABAHN stent on the distal edge of the VBX. The primary patency rate at 24 months was 100%. No patients required additional target vessel treatment at a median follow-up of 10 months (range, 1-27). EVT was also successful in the four patients with ALI, who had no complications of the target vessel. Conclusion: The present study demonstrated that EVT with the VBX is effective for AIOD and ALI.

To date, the process of implementing the global Sustainable Development Goals （SDGs） and global climate change mitigation and adaptation obligations has been largely decoupling in most countries. This creates administrative duplication, costs, and hinders the development of effective problem solving. Against this background, we show the present state of research on policy integration and integrated policymaking. Following the research results of Bauer et al. （2021） and Teebken et al. （2021）, this note briefly summarizes different understandings of policy integration and detailed criteria for evaluating policy integration from different　academic perspectives. Implementing an interactive agenda requires political　attention and institutional competence to address the interactions and complexity　of each, understand policies at a national level, and translation. In this note, we will　introduce the basic concept of what integration practice looks like, and focusing on　the interaction between the 2030 Agenda and the Paris Agreement.

The purpose of this paper is to analyze the movement of the economy when the consumption demand is fully realized after the economy achieves full employment. If the investment demand is fully realized, full employment will not be sustained. However, full employment will continue if the consumption demand is fully realized.

本稿では，中国の浙江省の消費者を対象に実施したアンケート調査をもとに，新型コロナウイルス感染症の拡大が中国の消費者の消費行動に与えた影響を探るために，OLS回帰分析を用いて定量分析を行った。分析結果から，新型コロナウイルス感染症の拡大は中国における消費者の収入や仕事の安定さに一定の影響を与えていることがわかった。多くの回答者は将来の経済発展に対し強い確信を持っていることも確認された。また，新型コロナウイルス感染症の影響が強ければ強いほど節約的消費傾向が強まり，将来に確信を持つほど積極的消費傾向が強まることがわかった。

This paper empirically examines the impacts of household debt and　leverage ratio, measured by the ratio of aggregate household debt to GDP, on consumption using provincial-level macro-data in China. Results show that household indebtedness has a positive and significant effect on consumption expenditure and this remains true for both household debt and leverage ratio, as well as long-term and short-term debts and leverage ratios, and the encouraging effects are heterogeneous across regions. When the debt-to-GDP ratio is below 100%, the consumption experiences faster growth than that when the debt-to-GDP ratio exceeds 100%. In addition, residents’ saving, per capita disposal income and the public expenditure on education, social security, as well as medical and health services are found to have significant positive effects on consumption, while CPI and child dependency ratio have depressive effects.

As income levels increase, numerous households will consider investing in risky assets. Credit availability, especially for high-income households, is playing an increasingly important role in enhancing households holdings of risky assets (HHRA). The purpose of this study is to investigate the impact of credit availability on HHRA. In this study, the data from the China Household Finance Survey in 2017 is utilized, and the approach of logit regression is employed to produce more accurate estimates. Meanwhile, this study also explores the heterogeneous roles of household income. The results show that the impact of credit availability on HHRA varies by household income. As household income increases from low to high, the effect of credit availability on HHRA transfers from negative to positive. Besides, the results also suggest that for high-income households, credit availability moderated with the attention to financial and economic information positively contributes to HHRA. Thus, it implies that policymakers and financial institutions are encouraged to expand access for households to invest in risky assets, enhance households’ availability of credit, and build more financing channels.

The establishment of the environmental protection law reflects the Chinese government's determination to achieve ecological civilization. Since January 1, 2015, when the revised Environmental Protection Law of the People's Republic of China came into effect, environmental public interest litigation in China has been rapidly growing. In the implementation of environmental law, environmental public interest litigation plays an irreplaceable role. The mechanism of environmental public interest litigation will ideally enhance the effectiveness and prevention of environmental protection and become a major contributor to public awareness of environmental protection. Despite the fact that environmental public interest litigation in China has made great progress, there are still many shortcomings and defects. One of the major difficulties facing environmental public interest litigation in China is the lack of standing of plaintiffs in environmental public interest litigation. This paper will explore the necessity of plaintiff status for environmental public interest litigation in China's grassroots self-governance organizations based on the situation of environmental pollution in rural China, using village committees as an example.

As global warming continues to intensify, how to prevent climate deterioration has become a serious concern for all countries. In recent years, although China’s GDP has leap to the second place in the world after the United States, it is accompanied by serious problems of environmental pollution and energy consumption with the rapid development of the economy. Under the common goal of global energy conservation and emission reduction, China has established seven carbon trading markets. Because the energy-chemical industry is a major concern for emission reduction and the carbon trading market has market regulation functions, examining the relationship between them is of great significance and can help the emission reduction effort. This study investigates the relationship between the carbon emission price of China's carbon trading market and the stock price of 30 listed companies in the energychemical industry. We use daily data to establish a panel model and var model, and　then compare it with European Emissions Trading Scheme (EU-ETS). The result indicates that there is an asymmetric one-way relationship between the carbon emission price and the stock price of the energy-chemical industry in China. The main reason is that the internal endogenous mechanism and external response mechanism of the carbon trading market are not perfect. Then the government should improve relevant legal system and trading system, and furthermore, introduce third-party institutions and strengthen talent pools.

Consumer capability refers to the ability to apply relevant knowledge and perform desirable behavior for achieving wellbeing. Previous research reveals that consumer behavior is more important than knowledge to indicate consumer capability. How to motivate individual consumers to engage in consumption activities that contribute to sustainable development? This is the question this conceptual paper attempts to address. This paper proposes a definition of sustainable consumer behavior and applies a theory-based, conceptual framework to develop action-taking programs in sustainable consumption education. Sustainable consumer behavior is defined as consumer acts that consider current and future interests of themselves and others when they purchase and use market goods. The behavior change theory used here refers to the transtheoretical model of behavior change (TTM), a commonly used behavior change theory in health and finance. The paper demonstrates how to facilitate the development of sustainable consumer behavior in education intervention programs based on principles outlined in TTM with specific examples. Implications for policies and future research are also discussed.